{"id":1724,"date":"2018-05-27T18:37:19","date_gmt":"2018-05-27T18:37:19","guid":{"rendered":"https:\/\/www.grouphomeriches.com\/?p=1724"},"modified":"2018-05-27T18:37:19","modified_gmt":"2018-05-27T18:37:19","slug":"how-to-start-a-foster-home-for-disabled-vets","status":"publish","type":"post","link":"https:\/\/grouphomeriches.com\/how-to-start-a-foster-home-for-disabled-vets\/","title":{"rendered":"Do You Want To Be A Guardian Angel? Provide Housing For Disabled Vets And Start A Foster Home"},"content":{"rendered":"<h1 data-elm-loc=\"1\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 DO YOU WANT TO BE A GUARDIAN ANGEL??<\/h1>\n<h1 data-elm-loc=\"1\">VA TURNS TO FOSTER CARE RATHER THAN NURSING HOMES &#8211; READ BELOW ARTICLE TO LEARN MORE<\/h1>\n<p>&nbsp;<br \/>\nTHIS ARTICLE IS FROM THE NEW YORK TIMES&#8230;IF YOU WANT TO LEARN HOW TO DO THIS, SIGN UP FOR MY FREE 10-PART COURSE<br \/>\n<script type=\"text\/javascript\">var 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);<\/script><\/p><\/form>\n                        <\/div><br \/>\nOR CHECK OUT MY <a href=\"https:\/\/grouphomeriches.mykajabi.com\/p\/get-membership-today-1-1-a5a5b743-428f-49d0-ac07-547a4e0587d6\">GOLD COURSE<\/a>, FOR MORE STEP BY STEP INSTRUCTIONS<\/p>\n<p data-elm-loc=\"1\">Ralph Stepney\u2019s home on a quiet street in north Baltimore has a welcoming front porch and large rooms, with plenty of space for his comfortable recliner and vast collection of action movies. The house is owned by Joann West, a licensed caregiver who shares it with Stepney and his fellow Vietnam War veteran Frank Hundt.<\/p>\n<p data-elm-loc=\"2\">\u201cThere is no place that I\u2019d rather be. .\u2009.\u2009. I love the quiet of living here, the help we get. I thank the Lord every year that I am here,\u201d Stepney, 73, said.<\/p>\n<p data-elm-loc=\"3\">It\u2019s a far cry from a decade ago, when Stepney was homeless and \u201cdidn\u2019t care about anything.\u201d His diabetes went unchecked and he had suffered a stroke \u2014 a medical event that landed him at the Baltimore Veterans Affairs Medical Center.<\/p>\n<p data-elm-loc=\"4\">After having part of his foot amputated, Stepney moved into long-term nursing home care at a Department of Veterans Affairs medical facility, where he thought he\u2019d remain \u2014 until he became a candidate for a\u00a0small VA effort that puts aging veterans in private homes: the\u00a0<a title=\"www.northflorida.va.gov\" href=\"https:\/\/www.northflorida.va.gov\/NORTHFLORIDA\/services\/medical_Foster_Home.asp\">Medical Foster Home<\/a>\u00a0program.<\/p>\n<p data-elm-loc=\"5\">The $20.7\u00a0million-per-year program provides housing and care for more than 1,000 veterans in 42 states and Puerto Rico, serving as an alternative to nursing home care for those who cannot live safely on their own. Veterans pay their caregivers $1,500 to $3,000 a month, depending on location, saving the government about $10,000 a month in nursing home care. It has been difficult to scale up, though, because VA accepts only foster homes that meet strict qualifications.<\/p>\n<p data-elm-loc=\"6\">For the veterans, it\u2019s a chance to live in a home setting with caregivers who treat them like family. For VA, the program provides an option for meeting its legal obligation to care for ailing, aging patients at significantly reduced costs, because the veterans pay room and board directly to their caregivers.<\/p>\n<p data-elm-loc=\"6\">Cost-effectiveness is but one of the program\u2019s benefits. Stepney and Hundt, 67, are in good hands with West, who previously ran a home health-care services company. And they\u2019re in good company, watching television together in the main living room, going twice a week to a center that offers daytime care and sitting on West\u2019s porch chatting with neighbors.<\/p>\n<p data-elm-loc=\"9\">West, who considers caring for older adults \u201cher calling,\u201d also savors the companionship and finds satisfaction in giving back to those who spent their young lives in military service to the United States.<\/p>\n<p data-elm-loc=\"10\">\u201cI took care of my mother when she got cancer and I found that I really had a passion for it. I took classes and ran an in-home nursing care business for years. But my dream was always to get my own place and do what I am doing now,\u201d West said. \u201cGod worked it out.