ArticleJournal of religion and health2026
Spiritual Supports for Formerly Unhoused US Veterans: A Quality Improvement Evaluation.
Article in Journal of religion and health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
7 authors.
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Abstract
To mitigate Veteran homelessness, the US Veterans Health Administration (VHA), through the US Department of Housing and Urban Development-Veteran Affairs Supportive Housing (HUD-VASH) program, provides permanent supportive housing to unhoused Veterans. HUD-VASH has improved housing outcomes for Veteran clients but not necessarily their health and well-being. Offering spiritual support as part of the program may improve these more elusive outcomes; yet the extent to which spiritual support is offered within HUD-VASH is unclear. To explore this question, we conducted a mixed-methods evaluation across VHA's regional network in New England. The evaluation included: (1) a cross-sectional, quantitative web-based survey of Veterans served by HUD-VASH programs and (2) qualitative discipline-based focus groups of VHA providers (chaplains and HUD-VASH staff). We conducted descriptive and bivariate quantitative analyses of survey data and thematic rapid qualitative analysis of focus group data. Our survey response rate was 24.4% (283/1160). Most respondents (74.6%) wanted help with one or more spiritual needs, especially Veterans who identified as non-white, used more services, were newer to the HUD-VASH program, and/or had physical, mental, social, financial, and legal challenges. Our focus groups had 24 VHA staff participants. Staff perceived that spiritual support for Veterans in HUD-VASH is not sufficiently offered and that structural, procedural, and perceptual barriers existed. Integrating findings across our datasets, we found a gap in offering HUD-VASH clients the spiritual support that they desire. Approaches to address this gap might bolster VHA holistic and Veteran-centered care as well as the health and well-being of significantly at-risk Veterans.
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