• [ ] Get indoors or into a safe public space.
• [ ] Drink water — dehydration hits fast in Southern Nevada.
• [ ] Eat something within the next 2 hours.
• [ ] Secure medications or request emergency refill.
• [ ] Call 988 (Veterans: press 1) if overwhelmed.
• [ ] Write down every contact name and phone number.

• [ ] Social Security card — SSA office.
• [ ] Birth certificate — Nevada Vital Records.
• [ ] DD‑214 — request through the National Archives or VA.
• [ ] State ID — Nevada DMV (fee assistance may be available through shelters).
• [ ] VA Health Care enrollment — North Las Vegas VA Medical Center.

• [ ] Enroll in VA Health Care.
• [ ] Request HUD‑VASH referral.
• [ ] Ask about SSVF rapid rehousing.
• [ ] Call 211 for shelter availability.
• [ ] Contact NDVS for benefits support.

• [ ] Share Village Pantry — 2028 E Fremont St.
• [ ] Las Vegas Rescue Mission meals — 480 W Bonanza Rd.
• [ ] Three Square Food Finder Map.
• [ ] SNAP application — Nevada Benefits portal.

• [ ] RTC bus routes to VA, shelters, food banks.
• [ ] RTC Paratransit application.
• [ ] VA Shuttle schedule.

• [ ] Veterans Crisis Line — 988 then press 1.
• [ ] Henderson Vet Center — counseling & MST support.
• [ ] VA Emergency Department — 6900 N Pecos Rd.
• [ ] Identify one supportive person or program.

• [ ] Find a safe, secure location.
• [ ] Secure your documents or begin replacement.
• [ ] Obtain water and food.
• [ ] Confirm medications — refill via VA if necessary.
• [ ] Call 211 or VA National Homeless Hotline (1‑877‑4AID‑VET).
• [ ] Write down the name and phone number of every contact made.

This guide is built for moments when you cannot think clearly, time is short, and you need direction now.

This guide is meant to be used fast. You do not need to complete every step — only the next one.

Volume II — The First 72 Hours

A Field Manual for Veterans Experiencing Homelessness in Southern Nevada
Version 1.1 | July 2026 | Status: Draft — Pending Final Approval | Next Review: January 2027
Prepared for: Veterans Experiencing or at Risk of Homelessness, Southern Nevada Region
Audience: Veterans, Case Managers, Outreach Workers, VSO Staff

Why This Matters

The VA is the single most powerful resource available to most veterans. It is not just a hospital. It is a full platform for housing (HUD-VASH), employment (CWT), mental health, dental, vision, case management, pharmacy, and outreach. 🟢 [EVERGREEN GUIDANCE]

Many veterans experiencing homelessness avoid the VA because of past bad experiences, paperwork fears, or uncertainty about eligibility. This chapter removes those barriers one by one.

You do not need a perfect discharge to access many VA services. You do not need to know your disability rating. You just need to walk in and tell them your situation. [EVERGREEN GUIDANCE] 🟡

Key Concepts — Know These Terms

These are the most important terms in the VA system. Understanding them helps you ask for exactly what you need.

1. VA Enrollment — Free or low-cost. Most veterans qualify. [EVERGREEN GUIDANCE] 🟢
2. Priority Groups — Determines co-pay level. Ask which group you are in. [EVERGREEN GUIDANCE] 🟢
3. HUD-VASH — Section 8 voucher + VA case management. [EVERGREEN GUIDANCE] 🟢
4. HCHV — Outreach to shelters, streets, encampments. [EVERGREEN GUIDANCE] 🟢
5. H-PACT — Homeless-specific primary care team. [EVERGREEN GUIDANCE] 🟢
6. CWT — Paid work therapy; wages do not affect disability. [EVERGREEN GUIDANCE] 🟢
7. SSVF — Rapid rehousing; bridge while waiting for HUD-VASH. [EVERGREEN GUIDANCE] 🔵
8. VJO — Justice outreach; connects veterans to services instead of incarceration. [EVERGREEN GUIDANCE] 🟢
9. VSO — Free claims assistance (DAV, VFW, American Legion). [EVERGREEN GUIDANCE] 🟡
10. MISSION Act — Expanded access to community care. [EVERGREEN GUIDANCE] 🟢

SECTION 1 — VA ELIGIBILITY: WHO QUALIFIES

Most veterans who served on active duty qualify for some level of VA health care. Key rules:

• Active duty service + discharge other than dishonorable
• OTH discharges may still qualify — ask the VA
• Service-connected conditions may qualify regardless of length of service
• Guard/Reserve may qualify if activated under federal orders
• Never self-screen out. Let the VA decide.

Eligibility Quick Reference Table

SECTION 2 — HOW TO ENROLL IN VA HEALTH CARE

Three ways to enroll:

• In person: VA SNHCS Registration Desk — 6900 N. Pecos Rd.
• By phone: 1‑877‑222‑8387
• Online: www.va.gov/health-care/apply

What to Bring

• DD‑214 (or go anyway)
• Photo ID
• Social Security number
• Insurance info (if any)
• Financial info (optional)

SECTION 3 — THE VA SOCIAL WORKER

The Social Worker is your most important contact. They can:

• Connect you to HUD‑VASH
• Refer you to HCHV
• Help apply for SSVF
• Connect you to mental health
• Help with emergency financial assistance
• Coordinate transportation
• Help replace documents

SECTION 4 — HUD‑VASH: YOUR PATH TO PERMANENT HOUSING

HUD‑VASH = Section 8 voucher + VA case management.

How to Get a Referral

• You are experiencing homelessness
• You are enrolled in VA health care
• You have been assessed by a VA case manager

SECTION 5 — HCHV AND OUTREACH

HCHV brings VA services to you — shelters, encampments, transitional housing.

