Paper
Service Integration to Reduce Homelessness in Los Angeles County: Multiple Stakeholder Perspectives
Published Jan 1, 2014 · E. Guerrero, Benjamin F Henwood, S. Wenzel
Human Service Organizations: Management, Leadership & Governance
UNKNOWN SJR score
10
Citations
0
Influential Citations
Abstract
Homeless people are among the most marginalized individuals in the United States and experience significant rates of morbidity and mortality. Los Angeles County, California, has the highest concentration of homeless individuals in the nation, and although it features the largest health and social services system available to homeless people, it faces significant challenges to provide cost-effective integrated care. Housing and highly coordinated or integrated care represents an efficient and effective way to serve homeless individuals. Based on content analysis of symposium proceedings that included multiple stakeholders who engaged in a daylong structured conversation about challenges and opportunities related to the development of a fully integrated system of care, this manuscript presents insights about the state of service integration in the largest county in the United States. We discuss implications for the health and social services system, including a call for developing an strategic plan to vertically integrate care to address issues of homelessness.
Study Snapshot
Key takeawayService integration in Los Angeles County can effectively reduce homelessness by coordinating housing and highly coordinated care.
PopulationOlder adults (50-71 years)
Sample size24
MethodsObservational
OutcomesBody Mass Index projections
ResultsSocial networks mitigate obesity in older groups.
Full text analysis coming soon...
References
Health Care Integration for Formerly Homeless People With Serious Mental Illness
Integrated primary care and health screenings in supportive housing programs can improve medical health and reduce comorbidities in homeless individuals with serious mental illness.
2013·15citations·L. Weinstein et al.·Journal of Dual Diagnosis
Journal of Dual Diagnosis
An End to Chronic Homelessness: An Introduction to the 100,000 Homes Campaign
The 100,000 Homes Campaign aims to eliminate chronic homelessness by July 2014 by focusing on housing the most vulnerable individuals experiencing homelessness.
2012·8citations·Rebecca Joe Catherine Kara A. Kanis et al.·Journal of Health Care for the Poor and Underserved
Journal of Health Care for the Poor and Underserved
Mixed Method Designs in Implementation Research
Mixed method designs in implementation research can be complex and varied, with complexity influenced by study objectives, study context, and implementation phase.
2010·839citations·L. Palinkas et al.·Administration and Policy in Mental Health
Administration and Policy in Mental Health
Integrated care for homeless people--sharing knowledge and experience in practice, education and research: results of the networking efforts to find homeless health workers.
The European Network of Homeless Health Workers (ENHW) has been established to improve integrated care for homeless people by sharing knowledge and experience in practice, education, and research.
2008·21citations·I. V. van Laere et al.·European journal of public health
European journal of public health
Three Approaches to Qualitative Content Analysis
Three distinct content analysis approaches are conventional, directed, and summative, with differences in coding schemes, origins of codes, and threats to trustworthiness.
2005·35866citations·H. Hsieh et al.·Qualitative Health Research
Qualitative Health Research
Interventions to improve the health of the homeless: a systematic review.
Coordinated treatment programs for homeless adults with mental illness or substance abuse generally result in better health outcomes than usual care.
2005·269citations·Stephen W. Hwang et al.·American journal of preventive medicine
American journal of preventive medicine
Integrating the criminal justice system into mental health service delivery: the worcester diversion experience.
Mental health courts and other models can effectively divert individuals with mental illness from the criminal justice system and into mental health treatment, but effective linkages between courts and providers are crucial for successful integration.
2005·48citations·A. Grudzinskas et al.·Behavioral sciences & the law
Behavioral sciences & the law
Increasing Value: A Research Agenda for Addressing the Managerial and Organizational Challenges Facing Health Care Delivery in the United States
A social science approach focusing on individual, group, organizational, and environmental factors can improve healthcare value and outcomes in the U.S.
2004·134citations·S. Shortell·Medical Care Research and Review
Medical Care Research and Review
Citations
Combining the World Café and the Deliberative Democratic Evaluation: A Win-Win Strategy
Combining deliberative democratic evaluation and World Café methods can improve emergency response for substance users experiencing homelessness by providing rich qualitative data, gaining systemic insight, and influencing intersectoral collaboration and professional attitudes.
2023·1citation·Kristelle Alunni-Menichini et al.·Journal of Participatory Research Methods
Journal of Participatory Research Methods
Coordinated Access and Coordinated Entry System Processes in the Housing and Homelessness Sector: A Critical Commentary on Current Practices
Current coordinated access and entry systems lack a strong evidence base and may contribute to inequitable access to housing, with little evidence to suggest they improve individual-level outcomes like length of stay in housing.
2022·12citations·J. Ecker et al.·Housing Policy Debate
Housing Policy Debate
Exploring Foot Care Conditions for People Experiencing Homelessness: A Community Participatory Approach
Early screening and enhanced foot care services are crucial for reducing foot problems and improving foot care wellness among homeless individuals.
2022·7citations·M. D’Souza et al.·Journal of Primary Care & Community Health
Journal of Primary Care & Community Health
A Breath of Fresh Air: Social Work IPE With People Experiencing Homelessness
Interprofessional education activities at day shelters improve social work and nursing students' understanding and sensitivity towards people experiencing homelessness, potentially improving future collaboration.
2020·6citations·James C. Petrovich et al.·Journal of Social Work Education
Journal of Social Work Education
Management Practices to Enhance the Effectiveness of Substance Use Disorder Treatment
Evidence-based management practices, including policies, human resources, and culturally responsive practices, can enhance the effectiveness of substance use disorder treatment.
2020·0citations·J. Frimpong et al.·Effective Prevention and Treatment of Substance Use Disorders for Racial and Ethnic Minorities
Effective Prevention and Treatment of Substance Use Disorders for Racial and Ethnic Minorities
The role of local businesses in addressing multidimensional needs of homeless populations
Local businesses can play diverse roles in addressing physical, emotional, and self-actualization needs of homeless populations, benefiting social work education and field education curricula.
2018·11citations·Wonhyung Lee et al.·Journal of Human Behavior in the Social Environment
Journal of Human Behavior in the Social Environment
Capability Traps Impeding Homeless Services: A Community-Based System Dynamics Evaluation
Capability traps in homeless services delivery hinder system improvement, leading to policy and practice recommendations for Continuums of Care.
2018·24citations·P. Fowler et al.·Journal of Social Service Research
Journal of Social Service Research
Leadership and Licensure for Drug Treatment and the Implementation of Co-Occurring Disorder Treatment in Community Mental Health Centers
Directorial leadership positively impacts co-occurring disorder treatment implementation, while drug treatment licensure negatively affects it in community mental health centers.
2015·3citations·E. Guerrero et al.·Community Mental Health Journal
Community Mental Health Journal