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Titolo:
Homeless veterans' satisfaction with residential treatment
Autore:
Kasprow, WJ; Frisman, L; Rosenheck, RA;
Indirizzi:
Dept Vet Affairs NE Program Evaluat Ctr 182, W Haven, CT 06516 USA Dept Vet Affairs NE Program Evaluat Ctr 182 W Haven CT USA 06516 6516 USA Yale Univ, Sch Med, Dept Psychiat, New Haven, CT USA Yale Univ New Haven CT USA iv, Sch Med, Dept Psychiat, New Haven, CT USA Univ Connecticut, Dept Psychol, Storrs, CT USA Univ Connecticut Storrs CTUSA Connecticut, Dept Psychol, Storrs, CT USA
Titolo Testata:
PSYCHIATRIC SERVICES
fascicolo: 4, volume: 50, anno: 1999,
pagine: 540 - 545
SICI:
1075-2730(199904)50:4<540:HVSWRT>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
MENTAL-HEALTH TREATMENT; ILL PEOPLE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Kasprow, WJ Dept06516Affairs NE Program Evaluat Ctr 182, 950 Campbell Ave,W Haven, CT Dept Vet Affairs NE Program Evaluat Ctr 182 950 Campbell Ave WHaven CT USA 06516
Citazione:
W.J. Kasprow et al., "Homeless veterans' satisfaction with residential treatment", PSYCH SERV, 50(4), 1999, pp. 540-545

Abstract

Objective: Because little is known about homeless individuals' satisfaction viith mental health services or the association between satisfaction and measures of treatment outcome, the study examined those issues in a group of homeless veterans. Methods: Demographic and clinical data were obtained fi om intake assessments conducted before veterans' admission to residentialtreatment facilities under contract with the Department of Veterans Affairs Health Care for Homeless Veterans program, a national outreach and case management program. Clients: completed a satisfaction survey and the Community-Oriented Programs Environment Scale, which asks them to rate dimensions of the treatment environment. Outcome data came from discharge outcome summaries completed by VA case managers. Results; Overall satisfaction with residential treatment sell-ices was high among the 1,048 veterans surveyed. Greater satisfaction was associated with more days of drug abuse and more days spent institutionalized in the month before intake and with an intake diagnosis of drug abuse. Regression anal)ses indicated that satisfaction was most strongly related to clients' perceptions of several factors in the treatment environment. Policy clarity clients' involvement in the program, an emphasis on order; a practical orientation, and peer support were positivelyrelated to satisfaction; staff control and clients' expression of anger were negatively related. Satisfaction was significantly associated with case managers' discharge ratings of clinical improvement of drug problems and psychiatric problems. Conclusions: Homeless veterans are more satisfied in environments they perceive to be supportive, orderly and focused on practicalsolutions. The results indicate that client satisfaction is not related totreatment outcomes strongly enough to serve as a substitute for other outcome measures.

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Documento generato il 27/01/20 alle ore 16:58:24