Journal articles on the topic 'Community service organisations'
To see the other types of publications on this topic, follow the link: Community service organisations.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Community service organisations.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Jeffery, Vivienne, and Kaye Ervin. "Responding to rural health needs through community participation: addressing the concerns of children and young adults." Australian Journal of Primary Health 17, no. 2 (2011): 125. http://dx.doi.org/10.1071/py10050.
Full textAbstract:
A small rural health service undertook a major needs analysis in 2008 to identify gaps in service delivery and duplication of services. This exercise was intended to inform strategic direction but the result was consumer and community consultation and outcomes that far exceeded everyone’s expectations. Organisations often pay lip service to the concept of community participation and consultation and the importance of consumer involvement. Turning this rhetoric into action is challenging and requires dedicated staff, organisational support and momentum for it to occur. The project described resulted in targeted, purposeful action regarding community engagement, and the findings and outcomes are reflective of this. The unexpected findings required an organisational shift, which was embraced by the health service and resulted in collaborative partnerships with consumers and organisations that are proving beneficial to the entire community and outlying areas. Few organisations would demonstrate the willingness to accommodate such change, or undertake a needs analysis that is chiefly community driven.
2
Birleson, Peter. "Learning Organisations: A Suitable Model for Improving Mental Health Services?" Australian & New Zealand Journal of Psychiatry 32, no. 2 (April 1998): 214–22. http://dx.doi.org/10.3109/00048679809062731.
Full textAbstract:
Objective: The aim of this paper was to describe an organisational model that has created interest in recent business management literature as supporting learning, adaptation and continuous improvement. Method: Some key features of the literature on learning organisations are outlined, including the values and processes involved, together with a structural and cultural template that has been applied to a community child and adolescent mental health service. Some blocks to learning and the leadership skills required to develop adaptive services are described. Results: The experience of applying the model has led to a change in mental health service organisational structure and culture towards greater support for research, quality improvement, experimentation and adaptation. Conclusions: The learning organisation model offers a more comprehensive framework for designing adaptive mental health services and supporting quality management practices than any other recent organisational form.
3
Colbran, Richard, Robyn Ramsden, Karen Stagnitti, and Samantha Adams. "Measures to assess the performance of an Australian non-government charitable non-acute health service: A Delphi Survey of Organisational Stakeholders." Health Services Management Research 31, no. 1 (August 17, 2017): 11–20. http://dx.doi.org/10.1177/0951484817725681.
Full textAbstract:
Organisation performance measurement is relevant for non-profit charitable organisations as they strive for security in an increasingly competitive funding environment. This study aimed to identify the priority measures and indicators of organisational performance of an Australian non-government charitable organisation that delivers non-acute health services. Seventy-seven and 59 participants across nine stakeholder groups responded to a two-staged Delphi technique study of a case study organisation. The stage one questionnaire was developed using information garnered through a detailed review of literature. Data from the first round were aggregated and analysed for the stage two survey. The final data represented a group consensus. Quality of care was ranked the most important of six organisational performance measures. Service user satisfaction was ranked second followed by financial performance, internal processes, employee learning and growth and community engagement. Thirteen priority indicators were determined across the six measures. Consensus was reached on the priority organisational performance measures and indicators. Stakeholders of the case study organisation value evidence-based practice, technical strength of services and service user satisfaction over more commercially orientated indicators.
4
Edwards, A. G. "OUTSOURCING—A GLOBAL PERSPECTIVE." APPEA Journal 37, no. 1 (1997): 575. http://dx.doi.org/10.1071/aj96036.
Full textAbstract:
The global business community is experiencing a massive shift towards adoption of outsourced 'back office' transaction services.Called 'strategic outsourcing', it is driven by the desire of global companies to focus on core activities, and to outsource non-core business processes to specialist global service organisations. It is a significant new market for these organisations, expected to be worth US$40 billion globally, by the year 2000.While cost reduction is a major benefit, the outsource service provider offers value-added service by its ability to re-engineer business processes to world best practice, its ability to rapidly transition the client organisation to new technology, and by extracting the efficiencies of shared services processing.The global service organisations see strategic outsourcing as a natural evolution of their service offering.Outsourcing extends beyond the cost reduction strategies of their consulting service projects: downsizing organisation structure, re-engineering to introduce world class business processes, and transition management for introduction of new technology.By evolving from these project based assignments, into provision of on-going outsourced transaction services, the service organisations have the opportunity to establish a different strategic relationship with their clients, and add value that a client organisation cannot achieve by itself.Cost savings come from the operational efficiencies of shared services processing, and the lower operational cost achieved by specialising the processing of non-core, 'back-office' transactions, and sharing overheads between several clients.Additional business benefits result from the partnering relationship, which can produce new industry specialist services3 valuable to other clients within the same industry.It is likely that the role of the service organisation will further develop, from the position of strategic outsource business partner, to that of general contractor, where a client selects one major supplier as the single point of contact for all outsourced services. The general contractor becomes responsible for all outsourced outputs, subcontracts the services of all other outsourcing organisations, and remains solely responsible for their service provision.
5
Wallace, Simon. "Community care reaches out for the mobile moment." Clinical Governance: An International Journal 20, no. 3 (July 6, 2015): 123–33. http://dx.doi.org/10.1108/cgij-07-2015-0023.
Full textAbstract:
Purpose – The purpose of this paper is to explore the quite extraordinary way the phenomena of mobile communication has gripped our society and the opportunities this provides for healthcare. Design/methodology/approach – It describes the ticking public health time bomb surrounding long term conditions and dementia and the need to radically overhaul how community services are delivered. It dissects the opportunities and challenges of providing a mobile health and social care service in the community and explores what a mobile moment means for these professionals. Findings – It stresses that the answer is NOT to simply provide an organisation’s IT back-office environment in the field and describes the concept of a dedicated organisation app platform tailored to meet this need. Originality/value – The paper concludes by reviewing recent evidence about the benefits and opportunities for health and social care organisations to embrace mobile working.
6
Schutte, C. F. "Managing water supply and sanitation services to developing communities: key success factors." Water Science and Technology 44, no. 6 (September 1, 2001): 155–62. http://dx.doi.org/10.2166/wst.2001.0364.
Full textAbstract:
A number of key success factors in the management of organisations responsible for the provision of water supply and sanitation services to developing communities have been identified as critical to the sustained success of such organisations. These factors have to receive specific and sustained attention from management. They should form the focus of management attention in addition to the many other important factors requiring management input. The key success factors which are critical to ensure a sustained water supply and the provision of sanitation services to developing communities centre around two main areas, i.e. the credibility of the organisation with the community it serves and the creation of an organisation culture of focusing on service to the community, on income generation and on minimising of losses.
7
Raniga, Tanusha, Barbara Simpson, and Ntokozo Mthembu. "CHALLENGES TO BUILDING AUTHENTIC PARTNERSHIPS: LESSONS FROM BHAMBAYI, KWAZULU-NATAL, SOUTH AFRICA." Southern African Journal of Social Work and Social Development 26, no. 2 (March 2, 2017): 124–40. http://dx.doi.org/10.25159/2415-5829/2186.
Full textAbstract:
In contemporary South Africa, partnerships between service providers in government, non-governmental organisations, the private sector and community based organisations have been identified as a means to strengthen communities and the sustainability of social services. However, the unequal power relations that exists between and within these organisations often leads to fragmentation, duplication, and lack of coordination of social services. Using Fowler’s (1998) conceptualisation of authentic partnerships, this qualitative phase of a larger study explored the challenges of building authentic partnerships in Bhambayi, a predominantly informal settlement in KwaZulu-Natal, South Africa. Individual interviews and a focus group held with nine service providers revealed that intraorganisational challenges, cross-boundary and inter-organisational relations as well as political influences were obstacles to the development of authentic partnerships. The article suggests that open communication, clarity of roles and mutual trust between service providers is vital.
8
MILBOURNE, LINDA. "Remodelling the Third Sector: Advancing Collaboration or Competition in Community-Based Initiatives?" Journal of Social Policy 38, no. 2 (April 2009): 277–97. http://dx.doi.org/10.1017/s0047279408002845.
