The multi-service network: Reaching the unserved multi-problem individual

Ralph Buckley, Douglas A. Bigelow

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

A small number of multi-problem, service-resistant individuals in every metropolitan community consume extraordinary amounts of human service at great cost to publicly-funded agencies with less than satisfactory benefit to the individual. This paper describes an innovative collaboration among mental health, alcohol/drug treatment, corrections, forensic, and social and housing agencies to provide more effective services at less cost. The theory of action was that (1) inter-agency communication and (2) external controls developed by core service agencies increase the efficacy of treatment and reduce the cost of caring for multi-problem clients. Agencies refer clients to the Multi-Service Network who are then screened for problematic multi-agency involvement. Case conferences result in individual service plans. Three illustrative cases are described and the results of two evaluative studies summarized. Cost of care for clients appears to have been reduced. Agencies appear to have benefited from improved information and communication. Clients' behavior was stabilized by external controls and more adequate attention to their needs.

Original languageEnglish (US)
Pages (from-to)43-50
Number of pages8
JournalCommunity Mental Health Journal
Volume28
Issue number1
DOIs
StatePublished - Feb 1992
Externally publishedYes

Fingerprint

Costs and Cost Analysis
Communication
costs
Health Care Costs
Mental Health
housing agency
Alcohols
social agencies
communication
Pharmaceutical Preparations
mental health
alcohol
drug
community

ASJC Scopus subject areas

  • Health Professions(all)
  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

The multi-service network : Reaching the unserved multi-problem individual. / Buckley, Ralph; Bigelow, Douglas A.

In: Community Mental Health Journal, Vol. 28, No. 1, 02.1992, p. 43-50.

Research output: Contribution to journalArticle

Buckley, Ralph ; Bigelow, Douglas A. / The multi-service network : Reaching the unserved multi-problem individual. In: Community Mental Health Journal. 1992 ; Vol. 28, No. 1. pp. 43-50.
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