U.S. Department of Veterans Affairs, National Center on Homelessness Among Veterans.
U.S. Department of Veterans Affairs, Center for Health Equity Research and Promotion.
Psychiatr Rehabil J. 2017 Dec;40(4):371-379. doi: 10.1037/prj0000282. Epub 2017 Aug 31.
Little research has assessed the nature of veterans' departures from permanent supportive housing (PSH), which may be of positive valence (e.g., moving into more independent housing). This study aimed to identify participants appropriate for "graduation" from PSH and how to support their transitions.
This mixed methods study used qualitative data from PSH program staff, 445 PSH participants' responses to a survey assessing their experiences and administrative records, and qualitative data from a subsample of 10 participants who graduated from the program. Participants were classified as "stayers" (retained in PSH for at least 600 days); "graduates" (exited with improvement in community integration); or "involuntary leavers" (exited for reasons of negative valence). Template analysis of qualitative data from PSH staff described graduation processes; qualitative data from participants were analyzed using a thematic analysis approach. The study compared veterans' characteristics using chi-square and analysis of variance (ANOVA) tests; a multinomial logistic regression assessed correlates of graduates' and involuntary leavers' exits from PSH.
Approximately one half of participants who exited the program were graduates. Processes used by program staff to identify potential graduates varied. Participants' self-report of substance use and mental health problems was associated with involuntary leaver status. Frequency of case management, a trusting relationship between participant and case manager, and participants' receipt of compensation related to disability incurred during military service were associated with graduation.
To support successful transitions from PSH, programs should focus on providing high-quality case management that may respond flexibly to participants' varying recovery needs. (PsycINFO Database Record
很少有研究评估退伍军人离开永久性支持性住房（PSH）的性质，这些性质可能具有积极的意义（例如，搬入更独立的住房）。本研究旨在确定适合从 PSH“毕业”的参与者以及如何支持他们的过渡。
这项混合方法研究使用了 PSH 项目工作人员的定性数据、445 名 PSH 参与者对评估其经验的调查的回应以及从该计划中毕业的 10 名参与者的定性数据。参与者被分为“留守者”（在 PSH 中至少保留 600 天）；“毕业生”（在社区融合方面有所改善后退出）；或“非自愿离职者”（因负面原因离职）。对 PSH 工作人员的定性数据进行模板分析，描述了毕业过程；使用主题分析方法分析参与者的定性数据。研究使用卡方和方差分析（ANOVA）检验比较了退伍军人的特征；使用多项逻辑回归评估了毕业生和非自愿离职者退出 PSH 的相关性。
大约一半离开该计划的参与者是毕业生。项目工作人员用来识别潜在毕业生的过程各不相同。参与者自我报告的药物使用和心理健康问题与非自愿离职状态有关。个案管理的频率、参与者与个案经理之间的信任关系以及参与者获得与兵役期间发生的残疾有关的赔偿与毕业有关。
为了支持从 PSH 成功过渡，计划应侧重于提供高质量的个案管理，该管理可能会灵活应对参与者不断变化的康复需求。
