Establishment Of Trust Research Articles

NLN Jeffries Simulation Theory: Brief Narrative Description

Editor's Note: This article is excerpted from The NLN Jeffries Simulation Theory, a monograph published by the National League for Nursing, copyright 2015.Based on the thorough synthesis of the literature by Adamson (see page 282) and discussion among simulation researchers and leaders, the NLN Jeffries Simulation Framework (2005, 2007, 2012) is now referred to as the NLN Jeffries Simulation Theory with a few minor changes within the conceptual illustration. The concepts of this theory are briefly described below to provide more clarity and to explain the new NLN Jeffries Simulation Theory. (See the Figure for a diagram of the theory.)CONTEXTContextual factors such as circumstances and setting impact every aspect of the simulation and are an important starting point in designing or evaluating simulation. The context may include the place (academic vs. practice; in situ vs. lab) and the overarching purpose of the simulation, for example, whether the simulation is for evaluation or instructional purposes.BACKGROUNDWithin this context, the background includes the goal(s) of the simulation and specific expectations or benchmarks that influence the design of the simulation. The theoretical perspective for the specific simulation experience and how the simulation fits within the larger curriculum are all important elements of the background and inform the simulation design and implementation. Finally, the background of a simulation includes resources such as time and equipment, as well as how these resources will be allocated.DESIGNOutside of and preceding the actual simulation experience are specific elements that make up the simulation design. Although some elements of the simulation design may be changed during implementation of the simulation experience, there are aspects of the design that need to be considered in preparation for the simulation experience.The design includes the specific learning objectives that guide the development or selection of activities and scenario(s) with appropriate content and problem-solving complexity. Elements of physical and conceptual fidelity - including decisions about equipment, moulage (physical), and appropriate, predetermined facilitator responses to participants' interventions (conceptual) - are established as part of the simulation design. Participant and observer roles (including whether or not videography will be used), progression of activities, and briefing/debriefing strategies are all established as part of the simulation design.SIMULATION EXPERIENCEThe simulation experience is characterized by an environment that is experiential, interactive, collaborative, and learner centered. This environment requires the establishment of trust; both the facilitator and participant share responsibility for maintaining this environment. They enhance the quality of the simulation experience through buying-in to the authenticity of the experience and suspending disbelief. This helps promote engagement and psychological fidelity within the simulation experience (Kiat, Mei, Nagammal, & Jonnie, 2007; Leighton & Sholl, 2009; van Soeren et al., 2011).FACILITATOR AND EDUCATIONAL STRATEGIESWithin this simulation experience is a dynamic interaction between the facilitator and the participant. The literature about the characteristics these individuals bring to the simulation experience and how they affect the simulation experience is extensive. Facilitator attributes include (but are not limited to) skill, educational techniques, and preparation (Parker & Myrick, 2012; Parsh, 2010). The facilitator responds to emerging participant needs during the simulation experience by adjusting educational strategies such as altering the planned progression and timing of activities and providing appropriate feedback in the form of cues (during) and debriefing (toward the end) of the simulation experience.PARTICIPANTParticipant attributes also affect the simulation learning experience. …

Engaging Employees in Sustainable Development – a Case Study of Environmental Education and Awareness Training in Hong Kong

AbstractEnvironmental education and awareness training can help to develop and encourage a transition to a greener corporate culture. A series of environmental education and awareness training programmes of The Hongkong and Shanghai Banking Corporation Limited (HSBC) (Hong Kong) was used as a case study to assess how learning transfers through nature‐based environmental education and awareness training and to investigate the possible outcomes of providing nature‐based training to employees. Evaluation of the training outcomes, in terms of changes in employees’ environmental knowledge, attitudes and behaviour, was surveyed by using retrospective post‐ and then‐test questionnaires. Results showed that employees who joined these programmes gained knowledge and changed their values and behaviour towards the environment significantly. The study also indicated the establishment of trust in and satisfaction with the organization among employees through the training, which in turn promoted employees’ organizational commitment towards corporate sustainability. Copyright © 2015 John Wiley & Sons, Ltd and ERP Environment

Oral History, Community, and Work in the American WestJessie L.Embry, Editor. Tucson: University of Arizona Press, 2013.

