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Homelessness: End Homelessness among veterans in 5 yrs

Homelessness: End Homelessness among veterans in 5 yrs. Domiciliary/MHRRTP. Veteran ~ Veteran ~ veteran ~ Veteran ~ veteran ~ veteran ~. Inpatient. Outpatient. Community. Accessing VA Services and Income for Homeless Veterans.

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Homelessness: End Homelessness among veterans in 5 yrs

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  1. Homelessness:End Homelessness among veterans in 5 yrs Domiciliary/MHRRTP Veteran ~ Veteran ~ veteran ~ Veteran ~ veteran ~ veteran~ Inpatient Outpatient Community

  2. Accessing VA Services and Income for Homeless Veterans • HCHV Program: M. Chick-Ebey, LCSW Program Coordinator; A. Sager, MD; E. Woods, MSW; J. Miles, MSW; RN: Vacant, GPD: David Wall, LiCSW; Verneka Hudson, LCSW • HUD/VASH: L, Adams, LMSW Program Coordinator Debra Christian-Grandy, MSW; R. Haynes, LCSW; LCSW;Anthony Miller, LCSW, Adam Coleman, MSW, Doris Cruea, MSW; Corrie Williams, MSW, ; F. Culley, PSA

  3. Synchronizing Plans Community Partnership Increasing Leadership, Collaboration, and Civic Engagement Housing and Supportive Services Increase Access to Stable and Affordable Housing Increase Economic Stability Employment Income and Benefits Improve Health and Stability Treatment Retool the Homeless Crisis Response System Homeless Prevention Outreach

  4. Plan: 6-Pillars Outreach / Education Treatment • Focus in shelters, streets, Homeless Event Fairs (Stand Down, Project Homeless Connect) , Veterans Justice Outreach (local jails). • National Call Center 24/7 Hotline • Educating Community Partners and Internal Stakeholders – “No wrong door.” • “Right Size services, Rapid-Re-housing • Improved Access: DIGMA/HPACT Primary Care and Mental Health, daily walk-in screening slot for Dom MHRRTP. • Comprehensive Treatment and Rehabilitation • Mental Health Residential Rehabilitation Programs (MHRRTP / Dom) • LINK program: 7 beds for Chronically Homeless Veterans. • Homeless Veterans Dental Initiative

  5. Plan: 6-Pillars (Cont.) Prevention Housing/Supportive Services • Supportive Services for Low Income Families Grant – NOFA recently closed: at least three local applications submitted. • Relapse Prevention • Justice Involved Services • VJO – Veterans Justice Outreach • HCRV – Healthcare for Re-Entering Veterans • Grant and Per Diem Transitional Housing (GPD); Three programs, 90 beds (16 specifically for female Veterans). • HUD VASH – Housing and Urban Development Veterans Affairs Supportive Housing • Community Housing Resources: CANLINK, SRO’s, Project Based vouchers.

  6. Plan: 6-Pillars Income/Employment Community Partnerships • VRT Programs (CWT/IT for MHRRTP Veterans • HVSEP : Homeless Veteran Supported Employment Program • Expedite VA Disability claims for Homeless Veterans • Engagement of Community Partners : 6 COC Committees, Military Affairs Committee • Leveraging resources – Continuum of Care Committees (six in our area – Veterans now getting priority with HUD

  7. Homeless Outreach: Healthcare for Homeless Veterans (HCHV) • Minimum of twelve outreach visits per month; more in winter months • Outreach sites in Newport News, Portsmouth, Norfolk and Virginia Beach (St. Vincent’s, Church shelters, Oasis, VOA, St. Columba, Salvation Army 19th Street shelter, Union Mission). • Seasonal outreach to church shelter programs • Services also provided at Project Homeless Connect, Stand Down and other Homeless Resource Fair events • Also Available for drop-in visits at VAMC Offices

  8. DIGMA (Drop-IN Group Medical Appointment), Primary Care clinic Drop-in clinic designed to reduce barriers to care Full array of Primary Care services provided Clinic meets Tuesday afternoons and Friday mornings Health and Resource Education built in to design of clinic Veterans can remain in DIGMA clinic once housed if they wish. Approximately 269 veterans currently enrolled, over 1030 have received care in DIGMA clinic Mental Health Care also available at DIGMA clinic Clinic recently awarded funding through Central Office Pilot Project to become a full-time, PACT Primary Care Clinic (will add individual slots. Target date: April , 2012).

