041712 vetwebinar ppt


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Webinar - The National Veteran's Technical Assistance Center

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041712 vetwebinar ppt

  1. 1. David Morrissette Center for Mental Health  Services, SAMHSA Sam Shore Veteran’s Jail Diversion  and Trauma Recovery,  SAMHSA Aaron Diaz Center for Health Care  Veteran‐Specific Innovations  Services, San Antonio  Texas in Criminal Justice – Gilbert Gonzales Center for Health Care  Services, San Antonio  Texas  Jim McGuire VA and SAMHSA Initiatives Veterans Administration Charles Brown Goodwill Industries of  Houston David Sands Veterans Administration April 17, 2012  Stephan Haimowitz1 NVTAC Burton Blatt  Institute
  2. 2. NVTAC AT SYRACUSE UNIVERSITY Stephan Haimowitz, J.D.  315 744‐4139  sjhaimow@law.syr.edu Burton Blatt Institute  Syracuse University National Veterans Technical Assistance Center   http://bbi.syr.edu/nvtac/2
  3. 3. NVTAC   Supported by the  U. S. Department of Labor  Veterans Employment & Training Service 200 Constitution Avenue, N.W., Room S‐1325  Washington, D.C. 20210       www.dol.gov/vets/ Prime partner  National Coalition for Homeless Veterans 333 ½ Pennsylvania Avenue, SE Washington, DC 20003‐1148 (202) 546‐1969             www.nchv.org3
  4. 4. HVRP ‐ ADDRESSING EMPLOYMENT  Jobs – HVRP, IVTP, HFV/VWF     VA‐ VR&E, CWT, HVSEP            One Stop Workforce Centers   DVOPs LVERs Housing       VA ‐ Grant Per Diem        HUD/VASH  HUD Continuum  of Care  Physical and Behavioral Healthcare          VA – Medical Centers and HA       Community providers 4
  5. 5. Criminal Justice Involvement  Homelessness  12% of prison population were homeless when arrested  Female Veterans 3 times as likely as female non‐Veterans Substance abuse     Largest cause of homelessness‐single adults   25% of Veterans aged 18‐25 met criteria  ‐‐ 1.8 million people  Mental Illness           20‐25% of the homeless population    Evident in incarcerated populations  Veterans   Approximately 9% of jails and prison inmates 5
  6. 6. Veterans with Criminal Justice Issues 6 http://nvtac.org
  7. 7. Veterans with Criminal Justice Issues 7
  8. 8. Strategies for Overcoming Job Barriers 1. Prepare for Job Applications and Interviews8
  9. 9. Strategies for Overcoming Job Barriers 2. Use Federal Bonds and Tax Credits9
  10. 10. Strategies for Overcoming Job Barriers3. If Possible, Clear Your Record or Limit Its Impact10
  11. 11. Resources for Veterans with Criminal Justice  Issues    1. Diversion Programs11
  12. 12. Resources for Veterans with Criminal Justice  Issues    2. Public Housing12
  13. 13. Resources for Veterans with Criminal Justice  Issues    2. Public Housing13
  14. 14. David Morrissette, Ph.D. LCSW Captain, U.S. Public Health ServiceCenter for Mental Health Services,SAMHSAdavid.morrissette@samhsa.hhs.gov 14
  15. 15. Grantees15
  16. 16. Milestones  • Year 1 Pre‐implementation activities and strategic  planning at state and local level • Year 2  Early pilot implementation and data analysis  • Years 3‐5 Statewide replication, training and/or   policy changes  16
  17. 17. Key Program Components• Prioritize, Screen and Address Trauma; • Train staff and clients in Trauma Informed Care (TIC);• Maximize client choice by coordinating VA and community;• Involve peers in planning, service delivery and evaluation; • Build broad based support among all stakeholders.  17
  18. 18. Texas Jail Diversion and Trauma Recovery Initiative: State RolloutHomeless Veterans Reintegration Projects Webinar April 17, 2012 18
  19. 19. Sam Shore, JDTR Project DirectorDirector, MH Transformation andBehavioral Health OperationsDSHSsam.shore@dshs.state.tx.us 19
  20. 20. JDTR Program State awarded SAMHSA grant for JDTR • 5-year grant to create Trauma Informed jail diversion programs that prioritize veterans Veterans courts established in 12 counties • serving 122+ veterans • More counties planning jail diversion initiatives for veterans Statewide rollout of Jail Diversion/Trauma Informed Care Annual Statewide Justice-Involved Veterans conference 20
  21. 21. KEY Elements of JDTR Screening - Veterans with trauma-related disorders Trauma informed care (TIC) and trauma specific care: principles of safety, choice, client control, consumer involvement, trauma-specific treatment (train staff and clients) Build community service competency treating veterans and coordinate services between VA and non VA providers, maximizing participant choice. Peer presence on Advisory Boards and services provision Establish Leadership - State and Local Advisory Committees  Support existing programs  Sustainability 21