\u201d<\/p>\n<p data-elm-loc=\"11\">The Medical Foster Home program has slightly more than 700 licensed caregivers who live full time with no more than three veterans and provide round-the-clock supervision and care, according to VA. Akin to a community residential care facility, each foster home must be state-licensed as an assisted-living facility and submit to frequent inspections by VA as well as state inspectors, nutritionists, pharmacists and nurses.<\/p>\n<p data-elm-loc=\"12\">Unlike typical community care facilities, foster home caregivers are required to live on-site and tend to the needs of their patients themselves 24\/7 \u2014 or supply relief staff.<\/p>\n<p data-elm-loc=\"13\">\u201cIt\u2019s a lot of work, but I have support,\u201d West said. \u201cI try to make all my personal appointments on days when Mr. Ralph and Mr. Frank are out, but if I can\u2019t, someone comes in to be here when I\u2019m gone.\u201d<\/p>\n<p data-elm-loc=\"14\">VA medical foster home providers also must pass a federal background check, complete 80 hours of training before they can accept patients, plus 20 hours of additional training each year, and allow VA to make announced and unannounced home visits. They cannot work outside the home and must maintain certification in first aid, CPR and medicine administration.<\/p>\n<p data-elm-loc=\"15\">But one prerequisite cannot be taught \u2014 the ability to make a veteran feel at home. West has grown children serving in the military and takes pride in contributing to the well-being of veterans.<\/p>\n<p data-elm-loc=\"16\">\u201cIt\u2019s a lot of joy taking care of them,\u201d she said of Stepney and Hundt. \u201cThey deserve it.\u201d<\/p>\n<p data-elm-loc=\"17\">To be considered for the program, veterans must be enrolled in VA health care; have a serious, chronic disabling medical condition that requires a nursing home level of care; and need care coordination and access to VA services. It can take up to a month to place a veteran in a home once they are found eligible, according to VA.<\/p>\n<p data-elm-loc=\"18\">The veterans also must be able to cover their costs. Because medical foster homes are not considered institutional care, VA is not allowed to pay for it directly. The average monthly fee, according to VA, is $2,300, which most veterans cover with their VA compensation, Social Security and savings, said Nicole Trimble, Medical Foster Home coordinator at the Perry Point VA Medical Center in Maryland.<\/p>\n<div class=\"subhead\" data-elm-loc=\"19\">Pilot program takes off<\/div>\n<p data-elm-loc=\"20\">Since 1999, the\u00a0<a title=\"www.congress.gov\" href=\"https:\/\/www.congress.gov\/bill\/106th-congress\/house-bill\/2116\">Department of Veterans Affairs has been required<\/a>\u00a0to provide nursing home services to veterans who qualify for VA health care and have a service-connected disability rating of 70\u00a0percent or higher, or are considered unemployable and have a disability rating of 60\u00a0percent or higher.<\/p>\n<p data-elm-loc=\"21\">VA provides this care through short- or long-term nursing home facilities, respite care, community living centers on VA hospital grounds, private assisted living facilities and state veterans homes.<\/p>\n<p data-elm-loc=\"22\">Shortly after, the VA Medical Center in Little Rock launched an alternative \u2014 a pilot program that placed veterans in individual homes, at an average cost to VA of about $60 a day, including administration and health-care expenses, compared with upward of $500 a day for nursing home care.<\/p>\n<p data-elm-loc=\"23\">And because veterans who are enrolled in the Medical Foster Care program must use VA\u2019s Home Based Primary Care program, which provides an interdisciplinary team of health professionals for in-home medical treatment, the program saves VA even more. One\u00a0<a title=\"www.brookings.edu\" href=\"https:\/\/www.brookings.edu\/wp-content\/uploads\/2016\/06\/Rauch_LateLifeCare.pdf\">study<\/a>showed that the home-based care has yielded a\u00a0<a title=\"www.nhpf.org\" href=\"https:\/\/www.nhpf.org\/uploads\/Handouts\/Edes-slides_07-22-11.pdf\">59 percent drop<\/a>\u00a0in VA hospital inpatient days and a 31\u00a0percent reduction in admissions among those who participate.