Shallow Subsidies for Veterans Facing Housing Barriers in the VA Supportive Services for Veteran Families Program.

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01
Richard E Nelson, Thomas Byrne, Ying Suo, Atim Effiong, Warren Pettey, Susan Zickmund, Patrick Galyean, Elisabeth Kimball, Lillian Gelberg, Stefan G Kertesz, Jack Tsai, Ann Elizabeth Montgomery
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Abstract

The Department of Veterans Affairs provides a shallow subsidy (i.e., subsidizing 50% of an individual's rent for two years) to Veterans experiencing housing instability. We sought to describe the characteristics of Veterans who received these subsidies. Methods. We conducted a retrospective cohort study of Veterans between 10/2019-9/2021. We identified Veteran-level characteristics associated with receiving a shallow subsidy using a multivariable two-part regression model. We also conducted qualitative interviews to identify how shallow subsidies are allocated. Results Black race, higher income, more education, and older age were positively associated with receiving a shallow subsidy; previous homelessness, prior VA outpatient cost, and participating in permanent supportive housing were negatively associated with receiving a shallow subsidy. Interviews revealed that income was the most influential determinant of whether to give shallow subsidies. Discussion Our mixed methods findings were consistent, indicating that socioeconomic stability is an important driver of shallow subsidy allocation decisions.

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退伍军人事务部 "退伍军人家庭支持服务计划 "为面临住房障碍的退伍军人提供低额补贴。
退伍军人事务部为住房不稳定的退伍军人提供浅度补贴(即补贴个人房租的 50%,为期两年)。我们试图描述接受这些补贴的退伍军人的特征。方法。我们对 10/2019-9/2021 年间的退伍军人进行了一项回顾性队列研究。我们使用一个多变量两部分回归模型确定了退伍军人与接受浅层补贴相关的特征。我们还进行了定性访谈,以确定浅层补贴是如何分配的。结果 黑人种族、高收入、高学历和高年龄与领取浅层补贴呈正相关;以前无家可归、以前退伍军人门诊费用和参加永久支持性住房与领取浅层补贴呈负相关。访谈显示,收入是决定是否提供浅层补贴的最有影响力的因素。讨论 我们的混合方法研究结果是一致的,表明社会经济稳定性是浅层补贴分配决策的重要驱动因素。
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来源期刊
CiteScore
2.00
自引率
7.10%
发文量
154
期刊介绍: The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.
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