Welcome to the Los Angeles Veterans Collaborative. Intro Working Group

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1 Welcome to the Los Angeles Veterans Collaborative Intro Working Group

2 BACKGROUND U.S. at war for over a decade 2.8 Million Deployed Drawdown 325,000 vets currently in Los Angeles 12,000 more per year estimated Sea of Goodwill BACKGROUND 2

3 Less than 1% of the Population has served in the last 13 years 50% of public says the wars have made little difference in their lives. (Pew Research Poll)

4 BACKGROUND (cont d) 2012 Los Angeles Veterans Collaborative (LAVC) Network of public, private, government agencies Build organizational capacity, reduce gaps in service 2013 Need for community-level data Understand needs, align service delivery, guide policy 2014 USC CIR undertook LA County Veterans Study Guided by theory describing process of transition from military to civilian life 2015 Impact Engagement and Access Strategy Behavioral Health Outreach BACKGROUND 4

5 Los Angeles Collaborative Data Action Impact Data: LAC Survey 5

6 MILITARY TRANSITION THEORY Theory 6

7 RESULTS Survey: 1,356 LA County veterans 50% Served prior to September 11, % Served after September 11, % did not provide date of service Focus Group Interviews 72 participants RESULTS 7

8 Percent Veterans Transitioning Out of the Military Today s veteran reports greater difficulty transitioning from the military back to civilian life compared to previous veterans Adjusting to civilian life was difficult 45 Pre Post-911 I needed time to figure out what to do with my life during my transition Pre-911 Post-911 RESULTS 8 8

9 Percent of Military Veterans Job Prospects Most veterans did not have a job when they left military service Percent of Veterans who did NOT have a job 78.6 Pre-911 Veterans 79.5 Post-911 Veterans RESULTS 9 9

10 100% 80% 60% Median Income Of the veterans who do work full-time (44%), twenty-two percent have jobs at or below poverty. 40% 20% 0% 23.0% 22.0% LESS THAN $24,000 PER YEAR 33.0% 43.0% $24,000 - $47,000 PER YEAR PRE-9/11 VETERANS 12.0% 7.0% $48,000 - $59,000 PER YEAR 32.0% POST-9/11 VETERANS 28.0% $60,000 + RESULTS 10

11 MENTAL AND BEHAVIORAL HEALTH Most veterans believe their mental health is pretty good when they leave the military, then later realize they have significant unmet issues. RESULTS 11

12 Percent of Veterans Psychological Health of Veterans Veterans have significant psychological health issues, including PTSD and suicidal ideation Pre-911 Post PTSD Depression Consider Suicide Suicide Plan RESULTS 12 12

13 Sexual Harassment and Sexual Assault Percent of male and female pre-9/11 and post-9/11 veterans who were sexually harassed or assaulted during military service 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% SEXUAL HARASSMENT SEXUAL ASSAULT FEMALE 66.2% 60.4% FEMALES 56.9% 37.8% MALES MALES 10.6% 5.8% 5.8% 3.3% Pre/Post-911 Pre/Post-911 Pre/Post-911 Pre/Post-911 RESULTS 13

14 Veterans with Alcohol Concerns Percent of pre-9/11 and post-9/11 veterans who screened positive on the Alcohol Use Disorders Identification Test (AUDIT) alcohol consumption scale. 100% 80% 60% 40% 20% 10.50% 24.90% 0% PRE-9/11 VETERANS 6 AND ABOVE POST-9/11 VETERANS RESULTS 15

15 PHYSICAL HEALTH Over 50% report significant physical health conditions that impair their daily functioning, which is not necessarily reflected in a VA disability rating. RESULTS 16

16 VA Disability Rating 100% Disability 70%-90% Disability 50-60% Disability 30-40% Disability 10-20% Disability 0% Disability 4.20% 3.3% 4.50% 8.9% 2.40% 7.8% 3.10% 9.1% 6.50% 6.8% 1.90% 0.4% No Disability 63.5% 76.70% 0% 20% 40% 60% 80% 100% PRE-9/11 VETERANS POST-9/11 VETERANS SECTION RESULTS TITLE 17 2

17 VETERANS ADMINSTRATION Over 70% of veterans use VA services, primarily for medical care and education. Of those that use the VA, 50% believe the VA needs to significantly improve their services. In particular, veterans are unhappy with: 1. Wait time for appointments 2. VA disability rating system 3. Support for the GI Bill for Education RESULTS 18

18 FINANCIAL AND LEGAL ISSUES Over 40% of veterans face significant financial issues stemming primarily from low-paying jobs. Legal issues, although not frequently encountered by veterans, range from misdemeanor offenses such as traffic violations, to more serious issues such as domestic violence and drug or alcohol offenses. RESULTS 19

19 Not knowing where to get help or whom to see I feel I can handle challenges on my own Concerns about confidentiality of treatment Difficulty scheduling an appointment It could harm my career Not knowing where to get help or whom to see I feel I can handle challenges on my own Difficulty scheduling an appointment Concerns about confidentiality of treatment It could harm my career Veterans Barriers to Care 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Pre/9/11 Post/9/11 RESULTS 20

