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.
A StandDown is a one to three day outreach event targeting homeless and at-risk veterans in a particular community, bringing together a plethora of services designed to meet their needs. Such needs include respite, legal services, meals, clothing, hygiene, medical, dental and mental health services, benefits and employment assistance. This year alone, over 90 individual StandDown events have taken place across the country with communities reaching out to thousands of homeless Veterans. In fact, these events have been going on since 1988, when the Vietnam Veterans of San Diego (now called Veterans Village of San Diego) held the first one of its kind. In 2002, the National Coalition for Homeless Veterans (NCHV) was asked to take on a nationwide leadership role toward expanding the model by providing guidance and technical assistance, which helped to build momentum for these events even further. The NCHV StandDown Page is updated regularly with all the StandDowns occurring across the country.
Safe Havens have long been a refuge for people with severe and persistent mental illness and other disabilities who also experience episodes homelessness, often for long periods of time. Since 1992, Safe Havens have been part of the Department of Housing and Urban Development’s Supportive Housing Program and will continue to be funded through the new Emergency Solutions Grant program. Designed to offer low-barrier services and supports to the most hard-to-reach people, Safe Havens can provide a sense of stability and security for people who would otherwise be exposed to the life-threatening environment on the streets. Here, people who were formerly disconnected from the community and supports are able to move inside and begin to focus on how they can transition from the streets to permanent, supportive housing. For fifteen years, Safe Place in Tampa, Florida has been offering safe haven to some of that community’s most vulnerable residents. The program is operated by Mental Health, Inc., an agency that works to advocate for and give hope to all people touched by behavioral health and developmental challenges. Recently they’ve begun a new phase in their work as a Safe Haven that partners with the local Veterans Affairs Medical Center (VAMC) to help connect Veterans to this valuable resource.
What We're Talking About is a weekly column from USICH Communications on the topics and issues in the news and on our minds. Topics range from international and national conferences, news from around the country, innovative work to highlight, and more. We look forward to catching you up news you may have missed and connect you to articles and resources.
USICH released a general newsletter this week which compiled news from federal agencies, national partners, and cities revamping their approach to homelessness. If you missed it, you can check it out here.
A Reminder of the Needs of Veterans Two Years After End of Combat Operations in Iraq
Today marks the two year anniversary of combat missions in Iraq, a milestone to be sure, but one that must remind the country of the needs of Veterans of that conflict as well as Veterans of previous wars. In Yuma, Arizona, the allocation of the city’s first HUD-VASH vouchers will enable Veterans in that community to have stable housing and access to coordinated supportive services for their recovery. The HUD-VASH program continues to expand to both more communities and to more Veterans because of its ability to stabilize vulnerable Veterans in the long-term.
Earlier this week President Obama signed the comprehensive bipartisan bill entitled “Honoring America’s Veterans and Caring for Camp Lejeune Families Act of 2012.” This legislation addresses issues for Veterans in areas of health (including extending rural health access), loan guarantees and benefits, protects the memorial services for Veterans, and compensates Marine families who were affected by contaminated well water at Camp LeJuene. Notably, this legislation fully renews existing funding for pivotal programs for Veterans experiencing homelessness, such as HUD-VASH, more.
Working collaboratively to remove barriers and find workable solutions to Veterans homelessness with real results was the theme of the May 14-15 Boot Camp in Orlando, hosted by the 100,000 Homes Campaign and Rapid Results Team. I was able to take part in this Boot Camp in Orlando with my fellow Regional Coordinators, who also took part in Boot Camps in Houston and San Diego. The 100,000 Homes Campaign works with communities throughout the country in order to rapidly accelerate the rate of housing placement for the most long-term and vulnerable individuals experiencing homelessness in our nation—a complex and challenging mission. The Boot Camp gathered teams of community experts together to take a hard look at how to apply strategies that will make a direct impact on the speed and efficiency at which Veterans experiencing homelessness can access housing.
Through Opening Doors, federal agencies are establishing interagency partnerships, paving the way for communities to make a dramatic impact on homelessness. One example of the federal partnerships making a difference is the HUD-VASH program. The Department of Veterans Affairs (VA) and the Department of Housing and Urban Development (HUD) work together to offer a program that pairs HUD Housing Choice vouchers and VA supportive services to bring affordable, supportive housing to Veterans experiencing chronic homelessness. As local communities respond to this opportunity, they have been able to aid Veterans in need of housing, but have been challenged by issues such as housing availability, outreach and awareness, collaboration with other homeless programs, and how to best leverage resources and ensure sustainability.
