Barriers to Psychosocial Services Among Homeless Women Veterans

Hamilton, Alison B.; Poza, Ines; Hines, Vivian; Washington, Donna L.

doi:10.1080/1533256x.2012.647584

Cited by 34 publications

(22 citation statements)

References 29 publications

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“…40 Another promising avenue for employment supports for women Veterans could be gender-specific adaptation and/or women Veteran-targeted implementation of Individualized Placement and Support (IPS), an evidence-based approach to returning individuals to competitive employment, mainly tested among individuals with serious mental illnesses (SMI), 41 including Veterans with SMI. For example, in keeping with a biopsychosocial approach to health and wellness, VA has extensive vocational rehabilitation and compensated work therapy programs that it administers as part of its comprehensive approach to the care of veterans with service-connected disabilities.…”

Section: Discussionmentioning

confidence: 99%

Military and Mental Health Correlates of Unemployment in a National Sample of Women Veterans

2015

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Whether depression underlies unemployment, is exacerbated by unemployment, or both, it is critical to identify and treat depression among women Veterans, and also to investigate women Veterans' experiences and identities in civilian life. Community-based employers may need education regarding women Veterans' unique histories and strengths. Women who served in the regular military and during wartime may benefit from job assistance before and after they leave the military. Gender-specific adaptation of employment services may be warranted.

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Section: Discussionmentioning

confidence: 99%

Military and Mental Health Correlates of Unemployment in a National Sample of Women Veterans

2015

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“…Similarly, while our results show high rates of engagement with mental health treatment, we do not have data on other psychosocial services, such as supportive housing or employment assistance that are essential for assisting homeless Veterans. A prior study of homeless women Veterans identified several barriers in access to psychosocial services,27 and future studies should assess utilization of services other than mental health care, and whether engagement may vary based on MST status and gender. Finally, though our data suggest that most Veterans who report MST are receiving mental health services addressing these experiences, we do not have information about the treatment approaches used by providers in delivering MST-related mental health care, nor the treatment outcomes of such approaches.…”

Section: Discussionmentioning

confidence: 99%

Military Sexual Trauma Among Homeless Veterans

et al. 2013

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BACKGROUNDMilitary sexual trauma (MST) is the Veteran Health Administration’s (VHA) term for sexual assault and/or sexual harassment that occurs during military service. The experience of MST is associated with a variety of mental health conditions. Preliminary research suggests that MST may be associated with homelessness among female Veterans, although to date MST has not been examined in a national study of both female and male homeless Veterans.OBJECTIVETo estimate the prevalence of MST, examine the association between MST and mental health conditions, and describe mental health utilization among homeless women and men.DESIGN AND PARTICIPANTSNational, cross-sectional study of 126,598 homeless Veterans who used VHA outpatient care in fiscal year 2010.MAIN MEASURESAll variables were obtained from VHA administrative databases, including MST screening status, ICD-9-CM codes to determine mental health diagnoses, and VHA utilization.KEY RESULTSOf homeless Veterans in VHA, 39.7 % of females and 3.3 % of males experienced MST. Homeless Veterans who experienced MST demonstrated a significantly higher likelihood of almost all mental health conditions examined as compared to other homeless women and men, including depression, posttraumatic stress disorder, other anxiety disorders, substance use disorders, bipolar disorders, personality disorders, suicide, and, among men only, schizophrenia and psychotic disorders. Nearly all homeless Veterans had at least one mental health visit and Veterans who experienced MST utilized significantly more mental health visits compared to Veterans who did not experience MST.CONCLUSIONSA substantial proportion of homeless Veterans using VHA services have experienced MST, and those who experienced MST had increased odds of mental health diagnoses. Homeless Veterans who had experienced MST had higher intensity of mental health care utilization and high rates of MST-related mental health care. This study highlights the importance of trauma-informed care among homeless Veterans and the success of VHA homeless programs in providing mental health care to homeless Veterans.

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“…Secondly, we hypothesized that female gender would be associated with poor adherence. Indeed, female is a particularly vulnerable group, and initiation of treatment and monitoring are often difficult for them 47 48 49 . Female are in the minority of the homeless population and they often enter services at a much later stage than male, and when their problems have become more severe and enduring 50 .…”

Section: Discussionmentioning

confidence: 99%

Validation of the Medication Adherence Rating Scale in homeless patients with schizophrenia: Results from the French Housing First experience

Zemmour

Tinland

Girard

et al. 2016

Sci Rep

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The Medication Adherence Rating Scale (MARS) is one of the most widely used measurements of adherence in schizophrenia (SZ), but there is no available data regarding its psychometric properties in homeless SZ patients (HSZ). The aim of this study was therefore to assess the psychometric properties of the MARS in a large multicenter sample of HSZ subjects. This multi-centre prospective study was conducted in the following 4 French cities: Lille, Marseille, Paris and Toulouse. Three hundred and fifty-three patients were included. The 3-factor structure of the MARS was confirmed using confirmatory factor analysis: RMSEA = 0.045, CFI = 0.98, TLI = 0.97 and WRMR = 0.76. The unidimensionality of each factor was supported by the satisfactory INFIT statistics. Item internal consistencies were all higher than 0.20 and the Kuder–Richardson were higher than to 0.6, except for factor 2, which was closed to 0.5. Significant associations with symptoms, functioning and quality of life showed satisfactory external validity. The acceptability was satisfactory with missing data lower than 5% for each dimension. The MARS is a short self-administered instrument with acceptable psychometric properties in homeless SZ patients that yields interesting information about medication adherence.

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Barriers to Psychosocial Services Among Homeless Women Veterans

Cited by 34 publications

References 29 publications

Military and Mental Health Correlates of Unemployment in a National Sample of Women Veterans

Military and Mental Health Correlates of Unemployment in a National Sample of Women Veterans

Military Sexual Trauma Among Homeless Veterans

Validation of the Medication Adherence Rating Scale in homeless patients with schizophrenia: Results from the French Housing First experience

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