Oral History, Community, and Work in the American West Jessie L. Embry, Editor. Tucson: University of Arizona Press, 2013.In Oral History, Community, and Work in the American West, editor Jessie L. Embry has assembled eighteen authors to share their experiences working on oral history projects. Throughout the essay collection, each author comments on oral history's unique utility for the study of the American West and, in doing so, revisits some well-trod arguments. In particular, several authors focus on oral history's ability to fill gaps when textual sources are unavailable or misleading and on oral history's tradition of giving voice to people who are often ignored in mainstream historical texts. However, instead of seeming redundant, attention to the logistic, emotional, and political process of doing oral history produces an engaging narrative and provides satisfying insight into the interactive, communal process of writing oral history.Embry divides the book into three sections. The first section provides a retrospective look at careers spent working in oral history. She describes her experiences at the Redd Center for Western Studies, pointing out the fundamental importance of existing personal ties and the establishment of trust for a successful oral history project. Barbara Allen Bogart compares two oral history projects-her dissertation research into the homesteader past of Fort Rock, Oregon and a project on mining in Evanston, Wyoming-that bookend her oral history career. Laurie Mercier documents her experiences recording women's oral histories in Montana, demonstrating that much can be gleaned from studying the silences in oral history interviews.Section Two includes a series of oral history projects that fill gaps in Western historiography-telling the complex and varied stories of women and minority groups in the twentieth-century West. William Bauer, Jose Alamillo, Clay tee White, and Skott Brandon Vigil document labor in California and the Southwest. Bauer, Alamillo, and Vigil interview Native American and Flispanic farm laborers to document their continued sense of family and community in the face of alienating labor practices. White chronicles the overlooked experiences of African American workers in postwar Las Vegas. Joanne Goodwin, Sandra Mathews, John Sillito, Sarah Langsdon, Marci Farr, and Melanie Newport uncover the untold stories of women's lives in the West. Georgia Wier records the experiences of Japanese families in 1940s Colorado, adding complexity to the story of Japanese dislocation and internment during World War Two. …

Trust Evolvement in Hybrid Team Collaboration: A Longitudinal Case Study

Trust is referred to as a key facilitator in team collaboration as it is an important condition for information sharing. In this paper, we investigate factors associated with the establishment of trust in hybrid teams that collaborate virtually as well as face-to-face. Furthermore, we deliver an instrument to understand trust development in teams. We describe exploratory results of the instrument by running experiments with teams of collaborating students in China and Netherlands. Quantitative and qualitative analysis has been used to analyze these data. Finally, in the analysis of the experiments we describe initial patterns of trust development in groups from both individual and group perspectives, in two different cultural contexts.

Individual and collective responses to large carnivore management: the roles of trust, representation, knowledge spheres, communication and leadership

Overseeing the continued recovery, dispersal and management of large carnivore populations while simultaneously considering human viability and welfare requires delicately balancing local concerns for rural communities' livelihood prospects and property vulnerability with international concerns for saving threatened species. In this article, we propose an integrated analytical perspective to elucidate how competing interests and power relationships influence the governance and management of contested wildlife resources. However, simply identifying these patterns is not enough. It is also imperative that the interrelationships between broader biophysical, social, political, economic, and cultural contexts and histories be explored in order to describe, analyze and better understand how and why individual and collective responses vary. In doing this, we drew from findings from a variety of social science disciplines (environmental communication, environmental psychology, human ecology, human geography, political science, public administration and social anthropology) and, here, present how social science approaches can enhance understanding of the different layers and contexts of contested natural resource management. Highlighting the individual, socio‐cultural, political and institutional dimensions, the article concludes by identifying five recurrent concepts that must be understood and consciously applied to large carnivore governance and management: 1) establishment of trust between people and groups interacting on the subject; 2) fair representation of stakeholder interests; 3) acknowledgement of the different knowledge‐spheres, including those based on personal experiences, culture and tradition, and science; 4) communication, based on dialogue about pluralistic perspectives, to collectively formulate and agree on set goals; and 5) leadership emphasising empowerment.

A Novel Trust Establishment Method for Wireless Sensor Networks

Establishment of trust is important in wireless sensor networks for security enhancement and successful collaboration. Basically, a node establishes trust with other nodes by estimating a trust value based on monitored behavior of the other nodes. Since a malicious/misbehaving node might launch different attack strategies and might demonstrate random misbehavior, a trust estimation method should be robust against such attacks and misbehavior. Otherwise, the operation of trust establishment will be meaningless, and performance of an application that runs on top of trust establishment will degrade. In this paper, we propose a robust and novel trust estimation method. Unlike traditional trust estimation methods, we consider not only the weight of misbehavior but also the frequency of misbehavior. The frequency-of-misbehavior component explicitly demonstrates how frequently a node misbehaves during a certain observed time period, and it tracks the behavior of nodes more efficiently, which is a main factor in deriving an accurate trust value. In addition, the weight of misbehavior is comprehensively measured to mitigate the effect of an on-off attack. Frequency and weight of misbehavior are comprehensively combined to obtain the trust value. Evaluation results show that the proposed method outperforms other trust estimation methods under different attacks and types of misbehavior.

