{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T21:39:04Z","timestamp":1778449144923,"version":"3.51.4"},"reference-count":58,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007217","name":"Health Services Research and Development","doi-asserted-by":"publisher","award":["IIR 15-095-2"],"award-info":[{"award-number":["IIR 15-095-2"]}],"id":[{"id":"10.13039\/100007217","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Patients experiencing homelessness (PEH) with serious mental illness (SMI) have poor satisfaction with primary care. We assessed if primary care teams tailored for homeless patients (Homeless-Patient Aligned Care Teams (H-PACTs)) provide this population with superior experiences than mainstream primary care and explored whether integrated behavioral health and social services were associated with favorable experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We surveyed VA PEH with SMI (n\u2009=\u20091095) to capture the valence of their primary care experiences in 4 domains (Access\/Coordination, Patient-Clinician Relationships, Cooperation, and Homeless-Specific Needs). We surveyed clinicians (n\u2009=\u200952) from 29 H-PACTs to elucidate if their clinics had embedded mental health, addiction, social work, and\/or housing services. We counted these services in each H-PACT (0-4) and classified H-PACTs as having high (3-4) versus low (0-2) service integration. We controlled for demographics, housing history, and needs in comparing H-PACT versus mainstream experiences; and experiences in high versus low integration H-PACTs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among respondents, 969 (91%) had complete data and 626 (62%) were in H-PACTs. After covariate adjustment, compared to mainstream respondents, H-PACT respondents were more likely ( P\u2009&lt;\u2009.01) to report favorable experiences (AORs\u2009=\u20091.7-2.1) and less likely to report unfavorable experiences (AORs\u2009=\u20090.5-0.6) in all 4 domains. Of 29 H-PACTs, 27.6% had high integration. High integration H-PACT respondents were twice as likely as low integration H-PACT respondents to report favorable access\/coordination experiences (AOR\u2009=\u20091.7).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Homeless-tailored clinics with highly-integrated services were associated with better care experiences among PEH with SMI. These observational data suggest that tailored primary care with integrated services may improve care perceptions among complex patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2150132721993654","type":"journal-article","created":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T11:32:20Z","timestamp":1612956740000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Enhancing Primary Care Experiences for Homeless Patients with Serious Mental Illness: Results from a National Survey"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1790-4271","authenticated-orcid":false,"given":"Sonya","family":"Gabrielian","sequence":"first","affiliation":[{"name":"VA Greater Los Angeles Health Care System, Los Angeles, CA, USA"},{"name":"University of California Los Angeles, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Audrey L.","family":"Jones","sequence":"additional","affiliation":[{"name":"VA Salt Lake City Health Care System, Salt Lake City, UT, USA"},{"name":"University of Utah School of Medicine, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"April E.","family":"Hoge","sequence":"additional","affiliation":[{"name":"Birmingham VA Medical Center, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aerin J.","family":"deRussy","sequence":"additional","affiliation":[{"name":"Birmingham VA Medical Center, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Young-il","family":"Kim","sequence":"additional","affiliation":[{"name":"Birmingham VA Medical Center, Birmingham, AL, USA"},{"name":"University of Alabama at Birmingham School of Medicine, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann Elizabeth","family":"Montgomery","sequence":"additional","affiliation":[{"name":"Birmingham VA Medical Center, Birmingham, AL, USA"},{"name":"University of Alabama at Birmingham School of Public Health, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John R.","family":"Blosnich","sequence":"additional","affiliation":[{"name":"VA Pittsburgh Healthcare System, Pittsburgh, PA, USA"},{"name":"University of Southern California, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam J.","family":"Gordon","sequence":"additional","affiliation":[{"name":"VA Salt Lake City Health Care System, Salt Lake City, UT, USA"},{"name":"University of Utah School of Medicine, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lillian","family":"Gelberg","sequence":"additional","affiliation":[{"name":"VA Greater Los Angeles Health Care System, Los Angeles, CA, USA"},{"name":"University of California Los Angeles, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erika L.","family":"Austin","sequence":"additional","affiliation":[{"name":"Birmingham