Open access

Correlates of Veteran Status in a Canadian Sample of Homeless People With Mental Illness

Publication: Canadian Journal of Community Mental Health
8 December 2014

Abstract

Many veterans at risk of homelessness also suffer from mental health problems. The aim of this study was to identify correlates of veteran status among housing, mental health, and service use variables in a Canadian sample of homeless people with mental illness. The data were obtained from At Home / Chez Soi, a Canadian multisite study. The participants were 99 veterans and a matched comparison group of 297 non-veterans. Data were gathered at baseline and were analyzed using logistic regression. The veteran and non-veteran groups were found to be similar, although veterans attended school longer, and were more likely to have been victims of a robbery in the 6 months prior to enrolment in the study. Veterans were not overrepresented in this sample as compared with the general population.

Résumé

Plusieurs vétérans à risque d'itinérance souffrent également de troubles de santé mentale. Le but de cette étude était d'identifier des variables corrélées au statut de vétéran parmi des facteurs liés au logement, à la santé mentale et à l'utilisation des services dans un échantillon canadien d'itinérants et d'itinérantes souffrant de troubles mentaux. Les données provenaient d'une étude pancanadienne, At Home / Chez Soi. Les participants et participantes étaient 99 vétérans ainsi qu'un groupe de comparaison apparié de 297 nonvétérans. Les données ont été recueillies lors de l'entrée dans l’étude et ont été analysées à l'aide de régressions logistiques. Les deux groupes étaient similaires, bien que les vétérans aient été scolarisés davantage et qu'ils soient plus susceptibles d'avoir été victimes d'un vol dans les 6 mois précédant l'entrée dans l’étude. Les résultats suggèrent que les deux groupes sont similaires. Les vétérans ne sont pas surreprésentés dans cet échantillon.