Full textAbstract:
AbstractIn the last decade, UK public agencies have increasingly been required to collaborate with non-state providers to deliver welfare services. Third sector organisations are now providers of services from early years to old age, taking a growing role in children and young people's services in socially deprived neighbourhoods. National policy has recognised third sector expertise in working with marginal groups of people. However, changing relationships with the state have drawn community organisations into new, often uncomfortable, organisational arrangements, affecting their work and their roles in relation to service users and community stakeholders.This article examines recent changes from a third sector perspective, drawing on data from a study of community-based organisations providing children and young people's services in deprived localities. It considers the changing environment of ‘new localism’ affecting these organisations, focusing on recent plans for local area commissioning of services.The article identifies some progress in supporting community services in deprived areas but illustrates how the continuing emphasis on competitive contracts and centrally driven frameworks undermines collaborative work and community trust. It argues that such mechanisms may serve short-term state interests but devalue the very community-level work, which is increasingly being promoted to address challenging social problems.
9
Walker, Peter. "Negotiating trans-cultural social service partnerships." Aotearoa New Zealand Social Work 22, no. 3 (July 8, 2016): 48–55. http://dx.doi.org/10.11157/anzswj-vol22iss3id183.
Full textAbstract:
This paper explores trans-cultural organisational partnerships within kaupapa Māori, Pacific people’s and mainstream organisations and how such partnerships are formed and maintained. I describe and analyse such partnerships in practice in New Zealand, using Das and Teng’s (2001) trust, risk and control schema, focusing on what works and why it works, and outline strategies to enable the implementation of such partnerships to other sites. The research will hopefully be a resource for those working in community development and social service organisations, who intend to enter into trans-cultural partnerships.
10
Hodgkin, Suzanne, Pauline Savy, Samantha Clune, and Anne-Marie Mahoney. "Navigating the marketisation of community aged care services in rural Australia." International Journal of Care and Caring 4, no. 3 (August 1, 2020): 377–93. http://dx.doi.org/10.1332/239788220x15875789936065.
Full textAbstract:
The aged care policies of many Organisation for Economic Co-operation and Development countries reflect free-market principles. In Australia, the recently introduced Consumer Directed Care programme centres on markets in which a range of organisations compete to provide services to community-living elders. As consumers, older people are allocated government funding with which they select and purchase items from their chosen service organisation. This article presents findings from a case study that explored the impacts of this programme on a group of rurally based, not-for-profit providers and consumers. The findings portray the challenges and advantages associated with providing and accessing services in limited rural markets.
11
Lin, Wenyi. "Community service contracting for older people in urban China: a case study in Guangdong Province." Australian Journal of Primary Health 22, no. 1 (2016): 55. http://dx.doi.org/10.1071/py15085.
Full textAbstract:
Contracting of community services to non-governmental service-providing organisations – mainly social work agencies – is an emerging phenomenon and a social innovation with regard to delivering community services in urban China. Contracting of community services for the older person, which is the focus of this study, is embedded in the macro context of the development of social service contracting in China. Qualitative research techniques, including document analysis, case study, participant observation and in-depth interviews, were adopted for this study. Nine government officials, three staff working in Community Residents’ Committees, 15 staff working in social work agencies and 41 older people were interviewed in an effort to understand the impact and challenges of community service contracting in urban China. The findings showed that the involvement of social work agencies in the community service provision system results in integration of community resources, expansion of service coverage and enhancement of older people’s access to community services. However, several problems may impede the development of community service provision in the context of contracting in China. These include purchaser-oriented rather than user-oriented service provision, older people’s negative attitude towards social work services, inappropriate performance measurement, reliance of non-government organisations on government funding and ambiguous definition of community services.
12
Galvan, Dennis C. "The social reproduction of community-based development: syncretism and sustainability in a Senegalese farmers' association." Journal of Modern African Studies 45, no. 1 (January 2007): 61–88. http://dx.doi.org/10.1017/s0022278x0600228x.
Full textAbstract:
This article traces the rise and decline of a grassroots community organisation in rural Senegal. It has three aims. First, it problematises the sometimes idealistic nature of the rhetoric and literature on community-based development. Second, it suggests three factors that contribute to the effectiveness of rural self-help organisations: educated and technocratically skilled leadership, unintentionally benevolent state neglect, and a willingness to syncretically recycle elements of ‘traditional' social order and culture in the service of contemporary development tasks. Finally, the demise of the community-based organisation examined here suggests a need to shift focus away from the institutionalisation of community-based or civil society organisations per se, and to consider instead the routinisation of the participatory, empowering, and deliberative socio-political conditions that make possible the regular emergence of new grassroots organisations across time within a given community. Recent events (since 2005) in the village in question support this shift, as a new generation of community leaders has begun to craft a new community organisation, explicitly built from the detritus of the older organisation described in this article.
13
Dorasamy, Nirmala, and Ndiphethe Olive Mabila. "Factors impacting on employee performance: A case study of the royal Swaziland police service." Journal of Governance and Regulation 4, no. 3 (2015): 201–11. http://dx.doi.org/10.22495/jgr_v4_i3_c2_p2.
Full textAbstract:
The principal challenge for most organisations is to ensure that the performance of employees will result in the effectiveness and success of any organisation. The Royal Swaziland Police Service (RSPS), in order to differentiate itself from other organisations and ensure survival effectiveness and competitiveness, must render services of high quality. The key findings of the RSPS study suggest that the most positive factors of job satisfaction are receiving respect from the community and relations with colleagues, while the negative aspects are that salaries are not equal to effort put into the job and fear of victimization after voicing a personal opinion.
14
Ristevski, Elica, and Heather Gardner. "Self Help, Not Self Pity': Caring for People with Diabetes in a Voluntary Organisation." Australian Journal of Primary Health 3, no. 1 (1997): 36. http://dx.doi.org/10.1071/py97005.
Full textAbstract:
The importance of the voluntary sector in providing services for people with a chronic illness has been increasingly recognised. A consumer organisation in the voluntary sector, which provides services for people with diabetes, was selected to explore the role of voluntary organisations in service provision. The investigation revealed that voluntary organisations provide support services such as information and education, advocacy, health promotion, the encouragement of research, social activities, and aids and appliances. These services focus on the individual, social, financial and economic needs of people with diabetes and fill the gaps in programs provided by public sector organisations, which are largely targeted toward acute care, are less flexible, and increasingly concerned with cost efficiency. With the shift towards decentralising services to the community and the increased participation of consumers in health care, the work of voluntary organisations will become even more indispensable in Australia.
15
Byrne, Louise, Michael Wilson, Karena J. Burke, Cadeyrn J. Gaskin, and Brenda Happell. "Mental health service delivery: a profile of mental health non-government organisations in south-east Queensland, Australia." Australian Health Review 38, no. 2 (2014): 202. http://dx.doi.org/10.1071/ah13208.
Full textAbstract:
Objective Non-government organisations make a substantial contribution to the provision of mental health services; despite this, there has been little research and evaluation targeted at understanding the role played by these services within the community mental health sector. The aim of the present study was to examine the depth and breadth of services offered by these organisations in south-east Queensland, Australia, across five key aspects of reach and delivery. Methods Representatives from 52 purposively targeted non-government organisations providing mental health services to individuals with significant mental health challenges were interviewed regarding their approach to mental health service provision. Results The findings indicated a diverse pattern of service frameworks across the sector. The results also suggested a positive approach to the inclusion of consumer participation within the organisations, with most services reporting, at the very least, some form of consumer advocacy within their processes and as part of their services. Conclusions This paper offers an important first look at the nature of non-government service provision within the mental health sector and highlights the importance of these organisations within the community sector. What is known about the topic? Non-government organisations make a substantial contribution to the multisectorial provision of services to mental health consumers in community settings. Non-government organisations in Australia are well established, with 79.9% of them being in operation for over 10 years. There is an increasing expectation that consumers influence the development, delivery and evaluation of mental health services, especially in the community sector. What does this paper add? This paper provides a profile of non-government organisations in one state in Australia with respect to the services they provide, the consumers they target, the practice frameworks they use, the use of peer workers and consumer participation, the success they have had with obtaining funding and the extent to which they collaborate with other services. What are the implications for practitioners? This paper provides readers with an understanding of the non-government organisations and the services they provide to people with mental health conditions. In addition, the findings provide an opportunity to learn from the experience of non-government organisations in implementing consumer participation initiatives.