<\/p>\n<p data-elm-loc=\"24\">More than 120 VA medical centers now oversee a Medical Foster Home program in their regions, and VA has actively promoted the program within its health system.<\/p>\n<p data-elm-loc=\"25\">It also has attracted bipartisan congressional support. In 2013, Sen. Bernie Sanders (I-Vt.) introduced a bill to allow VA to pay for medical foster homes directly.<\/p>\n<p data-elm-loc=\"26\">In 2015, former House Veterans\u2019 Affairs Committee chairman Rep. Jeff Miller (R-Fla.) introduced similar legislation that would have allowed VA to pay for up to 900 veterans under the program.<\/p>\n<p data-elm-loc=\"27\">And this month , Rep. Clay Higgins (R-La.) raised the issue again, sponsoring a bill similar to Miller\u2019s. \u201cAllowing veterans to exercise greater flexibility over their benefits ensures that their individual needs are best met,\u201d Higgins said in support of the program.<\/p>\n<div class=\"subhead\" data-elm-loc=\"28\">A guardian &#8216;angel&#8217;<\/div>\n<p data-elm-loc=\"29\">Foster care has been a blessing for the family of Hundt, who suffered a stroke shortly after his wife died and was unable to care for himself. Hundt\u2019s daughter, Kimberly Malczewski, lives nearby and often stops in to visit her dad, sometimes with her 2-year-old son.<\/p>\n<p data-elm-loc=\"30\">\u201cI\u2019m not sure where my father would be if he didn\u2019t have this,\u201d she said. \u201cWith my life situation \u2014 my husband and I both work full time, we have no extra room in our house, and we have a small child \u2014 I can\u2019t take care of him the way Miss Joann does.\u201d<\/p>\n<p data-elm-loc=\"31\">Trimble, whose program started in 2012 and has five homes, said she hopes to expand by two to three homes a year. VA will remain meticulous about selecting homes.<\/p>\n<p data-elm-loc=\"32\">\u201cThere is a strict inspection and vetting process to be a medical foster home,\u201d Trimble said. \u201cWe only will accept the best.\u201d<\/p>\n<p data-elm-loc=\"33\">It also takes a special person to be an \u201cangel,\u201d as the caregivers are referred to in the program\u2019s motto, \u201cWhere Heroes Meet Angels.\u201d<\/p>\n<p data-elm-loc=\"34\">Stepney and Hundt agree West has earned her wings. On a recent cruise to Bermuda, she brought Stepney and Hundt along.<\/p>\n<p data-elm-loc=\"35\">For Hundt, it was the first time he\u2019d been on a boat. And Stepney said it was nothing like the transport ships he and his fellow troops used in the late 1960s: \u201cWell, I\u2019ve gotten to travel, but it was mainly two years in Vietnam, and there weren\u2019t any women around.\u201d<\/p>\n<p data-elm-loc=\"36\">When asked why she brought the pair along, West said caregiving is \u201ca ministry, something you really have to like to do.\u201d<\/p>\n<p data-elm-loc=\"37\">\u201cAnd you know how the saying goes,\u201d she said. \u201cWhen you like what you do, you never work a day in your life.\u201d<\/p>\n<p data-elm-loc=\"37\">If you are interested in learning how to be a GUARDIAN ANGEL, check out my free 10 part course&#8230;.if you want step by step instructions, check out my <a href=\"https:\/\/grouphomeriches.mykajabi.com\/p\/get-membership-today-1-1-a5a5b743-428f-49d0-ac07-547a4e0587d6\">GOLD COURSE<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 DO YOU WANT TO BE A GUARDIAN ANGEL?? VA TURNS TO FOSTER CARE RATHER THAN NURSING HOMES &#8211; READ BELOW ARTICLE TO LEARN MORE &nbsp; THIS ARTICLE IS FROM THE NEW YORK TIMES&#8230;IF YOU WANT TO LEARN HOW TO DO THIS, SIGN UP FOR MY FREE 10-PART COURSE OR CHECK <a href=\"https:\/\/grouphomeriches.com\/how-to-start-a-foster-home-for-disabled-vets\/\" class=\"more-link\">&#8230;<span class=\"screen-reader-text\">  Do You Want To Be A Guardian Angel? Provide Housing For Disabled Vets And Start A Foster Home<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":1725,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1724","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.3 (Yoast SEO v21.8) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>how to start a foster home for disabled veterans. 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