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Identifying Prevention Targets for Homelessness Among Recently Discharged U.S. Veterans Across Systems.

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Preventing veteran homelessness requires upstream interventions. Factors like neighborhood disadvantage and serious mental illness diagnoses predict homelessness post-military service, especially when combined.

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Area of Science:

  • Public Health
  • Military Health
  • Social Epidemiology

Background:

  • Veteran homelessness is a significant public health issue.
  • Current interventions primarily focus on veterans already experiencing homelessness.
  • A proactive approach is needed to prevent homelessness during military transition.

Purpose of the Study:

  • Identify upstream factors predicting veteran homelessness.
  • Target interventions before military separation.
  • Facilitate a smoother transition to civilian life for veterans.

Main Methods:

  • Longitudinal cohort study (2001-2014) of 418,624 post-9/11 veterans.
  • Linked Department of Defense (DoD) and Veterans Affairs (VA) data.
  • Analyzed clinical diagnoses, demographics, military history, homelessness, and neighborhood data.

Main Results:

  • Homelessness linked to disadvantaged neighborhoods, younger age, Black race, substance use disorder (SUD), serious mental illness (SMI), and personality disorder.
  • Co-occurring SUD, SMI, and personality disorder increased homelessness risk fivefold.
  • Risk was highest for veterans in disadvantaged neighborhoods with these diagnoses.

Conclusions:

  • Environmental and individual factors predict post-military homelessness.
  • Proactive policy and programs can improve community reintegration.
  • Interventions should target high-risk veterans before they leave military service.