Tsai Jack, Mares Alvin S, Rosenheck Robert A
VA New England Mental Illness Research, Education, and Clinical Center, West Haven, CT 06516, USA.
Mil Med. 2012 Jan;177(1):27-31. doi: 10.7205/milmed-d-11-00128.
Although veterans have been found to be at increased risk for homelessness as compared to non-veterans, it is not clear whether those who are homeless have more severe health problems or poorer outcomes in community-based supported housing. This observational study compared 162 chronically homeless veterans to 388 non-veterans enrolled in a national-supported housing initiative over a 1-year period. Results showed that veterans tended to be older, were more likely to be in the Vietnam era age group, to be male, and were more likely to have completed high school than other chronically homeless adults. There were no differences between veterans and non-veterans on housing or clinical status at baseline or at follow-up, but both groups showed significant improvement over time. These findings suggest that the greater risk of homelessness among veterans does not translate into more severe problems or treatment outcomes. Supported housing programs are similarly effective for veterans and non-veterans.
尽管与非退伍军人相比,退伍军人被发现无家可归的风险更高,但尚不清楚那些无家可归的退伍军人在社区支持性住房中是否有更严重的健康问题或更差的结果。这项观察性研究在1年的时间里,将162名长期无家可归的退伍军人与388名参与一项全国性支持性住房计划的非退伍军人进行了比较。结果显示,退伍军人往往年龄更大,更有可能属于越南战争时期的年龄组,男性居多,并且比其他长期无家可归的成年人更有可能完成高中学业。在基线或随访时,退伍军人和非退伍军人在住房或临床状况方面没有差异,但两组随着时间的推移都显示出显著改善。这些发现表明,退伍军人中较高的无家可归风险并没有转化为更严重的问题或治疗结果。支持性住房计划对退伍军人和非退伍军人同样有效。