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Capability Traps Impeding Homeless Services: A Community-Based System Dynamics Evaluation.

Patrick J FowlerKenneth WrightKatherine E MarçalEllis BallardPeter S Hovmand
Published in: Journal of social service research (2018)
Continuums of Care (CoCs) are the primary coordinating bodies for homeless services in the United States. However, the complexities involved in delivering homeless services across interagency networks challenges coordination and system improvement. CoC governance, planning, and service provision have received little attention in academic literature, and thus, Continuums attempt to manage complex systems with little guidance. This evaluation applied community-based system dynamics with homeless consumers and service providers to (1) identify capability traps that impede services delivery and to (2) engage stakeholders in a structured system improvement process. Results revealed organizational structures for governance and planning that inhibit system outcomes. Insights led to policy and practice recommendations for the homeless system.
Keyphrases
  • healthcare
  • mental health
  • mental illness
  • primary care
  • affordable care act
  • palliative care
  • systematic review
  • working memory
  • public health
  • quality improvement
  • global health
  • pain management