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8/23/18 1 Behavioral Health Issues Confronting Veterans in North Carolina Session I – Potential Threats August 23, 2018 Register for our email updates: ncgwg.org Join us by live stream at www.facebook.com/govinst or call 919.212.5747 Meeting agenda and minutes: ncgwg.org /minutes-and-group-updates

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Page 1: 2018-0823 - NCGWG Meetingncgwg.org/wp-content/uploads/2018/08/2018-0823-NCGWG-Meeting.pdf · • Donald Thomas, Alcohol Drug Control Officer (ADCO), NCARNG SAP Program • Kyle Snyder,

8/23/18

1

Behavioral Health Issues Confronting Veterans in North Carolina Session I – Potential Threats

August 23, 2018

Register for our email updates: ncgwg.org

Join us by live stream at www.facebook.com/govinstor call 919.212.5747

Meeting agenda and minutes: ncgwg.org/minutes-and-group-updates

Page 2: 2018-0823 - NCGWG Meetingncgwg.org/wp-content/uploads/2018/08/2018-0823-NCGWG-Meeting.pdf · • Donald Thomas, Alcohol Drug Control Officer (ADCO), NCARNG SAP Program • Kyle Snyder,

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Secretary Larry HallNorth Carolina Department of Military & Veterans Affairs

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Vice Chair Updates

Kody KinsleyDeputy Secretary for Behavioral Health & IDD

Division of Mental Health, Developmental Disabilities, and Substance Abuse Services

North Carolina Department of Health and Human Services

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DHHS-DMH Updates – FY 2018 Recap

• Veteran Support Specialist (VSS) training gave 60 VSO/VSTs & community Veteran service providers expanded toolkits to work with MH/BH issues.• Supported MH/BH capacity of 4 NC Serves networks serving 64 NC counties• Expanded NCNG SASI program support by 50%• Sponsored 2018 Women MilVets Summit & Expo

• Sponsored 13 Mental Health Minutes on UNC-TV Veterans programming• Supported 4 NC STRIVE (Student Transition Resources Initiative for Veterans

Education) regional conferences for educators• Produced 10 Governor’s Working Groups (www.ncgwg.org)• NC PIC (Practice Improvement Collaborative) to Reduce Veterans Suicide

Jeffrey DoyleHomeless Coordinator

Mid-Atlantic Health Care Network (VISN 6)

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VISN-6 Update• The second annual Military Women's Health Symposium will be held

on September 19 from 8am to 4:15pm at the Eastern Area Health Education Center (AHEC) which is located at 2600 W. Arlington Blvd. in Greenville.

Mark EdmondsChief Operating Officer - Workforce Solutions

North Carolina Department of Commerce

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NC Department of Commerce Division of Workforce Solutions

• New hiring event model for better support to veterans across the state.

• Increase from 8 to 20 events.

• Balance the focus around military installations and other areas.

• Sector focused hiring events; i.e. Public Safety, Healthcare, Trades, etc.

• Upcoming 2018 NC4ME (North Carolina for Military Employment) Events

• August 7/8 – Fort Bragg; 25 employers and 133 jobseekers plus walk-ins; 7 job offers made and 54 second interviews!

• September 5th – Raleigh (partnering with NCNG)

• September 11th – ICW US Chamber Hire Our Heroes

• EOM September – Elizabeth City [moved to late Spring]

• October 19/20 – Hickory Welcome Home Family Weekend and Hiring Event

• First 50: hotel accommodations; gas card; local transport; excursions; meals

• November 27/28 – Jacksonville

• December – Lumberton / Pembroke

• Collaboration with the Troops to Teachers Initiative.

• Five year grant funding

• High veteran population areas: Charlotte-Mecklenburg, Guilford, Wake

• Low teacher population areas: Halifax County, Lexington City, Northampton County, Thomasville City, Tyrell County school districts

Mark BiloszDirector, Veterans Benefits Administration

Winston-Salem Regional OfficeU.S. Department of Veterans Affairs

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Upcoming VBA Outreach Events• VA Benefits Assistance for First Time Applicants –• Focusing on GW/OEF/OIF/OND Veterans• September 11, 2018 – Kernersville CBOC, 1695 Kernersville Medical Pkwy,

