Administration and Policy in Mental Health and Mental Health Services Research

, Volume 29, Issue 3, pp 243–256

Expanding Service Delivery: Does It Improve Relationships Among Agencies Serving Homeless People with Mental Illness?


  • James McGuire
    • Department of Veterans Affairs Northeast Program Evaluation Center (NEPEC)
    • University of California
  • Robert Rosenheck
    • Department of PsychiatryYale School of Medicine
    • Department of Veterans Affairs Northeast Program Evaluation Center (NEPEC)
  • Craig Burnette
    • Community Homelessness Assessment, Local Education, and Networking Groups)Department of Veterans Affairs Project CHALENG (
    • Atlanta VA Medical Center

DOI: 10.1023/A:1015143509904

Cite this article as:
McGuire, J., Rosenheck, R. & Burnette, C. Adm Policy Ment Health (2002) 29: 243. doi:10.1023/A:1015143509904


Enhancing interagency services integration for homeless people has been advocated as an approach for improving service delivery to this population. In contrast to system-level “top-down” interventions, this study examines the association of expanded funding of client-level homeless services, a “bottom-up” approach, with strengthening of interorganizational relationships. We compared Veterans Affairs/non-Veterans Affairs interagency relationships at VA facilities supporting community-oriented programs (N=72), at VA facilities supporting on-site internally focused homeless programs (N=10), and at facilities with no specialized homeless programs (N=47). VA facilities that supported community-oriented homeless programs enjoyed stronger VA-community agency relationships than the other two VA facility types. The study identifies an effective bottom-up resource-based approach to services integration.

interorganizational relationshipmentally ill homeless veteransservice coordinationservice integration
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© Human Sciences Press, Inc. 2002