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Service system integration, access to services, and housing outcomes in a program for homeless persons with severe mental illness.

机译：针对严重精神病无家可归者的计划中的服务系统集成，服务获得和住房结果。

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OBJECTIVES: This study evaluated the hypothesis that greater integration and coordination between agencies within service systems is associated with greater accessibility of services and improved client housing outcomes. METHODS: As part of the Access to Community Care and Effective Services and Supports program, data were obtained on baseline client characteristics, service use, and 3-month and 12-month outcomes from 1832 clients seen at 18 sites during the first year of program operation. Data on interorganizational relationships were obtained from structured interviews with key informants from relevant organizations in each community (n = 32-82 at each site). RESULTS: Complete follow-up data were obtained from 1340 clients (73%). After control for baseline characteristics, service system integration was associated with superior housing outcomes at 12 months, and this relationship was mediated through greater access to housing agencies. CONCLUSIONS: Service system integration is related to improved access to housing services and better housing outcomes among homeless people with mental illness.
机译：目的：本研究评估了以下假设，即服务系统内机构之间更好的整合和协调与服务的可访问性和改善的客户住房结果相关。方法：作为获得社区护理和有效服务与支持计划的一部分，在计划的第一年期间，从18个地点的1832名客户获得了基线客户特征，服务使用以及3个月和12个月结果的数据。操作。组织间关系的数据是通过对来自每个社区相关组织的关键信息提供者进行的结构化访谈获得的（每个站点的n = 32-82）。结果：从1340位客户（73％）获得了完整的随访数据。在控制了基线特征之后，服务系统集成与12个月的优良住房结局相关联，并且这种关系是通过与住房中介机构的更多接触来实现的。结论：服务系统集成与改善无家可归的精神病患者的住房服务的获取和住房结果有关。

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