Service Integration to Reduce Homelessness in Los Angeles County: Multiple Stakeholder Perspectives

doi:10.1080/03643107.2013.853009

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

Full text

Semantic Scholar

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.

Sign up to use Study Snapshot

Consensus is limited without an account. Create an account or sign in to get more searches and use the Study Snapshot.

Create an account

Paper

Service Integration to Reduce Homelessness in Los Angeles County: Multiple Stakeholder Perspectives

Sign up to use Study Snapshot

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

Bringing it All Together: Integrating Services to Address Homelessness

Integrating services in homeless-serving systems can improve outcomes, but it is not a panacea for social challenges like homelessness.

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.

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.

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.