  9. Grant and Per Diem (GPD) • Community Agencies partner with VA to provide transitional housing to homeless Veterans. • 1. Salvation Army TR: On VA grounds, must provide own food. Clean/Sober, transitional environment. Stay from several weeks up to several months. • 2. Malachi House: For female veterans and veterans with dependents. Apartment units – stay up to two years. • Judeo- Christian Outreach- 16 beds (2 Female) • - 14 Bed new apartment style building for single Veterans (male or female) - Tw0 female beds. * New NOFA just announced for Transition In Place GPD!!

  10. HUD-VASH Program • Section 8 voucher and VA Case Manager • 360 currently, ratio of 1/35 Case Mgr. to veteran. Over 300 housed. • Currently over 200 on wait list • Chronic Homeless prioritized • Families with children also a priority. • To be ready for HUD-VASH: need ID’s, birth certificates (for all family members); can’t owe landlords or utilities, need deposits, credit reports. • Rapidly re-housed over 40 Veteran families with HPRP assistance in FY11.

  11. Homeless Hotline: 1-877-4AID VET • 1-877-4AIDVET went live 3/1/10. • Homeless team staff rotate to handle calls: responders must return calls within one business day. • Calls/data logged nationally and locally. - 399 in FY’11 (ninth nationally) - Avg. 50 calls per month since October 1st. • Several registrations, GPD/MHRRTP admissions from Hotline.

  12. Vocational programs Supported Employment (SE). SE is an evidence-based clinical model that helps individuals with serious mental illness or physical impairments co-occurring with mental illnesses engage in competitive employment in the community. Homeless Veteran Supported Employment Program (HVSEP). A modified version of SE, HVSEP helps Veterans who are homeless or at risk of being homeless engage in competitive employment in the community with some additional support for first 90 days. HVSEP is staffed by Vocational Rehabilitation Specialists who are formerly Homeless Veterans. Referral from MD required. CWT-Transitional Work Experience (TWE).TWEis a transitional work program to enable participants to gain work experience and work hardening while in a therapeutic rehabilitation treatment program in the Domiciliary.

  13. Domiciliary Residential Rehabilitation Programs & TR DAP: Drug Alcohol Program - 80 beds Dom PTSD Program – 10 beds Rehabitat – Homeless, SMI, Dual Diagnosis, -30 beds DCM: Dom Case Management “Homeless Program”: life skills, Must have Rehab Goals - 47 beds CWT/TR: Community Residences for Homeless Veterans active in the CWT Vocational Program: 6 month length of stay, generally following MHRRTP. Length of stay is individualized but generally no more than 90 days

  14. VA Programs Work! • Over 95% of those who complete recovery oriented treatment have a place to stay upon discharge (may be transitional housing). • 66% of discharges from GPD and the DCHV program in Q1FY12 went to stable housing (not transitional: apartments, houses, Oxford Houses, family reunification).

  15. Local Status: GAPS AND BARRIERS OPPORTUNITIES • Prevention money lacking in region • Shelter: Extremely limited year-round shelter for single males, disabled, couples, families & sex offenders. • HUD VASH & Income Based Housing: need far outstrips supply. • Wait /Interest lists • No placements for convalescence • Limited Outreach Staff • Transportation • Limited rental room options: overpriced, often illegal or unsafe • Difficulty navigating VA appointment system from Homeless Status • SSVF Grant: local applicants • Emergency Housing & Medical Respite Contracts (pending $$) • Project Based Developments • New GPD NOFA: Transition -in Place. • Partnerships with other supported housing programs (CANLINK, VBCDC, Access, Project Based). • Cross-train community providers • Oxford Houses • Work with communities to develop more Affordable housing • Homeless PACT Primary Care grant

