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  • Slide 1
  • Homelessness: End Homelessness among veterans in 5 yrs OutpatientInpatient Community Domiciliary/ MHRRTP
  • Slide 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
  • Slide 3
  • Synchronizing Plans Increasing Leadership, Collaboration, and Civic Engagement Increase Access to Stable and Affordable Housing Retool the Homeless Crisis Response System Improve Health and Stability Increase Economic Stability Community Partnership Housing and Supportive Services Employment Income and Benefits Treatment Outreach Homeless Prevention
  • Slide 4
  • Plan: 6-Pillars Outreach / EducationTreatment 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
  • Slide 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, SROs, Project Based vouchers.
  • Slide 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
  • Slide 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. Vincents, Church shelters, Oasis, VOA, St. Columba, Salvation Army 19 th 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
  • Slide 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 ).
  • Slide 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!!
  • Slide 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 IDs, birth certificates (for all family members); cant owe landlords or utilities, need deposits, credit reports. Rapidly re-housed over 40 Veteran families with HPRP assistance in FY11.
  • Slide 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 FY11 (ninth nationally) - Avg. 50 calls per month since October 1 st. Several registrations, GPD/MHRRTP admissions from Hotline.
  • Slide 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). TWE is a transitional work program to enable participants to gain work experience and work hardening while in a therapeutic rehabilitation treatment program in the Domiciliary.
  • Slide 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
  • Slide 14
  • 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). VA Programs Work!
  • Slide 15
  • Local Status : GAPS AND BARRIERS 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 OPPORTUNITIES 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
  • Slide 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 FY10. 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.
  • Slide 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 NOFAs: 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
  • Slide 18
  • Accessing the VA: Eligibility Every Veteran is not eligible for the same services: Eligibility for Healthcare Benefits is based on four factors: 1. Discharge Status and LOS (Length of Service): must have two years after 1980 or combat 2. Full-time Active Duty or Activated / Deployed Reserve/Guard service is required. 3. Service Connection Rating: injuries or illnesses caused or made worse by military service. 4. Income: if primarily non-service connected (NSC), must be low- income (Category A), or pay co- pays.
  • Slide 19
  • Eligibility Priority Categories Veterans who are 70% or more Service Connec

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