Domain	Available Services	Unmet Needs
Outreach	Outreach staff identify and engage homeless Veterans in the community to facilitate VA medical care and social services.	Coordination of VA outpatient follow-up for homeless Veterans who receive care at community hospitals. Screening algorithms to identify Veterans who are homeless or at-risk for homelessness for referrals to outreach services.
Primary Care	Several facilities have primary care providers with panels that are largely comprised of homeless Veterans. Primary care is co-located with social services and/or mental health services in some facilities. Nurses serve as consultants to case managers in VA housing programs.	Walk-in, open access appointments for homeless Veterans. Specialized training for providers who serve homeless Veterans. Smaller panel-size to respond to the medical complexity of homeless Veterans. Increased access to showers, laundry facilities, clothing, and meals on VA grounds, to address “competing priorities” that can interfere with primary care receipt.
Income, Vocational, and Benefits Assistance	Assistance with applications for VA and/or public benefits. Supported employment, compensated work-therapy (CWT), and vocational rehabilitation programs.	Substance misuse, psychiatric symptoms, and competing needs for food, clothing, and shelter can interfere with vocational rehabilitation.
Homelessness Prevention	National VA call center provides housing resources for Veterans at-risk for homelessness. Outreach staff connects justice-involved Veterans to VA services, given the close association between incarceration and homelessness. Veterans Courts in some Counties can divert Veterans from incarceration to VA care.	Difficult to identify Veterans who are at-risk for homelessness. Stringent requirements for Veterans Court diversion programs can limit involvement of justice-involved Veterans who may benefit from VA care.
Housing	HUD and the VA partner in the VA Supported Housing (VASH) program, which provides housing vouchers and case management in a Housing First model. Grant and Per Diem (GPD) transitional housing programs provide housing and support along a continuum of care. Domiciliary Care for Homeless Veterans is funded at two facilities to provide time-limited residential rehabilitation. Transitional housing and emergency shelter.	Limited affordable permanent housing options throughout V22. Demand for VASH vouchers far exceeds supply. Limited co-educational transitional housing options poses problems for Veterans with families or elderly Veterans with adult caregivers of the opposite gender (or caregivers who are not Veterans). Inadequate transitional housing and emergency shelter availability in some geographic areas.
Community Partnerships	Collaborations with local nonprofits, public housing authorities, county and community health service providers, and federal agencies.	Increased collaborations with community-based agencies will expand available services for homeless Veterans.