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Missing links in the human services nonsystem.

E A Leopold, L Schein

    Medical Care
    |July 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Human services agencies in West Philadelphia often fail to address the full range of patient needs, leading to fragmented care. Improved screening and case management are proposed to create a more responsive service network.

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    Area of Science:

    • Public Health
    • Social Work
    • Health Services Research

    Background:

    • Studied four West Philadelphia human services programs: hospital ward, community mental health center, public assistance office, and child welfare agency.
    • Investigated service consumers and their health, economic, and social challenges.

    Purpose of the Study:

    • To test hypotheses that consumer groups share common problems and agencies offer specialized, fragmented services with minimal linkages.
    • To analyze the effectiveness of human services delivery in a specific urban setting.

    Main Methods:

    • Interviewed and reviewed records of over 600 patients and clients across four agencies.
    • Collected data on presenting problems, interventions, and service utilization.

    Main Results:

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    • Agencies addressed presenting problems with specific interventions but frequently failed to detect or treat concurrent issues.
    • Minimal use of internal support services and external referrals was observed, despite prevalent physical/mental illness and economic hardship.
    • Significant fragmentation and specialization within the human services system were identified.

    Conclusions:

    • The current human services system operates as a 'nonsystem' due to specialization and fragmentation.
    • Recommendations include implementing comprehensive screening and employing service generalists for integrated case management.
    • Shifting towards a responsive service network requires addressing concurrent problems and improving inter-agency linkages.