Can centralized sanctioning promote trust in social dilemmas? A two-level trust game with incomplete information.

The problem of trust is a paradigmatic social dilemma. Previous literature has paid much academic attention on effects of peer punishment and altruistic third-party punishment on trust and human cooperation in dyadic interactions. However, the effects of centralized sanctioning institutions on decentralized reciprocity in hierarchical interactions remain to be further explored. This paper presents a formal two-level trust game with incomplete information which adds an authority as a strategic purposive actor into the traditional trust game. This model allows scholars to examine the problem of trust in more complex game theoretic configurations. The analysis demonstrates how the centralized institutions might change the dynamics of reciprocity between the trustor and the trustee. Findings suggest that the sequential equilibria of the newly proposed two-level model simultaneously include the risk of placing trust for the trustor and the temptation of short-term defection for the trustee. Moreover, they have shown that even a slight uncertainty about the type of the newly introduced authority might facilitate the establishment of trust and reciprocity in social dilemmas.

A Case Report The Understanding of Bioethics: Truth-Telling to Patients of Cancer in Pakistani Perspective

Regardless of advancement in the health care profession, cancer is the leading cause of death. After diagnosing the cancer patient, it is difficult for health care professionals to tell the truth or not. A successful relationship between patients and health care providers depends on the establishment of trust, which is strongly connected with communication based on truth. According to utilitarian argument, it is claimed that health professionals must do something which will produce more relief than anything else that it would render. In utilitarianism moral theory, health professionals will hold morally some right actions which will maximize utility, happiness, welfare and well-being. According to Kant, the consequences are not sufficient for making judgment, and informed consent of disease and treatment must be shared with the patient or family members to maintain the dignity. The doctor needs to minimize his/her personal assumptions in treatment and prognosis.

Secure Routing Protocol in Delay TolerantNetworks Using Fuzzy Logic Algorithm

Security is the biggest challenge in MANET. MANET presents various types of security attacks on data exchanges taking place between source and destination. In this misbehavior detection schemes for conventional wireless networks has opposed black hole attack and malicious node occur routing, this proposed technique as a great challenges in networks. In this iTrust, a probabilistic misbehavior detection scheme is highly desirable to assure the secure DTN routing as well as the establishment of the trust, among DTN nodes. A zone (routing zone) of a node is used to collect the node information within the range. In this protocol, it cannot achieve the packet delivery ratio, performance and data loss rate. In this paper we are providing the solution against black hole attack which is based on fuzzy rule. Fuzzy rule is used to identify the infected node as well as provide the solution to reduce data loss over network. Fuzzy logic ranges between the value as {0, 1}. Geographic routing is one of the most suitable routing strategies in wireless mobile Adhoc network mainly due to its scalability. Multi Input Multi Output technique used to send data frequently in routing protocol. Analysis and simulation results demonstrate the effectiveness and efficiency of the drop node analysis, high packet delivery ratio, throughput and delay.

Management of Medical Risk and Displays of Physician Competence: The Case of Emergency Medicine

This article first describes the unique place of emergency medicine (EM) within the American healthcare system. Second, it examines the uncertainty that underlies the practice of emergency medicine. It then describes how risk is perceived, negotiated and minimised by emergency physicians in their day-to-day practice. Finally, it explores how the management of medical risk is related to the establishment of trust within the physician–patient interaction and to the construction of the 'competent physician'. In caring for patients, the emergency physician must minimise risk and instil trust within a pressured, time-sensitive environment. Consequently, the management of risk and display of competence to patients are simultaneously accomplished by symbolic representations, the use of medical diagnostic tools in decision-making, and narrative construction within the clinical interaction.

