Evidence map›Paper›PMID 33832999›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

A Sector Wheel Approach to Understanding the Needs and Barriers to Services among Homeless-Experienced Veteran Families.

Roya Ijadi-Maghsoodi, Sophie Feller, Gery W Ryan, Lisa Altman, Donna L Washington, Sheryl Kataoka, Lillian Gelberg

Open access · diamondAbstract read
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Roya Ijadi-MaghsoodiFrom the VA Health Service Research & Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA (RI-M, LG); UCLA Division of Population Behavioral Health, Semel Institute for Neuroscience & Human Behavior, Los Angeles, CA (RI-M, SK); Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA (RI-M, SF, SK); Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California (GWR); Office of Healthcare Transformation and Innovation, VA Greater Los Angeles Healthcare System, Los Angeles, CA (LA, LG); Department of Medicine, David Geffen School of Medicine at UCLA (LA, DLW); UCLA Center for Health Services and Society, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA (SK); Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA (LG); and Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA (LG). Rijadimaghsoodi@mednet.ucla.edu.
Sophie FellerFrom the VA Health Service Research & Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA (RI-M, LG); UCLA Division of Population Behavioral Health, Semel Institute for Neuroscience & Human Behavior, Los Angeles, CA (RI-M, SK); Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA (RI-M, SF, SK); Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California (GWR); Office of Healthcare Transformation and Innovation, VA Greater Los Angeles Healthcare System, Los Angeles, CA (LA, LG); Department of Medicine, David Geffen School of Medicine at UCLA (LA, DLW); UCLA Center for Health Services and Society, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA (SK); Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA (LG); and Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA (LG).
Gery W RyanFrom the VA Health Service Research & Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA (RI-M, LG); UCLA Division of Population Behavioral Health, Semel Institute for Neuroscience & Human Behavior, Los Angeles, CA (RI-M, SK); Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA (RI-M, SF, SK); Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California (GWR); Office of Healthcare Transformation and Innovation, VA Greater Los Angeles Healthcare System, Los Angeles, CA (LA, LG); Department of Medicine, David Geffen School of Medicine at UCLA (LA, DLW); UCLA Center for Health Services and Society, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA (SK); Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA (LG); and Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA (LG).
Lisa AltmanFrom the VA Health Service Research & Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA (RI-M, LG); UCLA Division of Population Behavioral Health, Semel Institute for Neuroscience & Human Behavior, Los Angeles, CA (RI-M, SK); Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA (RI-M, SF, SK); Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California (GWR); Office of Healthcare Transformation and Innovation, VA Greater Los Angeles Healthcare System, Los Angeles, CA (LA, LG); Department of Medicine, David Geffen School of Medicine at UCLA (LA, DLW); UCLA Center for Health Services and Society, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA (SK); Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA (LG); and Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA (LG).
Donna L WashingtonFrom the VA Health Service Research & Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA (RI-M, LG); UCLA Division of Population Behavioral Health, Semel Institute for Neuroscience & Human Behavior, Los Angeles, CA (RI-M, SK); Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA (RI-M, SF, SK); Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California (GWR); Office of Healthcare Transformation and Innovation, VA Greater Los Angeles Healthcare System, Los Angeles, CA (LA, LG); Department of Medicine, David Geffen School of Medicine at UCLA (LA, DLW); UCLA Center for Health Services and Society, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA (SK); Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA (LG); and Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA (LG).
Sheryl KataokaFrom the VA Health Service Research & Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA (RI-M, LG); UCLA Division of Population Behavioral Health, Semel Institute for Neuroscience & Human Behavior, Los Angeles, CA (RI-M, SK); Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA (RI-M, SF, SK); Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California (GWR); Office of Healthcare Transformation and Innovation, VA Greater Los Angeles Healthcare System, Los Angeles, CA (LA, LG); Department of Medicine, David Geffen School of Medicine at UCLA (LA, DLW); UCLA Center for Health Services and Society, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA (SK); Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA (LG); and Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA (LG).
Lillian GelbergFrom the VA Health Service Research & Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA (RI-M, LG); UCLA Division of Population Behavioral Health, Semel Institute for Neuroscience & Human Behavior, Los Angeles, CA (RI-M, SK); Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA (RI-M, SF, SK); Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California (GWR); Office of Healthcare Transformation and Innovation, VA Greater Los Angeles Healthcare System, Los Angeles, CA (LA, LG); Department of Medicine, David Geffen School of Medicine at UCLA (LA, DLW); UCLA Center for Health Services and Society, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA (SK); Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA (LG); and Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA (LG).
VA Greater Los Angeles Healthcare System · USKaiser Permanente · USCenter for the Study of Healthcare Provider Behavior · USUniversity of California, Los Angeles · US

Funding

AACAP Physician Scientist Program in Substance UseK12DA000357 · NIDA · AMERICAN ACADEMY-CHILD/ADOLESCENT PSYCH · PI Kevin M. Gray · 1998 to 2026
$29.1M
NIDA NIH HHS K12 DA000357
6 · The paper itself

Abstract

backgroundVeteran family homelessness is a significant issue, yet little is known about the needs and barriers to services of veteran families experiencing homelessness. This qualitative study examined the experiences, needs, and barriers to services among homeless-experienced veteran families to inform providers for this important population.

methodsTwenty-five semi-structured interviews were conducted from February through September 2016 with 18 veteran parents with a recent history of homelessness (9 mothers, 9 fathers), and 7 homeless service providers throughout Los Angeles County. The "Sector Wheel for Under-Resourced Populations" data elicitation approach was used to conduct the interviews, which allowed the participant to guide the interview by discussing different sectors of a family's life affected by homelessness. The interviews were audio-recorded, transcribed, and themes were coded with Atlas.ti.

resultsInterviews revealed parenting stress and worsening family mental health during homelessness. Participants described barriers to navigating housing, social, and health services with children, including not knowing where to seek help, difficulty connecting to health and social services in the community, and a lack of family-focused services. Parents encountered discrimination by landlords and lack of access to permanent housing in safe neighborhoods.

conclusionsFindings demonstrate a need for delivering family-centered and comprehensive services to homeless-experienced veteran families that recognize the multifaceted needs of this population. Advocacy initiatives are needed to address discrimination against veterans experiencing family homelessness and increase access to affordable permanent housing in safe neighborhoods for families.

Indexed as

Ill-Housed PersonsVeteransChildFemaleHousingHumansParentsSocial WorkHomeless PersonsHousingLos AngelesMental HealthMilitary MedicinePrimary Health CareQualitative ResearchSocial Determinants of HealthVeterans Health

Identifiers

PMID33832999
PMCPMC8574986
OpenAlexW3151129978

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.