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在退伍军人事务部创伤后应激障碍临床项目中比较无家可归退伍军人和有家可归退伍军人的创伤治疗结果。

Comparing Trauma Treatment Outcomes Between Homeless and Housed Veterans in a VA PTSD Clinical Program.

作者信息

Crone Baylee, Arenson Melanie, Cortell Ranon, Carlin Elisabeth

机构信息

Uniformed Services University, Bethesda, MD, USA.

U.S. Department of Veterans Affairs, Washington, DC, USA.

出版信息

Community Ment Health J. 2023 May;59(4):797-807. doi: 10.1007/s10597-022-01061-2. Epub 2022 Dec 2.

Abstract

Homeless veterans are likely to experience Post Traumatic Stress Disorder (PTSD). Homelessness itself is traumatic, and PTSD may exacerbate homelessness risk for veterans. Often, PTSD goes untreated in this subpopulation of veterans. Our study examined trauma-focused treatment (TFT) and non-TFT initiation and completion in a sample of housed and homeless veterans being served by a PTSD clinical team in Washington, DC. Findings included a high percentage of veterans who experienced homelessness in the sample and lower treatment completion rates among homeless veterans compared to housed veterans. This difference was no longer significant when comparing only those veterans who engaged in treatment, reinforcing the critical role of treatment engagement in successful treatment completion across populations.

摘要

无家可归的退伍军人很可能会患上创伤后应激障碍(PTSD)。无家可归本身就是一种创伤,而创伤后应激障碍可能会增加退伍军人无家可归的风险。通常,在这类退伍军人亚群体中,创伤后应激障碍得不到治疗。我们的研究调查了华盛顿特区一个创伤后应激障碍临床团队所服务的有住房和无家可归的退伍军人样本中,以创伤为重点的治疗(TFT)和非TFT的启动及完成情况。研究结果包括该样本中有很大比例的退伍军人经历过无家可归,与有住房的退伍军人相比,无家可归的退伍军人治疗完成率较低。当仅比较那些接受治疗的退伍军人时,这种差异不再显著,这强化了治疗参与在各人群成功完成治疗中的关键作用。

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