Literature DB >> 9807525

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

R Rosenheck1, J Morrissey, J Lam, M Calloway, M Johnsen, H Goldman, F Randolph, M Blasinsky, A Fontana, R Calsyn, G Teague.   

Abstract

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.

Entities:  

Mesh:

Year:  1998        PMID: 9807525      PMCID: PMC1508580          DOI: 10.2105/ajph.88.11.1610

Source DB:  PubMed          Journal:  Am J Public Health        ISSN: 0090-0036            Impact factor:   9.308


  15 in total

1.  Lessons from the program on chronic mental illness.

Authors:  H H Goldman; J P Morrissey; M S Ridgely; R G Frank; S J Newman; C Kennedy
Journal:  Health Aff (Millwood)       Date:  1992       Impact factor: 6.301

Review 2.  Strategies for integrating public mental health services.

Authors:  D Mechanic
Journal:  Hosp Community Psychiatry       Date:  1991-08

3.  Individual and community-level variation in intensity and diversity of service utilization by homeless persons with serious mental illness.

Authors:  R Rosenheck; J A Lam
Journal:  J Nerv Ment Dis       Date:  1997-10       Impact factor: 2.254

4.  Local mental health authorities and service system change: evidence from the Robert Wood Johnson program on chronic mental illness.

Authors:  J P Morrissey; M Calloway; W T Bartko; M S Ridgely; H H Goldman; R I Paulson
Journal:  Milbank Q       Date:  1994       Impact factor: 4.911

5.  Continuity of care and client outcomes in the Robert Wood Johnson Foundation program on chronic mental illness.

Authors:  A F Lehman; L T Postrado; D Roth; S W McNary; H H Goldman
Journal:  Milbank Q       Date:  1994       Impact factor: 4.911

6.  National Institute of Mental Health Diagnostic Interview Schedule. Its history, characteristics, and validity.

Authors:  L N Robins; J E Helzer; J Croughan; K S Ratcliff
Journal:  Arch Gen Psychiatry       Date:  1981-04

7.  The alchemy of mental health policy: homelessness and the fourth cycle of reform.

Authors:  H H Goldman; J P Morrissey
Journal:  Am J Public Health       Date:  1985-07       Impact factor: 9.308

8.  Service system performance and integration: a baseline profile of the ACCESS demonstration sites. Access to Community Care and Effective Services and Supports.

Authors:  J Morrissey; M Calloway; M Johnsen; M Ullman
Journal:  Psychiatr Serv       Date:  1997-03       Impact factor: 3.084

9.  An improved diagnostic evaluation instrument for substance abuse patients. The Addiction Severity Index.

Authors:  A T McLellan; L Luborsky; G E Woody; C P O'Brien
Journal:  J Nerv Ment Dis       Date:  1980-01       Impact factor: 2.254

10.  Does community care for the mentally ill make a difference? A tale of two cities.

Authors:  M Beiser; J H Shore; R Peters; E Tatum
Journal:  Am J Psychiatry       Date:  1985-09       Impact factor: 18.112

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  31 in total

1.  The delivery of mental health services in the 21st century: bringing the community back in.

Authors:  R Rosenheck
Journal:  Community Ment Health J       Date:  2000-02

2.  Adopting innovations--lessons learned from a peer-based hospital diversion program.

Authors:  B Burns-Lynch; M S Salzer
Journal:  Community Ment Health J       Date:  2001-12

3.  Employment histories of homeless persons with mental illness.

Authors:  Susan A Pickett-Schenk; Judith A Cook; Dennis Grey; Michael Banghart; Robert A Rosenheck; Frances Randolph
Journal:  Community Ment Health J       Date:  2002-06

4.  Is it ACT yet? Real-world examples of evaluating the degree of implementation for assertive community treatment.

Authors:  Michelle P Salyers; Gary R Bond; Gregory B Teague; Judith F Cox; Mary E Smith; Mary Lou Hicks; Jennifer I Koop
Journal:  J Behav Health Serv Res       Date:  2003 Jul-Sep       Impact factor: 1.505

5.  A comparison of agency-based and self-report methods of measuring services across an urban environment by a drug-abusing homeless population.

Authors:  David E Pollio; Carol S North; Karin M Eyrich; Douglas A Foster; Elward L Spitznagel
Journal:  Int J Methods Psychiatr Res       Date:  2006       Impact factor: 4.035

6.  An evaluation of an initiative to improve coordination and service delivery of homeless services networks.

Authors:  Greg A Greenberg; Robert A Rosenheck
Journal:  J Behav Health Serv Res       Date:  2009-01-30       Impact factor: 1.505

7.  Developing community support for homeless people with mental illness in transition.

Authors:  Fang-pei Chen
Journal:  Community Ment Health J       Date:  2013-08-08

8.  Mistrust of outreach workers and lack of confidence in available services among individuals who are chronically street homeless.

Authors:  Aimee D Kryda; Michael T Compton
Journal:  Community Ment Health J       Date:  2008-09-19

9.  Solving Homelessness from a Complex Systems Perspective: Insights for Prevention Responses.

Authors:  Patrick J Fowler; Peter S Hovmand; Katherine E Marcal; Sanmay Das
Journal:  Annu Rev Public Health       Date:  2019-01-02       Impact factor: 21.981

10.  How a stressed local public system copes with people in psychiatric crisis.

Authors:  Rebecca Wells; Elizabeth Holdsworth La; Joseph Morrissey; Marissa Hall; Kristen Hassmiller Lich; Rachel Blouin
Journal:  Psychiatr Q       Date:  2013-06
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