IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v237y2019ic23.html
   My bibliography  Save this article

Learning from partnership tensions in transcultural interdisciplinary case discussion seminars: A qualitative study of collaborative youth mental health care informed by game theory

Author

Listed:
  • Johnson-Lafleur, Janique
  • Papazian-Zohrabian, Garine
  • Rousseau, Cécile

Abstract

Although collaborative care was adopted in several countries, including Canada, to improve the health and social services system, partnerships are often experienced as challenging. In many cases, transformative partnership remains a political rhetoric rather than a practical reality. This article presents an analysis of partnership relationships in youth mental health (YMH) using insights from game theory and a qualitative analysis of interactions during transcultural interinstitutional and interdisciplinary case discussion seminars (TIICDSs). Drawing on the analysis of 40 seminar sessions and six focus groups with seminar participants conducted in Montréal (Canada) between October 2013 and April 2015, this article interrogates the conditions and processes present in TIICDSs that contribute to building and strengthening YMH partnerships, examining how tensions among TIICDS participants are attended to. Research results indicate that TIICDSs can be seen as a game operating under different rules than real-life clinical work. They are characterized by the establishment of a climate of trust and respect, a high value placed on diversity and creativity, a concern for affects and power dynamics, a process of inclusive dialogue and negotiation, and a consideration for continuity. The game rules allow participants to safely apprehend a situation from a different perspective, a key competence in intercultural and collaborative YMH care. Results also indicate that participants complexify their representations by playing with divergent perceptions of people and situations and that enhanced case formulations are collective game outcomes. In light of our findings, tensions in collaborations can be seen as constituting both obstacles that can be counterproductive if not attended to, as well as powerful and useful learning tools that, under certain conditions, can support the clinical process and contribute to partnership building. Some clinical and partnership impasses may be overcome through clinical case discussions that allow partners to address these tensions and negotiate power relationships.

