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

2. NO NEW DATA! Based on Analysis of Anonymous Extracts from Existing Administrative Databases

3. 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

4. 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+ TotalMaleFemale18-4950+ 55,38251,6563,72613,02242,360

5. Three Service Sectors Mental Health Outpatient Criminal Justice Inpatient Three Service Sectors Mental Health Outpatient State of Vermont: Full MHSIP Data Set Veterans Affairs: DOB, Gender, Region, Dx, Theater Criminal Justice VT Justice Research: DOB, Gender, Region, Charge Inpatient Behavioral Health: DOB, Gender, Region, Dx (State, Private, VA, & General Hospital Psychiatric) General Health Care: DOB, Gender, Region, Dx (Hospital Discharge Data Set) Three Service Sectors Mental Health Outpatient State of Vermont: Full MHSIP Data Set Veterans Affairs: DOB, Gender, Region, Dx, Theater Criminal Justice VT Justice Research: DOB, Gender, Region, Charge Inpatient Three Service Sectors Mental Health Outpatient State of Vermont: Full MHSIP Data Set Veterans Affairs: DOB, Gender, Region, Dx, Theater Criminal Justice Inpatient

6. Veterans with Mental Health O utpatient Services During Fiscal Year 2008

7. Vets in Two MH Systems of Care Total # 2,280 Only VA 72% (N=1,634) Both 2% (N=52) Only VA 72% (N=1,634) Only CMH 26% (N=594)

8. How did they do that? P ROBABILISTIC P OPULATION E STIMATION

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

10. Birth DatesNumber of People 11.003 ±0.103 1010.15 ±0.776 100117 ±9 200290 ±22 300632 ±64 3501,177 ±171 3601,603 ±325 Probabilistic Population Estimates for Specified Numbers of Birth Dates Within a Given Year

11. Caseload Overlap (A  B) = A + B – (A  B)

12. Veterans with Criminal Charges During Fiscal Year 2008

13. Percent Charged with a Crime 0% 10% 20% TotalMaleFemale18-4950+ VT Gen PopVA VetsCMH Vets 0% 10% 20% TotalMaleFemale18-4950+ VT Gen PopVA VetsCMH Vets 0% 10% 20% TotalMaleFemale18-4950+ VT Gen PopVA VetsCMH Vets 0% 10% 20% TotalMaleFemale18-4950+ VT Gen PopVA VetsCMH Vets

14. Treatment Outcome? or Access to Care?

15. Rates of Criminal Charges Before and After Service Year VA Vets 0% 5% 10% 15% TotalMF18-4950+ BeforeAfter CMH Vets 0% 5% 10% 15% TotalMF18-4950+ VA Vets 0% 5% 10% 15% TotalMF18-4950+ BeforeAfter CMH Vets 0% 5% 10% 15% TotalMF18-4950+

16. Veterans with Inpatient Services Calendar Year 2006 Behavioral Health Care General Health Care

17. Inpatient Behavioral Health 0% 5% 10% TotalMaleFemale18-4950+ VT Gen PopVA VetsCMH Vets Inpatient Behavioral Health 0% 5% 10% TotalMaleFemale18-4950+ VT Gen PopVA VetsCMH Vets

18. 0% 5% 10% 15% 20% 25% TotalMaleFemale18-4950+ 0% 5% 10% 15% 20% 25% TotalMaleFemale18-4950+ Inpatient General Health VT Gen PopVA VetsCMH Vets

19. Next Questions Diagnosis Homelessness Substance Abuse Other Veterans Programs Private Sector MH Providers Other Justice Involvement Insurance Coverage Other???

20. Thanks to Designated CMHCs VA White River Junction VT Center for Justice Research VDH Hospital Discharge

21. USE THE DATA

22. For More Information Contact: John Pandiani jpandiani@vdh.state.vt.us (802) 863-7249