VA 2009 Homelessness Summit Survey

Department Of Veterans Affairs

VA

2009 Homelessness Summit Survey

OMB 29OO.XXXX
Respondent Burden: 10 minutes

RESPONDENT BURDEN: The Paperwork Reduction Act of 1995 requires us to notifu you that
this information collection is in accordance with the clearance requirements of section 3507 of this
Act. The information is needed to generate suggestions about VA's homeless Veteran
program. We estimate that you will need an average of 10 minutes to complete this form.
VA may not conduct, sponsor or require the respondent to respond to this collection of
information unless it displays a valid OMB Control Number. Valid OMB control numbers
can be located on the OMB Internet Page at www.whitehouse.gov/omb/library/OMBlNV.
Responding to this collection of information is voluntary. Send comments regarding this
burden estimate or any other aspects of this collection, including suggestions for reducing this
burden to VA Clearance Officer (005RlB) 810 Vermont Avenue, NV/, Washington, DC
20420.

As you think about what VA could do to end homelessness among Veterans, what do you
believe are the 3 principal contributors to Veteran Homelessness?

E
n
tr
n
tl
n
n
E
tr
n

Mental Illness (PTSD, Depression, Serious Mental lllness, Other)
Criminal Behavior
Lack of Affordable Housing
Employme,nt
Job Training
substance Abuse

Family Issues
TransitionAssistance
Cahshophic Event orTragedy

Speciffyourownvalue:

Please rank the significance

of the following contributing factore to Veteran

homelessness in your assessment

Low

Employment
Job Training
Substance Abuse

Family Issues
Transition
Assistance

O

CI

High

Average

34

5

N/A

Õ

O

O

a

O

o

0

n

fi

c,

c

ç

t2

Mental Illness
(PTSD,
Depressior¡
Serious Mental
Illness)
Criminal
Behavior
Lack of
Affordable
Housing

*

öofi
CIOÕ
oOCI
ÕOç

oÕo

occ
ocÌÕ
()o0
ficit

çcÕ

Catastrophic

l"

EventorTragedy I'

I

c

c

VA has a number of programs already in place that

are designed to end homelessness.
programs
you
VA currently has in place?
What do
believe are the 3 most effective

f
f'
|r
f
f
f
f
r
f
F
f

Domiciliary Care (Residential Rehabilitation Treatment Programs)

VA Homeless Providers Grant and Per Diem Programs
Contract Community- Based Residential Rehabilitation Treatment

HUD-VASH Program
Substance Use and Mental Health Treatment

Physical Health Care

Dental Care
Job Training/Employment

vA

Benefits

Outreach Services
Justice Outreach/ Re-entry
Specifu your own value:

What is VA doing well to help end Veteran Homelessness?

What does VA need to improve upon to help end Veteran Homelessness?

What are the 3 biggest needs that VA should focus on to end homelessness?

tr
tr
E
n
n
n
tr
n
tr

Permanent Housing and Supportive Services

Transitional Housing with Supportive Services
Prevention Sen¡ices

Mental Healft and Substance Use Treatmetrt

JobTrainingand Employment
Justice Ouüeach/ Re-entry

vA

Benefits

Family Rer¡nification

Speciffyourownvalue:

What other Programs are you awaf,e of that could assist VA in helping to end Veteran
Homelessness?

What other ideas do you have to end homelessness ¿rmong our Nation's Veterans?