Relational systems change

Springer Science and Business Media LLC - Tập 32 - Trang 227-240 - 2005
Laurie S. Markoff1, Norma Finkelstein1, Nina Kammere2,3, Peter Kreiner2,4, Carol A. Prost2,4
1Institute for Health and Recovery, Cambridge
2Health and Addictions Research, Inc, Boston
3Department of Anthropology at Brandeis University, Waltham
4Senior Research Associate at Schneider Center for Behavioral Health, Brandeis University, Walthan

Tóm tắt

This article describes the “relational systems change” model developed by the Institute for Health and Recovery, and the implementation of the model in Massachusetts from 1998–2002 to facilitate systems change to support the delivery of integrated and trauma-informed services for women with co-occurring substance abuse and mental health disorders and histories of violence and empirical evidence of resulting systems changes. The federally funded Women Embracing Life and Living (WELL) Project utilized relational strategies to facilitate systems change within and across 3 systems levels: local treatment providers, community (or region), and state. The WELL Project demonstrates that a highly collaborative, inclusive, and facilitated change process can effect services integration within agencies (intra-agency), strengthen integration within a regional network of agencies (interagency), and foster state support for services integration.

Tài liệu tham khảo

Fletcher J.Disappearing Acts: Gender, Power and Relational Practice at Work. Cambridge, Mass: MIT Press; 1999. Jordan J.Women's Growth in Diversity: More Listings From the Stone Center. New York: Guilford Press; 1997. Miller JB.Toward a New Psychology of Women. Boston: Beacon Press; 1976. Miller JB, Stiver IP.The Healing Connection: How Women Form Relationships in Therapy and in Life. Boston: Beacon Press; 1997. Miller JB.What Do We Mean by Relationships? Work in Progress, No. 22. Wellesley, Mass: Stone Center Working Paper Services; 1986 Covington SS, Surrey JL. The relational model of women's psychological development: implications for substance abuse. In: Wilsnack RW, Wilsnack SC, eds.Gender and Alcohol: Individual and Social Perspectives. New Brunswick, NJ: Rutgers Center of Alcohol Studies; 1997:335–351. Finkelstein N. Using the relational model as context for treating pregnant and parenting chemically dependent women.Journal of Chemical Dependency Treatment. 1996;16:1–2:23–34. Finkelstein N, Kennedy C, Thomas K, et al.Gender-specific Substance Abuse Treatment. Alexandria, Va: National Women's Resources Center for the Prevention and Treatment of Alcohol, Tobacco, and Other Drug Abuse and Mental Illness; 1997. Surrey J.Relationships and Empowerment. Work in Progress, No 30. Wellesley, Mass: Stone Center Working Paper Services; 1987. Hartling LM.Prevention Through Connection: A Collaborative Approach to Women's Substance Abuse. Work in Progress, No. 103. Wellesley, Mass: Stone Center Working Paper Services; 2003. Fletcher JK.Relational Theory in the Workplace. Work in Progress, No. 77. Wellesley, Mass: Stone Center Working Paper Services; 1996. Kingsley S. Managing change in mental health services: lessons from implementation.Journal of Mental Health. 1993;2(4):295–395. Tenkasi RV, Mohrman SA. Technology transfer as collaborative learning. In: Backer T, David SL, Soucy G, eds.Reviewing the Behavioral Science Knowledge Base on Technology Transfer. Rockville, Md: National Institute on Drug Abuse; 1995:147–168. Klein KJ, Sorra JS. The challenge of innovation implementation.Academy of Management Review. 1996;21(4):1055–1080. McLellan AT, Kushner H, Metzger D, et al. The fifth edition of the Addiction Severity Index.Journal of Substance Abuse Treatment. 1992;9:199–213. Foa EB, Cashman L, Jaycox L, Perry K. The validation of a self-report measure of posttraumatic stress disorder: the Posttraumatic Diagnostic Scale.Psychological Assessment. 1997;9:445–451. Derogatis LR.Brief Symptom Inventory (BSI): Administration, Scoring and Procedures Manual. 4th ed. Minneapolis: National Computer Systems; 1993. Morrissey JP. An interorganizational network approach to evaluating children's mental health service systems.New Directions for Program Evaluation. 1992;54:85–98. Morrissey JP, Calloway MO, Johnsen MC, Ullman M. Service system performance and integration: a baseline profile of the ACCESS demonstration sites.Psychiatric Services. 1997;48:374–380. Calloway MO, Morrissey JP, Paulson RI. Accuracy and reliability of self-reported data in interorganizational networks.Social Networks. 1993;15:377–398. Kammerer N.Evaluation of Demonstration Projects: Interorganizational Network Analysis. Prepared for the Massachusetts Department of Public Health, Bureau of Substance Abuse Services. Health & Addictions Research, Inc, Boston; 1999. Borgatti SP, Everett MG, Freeman LC.Ucinet for Windows: Software for Social Network Analysis. Harvard, Mass: Analytic Technologies; 2002. Jerrell JM, Ridgely MS. The relative impact of treatment program “robustness” and “dosage” on client outcomes.Evaluation and Program Planning. 1999;22:323–330. Deren S, Oliver-Velez D, Finlinson A, et al. Integrating qualitative and quantitative methods: comparing HIV-related risk behaviors among Puerto Rican drug users in Puerto Rico and New York.Substance Use and Misuse. 2003;38:1–24. Frederickson DD, Molgaard CA, Dismuke SE, et al. Understanding frequent emergency room use by Medicaid-insured children with asthma: a combined quantitative and qualitative study.Journal of the American Board of Family Practitioners. 2004;17(2):96–100. Johnstone PL. Mixed methods, mixed methodology health services research in practice.Qualitative Health Research. 2004;14(2):259–271. Gladwell M.The Tipping Point. Boston, Mass: Little, Brown & Co; 2000. Finkelstein N, Markoff L, Kreiner P. Building statewide integrated systems of care for women with co-occurring substance abuse and mental health disorders and histories of violence and their children. Presented at: American Public Health Association Annual Conference; November 2000; Boston, Mass. Bartunek JM. Changing interpretive schemes and organizational restructuring: the example of a religious order.Administrative Science Quarterly. 1984;29:355–372.