16
MacDonald, Catherine, Bill Genat, Sharon Thorpe, and Jennifer Browne. "Establishing health-promoting workplaces in Aboriginal community organisations: healthy eating policies." Australian Journal of Primary Health 22, no. 3 (2016): 239. http://dx.doi.org/10.1071/py14144.
Full textAbstract:
Aboriginal community controlled health organisations (ACCHOs) and cooperatives function at the centre of community life for local Aboriginal people across Victoria. Local Aboriginal people govern them, work within them as managers and service providers, access health and community services from them and form the constituents who determine their directions. Victorian ACCHOs reflect the unique characteristics of the local Aboriginal community. Thus, potentially, Victorian ACCHOs are key strategic sites for health promotion activities that seek to establish and nurture healthy community, family and peer norms. The Victorian Aboriginal Community Controlled Health Organisation (VACCHO) partnered five metropolitan, regional and rural ACCHOs in a pilot project towards the establishment of healthy food policies and practices in their organisations. Project activities combined both ‘top-down’ policy-oriented and ‘bottom-up’ practice-oriented strategies. This paper, drawing upon both baseline and follow-up quantitative and qualitative data, describes initiatives leading to increases in healthy catering choices and related challenges for Aboriginal workplace health promotion practice.
17
Reid, Daniel Brooks, Shaun R. Parsons, Stephen D. Gill, and Andrew J. Hughes. "Discharge communication from inpatient care: an audit of written medical discharge summary procedure against the new National Health Service Standard for clinical handover." Australian Health Review 39, no. 2 (2015): 197. http://dx.doi.org/10.1071/ah14095.
Full textAbstract:
Objective To audit written medical discharge summary procedure and practice against Standard Six (clinical handover) of the Australian National Safety and Quality Health Service Standards at a major regional Victorian health service. Methods Department heads were invited to complete a questionnaire about departmental discharge summary practices. Results Twenty-seven (82%) department heads completed the questionnaire. Seven (26%) departments had a documented discharge summary procedure. Fourteen (52%) departments monitored discharge summary completion and 13 (48%) departments monitored the timeliness of completion. Seven (26%) departments informed the patient of the content of the discharge summary and six (22%) departments provided the patient with a copy. Seven (26%) departments provided training for staff members on how to complete discharge summaries. Completing discharge summaries was usually delegated to the medical intern. Conclusions The introduction of the National Service Standards prompted an organisation-wide audit of discharge summary practices against the external criterion. There was substantial variation in the organisation’s practices. The Standards and the current audit results highlight an opportunity for the organisation to enhance and standardise discharge summary practices and improve communication with general practice. What is known about the topic? The Australian National Safety and Quality Health Service Standards (Standard 6) require health service organisations to implement documented systems that support structured and effective clinical handover. Discharge summaries are an important and often the only form of communication during a patient’s transition from hospital to the community. Incomplete, inaccurate and unavailable discharge summaries are common and expose patients to greater health risks. Junior staff members find completing discharge summaries difficult and fail to receive appropriate education or support. There is little published evidence regarding the discharge summary practices of inpatient health services. What does this paper add? The paper demonstrates that there is substantial variation in practice regarding discharge summaries in a large regional health service. Departments have different processes and vary in the degree of attention and quality assurance provided to discharge summaries. Variable organisation procedures make completing discharge summaries more difficult for junior doctors, who regularly move between departments. Variable practice is likely to increase the risk of absent, untimely, incomplete or incorrect communication between acute and community services, thereby reducing the quality of patient care. It is likely that similar findings would be found in other hospitals. What are the implications for practitioners? To be accredited under the National Safety and Quality Health Service Standards, health organisations must ensure that adequate processes are in place for safe and effective clinical handover. Organisations should reduce the practice variability by standardising processes, monitoring compliance with processes, and training and supporting junior doctors.
18
Sheaff, Rod, Joyce Halliday, Mark Exworthy, Alex Gibson, Pauline W. Allen, Jonathan Clark, Sheena Asthana, and Russell Mannion. "Repositioning the boundaries between public and private healthcare providers in the English NHS." Journal of Health Organization and Management 33, no. 7/8 (November 7, 2019): 776–90. http://dx.doi.org/10.1108/jhom-12-2018-0355.
Full textAbstract:
Purpose Neo-liberal “reform” has in many countries shifted services across the boundary between the public and private sector. This policy re-opens the question of what structural and managerial differences, if any, differences of ownership make to healthcare providers. The purpose of this paper is to examine the connections between ownership, organisational structure and managerial regime within an elaboration of Donabedian’s reasoning about organisational structures. Using new data from England, it considers: how do the internal managerial regimes of differently owned healthcare providers differ, or not? In what respects did any such differences arise from differences in ownership or for other reasons? Design/methodology/approach An observational systematic qualitative comparison of differently owned providers was the strongest feasible research design. The authors systematically compared a maximum variety (by ownership) sample of community health services; out-of-hours primary care; and hospital planned orthopaedics and ophthalmology providers (n=12 cases). The framework of comparison was the ownership theory mentioned above. Findings The connection between ownership (on the one hand) and organisation structures and managerial regimes (on the other) differed at different organisational levels. Top-level governance structures diverged by organisational ownership and objectives among the case-study organisations. All the case-study organisations irrespective of ownership had hierarchical, bureaucratic structures and managerial regimes for coordinating everyday service production, but to differing extents. In doctor-owned organisations, the doctors’, but not other occupations’, work was controlled and coordinated in a more-or-less democratic, self-governing ways. Research limitations/implications This study was empirically limited to just one sector in one country, although within that sector the case-study organisations were typical of their kinds. It focussed on formal structures, omitting to varying extents other technologies of power and the differences in care processes and patient experiences within differently owned organisations. Practical implications Type of ownership does appear, overall, to make a difference to at least some important aspects of an organisation’s governance structures and managerial regime. For the broader field of health organisational research, these findings highlight the importance of the owners’ agency in explaining organisational change. The findings also call into question the practice of copying managerial techniques (and “fads”) across the public–private boundary. Originality/value Ownership does make important differences to healthcare providers’ top-level governance structures and accountabilities and to work coordination activity, but with different patterns at different organisational levels. These findings have implications for understanding the legitimacy, governance and accountability of healthcare organisations, the distribution and use power within them, and system-wide policy interventions, for instance to improve care coordination and for the correspondingly required foci of healthcare organisational research.
19
Schmid, Hillel. "THREATS AND OPPORTUNITIES IN COMMUNITY SERVICE ORGANISATIONS — LESSONS FROM THE ISRAELI EXPERIENCE." International Journal of Sociology and Social Policy 10, no. 2 (February 1, 1990): 1–15. http://dx.doi.org/10.1108/eb013089.
Full textAbstract:
The aim of this article is to analyse potential threats and opportunities encountered by Community Service Organisations (CSO's) as a group of human service organisations. The discussion will focus on the Israeli case, in an attempt to draw conclusions about community organisations elsewhere.
20
Rector, Perry, and Brian H. Kleiner. "Performance standards: defining quality service in community based organisations." Management Research News 26, no. 2/3/4 (March 2003): 161–69. http://dx.doi.org/10.1108/01409170310783899.
Full text
21
Goeman, Dianne, Jane Howard, and Rajna Ogrin. "Implementation and refinement of a community health nurse model of support for people experiencing homelessness in Australia: a collaborative approach." BMJ Open 9, no. 11 (November 2019): e030982. http://dx.doi.org/10.1136/bmjopen-2019-030982.
Full textAbstract:
ObjectiveTo implement, refine and evaluate an assertive community health nurse (CHN) model of support for people experiencing or at risk of homelessness that aims to improve their access to health and social care services.MethodsParticipants were recruited between 30 August 2013 and 31 October 2015, including clients residing in a Victorian southern Melbourne metropolitan suburb, who registered with the CHN and stakeholders from local service provider organisations engaging with the CHN. A collaborative approach using demographic data collected from client records to identify need and measure the time clients took to engage and access services, qualitative data gathered during Stakeholder Advisory Group meetings and feedback from face-to-face interviews with service organisation representatives informed refinement of the CHN model.ResultsThirty-nine clients (22 Female, mean age 50±11 years) participated. Clients engaged with services after an average of seven CHN visits. Eighteen clients independently accessed services after approximately 9 weeks, including medical and housing services. Client need and feedback from 20 stakeholders and three community nurses contributed to refining the model to ensure it met local needs and informed the necessary organisational framework, the CHN role and the attributes, knowledge and the skills required.ConclusionA collaborative CHN model of support for people at risk of or experiencing homelessness has been articulated. Evaluation of the role demonstrated increased client engagement with health and community services and social activities. Additionally, the CHN assisted other service providers in their delivery of care to this very complex client group.
