Screening for homelessness among individuals initiating medication-assisted treatment for opioid use disorder in the Veterans Health Administration.
Screening for homelessness among individuals initiating medication-assisted treatment for opioid use disorder in the Veterans Health Administration.
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DOI：
10.5055/jom.2015.0298
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发表时间：
2015-11-01
影响因子：
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通讯作者：
Montgomery, Ann Elizabeth
中科院分区：
文献类型：
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作者：
Bachhuber, Marcus A;Roberts, Christopher B;Montgomery, Ann Elizabeth
目的：确定无家可归的患病率和无家可归的风险与阿片类药物使用障碍的退伍军人开始治疗。设置：成瘾治疗计划由美国退伍军人事务部（VA）。2013年10月1日至2014年9月30日期间开始接受美沙酮或丁丙诺啡治疗阿片类药物使用障碍的所有退伍军人（n = 2，699）谁管理VA的国家无家可归screener.Main结果measurements：自我报告无家可归或无家可归的迫在眉睫的risk.RESULTS：无家可归的患病率为10.2%和5.3%的无家可归的风险。与男性退伍军人相比，女性退伍军人报告无家可归的可能性较小（8.9%对10.3%），但更有可能处于危险之中（11.8%对4.9%）。按年龄组划分，18-34岁和45-54岁的退伍军人最常报告无家可归（分别为12.0%和11.7%）和45-54岁和55-64岁的退伍军人最常报告无家可归的风险（分别为6.5%和6.8%）。这一人群中无家可归的患病率大约是在VA获得护理的一般退伍军人人口的10倍。筛选确定了大量退伍军人谁可以受益于退伍军人事务部住房援助，并没有收到它最近。解决退伍军人无家可归问题的方案应该与寻求成瘾治疗的退伍军人接触。将无家可归者服务纳入成瘾治疗环境反过来可能会改善结果。
OBJECTIVE: To determine the prevalence of homelessness and risk for homelessness among veterans with opioid use disorder initiating treatment.SETTING: Addiction treatment programs operated by the US Department of Veterans Affairs (VA).PARTICIPANTS: All veterans initiating treatment with methadone or buprenorphine for opioid use disorder between October 1, 2013 and September 30, 2014 (n = 2,699) who were administered the VA's national homelessness screener.MAIN OUTCOME MEASURES: Self-reported homelessness or imminent risk of homelessness.RESULTS: The prevalence of homelessness was 10.2 percent and 5.3 percent were at risk for homelessness. Compared to male veterans, women veterans were less likely to report homelessness (8.9 percent vs 10.3 percent) but more likely to be at risk (11.8 percent vs 4.9 percent). By age group, veterans aged 18-34 and 45-54 years most frequently reported homelessness (12.0 and 11.7 percent, respectively) and veterans aged 45-54 and 55-64 years most frequently reported risk for homelessness (6.5 and 6.8 percent, respectively).CONCLUSIONS: The prevalence of homelessness in this population is approximately 10 times that of the general veteran population accessing care at VA. Screening identified a substantial number of veterans who could benefit from VA housing assistance and had not received it recently. Programs to address veteran homelessness should engage with veterans seeking addiction treatment. Integration of homelessness services into addiction treatment settings may, in turn, improve outcomes.