Abstract
Aims: We sought to identify person- and program-level factors distinguishing permanent supportive housing (PSH) residents with higher versus lower social integration; and higher versus lower instrumental functioning. Methods: Among 60 PSH residents at Los Angeles' VA, surveys and medical records captured person-level factors. Using a median split, we dichotomized participants with higher versus lower social integration; and higher versus lower instrumental functioning. Recursive partitioning (RP) identified variables that best-differentiated these subgroups. Interviews with 26 participants captured their perceptions on social integration and instrumental functioning. Results: Using RP, health-related quality of life, psychiatric symptoms and case management frequency best-differentiated the social integration subgroups. Few perceived that PSH affected social integration. RP did not yield a stable model to differentiate the instrumental functioning subgroups; participants perceived that PSH addressed most functional deficits. Conclusions: Services that enhance social integration may benefit PSH residents with poor health; existing services may adequately address instrumental functioning.
Original language | English (US) |
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Pages (from-to) | 2144-2162 |
Number of pages | 19 |
Journal | Journal of Community Psychology |
Volume | 50 |
Issue number | 5 |
DOIs | |
State | Published - Jul 2022 |
Keywords
- Veterans
- functional status
- homeless persons
- housing
- mental disorders
- mental health recovery
- social integration
ASJC Scopus subject areas
- Social Psychology