Kernersville, NC• Veterans Experience Action Center• September 13 - 15, 2018 – Herbert Young Community Ctr., 101 Wilkinson

Ave., Cary, NC

For More Information About Upcoming Events, Please Visit: https://www.benefits.va.gov/ROWINSTONSALEM/index.asp

James ProsserAssistant Secretary for Veterans Affairs

Retired Master Sergeant, Air Force NC Department of Military and Veterans Affairs

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Jeff SmithMilitary and Veterans Program Liaison

Division of MH/DD/SASNorth Carolina Department of Health and Human Services

0

1000

2000

3000

4000

5000

6000

7000

Octo ber 2017

Novemb er 2017

December 2017

January 2018

February 2018

March 2018

Ap ril 2018

May 2018

June 2018

July 2 018

538

2335

2068 2619

2507

1322

6001

In Person Livestream

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NCPIC Update: Reducing Veteran Suicide• Focus of three Governor’s Working Groups on Veterans, SM & Families

• VA Suicide Prevention Director Dr. Keita Franklin (4/18)• 4 Regional NC STRIVE conferences for Student Veteran MH/BH resources

• UNC-TV partnership in 2018 Veterans programming

• Expanded participation GWG from 100/wk to 5,000+/wk• Multi-media campaign to Reduce Veteran Suicide ( September 9-15, 2018 - Prevention Week)

• State Funding to support Students in Crisis & Student Mental Health• Addresses Resilience, Access to Lethal Means, MHFA, and Trauma informed care

• SAMHSA SMVF TAC• Community Challenge to Reduce Veteran Suicide ( Charlotte/Mecklenburg)• Crisis Intercept Mapping Initiative –Charlotte

• VISN -19 MIRECC Rural Veterans Initiative (Carteret County)

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Introduction to Behavioral Health IssuesModerator• Martin Woodard, NC DM/DD/SAS, US Air Force Retired

Panelists• Alison Drain, NC DMH/DD/SAS NC Problem Gambling Response• Dr. Bruce Capehart, Durham VAMC & Duke Medicine, OEF/OIF Program

Coordinator• Brenda Monforti, NCNG SASI Program Manager, US Air Force Veteran

• Donald Thomas, Alcohol Drug Control Officer (ADCO), NCARNG SAP Program• Kyle Snyder, NC National Guard, OEF/OIF Veteran

• Joe Hazel, Clinician, Vietnam Veteran

Alison DrainNC Problem Gambling Program

Division of Mental Health, Developmental Disabilities, and Substance Abuse Services

North Carolina Department of Health and Human Services

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Dr. Bruce CapehartDurham VAMC & Duke Medicine

OEF/OIF Program Coordinator

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Brenda MonfortiNCNG SASI Program Manager

Alcohol/Drug Council of North Carolina (ADCNC)US Air Force Veteran

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Introduction to Behavioral Health IssuesModerator• Martin Woodard, NC DM/DD/SAS, US Air Force Retired

Panelists• Alison Drain, NC DMH/DD/SAS NC Problem Gambling Response• Dr. Bruce Capehart, Durham VAMC & Duke Medicine, OEF/OIF Program

Coordinator• Brenda Monforti, NCNG SASI Program Manager, US Air Force Veteran

• Donald Thomas, Alcohol Drug Control Officer (ADCO), NCARNG SAP Program• Kyle Snyder, NC National Guard, OEF/OIF Veteran

• Joe Hazel, Clinician, Vietnam Veteran

NC SERVES UPDATES

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NORTH CAROLINA INSIGHTS

NCServes - Network Locations

NCServes - Network Summaries

Service Requests by Type

Network Name Coordination Center Launch Date

StateNorth Carolina

NetworkMultiple values

No. of Requests

Service Episodes Over Time

No. of Clients

6,660Clients

14,996Requests

4Networks

69% - Resolved17% - Unable to Contact Client14% - Unresolved

No. of Providers

272Providers

Service Request by Source

NCServes-Metrolina Veterans Bridge Home August 2015NCServes-Central Carolina USO of North Carolina June 2016NCServes-Coastal Eastern Carolina Human Services Agency, Inc. November 2016NCServes-Western Asheville Buncombe Community Christian Ministry August 2017