22
Walters, Philip. "Creative minds: developing supportive creative opportunities in our communities." Mental Health and Social Inclusion 19, no. 1 (March 9, 2015): 30–37. http://dx.doi.org/10.1108/mhsi-12-2014-0041.
Full textAbstract:
Purpose – The purpose of this paper is to describe South West Yorkshire Partnerships Foundation Trust's Creative Minds Strategy designed to build a strong infrastructure of community and voluntary organisations able to work with the Trust providing creative opportunities for all who access services. Design/methodology/approach – A descriptive account of the background, philosophy, benefits, operation and role of Creative Minds in developing more recovery-focused services. Case studies by people who have been involved in Creative Minds are included. Findings – Creative Minds has been successful in forming partnerships between the Trust and community/voluntary organisations that afford opportunities to explore different activities and discover their passions and talents. It provides an opportunity for service users and practitioners to engage as equals for mutual benefit. Originality/value – This original, award winning initiative enables the Trust to work closely with a range of community organisations thus enhancing and extending the service offered and enabling people to gage in meaningful activities and become a part of their local community.
23
Harris, Melanie, Phil Jones, Marie Heartfield, Mary Allstrom, Janette Hancock, Sharon Lawn, and Malcolm Battersby. "Changing practice to support self-management and recovery in mental illness: application of an implementation model." Australian Journal of Primary Health 21, no. 3 (2015): 279. http://dx.doi.org/10.1071/py13103.
Full textAbstract:
Health services introducing practice changes need effective implementation methods. Within the setting of a community mental health service offering recovery-oriented psychosocial support for people with mental illness, we aimed to: (i) identify a well-founded implementation model; and (ii) assess its practical usefulness in introducing a new programme for recovery-oriented self-management support. We reviewed the literature to identify implementation models applicable to community mental health organisations, and that also had corresponding measurement tools. We used one of these models to inform organisational change strategies. The literature review showed few models with corresponding tools. The Promoting Action on Research Implementation in Health Services (PARIHS) model and the related Organisational Readiness to Change Assessment (ORCA) tool were used. The PARIHS proposes prerequisites for health service change and the ORCA measures the extent to which these prerequisites are present. Application of the ORCA at two time points during implementation of the new programme showed strategy-related gains for some prerequisites but not for others, reflecting observed implementation progress. Additional strategies to address target prerequisites could be drawn from the PARIHS model. The PARIHS model and ORCA tool have potential in designing and monitoring practice change strategies in community mental health organisations. Further practical use and testing of implementation models appears justified in overcoming barriers to change.
24
Kabaria-Muriithi, Joan, Charlene A. VanLeeuwen, Lucy Kathuri-Ogola, and Lori E. Weeks. "Expectations of Field Supervisors in Kenya: Implications for Community-based Human Service Practicums." Gateways: International Journal of Community Research and Engagement 11, no. 1 (May 31, 2018): 1–17. http://dx.doi.org/10.5130/ijcre.v11i1.5439.
Full textAbstract:
Community-based learning (CBL), which provides opportunities for undergraduate students to develop disciplinary and work-related knowledge and skills, is increasingly becoming an integral component of higher education. Similar to other countries, there is a widespread belief among employers in Kenya that there is a mismatch between university programs and labour market demands. In order to enhance the employability of graduates, many departments at a Kenyan university have incorporated work-integrated experiential learning opportunities such as practicums in the educational experience for undergraduate students. The aim of this article is to describe the expectations of field supervisors in host organisations participitating in a community-based human services program at a Kenyan University. Fifteen purposively sampled field supervisors participated in individual face-to-face interviews that included questions about their understanding of the department’s expectations of student learning activities during practicums, knowledge of the academic preparation of students in the program and challenges associated with the supervisory role. Six field supervisors exhibited some level of understanding of the expectations of their role in working with practicum students, while nine field supervisors indicated unclear expectations of the students’ practicum experience. Thematic analysis revealed key themes related to: (1) student abilities, learning goals and their contributions to the host organisations, and (2) the academic program of study and academic support available from the university faculty or staff to field supervisors. The results of our study revealed a lack of clarity around practicum expectations for most of the field supervisors interviewed and insufficient preparation of the community-based organisations to host a practicum student. Several recommendations are identified to clarify the expectations of community partner organisations and the staff providing student supervision to ensure benefits for both students and the host organisation. Results from this study can be used to inform the development or improvement of practicum opportunities focused on producing a skilled workforce.
25
Acharya, Keshav K. "Determinants of Community Governance for Effective Basic Service Delivery in Nepal." Dhaulagiri Journal of Sociology and Anthropology 10 (October 4, 2016): 166–201. http://dx.doi.org/10.3126/dsaj.v10i0.15885.
Full textAbstract:
Community governance is an approach of shift from governmentality to governance. This is more flexible approach extends beyond government, and the place of its agencies, to a greater sharing of power between the state, the market and civil society via new network and partnership structures. This paper analyses the determinants of community governance at the grassroots level in Nepal for the efficient delivery of basic services based on primary data sources. 110 locally constituted community based organisations were selected for an organisational survey. Additionally, three focus group discussions and 40 in-depth interviews were employed for information collection. A multiple linear regression model was used for data analysis, which revealed 12 variables such as Inclusive participation (X1), Empowerment of the people (X2), Transparency and accountability (X3) Enabling environment (X4), Practice of local democracy (X5), Service effectiveness (X6), Service integrity (X7), Social capital development (X8), Institution building (X9), Community mobilisation (X10) Planning, implementation, and monitoring (X11), Coordination, linkage, and partnership (X12) are significantly influencing governance practice. Results indicated a 14 percent variance between dependent and independent variables. This shows the overall practice of governance at the community level was malfunctioned, which can be attributed to a number of factors. First, many community-based organisations (CBOs) do not adopt governance mechanisms in their approach to development. Second, despite a crisis in governance, some CBOs have participated in the service delivery process. Third, this crisis has been a foremost obstacle in the working culture of CBOs. This analysis further explores the problem from the perspective of socio-economic structure, power politics and interests, institutional issues, and capacity and resource constraints.
26
Douglas, Heather, Buriata Eti-Tofinga, and Gurmeet Singh. "Hybrid organisations contributing to wellbeing in Small Pacific Island Countries." Sustainability Accounting, Management and Policy Journal 9, no. 4 (September 3, 2018): 490–514. http://dx.doi.org/10.1108/sampj-08-2017-0081.
Full textAbstract:
Purpose This paper aims to examine the contributions of hybrid organisations to wellbeing in small Pacific island countries. Design/methodology/approach The concept and different forms of hybrid organisations are examined, and then the operation and contributions to wellbeing of three Fijian hybrid organisations are considered. Findings Hybrid organisations in this region operate with a commitment to the common good and an ethic of care. Fijian hybrid organisations improve social and economic wellbeing for individuals, families and communities by providing employment, schools and training facilities, financial and support services, sustainable agriculture projects and facilitating networking. These services improve individual and community social and economic wellbeing, build resilience, add to personal and family security, offer opportunities for the future, advance leadership skills and sustain the environment. Commercial activities that support these organisations in their wellbeing endeavours include product sales, service fees, project levies and investment income. Research limitations/implications Generalisability beyond the Pacific region is not assured, as this review only examines hybrid organisations in small Pacific island countries. Practical implications Hybrid organisations offer an alternative pathway to achieve a sustainable enterprise economy, an approach that is more culturally relevant for the Pacific region. Policies to nurture the development of these organisations, and research into the startup, operation, impact and effectiveness of different hybrid organisation models would help to improve wellbeing in this region. International charities and aid agencies could advance the wellbeing of people living in this region by supporting the development of hybrid organisations. External agencies seeking to support hybrid organisation development are advised to consider providing funding through a regional agency rather than engaging directly with national governments. Social implications Developing a robust hybrid organisation sector will improve social and economic wellbeing for people living in small island nations. Originality/value As one of the first studies to examine wellbeing and hybrid organisations, this review adds to hybrid business theory by its consideration of small Pacific island countries. The authors add to existing understandings of how hybrid organisations contribute to social and economic wellbeing for individuals, families and communities. The review identifies each form hybrid organisational form adopts. Each has a central commitment to generating social and economic value but different revenue sources. The review adds valuable new knowledge to the limited scholarship of this region by identifying the philosophical foundations and contributions to wellbeing of these hybrid organisations. A future research agenda and policy development process is proposed to improve wellbeing and advance hybrid organisations in the region.
