Integration of Service Systems for Homeless Persons With Serious Mental Illness Through the ACCESS Program

Morrissey, J; Calloway, Michael; Thakur, Neil; Cocozza, Joseph J.; Steadman, Henry J.; Dennis, Deborah L.

doi:10.1176/appi.ps.53.8.949

Cited by 58 publications

(42 citation statements)

References 21 publications

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“…First, other research using NAS focused on the evaluation of programs that are specifically aimed at altering the structure of an existing service system over time, often comparing systems before and after an intervention (cf. Morrissey et al, 2002;Morrissey, Johnsen, & Calloway, 1998;Morrissey, Calloway, Johnsen, & Ullman, 1997;Morrissey et al, 1994). We utilized network analysis techniques to paint a picture of how organizations in the WDC were integrated at that time in dealing with our target population.…”

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confidence: 99%

Integrating the criminal justice system into mental health service delivery: the worcester diversion experience

Grudzinskas

Clayfield

Roy-Bujnowski

et al. 2005

Behavioral Sci & The Law

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The substantial number of persons with mental illness encountered in many sectors of the criminal justice system has spurred actors from various agencies within that system to take actions aimed at reducing the growth of this population. These actions have included the development of specialty police units, jail diversion programs, and other mechanisms for channeling persons with mental illness out of the criminal justice system and into mental health treatment. The courts, too, have become involved in this effort with the recent development of the "mental health court," the latest of the "specialty" or "problem solving courts." These courts have not been without their critics, however, nor are they the only feasible approach to court-based diversion. This paper identifies and explores a range of options for structuring the relationship between criminal courts and local mental health systems. Beginning with a discussion of the rationale motivating the development of mental health courts, two alternatives to this specialty court model are discussed. One involves judges dealing with defendants having mental illness and substance abuse on a case-by-case basis. The other takes advantages of linkages that may already exist between most courts and the mental health providers who conduct their forensic assessments, expanding the role of these providers to serve as boundary spanners between courts and the components of local mental health systems. Regardless of the model adopted, however, appropriate linkages must exist between the courts and relevant providers. A case study is provided that demonstrates how the status of a locale's linkages can be evaluated and how the information derived from such evaluation can be used to improve the linkages between police, courts, and health and human services agencies.

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confidence: 99%

Integrating the criminal justice system into mental health service delivery: the worcester diversion experience

Grudzinskas

Clayfield

Roy-Bujnowski

et al. 2005

Behavioral Sci & The Law

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“…2.2.1 Sociodemographic characteristics-Veterans completed a questionnaire that covered the following domains: demographics, veteran status, psychiatric history, and employment (Morrissey et al, 2002).…”

Section: Methodsmentioning

confidence: 99%

Veterans' attitudes toward work and disability compensation: Associations with substance abuse

Meshberg‐Cohen

Reid‐Quiñones

Black

et al. 2014

Addictive Behaviors

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Introduction-Veterans deemed disabled for conditions resulting from, or aggravated by, their service in the military are eligible for service-connected disability payments. Despite many positive effects of disability payments, one concern is that Veterans with psychiatric conditions who receive disability payments are less likely to be employed compared to those who are denied benefits. Little is known about the attitudes of substance using Veterans, for whom work is a particularly important part of recovery, toward work and disability compensation.Methods-This study compared the responses of Veterans with (n=33) and without substance use problems (n=51) to questions about work's significance and its relationship to disability payments. T-and chi-square tests were conducted to determine if Veterans with substance use problems differed from the others on work-related attitudes and perceptions of the relation between work and Veterans' benefits.

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“…However, as already mentioned, expectations about this link in the logic model are starting to be revisited. Changes in client clinical status and quality of life are distal to system change efforts, and many other client, provider, program and general community factors can influence an individual's mental health and well-being (Anthony, Rogers, & Farkas, 2003;Bickman, 1996;Morrissey et al, 2002;Salzer et al, 2001, chap. 14).…”

Section: Clinical and Quality Of Life Outcomesmentioning

confidence: 99%

Does Systems Integration Affect Continuity of Mental Health Care?

Durbin

Goering

Streiner

et al. 2006

Adm Policy Ment Health

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Continuity of care is a concern for mental health clients in the post deinstitutionalization era of community care. A proposed solution is systems integration. This paper reviewed research on systems integration, focusing on continuity of care outcomes. A positive association between systems integration and client continuity of care was consistently demonstrated. Better results were obtained in systems characterized by stronger management arrangements, fewer service sectors, and system wide implementation of intensive case management and centralized access to services. Future research should evaluate a wider range of systems integrating mechanisms, using client-based measures that more directly represent continuity of care experiences.

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Integration of Service Systems for Homeless Persons With Serious Mental Illness Through the ACCESS Program

Abstract: The ACCESS demonstration was successful in terms of project-centered integration but not overall system integration.

Cited by 58 publications

References 21 publications

Integrating the criminal justice system into mental health service delivery: the worcester diversion experience

Integrating the criminal justice system into mental health service delivery: the worcester diversion experience

Veterans' attitudes toward work and disability compensation: Associations with substance abuse

Does Systems Integration Affect Continuity of Mental Health Care?

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