Barriers to collaboration between health care, social services and schools

<p class="MsoNormal" style="margin: 0cm 0cm 0pt; line-height: 150%;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 11pt; line-height: 150%; font-family: " lang="EN-US">Background: </span></strong><span style="font-size: 11pt; line-height: 150%; font-family: " lang="EN-US">It is essential for professionals from different organizations to collaborate when handling matters concerning children, adolescents, and their families in order to enable society to provide holistic health care and social services. </span> <p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: 11pt; font-family: " lang="EN-US"> </span> <p class="MsoNormal" style="margin: 0cm 0cm 0pt; line-height: 150%;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 11pt; line-height: 150%; font-family: " lang="EN-US">Objective: </span></strong><span style="font-size: 11pt; line-height: 150%; font-family: " lang="EN-US">This paper reports perceptions of obstacles to collaboration among professionals in health care (county council), social services (municipality), and schools in an administrative district of the city of Stockholm, Sweden. </span> <p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: 11pt; font-family: " lang="EN-US"> </span> <p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 11pt; font-family: " lang="EN-US">Methods: </span></strong><span style="font-size: 11pt; font-family: " lang="EN-US">Data were collected in focus group interviews with unit managers and employees. </span> <p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-size: 11pt; font-family: " lang="EN-US"> </span> <p class="MsoNormal" style="margin: 0cm 0cm 0pt; line-height: 150%;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 11pt; line-height: 150%; font-family: " lang="EN-US">Results and discussion: </span></strong><span style="font-size: 11pt; line-height: 150%; font-family: " lang="EN-US">Our results show that the responsibility for collaboration fell largely on the professionals. Also, there was a <em style="mso-bidi-font-style: normal;">lack of clarity' regarding differences in mission and regulations, allocation of responsibilities, competence, explanatory models, and working approach. We conclude that a <em style="mso-bidi-font-style: normal;">holding environment' and a <em style="mso-bidi-font-style: normal;">committed management' would support these professionals in their efforts to collaborate.</span>

Abstract licence: CC BY

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