STATEMENT OF
JOHN KUHN, LCSW, MPH
CHIEF, HOMELESS SERVICES
DEPARTMENT OF VETERANS AFFAIRS
NEW JERSEY HEALTH CARE SYSTEM
MAY 18, 2004Mr.
Chairman and Members of the Committee: It is an honor to appear before
you today. This Committee's innovation, passion, and bipartisan effort
have produced legislation that has meant life to thousands of veterans.
At a local level, I have been incredibly fortunate to work in a Veterans
Integrated Service Network (VISN) that has matched that commitment by
making service to the homeless a priority. Not only has the VISN
maintained funding support, but it has created an environment where
innovation is encouraged, leading to the development of exciting new
rehabilitation opportunities.
Homelessness is a terrible symptom of the corrosive effects of substance
abuse and mental illness. These chronic, life-threatening disorders need
to be addressed with the same urgency as any other serious illness. At a
time when our medical outlays are soaring, the secondary effects of drug
and alcohol abuse account for a large percentage of U.S. medical
expenditures. If these dollars had been spent on earlier mental health
interventions, costs would be lower and the toll on lives would be
reduced.
An increasingly common outcome for impoverished substance abusing
veterans is prison. Our jails are filled with drug offenders. A recent
study found that 80% of New Jersey’s inmates have substance abuse
disorders, yet only 10% receive treatment. Often when they are released
from prison, still untreated, they return to environments where they
cannot find work and face the prospect of homelessness. Fully half of
the veterans we treat in VA New Jersey Homeless Services have felony
histories. Almost every homeless veteran we treat has a substance abuse
disorder. Furthermore, substance abuse has ripple effects that tear
apart families, creating a cycle of neglect and poverty. VISN 3 is
actively involved in outreach to incarcerated and paroled veterans. We
expect these promising initiatives to reduce recidivism and prevent
homelessness.
At times the breadth of challenges facing homeless veterans can seem
insurmountable. Focusing only on problems and barriers can cause us to
lose the sense of vision needed to make a difference. Fortunately, there
are solutions available to us that can save lives. Everyday VA helps
veterans who feel they are lost and without hope rediscover their
humanity. Given the magnitude of homeless veterans needing our care, it
is a major challenge for VA to establish the capacity to meet the needs
of all these individuals.
It is misery that brings homeless veterans to our door. Sick, tired, and
hungry, these men and women come to us seeking relief. Attending to
their immediate, essential needs is only the start of the recovery
process. In any intervention addressing homelessness, housing naturally
plays a critical role. However, as the veterans sitting here today have
shown me, addressing homelessness requires far more than a place to
live. These veterans have taught me that our focus cannot simply be on
the mechanics of developing housing. We must set our sights on what all
men seek—meaning and through that sense of meaning, hope and happiness.
Research suggests that there are three main components to happiness:
spirituality, purpose (usually derived from work), and a sense of
belonging (derived from family and/or friends). We have worked with a
singular focus to provide our veterans with these tools. Through
different paths, the veterans sitting with me today have played active
roles in giving back to others. They all hold jobs that allow them to
mentor others and experience a sense of purpose. They have all gone
through a process of discovering themselves and their inner strengths.
VISN 3 has emphasized a comprehensive and coordinated approach to
rehabilitation by organizing an integrated Network of Homeless Veterans
Programs. This service line has pioneered vocational rehabilitation
programs that have produced opportunities to gain living wage careers.
You will hear from the veterans seated here about their own unique paths
and how they found their way not only out of homelessness, but also how
they found a sense of purpose. O'Craftsman Contractors, opened by Ralph
Owens, has allowed us to develop a construction business—one that has
now rehabilitated almost 100 units of housing for homeless veterans.
Robert Valentino, the Marketing Director of Moving America’s Veterans
into Employment and Residences In the Community (MAVERIC) and Manager of
the Golf Driving Range at the Lyons Campus of the VA New Jersey Health
Care System, directs a business that now generates revenues capable not
only of employing veterans but also generating sufficient funds to open
new businesses and housing. Thaddeus McNair, as a nursing assistant
trainee, may soon be helping other veterans struggling with serious
physical problems and may ultimately pursue a career as a registered
nurse. I cannot thank these veterans enough for the caring they have
shown and the inspiration they have elicited in others.
I also want to give my personal thanks to Pat Troy, the Associate
Director for Patient Care Services at the VA in New Jersey. He saw a
unique opportunity to help the veterans we serve while developing
candidates to fill desperately needed nursing assistant positions at the
VA Medical Center. He launched the innovative nursing assistant training
program that has involved 15 formerly homeless veterans, including
Thaddeus McNair.
Not all of the skills taught to the veterans we serve need to be offered
by the VA. Thanks to our community partnerships, we can offer a range of
interventions that help veterans attain their goals. A wonderful program
offered by Craig Panzano at a local YMCA, called the Adventure Program,
teaches veterans just off the street trust and communication skills. It
also helps them to bond as a unit—once again a part of a squad working
together to accomplish a mission.
For the past several years, we have worked with Mike Armstrong of
Community Hope to develop VISN 3’s first housing for seriously mentally
ill veterans. This project is supported by a VA per diem grant, as well
as over $600,000 in funding from the State and County. If it wasn’t for
the active involvement of many interested and caring participants, this
project could have never taken place. Kenneth Mizrach, my Director, made
an empty hospital building available to Community Hope so this project
could move forward. United States Congressman Rodney Frelinghuysen
advocated with Federal, County, and State officials, helping the project
secure critically needed funding.
The incoming New Jersey State Commander of the American Legion, Jim
Viliard, and the Commander of the American Legion Auxiliary, Penny
Kraus, have launched a bold new initiative to create transitional
housing for homeless veterans. They expect to raise $100,000 over the
next year. This initiative not only creates essential housing, but it
also energizes others to action. This “can-do” spirit, if matched in
other states, could have a significant and lasting impact on resources
available to help homeless veterans.
Working with Carroll Thomas, the Middlesex County Economic Opportunity
Corporation (MCEOC) and Veterans Industries have been able to open
several businesses, a furniture store, a golf driving range, a
greenhouse, a bagel shop and a transportation system. These businesses
have employed scores of veterans.
MCEOC is also a Head Start provider. Its expertise in working with
children has led us to develop one of the only VA housing programs that
has the capacity to serve women and children. MCEOC will open a ten-unit
transitional residence housing women and, if space is available, their
children sometime this summer. Carroll Thomas’s vision, innovation, and
commitment to homeless veterans has produced transformational changes in
the rehabilitative services the VA can provide. Initiatives such as
these, coupled with VA’s plan to make grants to assist special needs
populations (women, including women with children, chronically mentally
ill, frail elderly and terminally ill) will do much to address the needs
of the growing female veteran population.
These programs can be replicated at other VA’s. They offer a source for
meaningful opportunity and a reason for hope.
Thank you for your time. I will be happy to respond to questions from
the Committee.
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