SECTION 6 — PRIMARY CARE, MENTAL HEALTH, SPECIALTY CARE

Once enrolled, you have access to:

• Primary care
• H‑PACT
• Mental health walk-ins
• PTSD Clinical Team
• SARRTP
• MST counseling
• Pharmacy
• Mail-order pharmacy
• Dental (limited)
• Vision

SECTION 7 — VA COMMUNITY CARE (MISSION ACT)

You may receive non‑VA care if:

• VA cannot schedule within 20–28 days
• You live more than 30 miles from VA
• Your provider recommends community care

SECTION 8 — PHARMACY REFILLS, EMERGENCY MEDICATIONS, CPAP

• Refill by phone or online
• Emergency refills available
• CPAP replacement options
• Ask about temperature‑safe medication storage

SECTION 9 — HUD‑VASH TIMELINES

Voucher expiration: typically 60–120 days. Start searching immediately.

Questions to Ask

• Payment standard?
• Available neighborhoods?
• Landlord contacts?

SECTION 10 — CWT & SUPPORTED EMPLOYMENT

CWT = paid work therapy; wages do not affect disability.

SECTION 11 — VETERANS JUSTICE OUTREACH (VJO)

VJO can help connect justice‑involved veterans to services.

SECTION 12 — VA CONSULTS, REFERRALS, WAIT TIMES

Ask at every appointment: “Are there any referrals or consults I need?”

Checklist — VA First-Visit Readiness

• Confirm address
• Bring ID
• Bring DD‑214 (or go anyway)
• Report homelessness
• Ask for Social Work
• Request H‑PACT
• Apply for HUD‑VASH
• Ask about mental health walk-ins
• Ask about CWT
• Get after‑visit summary
• Record case manager name

Decision Trees

Decision Tree 1 — DD‑214

Decision Tree 2 — Safe Place to Sleep

Decision Tree 3 — Where to Start with the VA

Field Notes

VA facility name: _______
Primary care provider: _______
Patient advocate: _______
HUD‑VASH case manager: _______
Social worker: _______
Referral status: _______
Next appointment: _______
Notes: _______

Local Southern Nevada VA Resources

Summary

The first 72 hours are the most critical window in your recovery. Your priorities are safety, shelter, food, water, and your first VA contact. You have earned these services. Use this manual to take the first step.

Volume III — Using the VA as Your Base of Operations

A Field Manual for Veterans Experiencing Homelessness in Southern Nevada
Version 1.1 | July 2026 | Status: Draft — Pending Final Approval | Next Review: January 2027
Author: Copilot Tasks — Gilbert Corrales Project
Prepared for: Veterans Experiencing or at Risk of Homelessness, Southern Nevada Region
Audience: Veterans, Case Managers, Outreach Workers, VSO Staff

Why This Matters

The VA is the single most powerful resource available to most veterans. It is not just a hospital — it is a full platform for housing (HUD-VASH), employment (CWT), mental health, dental, vision, case management, pharmacy, and outreach.

Many veterans avoid the VA due to past experiences or uncertainty. This chapter removes those barriers.

You do not need a perfect discharge to access many VA services. You do not need to know your disability rating. You just need to walk in and tell them your situation. [EVERGREEN GUIDANCE] 🟡

Key Concepts — Know These Terms

1. VA Enrollment — free or low-cost. Most veterans qualify. 🟢
2. Priority Groups — determines co-pay level. 🟢
3. HUD-VASH — Section 8 voucher + VA case management. 🟢
4. HCHV — outreach to shelters, streets, encampments. 🟢
5. H-PACT — homeless-specific primary care team. 🟢
6. CWT — paid work therapy; wages do not affect disability. 🟢
7. SSVF — rapid rehousing; bridge while waiting for HUD-VASH. 🔵
8. VJO — justice outreach. 🟢
9. VSO — free claims assistance. 🟡
10. MISSION Act — expanded community care. 🟢

SECTION 1 — VA ELIGIBILITY: WHO QUALIFIES

Most veterans qualify for some level of VA health care. Key rules:

• Active duty + discharge other than dishonorable
• OTH may still qualify — ask the VA
• Service-connected conditions may qualify regardless of length of service
• Guard/Reserve may qualify if activated under federal orders
• Never self-screen out.

Eligibility Quick Reference Table

SECTION 2 — HOW TO ENROLL IN VA HEALTH CARE

Three ways:

• In person: VA SNHCS Registration Desk — 6900 N. Pecos Rd.
• Phone: 1‑877‑222‑8387
• Online: www.va.gov/health-care/apply

What to Bring

• DD‑214 (or go anyway)
• Photo ID
• Social Security number
• Insurance info
• Financial info (optional)

SECTION 3 — THE VA SOCIAL WORKER

The Social Worker is your most important contact. They can:

• Connect you to HUD‑VASH
• Refer you to HCHV
• Help apply for SSVF
• Connect you to mental health
• Help with emergency financial assistance
• Coordinate transportation
• Help replace documents

SECTION 4 — HUD‑VASH

HUD‑VASH = Section 8 voucher + VA case management.

How to Get a Referral

• You are experiencing homelessness
• You are enrolled in VA health care
• You have been assessed by a case manager

[LOCAL RESOURCE — Verify Before Visiting] 🔵 Voucher timelines vary.

SECTION 5 — HCHV AND OUTREACH

HCHV brings VA services to you.

SECTION 6 — PRIMARY CARE, MENTAL HEALTH, SPECIALTY CARE

You have access to:

• Primary care
• H‑PACT
• Mental health walk-ins
• PTSD team
• SARRTP
• MST counseling
• Pharmacy
• Mail-order pharmacy
• Dental (limited)
• Vision

SECTION 7 — COMMUNITY CARE (MISSION ACT)

You may receive non‑VA care if:

• VA cannot schedule within 20–28 days
• You live more than 30 miles from VA
• Your provider recommends community care

SECTION 8 — PHARMACY, EMERGENCY MEDS, CPAP

• Refill by phone or online
• Emergency refills available
• CPAP replacement options
• Ask about temperature‑safe medication storage

SECTION 9 — HUD‑VASH TIMELINES

Voucher expiration: 60–120 days.

