Title

The Relationship Between Military Service Eras and Psychosocial Treatment Needs Among Homeless Veterans With a Co-Occurring Substance Abuse and Mental Health Disorder

UMMS Affiliation

Department of Psychiatry

Date

7-2009

Document Type

Article

Medical Subject Headings

Veterans; Veterans Health; Mentally Ill Persons; Mental Health Services; Substance-Related Disorders; Homeless Persons

Disciplines

Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology

Abstract

This article will examine baseline assessment data from consecutive admissions to the MISSION Program, a transitional case management program for homeless veterans, to better understand the differences across military service eras that impact the psychosocial treatment needs of homeless, mentally ill, substance-abusing veterans. In all, 373 homeless veterans with a co-occurring mental illness and substance abuse disorder received the Structured Clinical Interview for DSM-IV Diagnosis, a modified Addiction Severity Index, the BASIS-32, and a comprehensive assessment battery focusing on other psychosocial treatment needs. Chi-square analysis and ANOVA were used to measure differences in mental health, substance use, physical health status, and homelessness across service eras, broken down by Vietnam era, post-Vietnam era, and Persian Gulf/Middle East era. Persian Gulf/Middle East era veterans were significantly more likely to have mental health problems than other veteran cohorts, especially problems with post-traumatic stress disorder (p ≤ .001), and reported more days of mental health problems in the last month (p = .01). Mideast veterans also became homeless at a significantly earlier age than other veterans (p ≤ .001), were more likely to report housing instability in their families of origin (p ≤ .05) and to attribute their homelessness to mental health problems (p = .01). Service providers need to be aware of the diversity of homeless veterans' service needs by period of military service in order to develop well-targeted, effective interventions.

Rights and Permissions

Citation: Kline, A., Callahan, L., Butler, M., St. Hill, L., Losonczy, M. F. & Smelson, D. A. (2009). The Relationship Between Military Service Eras and Psychosocial Treatment Needs Among Homeless Veterans With a Co-Occurring Substance Abuse and Mental Health Disorder. Journal of Dual Diagnosis, 5(3), 357-374. doi:10.1080/15504260903175882.