Enhancing Community Integration for Homeless Veterans

加强无家可归退伍军人的社区融合

• 批准号: 9475101
• 负责人: Michael F. Green
• 金额: --
• 依托单位: VA GREATER LOS ANGELES HEALTHCARE SYSTEM
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-05-01 至 2020-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9475101
• 关键词: Award; Clinical; Clinical Trials; Collection; Communities; Community Integration; Complex; Development; Family; Friends; Future; Goals; Grant; Healthcare Systems; Homelessness; Housing; Individual; Intervention Studies; Link; Los Angeles; Mentorship; Methodology; Methods; Mission; Modeling; Outcomes Research; Participant; Pathway interactions; Postdoctoral Fellow; Program Research Project Grants; Randomized Controlled Trials; Recovery; Recruitment Activity; Research; Research Infrastructure; Research Personnel; Research Project Grants; Research Training; Risk; Schools; Services; Talents; Training; Translational Research; Veterans; Work; base; cognitive neuroscience; data management; improved; innovation; multidisciplinary; neglect; once housed; prevent; programs; public health relevance; skills; social integration; social neuroscience; supported housing; translational study

 DESCRIPTION: Homelessness in Veterans is a widespread, vexing problem, and an urgent priority at the national level. The VA set a goal to prevent and eliminate homelessness in Veterans within 5 years (that is, by 2015). This is an important goal because Veterans are greatly overrepresented among the homeless (16% versus 8% non- Veterans). Using models such as supportive housing, the VA has made substantial progress in housing Veterans. For example, between 2010 and 2013, the number of homeless Veterans decreased by 24%. Despite this substantial progress in providing housing for Veterans, a fundamental problem remains. Permanent housing is a necessary, but not sufficient, condition for successful community integration. Community integration is defined in terms of: 1) social integration (i.e., contact with family and friends) and 2) work integration (maintaining productive activities in work or school). Providing housing is only the first step in facilitating recovery among homeless Veterans; once housed, they will need different types of assistance to integrate into communities. Community integration does not arise automatically once housing is provided. Hence, we propose a Research Enhancement Award Program (REAP) application linked to the homeless programs at VA Greater Los Angeles Healthcare System (GLA) to serve as an interdisciplinary center to generate intervention and translational research to improve community integration for homeless Veterans. The REAP will fill a critical gap: Rather than focusing on factors that confer risk for homelessness in Veterans (a complex question already being widely studied), we will instead apply our group's skills to the neglected problem of community integration for Veterans once housing has been provided. It will attract and develop clinical researchers and trainees who will focus their energies on this critical problem. The REAP will be based at GLA, which has served 34,000 homeless Veterans since FY 2006, including 4,000 new homeless Veterans each year, and has the largest homeless program of any VA in the nation. The mission of this REAP is to understand and to improve community integration in homeless Veterans. This mission consists of several components: Research: This REAP will support: 1) translational studies using cognitive neuroscience methods and concepts to understand the determinants of work and social integration in homeless Veterans after housing is provided, and 2) intervention studies to rigorously evaluate with randomized controlled trials innovative treatments to enhance community integration for these individuals. Training: This REAP will encourage postdoctoral fellows and junior investigators to focus their professional talents on the topic of homelessness and community integration in Veterans. This goal will be accomplished by the Pilot Grant Program and through multi-disciplinary mentorship. Facilitation for new projects: The proposed REAP will provide support for independent grant submissions. Future applications will benefit from the REAP infrastructure, such as recruitment pathways, and a rare collection of expertise in clinical trial methodology, outcomes research, and cognitive and social neuroscience. To facilitate the development of new projects, the REAP will provide services to projects, including: 1) recruitment and assessment of participants for all REAP research projects; and 2) data management and statistical support for future applications.

 描述： 退伍军人无家可归是一个普遍存在、令人烦恼的问题，也是国家层面的一项紧迫任务。退伍军人事务部制定了一个目标，即在 5 年内（即到 2015 年）预防和消除退伍军人无家可归现象。例如，从 2010 年到 2010 年，退伍军人管理局利用支持性住房等模式，在无家可归者中所占比例大大高于非退伍军人。 2013 年，无家可归的退伍军人人数减少了 24%，尽管在为退伍军人提供住房方面取得了重大进展，但永久住房是成功融入社区的必要条件，但还不是充分条件。 ： 1) 社会融合（即与家人和朋友联系）和 2) 工作融合（在工作或学校中维持生产性活动） 提供住房只是促进无家可归退伍军人康复的第一步；需要不同类型的援助才能融入社区。因此，我们提出与 VA 大洛杉矶医疗系统 (GLA) 的无家可归者计划相关的研究增强奖励计划 (REAP) 申请。作为一个跨学科中心，开展干预和转化研究，以改善无家可归退伍军人的社区融合，REAP 将填补一个关键空白：而不是关注导致退伍军人无家可归风险的因素（一个已经被广泛研究的复杂问题）。我们将改为应用我们小组的一旦提供住房，该项目将吸引和培养临床研究人员和实习生，他们将把精力集中在这一关键问题上，GLA 已为 34,000 名无家可归的退伍军人提供服务。 2006 财年，每年新增 4,000 名无家可归退伍军人，并拥有全国最大的退伍军人计划。该 REAP 的使命是了解并改善无家可归退伍军人的社区融合。研究：该 REAP 将支持：1）利用认知神经科学方法和概念进行转化研究，以了解无家可归退伍军人在提供住房后工作和社会融入的决定因素，2）通过随机对照试验进行严格评估的干预研究培训：该 REAP 将鼓励博士后研究员和初级研究人员将他们的专业才能集中在退伍军人无家可归和社区融合主题上。这一目标将通过试点资助计划并通过多种方式来实现。 - 纪律指导。促进新项目：拟议的 REAP 将为独立拨款申请提供支持，未来的申请将受益于 REAP 基础设施，例如招募途径以及临床试验方法、结果研究以及认知和社会神经科学方面的罕见专业知识。为了促进新项目的开发，REAP将为项目提供服务，包括：1）所有REAP研究项目的参与者招募和评估；2）为未来的应用提供数据管理和统计支持。