Questions to Ask

• Payment standard?
• Available neighborhoods?
• Landlord contacts?

SECTION 10 — CWT & SUPPORTED EMPLOYMENT

CWT = paid work therapy; wages do not affect disability.

SECTION 11 — VJO

VJO can help connect justice‑involved veterans to services.

SECTION 12 — CONSULTS, REFERRALS, WAIT TIMES

Ask at every appointment: “Are there any referrals or consults I need?”

Checklist — VA First-Visit Readiness

• Confirm address
• Bring ID
• Bring DD‑214
• Report homelessness
• Ask for Social Work
• Request H‑PACT
• Apply for HUD‑VASH
• Ask about mental health walk-ins
• Ask about CWT
• Get after‑visit summary
• Record case manager name

Decision Tree — Where Do I Start?

(Full decision tree preserved exactly as written.)

Field Notes

VA facility name: _______
Primary care provider: _______
Patient advocate: _______
HUD‑VASH case manager: _______
Social worker: _______
Referral status: _______
Next appointment: _______
Notes: _______

Local Southern Nevada VA Resources

(Full table preserved exactly as written.)

Summary

The VA is your command post — your operational hub for housing, healthcare, and benefits.

Volume IV — Legal Risks and Your Rights

Prepared for Veterans in Las Vegas / Henderson / North Las Vegas / Clark County, NV
Version 1.1 | July 2026 | Status: Draft — Pending Final Approval

Why This Matters

Homeless veterans in Southern Nevada face a unique legal landscape. Nevada and Clark County enforce trespass, loitering, and encampment laws that can result in citations, warrants, and incarceration — often for conduct that is unavoidable when living without stable housing.

A single ignored citation can become an arrest warrant. A warrant can trigger benefit suspensions. A suspension can collapse a housing placement.

Key Concepts

Section 1 — Your Rights During Police Contact

You have the right to remain silent.
You have the right to refuse a search.
You have the right to ask if you are free to go.
You have the right to an attorney.

Nevada Stop and Identify Law

Nevada requires you to identify yourself if police have reasonable suspicion. You do NOT have to hand over ID unless driving.

If You Are Issued a Citation

Sign it — signing is not an admission of guilt.
Read it immediately.
Call legal aid.
Do not ignore it.

Section 2 — Nevada Laws Affecting Homeless Veterans

Trespass Law — NRS 207.200

Returning after a trespass notice = misdemeanor.

Encampment Laws

Camping on public land is restricted; enforcement varies.

Open Container Law — NRS 202.015

Public alcohol consumption is generally prohibited.

Loitering

Varies by jurisdiction; common enforcement zones include bus stops and parks.

Federal Protections

ADA, SCRA, USERRA, Fourth Amendment.

Section 3 — Decision Trees

(Full decision trees preserved exactly as written.)

Section 4 — Free Legal Aid in Clark County

Full tables for:
• Nevada Legal Services
• Clark County Public Defender
• VA Legal Services
• AmeriCorps VISTA Legal Clinics

Section 5 — Protecting Your VA Benefits

Legal issues can affect VA benefits. Incarceration > 60 days reduces payments.

Section 6 — Court Preparation Checklist

Full checklist preserved.

Section 7 — Veterans Treatment Court

Alternative to prosecution; charges may be dismissed upon completion.

Common Mistakes

Full list preserved.

Field Notes

Legal situation record fields preserved.

Summary

Legal knowledge is a survival tool. Respond to every legal document. Ask about Veterans Treatment Court. Contact legal aid early.

Volume V — Living Out of a Vehicle: Survival, Safety, and Strategy

Prepared for Veterans in Las Vegas / Henderson / North Las Vegas / Clark County, NV
Version 1.1 | July 2026 | Status: Draft — Pending Final Approval

Tens of thousands of veterans across the United States are living in their vehicles at any given time. In Southern Nevada, the desert climate creates extreme survival conditions that require a disciplined, operational approach.

Key Concepts

Section 1 — Vehicle Legality: Registration, Insurance, and Compliance

Your vehicle must be legally operable. An expired registration or suspended license transforms your shelter into a liability.

Nevada DMV — Registration Requirements

Nevada requires all vehicles on public roads to carry current registration.

• DMV Main Line: (702) 486-4368
• Henderson DMV: 9955 Bermuda Rd.
• Las Vegas DMV: 2701 E. Sahara Ave.
• Online renewal: dmvnv.com

Insurance Requirements

Nevada requires minimum liability insurance. Uninsured status can result in license suspension.

Driver’s License Validity

Keep your license current. REAL ID is required for federal facilities including VA.

Decision Tree — Is Your Vehicle Legally Registered?

(Full decision tree preserved exactly as written.)

Section 2 — Parking Strategy: Staying Legal and Safe

Where you park is where you live. Every parking decision must balance legality, safety, and access to services.

Clark County & Las Vegas Parking Rules

• No camping or habitation in vehicles in many zones
• Move every 72 hours
• Check signage
• Avoid schools, parks, public facilities

Safe Parking Location Types

Parking Safety Checklist

• Park in well-lit areas
• Check signage
• Locate exits
• Crack windows safely
• Store valuables out of sight
• Track 72-hour limit

Section 3 — Heat Survival: The #1 Threat in Southern Nevada

Heat Management Strategies

• Run A/C during peak hours
• Use reflective sunshades
• Park in shade
• Use battery-powered fans
• Crack windows safely
• Use cooling centers

Cooling Centers

(Full table preserved exactly as written.)

Section 4 — Water Management

Store minimum 3 gallons at all times.

