Department of Veterans Affairs Archive
01/23/2013 - Aligning Assets Towards the Goal: A Blog from VA’s Tom O’Toole on the Homeless Patient Aligned Care Teams (HPACT)
The adage, “It takes a village” has been applied to lot of different efforts over the years to the point of over-use. However, when it comes to ending homelessness among Veterans by 2015, there is probably no better descriptor for what is needed and what is being done. Last year, as part of this effort, the Department of Veterans Affairs (VA) launched an ambitious pilot project to develop Homeless Patient Aligned Care Teams (H-PACT) to provide comprehensive, wrap-around primary care coupled with homeless programming to help Veterans make the transition out of homelessness and to help keep them housed. This joint effort between the Office of Homeless Programs and Office of Primary Care Services funded 32 sites around the country located in a variety of settings, including Community Resource and Referral Centers (easy access community- based centers), VA outpatient clinics (community-based outpatient clinics) and within VA Medical Centers. These are sites where we see homeless Veterans struggling to subsist, where they often find themselves cycling through the system dealing with the consequences of their homelessness in emergency departments and hospital wards, and where we have the resources in place to make a difference.
Recently, I accompanied the VA Greater Los Angeles’ (VA GLA) new Assertive Community Treatment (ACT) team, to observe their work in Hollywood, California. I wanted to see the team in action, tackling issues on the ground level. Ending Veteran homelessness in Los Angeles cuts across three of my top priorities as Executive Director of USICH: ending Veteran homelessness, ending chronic homelessness, and reducing all homelessness in Los Angeles.
Pictured L-R: Veteran client, Janell Perez, Barbara Poppe
The ACT team is part of the VA’s Housing First demonstration project. The team provides case management support to Los Angeles County Supervisor Zev Yaroslovsky’s Project 60. Project 60 (a replication of Project 50) is an innovative partnership between VA GLA, community based non-profit organizations, and the Supervisor’s deputy, Flora Gil-Krisiloff. Project 60 uses HUD-VASH vouchers from the Housing Authority of the City Los Angeles (HACLA) in order to get chronically homeless and vulnerable Veterans into permanent supportive housing with access to comprehensive, wrap-around services. Supervisor Yaroslovsky provided county funding to support the efforts of the non-profit partners, including Ocean Park Community Center (Santa Monica), Step Up on Second (Hollywood), St. Joseph Center (Venice), and San Fernando Valley Community Mental Health Center (Van Nuys).The Hilton Foundation, working through the Corporation for Supportive Housing brought together financial assistance to help with move-in costs. Project 60 also collaborates with Hollywood’s Vulnerability Registry as part of the 100,000 Homes Campaign (an initiative of Community Solutions). HACLA has been a strong partner in this effort as well working to streamline the application and inspection processes and working closely with VA GLA to prioritize Veterans who are chronically homeless.
The first two days of this week federal offices in Washington, DC were closed due to Hurricane Sandy. USICH sends our condolences to those who lost loved ones. Our thoughts are with those who are struggling to recover from this disaster and for those working tirelessly in recovery efforts. To donate for the recovery effort via The American Red Cross, you can do so directly from their homepage: http://www.redcross.org/
Mark Horvath of InvisiblePeople.tv wrote this piece in the Huffington Post today about the power of social media that was used to help homeless services as they struggled to keep individuals safe in shelters during Hurricane Sandy - a powerful timeline of how people from across the country assisted in those in shelter or supportive housing during this disaster.
New Study about students experiencing homelessness
The University of Minnesota released a new study about the challenges and resiliency of students experiencing homelessness in the journal Child Development. This study examined academic achievement data for over 26,000 students in the Minneapolis Public Schools from third through eighth grades, comparing students identified as homeless or highly mobile with other students in the federal free meal program, reduced price meals, or neither. Achievement gaps appeared stable or widened between homeless or highly mobile students and lower risk groups. Math and reading achievement were lower, and growth in math was slower in years of homeless or highly mobile identification, suggesting acute consequences of housing instability. However, there is surprising resiliency: around 45% of homeless or highly mobile students scored within or above the average range in both math and reading despite their living situation. Results underscore the need for research on risk and resilience processes among homeless or highly mobile students to address achievement disparities.
The Department of Veterans Affairs (VA), Office of Mental Health released a new toolkit for community providers to access on its website. The online toolkit provides information on mental health issues from a Veteran-specific focus, a whole host of information about military cultural competency for mental health providers and case managers, and gives information on how providers can connect with VA. The Office of Mental Health will be developing and releasing more fact sheets and guides for specific types of mental health needs in the coming months, so we encourage community providers to check back frequently for updated resources.