MENTAL-HEALTH SYSTEMS COORDINATION - THE INTENSIVE CASE-MANAGEMENT PROGRAM IN NEW-YORK-CITY

The delivery of mental health services is confronted by two issues: fragmentation of the mental health system and the system's failure to meet the needs of the severely mentally ill. The authors present the New York City Intensive Case Management Program as a case study of a program designed to coordinate services for the severely mentally ill in a highly fragmented and complex urban mental health system. Activities that promote integration are described, and hypotheses suggested for the program's overall inability to promote full integration.