383
Views
0
CrossRef citations to date
0
Altmetric
Original Articles

Health service preferences among veterans in supported housing in relation to needs expressed and services used

ORCID Icon, , , , , & show all
Pages 27-35 | Received 07 Feb 2018, Accepted 28 Nov 2018, Published online: 12 Mar 2019
 

Abstract

Background

Understanding consumer service preferences is important for recovery-oriented care.

Aims

To test the influence of perceived service needs on importance attached to treatment for alcohol, drug, mental health, and physical health problems and identify the influence of service needs and preferences on service use.

Methods

Formerly homeless dually diagnosed Veterans in supported housing were surveyed in three waves for 1 year, with measures of treatment interests, health problems, social support, clinician-assessed risk of housing loss, and sociodemographics. Multiple regression analysis was used to identify independent influences on preferences in each wave. Different health services at the VA were distinguished in administrative records and baseline predictors for services used throughout the project were identified with multiple regression analysis.

Results

Self-assessed problem severity was associated with the importance of treatment for alcohol, drug, mental health, and physical health problems. Social support also had some association with treatment interest for alcohol abuse, as did baseline clinician risk rating at the project’s end. Preferences, but not perceived problem severity, predicted the use of the corresponding health services.

Conclusions

The health beliefs model of service interests was supported, but more integrated service delivery models may be needed to strengthen the association of health needs with service use.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This work was supported by Health Services Research and Development [IIR 10-333-3].

Log in via your institution

Log in to Taylor & Francis Online

PDF download + Online access

  • 48 hours access to article PDF & online version
  • Article PDF can be downloaded
  • Article PDF can be printed
USD 53.00 Add to cart

Issue Purchase

  • 30 days online access to complete issue
  • Article PDFs can be downloaded
  • Article PDFs can be printed
USD 989.00 Add to cart

* Local tax will be added as applicable

Related Research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.