3213.0: Monday, November 13, 2000 - Board 5

Abstract #13887

Additional analyses of the ACCESS outcomes: Cross-site variation

Rise B. Goldstein, PhD1, Matthew Johnsen, PhD1, Howard H. Goldman, MD, PhD2, Robert A. Rosenheck, MD3, and Joseph Sonnefeld, MA1. (1) ROW Sciences, Incorporated, 1700 Research Boulevard, Rockville, MD 20850, (301) 294-5429, rgoldstein@hq.row.com, (2) Department of Psychiatry, University of Maryland School of Medicine, Room 300, MSTF Building, 685 West Baltimore Street, Baltimore, MD 21201, (3) Northeast Program Evaluation Center, Veterans Administration Medical Center, 950 Campbell Avenue, West Haven, CT 06516

Analyses of the pooled data from the nine States in which the CMHS-funded ACCESS demonstrations for persons who are homeless and have serious mental illness have not as yet detected greater improvements in outcomes in those sites receiving additional funds for systems-integration activities. This presentation will report the results of additional methodological analyses as well as examination of cross-site variation in outcomes in relation to a variety of contextual and program characteristics, in an effort to understand further the reasons for the pattern of results in the pooled analyses.

Learning Objectives: 1. Understand the primary hypotheses of the ACCESS demonstration as well as several ways these hypotheses have been translated into expectations of patterns in outcomes. 2. Learn additional characteristics of the measures developed to measure the implementation of systems integration strategies, the state of systems integration, and the coordination of service delivery at the individual level. 3. Learn about relationships between characteristics of measures, alternative specification of statistical models, level of aggregation, and patterns of outcomes. 3. Articulate the extent to which the hypothesis is supported by the data presented

Keywords: System Involvement, Service Integration

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