Abstract
This article presents a case study on perceived conflict and its outcomes on implementing a system of programs and services for child development support. A multi-level collaboration model is used to deeply examine aspects of conflicts perceived by professionals responsible for implementing the system at the national, state, and local levels. This research adopted a single case approach with qualitative methods using semi-structured interviews and exploratory thematic analysis. A total of 29 professionals working at social development and health ministries, state departments, and one municipality participated in this study. The results show that professionals perceive one main unresolved conflict at each of the ecological levels. These conflicts are related to an informalized collaboration agreement between the Ministry of Social Development and the Ministry of Education, an interrupted resource flow from the national level to local level, and an unmanageable internal pressure at the state level. Furthermore, the compensatory strategies they use to deal with these conflicts are ineffective and lead to negative implementation outcomes. We suggest that future research should explore systemic conflict for the collaboration processes among the professionals to improve, thus increasing the quality of system implementation.
Highlights
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Professionals perceive one main unresolved conflict at each of the three ecological levels examined.
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Conflicts are related to informalized agreements between ministries, interrupted resource flow from the national level, and pressure from the local level.
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Professionals use compensatory strategies to cope with unresolved conflicts.
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The compensatory strategies identified are ineffective and lead to negative implementation outcomes.
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Findings reveal opportunities for future research to explore systemic conflict to better understand and improve collaboration processes.
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Notes
Component 4 is comprised of the following programs: Municipal Strengthening, Interventions fund in Support of Child Development, and Funding Competition for Childhood Initiatives (MIDESO, 2015).
References
Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 4–23. https://doi.org/10.1007/s10488-010-0327-7.
Alter, C. (1990). An exploratory study of conflict and coordination in interorganizational service delivery system. Academy of Management Journal, 33(3), 478–502. https://doi.org/10.5465/256577.
Atkinson, M., Jones, M., & Lamont, E. (2007). Multi-agency working and its implications for practice (pp. 28–42). Reading: CfBT Education Trust.
Beidas, R. S., Stewart, R. E., Adams, D. R., Fernandez, T., Lustbader, S., Powell, B. J., & Rubin, R. (2016). A multi-level examination of stakeholder perspectives of implementation of evidence-based practices in a large urban publicly-funded mental health system. Administration and Policy in Mental Health and Mental Health Services Research, 43(6), 893–908. https://doi.org/10.1007/s10488-015-0705-2.
Bilodeau, A., Laurin, I., Giguère, N., & Potvin, L. (2018). Understanding the challenges of intersectoral action in public health through a case study of early childhood programmes and services. Critical Public Health, 28(2), 225–236. https://doi.org/10.1080/09581596.2017.1343934.
Black, M. M., Walker, S. P., Fernald, L. C., Andersen, C. T., DiGirolamo, A. M., Lu, C., McCoy, D., Fink, G., Shawar, Y., Shiffman, J., Devercelli, A., Wodon, Q., Vargas-Baron, E., & Grantham- McGregor, S. (2017). Early childhood development coming of age: science through the life course. The Lancet, 389, 77–90. https://doi.org/10.1016/S0140-6736(16)31389-7.
Boydell, L. (2015). A review of effectiveness of interagency collaboration at the early intervention stage.
Bozeman, B., & Scott, P. (1996). Bureaucratic red tape and formalization: untangling conceptual knots. The American Review of Public Administration, 26(1), 1–17. https://doi.org/10.1177/027507409602600101.
Brashears, F., Davis, C., & Katz-Leavy, J. (2012). Systems of care: the story behind the numbers. American Journal of Community Psychology, 49(3-4), 494–502. https://doi.org/10.1007/s10464-011-9452-z.
Britto, P. R., Singh, M., Dua, T., Kaur, R., & Yousafzai, A. K. (2018). What implementation evidence matters: scaling‐up nurturing interventions that promote early childhood development. Annals of the New York Academy of Sciences, 1419(1), 5–16. https://doi.org/10.1111/nyas.13720.
Brown, K., & White, K. (2006). Exploring the evidence base for Integrated Children’s Services. Edinburgh: Scottish Executive Education Department.
Cecchini, S., Robles, C., & Filgueira, F. (2014). Sistemas de protección social en América Latina y el Caribe: una perspectiva comparada.
Chaudoir, S. R., Dugan, A. G., & Barr, C. H. (2013). Measuring factors affecting implementation of health innovations: a systematic review of structural, organizational, provider, patient, and innovation level measures. Implementation Science, 8(1), 22 https://doi.org/10.1186/1748-5908-8-22.
