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VA Homeless Programs

 

Permanent Supportive Housing

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Permanent Supportive Housing

Permanent supportive housing is an intervention that combines affordable housing assistance with support services to address the needs of chronically homeless people. The services are designed to build independent living and tenancy skills and connect people with community-based health care, treatment and employment services.

HUD-VASH Resource Guide for Permanent Housing and Clinical Care

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HUD-VASH case managers and others who work with homeless Veterans can use this resource to address the multifaceted needs of homeless Veterans. Led by the National Center on Homelessness Among Veterans, the guide was developed by a dynamic team of researchers, policy analysts, public health experts, psychologists, physicians and social workers.

Changing Demographics Between 2007-2017

thumbnail: Changing Demographics Between 2007-2017

Between 2007-2017, the size of the general Veteran population decreased from about 23 million to 18 million (21.7% decrease), and the population of general VA service users increased from about 5 million to over 6 million (20% increase).  This resource highlights the differences in demographics between that time period. 

Ending Veteran Homelessness on Tribal Lands

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A Tribal HUD-VASH Grants Guide: Spring 2016: Developed by VA and HUD, this guide is designed to familiarize VA medical centers, tribes, tribally designated housing entities and community providers with a new program to permanently house American Indian and Alaska Native Veterans.

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Long Term Outcomes of Permanent Supportive Housing for Chronically Unsheltered Individuals


This is a resource demonstrating outcomes from the following published study: Roncarati et al. (2021). "Housing Boston's Chronically Homeless Unsheltered Population: 14-years later." Medical Care. DOI: 10.1097/MLR.0000000000001409

 

Service utilization changes in the transition to permanent supportive housing: The role of the housing environment and case management. Harris T, Semborski S, Rhoades H, Wenzel S. Health Soc Care Community. 2021 Jun 19. doi: 10.1111/hsc.13448

Healthcare Service Utilization for Formerly Homeless Veterans in Permanent Supportive Housing: Do Neighborhoods Matter? Wong MS, Gabrielian S, Lynch KE, Coronado G, Viernes B, Gelberg L, Taylor SL. Psychol Serv. 2021 Jun 3. doi: 10.1037/ser0000561

Gender Differences in the Predictors of Suicide-related Morbidity Among Veterans Reporting Current Housing Instability. Montgomery AE, Dichter ME, Blosnich JR. Med Care. 2021 Feb 1;59:S36-S41. doi: 10.1097/MLR.0000000000001422

Ellison, M., Schutt, R., Yuan, L., Mitchell-Miland, C., Glickman, M., McCarthy, S., Smelson, D., Schultz, M., & Chinman, M. (July 2020). Examining the Impact of Peer Specialist Services on Housing and Behavioral Health among Veterans Residing in HUD-VASH.

Veterans' assignment to single-site versus scattered-site permanent supportive housing. Montgomery AE, Szymkowiak D, Cusack MC, Austin EL, Vazzano JK, Kertesz SG, Gabrielian S. Am J Orthopsychiatry. 2020;90(1):37-47. doi: 10.1037/ort0000380

Employment experiences of formerly homeless adults with serious mental illness in Housing First versus treatment first supportive housing programs. Tiderington E, Henwood BF, Padgett DK, Tran Smith B. Psychiatr Rehabil J. 2020 Sep;43(3):253-260. doi: 10.1037/prj0000391

Housing versus treatment first for supportive housing participants with substance use disorders: A comparison of housing and public service use outcomes. Hall G, Walters S, Gould H, Lim S. Subst Abus. 2020;41(1):70-76. doi: 10.1080/08897077.2018.1449049

Exploring Community Integration Among Formerly Homeless Veterans in Project-Based Versus Tenant-Based Supportive Housing. Chinchilla M, Gabrielian S, Glasmeier A, Green MF. Community Ment Health J. 2020 Feb;56(2):303-312. doi: 10.1007/s10597-019-00473-x. Epub 2019 Sep 27.

