Factors associated with recovery from homelessness among veterans in permanent supportive housing.
Veterans
functional status
homeless persons
housing
mental disorders
mental health recovery
social integration
Journal
Journal of community psychology
ISSN: 1520-6629
Titre abrégé: J Community Psychol
Pays: United States
ID NLM: 0367033
Informations de publication
Date de publication:
07 2022
07 2022
Historique:
revised:
13
09
2021
received:
21
01
2021
accepted:
15
11
2021
pubmed:
5
12
2021
medline:
9
6
2022
entrez:
4
12
2021
Statut:
ppublish
Résumé
We sought to identify person- and program-level factors distinguishing permanent supportive housing (PSH) residents with higher versus lower social integration; and higher versus lower instrumental functioning. Among 60 PSH residents at Los Angeles' VA, surveys and medical records captured person-level factors. Using a median split, we dichotomized participants with higher versus lower social integration; and higher versus lower instrumental functioning. Recursive partitioning (RP) identified variables that best-differentiated these subgroups. Interviews with 26 participants captured their perceptions on social integration and instrumental functioning. Using RP, health-related quality of life, psychiatric symptoms and case management frequency best-differentiated the social integration subgroups. Few perceived that PSH affected social integration. RP did not yield a stable model to differentiate the instrumental functioning subgroups; participants perceived that PSH addressed most functional deficits. Services that enhance social integration may benefit PSH residents with poor health; existing services may adequately address instrumental functioning.
Types de publication
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
2144-2162Subventions
Organisme : HSRD VA
ID : IK2 HX002089
Pays : United States
Organisme : Health Services Research and Development
ID : CDA 15-074
Informations de copyright
Published 2021. This article is a U.S. Government work and is in the public domain in the USA.
Références
Adair, C. E., Kopp, B., Distasio, J., Hwang, S. W., Lavoie, J., Veldhuizen, S., Voronka, J., Kaufman, A. F., Somers, J. M., LeBlanc, S. R., Cote, S., Addorisio, S., Matte, D., & Goering, P. (2016). Housing quality in a randomized controlled trial of housing first for homeless individuals with mental illness: Correlates and associations with outcomes. Journal of Urban Health, 93(4), 682-697. https://doi.org/10.1007/s11524-016-0062-9
Andresen, R., Oades, L., & Caputi, P. (2003). The experience of recovery from schizophrenia: Towards an empirically validated stage model. The Australian and New Zealand Journal of Psychiatry, 37(5), 586-594. https://doi.org/10.1046/j.1440-1614.2003.01234.x
Aubry, T., Bourque, J., Goering, P., Crouse, S., Veldhuizen, S., LeBlanc, S., Cherner, R., Bourque, P.-É., Pakzad, S., & Bradshaw, C. (2019). A randomized controlled trial of the effectiveness of Housing First in a small Canadian city. BMC Public Health, 19(1), 1154. https://doi.org/10.1186/s12889-019-7492-8
Aubry, T., Nelson, G., & Tsemberis, S. (2015). Housing First for people with severe mental illness who are homeless: A review of the research and findings from the at home-Chez soi Demonstration Project. The Canadian Journal of Psychiatry, 60(11), 467-474. https://doi.org/10.1177/070674371506001102
Averill, J. B. (2002). Matrix analysis as a complementary analytic strategy in qualitative inquiry. Qualitative Health Research, 12(6), 855-866. https://doi.org/10.1177/104973230201200611
Benedict, R. H. B., Schretlen, D., Groninger, L., & Brandt, J. (1998). Hopkins verbal learning test-revised: Normative data and analysis of inter-form and test-retest reliability. The Clinical Neuropsychologist (Neuropsychology, Development and Cognition: Section D), 12(1), 43-55. https://doi.org/10.1076/clin.12.1.43.1726
Bond, G. R., Salyers, M. P., Rollins, A. L., Rapp, C. A., & Zipple, A. M. (2004). How evidence-based practices contribute to community integration. Community Mental Health Journal, 40(6), 569-588.
