Factors associated with irregular discharges in the VA domiciliary care for homeless veterans (DCHV) program
JOURNAL OF SOCIAL DISTRESS AND THE HOMELESS(2024)
Abstract
The Domiciliary Care for Homeless Veterans (DCHV) programs provide time-limited residential treatment for veterans experiencing homelessness. Veterans prematurely leave DCHV programs for a variety of reasons, referred to as an "irregular discharge." Our aim was to identify factors associated with irregular discharges from DCHV programs using multivariable logistic regressions on a national administrative dataset of 12,337 Veteran admitted to DCHV programs from 2018-2021. Irregular discharges were documented for 24.8% of the sample. Factors associated with increased risk of irregular discharges included prior incarceration (OR = 1.23, 95% CI [1.08, 1.39]), PTSD (OR = 1.13, 95% CI [1.02, 1.24]), psychoses (OR = 1.37, 95% CI [1.22, 1.53]), and drug use diagnosis (OR = 1.56, 95% CI [1.40, 1.74]). Understanding the risk factors for irregular discharge will allow for targeted interventions to Veterans most at risk. Further exploration into how to improve DCHV care for veterans with a history of incarceration, PTSD, and drug use diagnoses is warranted.
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Key words
Homelessness,veterans,substance use,mental health,rehabilitation
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