673,4858,866751,6192,926688952,068626611,136

EmploymentHousing & Shelter

Money ManagementBenefits Navigation

Social EnrichmentHealth

LegalUtilities

EducationIndividual & Family Support

Food AssistanceClothing & Household Goods

TransportationIncome Support

Mental/Behavioral HealthSports & Recreation

Physical HealthSpiritual Enrichment

WellnessSubstance Use

22%22%

10%10%

9%6%

5%3%

3%2%2%

2%2%

1%1%

0%0%0%0%0% 20

14 Q

4

2015

Q3

2015

Q4

2016

Q1

2016

Q2

2016

Q3

2016

Q4

2017

Q1

2017

Q2

2017

Q3

2017

Q4

2018

Q1

2018

Q2

0K

5K

10K

15K

0K

5K

10K

15K14,996

NC-

Met

rolin

a

NC-

Cent

ral

Caro

lina

NC-

Coa

stal

NC-

Wes

tern

0%

50%

100..

0K

5K

10K

38%45%32%39%

56%48%47%

55%

5%7%21%

6%

8,866

2,9262,068

1,136

Assistance Request Coordination Center Network Org

NCServes - Statewide Indicators

*Data current through 06/30/18

8.5 - Average Days - Referral to Provider19.9 - Median Days - Overall ServiceProvision

Closed Request

Resolved

Unable to Contact Client

Unresolved

Average Days from CC Referralto Provider Acceptance

Median Days of Overall ServiceEpisode 62.9

7.4

10%

9%

81%

257

Number of Providers

Unique Clients Served

Total Requests 201

121

75

NETWORK INSIGHTS

Network Service Areas

Service Requests by Type Service Request by Source

Network Indicators

Provider Engagement

Call/Walk-In Network Provider Web Form0%

10%

20%

30%

40%

EmploymentHousing & Shelter

Benefits NavigationIncome Support

Clothing & Household Go..Food Assistance

LegalMental/Behavioral Health

EducationIndividual & Family Supp..

Social EnrichmentUtilities

Money ManagementPhysical Health

Sports & RecreationTransportation

26%18%

12%10%

5%5%5%

4%3%

3%2%2%

1%0%0%

StateNorth Carolina

Network NameNCServes-Central Carolina

Year2018

MonthJune

Fayetteville Vet CenterThe Steven A. Cohen Military Family Clinic at Cape Fear V..

Cumberland County Schools

Wake County Veterans Services OfficeEndeavors (Coastal & Central) 5

681021

Leaderboard

Provider Referrals

Network NameNCServes-Central Carolina

Provider Total Referrals Made

Year2018

MonthJune

16% Providers MakingReferrals 43% Providers Receiving

Referrals

Wake County Veterans Services Office

Goodwill of Northwest North Carolina - Central Carolina

Volunteers of America of the Carolinas

Hire Heroes USA

NC Hope For The Warriors 1011161925

Total Referrals ReceivedProvider

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Closed Request

Resolved

Unable to Contact Client

Unresolved

Average Days from CC Referralto Provider Acceptance

Median Days of Overall ServiceEpisode 62.9

7.4

10%

9%

81%

257

Number of Providers

Unique Clients Served

Total Requests 201

121

75

NETWORK INSIGHTS

Network Service Areas

Service Requests by Type Service Request by Source

Network Indicators

Provider Engagement

Call/Walk-In Network Provider Web Form0%

10%

20%

30%

40%

EmploymentHousing & Shelter

Benefits NavigationIncome Support

Clothing & Household Go..Food Assistance

LegalMental/Behavioral Health

EducationIndividual & Family Supp..

Social EnrichmentUtilities

Money ManagementPhysical Health

Sports & RecreationTransportation

26%18%

12%10%

5%5%5%

4%3%

3%2%2%

1%0%0%

StateNorth Carolina

Network NameNCServes-Central Carolina

Year2018

MonthJune

Fayetteville Vet Center

The Steven A. Cohen Military Family Clinic at Cape Fear V..