  16. FY11’ At A Glance Some numbers are duplicated (e.g. one Veteran went through several programs). 577 Intakes, 200 from Outreach, 1012 Veterans seen by HCHV/GPD Staff. 214 Admissions to GPD transitional Housing,; 50 Admissions to CWT TR. Over 400 admissions to MHRRTP and Treatment Programs; 97 from Outreach. HCHV/GPD workload increased 43% over FY’10. Homeless Staff Attended 185 Community Meetings • 314 Veterans Attained non-HUD-VASH Permanent Housing. • 252 Veterans received Dental care through Homeless Dental Initiative. • 260 Veterans enrolled in DIGMA • 399 Homeless Hotline consults (Minimum of over 20 enrolled, 16 MHRRTP admits, 18 GPD Admits) • 92 veterans moved in to HUD-VASH apartments • 75 Veterans visited within local jails.

  17. Local Five Year Plan • Information sessions and trainings for stakeholders across settings and catchment area • Blanket region with brochures and hotline publicity • Publicize SSVF and GPD NOFA’s: write support letters. • Develop & manage contracts in the community for Medical Respite and Emergency Housing (pending funding) • Annual Summit and Annual Report (target September 2012). • Establish Full-time Homeless PACT Primary Care Clinic

  18. Accessing the VA: Eligibility • Every Veteran is not eligible for the same services: Eligibility for Healthcare Benefits is based on four factors: • Discharge Status and LOS (Length of Service): must have two years after 1980 or combat • Full-time Active Duty or Activated / Deployed Reserve/Guard service is required. • Service Connection Rating: injuries or illnesses caused or made worse by military service. • Income: if primarily non-service connected (NSC), must be low-income (Category A), or pay co-pays.

  19. Eligibility Priority Categories Veterans who are 70% or more Service Connected are highest priority and are eligible for: • VA Nursing home care • Dental Care (unemployable or 100% SC only). • Prosthetics of all sorts • No co-pays or income restrictions • Domiciliary MHRRTP residential programs require income waiver OTHER DESIGNATIONS: • Must be 10% or more Service Connected to receive free eyeglasses • Must be service connected for hearing loss (or 100% svc. Connected) to receive hearing aids. • Care of Service Connected condition is covered • Co-pay is not required if income is under NSC pension threshold ($1021 per month single). • Highest numbers of Homeless Veterans are NSC or low % SC. O

  20. Registering For VA Services: • Veterans must be registered to receive care: like an insurance plan • NSC and Veterans less than 10% SC must complete annual means test or risk getting billed • Must have photo ID to register • DD214 or HINQ (computer inquiry to verify service) required • Best to register in person and not by mail (backlog). • Homeless Veterans should request to be seen day of registration • Call Wayne Hopkins at 722-9961 x3040 if you have more questions • Outreach staff can help (if photo id)

  21. VA Financial Benefits: All Veterans that receive VA Healthcare benefits are NOT eligible for Financial Benefits. Service Connection NSC Pension (war era only) • Amount is determined by percentage of disability determined by VBA • 0% no money but not a bad thing • 10% is $127 per month • 100% is $2769 per month • 50% is not half of 100% • See handout or VBA website for more details: www.VA.gov Available to Veterans who are unemployable due to disability (regardless of cause) or over age 65 with income less than $1021 per month • Means tested • Many restrictions • Current payment is $1021 per month, about $1700 for Aid and Attendance (if qualify). • Restrictions similar to SSI Qsee VA Benefits handout for more details

  22. Where / How to file a Claim Virginia Department of Veterans Services (VADVS) offices in Norfolk and Hampton: both take walk-in’s (certain hours may apply). DAV, American Legion, VFW or other Veterans Service Organization (VSO): nearly all VSO’s have claims representatives. Veterans can also self-file online or on paper. Homeless Claims can be expedited/rushed: must contact HCHV staff for verification. Hardship status can also rush claims (must show evidence). Quality Improvement Project completed by PCMH December 2010

  23. Questions??? Please take some goodies: pens, brochures, key-chains. Let us know if you’d like us to present to your colleagues or group. Thank you for your interest in helping Homeless Veterans!

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