Permanent Supportive Housing With Housing First to Reduce Homelessness and Promote Health Among Homeless Populations With Disability: A Community Guide Systematic Review. Peng Y, Hahn RA, Finnie RKC, Cobb J, Williams SP, Fielding JE, Johnson RL, Montgomery AE, Schwartz AF, Muntaner C, Garrison VH, Jean-Francois B, Truman BI, Fullilove MT; Community Preventive Services Task Force. J Public Health Manag Pract. 2020 Sep/Oct;26(5):404-411. doi: 10.1097/PHH.0000000000001219.J Public Health Manag Pract. 2020. PMID: 32732712

Assessing the relationship between housing and health among medically complex, chronically homeless individuals experiencing frequent hospital use in the United States. Chhabra M, Spector E, Demuynck S, Wiest D, Buckley L, Shea JA. Health Soc Care Community. 2020 Jan;28(1):91-99. doi: 10.1111/hsc.12843. Epub 2019 Sep 2.

Housing Instability Characteristics Among Transgender Veterans Cared for in the Veterans Health Administration, 2013-2016. Carter SP, Montgomery AE, Henderson ER, Ketterer B, Dichter M, Gordon AJ, Shipherd JC, Kauth MR, Blosnich JR.Am J Public Health. 2019 Oct;109(10):1413-1418. doi: 10.2105/AJPH.2019.305219. Epub 2019 Aug 15.

Housing and Urban Development-Veterans Affairs Supportive Housing Vouchers and Veterans' Homelessness, 2007-2017. Evans WN, Kroeger S, Palmer C, Pohl E.Am J Public Health. 2019 Oct;109(10):1440-1445. doi: 10.2105/AJPH.2019.305231. Epub 2019 Aug 15

Screening for Housing Instability: Providers' Reflections on Addressing a Social Determinant of Health. Chhabra M, Sorrentino AE, Cusack M, Dichter ME, Montgomery AE, True G. J Gen Intern Med. 2019 Jul;34(7):1213-1219. doi: 10.1007/s11606-019-04895-x. Epub 2019 Apr 16.

Changes in Physical Health After Supported Housing: Results from the Collaborative Initiative to End Chronic Homelessness. Tsai J, Gelberg L, Rosenheck RA.J Gen Intern Med. 2019 Sep;34(9):1703-1708. doi: 10.1007/s11606-019-05070-y. Epub 2019 Jun 3.

Determinants of Community Integration Among Formerly Homeless Veterans Who Received Supportive Housing. Chinchilla M, Gabrielian S, Hellemann G, Glasmeier A, Green M. Front Psychiatry. 2019 Jun 26;10:472. doi: 10.3389/fpsyt.2019.00472. eCollection 2019.

Making Connections: Understanding How Screening, Triage, and Referral Processes Can Promote Veteran Housing Stability. Cusack M, Montgomery AE, Hunt-Johnson N, Dichter M, True G. Soc Work Public Health. 2019;34(6):483-491. doi: 10.1080/19371918.2019.1629143. Epub 2019 Jun 16.

Predictive modeling of housing instability and homelessness in the Veterans Health Administration. Byrne T, Montgomery AE, Fargo JD. Health Serv Res. 2019 Feb;54(1):75-85. doi: 10.1111/1475-6773.13050. Epub 2018 Sep 21.

Moving Beyond Housing: Service Implications for Veterans Entering Permanent Supportive Housing. Harris T, Winetrobe H, Rhoades H, Castro CA, Wenzel S. Clin Soc Work J. 2018 Jun;46(2):130-144. doi: 10.1007/s10615-018-0648-7. Epub 2018 Jan 22.

Recent Intimate Partner Violence and Housing Instability Among Women Veterans.Montgomery AE, Sorrentino AE, Cusack MC, Bellamy SL, Medvedeva E, Roberts CB, Dichter ME. Am J Prev Med. 2018 Apr;54(4):584-590. doi: 10.1016/j.amepre.2018.01.020. Epub 2018 Feb 9.

