Service Coordination by Public Sector Managers in a Human Service Contracting Environment
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Despite emerging evidence of contracting for evidence-based practices (EBP), little research has studied how managers lead contract-based human service delivery. A 2015 survey of 193 managers from five San Francisco Bay Area county human service departments examined the relationship between contract-based service coordination (i.e., structuring cross-sector services, coordinating client referrals and eligibility, overseeing EBP implementation) and the predictors of managerial role, involvement, and boundary spanning. Multivariate regression results suggested that county managers identified fewer service coordination challenges if they were at the executive and program levels, had greater contract involvement, and engaged in contract-focused boundary spanning. In conclusion, we underscore the organizational and managerial dimensions of contract-based service delivery.
KeywordsHuman services Mental health services Contracting Evidence-based practice Collaboration
Compliance with Ethical Standards
Conflict of interest
All the author declares that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
It was obtained from all individual participants included in the study.
- Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., & Hurlburt, M. S. (2015). Leadership and organizational change for implementation (LOCI): A randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation. Implementation Science, 10, 11.CrossRefGoogle Scholar
- Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., Sklar, M., & Horowitz, J. (2017). Discrepancies in leader and follower ratings of transformational leadership: Relationships with organizational culture in mental health. Administration and Policy in Mental Health and Mental Health Services Research, 44, 480–491.CrossRefGoogle Scholar
- Aarons, G. A., Green, A. E., Trott, E., Willging, C. E., Torres, E. M., Ehrhart, M. G., & Roesch, S. C. (2016). The roles of system and organizational leadership in system-wide evidence-based intervention sustainment: A mixed-methods study. Administration and Policy in Mental Health and Mental Health Services Research.Google Scholar
- Argyris, C., & Schon, D. A. (1978). Organizational learning: A theory of action perspective. Reading: Addison-Wesley.Google Scholar
- Bunger, A. C., Cao, Y., Girth, A. M., Hoffman, J., & Robertson, H. A. (2016). Constraints and benefits of child welfare contracts with behavioral health providers: Conditions that shape service access. Administration and Policy in Mental Health and Mental Health Services Research, 43, 728–739.CrossRefGoogle Scholar
- Gazley, B. (2017). The current state of interorganizational collaboration: Lessons for human service research and management. Human Service Organizations: Management, Leadership, & Governance, 41, 1–5.Google Scholar
- Gifford, W., Graham, I. D., Ehrhart, M. G., Davies, B. D., & Aarons, G. A. (2017). Ottawa model of implementation leadership and implementation leadership scale: Mapping concepts for developing and evaluating theory-based leadership interventions. Journal of Healthcare Leadership, 9, 15–23.CrossRefGoogle Scholar
- Graff, G., Hengeveld-Bidmon, E., Carnochan, S., Radu, P., & Austin, M. J. (2016). The impact of the Great Recession on county human-service organizations: A cross-case analysis. Human Service Organizations: Management, Leadership, & Governance, 40, 152–169.Google Scholar
- Long, J. S., & Freese, J. (2014). Regression models for categorical dependent variables using Stata (3rd ed.). College Station: StataCorp LP.Google Scholar
- Moullin, J. C., Ehrhart, M. G., & Aarons, G. A. (2017). The role of leadership in organizational implementation and sustainment in service agencies. Research on Social Work Practice.Google Scholar
- Palinkas, L. A., Horwitz, S. M., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K. (2015). Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Administration and Policy in Mental Health and Mental Health Services Research, 42, 533–544.CrossRefGoogle Scholar
- Palinkas, L. A., Um, M. Y., Jeong, C. H., Chor, K. H. B., Olin, S., & Hoagwood, K. E. (2017). Adoption of innovative and evidence-based practices for children and adolescents in state-supported mental health clinics: A qualitative study. Health Research Policy and Systems, 15, 27.CrossRefGoogle Scholar
- Pettijohn, S. L., & Boris, E. T. (2014). Contracts and grants between human service nonprofits and government: Comparative analysis. July: Urban Institute Brief #4.Google Scholar
- StataCorp. (2015). Stata Statistical Software: Release 14. College Station: StataCorp LP.Google Scholar
- Willging, C. E., Aarons, G. A., Trott, E. M., Green, A. E., Finn, N., Ehrhart, M. G., & Hecht, D. B. (2016). Contracting and procurement for evidence-based interventions in public-sector human services: A case study. Administration and Policy in Mental Health and Mental Health Services Research, 43, 675–692.CrossRefGoogle Scholar