Abstract
Aims: We sought to identify person- and program-level factors distinguishing permanent supportive housing (PSH) residents with higher versus lower social integration; and higher versus lower instrumental functioning. Methods: Among 60 PSH residents at Los Angeles' VA, surveys and medical records captured person-level factors. Using a median split, we dichotomized participants with higher versus lower social integration; and higher versus lower instrumental functioning. Recursive partitioning (RP) identified variables that best-differentiated these subgroups. Interviews with 26 participants captured their perceptions on social integration and instrumental functioning. Results: Using RP, health-related quality of life, psychiatric symptoms and case management frequency best-differentiated the social integration subgroups. Few perceived that PSH affected social integration. RP did not yield a stable model to differentiate the instrumental functioning subgroups; participants perceived that PSH addressed most functional deficits. Conclusions: Services that enhance social integration may benefit PSH residents with poor health; existing services may adequately address instrumental functioning.
| Original language | English |
|---|---|
| Pages (from-to) | 2144-2162 |
| Number of pages | 19 |
| Journal | Journal of Community Psychology |
| Volume | 50 |
| Issue number | 5 |
| DOIs | |
| State | Published - Jul 2022 |
| Externally published | Yes |
Bibliographical note
Funding Information:This study was supported by the National Center on Homelessness among Veterans Intramural Pilot Award and augmented a parent study supported by the Corporation for Supportive Housing. Dr. Gabrielian was supported in part by VA HSR&D Career Development Award 15‐074. The authors thank the Veterans and staff at VA Greater Los Angeles' HUD‐VASH program for their contributions to this study. The contents of this article are those of the authors and do not represent the views of the U.S. Department of Veterans Affairs or the U.S. government.
Funding Information:
This study was supported by the National Center on Homelessness among Veterans Intramural Pilot Award and augmented a parent study supported by the Corporation for Supportive Housing. Dr. Gabrielian was supported in part by VA HSR&D Career Development Award 15-074. The authors thank the Veterans and staff at VA Greater Los Angeles' HUD-VASH program for their contributions to this study. The contents of this article are those of the authors and do not represent the views of the U.S. Department of Veterans Affairs or the U.S. government.
Publisher Copyright:
Published 2021. This article is a U.S. Government work and is in the public domain in the USA.
Keywords
- Veterans
- functional status
- homeless persons
- housing
- mental disorders
- mental health recovery
- social integration
