title: The Massachusetts HIV, hepatitis, addiction services integration (HHASI) experience: responding to the comprehensive needs of individuals with co-occurring risks and conditions.
abstract: Categorical funding mechanisms traditionally used to fund public health programs are a challenge to providers serving individuals with complex needs that often span multiple service areas. Integration--a formalized, collaborative process among service systems--responds to the challenge by decreasing fragmentation of care and improving coordination. In 2000, the Massachusetts Department of Public Health (MDPH) received a one-year planning grant from the federal Substance Abuse and Mental Health Services Administration (SAMHSA) to evaluate opportunities for integrating HIV/AIDS programs and substance abuse treatment programs. The project was later expanded to include viral hepatitis programming. Outcomes include the development of a strategic plan, joint procurement initiatives, and an ongoing commitment to sustain inter-bureau integration efforts, even in the face of substantial budget reductions. Integrated approaches can promote greater efficiency, improving communication and coordination among clients, providers, and government funding agencies.
authors.affiliation: Massachusetts Department of Public Health, Bureau of Substance Abuse Services, Boston, MA, USA.
authors.forename: Heidi L
authors.initials: HL
authors.lastname: Hoffman
authors.forename: Carolyn A
authors.initials: CA
authors.lastname: Castro-Donlan
authors.forename: Victoria M
authors.initials: VM
authors.lastname: Johnson
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Church
mesh_terms: D003299:Cooperative Behavior; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D015658:HIV Infections / Q000517:prevention & control*; D006505:Hepatitis / Q000517:prevention & control*; D006801:Humans; D007373:Interinstitutional Relations; D008404:Massachusetts; D010865:Pilot Projects; D011635:Public Health Administration; D019966:Substance-Related Disorders / Q000517:prevention & control*; D014481:United States; D014482:United States Substance Abuse and Mental Health Services Administration