Community Mental Health Journal

, Volume 48, Issue 6, pp 682–691 | Cite as

Do Faith-Based Residential Care Services Affect the Religious Faith and Clinical Outcomes of Homeless Veterans?

  • Jack Tsai
  • Robert A. Rosenheck
  • Wesley J. Kasprow
  • James F. McGuire
Original Paper


Data on 1,271 clients in three residential care services funded by the Department of Veterans Affairs was used to examine: (1) how religious-oriented programs differ in their social environment from secular programs, (2) how religious-oriented programs affect the religiosity of clients, and (3) how client religiosity is associated with outcomes. Programs were categorized as: secular, secular now but religious in the past, and currently religiously oriented. Results showed (1) participants in programs that were currently religious reported the greatest program clarity, but secular services reported the most supportive environments; (2) participants in programs that were currently religious did not report increases in religious faith or religious participation over time; nevertheless (3) greater religious participation was associated with greater improvement in housing, mental health, substance abuse, and quality of life. These findings suggest religious-oriented programs have little influence on clients’ religious faith, but more religiously oriented clients have somewhat superior outcomes.


Religious faith Homeless persons Mental health services Residential care 


  1. Aron, L. Y., & Sharkey, P. T. (2002). The 1996 national survey of homeless assistance providers and clients: A comparison of faith-based and secular non-profit programs. Washington, D.C.: The Urban Institute.Google Scholar
  2. Ebaugh, H. R., Pipes, P. F., Chafetz, J. S., & Daniels, M. (2003). Where’s the religion? Distinguishing faith-based from secular social services agencies. Journal for the Scientific Study of Religion, 42(3), 411–426.CrossRefGoogle Scholar
  3. Formicola, J. R., Segers, M. C., & Weber, P. (2003). Faith-based initiatives and the Bush administration: The good, the bad, and the ugly. Lanham, MD: Rowman & Littlefield Publishers, Inc.Google Scholar
  4. George, L. K., Larson, D. B., Koenig, H. G., & McCullough, M. E. (2000). Spirituality and health: What we know, what we need to know. Journal of Social and Clinical Psychology, 19(1), 102–116.CrossRefGoogle Scholar
  5. Gottlieb, J. F., & Olfson, M. (1987). Current referral practices of mental health care providers. Hospital & Community Psychiatry, 38(11), 1171–1181.Google Scholar
  6. Hayes, R. A. (2002). Habitat for humanity: Building social capital through faith based service. Journal of Urban Affairs, 24(3), 247–269.CrossRefGoogle Scholar
  7. Johnson, K. S., Tulsky, J. A., Hays, J. C., Arnold, R. M., Olsen, M. K., Lindquist, J. H., et al. (2011). Which domains of spirituality are associated with anxiety and depression in patients with advanced illness? Journal of General Internal Medicine, 26(7), 751–758.PubMedCrossRefGoogle Scholar
  8. Koenig, H. G., Cohen, H. J., Blazer, D. G., Pieper, C., Meador, K. G., Shelp, F., et al. (1992). Religious coping and depression among elderly, hospitalized medically ill men. American Journal of Psychiatry, 149(12), 1693–1700.PubMedGoogle Scholar
  9. Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health: A century of research reviewed. New York: Oxford University Press.Google Scholar
  10. Kurtz, E. (1991). Not-god: A history of alcoholics anonymous. Center City, MN: Hazelden Publishing.Google Scholar
  11. Larimore, W. L., Parker, M., & Crowther, M. (2002). Should clinicians incorporate positive spirituality into their practices? What does the evidence say? Annals of Behavioral Medicine, 24(1), 69–73.PubMedCrossRefGoogle Scholar
