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"Human services integration" has many possible operational meanings, including structural changes - whether involving some further centralization of authority or not - and changes in the character of services or their manner of delivery. Discussions of human services integration frequently assume a causal relationship between structural changes and service delivery that is integrated from the client's perspective. This assumption serves the political interests of those groups who seek to extend managerial control over a fragmented and pluralistic structure of human services agencies and professions. A more careful definition of human services integration will leave the way open to empirical testing of the relationships between specific structural changes and the character of the services provided.
Public Administration Review © 1977 American Society for Public Administration