Perspectives on the Low Demand Transitional Model in Engaging and Housing hard-to-reach Veterans Experiencing Unsheltered Homelessness.

Nationwide around 226,080 homeless individuals are unsheltered each night. The U.S. Department of Veterans Affairs (VA) Low Demand program is a community-based model which provides supportive transitional housing to hard-to-reach, unsheltered veterans who often have complex needs and may be unable o...

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Publicado en:Community Mental Health Journal Vol. 62; no. 1; pp. 155 - 166
Autores principales: Kinney, Rebecca L., Haley, G., Misedah-Robinson, L., Young, M. S., Johnson, E. E., Tsai, J.
Formato: Artículo
Publicado: Springer Nature Jan2026
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2026
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      pub: Springer Nature
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        10.1007/s10597-025-01511-7
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        atl: Perspectives on the Low Demand Transitional Model in Engaging and Housing hard-to-reach Veterans Experiencing Unsheltered Homelessness.
      aug:
        au:
          Kinney, Rebecca L.
          Haley, G.
          Misedah-Robinson, L.
          Young, M. S.
          Johnson, E. E.
          Tsai, J.
        affil:
          https://ror.org/02tdf3n85 Department of Veterans Affairs, VA National Center on Homelessness Among Veterans, Washington, DC, USA
          https://ror.org/0464eyp60 Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USA
          https://ror.org/03gds6c39 Department of Management, Policy, and Community Health, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA
          https://ror.org/032db5x82 Department of Mental Health Law and Policy, University of South Florida, Tampa, FL, USA
          https://ror.org/02tdf3n85 Homeless Programs Office, Department of Veterans Affairs, Washington, DC, USA
          https://ror.org/03v76x132 Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA
      su:
        United States. Dept. of Veterans Affairs
        Qualitative research
        Interviewing
        Psychology of veterans
        Sound recordings
        Housing
        Social support
        Homelessness
        Community-based social services
        Executives
        Research funding
        Statistical sampling
        Thematic analysis
        Research methodology
        Data analysis software
        Quality assurance
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        subj:
          Qualitative research
          Interviewing
          Psychology of veterans
          Sound recordings
          Housing
          Social support
          Homelessness
          Community-based social services
          United States. Dept. of Veterans Affairs
          Other Community Housing Services
          Marketing Research and Public Opinion Polling
          Integrated Record Production/Distribution
          Record Production
          Sound recording merchant wholesalers
          Administration of Veterans' Affairs
          Other Individual and Family Services
          Executives
          Research funding
          Statistical sampling
          Thematic analysis
          Research methodology
          Data analysis software
          Quality assurance
      keyword:
        Low demand
        Medical and Health Sciences Public Health and Health Services Psychology and Cognitive Sciences Psychology Studies in Human Society Sociology
        Transitional housing
        Unsheltered homelessness
        Veterans
        Low demand
        Medical and Health Sciences Public Health and Health Services Psychology and Cognitive Sciences Psychology Studies in Human Society Sociology
        Transitional housing
        Unsheltered homelessness
        Veterans
      ab: Nationwide around 226,080 homeless individuals are unsheltered each night. The U.S. Department of Veterans Affairs (VA) Low Demand program is a community-based model which provides supportive transitional housing to hard-to-reach, unsheltered veterans who often have complex needs and may be unable or unwilling to participate in supportive services which aim to prevent or rapidly re-house veterans when facing housing instability or homelessness. The goal of this study was to examine Low Demand community providers' perceptions of the facilitators and barriers to Low Demand model engagement and effectiveness among unsheltered homeless veterans. Semi-structured interviews, composed of 20 open-ended questions, were conducted with a convenience sample of VA Low Demand community providers and VA staff affiliated with the programs. Interviews were transcribed verbatim, and an inductive approach was employed allowing the data to determine the main categories and subthemes. Three coders independently summarized, coded, and compared transcripts. Qualitative analyses were performed in Atlas.ti. Forty-five Low Demand community providers completed the interview. Providers reported an average four years (range: 3 weeks-14 years) of experience in their current role. Five categories were identified from the qualitative data: (1) Barriers to Low Demand model success, (2) Facilitators of Low Demand model success, (3) Collaborative assessments with VA guide Low Demand program resident retention, (4) Recommendations to reduce returns to homelessness among Low Demand residents, and (5) Low Demand model areas for improvement. Community providers consider the Low Demand model to be an effective option for housing unsheltered veterans who have complex needs. Barriers to retaining and transitioning Low Demand residents to permanent housing were noted. In-facility basic life skills education, financial planning, and relationship reconstruction along with onsite mental health services may support positive program exits. Engaging veterans in aftercare programs and/or retention case management is crucial in the prevention of returns to homelessness. Strong community and VA collaborations are essential to maximizing positive Low Demand program outcomes.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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