  12. Larson, C. O. (2002). Use of the SF-12 instrument for measuring the health of homeless persons. Health Services Research, 37, 733–750.PubMedCrossRefGoogle Scholar
  13. Lehman, A. F. (1988). A quality of life interview for the chronically mentally ill. Evaluation and Program Planning, 11, 51–62.CrossRefGoogle Scholar
  14. McGuire, J. F., Rosenheck, R. A., & Kasprow, W. J. (2011). Patient and program predictors of 12-month outcomes for homeless veterans following discharge from time-limited residential treatment. Administration and Policy in Mental Health and Mental Health Services Research, 38(3), 142–154.PubMedCrossRefGoogle Scholar
  15. McLellan, A. T., Luborsky, L., Woody, G. E., & O’Brien, C. P. (1980). An improved diagnostic evaluation instrument for substance abuse patients: The Addiction Severity Index. Journal of Nervous and Mental Disease, 168, 26–33.PubMedCrossRefGoogle Scholar
  16. Melfi, C., Holleman, E., Arthur, D., & Katz, B. (1995). Selecting a patient characteristics index for the prediction of medical outcomes using administrative claims data. Journal of Clinical Epidemiology, 48(7), 917–926.PubMedCrossRefGoogle Scholar
  17. Moos, R., & Otto, J. (1972). The Community-Oriented Programs Environment Scale: A methodology for the facilitation and evaluation of social change. Community Mental Health Journal, 8(1), 28–37.PubMedCrossRefGoogle Scholar
  18. Oppenheimer, J. E., Flannelly, K. J., & Weaver, A. J. (2004). A comparative analysis of the psychological literature on collaboration between clergy and mental health professionals—perspectives from secular and religious journals: 1970–1999. Pastoral Psychology, 53(2), 153–162.CrossRefGoogle Scholar
  19. Pardini, D. A., Plante, T. G., Sherman, A., & Stump, J. E. (2000). Religious faith and spirituality in substance abuse recovery: Determining the mental health benefits. Journal of Substance Abuse Treatment, 19(2), 347–354.PubMedCrossRefGoogle Scholar
  20. Strawbridge, W. J., Cohen, R. D., Shema, S. J., & Kaplan, G. A. (1997). Frequent attendance at religious services and mortality over 28 years. American Journal of Public Health, 87(6), 957–961.PubMedCrossRefGoogle Scholar
  21. Taubes, T. (1998). ‘Healthy avenues of the mind’: Psychological theory building and the influence of religion during the era of moral treatment. American Journal of Psychiatry, 155(8), 1001–1008.PubMedGoogle Scholar
  22. Tonigan, J. S., Miller, W. R., & Schermer, C. (2002). Atheists, agnostics and alcoholics anonymous. Journal of Studies on Alcohol, 63(5), 534–541.PubMedGoogle Scholar
  23. Ware, J. E., Kosinski, M., & Keller, S. D. (1996). A 12-item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233.PubMedCrossRefGoogle Scholar
  24. Wineburg, R. J. (1993). Social policy, community service development, and religious organizations. Nonprofit Management & Leadership, 3(3), 283–297.CrossRefGoogle Scholar
  25. Winston, D. (2000). Red-hot and righteous: The urban religion of the Salvation Army. Boston: Harvard University Press.Google Scholar
  26. Zald, M. N., & Denton, P. (1963). From evangelism to general service: The transformation of the YMCA. Administrative Science Quarterly, 8(2), 214–234.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC (Outside the USA) 2011

Authors and Affiliations

  • Jack Tsai
    • 1
    • 2
    • 6
  • Robert A. Rosenheck
    • 1
    • 2
    • 3
  • Wesley J. Kasprow
    • 2
    • 4
  • James F. McGuire
    • 4
    • 5
  1. 1.VA New England Mental Illness Research, Education, and Clinical CenterWest HavenUSA
  2. 2.Department of PsychiatryYale School of MedicineNew HavenUSA
  3. 3.Department of Epidemiology and Public HealthYale School of Public HealthWest HavenUSA
  4. 4.VA Northeast Program Evaluation CenterWest HavenUSA
  5. 5.VHA Veterans Justice ProgramWashingtonUSA
  6. 6.VACTWest HavenUSA

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