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1 VeteranSpecific Innovations in Criminal Justice – VA and SAMHSA Initiatives April 17, 2012 David Morrissette Center for Mental Health Services, SAMHSA Sam Shore Veteran’s Jail Diversion and Trauma Recovery, SAMHSA Aaron Diaz Center for Health Care Services, San Antonio Texas Gilbert Gonzales Center for Health Care Services, San Antonio Texas Jim McGuire Veterans Administration Charles Brown Goodwill Industries of Houston David Sands Veterans Administration Stephan Haimowitz NVTAC Burton Blatt Institute

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Veteran‐Specific Innovations  in Criminal Justice –

VA and SAMHSA Initiatives

April 17, 2012 

David Morrissette

Center for Mental Health 

Services, SAMHSA

Sam Shore

Veteran’s Jail Diversion 

and Trauma Recovery, 

SAMHSA

Aaron Diaz

Center for Health Care 

Services, San Antonio 

Texas

Gilbert Gonzales

Center for Health Care 

Services, San Antonio 

Texas 

Jim McGuire

Veterans Administration

Charles Brown

Goodwill Industries of 

Houston

David Sands

Veterans Administration

Stephan HaimowitzNVTAC Burton Blatt 

Institute

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Stephan Haimowitz, J.D. 315 744‐4139  [email protected]

Burton Blatt Institute Syracuse University

National Veterans Technical Assistance Center   http://bbi.syr.edu/nvtac/

NVTAC AT SYRACUSE UNIVERSITY

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Supported by the 

U. S. Department of Labor Veterans' Employment & Training Service200 Constitution Avenue, N.W., Room S‐1325 

Washington, D.C. 20210       www.dol.gov/vets/

Prime partner 

National Coalition for Homeless Veterans333 ½

Pennsylvania Avenue, SEWashington, DC 20003‐1148(202) 546‐1969             www.nchv.org

NVTAC  

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Jobs – HVRP, IVTP, HFV/VWF   

VA‐

VR&E, CWT, HVSEP          

One Stop Workforce Centers   DVOPs

LVERs

Housing     

VA ‐

Grant Per Diem        HUD/VASH

HUD Continuum  of Care 

Physical and Behavioral Healthcare        

VA – Medical Centers and HA     

Community providers 

HVRP ‐

ADDRESSING EMPLOYMENT 

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Homelessness

12% of prison population were homeless when arrested

Female Veterans 3 times as likely as female non‐Veterans

Substance abuse   

Largest cause of homelessness‐single adults 

25% of Veterans aged 18‐25 met criteria  ‐‐

1.8 million people 

Mental Illness         

20‐25% of the homeless population  

Evident in incarcerated populations 

Veterans 

Approximately 9% of jails and prison inmates 

Criminal Justice Involvement 

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Veterans with Criminal Justice Issues 

http://nvtac.org

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Veterans with Criminal Justice Issues 

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Strategies for Overcoming Job Barriers 1. Prepare for Job Applications and Interviews

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Strategies for Overcoming Job Barriers 2. Use Federal Bonds and Tax Credits

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Strategies for Overcoming Job Barriers 3. If Possible, Clear Your Record or Limit Its Impact

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Resources for Veterans with Criminal Justice  Issues    1. Diversion Programs

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Resources for Veterans with Criminal Justice  Issues    2. Public Housing

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Resources for Veterans with Criminal Justice  Issues    2. Public Housing

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David Morrissette, Ph.D. LCSW 

Captain, U.S. Public Health ServiceCenter for Mental Health Services, SAMHSA

[email protected]

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Grantees

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Milestones  

• Year 1 Pre‐implementation activities and strategic  planning at state and local level 

• Year 2  Early pilot implementation and data analysis  

• Years 3‐5 Statewide replication, training and/or   policy changes 

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Key Program Components

• Prioritize, Screen and Address Trauma; 

• Train staff and clients in Trauma Informed Care (TIC);

• Maximize client choice by coordinating VA and community;

• Involve peers in planning, service delivery and evaluation; 

• Build broad based support among all stakeholders. 

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Texas Jail Diversion and Trauma

Recovery Initiative: State Rollout

Homeless Veterans Reintegration ProjectsWebinar

April 17, 2012

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Sam Shore, JDTR Project Director

Director, MH Transformation and Behavioral Health Operations [email protected]

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JDTR Program

State awarded SAMHSA grant for JDTR• 5-year grant to create Trauma Informed jail diversion

programs that prioritize veterans

Veterans courts established in 12 counties • serving 122+ veterans• More counties planning jail diversion initiatives for

veterans

Statewide rollout of Jail Diversion/Trauma Informed Care

Annual Statewide Justice-Involved Veterans conference

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KEY Elements of JDTR

Screening - Veterans with trauma-related disorders

Trauma informed care (TIC) and trauma specific care: principles of safety, choice, client control, consumer involvement, trauma-specific treatment (train staff and clients)

Build community service competency treating veterans and coordinate services between VA and non VA providers, maximizing participant choice.

