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The challenges facing military veterans who return to civilian life in the United States are persistent and well documented. But for all the political outcry and attempts to improve military members' readjustments, veterans of all service eras face formidable obstacles related to mental health, substance abuse, employment, and — most damningly — homelessness. Homelessness Among U.S. Veterans synthesizes the new glut of research on veteran homelessness — geographic trends, root causes, effective and ineffective interventions to mitigate it — in a format that provides a needed reference as this public health fight continues to be fought. Codifying the data and research from the U.S. Department of Veterans Affairs (VA) campaign to end veteran homelessness, psychologist Jack Tsai links disparate lines of research to produce an advanced and elegant resource on a defining social issue of our time.
About one-third of all homeless American adults are vets, a serious problem which is a national disgrace. Homeless vets are mostly male, single; come from poor, disadvantaged communities; 40% suffer from mental illness and slightly more than half suffer from alcohol &/or other drug abuse problems. The Veterans Administration held a national summit in Feb. 1994 to discuss homelessness among vets. This report briefly summarizes what was learned from the summit, including priorities for action, consensus principles upon which to base intervention strategies, and suggested guidelines for implementation of summit recommendations.
National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Policy and Global Affairs,Science and Technology for Sustainability Program,Committee on an Evaluation of Permanent Supportive Housing Programs for Homeless Individuals
Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Policy and Global Affairs,Science and Technology for Sustainability Program,Committee on an Evaluation of Permanent Supportive Housing Programs for Homeless Individuals Publisher : National Academies Press Page : 227 pages File Size : 53,8 Mb Release : 2018-07-11 Category : Social Science ISBN : 9780309477079
Permanent Supportive Housing by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Policy and Global Affairs,Science and Technology for Sustainability Program,Committee on an Evaluation of Permanent Supportive Housing Programs for Homeless Individuals Pdf
Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown that the problem of homelessness can be successfully addressed. Although a number of programs have been developed to meet the needs of persons experiencing homelessness, this report focuses on one particular type of intervention: permanent supportive housing (PSH). Permanent Supportive Housing focuses on the impact of PSH on health care outcomes and its cost-effectiveness. The report also addresses policy and program barriers that affect the ability to bring the PSH and other housing models to scale to address housing and health care needs.
Institute of Medicine,Committee on Health Care for Homeless People
Author : Institute of Medicine,Committee on Health Care for Homeless People Publisher : National Academies Press Page : 257 pages File Size : 53,9 Mb Release : 1988-02-01 Category : Medical ISBN : 9780309038324
Homelessness, Health, and Human Needs by Institute of Medicine,Committee on Health Care for Homeless People Pdf
There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.
United States. Congress. Senate. Committee on Appropriations. Subcommittee on Transportation and Housing and Urban Development, and Related Agencies
Author : United States. Congress. Senate. Committee on Appropriations. Subcommittee on Transportation and Housing and Urban Development, and Related Agencies Publisher : Unknown Page : 88 pages File Size : 41,8 Mb Release : 2009 Category : Government publications ISBN : PSU:000066751151
Housing Our Heroes by United States. Congress. Senate. Committee on Appropriations. Subcommittee on Transportation and Housing and Urban Development, and Related Agencies Pdf
National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee to Evaluate the Department of Veterans Affairs Mental Health Services
Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee to Evaluate the Department of Veterans Affairs Mental Health Services Publisher : National Academies Press Page : 467 pages File Size : 49,6 Mb Release : 2018-03-29 Category : Medical ISBN : 9780309466608
Evaluation of the Department of Veterans Affairs Mental Health Services by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee to Evaluate the Department of Veterans Affairs Mental Health Services Pdf
Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.
Housing First by Deborah Padgett,Benjamin F. Henwood,Sam J. Tsemberis Pdf
Little more than two decades ago, the 'Housing First' (HF) approach pioneered by Pathways to Housing, Inc. was a small but determined challenge to the burgeoning yet ineffective service system for homeless persons. Today, the success of HF has brought about paradigm-shifting systems change not only in the homeless 'industry' but in related service systems. This book employs conceptual frameworks drawn from theories of institutional change and innovation to explore the rise in homelessness in the US, the 'lineages' of responses to the problem, and the subsequent rise of HF.
