• Carissa van den Berk-Clark and James McGuire.
• Carissa van den Berk-Clark and James McGuire are with the US Department of Veterans Affairs, St. Louis Healthcare Center (van den Berk-Clark) and West Los Angles Healthcare Center (McGuire). Carissa van den Berk-Clark is also with the Department of Psychiatry, School of Medicine, Washington University, St. Louis, MO.
• Am J Public Health. 2013 Dec 1; 103 Suppl 2: S232-8.

ObjectivesWe compared the characteristics of chronically homeless and acutely homeless elderly veterans to better understand precipitants of homelessness.MethodsWe conducted interviews with 33 chronically and 26 acutely homeless veterans aged 65 years and older receiving transitional housing services in Los Angeles, California, between 2003 and 2005. We asked questions regarding their sociodemographic characteristics and other social status measures. Other precipitants of homelessness were acquired via observation and open-ended and structured questions.ResultsBoth veterans groups were more similar than different, with substantial levels of physical, psychiatric, and social impairment. They differed significantly in homelessness history, with chronically homeless veterans having more homelessness episodes and more total time homeless. They were also less educated and had smaller social networks. In response to open-ended questioning, elderly homeless veterans revealed how health and substance use issues interacted with loss of social support and eviction to exacerbate homelessness.ConclusionsAssessment of a range of factors is needed to address risk factors and events leading to homelessness. Further research with larger samples is needed to confirm the characteristics and needs of the elderly homeless veteran population.

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