Byrne Thomas, Tsai Jack
National Center on Homelessness Among Veterans, VA Homeless Programs Office, Washington, DC, USA.
Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.
J Prev (2022). 2025 Sep 9. doi: 10.1007/s10935-025-00873-8.
There is growing interest in assisting individuals who return to homelessness after obtaining permanent housing. However, little evidence exists on those who make multiple exits to permanent housing and subsequently return to homelessness over time. This study estimated the rates of multiple returns to homelessness among Veterans who accessed permanent housing and identified Veteran characteristics associated with these returns. The study used several Department of Veterans Affairs (VA) administrative data sources to calculate rates of multiple returns to homelessness within 12- and 24-months among Veterans who exited a VA homeless assistance program to a permanent housing destination between January 2018 and April 2021. Binary logistic regression models assessed the association between Veteran characteristics and multiple returns. Roughly 0.4% and 2.2% of Veterans experienced multiple returns to homelessness within 12- and 24-months, respectively. Diagnoses of alcohol use disorder, drug use disorder and psychoses were the most prominent predictors of higher odds of multiple returns. Although rare, multiple returns to homelessness highlight the need for targeted supports to help prevent recurrent homelessness and promote long-term housing stability.
帮助那些在获得永久住房后又重新陷入无家可归状态的人，这一问题越来越受到关注。然而，对于那些多次入住永久住房但随后又随着时间推移重新陷入无家可归状态的人，相关证据却很少。本研究估计了获得永久住房的退伍军人多次重返无家可归状态的比率，并确定了与这些重返相关的退伍军人特征。该研究使用了退伍军人事务部（VA）的几个行政数据源，以计算在2018年1月至2021年4月期间从VA无家可归者援助项目过渡到永久住房目的地的退伍军人在12个月和24个月内多次重返无家可归状态的比率。二元逻辑回归模型评估了退伍军人特征与多次重返之间的关联。分别约有0.4%和2.2%的退伍军人在12个月和24个月内经历了多次重返无家可归状态。酒精使用障碍、药物使用障碍和精神病的诊断是多次重返几率较高的最主要预测因素。尽管这种情况很少见，但多次重返无家可归状态凸显了提供有针对性支持的必要性，以帮助预防反复出现的无家可归问题并促进长期住房稳定。
