Barreras Sociales, de Salud y de Salud Mental para el Cuidado: La Perspectiva de los Proveedores de Veteranos Sin Hogar
DOI:
https://doi.org/10.37226/rcp.v7i1.7201Keywords:
personas sin hogar, cuidado psicosocial, veteranosAbstract
Literatura sobre veteranos sin hogar se ha centrado en predictores, provisión de servicios, seguridad de vivienda y experiencias sin hogar. Un aspecto poco estudiado es la percepción de los proveedores de servicios en la Administración de Salud de Veteranos. Mediante dos grupos focales como parte de un Planea-Haz-Estudia-Actúa, se evaluó en 2016 y 2021 el alcance de la falta de vivienda y problemas relacionados con salud y salud mental, uso de servicios y recuperación con 22 proveedores de veteranos sin hogar en el Sistema de Salud de Veteranos del Caribe. Las narrativas indicaron 2 temas principales (cuidado de veteranos sin hogar y factores que limitan reintegración) y siete temas menores (primer enfoque, veteranos sin hogar, OLI/OLD, estigma, comunicación entre hospital y otras instituciones, salud mental y uso de sustancias, problemas legales y habilidades para vivir). Los resultados destacaron estigma institucional extendida a proveedores. También, escasez de refugios apropiados por género. Los proveedores comentaron sobre provisión de recursos más allá de vivienda para garantizar calidad de vida. Implicaciones promueven una visión más integrada del Programa con servicios de salud mental, ocupacional, recreativa y de salud, iniciativas de educación institucional para reducir estigma y coordinación más eficaz de servicios entre hospital y otras instituciones.
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