Homeless Veterans' Utilization of Medical, Psychiatric, and Substance Abuse Services

  title={Homeless Veterans' Utilization of Medical, Psychiatric, and Substance Abuse Services},
  author={Suzanne L. Wenzel and Lailee Bakhtiar and Nicholas H. Caskey and Elizabeth A. Hardie and Carole Redford and Nancy Sadler and Lillian Gelberg},
  journal={Medical Care},
This study focuses on the association between homeless veterans' prior utilization of medical, psychiatric, and substance abuse services and biopsychosocial characteristics reported at admission into a domiciliary care program. Given the large number of veterans in the US homeless population and their health care needs, understanding factors associated with health service use among homeless veterans is significant. Research participants were 429 homeless male veterans who had been admitted to… 

Utilization of mental health and substance abuse services among homeless adults in Los Angeles.

Ut utilization and predictors of mental health and substance abuse treatment among a community-based probability sample of homeless adults are examined, finding that mental health service utilization was predicted largely by factors related to need, whereas substance abuse service usage was predicted by myriad additional factors.

Characteristics and service use of homeless veterans and nonveterans residing in a low-demand emergency shelter.

The predictive power of insurance indicated that veterans may experience barriers to care despite the availability of VA services, and the presence of veterans in this low-demand shelter may represent evidence of barriers to veteran and other public housing services.

An examination of physical illness and health service use in homeless veterans with PTSD, major depressive disorder, anxiety disorder, and/or bipolar disorder in Nebraska

Findings highlight the association of mental illness with physical health problems among homeless veterans and suggest that further work may be needed to address the unique health care needs of this population.

Health care of homeless veterans

Characteristics of homeless male veterans and factors associated with needing VA benefits from a two-city, community survey of 531 homeless adults are described and active outreach is needed for those lacking access to VA services.

Determinants of Receipt of Ambulatory Medical Care in a National Sample of Mentally Ill Homeless Veterans

A majority of homeless veterans contacted through a national outreach program failed to receive medical services within 6 months of program entry, indicating that vulnerable-domain factors were important supplements to traditional variables in predicting use of medical services in the homeless population.

New to care: demands on a health system when homeless veterans are enrolled in a medical home model.

Pattern of use among homeless and nonhomeless veterans newly enrolled in a medical home model and identified patterns of use associated with reductions in emergency department (ED) use are identified.

Unmet need for medical care among homeless adults with serious mental illness.

Access to Inpatient or Residential Substance Abuse Treatment Among Homeless Adults With Alcohol or Other Drug Use Disorders

Great need for treatment was associated with fewer nights of treatment, suggesting retention difficulties, and a pattern of disparities in substance abuse treatment access was highlighted.

Health Services Use Among Veterans Using U.S. Department of Veterans Affairs and Mainstream Homeless Services

Efforts should be made to identify and engage veterans who, while enrolled in VA healthcare, may go unidentified as homeless by the VA.

Factors associated with the health care utilization of homeless persons.

In this nationally representative survey, homeless persons reported high levels of barriers to needed care and used acute hospital-based care at high rates and insurance was associated with a greater use of ambulatory care and fewer reported barriers.



Mental health status and community adjustment after treatment in a residential treatment program for homeless veterans.

Investigation of the relationship of psychiatric and substance abuse problems, community adjustment, and housing status among homeless veterans who participated in a multisite residential treatment program found program participation was found to be associated with improvement in all areas of mental health and community adjustment.

Factors Affecting the Use of Medical, Mental Health, Alcohol, and Drug Treatment Services by Homeless Adults

This study describes use of medical, mental health, alcohol, and drug services by 832 adult residents of the New York City homeless shelter system and examines associations between service use during

Combat stress, psychosocial adjustment, and service use among homeless Vietnam veterans.

While homeless mentally ill Vietnam veterans with combat stress used VA mental health services more frequently than did homeless mental ill Vietnam veteran with other disorders, many received no mental health Services.

Who is served by programs for the homeless? Admission to a domiciliary care program for homeless veterans.

Compared with veterans who were not admitted for residential treatment, vets who were admitted were more likely to be previously involved in mental health treatment, literally homeless rather than at risk for homelessness, and without public financial support.

Health and mental health problems of homeless men and women in Baltimore.

A study of homeless people in Baltimore, Md, focused on their health and other characteristics, with special emphasis on their needs for services, demonstrates the high levels of disaffiliation of this population and their heavy involvement in substance abuse.

Mental health, alcohol and drug use, and criminal history among homeless adults.

Homeless persons who had had a previous psychiatric hospitalization were the least likely to sleep in an emergency shelter, had been homeless nearly twice as long as the rest of the sample, had the worst mental health status, used alcohol and drugs the most, and were the most involved in criminal activities.

Housing instability and homelessness among aftercare patients of an urban state hospital.

Homelessness as a dimensional concept reflecting instability of community living arrangements was examined in an urban state hospital's sample of aftercare patients with chronic mental illness and was strongly associated with abuse of alcohol and street drugs, treatment noncompliance, and a variety of psychosocial problems and psychiatric symptoms.

Homelessness and dual diagnosis.

The range of evolving approaches to providing social services, housing, and mental health and substance-abuse treatments; the relevant system issues and legal issues; and problems with current research, as well as future research directions are discussed.

Health care and the homeless: a political parable for our time.

  • B. Vladeċk
  • Political Science
    Journal of health politics, policy and law
  • 1990
This paper, which draws on the author's experience as chairman of the Committee on Health Care for Homeless People of the Institute of Medicine (IOM), describes what is known about the characteristics of homeless Persons and the causes of homelessness, and about the health status of homeless persons, which is often not very good (but not significantly worse, it would appear, than that of other low-income persons).

Homelessness : a national perspective

This dissertation aims to provide a history of homelessness in the United States and some of the factors that led to its development, as well as some strategies for change that can be applied in the future.