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Prepared for the Annie E. Casey Foundation —
Casey Strategic Consulting Group
by the Rockefeller Institute of Government

While some literature on service integration and program coordination, such as how-to
guides and policy papers, is readily available, there is very limited information regarding actual efforts to integrate services at the local level. Where has service integration occurred, and what does it look like in the real world? How much progress has been made developing coherent systems? If good examples of service integration can be found, which factors contributed to the success of these efforts? Do the experiences of local practitioners provide lessons for others interested in improving services for their clients?

In 2002, the Rockefeller Institute of Government conducted field research in local offices in 12 states in an attempt to answer these questions. The research focused on efforts to integrate services in income support programs, such as Temporary Assistance for Needy Families (TANF), Medicaid, and Food Stamps, with services in other human service domains, such as employment and training programs, child care programs, and child welfare programs. Fortunately, the answer to the first question above is, “Yes, there are real, functioning examples of service integration.” And these sites provide the opportunity to learn more about the nature and scope of such efforts. This report is a summary of the findings from this research.