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Services for refugees and asylum seekers frequently experience gaps in delivery and access, poor coordination, and service stress. The purpose of this paper is to examine the approach to integrated care within Companion House (CH), a refugee primary care service, whose service mix includes counselling, medical care, community development, and advocacy. Like all Australian refugee and asylum seeker support services, CH operates within an uncertain policy environment, constantly adapting to funding challenges, and changing needs of patient populations.

Interviews with staff, social network analysis, group patient interviews, and service mapping.

CH has created fluid links between teams, and encouraged open dialogue with client populations. There is a high level of networking between staff, much of it informal. This is underpinned by horizontal management and staff commitment to a shared mission and an ethos of mutual respect. The clinical teams are collectively oriented towards patients but not necessarily towards each other.

Part of the service’s resilience and ongoing service orientation is due to the fostering of an emergent self-organising form of integration through a complex adaptive systems approach. The outcome of this integration is characterised through the metaphors of “home” for patients, and “family” for staff. CH’s model of integration has relevance for other services for marginalised populations with complex service needs.

This study provides new evidence on the importance of both formal and informal communication, and that limited formal integration between clinical teams is no bar to integration as an outcome for patients.

This Symposium reports on the opportunities available to those who take the initiative to introduce materials management approaches. It examines both the anticipate rates of change and development of the underlying factors as well as the organisational implications they entail. A full bibliography of recent literature is provided. The predicted developments are derived from the findings of a Delphi Study in association with the Institute of Purchasing and Supply conducted by the author in 1976.

Antarctica, the highest, coldest and windiest of all continents is also the least known. Although initial discovery and exploration began with Captain Cook in the 18th century, substantial investigation began only in the 20th century. 1956 — the start of the International Geophysical Year — marks the major turning point for interest in Antarctica and the beginning of a continuing growth in Antarctic information. Increasing international interest in Antarctic resources, conservation, politics and science is providing a much wider demand for environmental information of all types.

As the assets of public employee retirement systems grow (to $1 trillion by 1994), so does the interest in targeting these assets to specific goals, primarily housing and job creation, in a system's geographic area. If properly structured, these investments, often called economically targeted investments, or ETIs, can be a legitimate part of a public retirement system's portfolio. This article clarifies several essential characteristics of ETIs. Previous studies, national surveys and actual ETI portfolios are examined. The article argues that further analysis, especially involving evaluation techniques, is essential as this investment strategy continues to gain steam, especially with the encouragement of the Clinton Administration.