Closing a Front Door to Homelessness among Veterans

McGuire, James

doi:10.1007/s10935-007-0091-y

Cited by 29 publications

(18 citation statements)

References 19 publications

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“…Similarly, 38% of VTC participants were receiving VA benefits at program admission which increased to 50% by program exit. Participants with a history of incarceration were less likely to be housed at program exit, supporting previous studies that have pointed to the link between incarceration and homelessness (McGuire 2007; Tsai et al 2014). Additionally, participants who received VA benefits were more likely to be in their own housing at program exit, consistent with studies that have found VA service-connection confers reduced risk for homelessness (Edens et al 2011).…”

Section: Discussionsupporting

confidence: 85%

A National Study of Veterans Treatment Court Participants: Who Benefits and Who Recidivates

Tsai

Finlay

Flatley

et al. 2017

Adm Policy Ment Health

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Although there are now over 400 veterans treatment courts (VTCs) in the country, there have been few studies on participant outcomes in functional domains. Using national data on 7931 veterans in the Veterans Affairs (VA) Veterans Justice Outreach program across 115 VA sites who entered a VTC from 2011 to 2015, we examined the housing, employment, income, and criminal justice outcomes of VTC participants; and identified veteran characteristics predictive of outcomes. VTC participants spent an average of nearly a year in the program and 14% experienced a new incarceration. From program admission to exit, 10% more participants were in their own housing, 12% more were receiving VA benefits, but only 1% more were employed. Controlling for background characteristics, a history of incarceration predicted poor criminal justice, housing, and employment outcomes. Participants with property offenses or probation/parole violations and those with substance use disorders were more likely to experience a new incarceration. Participants with more mental health problems were more likely to be receiving VA benefits and less likely to be employed at program exit. Together, these findings highlight the importance of proper substance abuse treatment as well as employment services for VTC participants so that they can benefit from the diversion process.

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Section: Discussionsupporting

confidence: 85%

A National Study of Veterans Treatment Court Participants: Who Benefits and Who Recidivates

Tsai

Finlay

Flatley

et al. 2017

Adm Policy Ment Health

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“…Previous research has provided two general conclusions about veteran homelessness. First, individual factors associated with homelessness among veterans are very similar to those among nonveterans (Perl, 2015;McGuire, 2007). Among veterans and nonveterans alike, evidence has consistently indicated the prominence of mental illness, substance abuse, and extreme poverty (Balshem et al, 2011;Tsai & Rosenheck, 2015).…”

Section: Introductionmentioning

confidence: 99%

Pathways into homelessness among post-9/11-era veterans.

Metraux¹,

Cusack

Byrne

et al. 2017

Psychological Services

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Despite the scale of veteran homelessness and government-community initiatives to end homelessness among veterans, few studies have featured individual veteran accounts of experiencing homelessness. Here we track veterans' trajectories from military service to homelessness through qualitative, semistructured interviews with 17 post-9/11-era veterans. Our objective was to examine how veterans become homeless-including the role of military and postmilitary experiences-and how they negotiate and attempt to resolve episodes of homelessness. We identify and report results in 5 key thematic areas: transitioning from military service to civilian life, relationships and employment, mental and behavioral health, lifetime poverty and adverse events, and use of veteran-specific services. We found that veterans predominantly see their homelessness as rooted in nonmilitary, situational factors such as unemployment and the breakup of relationships, despite very tangible ties between homelessness and combat sequelae that manifest themselves in clinical diagnoses such as posttraumatic stress disorder. Furthermore, although assistance provided by the U.S. Department of Veterans Affairs (VA) and community-based organizations offer a powerful means for getting veterans rehoused, veterans also recount numerous difficulties in accessing and obtaining VA services and assistance. Based on this, we offer specific recommendations for more systematic and efficient measures to help engage veterans with VA services that can prevent or attenuate their homelessness.

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“…For example, among Veterans who are homeless and predominantly justice-involved, rates of multi-morbid physical and mental-health disorders and SUDs have been calculated at 29%; however, only one third of these individuals reported utilizing VA care (M. Cunningham, 2009). Not surprisingly, co-occurring disorders and related circumstances (e.g., homelessness) exacerbate competing basic needs and complicate accessing and engaging in treatment (McGuire, 2007;SAMHSA, 1998). As in the general population, subsections of justice-involved Veterans are likely to require additional care for co-occurring concerns based on demographic factors (e.g., age-related health or psychiatric disorders, reproductive concerns).…”

Section: Co-occurring Disordersmentioning

confidence: 99%

Facilitating Treatment Access and Engagement for Justice-Involved Veterans With Substance Use Disorders

Glynn

Kendra

Timko

et al. 2014

Criminal Justice Policy Review

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More than one half of U.S. military Veterans with criminal-justice involvement report problematic substance use, but less than one third ever receive or engage in treatment for substance use disorders (SUDs), despite access to the Veterans Health Administration (VA). This underutilization of services places an already vulnerable population at risk of negative outcomes, such as poor physical and mental health, intimate partner violence, homelessness, suicide, and criminal recidivism. These risks and harms can be reduced through connection with SUD treatment services, and many Veterans already qualify for care through the VA and other agencies. In this review, we outline the known and likely barriers to SUD treatment access and engagement for justice-involved Veterans, suggest policy responses to these barriers, and describe current efforts within the VA and community organizations to address access and engagement in this population. A summary of current knowledge is provided, and directions for future research are suggested.

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Closing a Front Door to Homelessness among Veterans

Cited by 29 publications

References 19 publications

A National Study of Veterans Treatment Court Participants: Who Benefits and Who Recidivates

A National Study of Veterans Treatment Court Participants: Who Benefits and Who Recidivates

Pathways into homelessness among post-9/11-era veterans.

Facilitating Treatment Access and Engagement for Justice-Involved Veterans With Substance Use Disorders

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