From the VA Health Service Research & Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA (RI-M, LG); UCLA Division of Population Behavioral Health, Semel Institute for Neuroscience & Human Behavior, Los Angeles, CA (RI-M, SK); Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA (RI-M, SF, SK); Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California (GWR); Office of Healthcare Transformation and Innovation, VA Greater Los Angeles Healthcare System, Los Angeles, CA (LA, LG); Department of Medicine, David Geffen School of Medicine at UCLA (LA, DLW); UCLA Center for Health Services and Society, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA (SK); Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA (LG); and Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA (LG).
J Am Board Fam Med. 2021 Mar-Apr;34(2):309-319. doi: 10.3122/jabfm.2021.02.200331.
Veteran family homelessness is a significant issue, yet little is known about the needs and barriers to services of veteran families experiencing homelessness. This qualitative study examined the experiences, needs, and barriers to services among homeless-experienced veteran families to inform providers for this important population.
Twenty-five semi-structured interviews were conducted from February through September 2016 with 18 veteran parents with a recent history of homelessness (9 mothers, 9 fathers), and 7 homeless service providers throughout Los Angeles County. The "Sector Wheel for Under-Resourced Populations" data elicitation approach was used to conduct the interviews, which allowed the participant to guide the interview by discussing different sectors of a family's life affected by homelessness. The interviews were audio-recorded, transcribed, and themes were coded with Atlas.ti.
Interviews revealed parenting stress and worsening family mental health during homelessness. Participants described barriers to navigating housing, social, and health services with children, including not knowing where to seek help, difficulty connecting to health and social services in the community, and a lack of family-focused services. Parents encountered discrimination by landlords and lack of access to permanent housing in safe neighborhoods.
Findings demonstrate a need for delivering family-centered and comprehensive services to homeless-experienced veteran families that recognize the multifaceted needs of this population. Advocacy initiatives are needed to address discrimination against veterans experiencing family homelessness and increase access to affordable permanent housing in safe neighborhoods for families.
退伍军人家庭无家可归是一个重大问题,但对于无家可归的退伍军人家庭的需求和服务障碍知之甚少。这项定性研究考察了有过无家可归经历的退伍军人家庭的经历、需求和服务障碍,以为这一重要人群的服务提供者提供信息。
2016 年 2 月至 9 月,在洛杉矶县与 18 名有近期无家可归经历的退伍军人父母(9 名母亲,9 名父亲)和 7 名无家可归服务提供者进行了 25 次半结构化访谈。使用“资源匮乏人群部门轮”数据收集方法进行访谈,允许参与者通过讨论家庭生活受无家可归影响的不同部门来指导访谈。访谈进行了录音、转录,并使用 Atlas.ti 对主题进行编码。
访谈揭示了无家可归期间父母的养育压力和家庭心理健康状况恶化。参与者描述了在有孩子的情况下,在住房、社会和卫生服务方面遇到的障碍,包括不知道去哪里寻求帮助、难以在社区中联系到卫生和社会服务、以及缺乏以家庭为中心的服务。父母在租房时遇到歧视,也无法在安全社区获得永久性住房。
研究结果表明,需要为有过无家可归经历的退伍军人家庭提供以家庭为中心和全面的服务,以认识到这一人群的多方面需求。需要采取宣传倡议,以解决退伍军人家庭无家可归所面临的歧视问题,并增加在安全社区获得负担得起的永久性住房的机会。