VA Medical Center, Birmingham, AL, USA"},{"name":"University of Alabama at Birmingham School of Public Health, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Pollio","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham College of Letters and Sciences, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally K.","family":"Holmes","sequence":"additional","affiliation":[{"name":"Birmingham VA Medical Center, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allyson L.","family":"Varley","sequence":"additional","affiliation":[{"name":"Birmingham VA Medical Center, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan G.","family":"Kertesz","sequence":"additional","affiliation":[{"name":"Birmingham VA Medical Center, Birmingham, AL, USA"},{"name":"University of Alabama at Birmingham School of Medicine, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,2,5]]},"reference":[{"key":"bibr1-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.51.8.1012"},{"key":"bibr2-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000185747.79104.90"},{"key":"bibr3-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmg502"},{"key":"bibr4-2150132721993654","unstructured":"Abt Associates and the National Center on Homelessness Among Veterans.\n                      Veteran Homelessness: A Supplemental Report to the 2010 Annual Homeless Assessment Report to Congress\n                      ; 2011. 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Accessed January 1, 2021. http:\/\/vaww.smitrec.va.gov\/ (internal VA website)."},{"key":"bibr32-2150132721993654","first-page":"1273","volume":"34","author":"Gelberg L","year":"2000","journal-title":"Health Serv Res"},{"key":"bibr33-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12834"},{"key":"bibr34-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-019-00470-0"},{"key":"bibr35-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-017-9844-0"},{"key":"bibr36-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2016.10.031"},{"key":"bibr37-2150132721993654","author":"Development of Housing and Urban Development","year":"2015","journal-title":"Homeless Emergency Assistance and Rapid Transition to Housing: Defining \u201cChronically Homeless\u201d"},{"key":"bibr38-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2011.1662"},{"key":"bibr39-2150132721993654","first-page":"151","volume":"44","author":"Brown RL","year":"1997","journal-title":"J Fam Pract"},{"key":"bibr40-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000160"},{"key":"bibr41-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201500424"},{"key":"bibr42-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-017-0822-1"},{"key":"bibr43-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.151.3.421"},{"key":"bibr44-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1007\/s001270050262"},{"key":"bibr45-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1023\/A:1015051610515"},{"key":"bibr46-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2011.04.005"},{"key":"bibr47-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1037\/fsh0000182"},{"key":"bibr48-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201100367"},{"key":"bibr49-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2555"},{"key":"bibr50-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2499"},{"key":"bibr51-2150132721993654","doi-asserted-by":"crossref","first-page":"E23","DOI":"10.5888\/pcd15.170311","volume":"15","author":"O\u2019Toole TP","year":"2018","journal-title":"Prev Chronic Dis"},{"key":"bibr52-2150132721993654","volume":"307","author":"Bhalla IP","year":"2020","journal-title":"Psychiatr Q"},{"key":"bibr53-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2297"},{"key":"bibr54-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2019.01589"},{"key":"bibr55-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000926"},{"key":"bibr56-2150132721993654","doi-asserted-by":"publisher","DOI":"10.31887\/DCNS.2016.18.2\/dvelligan"},{"key":"bibr57-2150132721993654","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbn152"},{"key":"bibr58-2150132721993654","volume":"44","author":"Granholm E","year":"2019","journal-title":"Schizophr Bull"}],"container-title":["Journal of Primary Care &amp; Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2150132721993654","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2150132721993654","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2150132721993654","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:23:10Z","timestamp":1777508590000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2150132721993654"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":58,"alternative-id":["10.1177\/2150132721993654"],"URL":"https:\/\/doi.org\/10.1177\/2150132721993654","relation":{},"ISSN":["2150-1319","2150-1327"],"issn-type":[{"value":"2150-1319","type":"print"},{"value":"2150-1327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]},"article-number":"2150132721993654"}}