Measures utilized in the ACCESS Program

Instrument name: Measures utilized in the ACCESS Program

To obtain the instruments:

Robert A. Rosenheck, M VA New England Mental Illness Research and Education Center Yale School of Medicine 950 Campbell Ave. West Haven, CT 06516 email: robert.rosenheck@yale.edu

Citation: Rosenheck RA, Lam J, Morrissey JP, Calloway M, Marilyn Stolar, Randolph F, Blasinsky M, Johnsen, M, Steadman H, Cocozza J, Dennis DD, Goldman HH. Do Efforts to Improve Service Systems Integration Enhance Outcomes for Homeless Persons with Serious Mental Illness? Evidence from the ACCESS Program. Psychiatric Services. 2002:53(8):958-966. Click here for text

Purpose: The ACCESS (Access to Community Care and Effective Services and Supports) program sought to evaluate the effects of efforts to improve the integration of service systems on outcomes for homeless persons who have severe mental illness.

Population: Homeless adults with serious mental illness

Publication date: 2002

Domain: Housing status

Administration: Structured interview

Reliability and validity information: Details available from second author

Item description/response options: Six-category classification system of living arrangements based on two questions: (1) # of nights spent in 12 different residential settings in the past 60 days; and (2) how often client saw persons whom they felt close to during the past 60 days.

Description of study: ACCESS program personnel provided technical support and about $250,000 a year for four years to nine sites to implement strategies to promote systems integration. These sites, along with nine comparison sites, also received funds to support outreach and assertive community treatment programs to assist 100 clients a year at each site. Outcome data were obtained at baseline and three and 12 months later from 7,055 clients across four annual cohorts at all sites.