Primary Care, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts, USA.
Center for Healthcare Organization and Implementation Research (CHOIR), Edith Nourse Rogers VA Medical Center, Bedford, Massachusetts, USA.
Clin Gerontol. 2021 Jul-Sep;44(4):460-469. doi: 10.1080/07317115.2021.1879336. Epub 2021 Jan 27.
: The purpose of this study was to (Aim 1) describe United States military veterans' experiences and attitudes about project-based housing (PBH) and tenant-based housing (TBH), including perceptions of their new environment, self-sufficiency, and social integration. We identified (Aim 2) features of program design and housing facilities associated with self-sufficiency and social integration including describing differences in veterans' experiences of housing (PBH vs. TBH).: Interviews were conducted with 30 Veterans in the U.S. Department of Housing and Urban Development-VA Supportive Housing (HUD-VASH) program (25 male and 5 female; average age 63). Thirteen lived in PBH and 17 in TBH in the Greater Boston Metro Area.: Social isolation may be a particular challenge of older formerly homeless adults. Veterans in both types of supportive housing struggled with social isolation despite social engagement opportunities available in PBH. Healthcare and transportation issues were important for veterans living in TBH while behavioral health issues were a major factor for those living in both types of housing. Both groups of veterans relied on their case management teams as a means of support and social engagement.: To reduce social isolation and loneliness, more attention is needed by program staff to provide varied social engagement opportunities, from one-on-one to group activities.: These findings can help providers recognize issues inhibiting formerly homeless veterans from being successful in supportive housing. Clinicians should consider how veterans' behavioral health impacts their ability to engage in social activities. Substance use disorder remains a challenge for many veterans interviewed. Its effects impact their perceptions of fellow residents, perceptions of housing, and recovery.
本研究旨在（目的 1）描述美国退伍军人对基于项目的住房（PBH）和基于租户的住房（TBH）的经验和态度，包括对新环境、自给自足和社会融合的看法。我们确定了（目的 2）与自给自足和社会融合相关的项目设计和住房设施的特征，包括描述退伍军人对住房（PBH 与 TBH）的体验差异。：对 30 名在美国住房和城市发展部-退伍军人事务部支持性住房（HUD-VASH）计划中的退伍军人进行了访谈（25 名男性，5 名女性；平均年龄 63 岁）。13 人住在 PBH，17 人住在大波士顿都会区的 TBH。：社交孤立可能是老年以前无家可归者面临的一个特殊挑战。尽管 PBH 提供了社交参与机会，但两种类型的支持性住房中的退伍军人都面临社交孤立的问题。住在 TBH 的退伍军人面临医疗保健和交通问题，而住在两种类型住房中的退伍军人则面临行为健康问题。这两组退伍军人都依赖他们的个案管理团队作为支持和社交参与的手段。：为了减少社交孤立和孤独感，项目工作人员需要更加关注提供各种社交参与机会，从一对一到小组活动。：这些发现可以帮助提供者认识到影响以前无家可归的退伍军人在支持性住房中取得成功的问题。临床医生应该考虑退伍军人的行为健康如何影响他们参与社交活动的能力。许多接受采访的退伍军人都存在药物滥用障碍问题。其影响影响他们对同住居民的看法、对住房的看法和康复。
