Tuesday, August 7, 2007

Welcome home, thanks for your service, now pull yourself up by your bootstraps!



Homeless Vets: A Hidden Crisis
Orlando Sentinel 8/6/07
Often, when Ryan Svolto manages to sleep, he finds himself back in Iraq preparing for triage, awash in blood and bodies. But he can't find his medical kit, and, helpless, he thrashes awake, damp with sweat.

As an infantry medic, he patched up soldiers wounded in combat in Iraq. Now, Svolto, 24, is trying to fix his own wounded life after a recent stint at a Daytona Beach homeless shelter.

Svolto is one of a growing number of Iraq and Afghanistan war veterans who joined the ranks of Florida's homeless after returning home. Experts say a system already buckling under one of the nation's largest homeless populations might collapse under the weight of a new wave of veterans, many saddled with mental-health issues and crippling brain injuries.
Homecoming should be a time of pride and honor for returning vets, and it often is. But for some it doesn't last. According to the National Coalition for Homeless Veterans 23% of those experiencing homelesness are vets. To put this in perspective, according to a 2003 Census Bureau Report Alaska is the state with the highest percentage of veterans, a whopping 17%. Clearly, the percentage of individuals experiencing homelessness who are vets is not a reflection of the percentage of veterans in the whole population.

What's going on here? My first thought is that while I'm sure that PTSD and other mental health issues are playing a role we should be doing a regression analysis that takes into account in the individual's annual household income before they entered the military, their parents' education, and somehow scales the communities that they are returning to, but that's the statistician in me. Back on the National Coalition website they talk about PTSD, substance use problems, and lack of support (something else to throw into my hypothetical regression analysis). There are support systems there for the vets when they return but like all individuals experiencing homelessness sometimes it takes more than the availability to engage someone in services and sometimes the available services aren't sufficient to meet the individuals' needs.

It's not a crisis just in the US, the UK is experiencing similar problems:
Warning on Ex-Service Homeless
BBC News 8/6/07

A survey in 1997 by the Ex-Service Action Group on Homelessness suggested that 22% of people who were "street homeless" had a military background.

Veterans charity, the Sir Oswald Stoll Foundation, said that efforts by the government and the voluntary sector had brought that down to about 10%.

Clearly something is up and it seems to me that in finding a solution we are going to have to take a more global approach. While it's a relief to see the the numbers in the UK are remarkably similar it's also troubling that those who serve their country around the world may all face the same bleak outcomes.

*Image stolen from St Pete for Peace, the same city where some homeless individuals are suing city officials for destroying their tents and belongings

EDIT: Another article posted on 8/8/07
Homeless Vets: The Topic of Panel
The Colombian 8/8/07

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