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References

Adair C. E., McDougall G. M., Mitton C. R., Joyce A. S., Wild T. C., Gordon A., and Beckie A. Continuity of care and health outcomes among persons with severe mental illness Psychiatric Services 2005 56 1061 -1069
Applewhite S. L. Homeless veterans: Perspectives on social service use Social Work 1997 42 1 19 -30
Barker S., Barron N., McFarland B. H., and Bigelow D. A. A community ability scale for chronically mentally ill consumers Community Mental Health Journal 1994 30 459 -472
Boothroyd R. A. and Chen H. J. The psychometric properties of the Colorado Symptom Index Journal Administration and Policy in Mental Health and Mental Health Services Research 2008 35 5 370 -378
Bossarte R. M., Blosnich J. R., Piegari R. I., Hill L. L., and Kane V. Housing instability and mental distress among US veterans American Journal of Public Health 2013 103 2 S213 -S216
Browne G. B., Arpin K., Corey P., Fitch M., and Gafni A. Individual correlates of health service utilization and the cost of poor adjustment to chronic illness Medical Care 1990 28 1 43 -58
Canadian Institute for Health Information. (2007). Improving the health of Canadians: Mental health and homelessness. Ottawa: Author.
Canadian Veterans Advocacy. (2013). Pennies for veterans. Retrieved September 17, 2013, from http://www.canadianveteransadvocacy.com/pennies.html
Chisholm M. R., Knapp M. R. J., Knudsen H. C., Amaddeo F., Gaite L., and van Wijngaarden B. Client sociodemographic and service receipt inventory – European version: Development of an instrument for international research British Journal of Psychiatry 2000 177 s28 -s33
City of Toronto. (2013). Street needs assessment results. Retrieved September 18, 2013, from http://www.toronto.ca/legdocs/mmis/2013/cd/bgrd/backgroundfile-61365.pdf
Conrad K. J., Yagelka J. R., Matters M. D., Rich A. R., Williams V., and Buchanan M. Reliability and validity of a modified Colorado Symptom Index in a national homeless sample Mental Health Services Research 2001 3 3 141 -153
Dennis M. L., Chan Y., and Funk R. R. Development and validation of the GAIN Short Screener for internalizing, externalizing and substance use disorders and crime/violence problems among adolescents and adults American Journal on Additions 2006 15 80 -91
Dickerson F. B., Origoni A. E., Pater A., Friedman B. K., and Kordonski W. A. An expanded version of the Multnomah Community Ability Scale: Anchors and interview probes for the assessment of adults with serious mental illness Community Mental Health Journal 2003 39 131 -137
Fargo J., Metraux S., Byrne T., Munley E., Montgomery A. E., Jones H., and Culhane D. Prevalence and risk of homelessness among US veterans Preventing Chronic Disease 2012 9 E45
Forchuk C., Brown S. A., Schofield R., and Jensen E. Perceptions of health and health service utilization among homeless and housed psychiatric consumer/survivors Journal of Psychiatric and Mental Health Nursing 2008 15 399 -407
Frane J. W. A method of biased coin randomization, its implementation and its validation Drug Information Journal 2008 32 423 -432
Frankish C. J., Hwang S. W., and Quantz D. Homelessness and health in Canada: Research lessons and priorities Canadian Journal of Public Health 2005 96 S23 -S29
Gaetz, S., Donaldson, J., Richter, T., & Gulliver, T. (2013). The state of homelessness in Canada 2013. Toronto: Canadian Homelessness Research Network Press.
Ghose T., Gordon A., Metraux S., and Justice A. Mental illness and homelessness among veterans Psychiatric Services 2011 62 12 1514 -1515
Goering P. N., Streiner D. L., Adair C., Aubry T., Barker J., Distasio J., and Zabkiewicz D. M. The At Home / Chez Soi trial protocol: A pragmatic, multi-site, randomised controlled trial of a Housing First intervention for homeless individuals with mental illness in five Canadian cities BMJ Open 2011 1 2 e000323
Goering, P. N., Veldhuizen, S., Watson, A., Adair, C., Kopp, B., Latimer, E., … Aubry, T. (2014). National At Home / Chez Soi final report. Calgary: Mental Health Commission of Canada.
Guerriere D. N., Ungar W. J., Corey M., Croxford R., Tranmer J. E., Tullis E., and Coyte P. C. Evaluation of the ambulatory and home care record: Agreement between self-reports and administrative data International Journal of Technology Assessment in Health Care 2006 22 2 203 -210
Hwang S. W. Homelessness and health Canadian Medical Association Journal 2001 164 2 229 -233
Hwang S. W., Ueng J. J. M., Chiu S., Kiss A., Tolomiczenko G., Cowan L., and Redelmeier D. A. Universal health insurance and health care access for homeless persons American Journal of Public Health 2010 100 8 1454 -1461
Kashner M. T., Stensland M. D., Lind L., Wicker A., Rush A. J., Golden R. M., and Henley S. S. Measuring use and cost of care for patients with mood disorders Medical Care 2009 47 2 184 -190
Khandor, E., & Mason, K. (2007). The street health report 2007. Toronto, ON: Creative Commons.
Lehmann E. L. and Romano J. P. Generalizations of the familywise error rate Annals of Statistics 2005 33 1138 -1154
MacLean, M. B., VanTil, L., Kriger, D., Sweet, J., Poirier, A., & Pedlar, D. (2013). Well-being of Canadian Forces veterans: Canadian community health survey 2003. Charlottetown: Veterans Affairs Canada, Research Directorate.
