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The challenges facing military veterans who return to civilian life in the United States are persistent and well documented. But for all the political outcry and attempts to improve military members' readjustments, veterans of all service eras face formidable obstacles related to mental health, substance abuse, employment, and — most damningly — homelessness. Homelessness Among U.S. Veterans synthesizes the new glut of research on veteran homelessness — geographic trends, root causes, effective and ineffective interventions to mitigate it — in a format that provides a needed reference as this public health fight continues to be fought. Codifying the data and research from the U.S. Department of Veterans Affairs (VA) campaign to end veteran homelessness, psychologist Jack Tsai links disparate lines of research to produce an advanced and elegant resource on a defining social issue of our time.
There are over a half million people experiencing homelessness in the United States, nearly 160,000 of them are children, and nearly 38,000 are veterans. This book reports on the national homelessness crisis.
CRS Report for Congress.
Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.
There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.
Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown that the problem of homelessness can be successfully addressed. Although a number of programs have been developed to meet the needs of persons experiencing homelessness, this report focuses on one particular type of intervention: permanent supportive housing (PSH). Permanent Supportive Housing focuses on the impact of PSH on health care outcomes and its cost-effectiveness. The report also addresses policy and program barriers that affect the ability to bring the PSH and other housing models to scale to address housing and health care needs.
Homeless assistance has frequently adhered to the “three hots and a cot” model, which prioritizes immediate material needs but may fail to address the political and social exclusion of people experiencing homelessness. In this study, Loehwing reconsiders typical characterizations of homelessness, citizenship, and democratic community through unconventional approaches to homeless advocacy and assistance. While conventional homeless advocacy rhetoric establishes the urgency of homeless suffering, it also implicitly invites housed publics to understand homelessness as a state of abnormality that destines the individuals suffering it to life outside the civic body. In contrast, Loehwing focuses on atypical models of homeless advocacy: the meal-sharing initiatives of Food Not Bombs, the international competition of the Homeless World Cup, and the annual Homeless Persons’ Memorial Day campaign. She argues that these modes of unconventional homeless advocacy provide rhetorical exemplars of a type of inclusive and empowering civic discourse that is missing from conventional homeless advocacy and may be indispensable for overcoming homeless marginalization and exclusion in contemporary democratic culture. Loehwing’s interrogation of homeless advocacy rhetorics demonstrates how discursive practices shape democratic culture and how they may provide a potential civic remedy to the harms of disenfranchisement, discrimination, and displacement. This book will be welcomed by scholars whose work focuses on the intersections of democratic theory and rhetorical and civic studies, as well as by homelessness advocacy groups.
Hans is an inspiring true story about the challenges of American veterans returning to civilian life and a puppy saved from a kill shelter. Some of the veterans incurred physical injures, and all bear emotional scars from which they are healing. Unemployment, discouragement, drug use and a sense of despair followed many veterans home. They found hope and help in a unique place in Rochester, NY, at Veterans Outreach Center. Hundreds of miles away, a black lab puppy in a kill shelter was yearning for a second chance, a safe place to live and people who would love him. His docile nature and natural eagerness to please prompted dog rescue volunteers to place him with Veterans Outreach Center. Hans has become part of the healing process for veterans and is wonderfully content living with his buddies.
This volume highlights the socioeconomic concerns related to medical care for homeless patients and places them at the interface of common psychiatric and medical problems clinicians encounter. Written by experts in psychiatry and other medical specialties, this volume is a concise, yet comprehensive overview of the homeless crisis, its costs, and ultimately, best practices for improved outcomes. The text begins by examining the scope and epidemiology of the problem and discusses its costs. It then examines the best practices for both physical and psychiatric care before concluding with a section on working with special populations that have unique concerns across the country including LGBTQ, women, children, veterans, and aging adults. As the first medical book on homelessness, it is designed to cover a broad range of concerns in a concise, practical fashion for all clinicians working with homeless patients. Clinical Management of the Homeless Patient is written by and for psychiatrists, general internists, geriatricians, pediatricians, addiction medicine physicians, VA physicians, and all others who may encounter this crisis in their work.