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Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

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Page 1: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

Understanding Armed Forces Veterans’

Involvement with

Three Service Sectorsin VermontJohn A. Pandiani, PhD

Walter R. Ochs, BA

Department of Mental Health

Page 2: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

NO NEW DATA!

Based on Analysis of Anonymous Extracts from

ExistingAdministrative Databases

Page 3: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

Veterans in Vermont

Total Veterans*55,382

*Department of Veterans Affairs estimate from: http://www1.va.gov/vetdata/docs/VP2007_state.htm

11% of Adult Residents

Page 4: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

Vets in the General Population

11%

0% 5% 10% 15% 20% 25%

Total

Male

Female

18-49

50+

11%

22%

1%

0% 5% 10% 15% 20% 25%

Total

Male

Female

18-49

50+

11%

22%

1%

5%

19%

0% 5% 10% 15% 20% 25%

Total

Male

Female

18-49

50+

11%

22%

1%

5%

19%

0% 5% 10% 15% 20% 25%

Total

Male

Female

18-49

50+

Total Male Female 18-49 50+55,382 51,656 3,726 13,022 42,360

Page 5: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

Three Service SectorsMental Health Outpatient

Criminal Justice

Inpatient

Three Service SectorsMental Health OutpatientState of Vermont: Full MHSIP Data SetVeterans Affairs: DOB, Gender, Region, Dx, Theater

Criminal JusticeVT Justice Research: DOB, Gender, Region, Charge

InpatientBehavioral Health: DOB, Gender, Region, Dx(State, Private, VA, & General Hospital Psychiatric)

General Health Care: DOB, Gender, Region, Dx(Hospital Discharge Data Set)

Three Service SectorsMental Health OutpatientState of Vermont: Full MHSIP Data SetVeterans Affairs: DOB, Gender, Region, Dx, Theater

Criminal JusticeVT Justice Research: DOB, Gender, Region, Charge

Inpatient

Three Service SectorsMental Health OutpatientState of Vermont: Full MHSIP Data SetVeterans Affairs: DOB, Gender, Region, Dx, Theater

Criminal Justice

Inpatient

Page 6: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

Veterans with

Mental Health Outpatient Services

During Fiscal Year 2008

Page 7: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

Vets in Two MH Systems of Care

Total # 2,280

Only VA72%

(N=1,634)

Both2%

(N=52)

Only VA72%

(N=1,634)

Only CMH26%

(N=594)

Page 8: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

How did they do that?

PROBABILISTICPOPULATION

ESTIMATION

Page 9: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

This equation counts the number of birth dates to estimate the number of unduplicated people.

jl

ijj ilP

1 365

365

Page 10: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

Birth Dates Number of People

1 1.003 ± 0.103

10 10.15 ± 0.776

100 117 ± 9

200 290 ± 22

300 632 ± 64

350 1,177 ± 171

360 1,603 ± 325

Probabilistic Population Estimatesfor Specified Numbers of Birth Dates Within a Given Year

Page 11: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

Caseload Overlap

(A B) = A + B – (A B)

Page 12: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

Veteranswith

Criminal ChargesDuring Fiscal Year 2008

Page 13: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

Percent Charged with a Crime

0%

10%

20%

Total Male Female 18-49 50+

VT Gen Pop VA Vets CMH Vets

0%

10%

20%

Total Male Female 18-49 50+

VT Gen Pop VA Vets CMH Vets

0%

10%

20%

Total Male Female 18-49 50+

VT Gen Pop VA Vets CMH Vets

0%

10%

20%

Total Male Female 18-49 50+

VT Gen Pop VA Vets CMH Vets

Page 14: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

Treatment Outcome?or

Access to Care?

Page 15: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

Rates of Criminal ChargesBefore and After Service Year

VA Vets

0%

5%

10%

15%

Total M F 18-49 50+

Before After

CMH Vets

0%

5%

10%

15%

Total M F 18-49 50+

VA Vets

0%

5%

10%

15%

Total M F 18-49 50+

Before After

CMH Vets

0%

5%

10%

15%

Total M F 18-49 50+

VA Vets

0%

5%

10%

15%

Total M F 18-49 50+

Before After

CMH Vets

0%

5%

10%

15%

Total M F 18-49 50+

VA Vets

0%

5%

10%

15%

Total M F 18-49 50+

Before After

CMH Vets

0%

5%

10%

15%

Total M F 18-49 50+

Page 16: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

Veteranswith

Inpatient Services Calendar Year 2006

Behavioral Health CareGeneral Health Care

Page 17: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

Inpatient Behavioral Health

0%

5%

10%

Total Male Female 18-49 50+

VT Gen Pop VA Vets CMH Vets

Inpatient Behavioral Health

0%

5%

10%

Total Male Female 18-49 50+

VT Gen Pop VA Vets CMH Vets

Page 18: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

0%

5%

10%

15%

20%

25%

Total Male Female 18-49 50+

0%

5%

10%

15%

20%

25%

Total Male Female 18-49 50+

Inpatient General HealthVT Gen Pop VA Vets CMH Vets

Page 19: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

Next Questions

Diagnosis Homelessness

Substance Abuse Other Veterans Programs

Private Sector MH ProvidersOther Justice Involvement

Insurance CoverageOther???

Page 20: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

Thanks to

Designated CMHCs

VA White River Junction

VT Center for Justice Research

VDH Hospital Discharge

Page 21: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

USE THE

DATA

Page 22: Understanding Armed Forces Veterans’ Involvement with Three Service Sectors in Vermont John A. Pandiani, PhD Walter R. Ochs, BA Department of Mental Health

For More Information

Contact:

John Pandiani

[email protected]

(802) 863-7249