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Letters   |    
Timing and Momentum in VA’s Path Toward Housing First
Jack Tsai, Ph.D.
Psychiatric Services 2014; doi: 10.1176/appi.ps.650601
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Dr. Tsai is with the Department of Psychiatry, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut, and with the Department of Psychiatry, Yale Medical School, New Haven, Connecticut.

Copyright © 2014 by the American Psychiatric Association

Extract

To the Editor: When U.S. Secretary of Veterans Affairs (VA) Eric Shinseki first announced the bold goal to end homelessness among veterans, he explained that “a goal of zero homeless veterans sure sounds like an absolute, but unless we set ambitious targets for ourselves, we would not be giving this our very best efforts” (1). This striving toward an absolute somewhat parallels the VA’s path toward another kind of absolute, the Housing First model, which prescribes immediate housing without any prerequisites for sobriety or treatment.

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References

Carden  MJ: Shinseki outlines plan to end veteran homelessness. Washington, DC, American Forces Press Service, Nov 3, 2009. Available at www.defense.gov/news/newsarticle.aspx?id=56515
 
Austin  EL;  Pollio  DE;  Holmes  S  et al:  VA’s expansion of supportive housing: successes and challenges on the path toward Housing First.  Psychiatric Services 65:641–647, 2014
 
Damschroder  LJ;  Aron  DC;  Keith  RE  et al:  Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science.  Implementation Science 4:50, 2009
 
Tsai  J;  Rosenheck  RA:  Outcomes of a group intensive peer-support model of case management for supported housing.  Psychiatric Services 63:1186–1194, 2012
 
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