Homeless Veterans with Mental Illness: Predicting and Enhancing Recovery

患有精神疾病的无家可归退伍军人：预测和促进康复

• 批准号: 8667349
• 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: 2014
• 资助国家: 美国
• 起止时间: 2014-03-01 至 2017-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8667349
• 关键词: Accounting; Activities of Daily Living; Adult; Applications Grants; Auditory; Clinical; Communities; Community Integration; Congresses; Country; Data; Data Analyses; Demographic Factors; Education; Family; Friends; General Population; Goals; Healthcare Systems; Homelessness; Housing; Independent Living; Intervention; Intervention Studies; Joints; Los Angeles; Measures; Mental disorders; Motivation; Neurocognition; Outcome; Participant; Patients; Psychotic Disorders; Recording of previous events; Recovery; Recruitment Activity; Reporting; Research; Research Personnel; Risk; Sampling; Schools; Services; Social Work; Strategic Planning; Supportive assistance; Symptoms; Time; Transportation; U.S. Department of Housing and Urban Development; Veterans; Visual; Work; base; design; follow-up; functional outcomes; improved; indexing; prevent; programs; prospective; public health relevance; severe mental illness; social; social cognition; success; supported housing

DESCRIPTION (provided by applicant): Homelessness in Veterans is a widespread problem and is a high priority at the national level. The 2010 Federal Strategic Plan to Prevent and End Homelessness has as one of its goals to "Prevent and end homelessness among Veterans in five years." The Supplemental Report to the 2009 Annual Homeless Assessment Report to Congress offered a bleak account of the status of homeless Veterans: On a single night in January 2009, 75,609 Veterans were homeless. Veterans are homeless at about twice the rate of non- Veteran adults in the U.S. A joint program between Housing and Urban Development (HUD) and the VA offers housing assistance and supportive services to homeless Veterans through the HUD - VA Supportive Housing (HUD-VASH) Program. This program is a tremendous accomplishment; however, housing status is a necessary, but not sufficient, condition for successful community integration. Other important facets of community integration include social connections with family and friends, participation in work and school, and activities of daily living (shopping, transportation. These aspects of community integration frequently remain unchanged after housing is achieved. For those with severe mental illness (SMI), such as psychotic disorders, rates of homelessness are 10-20 times higher than in the general population. Little is known about predictors of functional outcome within the very large group of homeless Veterans with SMI. The research aims for this project are to determine which specific factors (i.e., neurocognition, social cognition, or motivational variables) predict functional outcome in homeless Veterans with psychotic disorders. In the proposed 3-year study we will recruit 120 Veterans with a history of a psychotic disorder who are in the HUD- VASH program and assess their community integration over a 12 month period prospectively. The goal is to identify the primary determinant(s) of outcome to be included in a subsequent treatment study. The aims of the proposed project are based on previous research at the VISN 22 Mental Illness Research, Education and Clinical Center (MIRECC) at VA Greater Los Angeles Healthcare System (GLA) on predictors and determinants of functional outcome in SMI. When we complete this study we will know which factors are key determinant(s) of community integration in homeless Veterans with psychotic disorders and will have the necessary information to propose a larger intervention study. We view the current application as the start of a concentrated and systematic research program dedicated to improving the lives of homeless Veterans with SMI.

描述（由申请人提供）： 退伍军人的无家可归是一个普遍的问题，在国家一级是当务之急。 2010年，预防和结束无家可归的联邦战略计划是其“预防和结束五年内退伍军人无家可归”的目标之一。 2009年向国会的年度无家可归评估报告的补充报告提供了关于无家可归者的状况的惨淡描述：2009年1月的一个晚上，有75,609名退伍军人无家可归。退伍军人无家可归，大约是美国非退伍军人成年人的两倍，住房和城市发展（HUD）和VA之间的联合计划和VA通过HUD-VA-VA支持住房（HUD-VASH）计划为无家可归的退伍军人提供住房援助和支持服务。该计划是一个巨大的成就；但是，住房状况是成功的社区融合的必要条件，但不足。社区融合的其他重要方面包括与家人和朋友的社交联系，参与工作和学校的活动以及日常生活的活动（购物，交通。社区整合的这些方面经常在住房后实现。对于那些精神疾病（SMI），精神疾病（SMI），例如无家可归的人的比率比一般人群高10-20倍的人，众所周知的是，众所周知的是，众所周知的是，众所周知的群体都在众多的群体。该项目的研究目的是确定哪些特定因素（即神经认知，社会认知或动机变量）预测具有精神病的无家可归者的功能结果。被包括在随后的治疗研究中。拟议项目的目的是基于VA大洛杉矶医疗保健系统（GLA）的VISN 22精神疾病研究，教育和临床中心（MIRECC）的先前研究，该系统对SMI功能结果的预测因素和决定因素。完成这项研究后，我们将知道哪些因素是具有精神病患者无家可归的退伍军人社区融合的关键决定因素，并将有必要的信息来提出更大的干预研究。我们将当前的应用视为集中和系统的研究计划的开始，该计划致力于改善SMI的无家可归者的生活。