Cumberland County Schools

Wake County Veterans Services OfficeEndeavors (Coastal & Central) 5

681021

Leaderboard

Provider Referrals

Network NameNCServes-Central Carolina

Provider Total Referrals Made

Year2018

MonthJune

16% Providers MakingReferrals 43% Providers Receiving

Referrals

Wake County Veterans Services Office

Goodwill of Northwest North Carolina - Central Carolina

Volunteers of America of the Carolinas

Hire Heroes USA

NC Hope For The Warriors 1011161925

Total Referrals ReceivedProvider

Closed Request

Resolved

Unable to Contact Client

Unresolved

Average Days from CC Referralto Provider Acceptance

Median Days of Overall ServiceEpisode 6.9

1.8

13%

24%

63%

227

Number of Providers

Unique Clients Served

Total Requests 241

85

68

NETWORK INSIGHTS

Network Service Areas

Service Requests by Type Service Request by Source

Network Indicators

Provider Engagement

Network Provider Call/Walk-In Web Form0%

20%

40%

60%

Housing & ShelterUtilities

Benefits NavigationFood AssistanceIncome Support

EmploymentPhysical Health

Mental/Behavioral HealthTransportation

Clothing & Household Go..Legal

WellnessMoney ManagementSports & Recreation

Substance UseEducation

Individual & Family Supp..

16%13%

10%

9%8%

5%5%

4%2%

2%

1%1%

StateNorth Carolina

Network NameNCServes-Coastal

Year2018

MonthJune

Eastern Carolina Human Service AgencyWilmington Veteran Service Center

NABVETS, INC. EASTERN, NC (ENC) * VETERANS UNITED ..

The Salvation Army of Jones and Onslow CountyEndeavors (Coastal & Central) 10

11202672

Leaderboard

Provider Referrals

Network NameNCServes-Coastal

Provider Total Referrals Made

Year2018

MonthJune

18% Providers MakingReferrals

38% Providers ReceivingReferrals

NABVETS, INC. EASTERN, NC (ENC) * VETERANS UNITED..

Legal Aid of NC, Inc.

NCWorks Career Center - Onslow County

Null

The Military Spouse Corporate Career Network (MSCCN) 3468

13

Total Referrals ReceivedProvider

Closed Request

Resolved

Unable to Contact Client

Unresolved

Average Days from CC Referralto Provider Acceptance

Median Days of Overall ServiceEpisode 62.9

7.4

10%

9%

81%

257

Number of Providers

Unique Clients Served

Total Requests 201

121

75

NETWORK INSIGHTS

Network Service Areas

Service Requests by Type Service Request by Source

Network Indicators

Provider Engagement

Call/Walk-In Network Provider Web Form0%

10%

20%

30%

40%

EmploymentHousing & Shelter

Benefits NavigationIncome Support

Clothing & Household Go..Food Assistance

LegalMental/Behavioral Health

EducationIndividual & Family Supp..

Social EnrichmentUtilities

Money ManagementPhysical Health

Sports & RecreationTransportation

26%18%

12%10%

5%5%5%

4%3%

3%2%2%

1%0%0%

StateNorth Carolina

Network NameNCServes-Central Carolina

Year2018

MonthJune

Fayetteville Vet CenterThe Steven A. Cohen Military Family Clinic at Cape Fear V..

Cumberland County Schools

Wake County Veterans Services OfficeEndeavors (Coastal & Central) 5

681021

Leaderboard

Provider Referrals

Network NameNCServes-Central Carolina

Provider Total Referrals Made

Year2018

MonthJune

16% Providers MakingReferrals 43% Providers Receiving

Referrals

Wake County Veterans Services Office

Goodwill of Northwest North Carolina - Central Carolina

Volunteers of America of the Carolinas

Hire Heroes USA

NC Hope For The Warriors 1011161925

Total Referrals ReceivedProvider

Closed Request

Resolved

Unable to Contact Client

Unresolved

Average Days from CC Referralto Provider Acceptance

Median Days of Overall ServiceEpisode 19.9

4.3

16%

7%

77%

353

Number of Providers

Unique Clients Served

Total Requests 322

177

67

NETWORK INSIGHTS

Network Service Areas

Service Requests by Type Service Request by Source

Network Indicators

Provider Engagement

Call/Walk-In Network Provider Web Form0%

10%

20%

30%

40%

50%EmploymentHousing & ShelterSocial Enrichment

Income SupportBenefits Navigation

Mental/Behavioral HealthClothing & Household Go..

LegalTransportation

Money ManagementIndividual & Family Supp..