Peer presence on Advisory Boards and services provision

Establish Leadership - State and Local Advisory Committees

Support existing programs

Sustainability

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JDTR Dissemination

Provide Training in:

Trauma-Informed Care

Trauma-Specific Treatment

Coordinate State Assets to Support Veterans

Small grants to support development of trauma- integrated JD services

Build on existing community infrastructure

Increase use of peers and trauma practices

Develop required linkages among essential service providers – VA, SA, MH, Law Enforcement, Recovery Supports (including employment)

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Sequential Intercept ModelSequential Intercept Model

www.gainscenter.samhsa.gov

800.311.4246

=

Paro

le

CO

MM

UN

ITY C

OM

MU

NITY

Intercept 1 Law enforcement / Emergency services

Intercept 2 Initial detention / Initial court hearings

Sequential Intercepts for Change: Criminal Justice - Mental Health Partnerships

Intercept 3 Jails / Courts

Intercept 4 Reentry

Intercept 5 Community corrections/ Community support

Prob

atio

n

Pris

on

Law

Enf

orce

men

t

Arr

est

Initi

al D

eten

tion

Initi

al H

earin

gs

Jail

Courts Dispatch 911

Jail Re-entry

Violation

Violation

PoliceCrisis Response ERDispatcherCrisis Call Lines

Jail/DetentionPub. DefenderPre-TrialCourt based clinicianVJO

JailSelf ReferralPDProsecutionPre-TrialVJO

JailPrisonCommunity ReentryVA Reentry Veterans

ProbationParole

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TVC created the Texas Coordinating Council for Veterans Services (TCCVS)Charge:

Focus on specific issues affecting Veterans, service members and their families

Compile and centralize an inventory of all Veteran services provided by state agencies

Identify the strengths and weaknesses of Veteran services provided by the State of TexasWork Groups:

Health and mental health

Criminal Justice

Higher Education

Housing

Employment

Women Veterans

Report to Governor and Legislature Oct. 1, 2012

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Contact and Resource Information

Sam Shore, JDTR Project Director

[email protected]

512-206-5947

www.mhtransformation.org

See 2008 and 2010 Returning Veterans Reports

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Texas Veteran Jail Diversion and Trauma

Recovery Program

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Aaron Diaz & Gilbert Gonzales Center for Health Care Services, San Antonio Texas

Aaron Diaz, Director of Crisis and Jail Diversion email: [email protected]

Gilbert Gonzales, Director of Communications and Diversion Initiatives email: [email protected]

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Purpose•

Establish community-based “best practices”

for diverting veterans with trauma-related mental health needs from incarceration and into treatment.

Best practices–

Workforce training in trauma (TBD) –

Workforce training in veteran issues (TBD)–

Trauma screening (PTSD Checklist -

short version)–

Trauma assessment (Clinician-Admin PTSD Scale)–

Trauma therapy (Seeking Safety)–

Regular input/feedback from stakeholders, including veterans (Advisory Committees)

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Intercept Point 1: 

Crisis Response 

PRE‐BOOKING

Intercept Point 2: 

Magistration

PRE‐

& POST‐

BOOKING Diversion

CHCS trauma‐related 

jail diversion servicesBexar County Jail

Point of 

Contact with 

Law 

Enforcement Crisis  

Center

Restoration 

Center

Assessors screen for Vet

Status and PTSD

Trauma Counselors assess for

PTSD

Trauma Counselors

provide services

Jail Diversion - Veterans

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CHCS Public Safety NetCHCS Public Safety Net

www.gainscenter.samhsa.gov

800.311.4246

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VA - Justice-Involved Veterans

Jim McGuire, LCSW, PhD National Director , VA’s Justice Programs: Healthcare for Reentry Veterans Program and Veterans Justice Outreach

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VA - Justice-Involved Veterans

• A justice-involved Veteran is:– in contact with local law enforcement who can be appropriately diverted from

arrest into mental health or substance abuse treatment;– in a local jail, either pre-trial or serving a sentence; or,– involved in adjudication or monitoring by a court

• Related issue:– Reentry for Veterans being discharged from State and Federal Prisons

