ABSTRACT

There is growing interest in finding ways to improve the integration of human service programs in order to improve client services. This unique learning case provides the following perspectives: the historical context of different efforts to promote service integration in the U.S. over many decades; two works-in-progress to reflect the trial-and-error approach to fostering greater service integration; the experiences of a suburban-rural county human service agency seeking to promote bottom-up integration through integrated case management across various public organizations; and the experiences of a different suburban-rural county demonstrating a top-down approach to reducing the silos across multiple divisions in an integrated health and human service organization. The case concludes with multiple discussion questions.

摘要

人们越来越想找到改善人类服务程序集成以改善客户服务的方法。这种独特的学习案例提供了以下观点：数十年来在美国促进服务集成的各种努力的历史背景；两项正在进行中的工作，以反映尝试和错误的方法以促进更大的服务集成；城乡县级人类服务机构寻求通过各种公共组织的综合案例管理促进自下而上的整合的经验；另一个郊区县的经验表明，自上而下的方法可以减少综合卫生和人类服务组织中多个部门之间的孤岛。该案以多个讨论问题结束。