Using What Matters Most to improve health care delivery for individuals and populations of veterans experiencing homelessness and substance use disorders

IF 1.9 4区医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE

Explore-The Journal of Science and Healing Pub Date : 2025-01-01 DOI:10.1016/j.explore.2024.103109

Kimberlee Flike , Elizabeth Naughton , Rosalie Bouchard-Bihr , Abigail Tague , Gretchen Willwerth , Matthew Nault , Justeen Hyde

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引用次数: 0

Abstract

Objectives

To understand ways in which the Personal Health Inventory (PHI), a tool to prompt reflection on what matters most and status in 8 components of health and well-being, can be used to inform care of homeless veterans entering a Mental Health Residential Rehabilitation Treatment Program, at individual and programmatic levels.

Methods

Mixed method study was conducted at one residential treatment program. Quantitative data was collected from the PHI (n=64) and was analyzed using descriptive statistics. Qualitative data was collected from the PHI and semi-structured staff interviews (n=9) and was analyzed using thematic analysis.

Results

Approximately half of veterans entering the program between January and September, 2023 completed a PHI. Themes for what matters most included: 1) reconnecting with family, 2) improving health, and 3) self-discovery. Structured responses to the 8 areas of health indicated lowest satisfaction with: 1) relationships, 2) personal development, and 3) surroundings. Staff interviews indicated knowing where veterans are most and least satisfied helped inform goal setting and connection to resources. Population-level analysis of information from the PHI prompted reflection on existing programming.

Conclusions

Residential treatment programs may benefit from incorporating brief instruments like the PHI to inform individual care and overall program offerings.

查看原文本刊更多论文

使用“最重要的事情”来改善无家可归和物质使用障碍的退伍军人的个人和群体的医疗保健服务。

目的：了解个人健康清单（PHI）的方法，这是一种工具，可以促进对健康和福祉的8个组成部分中最重要的和状态的反思，可以在个人和项目层面上用于通知无家可归的退伍军人进入心理健康住院康复治疗计划的护理。方法：采用混合方法对一个住院治疗项目进行研究。从PHI （n=64）中收集定量数据，并采用描述性统计进行分析。从PHI和半结构化员工访谈中收集定性数据（n=9），并使用专题分析进行分析。结果：在2023年1月至9月期间进入该计划的退伍军人中，大约有一半完成了PHI。最重要的主题包括：1)与家人重新联系；2)改善健康；3)自我发现。对8个健康领域的结构化回答表明满意度最低的是：1)人际关系，2)个人发展，3)环境。工作人员的采访表明，了解退伍军人最满意和最不满意的地方有助于制定目标和联系资源。对PHI信息的总体水平分析促使人们对现有规划进行反思。结论：住院治疗方案可能受益于纳入像PHI这样的简短仪器，以告知个人护理和整体方案提供。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Explore-The Journal of Science and Healing 医学-全科医学与补充医学

CiteScore

3.00

自引率

8.30%

发文量

179

审稿时长

25 days

期刊介绍： EXPLORE: The Journal of Science & Healing addresses the scientific principles behind, and applications of, evidence-based healing practices from a wide variety of sources, including conventional, alternative, and cross-cultural medicine. It is an interdisciplinary journal that explores the healing arts, consciousness, spirituality, eco-environmental issues, and basic science as all these fields relate to health.