  22. 22. JDTR Dissemination Provide Training in:  Trauma-Informed Care  Trauma-Specific Treatment Coordinate State Assets to Support Veterans Small grants to support development of trauma- integrated JD services  Build on existing community infrastructure  Increase use of peers and trauma practices  Develop required linkages among essential service providers – VA, SA, MH, Law Enforcement, Recovery Supports (including employment) 22
  23. 23. Sequential Intercept Model Sequential Intercepts for Change: Criminal Justice - Mental Health Partnerships Intercept 1 Intercept 2 Intercept 3 Intercept 4 Intercept 5 Law enforcement / Initial detention / Initial Jails / Courts Reentry Community corrections/ Emergency services court hearings Community support = Violation Courts Parole Dispatch 911 Prison Law Enforcement COMMUNITY COMMUNITY Initial Detention Initial Hearings Arrest Probation Violation Jail Jail Re-entry Police Jail/Detention Jail Jail Probation Crisis Response Pub. Defender Self Referral Prison Parole ER Pre-Trial PD Community Dispatcher Court based Prosecution Reentry Crisis Call Lines clinician Pre-Trial VA Reentry 23 VJO VJO Veterans www.gainscenter.samhsa.gov  800.311.4246
  24. 24. Texas CoordinatingTVC created theCouncil for Veterans Services (TCCVS)Charge: Focus on specific issues affecting Veterans, service members and theirfamilies Compile and centralize an inventory of all Veteran services provided bystate agencies Identify the strengths and weaknesses of Veteran services provided bythe State of Texas Work Groups:  Health and mental health  Criminal Justice  Higher Education  Housing  Employment  Women Veterans Report to Governor and Legislature Oct. 1, 2012
  25. 25. Contact and Resource Information Sam Shore, JDTR Project Director  Sam.shore@dshs.state.tx.us  512-206-5947 www.mhtransformation.org  See 2008 and 2010 Returning Veterans Reports 25
  26. 26. Texas VeteranJail Diversion and Trauma Recovery Program 26
  27. 27. Aaron Diaz & Gilbert GonzalesCenter for Health Care Services, San Antonio Texas Aaron Diaz, Director of Crisis and Jail Diversion email: ADiaz@chcsbc.orgGilbert Gonzales,Director of Communications andDiversion Initiativesemail: GGonzales@chcsbc.org 27
  28. 28. Purpose• Establish community-based “best practices” for diverting veterans with trauma-related mental health needs from incarceration and into treatment.• Best practices – Workforce training in trauma (TBD) – Workforce training in veteran issues (TBD) – Trauma screening (PTSD Checklist - short version) – Trauma assessment (Clinician-Admin PTSD Scale) – Trauma therapy (Seeking Safety) – Regular input/feedback from stakeholders, including veterans (Advisory Committees) 28
  29. 29. Jail Diversion - Veterans Assessors Trauma screen for Vet Counselors Status and assess for PTSD PTSD Intercept Point 1:  Crisis Response  PRE‐BOOKING Restoration  Point of  CenterContact with  Law Enforcement Intercept Point 2:  Crisis   Magistration Center PRE‐ & POST‐ BOOKING Diversion CHCS trauma‐related  jail diversion services Bexar County Jail Trauma Counselors provide services 29
  30. 30. CHCS Public Safety Net www.gainscenter.samhsa.gov  800.311.4246 30
  31. 31. VA - Justice-Involved Veterans Jim McGuire, LCSW, PhD National Director , VA’s Justice Programs: Healthcare for Reentry Veterans Program and Veterans Justice Outreach 31
  32. 32. VA - Justice-Involved Veterans• A justice-involved Veteran is: – in contact with local law enforcement who can be appropriately diverted from arrest into mental health or substance abuse treatment; – in a local jail, either pre-trial or serving a sentence; or, – involved in adjudication or monitoring by a court• Related issue: – Reentry for Veterans being discharged from State and Federal Prisons• 82% of justice-involved Veterans are likely VA health care eligible (BJS) 32
  33. 33. Points of Contact• Health Care for Reentry Veterans (HCRV) Specialists by region (prison outreach): http://www.va.gov/HOMELESS/Reentry.asp – Jessica Blue-Howells, National Coordinator, Healthcare for Reentry Veterans• Veterans Justice Outreach (VJO) Specialists by medical center (law enforcement, jails, courts): http://www1.va.gov/HOMELESS/VJO.asp – Sean Clark, National Coordinator, Veterans Justice Outreach Sean.Clark2@va.gov (202) 461-1931 33
