对服务无家可归的退伍军人在过渡性住房中的低需求模型的评估
Jack Tsai1,2, Youngran Kim2, Dorota Szymkowiak1
1National Center on Homelessness Among Veterans, Homeless Programs Office, U.S. Department of Veterans Affairs (VA), Washington, DC.
Psychiatric services (Washington, D.C.)
|August 14, 2025
概括
为无家可归的退伍军人提供低障碍过渡性住房计划存在挑战. 虽然为更多的退伍军人提供服务,但赠款和每日 (GPD) 低需求计划的正面退出率比密集计划低.
科学领域:
- 公共卫生 公共卫生
- 社会工作 社会工作 社会工作
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国退伍军人事务部 (VA) 利用社区机构为其赠款和日付 (GPD) 过渡性住房计划提供资助.
- 低障碍模型,称为"低需求",是这些GPD程序中的一种方法.
研究的目的:
- 为了比较GPD低需求计划中的无家可归退伍军人的特征和结果与其他两个GPD计划 (临床治疗和服务密集型).
主要方法:
- 分析了2019-2023财年16,059名独特的无家可归退伍军人的国家VA行政数据.
- 评估的结果包括积极的项目退出率,12个月回归无家可归率和VA医疗保健利用率,以及项目前后入院率.
主要成果:
- 与临床治疗 (24.0%) 和服务密集型 (26.8%) 计划相比,低需求计划为更高比例的无家可归退伍军人提供服务 (36.8%).
- 低需求计划中的无家可归退伍军人有较低的积极项目退出率和退出到永久住房,较短的逗留时间,以及急性护理使用率的减少.
- 老年,非西班牙裔黑人退伍军人,以及那些中度的VA服务相关残疾评级的人更有可能从低需求计划中取得积极的退出.
结论:
- 低障碍计划面临的挑战是为有重大治疗需求的无家可归退伍军人提供服务.
- 特定的退伍军人个人资料可能会从低障碍过渡性住房模型中获得差异性好处.
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