COMPLEXITY AND INTEGRATED CHILDREN’S SERVICES IN THE UK

Abstract

Children's services in the UK have been reorganised in recent years in order to focus more effectively on the needs of children and families. New models of integrated services, such as children's centres and extended schools, aim to strengthen families through a multi-agency response to problems in early childhood. This paper explains the context of integrated services in the UK, explores the research on integration and discusses the implications for collaboration between professionals. It is argued that a particular challenge for integrated services is presented by so-called ‘complex cases’, e.g. children at risk of abuse, who need a range of professionals to work closely together. Nonetheless, the evidence suggests that collaboration is very difficult to achieve in situations of high complexity and risk. The policy response so far has been to emphasise IT-based case management systems, reinforced by tighter managerial and procedural controls. However, this may be ignoring an opportunity to pool the expertise of professionals in order to find innovative joint solutions.

Keywords

• integrated services, interprofessional working, child protection

Kaynakça

1. Anning, A., Cottrell, D., Frost, N., Green, J. and Robinson, M. (2006), Developing multiprofessional teamwork for integrated children’s services, Buckingham: Open University Press
2. Atkinson, M., Wilkin, A., Stott, A. and Kinder, K. (2002), Multi-agency working: a detailed study, Berkshire: National Foundation for Educational Research.
3. Bachmann, M. O., O'Brien, M., Husbands, C., Shreeve, A., and Jones, N. (2009), “Integrating children's services in England: National evaluation of children's trusts”, Child: Care, Health and Development, Vol. 35, No. 2, pp.257-265
4. Boddy, J., Potts, P. & Statham, J. (2006), Models of Good Practice in Joined-up Assessment:
5. Working for Children with ‘Significant and Complex Needs, London: Thomas Coram Research Unit. Bonfenbrenner, U. (1979), The Ecology of Human Development: Experiments by Nature and Design. Cambridge, MA: Harvard University Press:
6. Brown, K. and White, K. (2006), Exploring the evidence base for Integrated Children's Services, www.openscotland.gov.uk/publications [Accessed 21/10/09]
7. Cameron, A. and Lart, R. (2003), “Factors Promoting and Obstacles Hindering Joint Working: A
8. Systematic Review of the Research Evidence”, Journal of Integrated Care, Vol. 11, No. 2, pp. 9- Conklin, J. (2006), Wicked Problems and Social Complexity, http://cognexus.org/wpf/wickedproblems [Accessed 05/03/2010]

9. Department for Education and Skills (2003), Every Child Matters, London: TSO
10. Department for Children, Schools and Families (2007), The Children’s Plan, Nottingham: DCSF
11. Department for Children, Schools and Families (2008), Building Brighter Futures: Next Steps for the Children’s Workforce, Nottingham: DCSF
12. Department for Children Schools and Families (2010), Children's Trusts: Statutory guidance on cooperation arrangements, London: TSO
13. Devaney, J. And Spratt, T. (2009), “Child abuse as a complex and wicked problem: Reflecting on policy developments in the United Kingdom”, Children and Youth Services Review, Vol. 31, No. 6, pp.635-641
14. Dingwall, R., Eekelaar, J. and Murray, T. (1983), The Protection of Children: State Intervention and Family Life, Blackwell: Oxford
15. Glisson, C. & Hemmelgarn, A. (1998), “The Effects of Organizational Climate and Interorganizational Coordination on the Quality and Outcomes of Children's Service Systems”,
16. Child Abuse & Neglect, Vol. 22, No. 5, pp. 401-421
17. Laming, H. (2003), The Victoria Climbié Inquiry, http://www.victoria-climbie-inquiry.org.uk accessed 10.11.09].
18. Limbrick, P. (2004), Early Support for Children with Complex Needs: Team Around the Child and the Multi-agency Keyworker, Worcester: Interconnections.
19. Menzies Lyth, I. (1988), Containing Anxiety in Institutions, London: Free Association Press
20. Munro, E. (1996), “Avoidable and Unavoidable Mistakes in Child Protection Work”, British
21. Journal of Social Work, Vol. 26, pp.793 - 808
22. Parton, N. (2004), “From Maria Colwell to Victoria Climbie: reflections on public inquiries into child abuse a generation apart”, Child Abuse Review, Vol. 13, No. 2, pp. 80-94
23. Parton, N. (2008), “Changes in the form of knowledge in social work: from the 'social' to the 'informational'?”, British Journal of Social Work, Vol. 38, No. 2, pp.253-269
24. Robinson, M., Atkinson, M. & Downing, D. (2008), Supporting Theory Building in Integrated
25. Services Research, Slough: NFER Sloper, A. (2004), “Facilitators and barriers for co-ordinated multi-agency services”, Child: Care,
26. Health & Development, Vol. 30, No. 6, pp.571-580. Spratt, T. (2009), “Identifying families with multiple problems: possible responses from child and family social work to current policy developments”, British Journal of Social Work, Vol. 39, pp.435-450
27. Stanley, N. And Manthorpe, J. (2004), The Age of the Inquiry: Learning and Blaming in Health and Social Care, London: Routledge
28. Stewart, A., Petch, A. and Curtice, L. (2003), “Moving towards integrated working in health and social care in Scotland: from maze to matrix”, Journal of Interprofessional Care, Vol. 17, No. 4, pp.335-350.
29. Webb, R. and Vuillamy, G. (2001), “Joining up the solutions: the rhetoric and practice of inter- agency co-operation”, Children and Society, Vol. 15, pp.315-332
30. White, S., Hall, C. and Peckover, S. (2009), “The Descriptive Tyranny of the Common
31. Assessment Framework”, British Journal of Social Work, Vol. 39, No. 7, pp.1197-1217
32. Woodhouse, D. and Pengelly, P. (1991), Anxiety and the Dynamics of Collaboration, Aberdeen University Press