Molinari Victor A, Brown Lisa M, Frahm Kathryn A, Schinka John A, Casey Roger
School of Aging Studies, University of South Florida, Tampa, FL 33612, USA.
J Health Care Poor Underserved. 2013 May;24(2):487-98. doi: 10.1353/hpu.2013.0089.
To understand the needs and challenges encountered by older homeless veterans.
We conducted six focus groups of older veterans, two focus groups, and one semi-structured interview of VA staff liaisons, and two focus groups and one semi-structured interview of housing intervention providers.
Major themes for older veterans: 1) negative homelessness experience; 2) benefits of the structured transitional housing program; 3) importance of peer outreach; and 4) need for age-tailored job placement programs. Major themes for VA staff liaison/housing intervention providers: 1) belief that the transitional housing program has made a positive change; 2) need for individualized criteria to address the unique needs of veterans; 3) distinct differences between older and younger homeless veterans; 4) outreach services; 5) permanent housing issues; and 6) coordination of services.
Compared with younger veterans, older veterans have less social support, greater employment and health challenges, and, perhaps greater motivation to change.
了解老年无家可归退伍军人的需求和所面临的挑战。
我们对老年退伍军人进行了6个焦点小组访谈，对退伍军人事务部（VA）工作人员联络人进行了2个焦点小组访谈和1次半结构化访谈，对住房干预提供者进行了2个焦点小组访谈和1次半结构化访谈。
老年退伍军人的主要主题：1）负面的无家可归经历；2）结构化过渡性住房项目的益处；3）同伴外展的重要性；4）对适合年龄的就业安置项目的需求。VA工作人员联络人/住房干预提供者的主要主题：1）认为过渡性住房项目产生了积极变化；2）需要个性化标准来满足退伍军人的独特需求；3）老年和年轻无家可归退伍军人之间的明显差异；4）外展服务；5）永久住房问题；6）服务协调。
与年轻退伍军人相比，老年退伍军人的社会支持较少，就业和健康方面面临的挑战更大，或许改变的动力也更强。
