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Articles

Rental Housing Needs and Barriers From the Perspective of Veterans With Disabilities

, , , , &
Pages 542-558
Received 08 Dec 2017
Accepted 29 Oct 2018
Published online: 05 Feb 2019
 

ABSTRACT

Housing is considered a social determinant of health, with poor housing conditions being associated with poor health. Veterans with disabilities are more likely to experience a housing crisis because of combat experiences and employment instability. We identified facilitators and barriers to finding and maintaining rental housing. We sought to understand the housing needs of Veterans with military-related disabilities using the biopsychoecological model (BEM) as an organizing framework. Our sample consisted of 39 Veterans who were renters. This qualitative descriptive study used an online or paper questionnaire to capture data on the Veterans’ experiences in searching for rental housing. Thematic analysis of responses resulted in the following themes based on the BEM: lack of quality housing, quality of the neighborhood, communication, policy, and reintegration. Findings provide insights that can assist agencies in tailoring services to Veterans to help them find quality homes that are accessible, affordable, and in safe and supportive communities.

Acknowledgments

To one of the disability movement’s angels, Elizabeth “Lisa” Hannold, PhD. Having the pleasure of working with you, we would like to acknowledge your uncompromising commitment to improving the lives of Veterans and individuals with disabilities. Dr. Hannold was an expert in qualitative research methods and a dedicated Research Health Scientist at the Center of Innovation on Disability and Rehabilitation Research at the Malcom Randall Veterans Affairs Medical Center. Her research focused on community reintegration issues impacting Veterans of Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn who had disabilities and impacting their families. Dr. Hannold served as principal investigator and co-investigator on numerous research projects funded by various agencies such as the Department of Defense and the Veterans Affairs’ Health Services Research & Development Service, and Rehabilitation Research & Development. Thank you for your contribution to this work. RIP: September 26, 1963–September 28, 2015. This research team is forever grateful to Lynn Dirk. Thank you for your expertise and assistance throughout all aspects of this work. Your endless support and efforts made the completion of this work possible.

Disclosure Statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This work was supported by the Center of Innovation on Disability and Rehabilitation Research; and the National Institute on Disability, Independent Living, and Rehabilitation Research [90AR5017].

Notes on contributors

Luz Mairena Semeah

Dr. Luz Mairena Semeah has a research appointment with the VA Health Services Research and Development Service Center of Innovation on Disability and Rehabilitation Research in Gainesville, Florida. She received a PhD in housing from Virginia Polytechnic Institute and State University (Virginia Tech). Her research interests are in the areas of housing as a social determinant of health, housing accessibility, housing entitlement benefits for U.S. Veterans, and, more broadly, disability policy. As a trained health services researcher, she is specifically interested in issues related to access, quality, and health outcomes for patients who may display disruptive behavior against healthcare workers in noninstitutional settings such as the home.

Sherry Ahrentzen

Dr. Sherry Ahrentzen is the Shimberg Professor of Housing Studies at the University of Florida. Her research focusing on housing and community design that fosters the physical, social, and economic health of households has been published extensively in journals and books, and presented at national and international conferences. In 2003 she received the Distinguished Professor Award from ACSA; in 2009, the EDRA Career Award; and in 2013, the James Haecker Award for Distinguished Leadership in Architectural Research given by ARCC. Her doctorate in social ecology from University of California, Irvine, reflects the collaborative and multidisciplinary nature of her research.

Diane C. Cowper-Ripley

Dr. Diane C. Cowper-Ripley is the Acting Co-Director at the VA Center of Innovation on Disability and Rehabilitation Research in Gainesville, Florida. She received her PhD in health services research at the University of Florida, where she is an affiliated associate professor. Her research focuses on Veterans’ access to and utilization of VA and non-VA health care services. She has expertise using VA workload data and geographic information system tools in her research projects. Her recent work has focused on access to care for rural Veterans, Veterans with disability, and patient-centered care and delivery initiatives in physical medicine and rehabilitation.

Leslie M. Santos-Roman

Dr. Leslie M. Santos-Roman is an assistant professor and the Graduate Director of the Department of Rehabilitation at University Maryland Eastern Shore. In June 2016, she completed a postdoctoral fellowship in disability policy at the University of Florida. She received a PhD in rehabilitation counselor education from the University of Iowa. She has a bachelor’s degree in psychology and a master’s in rehabilitation counseling from the University of Puerto Rico. Her research interests focus on counselor competencies and multicultural approaches, health disparities, traumatic brain injury, posttraumatic stress disorder, return to work, and employment outcomes for people with disabilities.

Julia O. Beamish

Dr. Julia O. Beamish is a professor of housing and head of the Department of Apparel, Housing and Resource Management at Virginia Tech. Her research focus is on housing alternatives and the housing issues of older adults and people with disabilities. Her numerous publications and presentations report on research projects dealing with active adult communities, multifamily housing, and kitchen and bath design for older adults and people with disabilities, as well as age-friendly communities. Her research has been funded by the National Kitchen and Bath Association, the U.S. Department of Housing and Urban Development, the Andrus Foundation, and the Universal Design Education Project.

Kristine Farley

Kristine Farley is an undergraduate student at the University of Florida. She is pursuing a bachelor of health science degree where she is on the preoccupational therapy track. As an undergraduate research assistant, she has focused her interests on disability research. Her research has primarily focused on Veterans with disabilities, and pediatric grip strength.

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