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help for homeless veterans

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VA Homeless Programs


Homeless Patient Aligned Care Teams (H-PACT)


Homeless Patient Aligned Care Teams (H-PACT)


The Homeless Patient Aligned Care Team (H-PACT) program was established in January 2012 to provide a coordinated “medical home” specifically tailored to the needs of homeless Veterans. Interdisciplinary teams of doctors, nurses, and case managers respond to the ongoing and evolving medical, mental health, and substance abuse needs of homeless Veterans entering the VA system. The program serves as a conduit for treatment engagement and involvement in VA Homeless Program and clinical services and supports through a “no wrong door” policy. It is designed to provide the care necessary to keep Veterans in housing and prevent a return to homelessness.

Goals & Objectives

The H-PACT care teams provide homeless Veterans with medical care, case management, housing and social services assistance to help them obtain and stay in permanent housing, thereby reducing emergency department use and hospitalizations and improving chronic disease management.


As of January 2015, 15,697 patients were enrolled in an H-PACT at one of 51 sites across the country. The initiative has successfully engaged some of the most challenging, complex, and chronically disenfranchised patients with the VA health system, reflected in very high rates of primary care, specialty care, mental health, and homeless program use. As a result, the program has reduced emergency department use and hospitalizations by 25 percent. It has also helped Veterans secure and maintain housing, contributing in a very important way to meeting the goals of the VA’s Five Year Plan to End Veteran Homelessness.


For additional information on H-PACTs, please go to the H-PACT page of the Resource Center.

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