Powered by OpenAIRE graph
Found an issue? Give us feedback
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Journal of Veterans ...arrow_drop_down
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
Journal of Veterans Studies
Article . 2022 . Peer-reviewed
License: CC BY
Data sources: Crossref
addClaim

Applying Implementation Science Methods to Address Barriers to Employment Services Offered through the United States Department of Veterans Affairs Health Care for Homeless Veterans Program

Authors: Meagan Cusack; Allyson Varley; Ann Elizabeth Montgomery;

Applying Implementation Science Methods to Address Barriers to Employment Services Offered through the United States Department of Veterans Affairs Health Care for Homeless Veterans Program

Abstract

Connecting veterans with employment services can address housing instability. This paper describes barriers to implementation of employment services within the US Department of Veterans Affairs (VA) Health Care for Homeless Veterans (HCHV) program and identifies strategies for improving implementation efforts. We conducted qualitative telephone interviews with HCHV Employment Specialists (N= 16) between December 2019 and March 2020 and analyzed transcripts using a template analysis approach and aligned identified barriers within the domains of the Consolidated Framework for Implementation Research (CFIR) with implementation strategies established through the Expert Recommendations for Implementing Change (ERIC) project using the CFIR-ERIC Implementation Strategy Matching Tool. Barriers within the intervention’s characteristics consist of its complexity and a lack of evidence-based practices. Inner setting barriers include insufficient resources to support service provision and a lack of knowledge, information, and feedback. Outer setting barriers include inadequate resources to respond to veterans’ needs, transportation limitations, and employer hiring practices. Within characteristics of providers, a lack of self-efficacy and satisfaction with organizational commitment serve as barriers. Finally, ineffective strategies to engage veterans and employers and insufficient feedback about the progress and quality of implementation act as process barriers. ERIC strategies to overcome these barriers fall into four categories: identify champions and build coalitions, formalize implementation efforts, improve education and training opportunities, and develop approaches to better implement services at new locations. Identified barriers and strategies can inform vocational development services provided through both HCHV Employment Specialists and other providers to support better employment, housing, and health outcomes among participants.

Related Organizations
  • BIP!
    Impact byBIP!
    selected citations
    These citations are derived from selected sources.
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    1
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
Powered by OpenAIRE graph
Found an issue? Give us feedback
selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
gold