Bowler, R., Sudia, S., Mergler, D., Harrison, R., & Cone, J. (1992). Comparison of digit symbol and symbol digit modalities tests for assessing neurotoxic exposure. Clinical Neuropsychologist, 6(1), 103-104. https://doi.org/10.1080/13854049208404123
Brandt, J., & Benedict, H. R. (2001). Hopkins verbal learning test-revised, Professional manual. Psychological Assessment Resources, Inc.
Brown, M. A., & Velligan, D. I. (2016). Issues and developments related to assessing function in serious mental illness. Dialogues in Clinical Neuroscience, 18(2), 135-144.
Brown, R. T., Kiely, D. K., Bharel, M., & Mitchell, S. L. (2012). Geriatric syndromes in older homeless adults. Journal of General Internal Medicine, 27(1), 16-22. https://doi.org/10.1007/s11606-011-1848-9
Chinchilla, M., Gabrielian, S., Horan, W. P., Glasmeier, A., Hellemann, G., Wynn, J. K., Capone-Newton, P., & Green, M. F. (2019). Comparing tenant and neighborhood characteristics of the VA's Project- vs. Tenant-Based Supportive Housing Program in Los Angeles county. Journal of Health Care for the Poor and Underserved, 30(4), 1373-1393. https://doi.org/10.1353/hpu.2019.0098
Cimino, T., Steinman, M. A., Mitchell, S. L., Maio, Y., Bharel, M., Barnhart, C., & Brown, R. T. (2015). The course of functional impairment in older homeless adults: Disabled on the street. JAMA Network Open, 175(7), 1237-1239. https://doi.org/10.1001/jamainternmed.2015.1332
Collins, S. E., Malone, D. K., Clifasefi, S. L., Ginzler, J. A., Garner, M. D., Burlingham, B., Lonczak, H. S., Dana, E. A., Kirouac, M., Tanzer, K., Hobson, W. G., Marlatt, G. A., & Larimer, M. E. (2012). Project-based Housing First for chronically homeless individuals with alcohol problems: Within-subjects analyses of 2-year alcohol trajectories. American Journal of Public Health, 102(3), 511-519. https://doi.org/10.2105/ajph.2011.300403
Coltman, L., Gapka, S., Harriott, D., Koo, M., Reid, J., & Zsager, A. (2015). Understanding community integration in a Housing-First approach: Toronto at home/Chez Soi community-based research. Intersectionalities: A Global Journal of Social Work Analysis, Research, Polity, and Practice, 4(2).
Cornwell, E. Y., & Waite, L. J. (2009). Measuring social isolation among older adults using multiple indicators from the NSHAP study. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 64(Suppl 1), i38-i46. https://doi.org/10.1093/geronb/gbp037
County of Los Angeles Department of Public Health. (2015). Community Health Assessment (pp. 1-160). http://www.bhclongbeach.org/wp-content/uploads/2012/06/LACDPHCommunityHealthAssessment2015Final.pdf
Dennis, M. L., Feeney, T., & Stevens, L. H. (2006). Global appraisal of individual needs-short screener (GAIN-SS). Administration and Scoring Manual for the GAIN-SS Version 2.0.1, 1-26. http://www.chestnut.org/LI/gain/GAIN_SS/index.html
Drebing, C.E., Reilly, E., Henze, K. T., Kelly, M., Russo, A., Smolinsky, J., Gorman, J., & Penk, W. E. (2018). Using peer support groups to enhance community integration of veterans in transition. Psychol Serv, 15(2), 135-145. https://doi.org/10.1037/ser0000178
Eisen, S. V., Gerena, M., Ranganathan, G., Esch, D., & Idiculla, T. (2006). Reliability and validity of the BASIS-24© Mental Health Survey for Whites, African-Americans, and Latinos. The Journal of Behavioral Health Services & Research, 33(3), 304-323. https://doi.org/10.1007/s11414-006-9025-3
Fetters, M. D., Curry, L. A., & Creswell, J. W. (2013). Achieving integration in mixed methods designs-principles and practices. Health Services Research, 48(6 Pt 2), 2134-2156. https://doi.org/10.1111/1475-6773.12117