The role of trust in binding the perspectives of guide dogs and their visually impaired handlers

Building on anthropological discussions of perspectivism and (zoo)semiotic accounts of sign use by humans and other animals, the article explores the cooperation of a guide dog and its visually impaired handler as contingent on the mutual adjustment of two individual perspectives. A perspective is defined as a point of view which comprises the meanings as well as the forms of objects that the subject perceives and acts upon. On certain occasions, individual perspectives can be alligated to one another, resulting in a transformation of the meaningful worlds of the subjects. Three types of connections between individual perspectives are delineated in the paper, resulting in the formation of mimetic, collaborative and comparative double perspectives. Although all of them bear relevance for the guide dog team’s interactions, the collaborative double perspective is put under further scrutiny. The maintenance of the collaborative double perspective depends on the formation of trust between the two individuals. While investigating the conditions for the establishment of trust, a question is raised as to whether a shared communication system can serve as an ultimate ground for it.

Integrating the use of patient-reported outcomes for both clinical practice and performance measurement: views of experts from 3 countries.

Policy Points: The patient-reported outcome (PRO) is a standardized method for measuring patients' views of their health status. Our international study showed that experts in clinical practice and performance measurement supported the integrated collection of PRO data for use in both clinical care and performance measurement. The measurement of PROs to support patient-provider decisions and the use of PRO performance measures to evaluate health care providers have developed both separately and in parallel. The use of PROs would benefit from a shared vision by health care providers, purchasers of care, and patients regarding the aims and purposes of the various applications; and the establishment of trust among stakeholders concerning the prudent use of PRO performance measures. Patient-reported outcomes (PROs) can play an important role in patient-centered health care by focusing on the patient's health goals guiding therapeutic decisions. When aggregated, PROs also can be used for other purposes, including comparative effectiveness research, practice improvement, assessment of the performance of clinicians and organizations, and as a metric for value-based payments. The feasibility of integrating the use of PROs for these various purposes on a wide scale has not yet been demonstrated. Our study was conducted to inform policymakers of prudent next steps for implementing PROs in clinical practice and performance measurement programs in order to maximize their impact on the quality of health care. We conducted a qualitative study, interviewing 58 experts and leaders from 37 organizations (response rate: 88%) in the United States, England, and the Netherlands. Respondents included clinical practitioners (n = 30), measure developers (n = 11), and leaders of performance measurement programs (n = 17). We used a qualitative content analysis to assess current strategies for applying PROs in clinical practice and performance measurement and to identify barriers to and facilitators of further implementation. The use of PROs in clinical practice and for performance measurement has developed both separately and in parallel. Experts across the stakeholder spectrum support the collection of PRO data in an integrated manner that would enable using the data for these distinct purposes. We identified 2 main concerns about the feasibility for integrated use of PRO data: the complexity of establishing routine data collection and the tension among stakeholders when using PRO data for different purposes. These contrasting stakeholder views suggested varying interests among clinicians, measure developers, and purchasers of care. Data collection approaches that support the use of PROs in health care are underdeveloped, need better integration with clinical care, and must be tailored to the characteristics of the health care system. Enabling the sustainable use of PROs will require a shared vision of clinical professionals, purchasers, and patients, with a prudent selection of the steps in implementing PROs that will maximize their impact on the quality of health care.

Reflections on Positionality from a Russian Woman Interviewing Russian-Speaking Women in London

This paper explores the implications of shared femininity in a qualitative study of friendship networks amongst Russian-speaking migrants in London by a Russian researcher. Drawing upon feminist literature on the complexities of women interviewing women, I outline the reflexive approach to positionality informing power relations and establishment of trust in the relationship between the researcher and the researched. The examples of interviewing a friend and two friendly strangers demonstrate the ways of negotiating mutual positions in the interaction. Shared gender is regarded as partially, but not universally, promoting rapport, taking into account the intersectionality of multiple differences between women. Considering the researcher's positionality has been presented in this paper as a means of making similarities and differences between participants useful for the critical interpretation of the work, and using its relevant aspects for building a positive, open, and more equal interaction.

