U.S. Department of Veterans Affairs (VA), National Center on Homelessness Among Veterans, Tampa, FL, USA.
Birmingham VA Medical Center, Health Services Research & Development, Birmingham, USA.
Adm Policy Ment Health. 2021 Jan;48(1):23-35. doi: 10.1007/s10488-020-01028-z.
This study aims to explore the relationship between the context of screening for housing instability and Veterans' access to services, with the goal of ensuring effective processes to address housing instability among Veterans. This study used administrative data from 100,022 Veterans' electronic medical records and qualitative data collected during in-depth interviews with 22 health care providers and six Homeless Program staff. A mixed effects logistic regression assessed the relationship between Veterans' screening experiences and connection with services; qualitative data were analyzed using a grounded theory approach to present providers' reflections on administering screening for housing instability and responding to Veterans' positive screens with needed resources. We observed a significant relationship between providers' roles and location of screening with patients' timely linkage with services. Providing additional training related to how to conduct the screen and provide required resources, shifting screening responsibilities to providers with more flexibility to address these needs, and embedding supportive services in the care team may improve post-screening linkage with services.
本研究旨在探讨住房不稳定筛查背景与退伍军人获得服务之间的关系，以确保为退伍军人解决住房不稳定问题的有效流程。本研究使用了 100022 名退伍军人电子病历的行政数据和 22 名医疗服务提供者和 6 名无家可归者项目工作人员进行深入访谈时收集的定性数据。采用混合效应逻辑回归评估了退伍军人筛查经历与服务联系之间的关系；定性数据分析采用扎根理论方法，呈现提供者对住房不稳定筛查管理以及对退伍军人阳性筛查进行所需资源回应的反思。我们观察到，提供者的角色和筛查地点与患者及时与服务联系之间存在显著关系。提供有关如何进行筛查和提供所需资源的额外培训，将筛查责任转移给更有灵活性来满足这些需求的提供者，并将支持性服务嵌入护理团队中，可能会改善筛查后与服务的联系。
