Service system integration, access to services, and housing outcomes in a program for homeless persons with severe mental illness

Autor:	Julie Lam, Howard H. Goldman, Alan F. Fontana, Joseph P. Morrissey, Margaret Blasinsky, Michael Calloway, Robert A. Rosenheck, Matthew Johnsen, Frances Randolph, Robert J. Calsyn, Gregory B. Teague
Rok vydání:	1998
Předmět:	Adult Male Gerontology medicine.medical_specialty Health Services Accessibility Nursing Surveys and Questionnaires Outcome Assessment Health Care Health care medicine Humans Baseline (configuration management) Service (business) Service system Public Housing Delivery of Health Care Integrated business.industry Mental Disorders Public health Public Health Environmental and Occupational Health Health services research Mental illness medicine.disease Community Mental Health Services United States Ill-Housed Persons Structured interview Female Health Services Research business Case Management Research Article Follow-Up Studies
Zdroj:	American Journal of Public Health. 88:1610-1615
ISSN:	1541-0048 0090-0036
DOI:	10.2105/ajph.88.11.1610
Popis:	OBJECTIVES: This study evaluated the hypothesis that greater integration and coordination between agencies within service systems is associated with greater accessibility of services and improved client housing outcomes. METHODS: As part of the Access to Community Care and Effective Services and Supports program, data were obtained on baseline client characteristics, service use, and 3-month and 12-month outcomes from 1832 clients seen at 18 sites during the first year of program operation. Data on interorganizational relationships were obtained from structured interviews with key informants from relevant organizations in each community (n = 32-82 at each site). RESULTS: Complete follow-up data were obtained from 1340 clients (73%). After control for baseline characteristics, service system integration was associated with superior housing outcomes at 12 months, and this relationship was mediated through greater access to housing agencies. CONCLUSIONS: Service system integration is related to improved access to housing services and better housing outcomes among homeless people with mental illness.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3a9983b96aad16ec73b53b0feaa5ad1f https://doi.org/10.2105/ajph.88.11.1610 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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