Services for mentally ill homeless persons: street-level integration.
The key elements of a systems integration approach to delivery of human services are reviewed in terms of their application to services for mentally ill homeless persons. The example of a mental health outreach project illustrates the service- and systems-integrating influences of clinical case management with this population, and the ability of a "bottom-up" street-level approach to improve coordination and service accessibility for clients in general is discussed.
Department of Psychiatry, School of Medicine, Yale University, New Haven, Conn., USA.
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Rowe
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Hoge
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D003150:Community Health Workers / Q000458:organization & administration*; D003159:Community-Institutional Relations; D003237:Connecticut; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006297:Health Services Accessibility; D006703:Ill-Housed Persons; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D011050:Policy Making; D011369:Professional-Patient Relations; D016730:Program Development; D013598:Systems Theory; D014504:Urban Health