Factors associated with recovery from homelessness among veterans in permanent supportive housing

被引:5
作者
Gabrielian, Sonya [1 ,2 ,3 ]
Koosis, Ella R. [1 ,7 ]
Cohenmehr, Jennifer [2 ,3 ]
Hellemann, Gerhard [1 ,3 ,8 ]
Tuepker, Anais [4 ,5 ]
Green, Michael F. [1 ,3 ]
Vazzano, Jesse K. [6 ,9 ]
Young, Alexander S. [1 ,2 ,3 ]
机构
[1] VA Greater Los Angeles, Desert Pacific Mental Illness Res Educ & Clin Ctr, Los Angeles, CA USA
[2] VA Greater Los Angeles, Dept Psychiat, Los Angeles, CA USA
[3] Univ Calif Los Angeles, David Geffen Sch Med, Dept Psychiat & Biobehav Sci, Los Angeles, CA USA
[4] VA Portland Hlth Care, VA HSR&D Ctr Improve Vet Involvement Care, Portland, OR USA
[5] Oregon Hlth & Sci Univ, Div Gen Internal Med, Portland, OR USA
[6] VA Western Colorado Hlth Care Syst, Care Management & Social Work, Grand Junction, CO USA
[7] VA Palo Alto, Natl Ctr Posttraumat Stress Disorder PTSD, 795 Willow Rd, Menlo Pk, CA USA
[8] Univ Alabama Birmingham, Sch Publ Hlth, 1665 Univ Blvd,Ryals Publ Hlth Bldg RPHB, Birmingham, AL USA
[9] VA Western Colorado Hlth Care Syst, Grand Junction, CO USA
关键词
functional status; homeless persons; housing; mental disorders; mental health recovery; social integration; Veterans; SERIOUS MENTAL-ILLNESS; COMMUNITY INTEGRATION; SOCIAL-ISOLATION; 1ST; ADULTS; INDIVIDUALS; PERFORMANCE; INDEX; SENSE; MORTALITY;
D O I
10.1002/jcop.22760
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Aims We sought to identify person- and program-level factors distinguishing permanent supportive housing (PSH) residents with higher versus lower social integration; and higher versus lower instrumental functioning. Methods Among 60 PSH residents at Los Angeles' VA, surveys and medical records captured person-level factors. Using a median split, we dichotomized participants with higher versus lower social integration; and higher versus lower instrumental functioning. Recursive partitioning (RP) identified variables that best-differentiated these subgroups. Interviews with 26 participants captured their perceptions on social integration and instrumental functioning. Results Using RP, health-related quality of life, psychiatric symptoms and case management frequency best-differentiated the social integration subgroups. Few perceived that PSH affected social integration. RP did not yield a stable model to differentiate the instrumental functioning subgroups; participants perceived that PSH addressed most functional deficits. Conclusions Services that enhance social integration may benefit PSH residents with poor health; existing services may adequately address instrumental functioning.
引用
收藏
页码:2144 / 2162
页数:19
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