• 82% of justice-involved Veterans are likely VA health care eligible (BJS)

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Points of Contact

• Health Care for Reentry Veterans (HCRV) Specialists by region (prison outreach): http://www.va.gov/HOMELESS/Reentry.asp

– Jessica Blue-Howells, National Coordinator, Healthcare for Reentry Veterans

• Veterans Justice Outreach (VJO) Specialists by medical center (law enforcement, jails, courts): http://www1.va.gov/HOMELESS/VJO.asp

– Sean Clark, National Coordinator, Veterans Justice Outreach [email protected] (202) 461-1931

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Presented by Charles Brown

Program Manager

Goodwill Houston IVTP Program

HOMELESS VETERANS PROGRAMS

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Charles Brown is the Program Manager for the Incarcerated Veterans Transition Program (IVTP). He is an Army Veteran Field Artillery with 8 years of active and reserve service in the U.S. Army. He has several years’ experience working to place previously incarcerated individuals into employment, and has spent time in the for-profit sector at various levels of management and leadership.

Charles Brown

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Goodwill Homeless VETS

Programs

Goodwill Industries provides the following programs for Homeless Veterans:

IVTP -

Incarcerated Veterans Transition Program

HVRP -

Homeless Veterans Reintegration Program

FHVRP -

Female Veterans and Veterans with Families Homeless Veterans Reintegration Program

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HVRP FHVRP IVTP

Veterans who served in the active military, naval or air service and who were discharged or released under other than dishonorable conditions.

✔ ✔ ✔

Veterans who lack a fixed, regular and adequate nighttime residence. This may also include an individual whose primary nighttime residency is a supervised public or privately operated shelter.

✔ ✔ ✔

Female homeless veterans and male homeless veterans accompanied by dependent children.

Veterans either currently incarcerated but within 18 months of release, or released from incarceration within the last 6 months.

Candidates must meet all checked requirements to enter a specific program

Homeless VETS Programs Eligibility

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Work Readiness Training

Job Preparation training

Vocational Job Training (by referral)

Job placement Services

Telephone, Computer & Internet Access for Job Search

Job coaching & Retention services

Career Transition Counseling

Transportation assistance

Employment Services

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• We have been able to establish a rapport 

with the area parole/probation offices 

and local WFS, and have earned the 

respect of fellow HVRP grantees by our 

success in placing veterans into 

employment. 

• We serve the “whole veteran”

simultaneously through partnerships 

with other service providers. This has 

allowed veterans to retain employment 

better, as all barriers to employment 

have been addressed. 

Program Successes

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IVTP 2011/12 Results

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HVRP 2011/12 Results

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FHVRP 2011/12 Results

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• Securing housing for veterans who have 

challenging situations or less than 24 months’

active duty time, but have been honorably 

discharged from military.

• Working with the parole/ probation officer and 

case manager once a veteran who resides at a 

transitional facility gets a job to expedite them 

being able to go to work without having to do a 

two weeks’

schedule in advance.  

• Overcoming stereotypes of veterans who have 

challenges on their background.

• Rebuilding confidence for our clients faster.

Program Challenges

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Ways For VJOs

and HVRP to Collaborate

• VJOs, Goodwill, and the Diversion Program can 

collaborate on the following activities:

• Getting incarceration papers, applying for benefits, 

and planning housing before vets are released.

• Obtaining veterans’

Letter of Service and DD‐214 by 

fax and online

• Helping expedite housing and other benefits

• Expediting outreach and intake by doing assessments 

behind the walls

• Dual placement services

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Questions

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Contact Information

David Morrissette

Center for Mental Health Services, 

SAMHSA

[email protected]

Sam Shore

Veteran’s Jail Diversion and Trauma 

Recovery, SAMHSA

[email protected]

Aaron Diaz

Center for Health Care Services, 

San Antonio Texas

[email protected]

Gilbert Gonzales

Center for Health Care Services, 

San Antonio Texas

[email protected]

Jim McGuire

Veterans Administration

[email protected]

Charles Brown

Goodwill Industries of Houston

[email protected]

David Sands

Veterans Administration

[email protected]

Stephan Haimowitz

NVTAC Burton Blatt Institute

[email protected]

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WE WANT YOUR FEEDBACK!

Please let us know how we did  http://websurvey.syr.edu/nvtac_eval_041712.aspx

NVTAC (National Vets Technical Assistance  Center) http://nvtac.org

A partnership:  Burton Blatt Institute at Syracuse University, the  National Coalition for Homeless Veterans and the U.S. 

Department of Labor Veterans Employment and Training  Service

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