Expanding Service Delivery: Does It Improve Relationships Among Agencies Serving Homeless People with Mental Illness?
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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.
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Administration and Policy in Mental Health and Mental Health Services Research
Volume 29, Issue 3 , pp 243-256
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- interorganizational relationship
- mentally ill homeless veterans
- service coordination
- service integration
- Author Affiliations
- 1. Department of Veterans Affairs Northeast Program Evaluation Center (NEPEC), USA
- 2. University of California, Los Angeles
- 3. Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut
- 4. Community Homelessness Assessment, Local Education, and Networking Groups), Department of Veterans Affairs Project CHALENG (, USA
- 5. Atlanta VA Medical Center, Georgia