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
  • Robert Rosenheck
  • Craig Burnette

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

Copyright information

© Human Sciences Press, Inc. 2002

Authors and Affiliations

  • James McGuire
    • 1
    • 2
  • Robert Rosenheck
    • 3
    • 1
  • Craig Burnette
    • 4
    • 5
  1. 1.Department of Veterans Affairs Northeast Program Evaluation Center (NEPEC)USA
  2. 2.University of CaliforniaLos Angeles
  3. 3.Department of PsychiatryYale School of MedicineNew Haven
  4. 4.Community Homelessness Assessment, Local Education, and Networking Groups)Department of Veterans Affairs Project CHALENG (USA
  5. 5.Atlanta VA Medical Center