Community Mental Health Journal

, Volume 28, Issue 1, pp 43–50 | Cite as

The multi-service network: Reaching the unserved multi-problem individual

  • Ralph Buckley
  • Douglas A. Bigelow
Brief Report

Abstract

A small number of multi-problem, service-resistant individuals in every metropolitan community consume extraordinary amounts of human service at great cost to publicly-funded agencies with less than satisfactory benefit to the individual. This paper describes an innovative collaboration among mental health, alcohol/drug treatment, corrections, forensic, and social and housing agencies to provide more effective services at less cost. The theory of action was that (1) inter-agency communication and (2) external controls developed by core service agencies increase the efficacy of treatment and reduce the cost of caring for multi-problem clients. Agencies refer clients to the Multi-Service Network who are then screened for problematic multi-agency involvement. Case conferences result in individual service plans. Three illustrative cases are described and the results of two evaluative studies summarized. Cost of care for clients appears to have been reduced. Agencies appear to have benefited from improved information and communication. Clients' behavior was stabilized by external controls and more adequate attention to their needs.

Keywords

Service Agency Service Plan External Control Illustrative Case Individual Service 

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References

  1. Carrado, R., & Doherty, D. (1987). A cost measurement of non-random samples of 10 cases referred to the Multi-Service Network: [A consultation]Google Scholar
  2. Carrado, R., Roesch, R., Glackman, W., Doherty, D., & Prochnau, H. (1986, December). An assessment of the multi-ministry plant project of Multi-Service Network, Greater Vancouver Mental Health Service Society, Vancouver, British Columbia.Google Scholar
  3. Cutler, D.L., & Madore, E. (1980). Community-family network therapy in a rural setting.Community Mental Health Journal 16(2), 144–155.Google Scholar
  4. Lamb, H.R. (1980). Structure: the neglected ingredient of community treatment.Archives of General Psychiatry, 37, 1224–1229.Google Scholar
  5. Pepper, B., & Ryglewicz, H. (1982).The young adult chronic patient, Vol. 14, New Directions For Mental Health Services. San Francisco, California: Jossey-Bass.Google Scholar
  6. Pepper, B., & Ryglewicz, H. (1984c). The young adult chronic patient and substance abuse.TIE Lines, 1 (July), 1–5.Google Scholar
  7. Shenson, D., Bubler, N., & Michaels, D. (1990). Jails and prisons: the new asylums?American Journal of Public Health, 80, 655–656.Google Scholar
  8. Steadman, H. J., McCarty, D.W., & Morrissey, J.P. (1989).The mentally ill in jail. New York, New York: Guilford.Google Scholar
  9. Talbott, J.A. (July, 1986), “Chronically mentally ill young adults (18–40) with substance abuse problems: a review of relevant literature and creation of a research agenda”. Task Force on Chronic Mentally Ill Young Adults with Substance Abuse Problems. Baltimore, Maryland: University of Maryland.Google Scholar
  10. Torrey, E.F. (December, 1989). Letter to National Alliance for the Mentally Ill members.Google Scholar

Copyright information

© Human Sciences Press, Inc 1992

Authors and Affiliations

  • Ralph Buckley
    • 1
    • 2
  • Douglas A. Bigelow
    • 3
  1. 1.Strathcona Community Care Team of Greater Vancouver Mental Health ServicesVancouver
  2. 2.Multi-Service NetworkCanada
  3. 3.Ministry of HealthVictoriaCanada

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