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AJPH First Look, published online ahead of print Jan 31, 2007
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American Journal of Public Health, 10.2105/AJPH.2006.094284

Field Action Reports

The Allegheny Initiative for Mental Health Integration for the Homeless: Integrating Heterogeneous Health Services for Homeless Persons

Adam J. Gordon 1*, Melissa L. Montlack 1, Paul J. Freyder 2, Diane Johnson 1, Thuy Bui 1, Jennifer Williams 3

1 University of Pittsburgh
2 The Salvation Army of Pittsburgh
3 Pendleton Community Care

* To whom correspondence should be addressed. E-mail: adam.gordon{at}va.gov.


  Abstract

The Allegheny Initiative for Mental Health Integration for the Homeless (AIM-HIGH) was a 3-year urban initiative in Pennsylvania that sought to enhance integration and coordination of medical and behavioral services for homeless persons through system-, provider-, and client-level interventions.

On a system level, AIM-HIGH established partnerships between several key medical and behavioral health agencies. On a provider level, AIM-HIGH conducted 5 county-wide conferences regarding homeless integration, attended by 637 attendees from 72 agencies. On a client level, 5 colocated medical and behavioral health care clinics provided care to 1986 homeless patients in 4084 encounters, generating 1917 referrals for care.

For a modest investment, AIM-HIGH demonstrated that integration of medical and behavioral health services for homeless persons can occur in a large urban environment.

Key Words: Access to Care, Health Service Delivery, Homelessness, Urban Health, Substance Abuse




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