Suggested Citation

  • Johnson-Lafleur, Janique & Papazian-Zohrabian, Garine & Rousseau, Cécile, 2019. "Learning from partnership tensions in transcultural interdisciplinary case discussion seminars: A qualitative study of collaborative youth mental health care informed by game theory," Social Science & Medicine, Elsevier, vol. 237(C), pages 1-1.
  • Handle: RePEc:eee:socmed:v:237:y:2019:i:c:23
    DOI: 10.1016/j.socscimed.2019.112443
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S027795361930437X
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2019.112443?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Aveling, Emma-Louise & Martin, Graham, 2013. "Realising the transformative potential of healthcare partnerships: Insights from divergent literatures and contrasting cases in high- and low-income country contexts," Social Science & Medicine, Elsevier, vol. 92(C), pages 74-82.
    2. Katz, Arlene M. & Alegría, Margarita, 2009. "The clinical encounter as local moral world: Shifts of assumptions and transformation in relational context," Social Science & Medicine, Elsevier, vol. 68(7), pages 1238-1246, April.
    3. Darlington, Yvonne & Feeney, Judith A. & Rixon, Kylie, 2004. "Complexity, conflict and uncertainty: Issues in collaboration between child protection and mental health services," Children and Youth Services Review, Elsevier, vol. 26(12), pages 1175-1192, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Martimianakis, Maria Athina (Tina) & Hafferty, Frederic W., 2013. "The world as the new local clinic: A critical analysis of three discourses of global medical competency," Social Science & Medicine, Elsevier, vol. 87(C), pages 31-38.
    2. Mason, Robin & Du Mont, Janice & Paterson, Maeve & Hyman, Ilene, 2018. "Experiences of child protection workers in collaborating with adult mental health providers: An exploratory study from Ontario, Canada," Children and Youth Services Review, Elsevier, vol. 86(C), pages 271-276.
    3. Kleio Koutra & Courtney Burns & Laura Sinko & Sachiko Kita & Hülya Bilgin & Denise Saint Arnault, 2022. "Trauma Recovery Rubric: A Mixed-Method Analysis of Trauma Recovery Pathways in Four Countries," IJERPH, MDPI, vol. 19(16), pages 1-17, August.
    4. Han, Lu & Koenig-Archibugi, Mathias & Opsahl, Tore, 2018. "The social network of international health aid," Social Science & Medicine, Elsevier, vol. 206(C), pages 67-74.
    5. Stevens, Lindsay M., 2015. "Planning parenthood: Health care providers' perspectives on pregnancy intention, readiness, and family planning," Social Science & Medicine, Elsevier, vol. 139(C), pages 44-52.
    6. Darlington, Yvonne & Feeney, Judith A., 2008. "Collaboration between mental health and child protection services: Professionals' perceptions of best practice," Children and Youth Services Review, Elsevier, vol. 30(2), pages 187-198, February.
    7. Aveling, Emma-Louise & Martin, Graham & Herbert, Georgia & Armstrong, Natalie, 2017. "Optimising the community-based approach to healthcare improvement: Comparative case studies of the clinical community model in practice," Social Science & Medicine, Elsevier, vol. 173(C), pages 96-103.
    8. McBeath, Bowen & Jolles, Mónica Pérez & Chuang, Emmeline & Bunger, Alicia C. & Collins-Camargo, Crystal, 2014. "Organizational responsiveness to children and families: Findings from a national survey of nonprofit child welfare agencies," Children and Youth Services Review, Elsevier, vol. 38(C), pages 123-132.
    9. Garcia, Antonio R. & Circo, Elizabeth & DeNard, Christina & Hernandez, Natalie, 2015. "Barriers and facilitators to delivering effective mental health practice strategies for youth and families served by the child welfare system," Children and Youth Services Review, Elsevier, vol. 52(C), pages 110-122.
    10. Preston, Mark S., 2015. "Case manager job strain in public child welfare agencies: Job demands and job control's additive effects, and instrumental feedback's mediating role," Children and Youth Services Review, Elsevier, vol. 54(C), pages 30-40.
    11. de Freitas, Cláudia & Martin, Graham, 2015. "Inclusive public participation in health: Policy, practice and theoretical contributions to promote the involvement of marginalised groups in healthcare," Social Science & Medicine, Elsevier, vol. 135(C), pages 31-39.
    12. Barnes, Amy & Brown, Garrett W. & Harman, Sophie, 2016. "Understanding global health and development partnerships: Perspectives from African and global health system professionals," Social Science & Medicine, Elsevier, vol. 159(C), pages 22-29.
    13. Kim, Jangmin & Pierce, Barbara J. & Jaggers, Jeremiah W. & Imburgia, Teresa M. & Hall, James A., 2016. "Improving child welfare services with family team meetings: A mixed methods analysis of caseworkers' perceived challenges," Children and Youth Services Review, Elsevier, vol. 70(C), pages 261-268.
    14. Wells, Rebecca, 2006. "Managing child welfare agencies: What do we know about what works?," Children and Youth Services Review, Elsevier, vol. 28(10), pages 1181-1194, October.
    15. Virginia Schmied & Annie Mills & Sue Kruske & Lynn Kemp & Cathrine Fowler & Caroline Homer, 2010. "The nature and impact of collaboration and integrated service delivery for pregnant women, children and families," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(23‐24), pages 3516-3526, December.
    16. Osei-Frimpong, Kofi & Wilson, Alan & Lemke, Fred, 2018. "Patient co-creation activities in healthcare service delivery at the micro level: The influence of online access to healthcare information," Technological Forecasting and Social Change, Elsevier, vol. 126(C), pages 14-27.
    17. Bai, Rong & Collins, Cyleste & Fischer, Robert & Crampton, David, 2019. "Pursuing collaboration to improve services for child welfare-involved housing unstable families," Children and Youth Services Review, Elsevier, vol. 104(C), pages 1-1.
    18. Jiyoung Kim, 2018. "The Effect of Patient Participation through Physician’s Resources on Experience and Wellbeing," Sustainability, MDPI, vol. 10(6), pages 1-14, June.
    19. Mack, Judith & Wanderer, Sina & Keitel, Janin & Bittner, Jana & Herrmann, Elisabeth & Ehrlich, Stefan & Roessner, Veit, 2017. "Better together? Cooperation between youth welfare office and child and adolescent psychiatry: A methodological approach," Children and Youth Services Review, Elsevier, vol. 79(C), pages 44-49.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:237:y:2019:i:c:23. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.