Journey to Home: development of a conceptual model to describe Veterans' experiences with resolving housing instability

《Journey to Home: development of a conceptual model to describe Veterans' experiences with resolving housing instability》

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作者: Meagan Cusack;Ann Elizabeth Montgomery;Anneliese E. Sorrentino;Melissa E. Dichter;Manik Chhabra;Gala True

作者单位: Center for Health Equity Research & Promotion, U.S. Department of Veterans Affairs (VA), Philadelphia, PA, USA; ;National Center on Homelessness Among Veterans, VA, Birmingham, AL, USA; ; Health Services Research & Development, Birmingham VA Medical Center, Birmingham, AL, USA; ; School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA; ;Center for Health Equity Research & Promotion, U.S. Department of Veterans Affairs (VA), Philadelphia, PA, USA; ;Center for Health Equity Research & Promotion, U.S. Department of Veterans Affairs (VA), Philadelphia, PA, USA; ; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; ;Center for Health Equity Research & Promotion, U.S. Department of Veterans Affairs (VA), Philadelphia, PA, USA; ; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; ;South Central Mental Illness Research, Education, and Clinical Center, Southeast Louisiana Veterans Health Care System, New Orleans, LA, USA; ; School of Medicine, Tulane University, New Orleans, LA, USA

摘要: Recent research has focused on risk factors for Veteran housing instability and programmatic responses. However, little is known about Veterans’ experiences of becoming unstably housed and navigating available resources to resolve housing crises. This qualitative paper, based on open-ended interviews with Veterans (n = 60), presents the Journey to Home conceptual model, which offers a framework for understanding Veterans’ journeys through housing instability, including the factors that contribute to vulnerability, the range of housing conditions that Veterans describe as inadequate, how Veterans connect to assistance through VA and community providers, and barriers and facilitators to connecting with and using available assistance, resulting in either continued housing instability or successful housing outcomes. Ongoing efforts to end Veteran homelessness should prioritize strategies that respond to complex vulnerabilities.