Fitzpatrick-Lewis, D., Ganann, R., Krishnaratne, S., Ciliska, D., Kouyoumdjian, F., & Hwang, S. W. (2011). Effectiveness of interventions to improve the health and housing status of homeless people: A rapid systematic review. BMC Public Health, 11(1), 638. https://doi.org/10.1186/1471-2458-11-638
Foster, A., Gable, J., & Buckley, J. (2012). Homelessness in schizophrenia. The Psychiatric Clinics of North America, 35(3), 717-734. https://doi.org/10.1016/j.psc.2012.06.010
Gabrielian, S., Bromley, E., Hellemann, G. S., Kern, R. S., Goldenson, N. I., Danley, M. E., & Young, A. S. (2015). Factors affecting exits from homelessness among persons with serious mental illness and substance use disorders. The Journal of Clinical Psychiatry, 76, e469-e476. https://doi.org/10.4088/jcp.14m09229
Gabrielian, S., Burns, A. V., Nanda, N., Hellemann, G., Kane, V., & Young, A. S. (2015). Factors associated with premature exits from supported housing. Psychiatric Services, appips201400311, 67, 86-93. https://doi.org/10.1176/appi.ps.201400311
Gabrielian, S., Hamilton, A. B., & Jr, A. A. (2017). “They're Homeless in a Home”: Retaining homeless-experienced consumers in supported housing. Psychological services, 14, 154-166. https://doi.org/10.1037/ser0000119.supp
Glaser, B. G., & Strauss, A. L. (n.d.). The discovery of grounded theory. AldineTransaction.
Goering, P. N., Streiner, D. L., Adair, C., Aubry, T., Barker, J., Distasio, J., Hwang, S. W., Komaroff, J., Latimer, E., Somers, J., & Zabkiewicz, D. M. (2011). The At Home/Chez Soi trial protocol: A pragmatic, multi-site, randomised controlled trial of a Housing First intervention for homeless individuals with mental illness in five Canadian cities. BMJ Open, 1(2), e000323. https://doi.org/10.1136/bmjopen-2011-000323
Green, M. F., Wynn, J. K., Gabrielian, S., Hellemann, G., Horan, W. P., Kern, R. S., Lee, J., Marder, S. R., & Sugar, C. A. (2020). Motivational and cognitive factors linked to community integration in homeless veterans: Study 1-individuals with psychotic disorders. Psychological Medicine, 27, 1-9. https://doi.org/10.1017/s0033291720001889
Hamilton, A. B., & Finley, E. P. (2020). Reprint of: Qualitative methods in implementation research: An introduction. Psychiatry Research, 283, 112629. https://doi.org/10.1016/j.psychres.2019.112629
Harvey, P. D., Paschall, G., & Depp, C. (2015). Factors influencing self-assessment of cognition and functioning in bipolar disorder: A preliminary study. Cognitive Neuropsychiatry, 20(4), 361-371. https://doi.org/10.1080/13546805.2015.1044510
Hellemann, G., Conner, B. T., Anglin, M. D., & Longshore, D. (2008). Seeing the trees despite the forest: Applying recursive partitioning to the evaluation of drug treatment retention. Journal of Substance Abuse Treatment, 36, 59-64. https://doi.org/10.1016/j.jsat.2008.03.005
Hinton-bayre, A. D., Geffen, G., & McFarland, K. (2008). Mild head injury and speed of information processing: A prospective study of professional rugby league players. Journal of Clinical and Experimental Neuropsychology, 19(2), 275-289. https://doi.org/10.1080/01688639708403857
Hsiao, C.-J., Cherry, D. K., Beatty, P. C., & Rechtsteiner, E. A. (2010). National ambulatory medical care survey: 2007 summary. National Health Statistics Report, 1-32. http://www.cdc.gov/nchs/data/nhsr/nhsr027.pdf
Hwang, S. W., Orav, E. J., O'Connell, J. J., Lebow, J. M., & Brennan, T. A. (1997). Causes of death in homeless adults in Boston. Annals of Internal Medicine, 126(8), 625-628. http://annals.org/article.aspx?articleid=710446
Idiculla, T., Speredelozzi, A., & Miller, A. (2005). BASIS-24 comparison group report. Department of Mental Health Services Evaluation, McLean Hospital (pp. 1-14).