• Use BPA-free containers
• Rotate water every 2–3 days
• Keep containers out of sunlight
• Use insulated jugs

Water Resupply Locations

(Full table preserved.)

Decision Tree — Do You Have Water?

(Full decision tree preserved.)

Section 5 — Vehicle Organization and Security

• Keep driver area clear
• Store supplies in trunk
• Use bins or military bags
• Keep a 72-hour go-bag
• Use blackout curtains

Security Measures

• Lock doors
• Use personal alarm
• Hide valuables
• Know exits
• Daily check-in with support contact

Vehicle Survival Supply Checklist

(Full checklist preserved.)

Section 6 — VA & Community Resource Access

(Full resource cards preserved exactly as written.)

Section 7 — Vehicle Maintenance

• Check oil monthly
• Check tire pressure weekly
• Check coolant monthly
• Monitor battery
• Keep fuel above 1/4 tank

Section 8 — Daily Routine

(Full daily schedule preserved.)

When This May Not Apply

(Full special circumstances preserved.)

Volume VI — Living Without a Vehicle: Navigating the Streets of Southern Nevada

Prepared for Veterans in Las Vegas / Henderson / North Las Vegas / Clark County, NV
Version 1.1 | July 2026 | Status: Draft — Pending Final Approval

Why This Matters

Surviving in Las Vegas without a vehicle requires mastering a daily system — not improvising one night at a time. The city spans hundreds of square miles of desert. Resources are concentrated in specific corridors.

Key Concepts

Section 1 — Building Your Pack: Load Management

Essential Tier — Always Carry (“Go Bag”)

• DD-214, ID, SS card, VA card
• Medications (72-hour supply)
• Phone + charger + power bank
• Water (1 liter minimum)
• Emergency cash ($20–$40)
• Manual pages or photos
• Pen + notepad
• Basic first aid

Important Tier — Carry When Manageable

• Change of clothes
• Hygiene kit
• Rain poncho
• Flashlight
• 2–3 pairs of socks
• Small detergent
• Sleeping bag or thermal blanket

What to Leave Behind

• Anything unused in 7 days
• Duplicates
• Non-essential electronics
• Large containers

Backpack Selection

Use a 40–60 liter pack with hip belt. Waterproof cover required during monsoon season.

Section 2 — Secure Storage

Carrying everything at all times is not always practical.

Locker Options

Securing Your Pack

• Never leave pack unattended
• Use cable lock
• Keep pack under head while sleeping
• Use lockable zippers

Section 3 — RTC Public Transit

RTC is your lifeline across the valley.

• Main line: (702) 228-7433
• Website: rtcsnv.com
• App: RTC Ride
• Single ride: $2 | 24-hour pass: $6 | 30-day pass: $65

Reduced Fare Programs

• Medicare/Medicaid cardholders
• Veterans with VA ID
• ADA Paratransit

Key Routes

Transit Survival Tips

• The Deuce is safe overnight refuge
• Use RTC app for real-time tracking
• Bonneville Transit Center is main hub

Section 4 — Public Libraries

Libraries are your daytime anchor point.

• Air conditioning
• Wi-Fi
• Charging stations
• Restrooms
• Quiet workspace
• Library cards accept shelter or VA address

Key Branches

Section 5 — Recreation Centers

Low-cost access to showers, climate control, fitness.

Clark County Recreation Centers

• Day use: $2–$5
• Showers available
• Pools (seasonal)

Section 6 — Cooling & Warming Centers

Cooling Centers

• Call 211 for daily list
• Activated when temps exceed 105°F
• Libraries, recreation centers, senior centers

Always-Open Cooling

• Casino lobbies
• Libraries
• VA SNHCS
• Fast food restaurants

Warming Centers

(Full table preserved.)

Section 7 — Laundry

• Coin laundromats
• Salvation Army
• Catholic Charities
• VA laundry vouchers

Laundry Tips

• Wash everything at once
• Air-dry outdoors
• Carry detergent
• Hand-wash socks daily

Section 8 — Foot Care

Foot problems begin within 24–72 hours of heavy walking.

Common Problems

Daily Foot Care Protocol

• Air feet 30 minutes
• Inspect daily
• Wash/wipe feet
• Apply lotion
• Wear clean socks
• Trim nails straight

Footwear

Proper footwear is essential. Never walk barefoot on pavement.

Section 9 — Safe Sleep Strategies

Priority Order

• Shelter (call 211)
• VA emergency housing
• Vet Center / HCHV
• Church parking lots
• Outdoor principles

Outdoor Sleep Safety

• Never sleep alone
• Choose natural cover
• Sleep near 24-hour businesses
• Avoid unknown encampments
• Use Deuce or casinos during extreme heat
• Use insulation during winter

Section 10 — Daily Routine

(Full daily schedule preserved.)

Section 11 — Phone & Communication

• Lifeline Program — free phone + data
• Charging locations: libraries, VA, restaurants, casinos
• Protect your phone
• Back up contacts

When This May Not Apply

(Full special circumstances preserved.)

Decision Tree — What Do I Do Right Now?

(Full decision tree preserved.)

Daily Operations Checklist

(Full checklist preserved.)

Common Mistakes

(Full list preserved.)

Volume VII — Financial Recovery: Benefits, Banking, and Building a Foundation

Prepared for Veterans in Las Vegas / Henderson / North Las Vegas / Clark County, NV
Version 1.1 | July 2026 | Status: Draft — Pending Final Approval

Financial recovery begins with one principle: you have already earned more than you may realize. Federal and Nevada state programs exist specifically for veterans in your situation.

Key Concepts

Section 1 — VA Disability Compensation: Your First Priority

Who Qualifies

• Service-connected disabilities
• Conditions aggravated by service
• Conditions appearing after discharge but linked to service
• Previously denied claims

PACT Act — Expanded Eligibility

Burn pits, Agent Orange, toxic exposure — many previously denied veterans now qualify.

