Inter‐agency cooperation between services for children and families in Ireland: does it improve outcomes?

The purpose of this paper is to analyse the processes and outcomes of a five‐year initiative to develop inter‐agency working between services for vulnerable 10‐ to 18‐year‐olds in a disadvantaged area of Dublin, Ireland.

A case study methodology included: review of documentation on 32 formal meetings of the network; 43 interviews with agency personnel involved in the network; in‐depth review of nine randomly selected cases which had been treated according to the network's agreed protocol of inter‐agency case management.

The initiative created a vibrant inter‐agency process in terms of developing and implementing an agreed protocol for inter‐agency care planning. However, assessment of the outcomes for young people and their families showed that only a few made any improvement. Four reasons are suggested for this relatively modest result: the target group of 10‐ to 18‐year‐olds had experienced neglect and abuse over many years and this made it difficult to achieve positive outcomes for them; the quality and standard of work by some staff in some agencies was questionable; agencies did not seem to include inter‐agency work in assessing their overall performance, or the performance of individual staff; and most agencies did not seem to have adopted an outcome‐oriented, evidence‐based approach to their work.

The paper points out that an effective and inclusive inter‐agency process is necessary but not enough for improving child outcomes; the sufficient condition for improved child outcomes is effective intra‐agency processes to deliver high‐quality services and a policy environment that supports and requires it.