Development and Dissemination of Collaborative Family-Oriented Services: The Case of Community/Day Residential Care in Israel

Authors

  • Yoel Elizur PH.D.

    Corresponding author
    • Clinical Child & Educational Psychology Program, School of Education, The Hebrew University of Jerusalem, Jerusalem, Israel
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  • This study was enabled by dedicated professionals who have advanced the development of community/day residential care in management, practice, and research in Israel. Many of these leaders were interviewed in preparation for the writing of this article. Their names in alphabetical order are: Dalia Ben-Rabi, Benzion Branch, Haim Cohen, Yael Dori, Edna Galbotzki, Ilana Hasson, Tzvika Hauslich, Rachel Henig, Chana Katz, Tirtza Peled, Netanel Shalemm, Shacar Shuman, Mordecai Vinter, and Shem-Tov Wizman. Special thanks to Bruce Oppenheimer for his careful reading of the manuscript and helpful suggestions.

Correspondence concerning this article should be addressed to Yoel Elizur, Clinical Child & Educational Psychology Program, School of Education, The Hebrew University of Jerusalem, Mount Scopus, Jerusalem 91905, Israel. E-mail: mselizur@mscc.huji.ac.il

摘要

家庭导向项目的开创、发展及传播是突显家庭治疗对精神//身体健康和社会服务所作贡献的主线。这些具有挑战性的任务对生态系统型观念、支持性大环境,以及一系列技能都有要求。本文通过考察不同生态层次过程来描述以色列社区及日间住宿照顾的演变:国家社会政策的制定与执行、对两个家庭导向设施的持续跟踪(其中一个发展兴旺,另一个则最终关闭),以及为一个有三个孩子家庭提供的住宿照顾。对此多级数据的分析显示了四个对家庭导向项目有巨大影响的促进/阻碍因素:国家与地方社会政治职业管理的支持、项目管理自主性、工作人员的培训、支持和发展,以及建立并培育家庭导向组织结构与文化的有效设施领导。

RESUMEN

La iniciación, el desarrollo y la difusión de programas orientados a la familia forman un hilo conductor que destaca la contribución de la terapia familiar a los ámbitos de la salud mental o física y los servicios sociales. Estas tareas difíciles exigen una visión ecosistémica, un contexto solidario más amplio y diversas habilidades. En este artículo se explica la evolución de los servicios de atención residencial comunitaria y diurna en Israel mediante el análisis de procesos en diferentes niveles ecológicos: la formulación y la implementación de políticas sociales nacionales, la investigación de dos centros orientados a la familia, uno de los cuales prosperó mientras que el otro con el tiempo cerró, y la atención residencial prestada a una familia con tres niños. El análisis de estos datos multinivel destaca cuatro factores facilitadores y obstructores que han influido de forma significativa en los programas orientados a la familia: el apoyo de la administración sociopolítica-profesional nacional y local, la autonomía de la gestión del programa, la capacitación, el apoyo y el desarrollo del personal, y el liderazgo eficaz dentro del centro que establece y nutre la estructura y la cultura organizativas orientadas a la familia.

Abstract

The initiation, development, and dissemination of family-oriented programs are a unifying thread that highlights family therapy's contribution to the fields of mental/physical health and social services. These demanding tasks require an ecosystemic vision, a supportive larger context, and a range of skills. This article delineates the evolution of community and day residential care in Israel by examining processes at different ecological levels: the formulation and implementation of national social policy, the follow-up of two family-oriented facilities, one of which thrived while the other eventually closed, and the residential care provided to 1 family with 3 children. The analysis of this multilevel data highlights 4 facilitating/obstructing factors that have had major impact on family-oriented programs: support by both national and local sociopolitical–professional administration, program's management autonomy, staff training, support and development, and effective facility leadership that establishes and nurtures family-oriented organizational structure and culture.

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