Iqbal, S. U., Robgers, W., Selim, A. J., Qian, S. X., Lee, A., Ren, X. S., Rothendler, J. A., Miller, D., & Kazis, L. E. (2007). The Veterans RAND 12-Item Health Survey (VR-12): What it is and how it is used. CHQOERs VA Medical Center, Bedford, MA and CAPP Boston University School of Public Health (pp. 1-12).
Kazis, L. E., Rogers, W., Rothendler, J., Qian, S., Selim, A., Edelen, M. O., Stucky, B. D., Rose, A. J., & Butcher, E. (2017). Outcome performance measure development for persons with multiple chronic conditions. RAND Corporation. www.rand.org/t/RR1844
Kertesz, S. G., Austin, E. L., Holmes, S. K., DeRussy, A. J., Lukas, C. V. D., & Pollio, D. E. (2017). Housing first on a large scale: Fidelity strengths and challenges in the VA's HUD-VASH program. Psychological Services, 14(2), 118-128. https://doi.org/10.1037/ser0000123
Lloyd, C., & Waghorn, G. (2008). Conceptualising recovery in mental health rehabilitation. British Journal of Occupational Therapy, 71(8), 321-328. https://doi.org/10.1177/030802260807100804
Long, D. A., & Perkins, D. D. (2003). Confirmatory factor analysis of the Sense of Community Index and development of a Brief SCI. Journal of Community Psychology, 31(3), 279-296. https://doi.org/10.1002/jcop.10046
Lubben, J. E. (1988). Assessing social networks among elderly populations. Family & Community Health, 11(3), 42-52. https://doi.org/10.1097/00003727-198811000-00008
Macnaughton, E., Townley, G., Nelson, G., Caplan, R., MacLeod, T., Polvere, L., Isaak, C., Kirst, M., McAll, C., Nolin, D., Patterson, M., Piat, M., & Goering, P. (2016). How does Housing First catalyze recovery?: Qualitative findings from a Canadian multi-site randomized controlled trial. American Journal of Psychiatric Rehabilitation, 19(2), 136-159. https://doi.org/10.1080/15487768.2016.1162759
Manning, R. M., & Greenwood, R. M. (2019). Recovery in homelessness: The influence of choice and mastery on physical health, psychiatric symptoms, alcohol and drug use, and community integration. Psychiatric Rehabilitation Journal, 42(2), 147-157. https://doi.org/10.1037/prj0000350
Mares, A. S., Kasprow, W. J., & Rosenheck, R. A. (2004). Outcomes of supported housing for homeless veterans with psychiatric and substance abuse problems. Mental Health Services Research, 6(4), 199-211. https://doi.org/10.1023/b:mhsr.0000044746.47589.06
Mares, A. S., & Rosenheck, R. A. (2004). One-year housing arrangements among homeless adults with serious mental illness in the ACCESS program. Psychiatric Services, 55(5), 566-574.
McColl, M. A., Davies, D., Carlson, P., Johnston, J., & Minnes, P. (2001). The community integration measure: Development and preliminary validation. Archives of Physical Medicine and Rehabilitation, 82(4), 429-434. https://doi.org/10.1053/apmr.2001.22195
McPheeters, H. L. (1984). Statewide mental health outcome evaluation: A perspective of two southern states. Community Mental Health Journal, 20(1), 44-55.
