Out of uniform and on the street

Historical precedent
The Iraq vets seeking help with homelessness are more likely to be women, less likely to have substance abuse problems, but more likely to have mental illness — mostly related to post-traumatic stress, said Pete Dougherty, director of homeless veterans programs at the VA.

Overall, 45 percent of participants in the VA’s homeless programs have a diagnosable mental illness and more than three out of four have a substance abuse problem, while 35 percent have both, Dougherty said.

Historically, a number of fighters in U.S. wars have become homeless. In the post-Civil War era, homeless veterans sang old Army songs to dramatize their need for work and became known as “tramps,” which had meant to march into war, said Todd DePastino, a historian at Penn State University’s Beaver campus who wrote a book on the history of homelessness.

After World War I, thousands of veterans — many of them homeless — camped in the nation’s capital seeking bonus money. Their camps were destroyed by the government, creating a public relations disaster for President Herbert Hoover.

The end of the Vietnam War coincided with a time of economic restructuring, and many of the same people who fought in Vietnam were also those most affected by the loss of manufacturing jobs, DePastino said.

Their entrance to the streets was traumatic and, as they aged, their problems became more chronic, recalled Sister Mary Scullion, who has worked with the homeless for 30 years and co-founded of the group Project H.O.M.E. in Philadelphia.

“It takes more to address the needs because they are multiple needs that have been unattended,” Scullion said. “Life on the street is brutal and I know many, many homeless veterans who have died from Vietnam.”

VA partners with homeless programs
The VA started targeting homelessness in 1987, 12 years after the fall of Saigon. Today, the VA has, either on its own or through partnerships, more than 15,000 residential rehabilitative, transitional and permanent beds for homeless veterans nationwide. It spends about $265 million annually on homeless-specific programs and about $1.5 billion for all health care costs for homeless veterans.

Matt Rourke / AP Homeless Vietnam veteran Joseph M. Schlactur holds his brow during an interview in Philadelphia on Oct. 24.

Because of these types of programs and because two years of free medical care is being offered to all Iraq and Afghanistan veterans, Dougherty said they hope many veterans from recent wars who are in need can be identified early.

“Clearly, I don’t think that’s going to totally solve the problem, but I also don’t think we’re simply going to wait for 10 years until they show up,” Dougherty said. “We’re out there now trying to get everybody we can to get those kinds of services today, so we avoid this kind of problem in the future.”

Group: 500,000 vets homeless in past year
In all of 2006, the Alliance to End Homelessness estimates that 495,400 veterans were homeless at some point during the year.

The group recommends that 5,000 housing units be created per year for the next five years dedicated to the chronically homeless that would provide permanent housing linked to veterans’ support systems. It also recommends funding an additional 20,000 housing vouchers exclusively for homeless veterans, and creating a program that helps bridge the gap between income and rent.

Following those recommendations would cost billions of dollars, but there is some movement in Congress to increase the amount of money dedicated to homeless veterans programs.

On a recent day in Philadelphia, case managers from Project H.O.M.E. and the VA picked up William Joyce, 60, a homeless Vietnam veteran in a wheelchair who said he’d been sleeping at a bus terminal.

“You’re an honorable veteran. You’re going to get some services,” outreach worker Mark Salvatore told Joyce. “You need to be connected. You don’t need to be out here on the streets.”

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