Orange County NC Website
a <br /> 8 <br /> ESTABLISHING A COMMUNITY ACCOUNTABILITY SYSTEM <br /> FOR HUMAN SERVICES COLLABORATION <br /> All communities struggle with issues of human services fragmentation, duplication, <br /> gaps, and inefficiency. Ways to coordinate human servi;es has been as a public concern <br /> since the origins of formal human services programs. HumAn services sponsors, <br /> professionals, and volunteers spend a considerable amount of their time attempting to <br /> make services more efficient, effective, and relevant. Although consensus in public policy <br /> is rare, there is a widely held view that coordination and collaboration among human <br /> service providers are essential to efficient and effective delivery systems. <br /> There have been no easy or simple solutions to the issues surrounding agencies <br /> and/or programs working together as a "system." In fact, there is considerable evidence-- <br /> both from history and research--to suggest that coordination is a "manageable" but not <br /> "solvable" condition. Each human service agency and/or program operates from a distinct <br /> and separate mandate or special interest, has its own reporting and accountability system, <br /> and was generally created at a specific time historically to deal with a specific political and <br /> social priority. Most programs have their own eligibility criteria, administrative structure, <br /> and criteria for success, To further complicate the issue, public human service programs <br /> are administered in bureaucracies such as Health, Social Services, etc. which have their <br /> own culture, ideology, professional technology, and political economy. <br /> Efforts to "solve" the issues of human services coordination on a permanent basis <br /> have largely been unsuccessful. Each era appears to invent new ways to promote <br /> coordination. During the early part of this century communities cfeated mechanisms such <br /> as "Health and Welfare Councils" or "community registries" to d�il.with service <br /> coordination. In the 1970s and early 1980s there was a strong movement to deal with the <br /> issue through reorganization States and some counties created umbrella agencies in an <br /> effort to realign and integrate service programs and resources. This effort generally <br /> resulted in adding an additional level of bureaucracy. Even occasional mandates by parent <br /> organizations to coordinate local programs failed to provide the necessary waivers of <br /> individual agency requirements for local initiatives to be successful. Along with the single <br /> agency strategy came efforts to create common user information systems that could serve <br /> all programs. Currently there is considerable experimentation taking place with new <br /> "collaboratives"--structures and processes for pooling, sharing, and locating professional <br /> resources from different programs or agencies in high-risk neighborhoods, school systems, <br /> housing developments, etc. Also renewed emphasis is being given to creating and <br /> managing public-private "networks" of service programs and/or agencies. Communities <br /> which have experimented with one-stop service centers or single portals of entry models <br /> of structuring services are finding that they continue to have problems with coordination.. <br /> Although agency and/or program coordination cannot be completely solved short <br /> of creating a new political and economic system, the issue can be managed at the <br /> community level. In fact each community is confronted with the task of developing its own <br />