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Evaluation of VA's Supported Housing Program for Homeless Veterans

对退伍军人管理局无家可归退伍军人支持住房计划的评估

基本信息

批准号：
9075393
负责人：
JACK TSAI
金额：
--
依托单位：
VA CONNECTICUT HEALTHCARE SYSTEM
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-10-01 至 2017-09-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9075393
关键词：
Adopted Adult Alcohol or Other Drugs use Area Attitude Award Caring Case Management Case Manager Characteristics Client Clinical Clinical effectiveness Cohort Studies Connecticut Country Data Data Analyses Doctor of Medicine Doctor of Philosophy Employment Evaluation Evaluation Research Failure Funding Future Goals Healthcare Systems Homelessness Housing Income Individual K-Series Research Career Programs Length Life Mental Health Services Mentors Mentorship Modeling Modification Outcome Performance Physically Handicapped Policies Positioning Attribute Process Program Development Program Evaluation Psyche structure Recruitment Activity Research Research Methodology Research Personnel Resource Allocation Rural Services Site Surveys Testing Therapeutic Time Training U.S. Department of Housing and Urban Development Veterans Work base career career development cohort cost cost effective cost effectiveness experience geographic difference group support improved innovation interest neglect operation peer programs research and development social supported housing time use voucher

项目摘要

DESCRIPTION (provided by applicant): Homelessness among veterans has remained a national problem for over three decades. Last year, Secretary of Veterans Affairs Eric Shinseki has pledged homelessness as one of his top 5 priorities and has announced a 5-year plan to end homelessness among veterans. One of the most important VA programs for homeless veterans, the Housing and Urban Development-Veterans Affairs Supportive Housing (HUD-VASH) program is in need of evaluation, research, and improvement. HUD-VASH is the largest supported housing program for veterans in the nation and is continuing to expand. The HUD-VASH program currently provides over 20,000 housing vouchers for rental assistance along with supportive case management services for adults with mental or physical disabilities who are chronically homeless; over 10,000 more housing vouchers have been approved this year. The objective of the proposed research is to investigate the real-world operation of the HUD-VASH program locally and nationally, with the goal of improving resource allocation and tailoring VA homeless services to veteran needs. There are three specific aims. The first aim is to evaluate an innovative group- intensive peer-support (GIPS) model of case management for HUD-VASH at the VA Connecticut Healthcare System. Performance and client outcomes at this study site will be compared to other control HUD-VASH sites during the same time using VA administrative program data. It is hypothesized that this model will be a cost- effective alternative model of case management for HUD-VASH and other supported housing programs across the country. The second aim is to conduct a national survey of HUD-VASH clinicians about their case management practices and attitudes about using groups in the program. The results of the survey will help establish a baseline for current case management practices and identify sites that may be interested in participating in a larger demonstration of the GIPS model. The third aim is to assess housing placement and program participation in HUD-VASH nationally. Factors related to the rapidity of housing placement and duration of program participation in HUD-VASH will be examined. Analysis of recent VA administrative program data will be used and the results will be informative in program development. This application is to support Jack Tsai, Ph.D., in conducting the proposed research and to help him develop a career as an independent investigator with a focus on VA homeless services. Dr. Tsai will work primarily under the mentorship of Robert Rosenheck, M.D., an internationally renowned mental health services researcher who has evaluated hundreds of homeless programs in the VA and established the first 40 HUD- VASH programs in the country. Dr. Tsai will be supported by a secondary mentor, James McGuire, Ph.D., who is a national administrative leader of VA homeless services, and a third mentor, Haiqun Lin, M.D., Ph.D., who is a biostatistician and an expert on longitudinal data analyses. An additional consultant, Vince Kane, MSW, has been recruited to provide administrative support and guidance on dissemination. Through this career development award, Dr. Tsai will be able to evaluate the main VA supported housing program for homeless veterans locally and nationally. Through coursework and mentorship, Dr. Tsai will gain training on research methodology and policy. He will develop expertise in program evaluation with the ultimate goal of improving homeless services based on research. At the end of the award, Dr. Tsai will be an established researcher in the VA and be in a position to compete for independent funding.

描述（由申请人提供）：