Abstract PL02-02: Lessons learned from the Walking Forward Program in recruiting American Indians on clinical trials

Abstract Purpose/Objective(s): American Indians (AIs) present with more advanced stages of cancer and, therefore, suffer from higher cancer mortality rates compared to non-AIs. Under the National Cancer Institute Cancer Disparities Research Partnership Program (CDRP), we have been researching methods of improving cancer treatment and outcomes since 2002, for AIs in Western South Dakota, through the Walking Forward (WF) Program. Materials/Methods: This program consists of a) a culturally-tailored patient navigation program that facilitated access to innovative clinical trials in conjunction with a comprehensive educational program encouraging screening and early detection, b) surveys to evaluate barriers to access, c) clinical trials focusing on reducing treatment length as AIs live a median of 140 miles from the cancer center, d) a molecular study (ATM - Ataxia telangectasia mutation) to address whether there is a molecular profile that increases toxicity risks, and e) a recently funded project using mHealth (mobile) technology to address the high smoking rates in this population. Results: To date, over 3,700 AIs have participated in various WF research studies. Critical outcomes include the establishment of trust within tribal communities, identification of barriers to cancer screening, creation of research infrastructure, higher completion rates and patient satisfaction for patients undergoing cancer treatment, enrollment of patients on phase II trials with excellent clinical outcomes, and the establishment of new research partners. Recent analysis suggests that AI cancer patients with screen detectable cancers are now presenting with earlier stages of disease and higher cure rates. Lessons learned will also be presented. Conclusions: This NCI funded pilot program has achieved some initial measures of success. A research infrastructure has been created in a community setting to address new research questions and interventions. One critical objective of the CDRP program was to create sustainable, community research programs that has been achieved at our site. Citation Format: Daniel G. Petereit, Shalini Kanekar, Ashleigh Guadagnolo, Amy Boylan, Kristin Cina, Linda Burhansstipanov. Lessons learned from the Walking Forward Program in recruiting American Indians on clinical trials. [abstract]. In: Proceedings of the Sixth AACR Conference: The Science of Cancer Health Disparities; Dec 6–9, 2013; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2014;23(11 Suppl):Abstract nr PL02-02. doi:10.1158/1538-7755.DISP13-PL02-02

The Dynamic Model of Customs’ Initial Trust Formation Mechanism Analysis in B2C

It has been widely believed that trust is the basis for on-line trading by both academia and practice. The process of f initial trust formation is a dynamic and repeated process. In the electric business environment, this work chose to research the first phase of the process, which is initial trust. The Writer established dynamic model of initial trust formation biased on theory of planned behavior with other theories, such as TAM and social exchange theory, after micro-analyzing this formation mechanism from. in order to confirming effectiveness of the dynamic model, the writer adopted empirical study, from which writer got an order of . From the result of empirical study, we got the strength order of main factors that can influence the establishment of initial trust.

User-friendly Establishment of Trust in Distributed Home Automation Networks

Current wireless technologies use a variety of methods to locally exchange and verify credentials between devices to establish trusted relationships. Scenarios in home automation networks also require this capability over the Internet, but the necessary involvement of non-expert users to setup these relationships can lead to misconfiguration or breaches of security. We outline a security system for Home Automation called Trusted Domain that can establish and maintain cryptographically secure relationships between devices connected via IP-based networks and the Internet. Trust establishment is presented in a simple and meaningful way that allows non-expert users to make the correct security decisions when enrolling new devices. We propose a social remote mutual authentication method called the PictogramDB Hash designed to easily and accurately verify certificate hash values by visualizing them with sequences of pre-defined pictograms. This method is designed to scale from smartphones and tablets down to low-resource embedded systems. The presented approach is supported by an extensive literature study, and the ease of use and feasibility of the method has been investigated via user study and implementation.

