![]() By extension, it is believed that more effective systems will ultimately lead to improvements in client level outcomes, although positive effects of coordinated service delivery have yet to be captured consistently by empirical research despite considerable investments in large-scale demonstration projects designed to evaluate systems-level reforms (Bickman, Lambert, Andrade, & Penaloza, 2000 Morrissey et al., 1994 Morrissey et al., 2002). As different functions of human services become fragmented or siloed into distinct service categories, clients fall through the cracks of the system because the connections between services are either absent or problematic, or needed services are missing all together (Gillespie & Murty, 1994 Tausig, 1987).Īs a result, human service agencies are encouraged to ‘coordinate’ their services with one another under the assumption that collaborative activity can facilitate access to services, reduce unnecessary duplication of effort, and produce a more effective and efficient social service system. Department of Health and Human Services, 2003b), general and specialty health like HIV/AIDS care and treatment (IOM, 2005), to name a few. Department of Health and Human Services, 2003a), early childhood care and education (U.S. ![]() ![]() ![]() Fragmentation presents one of the biggest service delivery challenges for a range of human service delivery systems including adult and children’s behavioral health (U.S. ![]()
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