Crosby, B. C., Hart, P., & Torfing, J. (2017). Public value creation through collaborative innovation. Public Management Review, 19(5), 655–669. https://doi.org/10.1080/14719037.2016.1192165.
Cunill-Grau, N., Fernández, M., & Thezá Manríquez, M. (2013). La cuestión de la colaboración intersectorial y de la integralidad de las políticas sociales. Lecciones derivadas del caso del sistema de protección a la infancia en Chile. Polis. Revista Latinoamericana, 36, 1–22.
Curșeu, P. L., & Schruijer, S. G. (2017). Stakeholder diversity and the comprehensiveness of sustainability decisions: the role of collaboration and conflict. Current Opinion in Environmental Sustainability, 28, 114–120. https://doi.org/10.1016/j.cosust.2017.09.007.
Damschroder, L., et al. (2015). The Consolidated Framework for Implementation Research (CFIR): progress to date, tools and resources, and plans for the future. Implementation Science, 10(1), 1–1. https://doi.org/10.1186/s13012-017-0550-7.
Darlington, Y., Feeney, J. A., & Rixon, K. (2005). Interagency collaboration between child protection and mental health services: practices, attitudes and barriers. Child Abuse & Neglect, 29(10), 1085–1098. https://doi.org/10.1016/j.chiabu.2005.04.005.
DeCuir-Gunby, J. T., Marshall, P. L., & McCulloch, A. W. (2011). Developing and using a codebook for the analysis of interview data: an example from a professional development research project. Field Methods, 23(2), 136–155. https://doi.org/10.1177/1525822X10388468.
Douglass A. (2011) Improving family engagement: the organizational context and its influence on partnering with parents in formal child care settings. Early Childhood Research and Practice 13(2).
Durlak, J. A., & DuPre, E. P. (2008). Implementation matters: a review of research on the influence of implementation on program outcomes and the factors affecting implementation. American Journal of Community Psychology, 41(3-4), 327 https://doi.org/10.1007/s10464-008-9165-0.
Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., Wallace, F., Burns, B., & Chambers, D. (2005). Implementation research: a synthesis of the literature. Tampa, FL: University of South Florida, The National Implementation Research Network.
Franks, R. P., & Schroeder, J. (2013). Implementation science: what do we know and where do we go from here. In T. Halle, A. Metz & I. Martinez-Beck (Eds.), Applying implementation science in early childhood programs and systems (pp. 5–20). Baltimore, MD: Paul H. Brookes.
Gadlin, H., & Sturm, S. P. (2007). Conflict resolution and systemic change. Journal of Dispute Resolution, 1, 07–147.
Grenier, C., & Denis, J. L. (2018). S’organiser pour innover: espaces d’innovation et transformation des organisations et du champ de l’intervention publique. Politiques et Management Public, 34, 191–206. https://doi.org/10.3166/pmp.34.2017.0015.
Guest, G., MacQueen, K. M., & Namey, E. E. (2012). Applied thematic analysis. Thousand Oaks, CA: Sage.
Halle, T., Zaslow, M., Martínez-Beck, I., & Metz, A. (2013). Applications of implementation science to early care and education programs and systems: implications for research, policy, and practice. In T. Halle, A. Metz & I. Martinez-Beck (Eds.), Applying implementation science in early childhood programs and systems (pp. 295–314). Baltimore, MD: Paul H. Brookes.
He, A. S. (2017). Interagency collaboration and receipt of substance abuse treatment services for child welfare-involved caregivers. Journal of Substance Abuse Treatment, 79, 20–28. https://doi.org/10.1016/j.jsat.2017.05.006.
Henderson, S., Kendall, E., Forday, P., & Cowan, D. (2013). Partnership functioning: a case in point between government, nongovernment, and a university in Australia. Progress in Community Health Partnerships: Research, Education, and Action, 7(4), 385–393. https://doi.org/10.1353/cpr.2013.0049.
Horwath, J., & Morrison, T. (2007). Collaboration, integration and change in children’s services: critical issues and key ingredients. Child Abuse & Neglect, 31(1), 55–69. https://doi.org/10.1016/j.chiabu.2006.01.007.
Hsien Tseng, S., Liu, K., & Wang, W. L. (2011). Moving toward being analytical: a framework to evaluate the impact of influential factors on interagency collaboration. Children and Youth Services Review, 33(6), 798–803. https://doi.org/10.1016/j.childyouth.2010.11.028.
Hudson, B. (2006). User outcomes and children’s services reform: ambiguity and conflict in the policy implementation process. Social Policy and Society, 5(2), 227–236.
