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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/govinstor call 919.212.5747
Meeting agenda and minutes: ncgwg.org/minutes-and-group-updates
8/23/18
2
Secretary Larry HallNorth Carolina Department of Military & Veterans Affairs
8/23/18
3
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
8/23/18
4
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)
8/23/18
5
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
8/23/18
6
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
8/23/18
7
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
8/23/18
8
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
8/23/18
9
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)
8/23/18
10
8/23/18
11
8/23/18
12
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
8/23/18
13
8/23/18
14
8/23/18
15
Dr. Bruce CapehartDurham VAMC & Duke Medicine
OEF/OIF Program Coordinator
8/23/18
16
8/23/18
17
Brenda MonfortiNCNG SASI Program Manager
Alcohol/Drug Council of North Carolina (ADCNC)US Air Force Veteran
8/23/18
18
8/23/18
19
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
8/23/18
20
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
8/23/18
21
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
8/23/18
22
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
8/23/18
23
8/23/18
24
8/23/18
25
8/23/18
26
Introductions and Updates
8/23/18
27
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