Bachhuber Marcus A, Roberts Christopher B, Metraux Stephen, Montgomery Ann Elizabeth
Center for Health Equity Research and Promotion, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania; Robert Wood Johnson Foundation Clinical Scholars Program, University of Pennsylvania, Philadelphia, Pennsylvania.
Center for Health Equity Research and Promotion, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania.
J Opioid Manag. 2015 Nov-Dec;11(6):459-62. doi: 10.5055/jom.2015.0298.
To determine the prevalence of homelessness and risk for homelessness among veterans with opioid use disorder initiating treatment.
Addiction treatment programs operated by the US Department of Veterans Affairs (VA).
All veterans initiating treatment with methadone or buprenorphine for opioid use disorder between October 1, 2013 and September 30, 2014 (n = 2,699) who were administered the VA's national homelessness screener.
Self-reported homelessness or imminent risk of homelessness.
The prevalence of homelessness was 10.2 percent and 5.3 percent were at risk for homelessness. Compared to male veterans, women veterans were less likely to report homelessness (8.9 percent vs 10.3 percent) but more likely to be at risk (11.8 percent vs 4.9 percent). By age group, veterans aged 18-34 and 45-54 years most frequently reported homelessness (12.0 and 11.7 percent, respectively) and veterans aged 45-54 and 55-64 years most frequently reported risk for homelessness (6.5 and 6.8 percent, respectively).
The prevalence of homelessness in this population is approximately 10 times that of the general veteran population accessing care at VA. Screening identified a substantial number of veterans who could benefit from VA housing assistance and had not received it recently. Programs to address veteran homelessness should engage with veterans seeking addiction treatment. Integration of homelessness services into addiction treatment settings may, in turn, improve outcomes.
确定开始接受治疗的患有阿片类药物使用障碍的退伍军人中无家可归者的患病率以及面临无家可归的风险。
美国退伍军人事务部（VA）运营的成瘾治疗项目。
2013年10月1日至2014年9月30日期间开始接受美沙酮或丁丙诺啡治疗阿片类药物使用障碍的所有退伍军人（n = 2699），他们接受了VA的全国无家可归者筛查。
自我报告的无家可归或即将面临无家可归的风险。
无家可归者的患病率为10.2%，有5.3%的人面临无家可归的风险。与男性退伍军人相比，女性退伍军人报告无家可归的可能性较小（8.9%对10.3%），但面临风险的可能性较大（11.8%对4.9%）。按年龄组划分，18 - 34岁和45 - 54岁的退伍军人最常报告无家可归（分别为12.0%和11.7%），45 - 54岁和55 - 64岁的退伍军人最常报告面临无家可归的风险（分别为6.5%和6.8%）。
该人群中的无家可归者患病率约为在VA接受护理的普通退伍军人人群的10倍。筛查发现大量退伍军人可从VA住房援助中受益，但最近未获得此类援助。解决退伍军人无家可归问题的项目应与寻求成瘾治疗的退伍军人合作。将无家可归服务纳入成瘾治疗环境可能会改善治疗效果。
