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Shared Understanding in Care Coordination for Children's Behavioral Health

Published:22 April 2021Publication History
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Abstract

Care coordination involves crossing boundaries to connect services in support of the health and well-being of an individual. In this paper, we describe how care coordination depends on the ability to develop a shared understanding of care goals and progress. A distributed group of professionals and non-professional caregivers need to share information to provide consistent and holistic support across settings. We conducted fieldwork comprising of 20 interviews and 51 hours of observation across three different programs focused on children's behavioral health. From this empirical investigation of practices used by distributed care teams, we generated a conceptual framework of shared understanding in care coordination. We identified barriers to shared understanding, as well as nine practices that contribute to its development via two key mechanisms: (1) building relationships across boundaries, and (2) sharing actionable information. We conclude with design implications for enhancing the collaborative practices of members of a care team to cross boundaries despite the barriers that are common in behavioral health and other contexts requiring complex care coordination.

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        cover image Proceedings of the ACM on Human-Computer Interaction
        Proceedings of the ACM on Human-Computer Interaction  Volume 5, Issue CSCW1
        CSCW
        April 2021
        5016 pages
        EISSN:2573-0142
        DOI:10.1145/3460939
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        • Published: 22 April 2021
        Published in pacmhci Volume 5, Issue CSCW1

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