Successful Systems Integration Strategies: The ACCESS Program for Persons Who Are Homeless and Mentally Ill

  • Joseph J. Cocozza
  • Henry J. Steadman
  • Deborah L. Dennis
  • Margaret Blasinsky
  • Frances L. Randolph
  • Matthew Johnsen
  • Howard Goldman

Abstract

In 1993, the Access to Community Care and Effective Services and Supports (ACCESS) federal demonstration program was initiated. Using a quasi-experimental design, the 5-year demonstration program sought to assess the impact of integrated systems of care on outcomes for homeless persons with mental illness. The authors report on which integration strategies were chosen and how their implementation is quantified. Data collected primarily through annual site visits revealed that only two strategies were used by all nine systems. The systems integration strategies employed remained relatively stable over the 5 years. Successful implementation appears to be related to the strategies selected.

systems integration homeless mentally ill 

REFERENCES

  1. Bickman, L., Summerfelt, W., & Noser, K.(1997).Comparative outcomes of emotionally disturbed children and adolescents in a system of services and usual care.Psychiatric Services, 48, 1543–1548.Google Scholar
  2. 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
  3. Goldman, H.H., Morrissey, J.P., & Ridgely, M.S.(1994).Evaluating the Robert Wood Johnson Foundation Program on Chronic Mental Illness.The Milbank Quarterly, 72, 37–47.Google Scholar
  4. Kagan, S.L.(1993).Integrating services for children and families:Understand the past to shape the future. New Haven, CT: Yale University Press.Google Scholar
  5. Kahn, A.J., & Kamerman, S.B.(1992).Integrating services integration:An overview of initiatives, issues, and possibilities.New York, NY: National Center for Children in Poverty.Google Scholar
  6. Konrad, E.L.(1996).A multidimensional framework for conceptualizing human services integration initiatives.New Directions for Mental Health Services, 69, 5–19.Google Scholar
  7. Morrisse y.J., Galloway, M., Johnsen, M., & Ullman, M.(1997).Service system performance and integration:A baseline profile of the ACCESS demonstration sites.Psychiatric Services, 48, 374–380.Google Scholar
  8. Randolph, F.L.(1995).Improving service systems through systems integration:The ACCESS Program. American Rehabilitation, 21, 36–38.Google Scholar
  9. Randolph, F.L., Blasinky, M., Leginski, W., Parker, L.B., & Goldman, H.H.(1997).Creating integrated service systems for homeless persons with mental illness:The ACCESS Program.Psychiatric Services, 48, 369–373.Google Scholar

Copyright information

© Human Sciences Press, Inc. 2000

Authors and Affiliations

  • Joseph J. Cocozza
    • 1
  • Henry J. Steadman
    • 1
  • Deborah L. Dennis
    • 1
  • Margaret Blasinsky
    • 1
  • Frances L. Randolph
    • 1
  • Matthew Johnsen
    • 1
  • Howard Goldman
    • 1
  1. 1.Medical SchoolUniversity of MassachusettsWorcester

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