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Tuesday, February 19, 2019

Journal Article Review Homeless Veterans Essay

At the measure of this article, Dr. Brenda B. Benda, author of this article, was a Professor in the School of Social hold at the University of Arkansas at Little Rock. Current bibliography information could not be located. Objective of Article This article examined gender differences in predictors of readmission to yardbird drug treat custodyt among homeless person person veterans because Veteran Affairs (V. A. ) medical centers shortly do not contribute serve that atomic number 18 designed specific whollyy for women and that there is limited sensitivity about or understanding of womens needs at the V. A. edical centers (p. 60).At the time of this hold, Selgados study (as cited in Benda, 2005) shows women only comprised 5 percent of veterans with access to health care serve in the V. A. , or approximately 1. 4 million of a union of 25. 5 million veterans. The lack of specialized services seems the primary drive that most women seek medical services outside the V. A. , often at their own expense. Therefore, a study of factors associated with shopping centre call out relapse among homeless veterans will provide useful information for designing specialized services at the V.A. for women in drug treatment (p. 60). Benda studied 310 women and 315 men, homeless veterans, who abuse heart and souls and examined predictors of readmission to inmate drug treatment in a deuce-year follow-up. This study appears to be the first study of gender differences in predictors of readmission among homeless veterans, and it examines the possibilities of unlike social nourish systems mediate or moderates the relationships amongst different traumatic experience over the life span and readmission (p. 59). Purpose of ArticleThe purpose of this article is to examine and answer the following research questions (1) what gender differences, if any, exist, in predictors of readmission to con care for drug abuse among homeless veterans, (2) are abuses at different stages of t he life span, combat exposure, and recent traumatic events commensurate predictors, and do employment, housing, family or friend relationships, and spirituality (3) mediate or (4) moderate the relationships between traumata and relapse (p. 63). However, Benda limited this study to the analysis of employment, housing, social support, and spirituality.This study to a fault offers preliminary information for designing and prioritizing specialized services at the V. A (p. 63). Methodology and Procedures The institutional human subjects review board at the V. A. O.K. the study. A convenience sample of all homeless female veterans that entered an yardbird V. A. domiciliary program for total abuse was selected over a three-year period. simply 13 women, or 4 percent, that entered this program declined to participate in the study, leaving 310 women who responded to the survey.A systematic random sample of homeless men that entered the like program over the same three-year period was se lected to have an equivalent build of men (p. 64). Only veterans who did not have a residence where they could love were classified as homeless. Veterans were considered homeless if they had spent at least a week in the 30 days preceding the admission to the V. A. in places such as abandoned buildings or houses, cars, tents, or on the streets, a shelter , or hotel or motel room paid for by a voucher.A written consent to participate in the study was obtained from all veterans before four staff social workers conducted two intake interviews which were conducted inwardly the first two weeks of admission (p. 66). A third interview was conducted at discharge from the inpatient domiciliary program to aftercare services-this interview provided client evaluations of the inpatient program and an assessment of emotions and thoughts that are often problematic to survival in the community.The final interview (aftercare interview) was conducted two months after release from the inpatient domi ciliary program to find out what extend traumatic life events and conglomerate social supports predict tenure in the community (p. 66-67). The final result study was the proportion of time in the community without readmission to an inpatient program for substance abuse and other psychiatric disorders during the two-year follow-up study (p. 67).This outcome was selected because the primary goals of domiciliary programs are to lengthen the period of sobriety and nonparasitic living among homeless veterans. Individual follow-ups were used, so everyone was followed for a full two years, or until they were re-hospitalized for substance abuse or psychiatric disorders (p. 68). Findings The findings show that inner and physical abuses in childhood, during active duty in the military, and in the then(prenominal) two years are more potent predictors of readmission for women than for men.Womens readmission to inpatient care for drug abuse excessively is heightened more by increases in d epression, suicidal thoughts, and traumatic events, whereas it is lessened with greater family, friend, church, and other support (p. 75). The findings to a fault showed mens return to inpatient treatment increases in likelihood with greater substance abuse, aggression, and cognitive impairments, while it decreases with more employment constancy and business enterprise satisfaction (p. 75).ConclusionThis study found some statistical interactions that are important for further investigation in research and answer which show that stable housing and employment, spiritual well-being, and family and church support are more positively related to tenure in the community for women who have experienced less childhood abuse and recent traumatic events. With the excommunication of family support, these same supports are more positively related to tenure for men who have less history of childhood sexual abuse.Numerous questions withal arise from the findings such as (1) why social supports reduce the cause of traumata more for persons who have experienced lower level of trauma, (2) how social support assuages traumatic events, and (3) what combinations of social supports of traumata are optimal (p. 78). Opinion The writers personal experience of working with dispossessed veterans who suffers from indicators such as substance abuse, personal traumata, and combat exposure is clearly discussed and evaluated in this article.The writer also applauds this journal article for the in-debt analysis which provided guidance for the V.A. in implementing the current Homeless Veterans Initiative of 2011 which provides a range of services to homeless veterans, including health care, housing, job training, and education (Department of Veteran Affairs, 2012). In addition, the writer also believes that treatment of substance abuse, mental illness, and personal traumata should be at the forefront of the implementation of these programs for homeless veterans. Without evaluation and tr eatment of these conditions, recurrence of homelessness will be evident.

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