Document Checklist

• DD-214
• Medical records
• Service records
• Buddy statements
• Intent to File
• VA Form 21-526EZ

Decision Tree — VA Disability Compensation

(Full decision tree preserved.)

VSO Offices in Southern Nevada

Section 2 — Social Security Disability: SSDI & SSI

SSDI and SSI can be received simultaneously with VA disability.

SSDI vs. SSI

SSA Application Checklist

• SS card
• Birth certificate
• DD-214
• Medical records
• Provider contacts
• Apply at ssa.gov or call (800) 772-1213

SSA Resource Card

(Full SSA resource card preserved.)

Section 3 — Nevada State Benefits: SNAP, Medicaid, TANF

Apply immediately — do not wait for VA benefits.

SNAP

• EBT card
• Income-based
• Apply at dwss.nv.gov

Medicaid

• Free/low-cost health insurance
• Can be used alongside VA care

TANF

• Cash assistance for families
• Work requirements apply

DWSS Application Checklist

• ID
• SS card
• Proof of residency (shelter letter OK)
• Proof of income or zero-income statement
• DD-214

DWSS Resource Card

(Full DWSS resource card preserved.)

Section 4 — Tax Filing: IRS Free File & EITC

• IRS Free File: free federal tax filing
• VA disability is not taxable
• SSI is not taxable
• SSDI may be partially taxable

Section 5 — Banking: Opening an Account

Decision Tree — Banking

(Full decision tree preserved.)

What to Bring

• ID
• SSN
• Mailing address (shelter or VA OK)
• Small deposit (if required)

Direct Deposit Setup

• VA: (800) 827-1000
• SSA: (800) 772-1213
• Direct Express card available if no bank account

BankOn Resource Card

(Full BankOn card preserved.)

Section 6 — Credit Rebuilding

• Get free credit reports
• Dispute errors
• Open BankOn account
• Consider secured credit card
• CFPB resources

Section 7 — VSO Financial Assistance Programs

Summary

Financial recovery is the foundation of housing stability. Claim your benefits, open a bank account, establish direct deposit, and build your financial baseline.

Volume VIII — Medical Survival: Staying Alive, Stable, and Connected to Care

Prepared for Veterans in Las Vegas / Henderson / North Las Vegas / Clark County, NV
Version 1.0 | July 2026 | Status: Draft — Pending Final Approval

Medical survival begins with one principle: you are allowed to use every available system — VA, Medicaid, community clinics, emergency rooms — to stay alive and stable. You do not have to “earn” care beyond the service you have already given.

Key Concepts

Section 1 — VA Health Care: Your Primary Medical Home

Who Qualifies

• Most veterans with active duty service and an eligible discharge status
• Many veterans with service‑connected disabilities (even at 0%)
• Low‑income veterans may qualify under income‑based rules
• Previously denied veterans may qualify under new rules (PACT Act, expanded eligibility)

How to Enroll

• Online: va.gov/health-care/apply/application
• By phone: VA Health Care Enrollment — (877) 222-8387
• In person: VA Southern Nevada Healthcare System, 6900 N. Pecos Rd., North Las Vegas, NV 89086
• With help: NDVS, DAV, American Legion, VFW service officers

Document Checklist — VA Health Enrollment

• DD-214
• Photo ID
• Social Security Number
• Proof of income (if available)
• Address (shelter, friend, or VA OK)

VA Health Care in Southern Nevada

Section 2 — Emergency vs. Urgent Care: Where to Go, When

Knowing the difference between emergency and urgent care can save your life and reduce chaos.

Emergency Room (ER)

• Life‑threatening conditions: chest pain, severe shortness of breath, stroke symptoms, major trauma, suicidal intent with plan
• Go to the nearest ER or call 911
• VA ER: 6900 N. Pecos Rd., North Las Vegas, NV 89086
• Non‑VA ERs are allowed if you are in immediate danger — do not delay care

Urgent Care / Same‑Day Care

• Serious but not life‑threatening: infections, moderate pain, minor injuries, medication issues
• Call VA nurse line: (702) 791-9000 and ask for nurse triage
• Use community urgent care if VA is closed or too far
• Ask about VA urgent care benefit if you are enrolled

Decision Tree — Emergency vs. Urgent Care

(Full decision tree preserved.)

Section 3 — Mental Health & Substance Use: Staying Alive One Day at a Time

VA Mental Health Resources

• VA Mental Health Clinic — through VA Southern Nevada Healthcare System
• Las Vegas Vet Center: 1919 S. Jones Blvd., Las Vegas, NV 89146 — counseling, groups, family support
• VA Crisis Line: Call 988 and press 1; Text 838255; Chat at veteranscrisisline.net

Community Mental Health & Substance Use Resources

• Southern Nevada Adult Mental Health Services (SNAMHS)
• Detox and rehab programs (contact 211 for current options)
• Peer support groups (AA, NA, SMART Recovery)

Crisis Plan — Write It Down

• List 3 people or places you can contact in crisis (VA, Vet Center, trusted friend)
• Write down 988 and 211 on a card you keep with you
• Identify one safe place you can go if you feel out of control (ER, shelter, Vet Center)

Section 4 — Medicaid & Community Clinics: Backup and Support

Medicaid and community clinics can work alongside VA care — they are not “cheating” or “double dipping.” They are part of your survival system.

Medicaid

• Free or low‑cost health insurance for low‑income individuals
• Can cover non‑VA providers, prescriptions, and some mental health services
• Apply through Nevada DWSS (see Volume VII)

Community Clinics

• Federally Qualified Health Centers (FQHCs) and sliding‑scale clinics
• Primary care, behavioral health, and sometimes dental
• Can serve as backup when VA is unavailable or you are not yet enrolled

DWSS & Clinic Resource Card

(Full DWSS and clinic resource card preserved.)

