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Impact of Residential Treatment on Homeless Female Veterans with Mental Health Issues

This study compares the 1-year clinical outcomes of female veterans who received 30+ days of residential treatment (RT) for psychiatric and substance use disorders with those who did not. The research highlights the benefits of RT on mental health outcomes, emphasizing the importance of stable housing in the recovery process for homeless women with psychiatric problems. The results suggest improvements in employment, social support, housing status, and psychiatric symptoms among the RT group, despite increased drug and alcohol use.

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Impact of Residential Treatment on Homeless Female Veterans with Mental Health Issues

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  1. Residential treatment for homeless female veterans with psychiatric and substance use disorders: Effect on 1-year clinical outcomes Ilan Harpaz-Rotem, PhD; Robert A. Rosenheck, MD; Rani Desai, PhD, MPH

  2. Study Aim • Compare 1-year clinical outcomes of female veterans who did and did not receive 30+ days of residential treatment (RT). • Relevance • Epidemiologic research suggests . . . • Veterans are modestly overrepresented in homeless population. • Female veterans have 3–4 times higher risk for homelessness than their civilian counterparts. • Homeless veterans are at high risk for serious mental illness, trauma, and substance abuse .

  3. Methods • Interviewed clients in 11 different VA Homeless Women Veterans programs every 3 months for 1 year. • Compared “RT group” (30+ days of RT within 3 months of program entry) with “No RT group” (no or <30 days of RT) on— • Community functioning. • Psychiatric symptoms. • Drug and alcohol use.

  4. Results • RT group had better outcomes on employment, social support, housing status, and psychiatric symptoms then No RT group. • However, RT group also had significantly increased use of drugs and alcohol.

  5. Conclusions • RT may have beneficial effect on mental health outcomes in homeless women. • Stable housing may be important element of recovery for homeless women with psychiatric problems, excluding substance use.

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