Hunter, P., Kaasalainen, S., Froggatt, K. A., Ploeg, J., Dolovich, L., Simard, J., & Salsali, M. (2017). Using the ecological framework to identify barriers and enablers to implementing Namaste Care in Canada’s long-term care system. Annals of Palliative Medicine, 6(4), 340–353. https://doi.org/10.21037/apm.2017.06.14.
Ishak, N. M., & Abu Bakar, A. Y. (2014). Developing sampling frame for case study: challenges and conditions. World Journal of Education, 4(3), 29–35.
Javdani, S., & Allen, N. E. (2011). Proximal outcomes matter: a multilevel examination of the processes by which coordinating councils produce change. American Journal of Community Psychology, 47(1-2), 12–27. https://doi.org/10.1007/s10464-010-9375-0.
Kagan, S. L., Landsberg, E., Bull, R., & Roth, J. (2019). Comprehensive services, funding, and governance. In S.L. Kagan (Ed.) The early advantage 2—building systems that work for young children: international insights from innovative early childhood systems. Teachers College Press.
Kaufmann, W., Taggart, G., & Bozeman, B. (2019). Administrative delay, red tape, and organizational performance. Public Performance & Management Review, 42(3), 529–553. https://doi.org/10.1080/15309576.2018.1474770.
Kazepov, Y. (2010). Rescaling social policies towards multilevel governance in Europe: some reflections on processes at stake and actors involved. In Y. Kazepov (Ed.), Rescaling Social Policies towards Multilevel Governance in Europe (pp. 35–72). Farnham: Ashgate.
Matland, R. E. (1995). Synthesizing the implementation literature: the ambiguity-conflict model of policy implementation. Journal of Public Administration Research and Theory, 5(2), 145–174. https://doi.org/10.1093/oxfordjournals.jpart.a037242.
Maxwell, J. (2005). Qualitative research design: an interactive approach. Thousand Oaks, CA: Sage.
Metz, A., Naoom, S. F., Halle, T., & Bartley, L. (2015). An integrated stage-based framework for implementation of early childhood programs and systems. Washington, DC: Office of Planning. Research and Evaluation, Administration for Children and Families, US Department of Health and Human Services.
Ministerio de Desarrollo Social (2015). ¿Qué es Chile Crece Contigo? Sistema de Protección Integral a la Infancia Chile Crece Contigo. Gobierno de Chile.
National Center for Children in Poverty (2007). Early childhood comprehensive systems: a key topic resource list. Research Connections.
Nelson, G., Prilleltensky, I., & MacGillivary, H. (2001). Building value‐based partnerships: toward solidarity with oppressed groups. American Journal of Community Psychology, 29(5), 649–677. https://doi.org/10.1023/A:1010406400101.
Newton, K., & Van Deth, J. (2005). Implementation: the public bureaucracy. In K. Newton & J.W. Van Deth (Eds.) Foundations of comparative politics: democracies of the modern world, (pp. 117–132). Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511806810.010.
Nores, M., & Fernandez, C. (2018). Building capacity in health and education systems to deliver interventions that strengthen early child development. Annals of the New York Academy of Sciences, 1419(1), 57–73. https://doi.org/10.1111/nyas.13682.
Okeyo, I., Lehmann, U., & Schneider, H. (2020). The impact of different frames on early stages of intersectoral collaboration: the case of the First 1000 Days Initiative in the Western Cape Province. Health Research Policy and Systems, 18(1), 3 https://doi.org/10.1186/s12961-019-0508-0.
Patton, M. Q. (2014). Qualitative research and evaluation methods: integrating theory and practice. Thousand Oaks, CA: Sage Publications.
Pondy, L. R. (1967). Organizational conflict: concepts and models. Administrative Science Quarterly, 12(2), 296–320. https://doi.org/10.2307/2391553.
Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., & Hensley, M. (2011). Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65–76. https://doi.org/10.1016/j.zefq.2015.01.004.
Purcal, C., et al. (2011). Does partnership funding improve coordination and collaboration among early childhood services? Experiences from the Communities for Children programme. Child & Family Social Work, 16(4), 474–484. https://doi.org/10.1111/j.1365-2206.2011.00766.x.
Quiroz, R., Brunson, L., & Bigras, N. (2017a). Transforming social regularities in a multicomponent community‐based intervention: a case study of professionals’ adaptability to better support parents to meet their children’s needs. American Journal of Community Psychology, 59(3-4), 316–332. https://doi.org/10.1002/ajcp.12145.
