Problem solving skills and deficits among homeless veterans with serious mental illness

Dados Bibliográficos

ID9052873
AutoresSonya Gabrielian (0000-0002-1790-4271, Center for the Study of Healthcare Provider Behavior), E Bromley (0000-0002-2256-7214, Center for the Study of Healthcare Provider Behavior), Alison B Hamilton (Center for the Study of Healthcare Provider Behavior), Van T Vu (University of California, San Francisco), Adrian Alexandrino (SC Solutions (United States)), Ella Koosis, Ella R Koosis (Center for the Study of Healthcare Provider Behavior), Alexander S Young (0000-0002-9367-9213, Center for the Study of Healthcare Provider Behavior)
Ano2019
Volume89
Fascículo2
Páginas287-295
Data de publicação2019-01-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Orthopsychiatry (JOURNAL)
Identificadores do periódicoISSN: 0002-9432 • E-ISSN: 1939-0025
EditoraAmerican Psychological Association (APA) (PUBLISHER)
DOI10.1037/ort0000340
PMID30010363
OpenAlexW2883723710
IdiomaEN
Citações recebidas3
Referências citadas6

Few interventions train homeless consumers in housing-related independent living skills. To inform the development of such interventions for the Department of Veterans Affairs' Supported Housing consumers with serious mental illness, we examined these consumers' problem-solving skills and deficits. We performed semistructured interviews and cognitive tests with 20 consumers who retained housing for ≥1 year ("stayers") and 20 consumers who lost housing in <1 year ("exiters"). Salient types of problems were identified in the qualitative data; we categorized problem-solving approaches by complexity level and identified differences in problem-solving complexity by consumers' housing outcomes. Instrumental (e.g., money management), interpersonal, and health-related problems were prominent in consumers' narratives. Cognition was poor among stayers and exiters. Problem-solving approaches were highly relevant to day-to-day functioning in supported housing. There was a trend toward greater problem-solving complexity in stayers versus exiters. These data explore potential challenges faced in supported housing and help inform the development of a Veterans Affairs-based housing-focused skills training intervention. (PsycINFO Database Record (c) 2019 APA, all rights reserved)

Cognition · Interpersonal communication · Intervention (counseling) · MEDLINE · Mental health · Mental illness · Political science · Psychiatry · Psychological intervention · PsycINFO · Supportive housing · Veterans Affairs · Applied Psychology · Clinical Psychology · Health disparities and outcomes · Homelessness and Social Issues · Medicine · Psychology · Schizophrenia research and treatment · Social Psychology · Gerontology