An Approach to Steadfast and Reliable Resource Scheduling in Cloud Environment

In cloud computing, resource allocation and scheduling are the necessary requirements which helps the cloud to access the resources that are available. Applications implemented in the cloud often required to interact amongst themselves and, in case, rarely depend on other implemented applications. Present cloud schedulers do not consider the infrastructure properties of cloud during resource allocation and scheduling process. In this paper, we propose a reliable resource scheduling algorithm that can automatically manage the cloud infrastructure by considering both user requirements and infrastructure properties and policies. A new prototype is presented based on Openstack and it implements the proposed cloud scheduler. Our work specifically focuses on providing the cloud scheduler with trustworthy input that expose the trust status of cloud infrastructure and it also further establish the foundations of planned future work to cover other properties. It further provides an implementation of the past work on trust management of cloud which provides the cloud I. INTRODUCTION Cloud infrastructure is generally complex and heterogeneous in nature which provides numerous components by various vendors. Applications implemented in the cloud often required to interact amongst themselves and, in case, rarely depend on other implemented applications. The rapid complexity of the infrastructure and application dependency leads an environment that requires management and raises security and privacy problems. The central component that restricts and controls the allocation of virtual resources for a cloud infrastructures physical resources is known as the cloud scheduler. Presently available schedulers do not consider security and privacy needs; neither do they consider the properties of the entire cloud infrastructure. So, a cloud scheduler should consider the necessary application performance requirements and also the users security and privacy requirements. This paper proposes a reliable resource scheduling algorithm that automatically manages the cloud infrastructure by considering both user requirements and infrastructure properties along with its individual policies. It also further develops the required trustworthy software agents that automatically manage the collection of the specific properties of physical resources. Maintaining a trustworthy and specific copy of the infrastructure properties and users requirements is critical for the absolute operation of the scheduler. This paper mainly focuses on providing the cloud scheduler with trustworthy input about the trust status of the cloud infrastructure which further establishes the foundations of planned future work. Open Stack refers to its specific cloud scheduler component using the term nova-scheduler and it identifies the cloud scheduler as the most complicated component to develop the significant effort still remains to have an appropriate cloud scheduler. In order to develop the trustworthy resource scheduler component, it is necessary to have the exact understanding of how clouds are managed and how they work in the environment. From this, it is finally concluded that establishment of trust in clouds requires two mutually dependent elements:  Appropriate trustworthy mechanisms and its tools to help cloud service providers activate the process of managing, maintaining, and securing the cloud infrastructure; and  Implementing methods for cloud and cloud providers for establishing trust in the operation of cloud infrastructure. This includes mainly supporting the cloud infrastructure with trustworthy and self-managed services that manages the entire cloud infrastructure. The automated self-managed services must provide the cloud computing environment with additional capabilities and more features. The example for additional capabilities are scale per use, hiding the cloud infrastructures complexity, automated true reliability, current availability, existing scalability, dependability, and resilience that considers the cloud security and privacy requirements by the properties.

Use of TD ABC method for cost management in an accredited laboratory for physical and chemical testiry

Accreditation of a laboratory is verification of the competence of a laboratory regarding methods and procedures applied, personnel, the equipment used and working conditions. The main goal is establishment of customer trust in accuracy and precision of laboratory test results. Accredited laboratory has more specific costs than laboratory which is not accredited. To survive on the market, regardless the laboratory is independent or it is a part of a bigger system, the laboratory needs to establish resource management, especially effective cost management. Cost management describes approaches and short-term and long-term management activities, which make value for the customer, according to his known, reported or obligatory requirements and needs. In modern approach, there are different methods for cost calculation. One of them is ABC (Activity-Based Costing) method which adds activity costs to products and services trough activities needed for their finalization. In this paper, there is presented improved ABC method for obračun costs, affirmed as activity based cost calculation based on time - TD ABC (Time-Driven Activity-Based Costing). The method uses time as a primary base for costs allocation on products, porudžbine, customers. This is the way for simpler and less expansive getting of information's about costs. This paper describes TD ABC method implemented in accredited Laboratory for physical and chemical testing, which is a part of company Galenika Fitofarmacija a.d. The scope of testing in this laboratory are pesticide materials, meaning technical substances and finished products, within quality control for different internal customers. By using TD ABC method it is possible to define real costs, generated during the laboratory testing, and also effectiveness of specific activities in this process.

P84 How was it for them? Experiences of parents of children undergoing surgical treatment for empyema thoracis

IntroductionOpinion is divided regarding the management of empyema thoracis in children. There is wide regional variation in treatment, which is only partially related to variations in the availability of skills...

Parents' experiences of collaboration between welfare professionals regarding children with anxiety or depression - an explorative study

Well-functioning collaboration between professionals in the welfare sector has a strong influence on the contacts with parents of children and adolescents suffering from mental illness, and it is a precondition for the availability of support for these parents. This paper describes how such parents perceive collaboration between professionals in mental health care, social services, and schools. This was a small-scale qualitative study. Data were collected by in-depth interviews with seven parents of children and adolescents diagnosed with anxiety and depression. The families were selected from the Child and Adolescent Mental Health patient records kept by the Stockholm County Council (Sweden), and they all lived in a catchment area for Child and Adolescent Mental Health outpatient services in Stockholm. Our results suggest that when the encounter between parents and professionals is characterised by structure and trust, it is supportive and serves as a holding environment. Parents think that communication links and coordination between professionals from different organisations are needed in the collaboration, along with appropriately scheduled and well-performed joint meetings to create structure in the parent-professional encounter. Parents also think that establishment of trust in this interaction is promoted by individual professionals who are available, provide the parents with adequate information, are skilled, and show empathy and commitment.