It has been nearly two years since Opening Doors was launched with the goal to prevent and end Veteran homelessness by 2015. Together, we have made great strides. From 2010 to 2011, there was a 12 percent decrease in homelessness nationally among Veterans, and in some places, that reduction was as high as 20 percent. Now more than ever, we need a stronger sense of urgency with over 67,000 of the nation’s men and women who served in our armed forces experiencing homelessness in addition to our Veterans returning home from Iraq and Afghanistan. We need to continue to break down silos not just in the federal government but in state and local governments as well. The most recent USICH newsletter is focused on providing communities the knowledge of how to unlock available resources in their communities beyond the HUD-VASH program. For this issue, we spoke with the Department of Veterans Affairs about their portfolio of programs to serve Veterans at-risk of or experiencing homelessness, we profiled three Veterans explaining how resources can be coordinated to meet needs in a Veteran-centric way, and we interviewed two leaders in Massachusetts about successful local programs.
As coordinator of the 100,000 Homes Campaign, Community Solutions is proud to be partnering with USICH, VA and HUD to lead the national housing pillar of the ambitious new Got Your 6 Campaign. Last week, in a show of support for veterans and military families, representatives from nearly every major Hollywood production studio, broadcast and cable network, talent agency, and guild in the entertainment industry announced the launch of the Got Your 6™, a new effort to support veterans and foster opportunities for them to contribute their unique skills and abilities in communities across the country. Got Your Six aims to support and empower veterans around six pillars of reintegration, each led by a different group of top-tier non-profits and government agencies.
On May 9th, I had the pleasure of attending the ribbon-cutting ceremony at the new Washington, DC Veterans Affairs Medical Center’s new Community Resource and Referral Center (CRRC) in Northeast DC. The CRRC offers a wide range of health care and social services to Veterans experiencing homelessness and those at-risk of homelessness. Services include a Primary Care Clinic, a complete kitchen, laundry and shower facilities, food pantry, a play room for children, and education and employment resources. The CRRC will be open 24/7 providing resources to Veterans from the District of Columbia, Southern Maryland, and Northern Virginia, though not all services will be available 24/7.
Dr. Clarence Cross, a chaplain at DC’s VAMC, captured the hope and intent for the CRRC best in the invocation when he said that it “will be greater than the sum of all its’ parts:” it is a place where Veterans and their families can access services whether they are in need of one service or many, and help them find or maintain safe and stable housing.
Transitional housing for people who are experiencing a housing crisis has taken many shapes in communities over the last 20+ years. In its traditional form, transitional housing is time limited housing (from
two weeks to two years) that includes various levels of assistance to help the individual or family transition into permanent housing. It is often delivered in single household units or in smaller congregate settings with intensive services that are generally mandatory for the tenant/client to stay in the housing. It is an expensive intervention but can represent a significant part of the crisis response portfolio, including those units targeted at Veterans, victims of domestic violence, and youth.
However, as communities look to resolve rather than manage homelessness, they are retooling their resources to include models that have housing stability as its focus. A model the VA and USICH are encouraging is a Transition in Place Model.
05/08/2012 - Ending Veteran Homelessness in Ohio: VISN 10 Summit on Homelessness and Employment Opportunities for Veterans
We’ve made notable progress towards the goal of ending Veteran homelessness by 2015. Last year, we saw a 12 percent decrease nationally in homelessness among Veterans. This progress has helped put us on the path toward ending homelessness among Veterans by 2015. Despite this progress, over 67,000 Veterans experienced homelessness on a single night in January 2011.
Now more than ever, we need a greater sense of urgency. However, communities are increasingly being asked to do more with less. To meet this challenge we must coordinate our efforts and act strategically in order to accelerate our progress and make our limited resources go farther.
Reviewing progress and maximizing efforts to end Veteran homelessness was the purpose of VA’s VISN 10 Veterans Homeless Summit that I participated in on May 1 in Columbus, Ohio. The Veterans Integrated Service Network 10 serves veterans in Ohio, Northern Kentucky, and Southeastern Indiana. I presented at the Summit on Opening Doors and specific strategies for increasing economic security for Veterans.