3213.0: Monday, November 13, 2000 - Board 9

Abstract #12170

Unmet needs and barriers to service utilization at 12-month follow-up among clients of the ACCESS demonstration program

Rise B. Goldstein, PhD, MPH1, Robert A. Rosenheck, MD2, Joseph Sonnefeld, MA1, and Matthew Johnsen, PhD1. (1) ROW Sciences, Incorporated, 1700 Research Boulevard, Rockville, MD 20850, (301) 294-5429, rgoldstein@hq.row.com, (2) Northeast Program Evaluation Center, Veterans Administration Medical Center, 950 Campbell Avenue, West Haven, CT 06516

Homeless persons with severe mental illnesses typically have high levels of unmet need for multiple types of health and human services, but also encounter a range of barriers to obtaining needed care. This presentation will examine client- and system-level factors associated with client-reported unmet need and barriers to obtaining services after 12 months of services provided through the project. Findings will be compared with results from studies of other populations with severe mental illnesses and implications for improving service provision to reduce client-perceived unmet need will be explored.

Learning Objectives: 1. Identify client- and system-level factors associated with self-reported unmet need among homeless individuals with severe mental illnesses. 2. Identify specific barriers to care reported by clients who perceive unmet need. 3. Identify points of similarity and difference in predictors of unmet need and specific barriers to care among ACCESS clients versus other individuals with severe mental illnesses. 4. Describe specific implications for targeting improvements in service delivery to homeless individuals with severe mental illnesses

Keywords: Service Delivery,

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.

The 128th Annual Meeting of APHA