Beyond housing: Understanding community integration among homeless-experienced veteran families in the United States

被引:1
作者
Ijadi-Maghsoodi, Roya [1 ,2 ,3 ]
Moore, Elizabeth M. [2 ,4 ]
Feller, Sophie [3 ]
Cohenmehr, Jennifer [5 ,6 ]
Ryan, Gery W. [7 ]
Kataoka, Sheryl [1 ,8 ]
Gelberg, Lillian [2 ,9 ,10 ,11 ]
机构
[1] UCLA, Jane & Terry Semel Inst Neurosci & Human Behav, Div Populat Behav Hlth, Los Angeles, CA USA
[2] VA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, VA Hlth Serv Res & Dev HSR&D, Los Angeles, CA USA
[3] Univ Calif Los Angeles, David Geffen Sch Med, Dept Psychiat & Biobehav Sci, Los Angeles, CA 90095 USA
[4] Univ Calif Los Angeles, Div Gen Internal Med & Hlth Serv Res, Natl Clinician Scholars Program, Los Angeles, CA USA
[5] UCLA, Dept Community Hlth Sci, Fielding Sch Publ Hlth, Los Angeles, CA USA
[6] UCLA, David Geffen Sch Med, Los Angeles, CA USA
[7] Kaiser Permanente Bernard J Tyson Sch Med, Dept Hlth Syst Sci, Pasadena, CA USA
[8] Univ Calif Los Angeles, Jane & Terry Semel Inst Neurosci & Human Behav, Ctr Hlth Serv & Soc, Los Angeles, CA USA
[9] VA Greater Los Angeles Healthcare Syst, Off Healthcare Transformat & Innovat, Los Angeles, CA USA
[10] UCLA, David Geffen Sch, Dept Family Med, Los Angeles, CA USA
[11] UCLA, Dept Hlth Policy & Management, Fielding Sch Publ Hlth, Los Angeles, CA USA
基金
美国国家卫生研究院;
关键词
community integration; families; homeless persons; housing; qualitative research; social integration; veterans; MENTAL-ILLNESS; SERVICE INTERVENTIONS; REINTEGRATION; ADULTS; WOMEN; ENGAGEMENT; SUCCESSES;
D O I
10.1111/hsc.13233
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Community integration is important to address among homeless-experienced individuals. Little is known about helping veteran families (families with a parent who is a veteran) integrate into the community after homelessness. We sought to understand the experiences of community integration among homeless-experienced veteran families. We used a two-stage, community-partnered approach. First, we analysed 16 interviews with homeless-experienced veteran parents (parents who served in the military; n = 9) living in permanent housing and providers of homeless services (n = 7), conducted from February to September 2016, for themes of community integration. Second, we developed a workgroup of nine homeless-experienced veteran parents living in a permanent housing facility, who met four times from December 2016 to July 2017 to further understand community integration. We audio-recorded, transcribed and analysed the interviews and workgroups for community integration themes. For the analysis, we developed community integration categories based on interactions outside of the household and built a codebook describing each topic. We used the codebook to code the individual interviews and parent workgroup sessions after concluding that the workgroup and interview topics were consistent. Findings were shared with the workgroup. We describe our findings across three stages of community integration: (a) first housed, (b) adjusting to housing and the community, and (c) housing maintenance and community integration. We found that parents tended to isolate after transitioning into permanent housing. After this, families encountered new challenges and were guarded about losing housing. One facilitator to community integration was connecting through children to other parents and community institutions (e.g. schools). Although parents felt safe around other veterans, many felt judged by non-veterans. Parents and providers reported a need for resources and advocacy after obtaining housing. We share implications for improving community integration among homeless-experienced veteran families, including providing resources after obtaining housing, involving schools in facilitating social connections, and combating stigma.
引用
收藏
页码:E493 / E503
页数:11
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