Renae Wilkinson, Richard G. Cowden, and Katelyn N. G. Long are with the Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, MA. Thomas Byrne is with the School of Social Work, Boston University, Boston, MA. John H. Kuhn is with the VA Greater Los Angeles Healthcare System, Los Angeles, CA. Howard K. Koh is with the Harvard T. H. Chan School of Public Health, Boston, MA. Jack Tsai is with the US Department of Veterans Affairs, National Center on Homelessness Among Veterans, Washington DC.
Am J Public Health. 2024 Jun;114(6):610-618. doi: 10.2105/AJPH.2024.307625.
As homelessness remains an urgent public health crisis in the United States, specific programs in the US Department of Veterans Affairs (VA) system may serve as a roadmap for addressing it. We examine lessons learned from the first decade (2012-2022) of the Supportive Services for Veteran Families (SSVF) program, a cornerstone in the VA continuum of homeless services aimed at both preventing homelessness among those at risk and providing rapid rehousing for veterans and their families who are currently experiencing homelessness. Drawing on information from annual reports and other relevant literature, we have identified 3 themes of SSVF that emerged as features to comprehensively deliver support for homeless veterans and their families: (1) responsiveness and flexibility, (2) coordination and integration, and (3) social resource engagement. Using these strategies, SSVF reached nearly three quarters of a million veterans and their families in its first decade, thereby becoming one of the VA's most substantial programmatic efforts designed to address homelessness. We discuss how each feature might apply to addressing homelessness in the general population as well as future research directions. (. 2024;114(6):610-618. https://doi.org/10.2105/AJPH.2024.307625).
在美国,无家可归仍是一个紧迫的公共卫生危机,美国退伍军人事务部(VA)系统中的特定项目可以作为解决该问题的路线图。我们研究了“退伍军人家庭支持服务(SSVF)”项目前十年(2012-2022 年)的经验教训,该项目是 VA 无家可归服务连续体的基石,旨在预防有风险的人群无家可归,并为目前无家可归的退伍军人及其家庭提供快速安置。我们从年度报告和其他相关文献中提取信息,确定了 SSVF 的 3 个主题,这些主题是为无家可归的退伍军人及其家庭提供全面支持的特征:(1)响应性和灵活性,(2)协调和整合,以及(3)社会资源参与。在其第一个十年中,SSVF 服务了近 75 万退伍军人及其家庭,因此成为 VA 旨在解决无家可归问题的最重大项目努力之一。我们讨论了每个特征如何应用于解决普通人群中的无家可归问题以及未来的研究方向。(。2024 年;114(6):610-618。https://doi.org/10.2105/AJPH.2024.307625)。