20 Veteran Service Needs Veterans identified a wide range of services needed during transition, including employment, healthcare, mental health, housing, education and others. RECOMMENDATIONS: Establish a veteran community support network Comprehensive and holistic plan to engage and support veterans in transition, which can take up to 2 years Utilize a peer-to-peer strategy through creation of civilian military transition mentors RESULTS 21

21 Military Identity Today s veterans have strong personal and social military identities that, while admirable and desirable, can interfere with a successful civilian transition. RECOMMENDATIONS: Develop a comprehensive reorientation program focusing on differences and similarities between military and civilian culture Provide realistic employment/housing expectations Structure local community veteran support services to begin where TAP/Transition GPS leaves off Encourage and support veterans building new networks with civilians while on active military service RESULTS 22

22 Los Angeles Collaborative Data Action Impact Action NEXT STEPS 23

23 HOW ACTION WORKS 2 nd Wednesday of the month Large gathering Announcements/events relating to the veteran community Working groups for one hour session in one of seven working groups; (1) Behavioral Health, (2) Career Advancement, (3) Families and Children, (4) Housing and Homelessness, (5) Legal and Reentry, (6) Faith Based and (7)Higher Education, Healthcare Reconvene to share Objectives, Missions, Action items and possible collaborations NEXT STEPS 24

24 Meeting Structure Engagement and Access Working Group (9:00am) Collective Meeting (10:00 am) Welcome Announcements Working Group Session (10:30 am) Continue work on Measurable Goals, Outlining strategy Break down into tasks to assign POC Collective Review (11:30 am) Report Back, Action updates, Goal update

25 Isolated Impact

26 COLLABORATION

27 5 elements of collective impact COMMON AGENDA SHARED MEASUREMENT MUTUALLY REINFORCING ACTIVITIES CONTINUOUS COMMUNICATION BACKBONE ORGANIZATION

28 working in collaboration requires a mindset shift ADAPTIVE PROBLEM SOLVING vs. TECHNICAL PROBLEM SOLVING

29

30 How to Collaborate 1. ACHIEVE A PERPETUAL STATE OF SIMULTANEOUS PLANNING AND DOING 2. PAY ATTENTION TO RELATIONSHIPS 3. LISTEN, LISTEN, LISTEN FOR HOW TO RESPOND TO UNANTICIPATED RESULTS 4. ADOPT AN ATTITUDE OF BURNING PATIENCE Based on FSG Collective Impact Presentation How to Collaborate

31 Los Angeles Collaborative Data Action Impact NEXT STEPS 29

32 Working Groups Behavioral Health Working Group Who: Agencies, social workers, family therapists, and practitioners who provide behavioral health support to Veterans and their families throughout Los Angeles. Goal: The working group is centered on identifying the unique needs and challenges veterans have for accessing behavioral healthcare as well as identifying best practices for veteran treatment. Career Advancement Working Group Who: America s job centers, work source centers, HR professionals, veteran employments training programs, corporations, VA vocational rehab representatives and individuals looking to hire veterans. Goals: Educate employers, develop best practices for service providers and work to identify veteran in need of meaningful employment.

33 Working Groups Families & Children Working Group Who: Spouses, adult children of military families, pediatric nurses, social workers and family advocates. Goal: heightening awareness and impacting policy related to the concerns and needs of military affiliated (connected) children and their families, with particular attention on solving challenges facing families of the Guard and Reserve not fully accessing resources within the military service delivery system. Healthcare Working Group Who: Hospital and health insurance administrators, VA hospital staff and both non traditional and traditional models for recovery Goals: Educate employers, develop best practices for service providers and work to identify veteran in need of meaningful employment.

34 Working Groups Higher Education Working Group Who: Representative certifying officials, admission coordinators and Veteran Resource Center contacts from community colleges, trade schools, and universities across LA County. Goal: Develop and share best practices with schools, share resources and develop an agenda of working items that can drive a better educational experience for veterans in Los Angeles. Housing & Homelessness Working Group Who: VA contracted agencies, housing authorities, individual nonprofits, and organizations working with homeless veterans. Goal: solve systemic issues, pass legislature, write policy briefs and educate and rally providers toward more coordination and better support.

35 Working Groups Legal & Re-Entry Working Group Who: Lawyers, legal professionals, policy makers, public counsel, Veteran Affairs legal teams and aids. Goal: Develop policy objectives, education, identifying laws affecting veterans and service delivery, building capacity with legal professionals to work with Veteran clients in Los Angeles as well as organizing to solve large scale legal barriers facing veterans with criminal or legal issues. Faith-Based Working Group Who: chaplains, Rabbi s, clergy, pastors and religious organizations who seek to learn, educate and share best practices for working with veterans and military families in their respective communities. Goal: As focused on awareness and education of military and veteran of faith community with curriculum and

36 Next Steps Let s work together to support our returning veterans and their families. NEXT STEPS 29

37 Questions NEXT STEPS 29

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