27
Lipman, Valerie. "Contracts and commissioning: what’s happening to social care services for black and minority ethnic older people." Working with Older People 19, no. 2 (June 8, 2015): 85–93. http://dx.doi.org/10.1108/wwop-09-2014-0028.
Full textAbstract:
Purpose – The purpose of this paper is to explore current provision of targeted social care services for the growing populations of Black and Minority Ethnic (BAME) older people in England and Wales. Design/methodology/approach – This was a mixed study. Following a review of the policy and research literature, 12 semi-structured interviews were undertaken in 2013/2014. Most participants were recruited from BAME policy and service provider organisations and organisations focusing on older people. Findings – There is some evidence that BAME voluntary organisations are experiencing disproportionately greater funding cuts than mainstream voluntary service providers: moreover some mainstream providers reported reducing services targeted at BAME older people, while others expressed the view that choices for BAME older people are likely to become more limited following recent health and equalities policy changes. Practical implications – Practitioners should contribute to data collection about protected characteristics, such as race/ethnicity to establish if BAME older people’s needs are being assessed equitably, whether access to care and support is easy; and how market-shaping at local levels can ensure a range of providers. Originality/value – This study provides an overview of voluntary sector provision for the growing numbers of BAME older people in need of care and support that should be useful to practitioners and service commissioners.
28
Mo, Daniel Y., H. Y. Lam, Weikun Xu, and G. T. S. Ho. "Design of Flexible Vehicle Scheduling Systems for Sustainable Paratransit Services." Sustainability 12, no. 14 (July 11, 2020): 5594. http://dx.doi.org/10.3390/su12145594.
Full textAbstract:
The aging population has led to an increase in the variety and volume of transportation demands by people facing travel difficulties. Hence, transportation organisations need to provide flexible and sustainable paratransit services to meet these increasing demands. In this study, we investigate the design of flexible vehicle scheduling systems in order for a community organisation to serve more people and achieve higher operational efficiency. We analyse and propose a system design based on user requirements for different types of paratransit types. Further, we identify an integrated service option and process flow for dial-a-ride passengers to ride on a vehicle with schedule route passengers. Because this option involves a complex decision, we formulate the problem as a two-stage decision model. To verify the effectiveness of our proposed design, we perform numerical simulations and conduct a case study by collaborating with a transportation organisation. We found that the proposed system would enable the organisation to serve more people with fewer vehicles but without an increase in the travelling time. These results demonstrate the importance of a flexible vehicle scheduling system for accessible transportation organisations to sustain their service operations.
29
Prinsloo, Reineth, and Corlie Van der Berg. "Strengths-based services offered to the homeless by non-governmental and faith-based organisations in Tshwane Region Three, South Africa." Social Work and Social Sciences Review 19, no. 2 (February 20, 2018): 6–19. http://dx.doi.org/10.1921/swssr.v19i2.1060.
Full textAbstract:
Homelessness is a global phenomenon that is escalating for economic, social, structural and political reasons. Many organisations render services to the homeless in the inner city of Tshwane (Region Three), but these services have not been explored. This article discusses a qualitative research study focusing on the social services rendered to the homeless in Tshwane Region Three. Beneficiaries of the services include men, women and children. Individual, family, group and community services are rendered. Services focus on basic needs, skills training and socio-emotional needs and are rendered from a strengths perspective. Research results indicate that the homeless are often involved in planning, assessing and implementing services. Service-rendering may be hindered by poor funding opportunities and ignorance of service providers regarding the content of policies and guiding documents. The lack of coordinated efforts can be ascribed to unawareness about the services rendered by other organisations. Recommendations include fostering collaboration between the government, Non-Governmental Organisations (NGOs) and Faith-Based Organisations (FBOs). Specific policy related to the homeless must be formulated to guide service providers to provide a legislative framework for funding, service delivery and the development of training and financing for staff and volunteers of NGOs.Keywords: homelessness; social services; strengths perspective; developmental welfare approach
30
Downes, Trevor, and Teresa Marchant. "The extent and effectiveness of knowledge management in Australian community service organisations." Journal of Knowledge Management 20, no. 1 (February 8, 2016): 49–68. http://dx.doi.org/10.1108/jkm-11-2014-0483.
Full textAbstract:
Purpose – The purpose of this study is to evaluate the extent and effectiveness of knowledge management (KM) in community service organisations (CSOs) in Australia. CSOs are focussed on support, care and encouragement, thereby improving the quality of life of many in the community. This study contributes to a wider acceptance and management of knowledge, from a national perspective, and assists CSOs to improve practice. Design/methodology/approach – KM theory and practice is expanded through a national online survey from 89 Australian CSOs, represented by 538 employees. CSOs, as a subset of not-for-profit organisations, were selected because they contribute significantly to the economy. Existing research generally relies on case studies, offering scope for wider quantitative research to address the gap. Findings – The extent and effectiveness of KM were moderate. KM was more extensive in CSOs with a formal KM policy. Face-to-face exchange of knowledge was the major transfer method. Recognition or other incentives are needed to encourage learning and disseminating new ideas. Research limitations/implications – Other CSOs and other countries could be included, along with very small CSOs. Practical implications – Shortfalls in practice were discovered. Recommendations should improve client service by enhancing the appropriateness, consistency, quality and timely delivery of assistance. This will aid CSO sustainability by maximising limited resources. The challenge is to harness informal learning for organisation-wide learning and for hard outcomes, such as reducing costs and competing for government funding. Originality/value – A synthesised large-scale survey integrates more elements of KM practice. Existing KM ideas are combined in new ways, applied in a fresh context, indicating elements of KM that are more significant in not-for-profit CSOs.
31
McMullin, Caitlin. "Migrant integration services and coping with the digital divide: challenges and opportunities of the COVID-19 pandemic." Voluntary Sector Review 12, no. 1 (March 1, 2021): 129–36. http://dx.doi.org/10.1332/204080520x16076177287917.
Full textAbstract:
In this research note, I reflect on the impacts of the shift to online service delivery for voluntary and community organisations. In particular, I report on initial findings from research being undertaken on migrant integration organisations in Quebec (Canada) and Scotland (UK). The research shows four key emerging themes: the complexities of the digital divide (including skills and access to information and communication technology, and the issue of the number of devices in a household to support multiple users); trust, communication and access to online services; the breaching of the public/private divide as practitioners provide digital services from their home; and the benefits and opportunities for digital service delivery. The research note concludes by reflecting on the long-term implications for voluntary and community sector services as they adapt to and recover from the pandemic and engage in long-term planning.
32
Pratt, Bridget. "Community organisation-researcher partnerships: what concerns arise for community organisations and how can they be mitigated?" Journal of Medical Ethics 46, no. 10 (July 2, 2020): 693–99. http://dx.doi.org/10.1136/medethics-2018-105252.
Full textAbstract:
Universities and research funders’ growing emphasis on community partnerships, engagement and outreach has seen a rise in collaborations between university researchers and staff of community organisations (COs) on research projects. What ethical issues and concerns are experienced as part of these collaborations has largely not been described, particularly from the perspective of COs. As part of a recent, broader qualitative study, several concerns arising during health research collaborations between COs and university researchers were captured during thematic analysis. The concerns were described in semistructured interviews by four staff of three COs that work with marginalised groups (ie, migrants and refugees, women who experience domestic violence, indigenous populations) in a high-income country. In this paper, the three concerns are taken as the starting point for ethical analysis. Interview data are first used to illustrate the three concerns: being restricted to a recruitment role in studies, reinforcement of stereotypes of marginalised groups and weakening CO-community relationships. The paper then explores why the concerns are morally troubling and demonstrates how each concern generates feelings of disrespect, creates harm(s), and/or reflects or reinforces unfairness or injustice. It concludes by proposing three ethical criteria for CO-researcher partnerships: fair division of labour, balancing CO advocacy goals with research goals and balancing CO service goals with research goals. Where researchers and COs discuss how to meet these criteria at the start and during research collaborations, it can potentially help mitigate or prevent the occurrence of the concerns described in this paper.
