Presentation on theme: "BARBARA GILBERT CLEMENT J. ZABLOCKI VA MEDICAL CENTER Ending Veteran Homelessness."— Presentation transcript:
BARBARA GILBERT CLEMENT J. ZABLOCKI VA MEDICAL CENTER Ending Veteran Homelessness
Six Strategic Pillars Outreach/Education Treatment Prevention Housing/Supportive Services Income/ Employment/ Benefits Community Partnerships
Reduction in Veteran Homelessness 1996 – an estimated 23% of all homeless were Veterans 2009 AHAR estimates 75,609 homeless Veterans on a single night ( 12% of all homeless are veterans
Special Populations – Homeless Veterans FY ‘06 to date, 150 Women identified as homeless (3.9% of homeless Veteran population Highest percentage Women Veterans(4.7%) in FY ’10 FY ‘06 to date, 153 OEF/OIF Veterans identified as homeless (3/9% of homeless Veteran population FYTD, 78 Veterans (6.4%) identified as homeless
Perception of Unmet Needs Among Homeless Non-Veteran Consumer (7 domains) 1. Long-term housing 2. Mental health 3. Dental 4. Medical 5. Financial support 6. Job assistance 7. Substance abuse (Rosenheck & Lam, 1997)
Perception of Unmet Needs Veteran Consumer (From 42 possible needs) 1. Welfare payments 2. Child care 3. Legal assistance for child support issues 4. Family reconciliation assistance 5. Guardianship (financial) 6. Legal assistance for outstanding warrants/fines 7. SSI/SSD process 8. Credit Counseling 9. Job Training 10. Legal assistance to help restore a driver’s license Kuhn & Nakashima, 2010
Consumer-Provider Differ on Needs Consumers 1. Welfare payments 2. Child care 3. Legal assistance for child support issues 4. Family reconciliation assistance 5. Guardianship (financial) 6. Legal assistance for outstanding warrants/fines 7. SSI/SSD process 8. Credit Counseling 9. Job Training 10. Legal assistance to help restore a driver’s license
Consumer – Provider Differ on Needs Providers 1. Child care 2. Legal assistance for child support issues 3. Legal assistance for outstanding warrants/fines 4. Family reconciliation assistance 5. Legal assistance to help restore a driver’s license 6. Credit counseling 7. Long-term, permanent housing 8. Dental care 9. Help managing money 10. Guardianship (financial)
2010 VA CHALENG Report Significant Changes in Consumer Perception of Unmet Needs between 2009 and 2010: All of the top ten most pressing unmet needs as a family, legal, or financial concern, ahead of permanent, transitional, and emergency housing. New to top 10 in 2010 rankings: 1. Credit Counseling (#8) 2. Legal assistance to help restore a driver’s license (#10). Family reconciliation up from 8 th to 4 th highest unmet need. Dental care high unmet need for ineligible populations. Long-term permanent housing dropped out of the top 10, was 3 rd in 2009.
VA Homeless Programs & Initiatives National Call Center for Homeless Veterans – 1-877- 424-3838 National Call Center for Homeless Veterans Grant and Per Diem Program HUD-VASH Homeless Veteran Dental Initiative Healthcare for Homeless Veterans (HCHV)
VA Homeless Programs and Initiatives VA Assistance to Stand Downs Compensated Work Therapy Homeless Veteran Supported Employment Program CHALENG Domiciliary Care for Homeless Veterans (DCHV) Program Supportive Services to Veterans Families
Milwaukee’s Successes o Grant and Per Diem – 140 transitional housing beds 15 beds for women and women/children) Contract Transitional Housing – Daily Avg. of 6 veterans HUD/VASH – 215 vouchers; to date, 172 veterans removed from homelessness
Milwaukee’s Successes National Call Center – 108 hotline calls Stand Down – 3 events each year Dental Care – In FY 2010, 231 veterans received care Contract Transitional Housing – 44 veterans removed from streets/shelters
Community Homelessness Assessment, Local Education and Networking Groups CHALENG – 394 Veteran participants in 2010 Help finding a job one of the top unmet needs Long-term, permanent housing and emergency shelter also top unmet needs
Housing and Urban Development/VA Supportive Housing The HUD-VASH Program is a collaborative program between HUD and VA. 265 vouchers allocated Serving Brown, Outagamie, Fond du Lac; Racine, Waukesha, Milwaukee and Racine Counties Clinical Care Management and Housing Choice Vouchers Homelessness, as defined by McKinney- Vento
HUD/VASH HUD definition of homelessness: “"homeless individual or homeless person" includes- an individual who lacks a fixed, regular, and adequate nighttime residence; and an individual who has a primary nighttime residence that is - a supervised publicly or privately operated shelter designed to provide temporary living accommodations (including welfare hotels, congregate shelters, and transitional housing for the mentally ill); an institution that provides a temporary residence for individuals intended to be institutionalized; or a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings.
HUD/VASH The HUD-VASH Program is a collaborative program between HUD and VA. Who can be served: Veterans and their families - A Veteran is, for the purpose of HUD-VASH, a person who served in the active military, naval, or air service, and who was discharged or released under conditions other than dishonorable and is eligible for VA health care.
HUD/VASH Housing Choice Voucher (HCV). The HCV program is the Federal government's major program for assisting very low-income families, the elderly, and the disabled to afford decent, safe, and sanitary housing in the private market. HUD-VASH Clinical Care Management. Care management is the provision of services by VA clinical staff to homeless Veterans and includes all activities to provide appropriate treatment and maintain Veterans in HUD- approved stable housing
HUD/VASH Since 2008 344 veterans have been screened 272 provided clinical care management
Target Populations Served by HUD/VASH 10.73% - Veterans w/families 6.22% - OEF/OIF 8.55 – living in shelters 6.07 – living in streets or vehicles 2.02% - imminent eviction 30.88% - other veterans, including women 19 women veterans have received HUD/VASH care management