194952 Conflict and Its Management in Systems of Care

Tuesday, November 10, 2009

Mary E. Evans, RN, PhD, FAAN , College of Nursing, University of South Florida, Tampa, FL
Roger A. Boothroyd, PhD , Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa, FL
Conflict is a common, but infrequently studied aspect of inter-organizational efforts to provide care, such as systems of care (SOC) for children with mental health disorders and their families. This multi-year, multi-method study sought to understand the types of conflict experienced in the governing boards of SOC, the impact of these conflicts and conflict management approaches. It also developed recommendations for conflict management. The first phase was a mail and web-based needs assessment of all federally-funded and graduated SOCs (N=59). Results indicated sources of conflict included goals, relationships, and authority. Management techniques included developing a resolution strategy, ignoring it or dealing with it behind the scenes. The presence of conflict negatively impacted functioning of the SOC. Several SOCs were selected for site visits that included concept mapping, interviews with key stakeholders and document review. These maps and their common themes will be presented. The third data collection method was hosting two two-hour conference calls with participants representing a variety of roles in SOCs to share experiences with conflict and its effects. Fourteen major themes were identified and will be described. From these data collection efforts recommendations for identifying and managing conflict in SOC have been developed and will be presented. Examples include issues related to systems change, partnering and sustainability. Testing of alternate conflict management strategies is planned in the near future.

Learning Objectives:
Describe the common sources of conflict within systems of care and approaches that have been used to manage conflict. Identify additional approaches to managing conflict within systems of care.

Keywords: Child/Adolescent Mental Health, Community-Based Partnership

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have more than 15 years experience conduct externally funded research on children's mental health and am the PI on this study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.