1 hud-vash: the va perspective teresa s. pittman, lcsw hud-vash program analyst
TRANSCRIPT
1
HUD-VASH: The VA Perspective
HUD-VASH: The VA Perspective
Teresa S. Pittman, LCSW
HUD-VASH Program Analyst
2
Eliminating Veteran HomelessnessEliminating Veteran Homelessness
• President Obama and Secretary Shinseki are committed to eliminating homelessness for our nation’s Veterans.
• Eliminating Veteran homelessness is a very high national priority.
• VA has developed a comprehensive Five Year Plan to achieve this goal.
• HUD-VASH is a prominent element of the Five Year Plan.
3
Program DesignProgram Design
• The HUD-VASH program was developed to provide case management and supportive services paired with a “Housing Choice” Section 8 voucher to eligible homeless Veterans
• HUD-VASH case managers work to maintain Veterans recovery and independence
• HUD-VASH has the opportunity to provide permanent, stable, and safe housing to homeless Veterans
4
VA Side of HUD-VASHVA Side of HUD-VASH
• HUD-VASH is a partnership between the VA and HUD and VA case managers and PHAs
• Both sides need to work together to have good and timely outcomes
• For VA, case management is the heart of this program
• VA also needs other community partnerships to successfully implement this program – referrals from community, landlords, assistance with deposits, furniture, etc.
5
Size &ScopeSize &Scope
• Over 20,000 housing vouchers– 10,150 allocated in FY08– 10,290 allocated in FY09
• Almost 600 case managers – 291 case managers funded in FY08– 292 additional case managers funded in
FY09
• 283 FY08 Case managers are hired (97%)
6
Progress on FY08 Allocation Progress on FY08 Allocation
• 20,295 Veterans have been screened
• 13,825 Veterans have entered case management
• 11,970 Veterans have been referred to the PHA
• 10,707 Veterans have been issued vouchers
• 6,906 Veterans have been housed as of September 30, 2009
7
FY 08 Allocation ProgressFY 08 Allocation Progress
0
5000
10000
15000
20000
25000
Number of Veterans screened for Casemanagement
Number of veterans entering VASH casemanagement
Number of veterans referred to PHAs
Number of veterans issued vouchers
Number of veterans under lease
Sept. 30, 2009 TotalsCase manged 13,825 Issued vouchers 10,707 Housed 6,906
8
EligibilityEligibility
Priority focus for HUD-VASH
• Chronically homeless with SMI
• Homeless Veterans with dependent Children (OEF/OIF)
9
EligibilityEligibility
• VA determines clinical eligibility
• PHA determines legal eligibility
٭ Meet income requirements
٭ Not on lifetime sexual offense registry requirement
10
Program RequirementsProgram Requirements
• VA Health Care Eligible Veteran
• Homeless (McKinney Act Definition)
• Needs case management to obtain and sustain independently housed in the community
• Must agree to participate in the case management portion of the program
11
Program RequirementsProgram Requirements
• Sustained periods of sobriety are not prerequisites for admission to HUD VASH
• Case managers are to coordinate and collaborate with MH and SUD providers to co-manage the treatment needs of the Veterans
• HUD VASH is about promoting and sustaining access to treatment and housing and other supports that nourish the Veterans Recovery and enhance their quality of life
12
VA Case ManagersVA Case Managers
• “Community Reintegration Specialist”
• Evolving to team approach – CM, SUD, Peer Support, Housing Specialist
• Will network with community advocacy groups, service providers, landlords, and local homeless Continuum(s) of Care
13
VA Case Management IntensityVA Case Management Intensity
• Target case management Ratio is 35:1 but program needs to match intensity of services with the needs of the veteran.
• Chronic homeless and families may require more intensive services especially during the engagement & stabilization phase
• VA moving toward the evidence based Critical Time Intervention case management model
14
VA Case Manager FunctionsVA Case Manager Functions
• Promote recovery from homelessness
Mental health٭ Substance use٭
Physical health٭
• Assist Veteran to obtain treatment or services, as indicated
• Provide access to benefits & vocational services• Assist with housing needs
15
Vital Functions of Case ManagementVital Functions of Case Management
Throughout the case management process:
• Assessment/ Reassessment ٭ Functioning
٭ Stability
٭ Progress on established goals
• Developing and revising mutually agreed upon goals and actions to accomplish those targets
16
Screening
Admitted
Referred for Non-HUD-VASH
assistance
Case Management Task: “Housing Ready”AssessmentHousing and Service PlanReferral for concurrent MH, SUD, PCCIncome AssistanceCWT/ Employment ServicesVA and SS BenefitsMoney Management/ Credit RepairPHA Application and DocumentationPHA Referral
Meet With PHAVoucher Issued
Veteran not eligible for Voucher
