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重置系统行动:消除退伍军人事务部对性犯罪退役军人住房和治疗的障碍。

Reset for systematic action: Removing VA barriers to housing and treatment for military veterans with sexual offenses.

机构信息

Keck School of Medicine, University of Southern California.

Department of State Hospitals.

出版信息

Psychol Serv. 2023 May;20(2):397-402. doi: 10.1037/ser0000642. Epub 2022 Mar 7.

Abstract

Though the U.S. Department of Veterans Affairs (VA) provides housing, residential treatment, and mental health care to justice involved veterans, those with sexual offenses face daunting obstacles to securing such services, including exclusion from housing programs, and lack of mental health services to treat sexual deviancy disorders. The VA's strategy to date may reflect a large system's caution in systematically addressing a problem that involves a population with an even higher degree of stigma than homelessness. Failure to develop strategies to address this problem reflects the need for a VA system-wide, consistent, and effective approach across relevant domains that incorporate the current state of knowledge and practice. Since 2006, the VA's program serving justice system veterans has been highly effective in serving the reentry veteran population. The challenge of serving veterans with sex offenses can and must be met with a similar level of effectiveness. In this commentary, we propose that the VA, beginning with the Secretary, adopt a "reset" policy and programmatic action agenda to enhance access to housing and treatment for sexual deviancy disorders. We offer specific pathways for implementation. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

摘要

虽然美国退伍军人事务部(VA)为涉及司法的退伍军人提供住房、住院治疗和心理健康护理,但那些有性犯罪的人在获得这些服务方面面临着艰巨的障碍,包括被住房项目拒之门外,以及缺乏治疗性变态障碍的心理健康服务。迄今为止,VA 的战略可能反映了一个大型系统在系统地解决一个涉及比无家可归者更具耻辱感的人群的问题时的谨慎态度。未能制定解决这一问题的战略反映了需要在整个相关领域建立一个 VA 系统范围内的、一致的和有效的方法,纳入当前的知识和实践状态。自 2006 年以来,VA 为司法系统退伍军人服务的项目在为重返社会的退伍军人服务方面非常有效。为性犯罪退伍军人提供服务的挑战是可以而且必须以类似的有效性来应对的。在这篇评论中,我们建议 VA 从部长开始,采取“重置”政策和方案行动计划,以增加获得住房和治疗性变态障碍的机会。我们提供了具体的实施途径。(PsycInfo 数据库记录(c)2023 APA,保留所有权利)。

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