AP00 - Proposed Rule - Definition of Domiciliary Care
2018-05-04 2018-05-04 2018-04-09 2018-05-04
VA-2018-VHA-0013-0004 VA-2018-VHA-0013-0005 VA-2018-VHA-0013-0003 VA-2018-VHA-0013-0006
04:00:00 04:00:00 04:00:00 04:00:00
https://api.regulations.gov/v4/comments/VA-2018-VHA-0013-0004 https://api.regulations.gov/v4/comments/VA-2018-VHA-0013-0005 https://api.regulations.gov/v4/comments/VA-2018-VHA-0013-0003 https://api.regulations.gov/v4/comments/VA-2018-VHA-0013-0006
F Ann Jamal Arthur
Chavez Williams Mays Yanez
To Whom This May Concern,I am currently conducting research on the homeless population in regards to the crisis here in the County of Los Angeles.  I understand that we cannot tackle the issues of homelessness all at once, and that there are specific unique demographics who choose not to accept social services to get them out of this state of homelessness.  However, it is my proposal that those in charge of our city and state governments begin to focus on vulnerable and valuable demographics such as homeless veterans.  These are individuals who in some shape or form, have contributed to our military taking a oath to service to our country.  By focusing attention towards a small-medium size demographic it allows funds appropriated a chance to take hold and implement change on this smaller percentage of homeless people.  Thus making a dent in the population as a whole.  After reading the proposed rule, I support that these types of services are meant to be temporary and not permanent.  Who would or should aim to be homeless their entire life?  There should be intrinsic and extrinsic motivational factors that contribute to the individuals motivation to get themselves out of their current state.  I am a firm believer in rehabilitation when it comes to this demographic.  From my research, subsidized and affordable housing are two of the primary goals to attain when making strides to improve this homeless group.  This Domiciliary Care rule supports the services that homeless veterans need such as mental health, counseling, and substance treatment.  While providing them with a chance to implement change in their life, while creating realistic timelines to facilitate progress.  One of the reasons I chose AP00- Proposed Rule- Definition of Domiciliary care, is because I have two brothers, one active duty and one retired. As they are getting older wanted to know what was out there regarding their future care, as they are getting older. Plus since the Medical care is changing and what is being covered through the government, I felt that this would be something to explore and get information on. I appreciate the care that is covered under this proposed rule. Appreciate the domiciliary program being authorized to provide eligible veteran with a home and coordinated ambulatory care as needed. Plus, it also allows the VA to provide a temporary home to certain veteran, which includes the furnishing of shelter, goods, clothing and other comforts of home, and as well as medical services. This rule also allows me to pass on this information to the clients at the Social Services Agency,that I deal with on a daily basis that are Veterans and think that there is no help for them and in turn there is. The best part that I agree with is the Mental Help that is also offered through the (MH RRTP) Mental Health Residential Rehabilitation Treatment Program. There are so many homeless Veterans dealing with PTSD, BI-Polar and other Mental illnesses so I hope that this proposed rule continues to be commented on and voted on as a positive. To whoever this may concern,After reading through the proposed rule, I want to first commend the effort to amend the current definition of domiciliary care. With a father who is affiliated with the VA and has benefits, topics of this nature do perk my interest as a direct family member is a stakeholder. The clarity and brevity of this amendment to the rule is fair: it desires to include Mental Health Residential Rehabilitation Treatment Program as another medium of domiciliary care. This seems to be an issue where the regulation came before the development of the Mental Health Residential Rehabilitation Treatment Program back in 2005. Therefore, the bureaucrats are clearly active in updating the current rules. This amendment doesnt necessarily provide more concrete benefits but remind VA members that domiciliary care does not equate to permanent housing. This eliminates the grey area of veterans demanding accommodations for the rest of their lives. While this is debatable, providing VA members housing for the rest of their lives is a massive cost. By giving better defined rules, it allows the VA to set parameters to what they have to offer to veterans. I wholeheartedly agree with this step forward for clear and concise rules. This amendment to the definition of the domiciliary care program will include Mental Health Residential Rehabilitation Programs. I agree with the addition and inclusion of Mental Health Residential Rehabilitation to the definition of domiciliary care. In 2005, the VA designated all Mental Health Residential Rehabilitation Treatment Centers as domiciliary care. The definition is outdated and the VA is amending the rule to advance what is already incorporated in the definition of domiciliary care. This amendment will also make clear domiciliary care is not permanent housing. I believe making it clear that domiciliary care does not offer permanent housing is beneficial to veterans and the families of veterans. Clearly knowing what the program does and does not offer will help veterans and their families make better decisions when it comes to the welfare of the veteran. As a veteran myself, I like to know what I can and cannot receive from a program. I want all the information to be up to date and clear so I can make the best choices when it comes to my health. I believe that is what this amendment will achieve.  