Expanding service delivery: does it improve relationships among agencies serving homeless people with mental illness?
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.
McGuire
James
J
Department of Veterans Affairs Northeast Program Evaluation Center, USA. James.McGuire@med.va.gov
Rosenheck
Robert
R
Burnette
Craig
C
D003153:Community Health Services / Q000458:organization & administration*; D003159:Community-Institutional Relations; D003299:Cooperative Behavior; D006297:Health Services Accessibility / Q000458:organization & administration*; D006703:Ill-Housed Persons / Q000523:psychology*; D006787:Hospitals, Veterans / Q000458:organization & administration*; D006801:Humans; D007373:Interinstitutional Relations; D028642:Persons with Psychiatric Disorders; D020380:Needs Assessment; D014481:United States; D014493:United States Department of Veterans Affairs