Montgomery, A. E., Szymkowiak, D., Cusack, M. C., Austin, E. L., Vazzano, J. K., Kertesz, S. G., & Gabrielian, S. (2019). Veterans' assignment to single-site versus scattered-site permanent supportive housing. American Journal of Orthopsychiatry, 90(1), 37-47. https://doi.org/10.1037/ort0000380
Obst, P. L., & White, K. M. (2004). Revisiting the Sense of Community Index: A confirmatory factor analysis. Journal of Community Psychology, 32(6), 691-705. https://doi.org/10.1002/jcop.20027
O'Connell, M., Kasprow, W., & Rosenheck, R. A. (2010). National dissemination of supported housing in the VA: Model adherence versus model modification. Psychiatric Rehabilitation Journal, 33(4), 308-319. https://doi.org/10.2975/33.4.2010.308.319
O'Connell, M. J., Kasprow, W. J., & Rosenheck, R. A. (2012). Differential impact of supported housing on selected subgroups of homeless veterans with substance abuse histories. Psychiatric Services, 63(12), 1195-1205. https://doi.org/10.1176/appi.ps.201000229
Oliveri, L. N., Awerbuch, A. W., Jarskog, L. F., Penn, D. L., Pinkham, A., & Harvey, P. D. (2020). Depression predicts self assessment of social function in both patients with schizophrenia and healthy people. Psychiatry Research, 284, 112681. https://doi.org/10.1016/j.psychres.2019.112681
Orellano, E., Colón, W. I., & Arbesman, M. (2012). Effect of occupation- and activity-based interventions on instrumental activities of daily living performance among community-dwelling older adults: A systematic review. The American Journal of Occupational Therapy, 66(3), 292-300. https://doi.org/10.5014/ajot.2012.003053
Pahwa, R., Bromley, E., Brekke, B., Gabrielian, S., Braslow, J. T., & Brekke, J. S. (2014). Relationship of community integration of persons with severe mental illness and mental health service intensity. Psychiatric Services, 65(6), 822-825. https://doi.org/10.1176/appi.ps.201300233
Pantell, M., Rehkopf, D., Jutte, D., Syme, S. L., Balmes, J., & Adler, N. (2013). Social isolation: A predictor of mortality comparable to traditional clinical risk factors. American Journal of Public Health, 103(11), 2056-2062. https://doi.org/10.2105/ajph.2013.301261
Quilgars, D., & Pleace, N. (2016). Housing First and social integration: A realistic aim? Social Inclusion, 4(4), 5-15. https://doi.org/10.17645/si.v4i4.672
Reblin, M., & Uchino, B. N. (2008). Social and emotional support and its implication for health. Current Opinion in Psychiatry, 21(2), 201-205. https://doi.org/10.1097/yco.0b013e3282f3ad89
Rosenheck, R., & Cicchetti, D. (1998). A mental health program report card: A multidimensional approach to performance monitoring in public sector programs. Community Mental Health Journal, 34(1), 85-106. https://doi.org/10.1023/a:1018720414126
Rosenheck, R., Kasprow, W., Frisman, L., & Liu-Mares, W. (2003). Cost-effectiveness of supported housing for homeless persons with mental illness. Archives of General Psychiatry, 60(9), 940-951. https://doi.org/10.1001/archpsyc.60.9.940
Shapiro, A. M., Benedict, R. H. B., Schretlen, D., & Brandt, J. (2013). Construct and concurrent validity of the Hopkins verbal learning test? Revised. The Clinical Neuropsychologist (Neuropsychology, Development and Cognition: Section D), 13(3), 348-358. https://doi.org/10.1076/clin.13.3.348.1749
Siu, C. O., Harvey, P. D., Agid, O., Waye, M., Brambilla, C., Choi, W.-K., & Remington, G. (2015). Insight and subjective measures of quality of life in chronic schizophrenia. SCOG, 2(3), 127-132. https://doi.org/10.1016/j.scog.2015.05.002
Smith, A. (1982). Symbol digits modalities test. Western Psychological Services.
Smith, A. (2002). Symbol digit modalities test: Manual. Western Psychological Corporation.
