The Application Of Cognitive Behavioral Therapy With A Homeless Veteran

In 2009, President Barack Obama and VA Secretary Eric Shinseki, set out to eliminate veteran homelessness within a six year time frame (National Alliance to End Homelessness, 2015). While they may not have succeeded in eliminating veteran homelessness by 2015, their plan has certainly set things in motion. In January 2015 there were a reported 47,725 homeless veterans in the United States. This is a four percent decrease from 2014 (The State of Homelessness In America, 2016). In that same year a Point-In-Time count was taken in the State of Oregon, which showed there were a total of 1,467 homeless veterans (Homelessness in Oregon, 2015), of which, in a street survey conducted in Marion County, twenty-six homeless identified

In the US homeless population, veterans are slightly overrepresented (Tsai & Rosenheck, 2015). To be exact, veterans constitute 12.3% of all homeless adults (Tsai & Rosenheck, 2015). A study by Harpaz-Rotem, Rosenheck, & Desai (2011) also affirms that roughly 30% are homeless men and 4% are homeless women. By definition, homelessness is not having “a regular or fixed night-time residence,” and homeless people tend to move frequently, stay in homeless shelters, and sleep in places such as vehicles and abandoned buildings (Tsai & Rosenheck, 2015, p. 1). With this in mind, it is important to note that homeless veterans are mostly older males who some form of health insurance coverage than other homeless adults, better educated, and have been married or married (Tsai & Rosenheck, 2015). One would think that these advantages should put veterans at lower risk for homelessness, but this was not the case (Tsai & Rosenheck, 2015). Additionally, a study done by van den Berk-Clark & McGuire (2013) portrays that elderly civilians were less likely to become homeless in comparison to elderly veterans (aged from 51 to 61 years (39%) and 62 years or older (9%)) who were twice as likely to become homeless. Risk factors that can potentially explain homelessness among elderly veterans include life events (e.g., death of spouse or marital breakdown, exiting employment, and evictions), mental illness or medical conditions, minority status, and higher levels of disruptive events during childhood

The majority of homeless veterans have service connected disabilities that are a direct result of military service; this contributes to a high risk of homelessness among veterans. Unique military skills that are non-essential in the civilian sector, combat related health issues, fractured family relationships and the lack of affordable housing are other factors. Many of them lack a social support network and/or someone to assist them with getting assistance from the government. They may be unaware of the different services they require and are

John was diagnosed with depression shortly after being prescribed insulin to control his diabetes. Although depression is considered to be a long term condition itself, it is often noted to accompany other LTC’s suggests Carrier (2009). John has a wife and a daughter of 20 months and often feels unable to enjoy a normal relationship with them due to his low mood and feelings of anxiety. Before John’s diagnosis of

The presence of additional risk for homelessness specifically associated with Veteran status is puzzling in that it occurs among a population that shows better outcomes on almost all socioeconomic measures and that has exclusive access to an extensive system of benefits that include comprehensive healthcare services, disability and pension assistance, and homeless services (Fargo, et al, 24).

Roughly 20 veterans a day commit suicide. Meanwhile, thousands more are left waiting for care they never receive. Men and women serve their country, yet return home to unemployment and homelessness. Thousands of applications for veteran benefits are hopelessly backlogged, and the condition of most VA hospitals is an absolute disgrace. So, why is the system broken and what can we do to fix it?

Homeless veterans population has been a problem over the decades but over the passed few years the population of homeless veterans has increased. This is a concerning problem that needs to be attended to and human services is one of the ways to seek help. Many veterans that are homeless is due to mental illnesses such post traumatic stress disorder (PSTD), substance abuse (alcoholism and addiction), and depression. Veterans that are homeless usually have one or more issue that they are facing that is causing them to be homeless. Some veterans can be facing psychiatric, physical, and medical disorders at the same time, which is very common today (Goldstein, Luther, Haas, Appelt, & Gordon, 2010, p.312). Veterans that were deployed and fought

Upon first inspection it would appear that there are more resources for homeless veterans in Marion County than there actually are. Throughout my research I found that, as of right now, there only seem to be governmental organizations that solely help homeless veterans. Some of these organizations are the Salem Community Based Outpatient Clinic (CBOC), which is part of the VA Portland Health Care System, and the Salem Vet Center. This shows a severe lack of assistance resources solely for our veterans within Marion County.