33
Ji, Yunho, and Hyun Joong Yoon. "The Effect of Servant Leadership on Self-Efficacy and Innovative Behaviour: Verification of the Moderated Mediating Effect of Vocational Calling." Administrative Sciences 11, no. 2 (April 8, 2021): 39. http://dx.doi.org/10.3390/admsci11020039.
Full textAbstract:
This study aimed to verify the impact of servant leadership on innovative behaviour in non-governmental organisations (NGOs). It particularly investigated the role of a mediator for self-efficacy in the relationship between servant leadership and innovative behaviour. This study defined the organisational psychology-behaviour mechanism in non-profit organisations by verifying the moderated mediating effect of vocational calling in the relationship between servant leadership, self-efficacy, and innovative behaviour. The 174 pilot samples used in this study comprised community service participants in NGOs. The analysis verified the hypothesis set through causal correlations among four variables using regression analysis and the PROCESS macro developed by Hayes. Vocational calling played a moderating role in the relationship between servant leadership and self-efficacy, and vocational calling had a conditional effect on the impact of servant leadership on innovative behaviour through self-efficacy. Meanwhile, self-efficacy fully mediated servant leadership and innovative behaviour. Based on the verification of the mechanism of organisational psychology-action, this study sought ways to develop the organisation of NGOs and improve the working environment.
34
GREENFIELD, EMILY A., and REBECCA L. MAULDIN. "Participation in community activities through Naturally Occurring Retirement Community (NORC) Supportive Service Programs." Ageing and Society 37, no. 10 (August 30, 2016): 1987–2011. http://dx.doi.org/10.1017/s0144686x16000702.
Full textAbstract:
ABSTRACTNaturally Occurring Retirement Community Supportive Service Programs (NORC Programs) constitute a national model in the United States of America that aims to benefit older adults ageing in place in their own homes and communities. One central aspect of NORC Programs is the provision of community activities to facilitate older adults’ connections with others. Guided by ecological systems theory, we explored from older adults’ perspectives what influences their participation in the community activities offered by NORC Programs, as well as the meaning of the social contact that such participation affords. We used data from an in-depth interview study with 41 older residents across seven NORC Program sites in the greater New York City area. Themes regarding influences on participation included individual circumstances (personal desire for social activity and health status), programmatic factors (relationships with staff and appeal of the activities) and community contexts (appeal of the other attendees). Perceptions of other attendees also emerged as an influence on the social effects of participation, which ranged from experiencing social contact alone to creating independent friendships. Overall, findings indicate that programme features combine with individual and community contexts to influence diverse experiences of community activities. In addition to implications for organisational practice, we interpret the results in terms of directions for future research regarding how community-based organisations can influence social integration in later life.
35
Jacobs, Sally, Fay Bradley, Rebecca Elvey, Tom Fegan, Devina Halsall, Mark Hann, Karen Hassell, Andrew Wagner, and Ellen Schafheutle. "Investigating the organisational factors associated with variation in clinical productivity in community pharmacies: a mixed-methods study." Health Services and Delivery Research 5, no. 27 (October 2017): 1–186. http://dx.doi.org/10.3310/hsdr05270.
Full textAbstract:
Background Community pharmacies play a key role in health-care systems, dispensing prescriptions and providing medicine-related services. Service provision varies across community pharmacy organisations and may depend on organisational characteristics, such as ownership, staffing and skill mix. Objectives To inform the commissioning of community pharmacy services by (1) exploring variation in clinical productivity (levels of service delivery and service quality) in pharmacies, (2) identifying the organisational factors associated with this variation and (3) developing a toolkit for commissioners. Design Mixed-methods study: community pharmacy survey, administrative data analysis, patient survey, stakeholder interviews and toolkit development. Setting Nine socioeconomically diverse geographical areas of England. Participants Stage 1: community pharmacies in nine study areas. Stage 2: in 39 pharmacies, two consecutive samples of approximately 30 patients each following receipt of (1) dispensing and (2) medicines use review (MUR) services. Pharmacy and commissioning representatives from across all types of pharmacy and study sites. Main outcome measures Stage 1: dispensing, MUR, new medicines service volume and safety climate. Stage 2: patient satisfaction, Satisfaction with Information about Medicines Scale (SIMS) and Medication Adherence Report Scale (MARS). Data sources Stage 1: (i) community pharmacy activity data; (ii) socioeconomic and health needs data; and (iii) community pharmacy questionnaire (ownership type, organisational culture, staffing and skill mix, working patterns, management structure, safety climate, pharmacy–general practice integration), all linked by pharmacy postcode and organisational ‘F’ code. Stage 2: (i) patient questionnaire (background, patient satisfaction, SIMS, MARS); (ii) semistructured stakeholder interviews (variation in quantity and quality of service provision, opportunities and barriers to clinical productivity, mechanisms by which different organisational characteristics may help or hinder clinical productivity). Quantitative data were analysed by fitting a series of fixed-effects linear, logistic and multilevel logistic regression models in Stata® (version 13; StataCorp LP, College Station, TX, USA). Qualitative data were analysed thematically using a framework approach in NVivo10 (QSR International, Warrington, UK). Results In stage 1, 285 out of 817 pharmacy questionnaires were returned [valid response rate 34.6% (277/800)]. In stage 2, 1008 out of 2124 patient questionnaires were returned [valid response rate 46.5% (971/2087)]. Thirty pharmacy and 10 commissioning representatives were interviewed face to face or by telephone. Following integration of stage 1 and 2 findings, clinical productivity was associated with pharmacy ownership type, organisational culture, staffing and skill mix, and pharmacy–general practice relationships. Extra-organisational associations included local area deprivation, age profile and health needs, pharmacy location, public perceptions and expectations, supply chain problems, commissioning structures/processes, levels of remuneration and legal/regulatory constraints. Existing arrangements for monitoring clinical productivity focused primarily on quantity. Limitations Non-random selection of study sites and non-participation by four major pharmacy chains limited generalisability. Investigation of the full scope of pharmacy service provision was prevented by a lack of available activity data for locally commissioned services. Quantitative exploration of service quality was limited by available validated measures. Conclusions These findings have important implications for community pharmacies and service commissioners, highlighting the importance of ownership type, organisational culture, staffing and skill mix for maximising the delivery of high-quality pharmacy services and informing the development of a commissioners’ toolkit. Future work Future studies should (1) develop tools to measure community pharmacy service quality; (2) describe and evaluate different models of skill mix; and (3) explore how services are commissioned locally from community pharmacies and the extent to which local needs are met. Funding The National Institute for Health Research Health Services and Delivery Research programme.
36
Cortis, Natasha. "Access to Philanthropic and Commercial Income Among Nonprofit Community Service Organisations." VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations 28, no. 2 (April 28, 2016): 798–821. http://dx.doi.org/10.1007/s11266-016-9715-2.
Full text
37
Newbigging, Karen, James Rees, Rebecca Ince, John Mohan, Doreen Joseph, Michael Ashman, Barbara Norden, Ceri Dare, Suzanne Bourke, and Benjamin Costello. "The contribution of the voluntary sector to mental health crisis care: a mixed-methods study." Health Services and Delivery Research 8, no. 29 (July 2020): 1–200. http://dx.doi.org/10.3310/hsdr08290.
