Report Summary

Healthcare Inspection Allegations Regarding the Homeless Women Veterans Program VA Medical Center Atlanta, Georgia

Report Number 08-02317-26, 11/18/2008 | Full Report (PDF)

The purpose of the review was to evaluate allegations regarding the Homeless Women Veterans Program (HWVP) at the Atlanta VA medical center. We did not substantiate that a female patient committed suicide as a result of inadequate care and compassion. We found that the patient received appropriate medication management, services, care, and follow-up. Further, the medical examiner’s report ruled the cause of death as accidental. We did not substantiate that that HWVP staff mistreated veterans, were uncompassionate, or reprised against veterans enrolled in the HWVP. We also did not substantiate the allegation that Mental Health Service Line leadership was not involved in programs. While not specifically an allegation, we identified deficiencies specific to the Southern Women Housing Alliance (SWHA) halfway house contract, inspections, and services. We recommended that the SWHA contract be revised and upheld to assure that care and medical center resources are managed appropriately.

12/10/08