Operational and Planning Improvements Needed in the Veterans Administration 'Domiciliary' Program for the Needy and Disabled

HRD-77-69: Published: Sep 21, 1977. Publicly Released: Sep 21, 1977.

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The Veterans Administration's (VA) domiciliary program provides housing, medical treatment, food, clothing, and related services to needy, disabled veterans. During fiscal year 1976 an average of 9,090 veterans were housed daily in 18 VA domiciliary facilities which, combined, spent about $62 million.

Problems in operating the domiciliaries are caused by insufficient management by the VA central office. There are varying admission procedures and practices among the domiciliaries. Other problems involve: lack of evaluations of the quality of medical care, ineffective rehabilitation and restoration efforts, and lack of staffing criteria. In addition, VA has not planned its proposed domiciliary construction and renovation program adequately.

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