Full textAbstract:
Background Weaknesses in the provision of mental health crisis support are evident and improvements that include voluntary sector provision are promoted. There is a lack of evidence regarding the contribution of the voluntary sector and how this might be used to the best effect in mental health crisis care. Aim To investigate the contribution of voluntary sector organisations to mental health crisis care in England. Design Multimethod sequential design with a comparative case study. Setting England, with four case studies in North England, East England, the Midlands and London. Method The method included a scoping literature review, a national survey of 1612 voluntary sector organisations, interviews with 27 national stakeholders and detailed mapping of the voluntary sector organisation provision in two regions (the north and south of England) to develop a taxonomy of voluntary sector organisations and to select four case studies. The case studies examined voluntary sector organisation crisis care provision as a system through interviews with local stakeholders (n = 73), eight focus groups with service users and carers and, at an individual level, narrative interviews with service users (n = 47) and carers (n = 12) to understand their crisis experience and service journey. There was extensive patient and public involvement in the study, including service users as co-researchers, to ensure validity. This affected the conduct of the study and the interpretation of the findings. The quality and the impact of the involvement was evaluated and commended. Main findings A mental health crisis is considered a biographical disruption. Voluntary sector organisations can make an important contribution, characterised by a socially oriented and relational approach. Five types of relevant voluntary sector organisations were identified: (1) crisis-specific, (2) general mental health, (3) population-focused, (4) life-event-focused and (5) general social and community voluntary sector organisations. These voluntary sector organisations provide a range of support and have specific expertise. The availability and access to voluntary sector organisations varies and inequalities were evident for rural communities; black, Asian and minority ethnic communities; people who use substances; and people who identified as having a personality disorder. There was little evidence of well-developed crisis systems, with an underdeveloped approach to prevention and a lack of ongoing support. Limitations The survey response was low, reflecting the nature of voluntary sector organisations and demands on their time. This was a descriptive study, so evaluating outcomes from voluntary sector organisation support was beyond the scope of the study. Conclusions The current policy discourse frames a mental health crisis as an urgent event. Viewing a mental health crisis as a biographical disruption would better enable a wide range of contributory factors to be considered and addressed. Voluntary sector organisations have a distinctive and important role to play. The breadth of this contribution needs to be acknowledged and its role as an accessible alternative to inpatient provision prioritised. Future work A whole-system approach to mental health crisis provision is needed. The NHS, local authorities and the voluntary sector should establish how to effectively collaborate to meet the local population’s needs and to ensure the sustainability of the voluntary sector. Service users and carers from all communities need to be central to this. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 8, No. 29. See the NIHR Journals Library website for further project information.
38
Bussu, Sonia. "Integrated care: learning from East London." British Journal of General Practice 68, suppl 1 (June 2018): bjgp18X697265. http://dx.doi.org/10.3399/bjgp18x697265.
Full textAbstract:
BackgroundDespite a growing body of literature on integrated, there remains a relatively small evidence base to suggest which elements of integrated care are most effective and how to implement them successfully. This might also be due to the fact that policy thinking around integrated care is struggling to translate into organisation change at the point of delivery. Better understanding of patterns of collaborations and integrated pathways is crucial to understand frontline staff’s OD needs and provide adequate support.AimThis paper focuses on the frontline level to assess progress towards integrated care in East London.MethodWe use admission avoidance (Rapid Response service) and discharge services (Discharge to Assess) as a lens to examine how frontline staff from secondary care, community health services and social service work together to deliver more integrated care. The study uses the Researcher in Residence (RiR), where the researcher is embedded in the in the organisations she is evaluating, as a key member of the delivery team.ResultsInitial findings suggest that while work on integrated care has enabled some level of collaborative working at strategic levels in partner organisations, on the frontline professionals are grappling with issues such as professional identity, professional boundaries, mutual trust and accountability, as new services and roles struggle to be fully embedded within the local health system.ConclusionThe paper sheds light on to the complexity on integrated care at the point of delivery. Better understanding of integrated care pathways is crucial to evidence patterns of collaboration across organisations; assess how these new roles and teams are embedding themselves within the local health economy; identify organisation development needs; and provide adequate support to frontline staff.
39
Campbell, Peter. "The role of users of psychiatric services in service development – influence not power." Psychiatric Bulletin 25, no. 3 (March 2001): 87–88. http://dx.doi.org/10.1192/pb.25.3.87.
Full textAbstract:
Any review of service user involvement must acknowledge the progress that has been made in recent years. In the early 1980s service users were usually passive recipients of their own care and treatment and had little or no collective involvement, even in voluntary organisations that claimed to be speaking on their behalf. The few independent service user groups that existed were marginalised and lacked significant resources. In 1985 the House of Commons Social Services Select Committee Report on Community Care (1985) complained about the difficulty “of hearing the authentic voice of the ultimate consumers of community care”.
40
Banks, Jonathan, Tracey Stone, and James Dodd. "Integrating care between an NHS hospital, a community provider and the role of commissioning: the experience of developing an integrated respiratory service." BMJ Open 10, no. 12 (December 2020): e040267. http://dx.doi.org/10.1136/bmjopen-2020-040267.
Full textAbstract:
ObjectivesAn integrated respiratory service was commissioned in 2016 in a UK region to support patients with chronic obstructive pulmonary disease. The service brought together the respiratory department of a National Health Service hospital and a not-for-profit community provider. This paper evaluates: (1) the perceived efficacy of integrated working between the organisations from the perspective of staff and (2) the relationship between commissioning and integration of the services.DesignSemistructured interviews with staff from the three organisations involved in the integrated respiratory service. Staff were purposefully sampled. The interviews were audio recorded, transcribed and analysed thematically.SettingSecondary care respiratory unit; community provider of respiratory care; and a clinical commissioning group.ParticipantsNineteen interview participants: nine from the community provider; eight from the hospital and two from the clinical commissioning group.ResultsStaff identified lack of integration between the organisations characterised by: poor communication, lack of trust, absence of shared information technology and ineffective integrative initiatives. The commissioning process created barriers to integration including: contractual limitations which prevented pathway development, absence of agreed clinical governance arrangements and lack of recognition of community work undertaken by hospital staff. Positive working relationships were established over time as staff recognised the skills that each had to offer.ConclusionsThe commissioning process underpinned the relationship between the organisations and contributed to distrust and negative perceptions of the ‘other’. Commissioning an integrated service should incorporate dialogue with stakeholders as early as possible and before the contract is finalised to develop a bedrock of trust.
41
Smith, Charlie. "An evaluation of community-managed libraries in Liverpool." Library Management 40, no. 5 (June 10, 2019): 327–37. http://dx.doi.org/10.1108/lm-09-2018-0072.
Full textAbstract:
Purpose Community libraries now constitute a significant proportion of library provision in the UK; however, there is relatively little research on how the transfer to this model has affected those libraries and the wider balance of provision. The purpose of this paper is to broaden the discourse and understanding about the impact of changing libraries to community models. Design/methodology/approach The paper provides a qualitative evaluation of all the libraries transferred to community-managed models within a large city council region in the UK. Structured research visits were made to appraise each library. These are discussed in the context of published literature and data, both specific to the study area and nationally. Findings Transferring the management of libraries to community organisations is often reactive and perceived with negative associations. This study uncovers increases in use and diversification of services following transfer; however, support from the local authority and the previous experience of managing organisations are significant factors. The paper also reveals how the successful transfer of a library to a community organisation led to more being moved out of local authority control, but that the support they receive from the local authority can be inconsistent between them. Originality/value The paper provides a study of community-managed libraries across a large city council area, affording an in-depth understanding of their impact on overall provision over one region. It will be of value to those involved in library management and service provision at both local and strategic levels, including local authorities and community groups considering library transfer.
42
ZETTERBERG, LIV, URBAN MARKSTRÖM, and STEFAN SJÖSTRÖM. "Translating Coercion Policy into Inter-Organisational Collaboration–the Implementation of Compulsory Community Care for People with Mental Illness." Journal of Social Policy 45, no. 4 (February 15, 2016): 655–71. http://dx.doi.org/10.1017/s0047279416000040.
Full textAbstract:
AbstractIn 2008, compulsory community care (CCC) for people with severe mental illness was introduced in Sweden. CCC requires co-operation between psychiatric and social services, thus further complicating the longstanding difficulties with service coordination in the mental health field.This article investigates what happens when a new policy is introduced that assumes complex co-operation of two organisations bestowed with high degrees of discretion. The process of institutionalisation will be analysed in terms of how an idea is translated and materialised on local levels. This has been investigated by interviewing key informants within psychiatric and social services at three different locations.The implementation was perceived as relatively successful and occurred without major conflict. The main effect of the new legislation was improvement in the coordination of services, where designing a template form for a coordinated care plan was central. The inter-organisational discussions about service coordination that arose had a spill-over effect on services for other patient groups.In essence, respondents describe CCC as a pedagogical reform to promote the coordination of services, rather than a reform to increase coercive powers over patients. This raises concerns about the legitimacy of the reform.
