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The paper describes results from the 'Tracking Project', a new method for examining agency overlap, repeat service use and shared clients/patients amongst social and health care agencies in the community. This is the first project in this country to combine total population databases from a range of social, health care and criminal justice agencies to give a multidisciplinary database for one county (n = 97,162 cases), through standardised anonymisation of agency databases, using SOUNDEX, a software programme. A range of 20 community social and health care agencies were shown to have a large overlap with each other in a two-year period, indicating high proportions of shared patients/clients. Accident and Emergency is used as an example of major overlap: 16.2% (n = 39,992) of persons who attended a community agency had attended Accident and Emergency as compared to 8.2% (n = 775,000) of the total population of the county. Of these, 96% who had attended seven or more different community agencies had also attended Accident and Emergency. Further statistical analysis of Accident and Emergency attendance as a characteristic of community agency populations (n = 39,992) revealed that increasing frequency of attendance at Accident and Emergency was very strongly associated with increasing use of other services. That is, the patients that repeatedly attend Accident and Emergency are much more likely to attend more other agencies, indicating the possibility that they share more problematic or difficult patients. Research questions arising from these data are discussed and future research methods suggested in order to derive predictors from the database and develop screening instruments to identify multiple agency attenders for targeting or multidisciplinary working. It is suggested that Accident and Emergency attendance might serve as an important predictor of multiple agency attendance.

In recent years, text messaging (“texting”) has become the dominant method of communication for young adults. This prevalence of texting has led to research exploring the beneficial and detrimental behaviors associated with texting, indicating wide-ranging social and human factors implications. As texting continues to take precedence over other forms of communication and research begins to address texting behaviors, the question arises about whether people use other mobile instant messaging applications (“IM apps”) similarly. The current study expands on the research of texting behaviors by asking how similarly young adults view apps (e.g., WhatsApp, Facebook Messenger, etc.) to texting. Results indicated that young adults in the United States use texting more frequently than text-based apps, but that these apps are viewed similarly to texting. The implication is that research addressing texting behaviors may apply to other forms of text-based communication; however, texting remains the most prominent mode of communication, justifying its own continued examination.

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