Tejani N, Rosenheck R, Tsai J, Kasprow W, McGuire J F
VA New England Mental Illness, Research, Education and Clinical Center, West Haven, CT, USA,
Community Ment Health J. 2014 Jul;50(5):514-9. doi: 10.1007/s10597-013-9611-9. Epub 2013 Jun 1.
There is increasing concern that adults with a past history of incarceration are at particular disadvantage in exiting homelessness. Supported housing with case management has emerged as the leading service model for assisting homeless adults; however there has been limited examination of the success of adults with past history of incarceration in obtaining housing within this paradigm. Data were examined on 14,557 veterans who entered a national supported housing program for homeless veterans, the Housing and Urban Development-Veterans Affairs Supportive Housing program (HUD-VASH) during 2008 and 2009, to identify characteristics associated with a history of incarceration and to evaluate whether those with a history of incarceration are less likely to obtain housing and/or more likely to experience delays in the housing attainment process. Veterans who reported no past incarceration were compared with veterans with short incarceration histories (≤ 1 year) and those with long incarceration histories (>1 year). A majority of participants reported history of incarceration; 43 % reported short incarceration histories and 22 % reported long incarceration histories. After adjusting for baseline characteristics and site, history of incarceration did not appear to impede therapeutic alliance, progression through the housing process or obtaining housing. Within a national supported housing program, veterans with a history of incarceration were just as successful at obtaining housing in similar time frames when compared to veterans without any past incarceration. Supported housing programs, like HUD-VASH, appear to be able to overcome impediments faced by formerly incarcerated homeless veterans and therefore should be considered a a good model for housing assistance programs.
越来越多的人担心，有入狱前科的成年人在摆脱无家可归状态方面处于特别不利的地位。带有个案管理的支持性住房已成为帮助无家可归成年人的主要服务模式；然而，对于有入狱前科的成年人在这种模式下获得住房的成功情况，相关研究却很有限。我们对2008年至2009年期间进入全国性无家可归退伍军人支持性住房项目——住房和城市发展部-退伍军人事务部支持性住房项目（HUD-VASH）的14557名退伍军人的数据进行了研究，以确定与入狱史相关的特征，并评估有入狱史的人获得住房的可能性是否较小和/或在获得住房过程中更有可能经历延迟。将报告无入狱前科的退伍军人与有短期入狱史（≤1年）和长期入狱史（>1年）的退伍军人进行比较。大多数参与者报告有入狱史；43%报告有短期入狱史，22%报告有长期入狱史。在对基线特征和地点进行调整后，入狱史似乎并未妨碍治疗联盟、住房申请进程或获得住房。在一个全国性的支持性住房项目中，与没有任何入狱前科的退伍军人相比，有入狱史的退伍军人在类似时间框架内获得住房的成功率相同。像HUD-VASH这样的支持性住房项目似乎能够克服曾经入狱的无家可归退伍军人所面临的障碍，因此应被视为住房援助项目的一个良好模式。
