While the current efforts in the integrated research analyses have discovered an impact of integrated service systems on at least one outcome (i.e. housing stability), research to date has not found the kind of impact across the range of outcomes theorized or across time. These results have led us to speculate that one reason for the lack of findings in the cross-sectional analysis may be that integration across an entire service delivery system may not be as important as the existence of specific ties with particular kinds of organizations that provide the services most relevant for individuals with particular needs. This presentation will explore the interrelationship between system integration and client level outcomes within the nine State CMHS-funded ACCESS demonstration for persons who are homeless and have serious mental illness as well as substance abuse disorders. The presentation examines whether particular types of ties among organizations might lead to particular improved outcomes for particular groups of people. The sample used in this analysis are the subset ACCESS clients (N=7200) with reported substance abuse (self report or clinician report). The principal independent measures will include egocentric interorganizational network measures of ACCESS grantee integration using the sectoral matrix as the analysis dataset. The independent measure of substance is derived from the ASI. A variety of individual level control variables will be incorporated within a multilevel model.
Learning Objectives: 1. Understand the primary hypothesis of the ACCESS demonstration as well as how this secondary hypothesis relates to the primary hypothesis. 2. Identify the independent, dependent and control variables incorporated within the analysis. 3. Articulate the extent to which the hypothesis is supported by the data presented
Keywords: Service Integration, Substance Abuse
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.