Life Goals Over Time Among Homeless Adults in Permanent Supportive Housing S.L. Wenzel, H. Rhoades, H. Moore, J. Lahey, B. Henwood, W. La Motte-Kerr, M. Bird Am J Community Psychol. 2018 Jun; 61(3-4): 421–432. Published online 2018 Mar 14. doi: 10.1002/ajcp.12237

Moving Beyond Housing: Service Implications for Veterans Entering Permanent Supportive Housing. Harris T, Winetrobe H, Rhoades H, Castro CA, Wenzel S. Clin Soc Work J. 2018 Jun;46(2):130-144. doi: 10.1007/s10615-018-0648-7. Epub 2018 Jan 22.

Intimate partner violence, unhealthy alcohol use, and housing instability among women veterans in the Veterans Health Administration. Dichter ME, Wagner C, Borrero S, Broyles L, Montgomery AE.
Psychol Serv. 2017 May;14(2):246-249. doi: 10.1037/ser0000132.

Comparing the Utilization and Cost of Health Services between Veterans Experiencing Brief and Ongoing Episodes of Housing Instability. Byrne T, Nelson RE, Montgomery AE, Brignone E, Gundlapalli AV, Fargo JD. J Urban Health. 2017 Feb;94(1):54-63. doi: 10.1007/s11524-016-0110-5.

Factors contributing to eviction from permanent supportive housing: Lessons from HUD-VASH. Montgomery AE, Cusack M, Szymkowiak D, Fargo J, O'Toole T. Eval Program Plann. 2017 Apr;61:55-63. doi: 10.1016/j.evalprogplan.2016.11.014. Epub 2016 Dec 2.

Veterans' assignment to single-site versus scattered-site permanent supportive housing. Montgomery AE, Szymkowiak D, Cusack MC, Austin EL, Vazzano JK, Kertesz SG, Gabrielian S. Am J Orthopsychiatry. 2020;90(1):37-47. doi: 10.1037/ort0000380. Epub 2019 Jan 17.

Exploring Community Integration Among Formerly Homeless Veterans in Project-Based Versus Tenant-Based Supportive Housing. Chinchilla M, Gabrielian S, Glasmeier A, Green MF. Community Ment Health J. 2020 Feb;56(2):303-312. doi: 10.1007/s10597-019-00473-x. Epub 2019 Sep 27.

Motivational and cognitive correlates of community integration in homeless veterans entering a permanent supported housing program. Horan WP, Wynn JK, Gabrielian S,

No available resources

1990: HUD-VASH: Established by the VA and HUD Independent Agencies Appropriations Act (HUD VASH – pilot), PL 101-144

1978: Stewart B. McKinney Homeless Assistance Act: Became Public Law No: 100-77

U.S. Department of Housing and Urban Development-VA Supportive Housing (HUD-VASH) Program - Homeless Veterans: HUD-VASH is a collaborative program between HUD and VA combines HUD housing vouchers with VA supportive services to help Veterans who are homeless, and their families find and sustain permanent housing.

U.S. Interagency Council on Homelessness (USICH): USICH coordinates and catalyzes the federal response to homelessness, working in close partnership with senior leaders across its 19 federal member agencies.

National Coalition for Homeless Veterans (NCHV):  NCHV is a nonprofit organization that serves as a resource and technical assistance center for a national network of community-based service providers and local, state and federal agencies that provide emergency and supportive housing, food, health services, job training and placement assistance, legal aid and case management support for hundreds of thousands of homeless veterans each year.

National Alliance to End Homelessness (NAEH):  The National Alliance to End Homelessness is a nonpartisan organization committed to preventing and ending homelessness in the United States.

External Link Disclaimer: This page contains links that will take you outside of the Department of Veterans Affairs website. VA does not endorse and is not responsible for the content of the linked websites.

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