43
Cameron, Ailsa, Pauline Allen, Lorraine Williams, Mary Alison Durand, Will Bartlett, Virginie Perotin, and Andrew Hutchings. "Increasing autonomy in publically owned services." Journal of Health Organization and Management 29, no. 6 (September 21, 2015): 778–94. http://dx.doi.org/10.1108/jhom-06-2014-0098.
Full textAbstract:
Purpose – The purpose of this paper is to explore government efforts to enhance the autonomy of community health services (CHS) in England through the creation of Foundation Trusts status. It considers why some CHS elected to become nascent Community Foundation Trusts (CFTs) while others had not and what advantages they thought increased levels of autonomy offered. Design/methodology/approach – Data are drawn from the evaluation of the Department of Health’s CFT pilot programme. Participants were purposively selected from pilot sites, as well as from comparator non-pilot organisations. A total of 44 staff from 14 organisations were interviewed. Findings – The data reveals that regardless of the different pathways that organisations were on, they all shared the same goal, a desire for greater autonomy, but specifically within the NHS. Additionally, irrespective of their organisational form most organisations were considering an almost identical set of initiatives as a means to improve service delivery and productivity. Research limitations/implications – Despite the expectations of policy makers no CFTs were established during the course of the study, so it is not possible to find out what the effect of such changes were. Nevertheless, the authors were able to investigate the attitudes of all the providers of CHS to the plans to increase their managerial autonomy, whether simply by separating from PCTs or by becoming CFTs. Originality/value – As no CFTs have yet been formed, this study provides the only evidence to date about increasing autonomy for CHS in England.
44
King, Rosie, Michael Bentley, Charlie Murray, and Fran Baum. "Regional Health Development Partnerships." Australian Journal of Primary Health 5, no. 3 (1999): 94. http://dx.doi.org/10.1071/py99039.
Full textAbstract:
This paper outlines a project funded by the World Health Organization (WHO) in the Hills Mallee Southern Region of rural South Australia. The project involves trialling guidelines produced by the WHO to assist regional health services to develop and support partnerships for health development with community groups and organisations. The guidelines suggest the following steps: identifying what Health Development Structures exist in their region by making an inventory of community groups and organisations in their area; analysing them for potential collaboration; and building sustainable alliances for health promotion and joint action on broader health issues. Six hundred community groups and organisations were identified and from the responses an inventory summarising the activities of 228 groups has been prepared. Seventy five percent of these groups and organisations consider that their activities relate to health and 28% have worked with a health service, although few had participated in 'joint projects' with the formal health sector. Detailed case studies were conducted with five groups from which a set of principles for partnership development was established.
45
Knight, Susan. "The NHS Information Management and Technology strategy from a mental health perspective." Advances in Psychiatric Treatment 1, no. 8 (November 1995): 223–29. http://dx.doi.org/10.1192/apt.1.8.223.
Full textAbstract:
Healthcare organisations are currently in the midst of a period of fundamental change. Mental health services in particular have moved away from institutional care towards a complex inter-related community health social and voluntary model of service delivery, involving a diverse range of care professionals and commissioners.
46
Acharya, Keshav. "Impaired Governance: Limiting Communities' Access to Service Delivery System in Nepal." Himalayan Journal of Sociology and Anthropology 7 (April 12, 2017): 40–74. http://dx.doi.org/10.3126/hjsa.v7i0.17150.
Full textAbstract:
This paper examines governance impairing at the grassroots level that has limited the communities’ access to basic services in Nepal. Primary data were collected from 110 locally constituted community-based organisations that employed110 organisational surveys and three focus group discussions. Result indicates that the overall practice of governance at the community level remained weak to moderate due to a number of reasons. Firstly, many communities were influenced by power based socio-economic structure. Secondly, some communities were impressed by power politics and interests. Thirdly, many communities were facing biggest crisis of low capacity and resource constraints. Such crisis has been a foremost obstacle in the working culture of communities so they were unable to embrace governance mechanism in their development undertakings.Himalayan Journal of Sociology & Anthropology - Vol. VII (2016), page: 40-74
47
Pickin, Christine, Jennie Popay, Kristina Staley, Nigel Bruce, Christopher Jones, and Natasha Gowman. "Developing a model to enhance the capacity of statutory organisations to engage with lay communities." Journal of Health Services Research & Policy 7, no. 1 (January 1, 2002): 34–42. http://dx.doi.org/10.1258/1355819021927656.
Full textAbstract:
Objective: To understand the processes that constrain the capacity of statutory organisations to work effectively with lay communities and to develop a model to enhance their capacity to do so. Methods: The research consisted of three elements: a review of relevant literature; in-depth interviews with a purposive sample of people who had recently been involved in community-statutory sector partnership; and a deliberative workshop involving ten expert witnesses, selected to reflect a range of sectors and levels within organisations. Results: Many factors contribute to a lack of effective strategic partnerships between lay communities and statutory organisations. These factors fall into five domains: the community's capacity to engage; the skills and competencies of organisational staff; the dominant professional service culture; the overall organisational ethos and culture; and the dynamics of the local and national political systems. A model of the relationships and/or interaction between these domains is postulated. There is potential for testing this model with statutory organisations to see whether it concurs with their reality and whether it is enhancing their organisational capacity. Conclusions: Commonly occurring constraints to effective partnerships between statutory organisations and lay communities need to be identified and addressed by applying a dynamic model of the type presented here.
48
Turnpenny, Agnes. "Commentary on “Occupational identity of staff and attitudes towards institutional closure”." Tizard Learning Disability Review 19, no. 3 (July 2, 2014): 142–45. http://dx.doi.org/10.1108/tldr-04-2014-0008.
Full textAbstract:
Purpose – The purpose of this paper is to reflect on Vesala et al.'s (2014) findings on the occupational identity of staff and attitudes towards institutional closure. Design/methodology/approach – This commentary reviews some of the research around staffing, organisational hygiene and service management in countries that have already implemented deinstitutionalisation, and draws out some key considerations for countries and organisations that are planning the transition from institutions to community-based care. Findings – There is increasing evidence around approaches that are more likely to lead to positive service user and staff outcomes. Particularly person-centred active support and practice leadership have emerged as effective approaches in facilitating organisational change and high-quality services. Originality/value – Some of the experiences and practices in post-deinstitutionalisation countries around active support and practice leadership can provide valuable considerations for planning institutional closure programmes in countries currently implementing deinstitutionalisation.
49
Kiggundu, Moses N. "Alternative Service Delivery in Africa: The Case for International Regional Organisations." Africa’s Public Service Delivery and Performance Review 4, no. 2 (June 1, 2016): 283. http://dx.doi.org/10.4102/apsdpr.v4i2.114.
Full textAbstract:
Alternative service delivery (ASD) is generally confined to the provision opublic services within the boundaries of a single nation state. This paper extends thisconceptualization and practice beyond a single nation state by focusing on services provided by international regional organizations (IROs), which encompass more than a single country. Recognizing that the regional approach may not be suitable under all circumstances, the papertakes a contingency approach and discusses with illustrations the conditions under which the regional or continental approaches may provide superior public services to the wider population. Three examples from the East African Community (EAC), Africa’s riparian river basins, and cross-border illicit trade of conflict minerals in the Great Lakes region are given as illustrative cases. Noting that Africa’s growing aspirations for inclusive development and rapid transformation call for better governance and quality public services, the paper ends by calling for more scholarly work and field experiments on ASD and other models applicable at local, national, regional and continental levels.
50
Walker, Rae, Beverley Lewis, and Sally Mitchell. "Community Health Service Agreements 1992 to 1995: Changes in Practice and Purpose." Australian Journal of Primary Health 2, no. 4 (1996): 42. http://dx.doi.org/10.1071/py96054.
Full textAbstract:
In Victoria, community health centres are undergoing major changes. In this paper, a study of service and funding agreements, their changed purposes, and how the practices surrounding them have also changed, is reported. The study provides some insights into the dynamics of the contractual model of health system management. The information was obtained from the service and funding agreements of community health centres, interviews with staff of the Department of Human Services, and interviews with community health centre managers. At the end of 1995, community health centres were still in a transitional phase. They were changing from being locally focused, multi-disciplinary organisations that approached health as a social and technical issue to ones that were centrally focused, still multi-disciplinary but increasingly attending to the technical provision of services. There were, however, many ambiguities in the system that allowed services to resist the changes that were considered least desirable. To a degree they de-coupled internal operations from the external presentation of them.