{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:51:50Z","timestamp":1777384310759,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,2,20]],"date-time":"2015-02-20T00:00:00Z","timestamp":1424390400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To describe challenges of caring for homeless veterans at end of life (EOL) as perceived by Veterans Affairs Medical Center (VAMC) homeless and EOL care staff.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>E-mail survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/participants:<\/jats:title>\n                    <jats:p>Homelessness and EOL programs at VAMCs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements:<\/jats:title>\n                    <jats:p>Programs and their ratings of personal, structural, and clinical care challenges were described statistically. Homelessness and EOL program responses were compared in unadjusted analyses and using multivariable models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 152 VAMCs, 50 (33%) completed the survey. The VAMCs treated an average of 6.5 homeless veterans at EOL annually. Lack of appropriate housing was the most critical challenge. The EOL programs expressed somewhat more concern about lack of appropriate care site and care coordination than did homelessness programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Personal, clinical, and structural challenges face care providers for veterans who are homeless at EOL. Deeper understanding of these challenges will require qualitative study of homeless veterans and care providers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1049909115572992","type":"journal-article","created":{"date-parts":[[2015,2,26]],"date-time":"2015-02-26T01:58:27Z","timestamp":1424915907000},"page":"381-389","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Challenges of Providing End-of-Life Care for Homeless Veterans"],"prefix":"10.1177","volume":"33","author":[{"given":"Evelyn","family":"Hutt","sequence":"first","affiliation":[{"name":"Denver Veterans Affairs Medical Center (VAMC), Denver, CO, USA"},{"name":"Department of Medicine, University of Colorado School of Medicine, Denver, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Whitfield","sequence":"additional","affiliation":[{"name":"Denver Veterans Affairs Medical Center (VAMC), Denver, CO, USA"},{"name":"Department of Medicine, University of Colorado School of Medicine, Denver, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung-Joon","family":"Min","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Colorado School of Medicine, Denver, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline","family":"Jones","sequence":"additional","affiliation":[{"name":"University of Colorado College of Nursing, Denver, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Weber","sequence":"additional","affiliation":[{"name":"University of Colorado College of Nursing, Denver, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Albright","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Colorado School of Medicine, Denver, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cari","family":"Levy","sequence":"additional","affiliation":[{"name":"Denver Veterans Affairs Medical Center (VAMC), Denver, CO, USA"},{"name":"Department of Medicine, University of Colorado School of Medicine, Denver, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"O\u2019Toole","sequence":"additional","affiliation":[{"name":"Providence Veterans Affairs Medical Center, Providence, RI, USA"},{"name":"Department of Medicine, Alpert Medical School, Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,2,20]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Veteran Homelessness: A Supplemental Report to the 2010 Annual Homeless Assessment Report to Congress","author":"Khadduri J.","year":"2011","unstructured":"Khadduri J., Culhane D, . Veteran Homelessness: A Supplemental Report to the 2010 Annual Homeless Assessment Report to Congress. Washington DC: United states department of housing and urban development, office of community planning and development, national center on homelessness among veterans; 2011."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1191\/0269216306pm1103oa"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-126-8-199704150-00007"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.13.1454"},{"key":"e_1_3_3_6_2","unstructured":"Kuhn JH; Nakashima J for the Community Homelessness Assessment Local Education and Networking Group (CHALENG). Seventeenth Annual Progress Report Fiscal Year 2010. Services for Homeless Veterans Assessment and Coordination. Department of Veterans Affairs Washington DC July 5 2011."},{"issue":"4","key":"e_1_3_3_7_2","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1177\/104012371302500407","article-title":"A tale of two veterans: homeless vs. domiciled veterans presenting to a psychiatric urgent care clinic","volume":"25","author":"Lee H","year":"2013","unstructured":"Lee H, Iglewicz A, Golshan S, Zisook S. A tale of two veterans: homeless vs. domiciled veterans presenting to a psychiatric urgent care clinic. Ann Clin Psychiatry. 2013;25 (4):275\u2013282.","journal-title":"Ann Clin Psychiatry"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED-D-13-00080"},{"key":"e_1_3_3_9_2","doi-asserted-by":"crossref","unstructured":"Russell LM Devore MD Barnes SM . Challenges associated with screening for traumatic brain injury among US veterans seeking homeless services. 2013;103 (suppl 2):S211\u2013S212.","DOI":"10.2105\/AJPH.2013.301485"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-006-0046-7"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-006-0045-8"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-153-2-201007200-00003"},{"issue":"6","key":"e_1_3_3_13_2","first-page":"1273","article-title":"The Behavioral Model for Vulnerable Populations: application to medical care use and outcomes for homeless people","volume":"34","author":"Gelberg L","year":"2000","unstructured":"Gelberg L, Andersen RM, Leake BD. The Behavioral Model for Vulnerable Populations: application to medical care use and outcomes for homeless people. 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