Quiroz, R., Brunson, L., & Bigras, N. (2017b). Les perceptions des professionnels et professionnelles sur l’égalité et l’inégalité dans les processus de partenariat en action communautaire: une étude de cas dans le domaine de la petite enfance. Canadian Journal of Community Mental Health, 36(1), 15–40. https://doi.org/10.7870/cjcmh-2017-002.
Quiroz, R. & Fernández de Rota, J. M. (2020). Base teórico-metodológica para uma avaliação com a abordagem ecológico-sistêmica de intervenções comunitárias multinível. In C. Sarriera, J.K. Bones, J. Alfaro & R. Biachi (Eds.). Bem-estar e saúde comunitária: teoria, metodologia e práticas transformadoras (pp. 97-112). Editora Appris.
Raczynski, D. (2008). Sistema Chile Solidario y la política de protección social de Chile: Lecciones del pasado y agenda para el futuro. Santiago de Chile: Corporación de Estudios para Latinoamérica (CIEPLAN).
Rainey, H. G. (2009). Understanding and managing public organizations. John Wiley & Sons.
Richter, L. M., Daelmans, B., Lombardi, J., Heymann, J., Boo, F. L., Behrman, J. R., & Bhutta, Z. A. (2017). Investing in the foundation of sustainable development: pathways to scale up for early childhood development. The Lancet, 389(10064), 103–118. https://doi.org/10.1016/S0140-6736(16)31698-1.
Ross, D. (2009). The use of partnering as a conflict prevention method in large‐scale urban projects in Canada. International Journal of Managing Projects in Business, 2(3), 401–418. https://doi.org/10.1108/17538370910971054.
Scott, D. (1997). Inter‐agency conflict: an ethnographic study. Child & Family Social Work, 2(2), 73–80. https://doi.org/10.1046/j.1365-2206.1997.00048.x.
Shannon, P. (2021). Collaboration between early intervention and child welfare agencies: a survey of State Part C coordinators. Journal of Public Child Welfare, 15(3), 341–356. https://doi.org/10.1080/15548732.2020.1727395.
Sullivan, G., Blevins, D., & Kauth, M. R. (2008). Translating clinical training into practice in complex mental health systems: toward opening the ‘Black Box’ of implementation. Implementation Science, 3(1), 33 https://doi.org/10.1186/1748-5908-3-33.
Thomson, A. M., Perry, J. L., & Miller, T. K. (2014). Linking collaboration processes and outcomes: foundations for advancing empirical theory. In L. B. Bingham & R. O’Leary (Eds.) Big ideas in collaborative public management (pp. 107–130). M.E. Sharpe.
Toros, K., DiNitto, D. M., & Tiko, A. (2018). Family engagement in the child welfare system: a scoping review. Children and Youth Services Review, 88, 598–607. https://doi.org/10.1016/j.childyouth.2018.03.011.
van Bijleveld, G. G., Dedding, C. W., & Bunders‐Aelen, J. F. (2015). Children’s and young people’s participation within child welfare and child protection services: a state‐of‐the‐art review. Child & Family Social Work, 20(2), 129–138. https://doi.org/10.1111/cfs.12082.
Weiss, E. S., Anderson, R. M., & Lasker, R. D. (2002). Making the most of collaboration: exploring the relationship between partnership synergy and partnership functioning. Health Education & Behavior, 29(6), 683–698. https://doi.org/10.1177/109019802237938.
Wessells, M. G. (2015). Bottom-up approaches to strengthening child protection systems: placing children, families, and communities at the center. Child Abuse & Neglect, 43, 8–21. https://doi.org/10.1016/j.chiabu.2015.04.006.
Wong, S., & Sumsion, J. (2013). Integrated early years services: a thematic literature review. Early Years, 33(4), 341–353. https://doi.org/10.1080/09575146.2013.841129.
Yoshikawa, H., Wuermli, A. J., Raikes, A., Kim, S., & Kabay, S. B. (2018). Toward high‐quality early childhood development programs and policies at national scale: directions for research in global contexts. Social Policy Report, 31(1), 1–36. https://doi.org/10.1002/j.2379‐3988.2018.tb00091.x.
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This work was funded by the National Agency for Research and Development (ANID), postdoctoral scholarship /2018 – no 3180771.
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Quiroz-Saavedra, R., Alfaro, J., Rodríguez-Rivas, M.E. et al. The Intersectoral Cascade: a Case Study on Perceived Conflict in Implementing Child Development Systems. J Child Fam Stud 32, 2820–2833 (2023). https://doi.org/10.1007/s10826-022-02331-z
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DOI: https://doi.org/10.1007/s10826-022-02331-z