This qualitative research study aimed to examine the nature of systems change and to identify practices and strategies that states, specifically New Hampshire, use to promote community integration and deinstitutionalization of people with developmental disabilities. The study describes the New Hampshire system, including state practices,…

This monograph explains the community-based systems of care approach to providing services for children and youth with emotional disorders and reviews data from 30 communities suggesting that children served in systems of care are less likely to receive services in restrictive environments or to be placed out of their homes, counties, and states.…

This report reviews approaches that federal, state, and local governments have used to integrate the delivery of health and other educational and social services to at-risk families, and examines barriers to designing and implementing integrated service delivery systems. The report contrasts "system-oriented" integration efforts, which…