Physical HealthEducation

Food AssistanceSports & Recreation

Utilities

28%24%

10%9%

7%6%

3%3%3%

2%1%1%

1%1%

0%

StateNorth Carolina

Network NameNCServes-Metrolina

Year2018

MonthJune

Mecklenburg County Veteran Services

Asheville Buncombe Community Christian Ministry

Veterans Bridge Home

Cardinal Innovations Healthcare

American Legion, Concord, NC 23151942

Leaderboard

Provider Referrals

Network NameNCServes-Metrolina

Provider Total Referrals Made

Year2018

MonthJune

24% Providers MakingReferrals 45% Providers Receiving

Referrals

Veterans Bridge Home

Community Link

Endeavors (Metrolina)

Express Employment Professionals

Goodwill Industries of the Southern Piedmont 1516202529

Total Referrals ReceivedProvider

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Closed Request

Resolved

Unable to Contact Client

Unresolved

Average Days from CC Referralto Provider Acceptance

Median Days of Overall ServiceEpisode 62.9

7.4

10%

9%

81%

257

Number of Providers

Unique Clients Served

Total Requests 201

121

75

NETWORK INSIGHTS

Network Service Areas

Service Requests by Type Service Request by Source

Network Indicators

Provider Engagement

Call/Walk-In Network Provider Web Form0%

10%

20%

30%

40%

EmploymentHousing & Shelter

Benefits NavigationIncome Support

Clothing & Household Go..Food Assistance

LegalMental/Behavioral Health

EducationIndividual & Family Supp..

Social EnrichmentUtilities

Money ManagementPhysical Health

Sports & RecreationTransportation

26%18%

12%10%

5%5%5%

4%3%

3%2%2%

1%0%0%

StateNorth Carolina

Network NameNCServes-Central Carolina

Year2018

MonthJune

Fayetteville Vet Center

The Steven A. Cohen Military Family Clinic at Cape Fear V..

Cumberland County Schools

Wake County Veterans Services OfficeEndeavors (Coastal & Central) 5

681021

Leaderboard

Provider Referrals

Network NameNCServes-Central Carolina

Provider Total Referrals Made

Year2018

MonthJune

16% Providers MakingReferrals 43% Providers Receiving

Referrals

Wake County Veterans Services Office

Goodwill of Northwest North Carolina - Central Carolina

Volunteers of America of the Carolinas

Hire Heroes USA

NC Hope For The Warriors 1011161925

Total Referrals ReceivedProvider

Closed Request

Resolved

Unable to Contact Client

Unresolved

Average Days from CC Referralto Provider Acceptance

Median Days of Overall ServiceEpisode 12.95

15.79

17%

13%

70%

76

Number of Providers

Unique Clients Served

Total Requests 96

76

62

NETWORK INSIGHTS

Network Service Areas

Service Requests by Type Service Request by Source

Network Indicators

Provider Engagement

Call/Walk-In Network Provider Web Form0%

10%

20%

30%

40%

50%Housing & ShelterBenefits Navigation

UtilitiesIncome SupportPhysical Health

EmploymentLegal

TransportationClothing & Household Go..

Food AssistanceMental/Behavioral Health

EducationIndividual & Family Supp..

Social EnrichmentSubstance Use

31%11%

8%7%7%

6%6%6%

3%3%3%

2%2%

1%1%

StateNorth Carolina

Network NameNCServes-Western

Year2018

MonthJune

ABCCM - SSVF/HVRPBuncombe County Veteran's Service Office

NC Brookhaven Behavioral Health

Marine Corps League Asheville Detachment 1417ABCCM - VRQ 1

23431

Leaderboard

Provider Referrals

Network NameNCServes-Western

Provider Total Referrals Made

Year2018

MonthJune

16% Providers MakingReferrals 35% Providers Receiving

Referrals

ABCCM - Crisis Ministry

Homeward Bound WNC

ABCCM - VRQ

Buncombe County Veteran's Service Office

Goodwill of Northwest North Carolina (Catawba County .. 22456

Total Referrals ReceivedProvider

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Introductions and Updates

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Next Meeting: September 27, 2018

Situation Room of Emergency ManagementJoint Force Headquarters

Register for our email updates: ncgwg.org

Join us by live stream at www.facebook.com/govinst919.212.5747

Meeting agenda and minutes: ncgwg.org/minutes-and-group-updates