• Case Management

      Smelson, David A.; Ziedonis, Douglas M.; Kline, Anna; Sawh, Leon; Rodrigues, Stephanie (2011-01-01)
      This chapter describes the roles and responsibilities of the MISSION-VET Case Manager and how it relates to MISSION-VET service delivery. The chapter begins with an overview of the MISSION-VET Case Manager’s responsibilities. Settings in which MISSION-VET can be delivered and implications for case management are then reviewed. The importance of teamwork with the Peer Support Specialist is stressed, and the Case Manager’s role is distinguished from that of the Peer Support Specialist. The Chapter then reviews each of the Case Manager’s primary responsibilities. Because case management is seen as the foundation of the MISSION-VET model, this chapter refers to a number of appendices that will be useful tools for the Case Manager to use as MISSION-VET is implemented.
    • Core Competencies for Clinical Supervisors

      Kalman, David; Rodrigues, Stephanie (2011-01-01)
      This chapter provides useful strategies that will help guide clinical supervisors who oversee and support the work of MISSION-VET Case Managers and Peer Support Specialists. It includes an overview of the MISSION-VET supervisor’s role and a description of each team member’s primary area of responsibility within the MISSION-VET program. The remainder of the chapter describes key strategies that MISSION-VET supervisors will need in order to establish productive working relationships with MISSION Case Managers and Peer Support Specialists. These strategies, which are designed to foster a strong supervisory alliance and assure that services are being delivered with fidelity to the MISSION-VET model, will ensure the provision of the highest quality of care. Several brief vignettes are included to illustrate these strategies.
    • HUD-VASH Resource Guide for Permanent Housing and Clinical Care

      U. S. Veterans Administration National Center on Homelessness Among Veterans; Ellison, Marsha Langer; Kalman, David; Rodrigues, Stephanie; Sawh, Leon; Smelson, David A.; Ziedonis, Douglas M. (2012-01-01)
      The Department of Housing and Urban Development – VA Supportive Housing (HUD-VASH) Program is a joint effort between HUD and VA to move Veterans and their families out of homelessness and into permanent housing. The HUD-VASH Resource Guide for Permanent Housing and Clinical Care was designed to provide case managers, and other who work with homeless Veterans in the HUD-VASH program, with a comprehensive set of resources to assist in addressing the multifaceted needs of homeless Veterans. The Resource Guide is a product of the National Center on Homelessness Among Veterans and was developed by a dynamic team of researchers, policy analysts, public health experts, psychologists, physicians and social workers located throughout the country.
    • My Way Home (Video)

      Rodrigues, Stephanie; Yount, Ramsey D.; Ziedonis, Michelle (2012-01-01)
      My Way Home is an anti-stigma public service announcement video about homelessness among Veterans. A major goal of the U.S. Department of Veterans Affairs and specifically, the National Center on Homelessness Among Veterans is to eliminate Veteran homelessness by 2015. Work conducted by Center Investigator Stephanie Rodrigues, Ph.D., has helped to shed light on several common stigmas associated with homelessness among Veterans. Co-developed by Ramsey D. Yount of 2600 Productions, Dr. Rodrigues, and recent high school graduate Michelle Ziedonis, My Way Home reflects Michelle's commitment to reducing the stigma surrounding homeless Veterans within her peer group. The video focuses on the story of a former homeless Veteran who agreed to share her experiences in the hope of disproving several myths associated with homelessness among Veterans.
    • The MISSION-VET Consumer Workbook

      Smelson, David A.; Sawh, Leon; Rodrigues, Stephanie; Munoz, Emily Clark; Marzilli, Alan; Tripp, Julia; Ziedonis, Douglas M. (2011-01-01)
      Summary: Supplemental workbook for the Maintaining Independence and Sobriety through Systems Integration, Outreach, and Networking (MISSION) treatment approach, which was adapted specifically for Veterans (MISSION-VET). MISSION-VET, a flexible, integrated, time-limited, yet assertive service delivery platform was designed specifically to provide direct treatment, ongoing support, and care coordination to homeless Veterans suffering from co-occurring disorders and transitioning and/or adjusting to independent living in the community. The Consumer Workbook is a supplemental workbook to engage homeless Veterans by providing exercises and resources to aid in their recovery from a co-occurring disorder and homelessness. Peer Support Specialists and Case Managers should work with the Veteran to complete the items in the workbook that correspond with specific Dual-Recovery Therapy sessions and use the workbook as a talking point in helping clients with co-occurring mental illness and substance abuse, homelessness and related issues that arise in the various stages of their recovery.
    • Use of Veterans Health Administration Mental Health and Substance Use Disorder Treatment After Exiting Prison: The Health Care for Reentry Veterans Program

      Finlay, Andrea K.; Stimmel, Matthew; Blue-Howells, Jessica; Rosenthal, Joel; McGuire, Jim; Binswanger, Ingrid; Smelson, David A.; Harris, Alex H. S.; Frayne, Susan M.; Bowe, Tom; et al. (2017-03-01)
      The Veterans Health Administration (VA) Health Care for Reentry Veterans (HCRV) program links veterans exiting prison with treatment. Among veterans served by HCRV, national VA clinical data were used to describe contact with VA health care, and mental health and substance use disorder diagnoses and treatment use. Of veterans seen for an HCRV outreach visit, 56 % had contact with VA health care. Prevalence of mental health disorders was 57 %; of whom 77 % entered mental health treatment within a month of diagnosis. Prevalence of substance use disorders was 49 %; of whom 37 % entered substance use disorder treatment within a month of diagnosis. For veterans exiting prison, increasing access to VA health care, especially for rural veterans, and for substance use disorder treatment, are important quality improvement targets.