Original ArticleInteragency Collaboration in Seven North Carolina CountiesThompson, Delamie BA, BSN, MPH; Socolar, Rebecca MD, MPH; Brown, Laura MPH; Haggerty, Joann MSW, MSPHAuthor Information Coordinator of Accreditation and Quality Assurance at the Cook County Ambulatory and Community Health Network in Chicago, Illinois. (Thompson) Clinical Associate Professor of Pediatrics in the Departments of Pediatrics and Social Medicine at the University of North Carolina at Chapel Hill in Chapel Hill, North Carolina. (Socolar) Project Manager, National Initiative for Children's Healthcare Quality. Formerly, she was Associate Director of the Intensive Home Visiting Cooperative, Center for Health Promotion and Disease Prevention at the University of North Carolina at Chapel Hill. (Brown) Research and Data Director at the NC Child Advocacy Institute in Raleigh, North Carolina. (Haggerty) Address correspondence to Rebecca R.S. Socolar, MD, MPH, CB #7225, University of North Carolina, Chapel Hill, NC 27599; Telephone: 919-966-2504; Fax: 919-966-3852; E-mail: email@example.com. The authors thank Stephen Hodgins and Marianna Henry for their help in conducting interviews; Chris Harlan for her help in reviewing early versions of the manuscript; and all participants in the interviews for their time and efforts on behalf of collaboration in their counties. Journal of Public Health Management and Practice: September 2002 - Volume 8 - Issue 5 - p 55-64 Buy Abstract This article describes the collaborative efforts of seven North Carolina counties involved in a home visitation program for new mothers. It explores factors that facilitated and impeded collaboration. Program staff reported strong leadership, shared vision, a heterogeneous mix of partners, establishment of trust, a positive attitude, role delineation, and open communication to be factors contributing to successful collaboration. Lack of guidance about how to collaborate, competition between programs and categorical funding, restrictive confidentiality policies that limit cross-agency access to information, and lack of time and energy were major barriers to achieving integrated service delivery systems. © Aspen Publishers, Inc.