Successful Program Maintenance When Federal Demonstration Dollars Stop: The Access Program for Homeless Mentally Ill Persons
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A major issue that has long dogged federal human services demonstration programs is the perception that when federal dollars end, the programs end—regardless of any proven successes. Access to Community Care and Effective Services and Supports (ACCESS) was a 5-year federal demonstration project to foster partnerships between service providers for homeless people with serious mental illness and co-occurring substance abuse disorders; and to identify effective, replicable systems integration strategies. After federal funding ended, research teams visited the ACCESS sites to determine which project elements remained and which strategies were used by the sites to continue ACCESS. This article describes ACCESS services and systems integration activities retained by the sites, new funding streams, and strategies used to obtain continued funding.
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- Barrow, S.M., Hellman, F., Lovell, A.M., Plapinger, J.D., & Struening, E.L. (1991). Evaluating outreach services: Lessons from a study of five programs. In Cohen (Ed.), Psychiatric outreach to the mentally ill. New directions for mental health services, 29–45. San Francisco, CA: Jossey-Bass.Google Scholar
- Bracht, N., Finnegan, J.R., Jr., Rissel, C., Weisbrod, R., Gleason, J., Corbett, J., & Veblen-Mortenson, S. (1994). Community ownership and program continuation following a health demonstration project. Health Education Research, Theory & Practice, 9(2), 243–255.Google Scholar
- Bybee, D., Mowbray, C.T., & Cohen, E.H. (1995). Evaluation of a homeless mentally ill outreach program: Differential short-term effects. American Journal of Community Psychology, 18(1), 13–24.Google Scholar
- Cocozza, J.J., Steadman, H.J., Dennis, D.L., Blasinsky, M., Randolph, F.L., Johnsen, M., & Goldman, H. (2000). Successful systems integration strategies: The ACCESS program for persons who are homeless and mentally ill. Administration and Policy in Mental Health, 27(6), 395–407.Google Scholar
- Fagan, J. (1987). Neighborhood education, mobilization, and organization for juvenile crime prevention. Annals of the American Academy of Political & Social Science, 494, 54–70.Google Scholar
- Federal Task Force on Homelessness and Severe Mental Illness. (1992). Outcasts on main street: Report of the Federal Task Force on Homelessness and Severe Mental Illness. Washington, DC: Interagency Council on the Homeless.Google Scholar
- Lam, J.A., & Rosenheck, R. (1999). Street outreach for homeless persons with serious mental illness: Is it effective? Medical Care, 37(9), 894–907.Google Scholar
- Lundstrom, F., & Politiek-Haim, Y. (1990). Continuing projects. University of Illinois, Champaign: Transition Institute.Google Scholar
- Morrissey, J., Calloway, M., Johnsen, M., & Ullman, M. (1997). Service system performance and integration: A baseline profile of the ACCESS demonstration sites. Psychiatric Services, 48(3), 374–380.Google Scholar
- Randolph, F. (1995). Improving services systems through systems integration: The ACCESS program. American Rehabilitation, Spring, 36–39.Google Scholar