A Sector Wheel Approach to Understanding the Needs and Barriers to Services among Homeless-Experienced Veteran Families.

Child Female Ill-Housed Persons Housing Humans Parents Social Work Veterans
Homeless Persons Housing Los Angeles Mental Health Military Medicine Primary Health Care Qualitative Research Social Determinants of Health Veterans Health

Journal

Journal of the American Board of Family Medicine : JABFM
ISSN: 1558-7118
Titre abrégé: J Am Board Fam Med
Pays: United States
ID NLM: 101256526

Informations de publication

Date de publication:
Historique:
received: 30 06 2020
revised: 06 11 2020
accepted: 09 11 2020
entrez: 9 4 2021
pubmed: 10 4 2021
medline: 11 9 2021
Statut: ppublish

Résumé

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.

Sections du résumé

BACKGROUND
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.
METHODS
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.
RESULTS
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.
CONCLUSIONS
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.

Identifiants

DOI: 10.3122/jabfm.2021.02.200331 PMID: 33832999 PMC: PMC8574986
pubmed: 33832999
pii: 34/2/309
doi: 10.3122/jabfm.2021.02.200331
pmc: PMC8574986
mid: NIHMS1732927
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S. Research Support, U.S. Gov't, P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

309-319

Subventions

Organisme : NIDA NIH HHS
ID : K12 DA000357
Pays : United States

Informations de copyright

© Copyright 2021 by the American Board of Family Medicine.

Déclaration de conflit d'intérêts

Conflict of interest: The other authors have no conflicts of interest to disclose.

Références

Mil Med. 2014 Oct;179(10):1053-5
pubmed: 25269119
Womens Health Issues. 2013 Nov-Dec;23(6):e373-80
pubmed: 24183412
Public Health Rep. 2018 Mar/Apr;133(2):177-181
pubmed: 29420922
J Soc Work Pract Addict. 2012 Jan 1;12(1):52-68
pubmed: 26617471
Matern Child Health J. 2012 Feb;16(2):297-305
pubmed: 21318293
Arch Gen Psychiatry. 1996 Apr;53(4):332-8
pubmed: 8634011
Psychiatr Serv. 2005 Sep;56(9):1147-9
pubmed: 16148333
Am Fam Physician. 2017 Jun 1;95(11):695-696
pubmed: 28671442
Am J Orthopsychiatry. 2017;87(2):149-156
pubmed: 28206802
J Consult Clin Psychol. 2010 Oct;78(5):611-22
pubmed: 20873897
Mil Med. 2011 Jan;176(1):19-25
pubmed: 21305955
Mil Med. 2005 Jun;170(6):530-5
pubmed: 16001607
JAMA. 2013 May 15;309(19):2001-2
pubmed: 23619825
Psychiatr Serv. 2015 Oct;66(10):1083-90
pubmed: 25975888
Clin Child Fam Psychol Rev. 2013 Sep;16(3):245-65
pubmed: 23760926
Community Ment Health J. 2006 Apr;42(2):213-9
pubmed: 16404684
Am J Orthopsychiatry. 2009 Jul;79(3):292-8
pubmed: 19839665
Clin Child Fam Psychol Rev. 2004 Sep;7(3):123-64
pubmed: 15645705
Health Serv Res. 1999 Dec;34(5 Pt 2):1189-208
pubmed: 10591279
J Health Care Poor Underserved. 2017;28(4):1376-1392
pubmed: 29176102
Psychol Serv. 2019 Feb;16(1):75-84
pubmed: 30058820
Am J Community Psychol. 2017 Sep;60(1-2):79-90
pubmed: 28012168
Womens Health Issues. 2011 Jul-Aug;21(4 Suppl):S203-9
pubmed: 21724142
J Gerontol B Psychol Sci Soc Sci. 2017 Oct 1;72(6):1103-1109
pubmed: 27069102
J Fam Psychol. 2010 Oct;24(5):560-7
pubmed: 20954766
Prev Chronic Dis. 2016 Mar 31;13:E44
pubmed: 27032987
J Am Acad Child Adolesc Psychiatry. 2010 Apr;49(4):310-20
pubmed: 20410724
Curr Probl Pediatr Adolesc Health Care. 2016 May;46(5):135-53
pubmed: 27101890
Pediatrics. 2015 Feb;135(2):e296-304
pubmed: 25560448
Dev Psychol. 1999 Jan;35(1):246-57
pubmed: 9923479
J Health Care Poor Underserved. 2010 Feb;21(1):82-91
pubmed: 20173257
J Epidemiol Community Health. 2019 Apr;73(4):346-352
pubmed: 30602531
Am J Psychiatry. 1998 Nov;155(11):1561-4
pubmed: 9812118

Auteurs

Roya Ijadi-Maghsoodi (R)

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). Rijadimaghsoodi@mednet.ucla.edu.

Sophie Feller (S)

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).

Gery W Ryan (GW)

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).

Lisa Altman (L)

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).

Donna L Washington (DL)

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).

Sheryl Kataoka (S)

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).

Lillian Gelberg (L)

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).

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › A Sector Wheel Approach to Understanding the...
questionsmedicales.fr › Personnes › Sans-abri › A Sector Wheel Approach to Understanding the...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › Caractéristiques de l'habitat › Logement › A Sector Wheel Approach to Understanding the...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › A Sector Wheel Approach to Understanding the...
questionsmedicales.fr › Personnes › Parents › A Sector Wheel Approach to Understanding the...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services sociaux et travail social (activité) › A Sector Wheel Approach to Understanding the...
questionsmedicales.fr › Personnes › Anciens combattants › A Sector Wheel Approach to Understanding the...