Wenzel S L, Bakhtiar L, Caskey N H, Hardie E, Redford C, Sadler N, Gelberg L
RAND Corporation, Santa Monica, CA 90407, USA.
J Ment Health Adm. 1995 Summer;22(3):245-60. doi: 10.1007/BF02521120.
This study addresses the relationship of homeless veterans' discharge status from a domiciliary care program to biopsychosocial characteristics presented at admission into the program. Hypotheses were that younger age, less education, and substance abuse or psychiatric disorder would predict an irregular discharge. Research participants were 367 homeless male veterans who had been admitted to a domiciliary care program at the West Los Angeles Veterans Affairs Medical Center for treatment of medical, psychiatric, or substance disorders. Status of veterans' program discharge (regular or irregular) served as the outcome measure. Logistic regression analysis revealed that irregular discharge from the program was more likely among veterans who were black, who had poor employment histories, or who had problems with alcohol. Results are discussed in light of the need to maintain homeless veterans in treatment programs so that they can achieve maximum benefit from available programs.
本研究探讨了无家可归退伍军人从住所护理项目出院的状况与该项目入院时所呈现的生物心理社会特征之间的关系。研究假设为,年龄较小、受教育程度较低以及存在药物滥用或精神疾病会预示着不规律出院。研究参与者为367名无家可归的男性退伍军人,他们因医疗、精神或药物紊乱问题入住了西洛杉矶退伍军人事务医疗中心的住所护理项目。退伍军人的项目出院状况(规律或不规律)作为结果指标。逻辑回归分析显示,黑人退伍军人、就业历史不佳的退伍军人或有酒精问题的退伍军人更有可能不规律出院。鉴于需要让无家可归的退伍军人持续参与治疗项目,以便他们能够从现有项目中获得最大益处,对研究结果进行了讨论。