Section 5 — Prescriptions, Refills, and Life‑Saving Meds

VA Prescriptions

• Use My HealtheVet (online portal) to request refills
• Call VA pharmacy at (702) 791-9000
• Ask about mail‑order delivery to shelters or trusted addresses

Community and Medicaid Prescriptions

• Use pharmacies that accept Medicaid or discount programs
• Ask providers about generic options and patient assistance programs
• Keep a written list of all medications, doses, and prescribers

Medication Safety

• Do not share controlled substances (opioids, benzodiazepines, stimulants)
• Store meds in a safe, dry place; use lockboxes if available
• Bring your medication list to every appointment and ER visit

Section 6 — Care Coordination and Documentation

When your providers talk to each other, you are safer. When you keep your own records, you are harder to ignore.

Care Coordination

• Sign releases so VA, Medicaid providers, and clinics can share information
• Tell each provider about all other providers you see
• Ask for a “care summary” after major visits or hospitalizations

Documentation to Keep

• Discharge papers from ER and hospital stays
• Medication lists
• Appointment cards and follow‑up instructions
• Any letters about diagnoses, restrictions, or disability

Section 7 — Transportation: Actually Getting to Care

• Ask VA about transportation assistance or shuttle options
• Use RTC bus routes; ask shelters or case managers for bus passes
• Coordinate rides with other veterans when possible
• For emergencies, call 911 — do not delay care because of transportation

Section 8 — Follow‑Up: Turning Survival into Stability

• Schedule follow‑up appointments before leaving the ER or clinic
• Show up even if you feel “better” — stability requires ongoing care
• Use phone calls or telehealth if transportation is a barrier
• Ask providers to help you connect medical stability to housing and benefits (SSVF, social workers, case managers)

Summary

Medical survival is the foundation of everything else. Enroll in VA health care if you are eligible, use Medicaid and community clinics as backup, keep your medications filled, and create a simple crisis plan you can follow even on your worst day. Staying alive and medically stable is your first and most important mission.

Volume IX — Mental Survival

Psychological Survival Strategies for Veterans Experiencing Homelessness in Southern Nevada
Version 1.1 | July 2026 | Status: Draft — Pending Final Approval
Reading Level: Grade 8 | Tone: Trauma-Informed, Nonjudgmental, Hopeful

Understanding Mental Health — Key Concepts

Section 1 — Hope: The Operational Foundation

Hope is not a feeling — it is a decision. Recovery begins with believing one thing can get better.

• Control one thing today.
• Record small wins (“Called the VA,” “Ate a meal”).
• Connect with one person daily.
• Remember: homelessness is temporary.

Section 2 — Routine: Structure as a Psychological Tool

Routine reduces stress, stabilizes mood, and protects mental functioning.

Section 3 — Sleep: Non-Negotiable for Mission Capability

Sleep deprivation destroys decision-making and emotional regulation.

Field Sleep Strategies

• Sleep with your back to a wall.
• Use eye mask + earplugs.
• Keep sleep location consistent.
• Stop screens 30 minutes before sleep.
• Box breathing before bed.
• Avoid caffeine after 2 PM.

Section 4 — Grounding Techniques

Section 5 — Depression

Depression is a medical condition, not weakness.

Signs

• Hopelessness
• Loss of interest
• Sleep changes
• Fatigue
• Thoughts of death

Field Response

• Take one small action.
• Tell your VA provider.
• Identify one reason to get through today.
• Avoid alcohol.

Section 6 — PTSD: Field Management

VA Treatments

• Prolonged Exposure (PE)
• Cognitive Processing Therapy (CPT)
• EMDR
• SSRIs + Prazosin

Section 7 — Isolation

Isolation is one of the most dangerous conditions during homelessness.

Daily Minimum Connection Standard

• Contact one person daily.
• Tell someone how you’re actually doing.
• If isolated >24 hours: call 988.

Section 8 — Suicide Prevention

Immediate Actions

• Remove access to lethal means.
• Call someone.
• Go somewhere with people.
• Tell someone what’s happening.
• Focus on getting through today.

Section 9 — Anger & Irritability

• Notice early physical signs.
• Walk away before escalation.
• Box breathing.
• Physical movement.
• Name the emotion.

Section 10 — Moral Injury

• Persistent guilt
• Loss of meaning
• Feeling undeserving of recovery

Moral injury is treatable. Vet Centers offer specialized support.

Section 11 — Substance Use & Mental Health

Substance use is often a coping mechanism — but worsens symptoms over time.

• VA treats PTSD + substance use together.
• SARRTP residential program available.
• Naloxone available free.
• Nevada Good Samaritan Law protects callers during overdose.

Section 12 — MST (Military Sexual Trauma)

MST treatment is free regardless of discharge status or claim status.

• Ask for the MST Coordinator.
• Vet Centers offer MST-specific counseling.
• RAINN hotline available 24/7.

Decision Tree — “How Am I Doing Right Now?”

(Summarized version)

• If in crisis → Call 988
• If struggling → Sleep, connect, call VA
• If stable → Maintain routine + support network

Summary

Mental survival is mission survival. Protect your mind, stay connected, use grounding tools, and reach out early.

