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Qualitative interviews with 18 regional specialists and UCD sessions at two VA medical centers informed an interagency collaboration framework and highlighted key challenges and future evaluation 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NEEDS-APPROPRIATE HOUSING FOR PHYSICALLY DISABLED AND OLDER VETERANS  \nAnushka Sista1, Jennifer Palmer1, and Nathan Boucher2, 1. Veterans Administration, Bedford, Massachusetts, United States, 2. Duke University, Durham, North Carolina, United States  \nThe number of homeless Veterans aged 55 and older increased by 150% from 2010 to 2023, creating a significant housing stability crisis. While the Veterans Health Administration (VHA) provides programs like Housing and Urban Development-Veterans Affairs Supportive Housing (HUD-VASH) to support Veterans transitioning out of homelessness; older Veterans and those living with physical disabilities require specialized assistance to maintain independence. This VHA quality improvement project aimed to identify barriersand facilitatorsto HUD-VASH teams and community collaboration as they support Veterans living in least restrictive settings and to develop an implementation blueprint to guide optimal collaboration. We conducted qualitative interviews with 18 regional HUD-VASH geriatric specialists across VHA nationally and facilitated user-centered design (UCD) sessions with VHA staff and community agency representatives at two VA medical centers. Our integrated analysis from the interview and UCD datasets used Shepherd et al.’s framework for interagency collaboration, including elements such as Memoranda of Understanding, Shared Goals, Policies and Procedures, Role Descriptions, Information Sharing, and Regular Meetings. Key challenges included communication barriers, administrative complexity, resource limitations, partnership difficulties, and Veteran-specific obstacles. Geographic diversity, unclear role definitions, and lack of centralized information sharing were major barriers to effective collaboration. Many findings applied to multiple framework elements. Our integrated data informed an implementation blueprint for potential implementation by VHA HUD-VASH teams nationwide. This project offers a structured approach to addressing the complex housing needs of aging and physically disabled Veterans through improved community collaboration. Future research should evaluate the effectiveness of the implementation blueprint in practice.","cbCaisIUFKPq28Hj","https://ap.wps.com/l/cbCaisIUFKPq28Hj","pdf",491870,"English","# Abstract\n## Problem and context\n## Study approach and data sources\n## Analytical framework for collaboration\n## Key barriers and challenges\n## Implementation blueprint and next steps","[{\"question\":\"What housing problem does the project address?\",\"answer\":\"The project addresses the rapid increase in homelessness among Veterans aged 55 and older and the housing stability crisis that followed from 2010 to 2023.\"},{\"question\":\"How did the team study barriers and facilitators for collaboration?\",\"answer\":\"It used qualitative interviews with 18 regional HUD-VASH geriatric specialists and user-centered design (UCD) sessions with VHA staff and community agency representatives at two VA medical centers.\"},{\"question\":\"What were the major barriers to effective HUD-VASH community collaboration?\",\"answer\":\"Major barriers included communication obstacles, administrative complexity, resource limits, partnership difficulties, geographic diversity, unclear role definitions, and lack of centralized information sharing.\"}]","Partnering To Support Needs - Appropriate Housing For Physically Disabled and Older Veterans - Part | PDF",1790642272]