In the Midst of Plenty by Marybeth Shinn,Jill Khadduri Pdf
Foreword by Nan Roman, President and CEO of the National Alliance to End Homelessness This book explains how to end the U.S. homelessness crisis by bringing together the best scholarship on the subject and sharing solutions that both local communities and national policy-makers can apply now. In the Midst of Plenty shifts understanding of homelessness away from individual disability to larger contexts of poverty, income inequality, housing affordability, and social exclusion. Homelessness experts Shinn and Khadduri provide guidance on how to end homelessness for people who experience it and how to prevent so many people from reaching the point where they have no alternative to sleeping on the street or in emergency shelters. The authors show that we know how to end homelessness—if we devote the necessary resources to doing so. In the Midst of Plenty: Homelessness and What to Do About It is an excellent resource for policy-makers, professionals in the homeless services system, and anyone else who wants to end homelessness. It also can serve as a text in undergraduate or masters courses in public policy, sociology, psychology, social work, urban studies, or housing policy. "The knowledgeable and thoughtful authors of this book—two brilliant women who know as much as anyone in the country about the nature of homelessness and its solutions—have done a great service by taking us on a journey through the history of homelessness, how our responses have changed, and how we can end it." —Nan Roman, President and CEO National Alliance to End Homelessness. "Shinn and Khadduri's new book is a thorough yet concise examination of what we know about the nature and causes of homelessness, and the crucial lessons learned. This critically important work provides a roadmap to restoring basic housing and income security as viable policy options, in the face of our daunting inequality divide that otherwise threatens millions with destitution and homelessness." —Dennis Culhane, Dana and Andrew Stone Professor of Social Policy, University of Pennsylvania "Marybeth Shinn and Jill Khadduri have combined their significant expertise to create an essential guide about the history of modern homelessness and to offer a clear path forward to end this American tragedy. Their policy recommendations on ending homelessness are culled from the best about what we know works." —Barbara Poppe, Executive Director US Interagency Council on Homeless, 2009-2014
Veteran Homelessness by U.s. Government Accountability Office Pdf
"According to a HUD and VA report, veterans are overrepresented among the homeless population. The HUD-VASH program combines rental assistance for homeless veterans in the form of section 8 Housing Choice vouchers provided by HUD with case management and clinical services provided by VA at VAMCs and community-based outpatient clinics. This collaborative initiative between the two agencies is intended to target the most vulnerable, most needy, and chronically homeless veterans. GAO was asked to examine (1) how VA and HUD determine veteran eligibility for HUD-VASH, (2) what data VA and HUD collect and report on HUD-VASH and their data reliability efforts, and (3) what is known about HUD-VASH performance.To address these objectives, GAO reviewed HUD-VASH program requirements and reported program data through March 2012; and interviewed VA and HUD headquarters officials, staff at a non-representative sample of 10 VAMCs and 10 PHAs, and representatives of organizations that advocate for veterans or individuals experiencing homelessness.GAO makes no recommendations in this report. HUD, VA, and the U.S. Interagency Council on Homelessness generally agreed with GAO's"
Clinical Management of the Homeless Patient by Elspeth Cameron Ritchie,Maria D. Llorente Pdf
This volume highlights the socioeconomic concerns related to medical care for homeless patients and places them at the interface of common psychiatric and medical problems clinicians encounter. Written by experts in psychiatry and other medical specialties, this volume is a concise, yet comprehensive overview of the homeless crisis, its costs, and ultimately, best practices for improved outcomes. The text begins by examining the scope and epidemiology of the problem and discusses its costs. It then examines the best practices for both physical and psychiatric care before concluding with a section on working with special populations that have unique concerns across the country including LGBTQ, women, children, veterans, and aging adults. As the first medical book on homelessness, it is designed to cover a broad range of concerns in a concise, practical fashion for all clinicians working with homeless patients. Clinical Management of the Homeless Patient is written by and for psychiatrists, general internists, geriatricians, pediatricians, addiction medicine physicians, VA physicians, and all others who may encounter this crisis in their work.
Homeless Veterans, Management Improvements Could Help Va Better Identify Supportive-housing Projects by United States. Government Accountability Office Pdf
In August 2016, HUD and VA announced that the number of homeless veterans in the United States had been cut nearly in half since 2010 to less than 40,000. Part of this effort is the EUL program, which uses unneeded federal property (land or buildings) for housing for homeless veterans. GAO was asked to review VA's EUL program and other efforts to end veteran homelessness. This report examines: (1) how VA uses EULs to provide supportive-housing and services, (2) VA's plans to develop additional supportive-housing through EULs and how past plans have been implemented, and (3) how HUD-VASH, GPD, and SSVF have helped support the goal of ending veterans' homelessness. GAO recommends that VA (1) document its decision-making process in selecting projects as required by VA's policy and (2) update its policy to address the current authority and specify how to identify properties for supportive-housing EULs to meet the needs of homeless veterans.