Stefancic, A., & Tsemberis, S. (2007). Housing First for long-term shelter dwellers with psychiatric disabilities in a suburban county: A four-year study of housing access and retention. The Journal of Primary Prevention, 28(3-4), 265-279. https://doi.org/10.1007/s10935-007-0093-9
Steptoe, A., Shankar, A., Demakakos, P., & Wardle, J. (2013). Social isolation, loneliness, and all-cause mortality in older men and women. Proceedings of National Academy of Science of the United Sates of America, 110, 5797-5801. https://doi.org/10.1073/pnas.1219686110/-/dcsupplemental
Stergiopoulos, V., Gozdzik, A., O'Campo, P., Holtby, A. R., Jeyaratnam, J., & Tsemberis, S. (2014). Housing First: Exploring participants' early support needs. BMC Health Services Research, 14(1), 167. https://doi.org/10.1186/1472-6963-14-167
Stergiopoulos, V., Hwang, S. W., Gozdzik, A., Nisenbaum, R., Latimer, E., Rabouin, D., Adair, C. E., Bourque, J., Connelly, J., Frankish, J., Katz, L. Y., Mason, K., Misir, V., O'Brien, K., Sareen, J., Schütz, C. G., Singer, A., Streiner, D. L., Vasiliadis, H.-M., & Goering, P. N. (2015). Effect of scattered-site housing using rent supplements and intensive case management on housing stability among homeless adults with mental illness. JAMA: The Journal of the American Medical Association, 313(9), 905-915. https://doi.org/10.1001/jama.2015.1163
Stevens, E. B., Jason, L. A., & Ferrari, J. R. (2011). Measurement performance of the sense of community index in substance abuse recovery communal housing. Australian Community Psychologist (Online), 23(2), 135-147.
Strobl, C., Malley, J., & Tutz, G. (2009). An introduction to recursive partitioning: Rationale, application, and characteristics of classification and regression trees, bagging, and random forests. Psychological Methods, 14(4), 323-348. https://doi.org/10.1037/a0016973
Sullivan, G., Dumenci, L., Burnam, A., & Koegel, P. (2001). Validation of the brief instrumental functioning scale in a homeless population. Psychiatric Services, 52(8), 1097-1099. https://doi.org/10.1176/appi.ps.52.8.1097
Teddlie, C., & Yu, F. (2007). Mixed methods sampling: A typology with examples. Journal of Mixed Methods Research, 1(1), 77-100. https://doi.org/10.1177/2345678906292430
Tsai, J., Mares, A. S., & Rosenheck, R. A. (2012). Does housing chronically homeless adults lead to social integration? Psychiatric Services, 63(5), 427-434. https://doi.org/10.1176/appi.ps.201100047
Tsemberis, S., & Eisenberg, R. F. (2000). Pathways to housing: Supported housing for street-dwelling homeless individuals with psychiatric disabilities. Psychiatric Services, 51(4), 487-493.
Tsemberis, S., Gulcur, L., & Nakae, M. (2004). Housing First, consumer choice, and harm reduction for homeless individuals with a dual diagnosis. American Journal of Public Health, 94(4), 651-656.
Wallace, C. J., Liberman, R. P., & Tauber, R. (2005). The independent living skills survey: A comprehensive measure of the community functioning of severely and persistently mentally ill individuals. Schizophrenia Bulletin, 26(3), 1-28.
Wallace, C. J., Liberman, R. P., Tauber, R., & Wallace, J. (2000). The independent living skills survey: A comprehensive measure of the community functioning of severely and persistently mentally ill individuals. Schizophrenia Bulletin, 26(3), 631-658.
Wong, Y.-L. I., & Solomon, P. L. (2002). Community integration of persons with psychiatric disabilities in supportive independent housing: A conceptual model and methodological considerations. Mental Health Services Research, 4(1), 13-28.
Wynn, J. K., Gabrielian, S., Hellemann, G., Horan, W. P., Kern, R. S., Lee, J., Marder, S. R., Sugar, C. A., & Green, M. F. (2020). Motivational and cognitive factors linked to community integration in homeless veterans: Study 2-Clinically diverse sample. Psychological Medicine, 3, 1-8. https://doi.org/10.1017/s0033291720001609
Zhang, H., & Singer, B. (n.d.). Recursive partitioning in the health sciences (1999th ed.). Springer.