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Updated: Sep 2, 2025

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Team Functioning and Performance in Child Advocacy Center Multidisciplinary Teams.

Elizabeth A McGuier1, Scott D Rothenberger2, Kristine A Campbell3

  • 1Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Child Maltreatment
|August 9, 2022
PubMed
Summary
This summary is machine-generated.

Child Advocacy Center (CAC) team functioning impacts performance, particularly overall ratings and mental health referrals. However, team dynamics did not influence caregiver satisfaction with services.

Keywords:
CACchild abusechild advocacy centermultidisciplinary teamteamwork

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Area of Science:

  • Child Psychology
  • Team Dynamics
  • Healthcare Management

Background:

  • Child Advocacy Centers (CACs) utilize multidisciplinary teams to improve child and family outcomes.
  • The effectiveness of the CAC model is potentially influenced by the quality of teamwork within these multidisciplinary teams.

Purpose of the Study:

  • To investigate the relationship between team functioning and performance in Child Advocacy Center (CAC) multidisciplinary teams.
  • To identify specific aspects of team functioning that correlate with team performance metrics.

Main Methods:

  • A statewide sample of 433 multidisciplinary team members from 21 CACs completed surveys on affective, behavioral, and cognitive team functioning.
  • Team performance was evaluated using member ratings of overall performance, mental health screening/referral frequency, and caregiver satisfaction surveys.
  • Linear mixed models and regression analyses were employed to examine associations between team functioning and performance.

Main Results:

  • Affective team functioning (e.g., trust, psychological safety) and cognitive functioning (e.g., clear direction) were significantly linked to higher overall team performance ratings.
  • Behavioral functioning (e.g., coordination) and cognitive functioning were associated with increased mental health screening and referral frequency.
  • No significant association was found between team functioning and caregiver satisfaction with CAC services.

Conclusions:

  • Specific elements of team functioning, such as trust and clear direction, are crucial for enhancing perceived team performance and service delivery efficiency in CACs.
  • While team dynamics appear to influence internal performance metrics, they do not directly correlate with caregiver satisfaction.
  • Findings suggest focusing on improving team functioning within CACs can enhance specific service outcomes, though further research is needed to understand caregiver satisfaction drivers.