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Problem-solving therapy to foster resilience among veterans who are homeless or at-risk for homelessness: a pilot randomized controlled trial
Dissertation   Open access

Problem-solving therapy to foster resilience among veterans who are homeless or at-risk for homelessness: a pilot randomized controlled trial

Sarah E. Ricelli
Doctor of Philosophy (Ph.D.), Drexel University
May 2016
DOI:
https://doi.org/10.17918/etd-6799
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Abstract

Homeless Persons Resilience, Psychological Psychology Veterans
Homelessness among Veterans has declined in recent years, yet Veterans continue to be overrepresented in the United States homeless population, accounting for 11% of all homeless adults on a given night. Numerous stressors can contribute to unstable housing among Veterans and the lack of resources associated with homelessness may cause additional problems. The high burden of stress experienced by Veterans who are homeless or at-risk for homelessness appears to serve as a major obstacle to achieving housing stability. Therefore, an intervention that fosters resilience and adaptive coping may help them overcome such challenges and promote stable housing. Problem-solving therapy (PST) is an evidence-based, affective-cognitive-behavioral intervention that is viewed as potentially providing this population with effective skills to manage stressful problems engendered by housing instability through improving one's social problem solving (SPS). A program evaluation of a PST-based VA program called Moving Forward found it to be effective in improving resilience and overall distress among Veterans, including some who were homeless. Moreover, focus groups conducted by this investigator with homeless Veterans indicated interest in a program aimed at reducing stress, suggesting the feasibility of implementing a program with this population.

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