  34. 34. HOMELESS VETERANS PROGRAMS Presented by Charles Brown Program ManagerGoodwill Houston IVTP Program 34
  35. 35. Charles BrownCharles Brown is the Program Manager for the IncarceratedVeterans Transition Program (IVTP). He is an Army Veteran FieldArtillery with 8 years of active and reserve service in the U.S. Army.He has several years’ experience working to place previouslyincarcerated individuals into employment, and has spent time in thefor-profit sector at various levels of management and leadership. 35
  36. 36. Goodwill Homeless VETS ProgramsGoodwill Industries provides the following programs for Homeless Veterans: IVTP - Incarcerated Veterans Transition Program HVRP - Homeless Veterans Reintegration Program FHVRP - Female Veterans and Veterans with Families Homeless Veterans Reintegration Program 36
  37. 37. Homeless VETS Programs Eligibility HVRP FHVRP IVTPVeterans who served in the active military, naval orair service and who were discharged or released ✔ ✔ ✔under other than dishonorable conditions.Veterans who lack a fixed, regular and adequatenighttime residence. This may also include anindividual whose primary nighttime residency is a ✔ ✔ ✔supervised public or privately operated shelter.Female homeless veterans and male homelessveterans accompanied by dependent children. ✔Veterans either currently incarcerated but within 18months of release, or released from incarceration ✔within the last 6 months. 37Candidates must meet all checked requirements to enter a specific program
  38. 38. Employment Services Work Readiness  Job Preparation Training training Vocational Job  Job placement Training (by referral) Services Telephone, Computer  Job coaching & & Internet Access for Retention services Job Search Career Transition  Transportation Counseling assistance 38
  39. 39. Program Successes• We have been able to establish a rapport  with the area parole/probation offices  and local WFS, and have earned the  respect of fellow HVRP grantees by our  success in placing veterans into  employment. • We serve the “whole veteran” simultaneously through partnerships  with other service providers. This has  allowed veterans to retain employment  better, as all barriers to employment  have been addressed.  39
  40. 40. IVTP2011/12 Results 40
  41. 41. HVRP2011/12 Results 41
  42. 42. FHVRP2011/12 Results 42
  43. 43. Program Challenges• Securing housing for veterans who have  challenging situations or less than 24 months’ active duty time, but have been honorably  discharged from military.• Working with the parole/ probation officer and  case manager once a veteran who resides at a  transitional facility gets a job to expedite them  being able to go to work without having to do a  two weeks’ schedule in advance.  • Overcoming stereotypes of veterans who have  challenges on their background. 43• Rebuilding confidence for our clients faster.
  44. 44. Ways For VJOs and HVRP to Collaborate• VJOs, Goodwill, and the Diversion Program can  collaborate on the following activities:• Getting incarceration papers, applying for benefits,  and planning housing before vets are released.• Obtaining veterans’ Letter of Service and DD‐214 by  fax and online• Helping expedite housing and other benefits• Expediting outreach and intake by doing assessments  behind the walls• Dual placement services 44
  45. 45. Questions 45
  46. 46. Contact Information David Morrissette  Jim McGuire Center for Mental Health Services,  Veterans Administration SAMHSA James.McGuire@va.gov david.morrissette@samhsa.hhs.gov  Charles Brown Sam Shore Goodwill Industries of Houston Veteran’s Jail Diversion and Trauma  c_brown@goodwillhouston.org Recovery, SAMHSA sam.shore@dshs.state.tx.us  David Sands Veterans Administration Aaron Diaz David.sands@va.gov Center for Health Care Services,  San Antonio Texas  Stephan Haimowitz ADiaz@chcsbc.org NVTAC Burton Blatt Institute sjhaimow@law.syr.edu Gilbert Gonzales Center for Health Care Services,  San Antonio Texas GGonzales@chcsbc.org46
  47. 47. WE WANT YOUR FEEDBACK!Please let us know how we did  http://websurvey.syr.edu/nvtac_eval_041712.aspxNVTAC (National Vets Technical Assistance  Center) http://nvtac.org A partnership:  Burton Blatt Institute at Syracuse University, the  National Coalition for Homeless Veterans and the U.S.  Department of Labor Veterans Employment and Training  Service47