Case Management Task: “Housing Search”Landlord developmentLocate suitable housing unit InspectionLease Move In to housing unit
Voucher Returned to PHA
Case Management Task: Sustain HousingRecovery in MH, SUD, Physical HealthTransition Time Skill Development/ PracticeFoster Independence Monitor Stability and Functioning
Outreach to Veterans and Community
Connected with other programs and/or services: HCHV, RRTP, GPD, MH, SUD, Inpatient, Community Services, etc. for assistance
Referral
HUD-VASH Flow ChartHUD-VASH Flow Chart
Exit HUD-VASH
17
VA Case Manager BasicsVA Case Manager Basics
• Provide case management services in: ٭ VA setting ٭ Veteran’s home Community settings٭Group settings٭
• Face to face meetings at least weekly
٭ Stop code 522Group meetings count as face to face٭
• Telephone contacts ٭ Stop code 530
18
Exit from Case ManagementExit from Case Management
• Veterans ready to exit from case management will have:
٭ Developed skills ٭ Achieved sustained recovery from clinical symptoms٭ Demonstrated ability to live independently
• Stage transition – fewer visits, longer time between visits
• Communicate with PHA at all stages
19
Exiting from HUD-VASHExiting from HUD-VASH
• Why Veteran may be exiting HUD-VASH:
– Veteran no longer needs case management or voucher
– Veteran refuses to participate in case management– Veteran is incarcerated– Veteran loses voucher due to PHA rule violation– Veteran evicted from housing unit
• All reasonable efforts will be made to assist Veteran to keep the Veteran involved in theProgram, unless program not needed
20
Community PartnershipsCommunity Partnerships
• PHAs• HUD – Field Offices/ National Office• Landlords• Homeless Service Providers• Veteran Service Organizations• Law Enforcement/ Justice System• Faith Based Organizations• Local Homeless Continuum of Care• Community at large
21
FY 2010 HUD-VASH DashboardFY 2010 HUD-VASH Dashboard
• Must be accurate - shared with HUD and Congress
• Monitored by the year of the award
(FY 08 and FY 09)
• Four primary sections:
– Hiring status information (internal to VA)
– Cumulative implementation of the program
– Current number of Veterans with vouchers and number of Veterans housed
22
DASHBOARDDASHBOARD
• VISN
• Site identification information
• Voucher awards
• Case manager allocations
VISN Site NameSite
Code
Numberof
Awarded Vouchers
Numberof
Awarded FTEE
2 ALBANY 528A8
2 ALBANY 528A8
2 ALBANY 528A8
FY 09 Total ALBANY 528A8 70 3
2W NEW YORK HCS
(Buffalo) 528
2W NEW YORK HCS
(Buffalo) 528
FY 09 TotalW NEW YORK HCS
(Buffalo) 528 70 2
2CANANDAIGUA
(Rochester) 528GE
FY 09 Total CANANDAIGUA 528A5 35 1
2 SYRACUSE 528A7 35 1
2 SYRACUSE (Rome) 528GM 35 1
FY 09 Total SYRACUSE 528A7 70 2
FY 09 VISN Total 245 8
23
FY 09 DashboardFY 09 Dashboard
Current Hiring StatusStart Date??/??/??
Target Start Date 11/15/09
Interviewing
Recruiting
Posted and Closed
Awaiting HR
StatusDev Functional Statement
Awaiting HR
On Hold
Posted
Posted and closed
Recruiting
Screening Applicants
Interviewing
Selection Made
Pending HR Approval
Position Offered
Credentialing
Target Start Date
Filled
Recently vacated
24
DASHBOARDDASHBOARD
Cumulative Veteran Involvement in HUD- VASH Program (FY 2009 vouchers)
Veterans Screened for HUD-
VASH Program
Veterans Entering HUD- VASH
Case Management
HUD-VASH Veterans
Referred to Local Public
Housing Authority
(PHAs)
HUD- VASH
Veterans Issued
Voucher from PHAs
Veterans Housed in
HUD-VASH
Performance Monitor: % of
Vouchers Issued
Performance Measure % Housed
Returned Vouchers
0 0 0 0 0 0% 0% 0
0 0 0 0 0 0% 0% 0
0 0 0 0 0 0% 0% 0
0 0 0 0 0 0% 0% 0
0 0 0 0 0 0% 0% 0
0 0 0 0 0 0% 0% 0
0 0 0 0 0 0% 0% 0
• Cumulative Data
• Automatic Calculations for:
= Pink ٭Performance
Monitor
= Purple ٭Performance
Measure
VISN Totals ٭
25
DASHBOARDDASHBOARDCurrent Status
CurrentVouchers
in Use
Actual %Vouchers
Issued
Current Number ofVeteransHoused
Actual %Housed
0 0% 0 0.0%
0 0% 0 0.0%
0 0% 0 0.0%
0 0% 0 0.0%
0 0% 0 0.0%
0 0% 0 0.0%
0 0% 0 0.0%
• Current Data
•Automatic Calculations for:
Current Vouchers in ٭Use
Percentages٭
VISN Totals٭
26
HUD-VASH Outcome GoalsHUD-VASH Outcome Goals• End homelessness for Veterans through permanent
supportive housing
• Veterans will sustain housing and will: Remain stable and in Recovery٭ (Improved quality of life)
٭ Learn and use new skills and strategies
٭ Participate in cultural and social activities
٭ Be good tenants
٭ Engage in healthy practices
Make thoughtful and appropriate decisions٭
Gain independence٭
27
HUD-VASHHUD-VASH
• Low Barrier Access
• Maintain Hope for Veterans
VHA Handbook 1162.05 • Internet
http://www1.va.gov/vhapublications/• Intranet
http://vaww1.va.gov/vhapublications/Sharepoint:
http://vaww.national.cmop.va.gov/MentalHealth/HUDVASH/Forms/AllItems.aspx
28
Contact InformationContact Information
Please contact me if you have questions or want to discuss specific program concerns:
Teresa Pittman
VA Central Office
810 Vermont Ave. NW
Washington, D.C. 20420
202-461-7308