The role of organizational characteristics in determining patterns of utilization of services for substance abuse, mental health, and shelter by homeless people

Carol S North, David E. Pollio, Brian Perron, Karin M. Eyrich, Edward L. Spitznagel

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

This study aims to advance understanding of service provision to the homeless population through investigation of the effects of organizational characteristics. A longitudinal study of homelessness obtained structured psychiatric interview data from 400 participants and these individuals' service use and organizational data from 23 organizations over the next 12 months. Substance abuse service use was associated with organizational funding diversity, professionalism, and focus of services on substance abuse service provision. Other mental health service use was associated with small organizational size, professionalism, and simplicity of organizational funding diversity. Shelter service use was associated with complexity of services and small organizational size and inversely related to professionalism of staff. Results suggest relevance of organizational characteristics to understanding service access and use, controlling for individual need factors. Only by examining interactions among individual and organizational characteristics across sectors of care can the complexity of service provision to this multifaceted population be approached.

Original languageEnglish (US)
Pages (from-to)575-592
Number of pages18
JournalJournal of Drug Issues
Volume35
Issue number3
StatePublished - Jun 2005

Fingerprint

substance abuse
Substance-Related Disorders
Mental Health
utilization
mental health
Homeless Persons
Mental Health Services
Population
Psychiatry
Longitudinal Studies
Interviews
funding
Professionalism
homelessness
longitudinal study
health service
staff
interaction
interview
professionalism

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Medicine (miscellaneous)
  • Health(social science)

Cite this

The role of organizational characteristics in determining patterns of utilization of services for substance abuse, mental health, and shelter by homeless people. / North, Carol S; Pollio, David E.; Perron, Brian; Eyrich, Karin M.; Spitznagel, Edward L.

In: Journal of Drug Issues, Vol. 35, No. 3, 06.2005, p. 575-592.

Research output: Contribution to journalArticle

@article{3b67ef7a1e8542efb508df987425c54e,
title = "The role of organizational characteristics in determining patterns of utilization of services for substance abuse, mental health, and shelter by homeless people",
abstract = "This study aims to advance understanding of service provision to the homeless population through investigation of the effects of organizational characteristics. A longitudinal study of homelessness obtained structured psychiatric interview data from 400 participants and these individuals' service use and organizational data from 23 organizations over the next 12 months. Substance abuse service use was associated with organizational funding diversity, professionalism, and focus of services on substance abuse service provision. Other mental health service use was associated with small organizational size, professionalism, and simplicity of organizational funding diversity. Shelter service use was associated with complexity of services and small organizational size and inversely related to professionalism of staff. Results suggest relevance of organizational characteristics to understanding service access and use, controlling for individual need factors. Only by examining interactions among individual and organizational characteristics across sectors of care can the complexity of service provision to this multifaceted population be approached.",
author = "North, {Carol S} and Pollio, {David E.} and Brian Perron and Eyrich, {Karin M.} and Spitznagel, {Edward L.}",
year = "2005",
month = "6",
language = "English (US)",
volume = "35",
pages = "575--592",
journal = "Journal of Drug Issues",
issn = "0022-0426",
publisher = "Journal of Drug Issues Inc.",
number = "3",

}

TY - JOUR

T1 - The role of organizational characteristics in determining patterns of utilization of services for substance abuse, mental health, and shelter by homeless people

AU - North, Carol S

AU - Pollio, David E.

AU - Perron, Brian

AU - Eyrich, Karin M.

AU - Spitznagel, Edward L.

PY - 2005/6

Y1 - 2005/6

N2 - This study aims to advance understanding of service provision to the homeless population through investigation of the effects of organizational characteristics. A longitudinal study of homelessness obtained structured psychiatric interview data from 400 participants and these individuals' service use and organizational data from 23 organizations over the next 12 months. Substance abuse service use was associated with organizational funding diversity, professionalism, and focus of services on substance abuse service provision. Other mental health service use was associated with small organizational size, professionalism, and simplicity of organizational funding diversity. Shelter service use was associated with complexity of services and small organizational size and inversely related to professionalism of staff. Results suggest relevance of organizational characteristics to understanding service access and use, controlling for individual need factors. Only by examining interactions among individual and organizational characteristics across sectors of care can the complexity of service provision to this multifaceted population be approached.

AB - This study aims to advance understanding of service provision to the homeless population through investigation of the effects of organizational characteristics. A longitudinal study of homelessness obtained structured psychiatric interview data from 400 participants and these individuals' service use and organizational data from 23 organizations over the next 12 months. Substance abuse service use was associated with organizational funding diversity, professionalism, and focus of services on substance abuse service provision. Other mental health service use was associated with small organizational size, professionalism, and simplicity of organizational funding diversity. Shelter service use was associated with complexity of services and small organizational size and inversely related to professionalism of staff. Results suggest relevance of organizational characteristics to understanding service access and use, controlling for individual need factors. Only by examining interactions among individual and organizational characteristics across sectors of care can the complexity of service provision to this multifaceted population be approached.

UR - http://www.scopus.com/inward/record.url?scp=25844446144&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=25844446144&partnerID=8YFLogxK

M3 - Article

VL - 35

SP - 575

EP - 592

JO - Journal of Drug Issues

JF - Journal of Drug Issues

SN - 0022-0426

IS - 3

ER -