Mares, A. S., & Rosenheck, R. A. (2007). HUD/HHS/VA collaborative initiative to help end chronic homelessness national performance outcomes assessment: Preliminary client outcomes report. West Haven, CT: Northeast Program Evaluation Center.
McGuire J., Rosenheck R. A., and Kasprow W. J. Patient and program predictors of 12-month outcomes for homeless veterans following discharge from time-limited residential treatment Administration and Policy in Mental Health 2011 38 3 142 -154
Montgomery A. E., Fargo J. D., Byrne T. H., Kane V., and Culhane D. P. Universal screening for homelessness and risk for homelessness in the veterans health administration American Journal of Public Health 2013 103 2 S210 -S211
Osborne, J. W. (2013). Best practices in data cleaning. Thousand Oaks, CA: Sage.
Pearson, C., Janz, T., & Ali, J. (2013). Mental and substance use disorders in Canada. Health at a glance. September. Statistics Canada catalogue no. 82-624-X. Retrieved from www.statcan.gc.ca/pub/82-624-x/2013001/article/11855-eng.htm
Ray, S. L., & Forchuk, C. (2011). The experience of homelessness among Canadian forces and allied forces veterans. University of Western Ontario. Retrieved September 18, 2013, from http://homeless.samhsa.gov/ResourceFiles/Homelessness%20Vets%20Article.pdf
Rosenheck R. and Koegel P. Characteristics of veterans and nonveterans in three samples of homeless men Hospital & Community Psychiatry 1993 44 9 858 -863
Schinka J. A., Casey R. J., Kasprow W., and Rosenheck R. A. Requiring sobriety at program entry: Impact on outcomes in supported transitional housing for homeless veterans Psychiatric Services 2011 62 11 1325 -1330
Sheehan D. V., Lecrubier Y., Harnett-Sheehan K., Amorim P., Janavs J., Weiller E., and Dunbar G. The Mini International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview Journal of Clinical Psychiatry 1998 59 suppl. 20 22 -33
Shern D. L., Wilson N. Z., Saranga Coen A., Patrick D. C., Foster M., Bartsch D. A., and Demmler J. Client outcomes II: Longitudinal client data from the Colorado treatment outcome study Milbank Quarterly 1994 72 1 123 -148
Silva D. S., Goering P. N., Jacobson N., and Streiner D. L. Off the beaten path: Conducting ethical pragmatic trials with marginalized populations IRB: Ethics and Human Research 2011 33 3 6 -11
Sirey J., Beyers B. S., Teresi J. A., Bruce M. L., Ramirez M., Raue P. J., and Holmes D. The Cornell Service Index as a measure of health service use Psychiatric Services 2005 56 12 1564 -1569
Statistics Canada. (2008). Canadian community health survey (CCHS) 2008 questionnaire. Ottawa, ON: Author. Retrieved from www.statcan.gc.ca/imdb-bmd/instrument/3226_Q1_V5-eng.pdf
Stefancic A. and Tsemberis S. Housing First for long-term shelter dwellers with psychiatric disabilities in a suburban county: A four-year study of housing access and retention Journal of Primary Prevention 2007 23 3–4 265 -279
Thompson, J. M., MacLean, M. B., Van Til, L., Sudom, K., Sweet, J., Poirier, A., … Pedlar, D. (2011). Survey on transition to civilian life: Report on regular force veterans. Charlottetown: Research Directorate, Veterans Affairs Canada; Ottawa: Director General Military Personnel Research and Analysis, Department of National Defence.
Trainor, J., Taillon, P., & Pandalangat, N. (2011). Turning the key: Assessing housing and related supports for persons living with mental problems and illness. Retrieved September 20, 2013, from http://www.mentalhealthcommission.ca/english/node/562
Trypuc, B., & Robinson, J. (2009). Charity Intelligence Canada: Homeless in Canada. Retrieved September 18, 2013, from http://www.charityintelligence.ca/images/Ci-Homeless-in-Canada.pdf
Tsai J., Mares A. S., and Rosenheck R. A. Do homeless veterans have the same needs and outcomes as nonveterans? Military Medicine 2012 177 1 27 -31
Van Ameringen M., Mancini C., Patterson B., and Boyle M. H. Post-traumatic stress disorder in Canada CNS Neuroscience & Therapeutics 2008 14 3 171 -181
Veterans Affairs Canada. (2013). VAC's response to the Office of the Veterans Ombudsman (OVO) observation papers. Retrieved September 10, 2013, from http://www.veterans.gc.ca/eng/department/reports/ovo-response/ovo-homeless
Woodhead C., Rona R. J., Iversen A. C., Macmanus D., Hotopf M., Dean K., and Fear N. T. Health of national service veterans: An analysis of a community-based sample using data from the 2007 adult psychiatric morbidity survey of England Social Psychiatry and Psychiatric Epidemiology 2011 46 7 559 -66

Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 33Number 4December 2014
Pages: 141 - 159

History

Version of record online: 8 December 2014

Key Words

  1. veterans
  2. homelessness
  3. mental health
  4. service use
  5. victimization

Mots-clés

  1. vétérans
  2. itinérance
  3. santé mentale
  4. utilisation des services
  5. victimisation

Authors

Affiliations

Jimmy Bourque [email protected]
Université de Moncton
Linda VanTil
Veterans Affairs Canada
Stefanie Renee LeBlanc
Université de Moncton
Brianna Kopp
Mental Health Commission of Canada
Stéphanie Daigle
Université de Moncton
Jacinthe LeBlanc
Université de Moncton
Jitender Sareen
University of Manitoba
Kathy Darte
Veterans Affairs Canada
Liette-Andrée Landry
Université de Moncton
Faye More
Mental Health Commission of Canada

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