There have been stories of hardship, stories of how people have overcome, how they have beaten the odds; but how many of those stories been of veterans and their struggle with homelessness? The stories that are shown of homelessness do not show the full extent of what those people go through. This is shown in Michael’s case, a veteran who resided in Los Angeles, a man who lived under a bridge for ten years. Michael had become ashamed of his appearance and situation, at first he would resist those who offered him help. Although it seems like it would be easy for one to accept the help that he was in need of, it is not easy for those who have been completely dependent on themselves for such an extended period of time. The U.S. Department of Veterans Affairs (VA) has done a great deal to try to assist those in situations similar to Michael 's, but they do not have enough of an outreach to help all of those in need. Furthermore, it is impossible to know the exact number of veterans in need of assistance, and that is including the approximated amounts, they are not able to help all of those in need. However, in recent years the president has gotten involved to assist in the fight against veteran homelessness. The VA and other such programs that are aimed to help veterans have helped in a variety of areas including: general and specialty physical and mental care, rehabilitation programs, treatment programs, specialty clinics, community living centers, transitional housing,

Thirteen percent of all of the homeless in the United States are reported to be veterans (Hoffler, Dekle & Sheets, 2014). Because of this issue veteran suicide rates are much higher than the general population as are the rates for veterans substance abuse (McCarl 2103). Behavioral health needs and housing are currently the two of the largest needs that are facing veterans at this time. The VA has housing programs and a large funding source though each VA may have differing program structures the VA itself is lacing in outreach programs and psychoeducational programs for homeless veterans. Also Homeless veterans themselves underutilize the services available to them. (Gabrielian, Yuan, Rubestein, Anderson, Gelberg 2013) This homeless veterans

Almost 60% of all veterans say that the VA is doing “only fair” or a “poor” job at taking care of the problems faced by serviceman (Chandrasekaren). Current soldiers, as well as veterans, are facing problems like not be able to find a job because of a disability or not receiving compensation for an injury that occurred while in the service. Many wait months upon months just to be seen by a doctor. The men and women protecting this country deserve the best help available, and they are receiving very little or no help at all. Health care, benefits, and simply having money to survive are not problems that these individuals need to be facing after putting their lives on the line for us. Veterans need help, and our

Karl Malantes explains in an emotional interview with CNN that, “When the peace treaty is signed, the war isn’t over for the veterans, or the family. It’s just starting” (“Veterans Quotes”) Homelessness for soldiers who are lucky enough to return home is a huge epidemic in the United States. According to the U.S. Department of Housing and Urban Development, they estimate about 50,000 veterans are currently homeless (“FAQ About Homelessness”). The official definition of homelessness states “an individual who lacks housing or that must reside in a private or public that provides accommodations” (“What is the Official Definition of Homelessness”). Veteran Homelessness is correlated with gender and race, it has a great amount of causes including

In political news this week, some news journals are making an effort to show what some veterans have to go through. 84 year old war veteran twins say “it’s hell” after their home foreclosed. Clifford and Gary Koekoek survived living under Nazi occupations and fighting in the Vietnam jungles. But, today they say they are living in “hell” and sleeping in their car since their home was foreclosed in California around October. Clifford and Gary were born in the Netherlands, and grew up under the Nazi rule before retreating to the US. Both brothers worked in Hollywood and then served their country at war. The twins never married or had kids because of what they saw in the Holocaust. "All my life, I've seen people killed, tortured, loved ones taken

An issue that has been around for decades which still remains in the United Sates today is homelessness among veterans. Vanessa Turner has a story that needs to be heard by many. As a homeless veteran, Turner joined the U.S. military in 1997 and later, proudly advanced to the rank of a sergeant. In 2003, Turner suffered from a traumatic injury while serving in Iraq. In suffocating 130-degrees fahrenheit heat, Turner fell into a coma and nearly died of heart failure. Immediately, she was brought to the Walter Reed Army Medical Center in Washington D.C., treated, and released with a pending medical discharge. After Turner’s release, both her and her daughter had no residency and no permanent health care plan. In attempt to make a stable living to sustain herself and her daughter, they often temporarily moved between family to friends’ apartments, never actually having a place to call home. In an effort to receive help from the Veterans Affairs Medical Center was very frustrating; she was told she had to wait months simply to get medical attention. Again when Turner requested for her belongings to be shipped back from her unit’s base in Germany, they told her she had to obtain transportation to Germany at her own expense, which she was unable to do because of the amount of money that it would cost, unfortunately resulting in not getting her property back. Vanessa Turner is just one of many homeless veterans who are

The Housing Urban Development (HUD) released a report; called the Annual Homeless Assessment Report (AHAR) this report has facts about the homelessness among veterans. “Hsu, 2014 talks about how the AHAR shows there is a 10 percent of veterans are living on the streets at any giving night”. (p. 18) “Larger number of homeless veterans’ dwell in residential, emergency, and traditional housing that is available to the veterans that is in need.” (HSU,2014(p. 18)