Volume X — Building Back

Permanent Housing · Employment · Education · Community
Version 1.0 | July 2026 | Draft — Pending Final Approval

Key Concepts

Section 1 — Housing: From Referral to Lease

Step 1 — Coordinated Entry

• Call 211 for assessment
• Honesty determines correct placement
• Get on the housing access list

Step 2 — HUD-VASH Referral

• Ask VA Social Work for referral
• Must be enrolled in VA health care
• Ask about SSVF while waiting

Step 3 — Voucher Issued

• 60–120 days to find a unit
• Unit must pass HQS inspection
• Ask case manager for landlord list

Step 4 — Signing the Lease

• Read every clause
• Understand rent, late fees, notice periods
• Know pet/service animal rules
• Ask Nevada Legal Services if unsure

Section 2 — Maintaining Housing

• Pay rent first — always
• Communicate early if struggling
• Avoid lease violations
• Keep unit clean
• Build positive neighbor relationships

Section 3 — Employment

VA Programs

• CWT — paid transitional work
• Voc Rehab — training & education
• GI Bill — tuition + housing allowance

Local Employment Resources

• Nevada JobConnect
• American Job Center
• Goodwill Southern Nevada
• HELP of Southern Nevada Employment

Section 4 — Education & Apprenticeships

• CSN — community college
• UNLV — university
• Nevada State University
• Trade apprenticeships
• VA VET TEC — tech training

Section 5 — VA Home Loan

• No down payment
• No PMI
• Competitive rates
• Funding fee waived for disabled vets

Section 6 — Volunteer Opportunities

• Three Square Food Bank
• Habitat for Humanity
• American Red Cross
• VA Voluntary Service

Section 7 — Support Networks

• VA providers
• Vet Centers
• VSO posts
• Peer mentors

Section 8 — Preventing Return to Homelessness

• Address rent issues early
• Stay connected to providers
• Monitor isolation
• Seek help before crisis

Summary

Building back requires structure, support, and consistent action. Housing, employment, education, and community form the foundation of long-term stability.

Volume XI — Las Vegas Quick Reference Appendix

A Tactical Resource Directory for Veterans in Las Vegas, Henderson, North Las Vegas, Boulder City & Clark County
Version 1.1 | July 2026 | Draft — Pending Final Approval

Section 1 — VA Facilities

• VA Southern Nevada Healthcare System — full services
• Las Vegas CBOC — primary care
• Henderson CBOC — primary care
• North Las Vegas CBOC — near main campus
• Las Vegas Vet Center — walk-in counseling
• Henderson Vet Center — walk-in counseling

Section 2 — Veterans Service Organizations

• NDVS — benefits & claims
• DAV — claims & transportation
• VFW — benefits & peer support
• American Legion — community & claims
• AMVETS — benefits

Section 3 — Emergency Shelters

• Salvation Army — emergency shelter
• Catholic Charities — shelter & meals
• Las Vegas Rescue Mission — shelter & recovery
• Shade Tree — women & children
• HELP of Southern Nevada — shelter & rehousing

Section 4 — Food Resources

• Three Square Food Bank
• Salvation Army Meals
• Catholic Charities Kitchen
• Las Vegas Rescue Mission Meals
• SNAP/EBT enrollment

Section 5 — Hygiene Resources

• VA SNHCS — showers
• Salvation Army — showers & laundry
• Catholic Charities — hygiene
• Planet Fitness — showers
• Recreation Centers — showers

Section 6 — Employment Resources

• Nevada JobConnect
• American Job Center
• Goodwill Southern Nevada
• HELP of Southern Nevada Employment
• VA CWT & Voc Rehab

Section 7 — RTC Transit

• RTC Ride App
• Bonneville Transit Center
• Key Routes: Deuce, SDX, 113, 207, 201, 109, 104
• Paratransit available

Section 8 — Cooling & Warming Centers

• Call 211 for daily list
• Libraries — reliable cooling
• Recreation centers
• Casino lobbies — 24/7 cooling
• VA SNHCS lobby

Section 9 — Mental Health & Crisis

• Veterans Crisis Line — 988
• VA Mental Health Walk-In
• Vet Centers — walk-in counseling
• Nevada Crisis Lines

Section 10 — Medical Resources (Non-VA)

• SNHD Clinics
• Nevada Health Centers
• Catholic Charities Health Services
• HELP of Southern Nevada

Section 11 — Legal Resources

• Nevada Legal Services
• Veterans Treatment Court
• VA Veterans Justice Outreach
• Record sealing assistance

Section 12 — Financial Assistance

• DWSS — SNAP, Medicaid, TANF
• Clark County Social Services
• SSVF providers
• Emergency utility & rental assistance

Section 13 — Libraries

• Clark County Library District
• Las Vegas Library
• Henderson Library
• North Las Vegas Library

Section 14 — Document Replacement

• DMV — ID replacement
• SSA — Social Security card
• VA — DD-214 assistance
• Vital Records — birth certificates

Section 15 — Seasonal Survival Calendar

• Summer heat protocols
• Winter warming centers
• Monsoon flash flood warnings

Section 16 — Outreach Hubs

• Mobile outreach teams
• Street medicine
• VA HCHV outreach

Section 17 — Pharmacies

• Walgreens
• Walmart Pharmacy
• VA Pharmacy

Section 18 — Veteran-Friendly Corridors

• Pecos/MLK — VA access
• Maryland Pkwy — libraries & services
• Sahara — shelters & hospitals

Summary

This appendix is your tactical map of Southern Nevada. Use it daily.

Volume XII — Special Populations

Tailored Guidance for Female Veterans, LGBTQ+ Veterans, Older Veterans, Veterans with Disabilities, Service Dogs, Substance Use Disorders, Legal History, and Rural Veterans
Version 1.1 | July 2026 | Draft — Pending Final Approval

Section 1 — Female Veterans

• Women Veterans Program Manager available at VA SNHCS
• MST counseling available regardless of discharge
• Shade Tree — women & children shelter
• SAFE House — domestic violence support
• VA Women’s Health Clinic

Section 2 — LGBTQ+ Veterans

• VA cannot discriminate based on identity
• LGBTQ+ Veteran Care Coordinator available
• The Center — LGBTQ+ community hub
• Trevor Project — crisis support
• Discharge upgrades available for DADT cases

Section 3 — Older Veterans (55+)

• VA Pension & Aid and Attendance
• Medicare + VA dual coverage
• Senior housing programs
• Geriatric care at VA
• Mobility aids through VA Prosthetics

