PTSD PTSD and the Military Homeless Veterans Living With PTSD By Amy Morin, LCSW Amy Morin, LCSW Facebook LinkedIn Twitter Amy Morin, LCSW, is a psychotherapist and international bestselling author. Her books, including "13 Things Mentally Strong People Don't Do," have been translated into more than 40 languages. Her TEDx talk, "The Secret of Becoming Mentally Strong," is one of the most viewed talks of all time. Learn about our editorial process Updated on March 04, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Aron Janssen, MD Medically reviewed by Aron Janssen, MD LinkedIn Aron Janssen, MD is board certified in child, adolescent, and adult psychiatry and is the vice chair of child and adolescent psychiatry Northwestern University. Learn about our Medical Review Board Print CatLane / E+ / Getty Images Table of Contents View All Table of Contents Overview What Is PTSD? Impact Homeless Veterans Solutions How to Help It's hard to imagine someone who served our country in the military living on the streets. Unfortunately, for many veterans, homelessness is a sad reality. Although there’s no official count, the U.S. Department of Housing and Urban Development estimates that nearly 40,000 veterans are homeless. Overview Post-traumatic stress disorder (PTSD) is considered a risk factor for homelessness among veterans. The lifetime prevalence of PTSD among all U.S. adults is estimated to be around 6.8%. Research suggests that this rate is much higher among veterans. As many as 30% of Vietnam veterans experience PTSD at some point during their lives. The lifetime prevalence of PTSD is around 10.1% for veterans of the Gulf War and the current prevalence is around 13.8% for veterans of Operation Enduring Freedom/Operation Iraqi Freedom. These increased rates of PTSD among veterans may play a role in explaining why they are overrepresented in the U.S. homeless population. While veterans make up 9.7% of the total population, they represent around 12.3% of the homeless population. Coping With PTSD What Is PTSD? Living as a homeless veteran is hard enough. Add in the struggles of PTSD, and it takes the situation to a whole different level. PTSD can affect anyone who’s experienced a traumatic situation, even if they’re not in the military. However, because traumatic situations can be commonplace in war zones, it affects military members disproportionately. PTSD triggers a person’s “flight-or-flight” response in a situation that doesn’t necessarily require it. To be officially diagnosed with PTSD, a veteran will experience the following symptoms for at least one month: At least one avoidance symptom. Avoidance symptoms stem from the affected veteran wanting to stay away from places, events or objects that remind them of the traumatic experience, as well as avoiding thoughts or feeling related to it. So, a veteran may avoid talking about war or may steer clear of people who served in the military altogether because being around other veterans brings back bad memories. At least one re-experiencing symptom. Re-experiencing symptoms are quite like they sound—flashbacks, which include physical symptoms such as sweating or elevated heart rate, bad dreams, and frightening thoughts. A veteran with PTSD may feel in immediate danger even when no actual threat is present. At least two cognitions and mood symptoms. Cognitions and mood symptoms mean that the affected person has negative feelings, both about themselves and the world around them, feelings of guilt or blame and has trouble remembering key parts of the event that caused PTSD. At least two arousal and reactivity symptoms. Arousal and reactivity symptoms, which are often constant, include startling easily, feeling tense, sleeping issues, and having angry outbursts. PTSD is often accompanied by other mental illnesses. Common comorbid conditions include depression, anxiety, and substance abuse. Impact Researchers estimate that between 11 and 20% of veterans who served in Operation Iraqi Freedom or Operation Enduring Freedom struggle with PTSD. Additionally, an estimated 12% of Gulf War veterans experience PTSD, while approximately 30% of Vietnam veterans have experienced PTSD in their lifetime. A study published in Administration and Policy in Mental Health and Mental Health Services Research found that two-thirds of homeless Iraq and Afghanistan veterans have PTSD, which is significantly higher than homeless veterans who served in previous wars. Many of these veterans with PTSD didn't receive adequate treatment to help them deal with the traumatic events they witnessed in the military. Consequently, they struggle to maintain jobs and have difficulty finding things in common with their friends and families. When veterans are discharged from the military, many of them struggle to fit back in with civilian life. Research shows veterans' lack of support and social isolation contributes to homelessness among veterans with PTSD. Dealing With PTSD in Your Family Homeless Veterans The VA estimates that approximately 11% of homeless people are veterans. Additionally, homeless veterans are nearly entirely male; just 9% of homeless veterans are female. These veterans don’t come from any one particular war zone. Among them, homeless veterans served in wars ranging from World War II to Vietnam to Afghanistan and Iraq, as well as in the military’s anti-drug efforts in South America, says the National Coalition for Homeless Veterans (NCHV). While PTSD has been associated with homelessness among veterans, however, one study found that its influence was no greater than that of other mental health disorders. So while PTSD is more common in veterans than in the general population, it is not any more of a risk factor for homelessness than other mental conditions. Other risk factors among veterans include other mental disorders, substance use, traumatic brain injuries, weak social support networks, low income, and unemployment. Solutions Many people assume the VA and other federal government departments are taking care of veterans when they leave the military. The VA does have a specialized homelessness program for veterans that provides health care to nearly 150,000 while more than 40,000 homeless veterans receive some sort of monthly compensation or pension, notes the NCHV. Additionally, the department has secured more than 45,000 beds for homeless veterans across the United States. For example, a joint program between the VA and the Department of Housing and Urban Development has awarded more than 85,000 Section 8 Housing Choice Vouchers to Public Housing Authorities across the country since 2008. In 2012, the VA introduced the Supportive Services for Veteran Families (SSVF) with the goal of both preventing homeless veterans and finding housing for those who do experience homelessness. In 2015, this service helped more than 157,000 people, including 99,000 veterans and 34,000 children, with just 9.4% returning to homelessness after benefits expired. When a veteran also experiences PTSD and other issues, whether it’s substance abuse or additional mental illnesses, they don’t always seek out the aid they need—nor is there enough aid to meet demand. That’s why there are community-based organizations that aim to meet the needs of homeless veterans—more than 2,100 of them across the country. The groups do what they can to work in collaboration with governmental agencies, veteran service organizations, and other homeless aid groups. NCHV notes that the most effective programs are those that allow for transitional housing for the veteran that’s both structured and substance-free—the ideal solution for all veterans struggling to return to a normal life. How to Help If you know of a homeless veteran, you can contact your local VA Medical Center. Trained staff can offer information about resources available in your community and the steps you might take to help someone. While you can't force someone to get help (as long as the person is competent), sharing resources or alerting a professional to the situation may be a step in the right direction. Notifying staff at your VA center of the situation is important. Some centers provide outreach workers who can meet with homeless veterans on the streets to provide them with urgent medical care or to inform them of housing assistance or treatment options for mental health or substance abuse issues. 11 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. U.S. Department of Health and Human Services. 2018 AHAR: Part 1 - PIT estimates of homelessness in the U.S. U.S. Department of Veterans Affairs. Epidemiology of PTSD. Reeves RR. Diagnosis and management of posttraumatic stress disorder in returning veterans. J Am Osteopath Assoc. 2007;107(5):181–189. McCauley JL, Killeen T, Gros DF, Brady KT, Back SE. Posttraumatic stress disorder and co-occurring substance use disorders: Advances in assessment and treatment. Clin Psychol (New York). 2012;19(3):10.1111/cpsp.12006. doi:10.1111/cpsp.12006 U.S. Department of Veterans Affairs. PTSD: National Center for PTSD. How common is PTSD in veterans?. Tsai J, Pietrzak RH, Rosenheck RA. Homeless veterans who served in Iraq and Afghanistan: gender differences, combat exposure, and comparisons with previous cohorts of homeless veterans. Adm Policy Ment Health. 2013;40(5):400-5. doi:10.1007/s10488-012-0431-y Tsai J, Rosenheck RA. Risk factors for homelessness among US veterans. Epidemiol Rev. 2015;37:177–195. doi:10.1093/epirev/mxu004 National Coalition for Homeless Veterans. Background & Statistics. National Alliance to End Homelessness. HUD-VA supportive housing vouchers. U.S. Department of Veterans Affairs. Effectiveness of permanent housing program FY 2012 report. Byrne T, Treglia D, Culhane DP, Kuhn J, Kane V. Predictors of homelessness among families and single adults after exit from homelessness prevention and rapid re-housing programs: Evidence from the Department of Veterans Affairs Supportive Services for Veteran Families Program. Hous Policy Debate. 2016;26(1):252-275. doi:10.1080/10511482.2015.1060249 Additional Reading More PTSD Among Homeless Vets. American Psychological Association. Hamilton AB, Poza I, Washington DL. "Homelessness and trauma go hand-in-hand": pathways to homelessness among women veterans. Womens Health Issues. 2011;21(4 Suppl):S203-9. doi:10.1016/j.whi.2011.04.005 National Institute of Mental Health. Post-Traumatic Stress Disorder. We Honor Veterans. Homeless Veterans. By Amy Morin, LCSW Amy Morin, LCSW, is a psychotherapist and international bestselling author. Her books, including "13 Things Mentally Strong People Don't Do," have been translated into more than 40 languages. Her TEDx talk, "The Secret of Becoming Mentally Strong," is one of the most viewed talks of all time. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for PTSD Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.