3049.0: Monday, November 13, 2000 - 12:30 PM
Abstract #13135
Impact of service system integration on outcomes for homeless people with serious mental illness
Robert A. Rosenheck1, Joseph P. Morrissey, PhD2, Michael O. Calloway, PhD2, Matthew Johnsen, PhD3, Frances L. Randolph, DrPH4, Margaret R. Blasinsky, MA3, Robert Calsyn, PhD5, Joseph J. Cocozza, PhD6, and Howard H. Goldman, MD, PhD7. (1) Northeast Program Evaluation Center, Veterans Administration Medical Center, 950 Campbell Avenue, West Haven, CT 06516, (203) 937-3850, robert.rosenheck@yale.edu, (2) Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 725 Airport Road, Chapel Hill, NC 27599, (3) ROW Sciences, Incorporated, 1700 Research Boulevard, Rockville, MD 20850, (4) Homeless Services Branch, Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, 5600 Fishers lane, Room 11C-05, Rockville, MD 20857, (5) Department of Gerontology, University of Missouri at St. Louis, 8001 Natural Bridge Road, St. Louis, MO 63121, (6) Policy Research Associates, Incorporated, 262 Delaware Avenue, Delmar, NY 12054, (7) Department of Psychiatry, University of Maryland School of Medicine, Room 300, MSTF Building, 685 West Baltimore Street, Baltimore, MD 21201
The fragmentation of mental health service systems has been widely regarded as an impediment to the delivery of accessible and effective services for people with severe mental illness. The ACCESS program provided funds of approximately $250,000 per year over four years to coalitions of mental health and other service agencies at nine sites to implement strategies designed to promote systems integration. These "integration" sites, along with nine control sites, also received funds to support assertive case management programs conduct outreach and to service 100 clients per year. This study evaluated the relationship between efforts to improve the integration of such services systems, and outcomes among homeless people with severe mental illness.
Learning Objectives: 1. Understand how service systems impact client outcomes.
2. Understand the mechanisms by which service systems affect treatment
Keywords: Service Integration, Sever Mental Illness
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