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A Hybrid III stepped wedge cluster randomized trial testing an implementation strategy to facilitate the use of an evidence-based practice in VA Homeless Primary Care Treatment Programs
Author(s): Molly M. Simmons, Sonya Gabrielian, Thomas Byrne, Megan B. McCullough, Jeffery L. Smith, Thom J. Taylor, Tom P. O’Toole, Vincent Kane, Vera Yakovchenko, D. Keith McInnes, David A. Smelson
Publication Date: 2017
Background Homeless veterans often have multiple health care and psychosocial needs, including assistance with access to housing and health care, as well as support for ongoing treatment engagement. The Department of Veterans Affairs (VA) developed specialized Homeless Patient Alignment Care Teams (HPACT) with the goal of offering an integrated, “one-stop program” to address housing and health care needs of homeless veterans. However, while 70% o...
Integrating Permanent Supportive Housing and Co-Occurring Disorders Treatment for Individuals Who Are Homeless
Author(s): David A. Smelson, Heather Zaykowski, Nathan Guevermont, Julianne Siegfriedt, Leon Sawh, David Modzelewski, Sam Tsemberis, Vincent Kane
Publication Date: 2016
Objectives: While permanent housing, addictions, and mental health treatment are often critical needs to achieve housing stability and community reintegration, few studies have systematically integrated them into a single comprehensive approach for people experiencing chronic homelessness. This pilot study examined the feasibility and preliminary outcomes of systematically integrating permanent supportive housing and an evidence-based co-occurrin...
Predictors of Homelessness Among Families and Single Adults After Exit From Homelessness Prevention and Rapid Re-Housing Programs: Evidence From the Department of Veterans Affairs Supportive Services for Veteran Families Program
Author(s): Thomas Byrne, Dan Treglia, Dennis P. Culhane, John Kuhn, Vincent Kane
Publication Date: 2015
This article assesses the extent and predictors of homelessness among veterans (both veterans in families with children and single adults veterans) exiting the Supportive Services for Veteran Families (SSVF) program, which is a nationwide homelessness prevention and rapid re-housing program geared primarily toward those experiencing crisis homelessness. Among rapid re-housing participants, 16% and 26% of single adult veterans experienced an episo...
Cause of Death in Veterans Receiving General Medical and Mental Health Care
Author(s): Richard Thompson, Ira Katz, Vincent Kane, Steven Sayers
Publication Date: 2002
This article examines the rates of causes of death among veterans served by Pennsylvania Veterans Affairs Medical Centers (VAMCs) and the relations between recent mental health treatment, age at death, and cause of death. The authors also examine site differences in VAMCs across Pennsylvania in rates of unnatural deaths in general and suicide in particular. (Authors)
Housing Chronically Homeless Veterans: Evaluating the Efficacy of a Housing First Approach to HUD-VASH
Author(s): Ann Elizabeth Montgomery, Lindsay L. Hill, Vincent Kane, Denis P. Culhane
Publication Date: 2013
Rapidly placing homeless Veterans with severe mental illness into permanent housing is one important goal of the U.S. Department of Housing and Urban Development-Veterans Affairs Supportive Housing (HUD-VASH) program; however, no research has tested whether an explicit organizational alignment of this goal with revised practices could improve outcomes. A demonstration project initiated in 2010 to reform housing placement practices in a metropolit...
A Wraparound Treatment Engagement Intervention for Homeless Veterans With Co-Occurring Disorders
Author(s): David A. Smelson, Anna Kline, John Kuhn, Stephanie Rodrigues, Kathryn O'Connor, William Fisher, Leon Sawh, Vincent Kane
Publication Date: 2012
This article reports the results of a low-intensity wraparound intervention, Maintaining Independence and Sobriety through Systems Integration, Outreach, and Networking (MISSION), to augment Treatment as Usual (TAU) and engage and retain homeless veterans with a co-occurring disorder (COD) in care (Authors).
MISSION-VET Treatment Manual
Author(s): David A. Smelson, Leon Sawh, Vincent Kane, John Kuhn, Douglas M. Ziedonis
Publication Date: 2011
Treatment manual for the Maintaining Independence and Sobriety through Systems Integration, Outreach, and Networking (MISSION) treatment approach, which was adapted specifically for Veterans (MISSION-VET). MISSION-VET, a flexible, integrated, time-limited, yet assertive service delivery platform was designed specifically to provide direct treatment, ongoing support, and care coordination to homeless Veterans suffering from co-occurring disorders...
Prevalence and Risk of Homelessness Among US Veterans
Author(s): Jamison Fargo, Stephen Metraux, Thomas Byrne, Ellen Munley, Ann Elizabeth Montgomery, Harlan Jones, George Sheldon, Vincent Kane, Dennis Culhane
Publication Date: 2012
Understanding the prevalence of and risk for homelessness among veterans is prerequisite to preventing and ending homelessness among this population. Homeless veterans are at higher risk for chronic disease; understanding the dynamics of homelessness among veterans can contribute to our understanding of their health needs. Methods We obtained data on demographic characteristics and veteran status for 130,554 homeless people from 7 jurisdictions t...