Abstract
This paper proposes both a model and a measure of human service integration through strategic alliances with autonomous services as one way to achieve comprehensive health and social services for target populations. Diverse theories of integrated service delivery and collaboration were combined reflecting integration along a continuum of care within a service sector, across service sectors and between public, not-for-profit and private sectors of financing services. A measure of human service integration is proposed and tested. The measure identifies the scope and depth of integration for each sector and service that make up a total service network. It captures in quantitative terms both intra and inter sectoral service integration. Results are provided using the Human Service Measure in two networks of services involved in promoting Healthy Babies and Healthy Children known to have more and less integration. The instrument demonstrated discriminate validity with scores correctly distinguishing the two networks. The instrument does not correlate (r=0.13) with Weiss (2001) measure of partnership synergy confirming that it measures a distinct component of integration. We recommend the combined use of the proposed measure and the Weiss (2001) measure to more completely capture the scope and depth of integration efforts as well as the nature of the functioning of a service program or network.
Highlights
Human services have been funded to serve specific client needs, in isolation from other client needs and from other services w14x
This paper proposes both a model and a measure of human service integration through strategic alliances with autonomous services as one way to achieve comprehensive health and social services for target populations
It has been suggested that human service interventions that address single problems or single risk or protective factors in isolation will be less effective in reducing problems and enhancing competencies than comprehensive interventions
Summary
Gina Browne, RN, PhD, System Linked Research Unit (SLRU) on Health and Social Service Utilization, School of Nursing, Department of Clinical Epidemiology and Biostatistics, (CE&B) McMaster University, Hamilton, Ontario, Canada Jacqueline Roberts, RN, MSc, SLRU, School of Nursing, CE&B, McMaster University, Canada Amiram Gafni, PhD, SLRU, Centre for Health Economics, Policy Analysis, CE&B, McMaster University, Canada Carolyn Byrne, RN, PhD, SLRU, School of Nursing, McMaster University, Canada June Kertyzia, SLRU, School of Nursing, McMaster University, Canada Patricia Loney, SLRU, McMaster University, Canada
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