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  • Print publication year: 2009
  • Online publication date: June 2012

26 - Integrating Service Delivery Systems for Persons with a Severe Mental Illness

from Part III - Mental Health Systems and Policy


This chapter reviews the experiences with services integration (SI) in the broader U. S. health and welfare arena as a context for considering its applications in the mental health field over the past few decades. It then considers four major innovations as examples of SI in the mental health field-community mental health centers (CMHCs), the Community Support Program (CSP) and its spin-off, the Child and Adolescent Service System Program (CASSP), the Program on Chronic Mental Illness (PCMI) cosponsored by the Robert Wood Johnson Foundation (RWJF) and the U. S. Department of Housing and Urban Development; and the introduction of managed mental health care. The chapter then considers the effectiveness of SI with a focus on evaluation findings from the RWJF, PCMI and the Ft. Bragg children's mental health demonstration. It reviews the emergence of the evidence-based practice (EBP) movement and the interface between SI and EBP.

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