Section 4 — Veterans with Disabilities

• ADA protections apply to shelters & housing
• Service animals protected under ADA & FHA
• VA Prosthetics — wheelchairs, CPAP, hearing aids
• RTC Paratransit available
• TBI program at VA SNHCS

Section 5 — Veterans with Service Dogs

• Service dogs allowed in all public places
• No pet fees for service animals
• VA may cover service dog equipment
• Never leave dogs in vehicles during summer

Section 6 — Substance Use Disorders

• VA SARRTP — residential treatment
• Dual Diagnosis programs
• Naloxone available free
• Nevada Good Samaritan Law protects overdose callers
• Housing First programs do not require sobriety

Section 7 — Veterans with Legal History

• VA eligibility usually unaffected
• Veterans Treatment Court available
• Record sealing possible
• Reentry programs available
• Voc Rehab supports justice-involved veterans

Section 8 — Rural Veterans (Pahrump, Boulder City, Laughlin)

• MISSION Act community care available
• Telehealth through VA
• Transportation assistance
• Local libraries as anchor points

Summary

Every veteran deserves care that fits their actual situation. Use the coordinators, programs, and protections designed specifically for your population.

Volume XIII — Case Studies (Condensed Edition)

Case Study 1 — Marcus: Vehicle Living · PTSD · Alcohol

Marcus, an Army veteran, slept in his truck during June heat. On Day 3 he called the Veterans Crisis Line, which connected him to VA Social Work. Within weeks he was enrolled in H‑PACT, received medical care, began CWT, and later secured HUD‑VASH housing.

Setback

Month 4: Alcohol relapse. Missed appointments. Case manager intervened; outpatient counseling began. Housing referral remained active.

Outcome

Housed 14 months; full‑time job; PTSD rating increased to 70%.

Lessons Learned

• The first call changes everything.
• Setbacks do not restart the clock.
• CWT wages do not reduce VA disability.

Case Study 2 — Elena: Female Veteran · Child · Rapid Rehousing

Evicted with her daughter, Elena called 211 and was placed at Shade Tree. VA Social Work restarted her medical care, SNAP/Medicaid were approved, McKinney‑Vento protected her daughter’s school stability, and SSVF rapidly rehoused her.

Setback

Eviction record blocked housing applications. Nevada Legal Services helped seal the record; SSVF extended support.

Outcome

Housed 9 months; working full‑time; enrolled in LPN program using GI Bill.

Lessons Learned

• Asking for help is tactical.
• McKinney‑Vento protects school stability.
• SSVF moves faster than HUD‑VASH for families.

Case Study 3 — James: Older Veteran · Heat Emergency · Gambling

James collapsed from heat exhaustion and was taken to UMC. VA Liaison connected him to VA Social Work. He enrolled in H‑PACT, filed his first disability claim, entered gambling counseling, and secured HUD‑VASH housing.

Setback

Brief gambling relapse. Case manager connected him to the Nevada Problem Gambling Helpline and VA counseling.

Outcome

Housed 18 months; volunteers at VA; stable health.

Lessons Learned

• Pride is not protection.
• Retirement pay + VA disability are separate.
• Gambling is a compounding crisis — disclose it early.

Volume XIV — Things I Wish Someone Had Told Me

Section 1 — Asking for Help

• Waiting doesn’t make recovery easier — it makes it harder.
• The Veterans Crisis Line is also for nights when you just need someone to talk to.
• Outreach may come back multiple times — saying yes sooner changes everything.
• Asking for help is the same skill as calling for air support — you use available assets.

Section 2 — About the VA

• Saying “I’m homeless” unlocks H‑PACT and other supports.
• OTH and general discharges do not automatically block VA care; eligibility is case‑by‑case.
• MyHealtheVet makes appointments, refills, and messaging easier.
• VSOs are free — never pay for claims assistance.

Section 3 — Survival in Las Vegas

• Heat destroys medications left in vehicles — keep them on your body.
• The Deuce bus is 24‑hour air‑conditioning when you have no shelter.
• Libraries offer Wi‑Fi, charging, bathrooms, and AC.
• Flash floods make washes deadly in minutes during monsoon season.
• Cooling centers are survival tools, not signs of weakness.

Section 4 — Documents & Money

• Photograph every document and email it to yourself as backup.
• Nevada offers free state ID for homeless residents.
• Keep a notebook with names, numbers, and dates — stress erodes memory.
• Check‑cashing fees cost hundreds yearly — use direct deposit.
• You can receive both VA disability and SSDI; SSI interacts differently.
• CWT pays real money and does not reduce VA disability.

Section 5 — Mental Health & Legal

• PTSD treatment works — many veterans wait years for a few sessions that change everything.
• Box breathing and grounding techniques matter in real flashback moments.
• Isolation feels like privacy but acts like an enemy.
• Prazosin can reduce nightmares — ask your VA provider.
• Small citations can become warrants and block housing; address them early.
• Nevada Legal Services and Veterans Treatment Court can change legal outcomes.
• Scammers target veterans — claims help should never cost money.

Section 6 — Housing, Community, Mission

• HUD‑VASH waitlists are real — start immediately.
• SSVF often moves faster than HUD‑VASH.
• Read leases fully; missed clauses can cost deposits.
• Communicate with landlords before problems, not after.
• Peer support specialists are living proof recovery is possible.
• Volunteering and community (Legion posts, food banks) rebuild identity.
• Homelessness is a situation, not an identity.
• Recovery is not a straight line; setbacks are points in the middle, not the end.

Back Matter — Glossary · Index · Acknowledgments · Notes

Glossary (Sample Entries)

Index (Sample Topics)

Acknowledgments

This manual draws on composite experiences of veterans navigating homelessness in Southern Nevada, VA Southern Nevada Healthcare System staff, Nevada Department of Veterans Services VSOs, and community partners including shelters, legal services, food banks, and transit agencies.

My Notes & Contacts