Outcomes of a pilot to divert veterans from jail into peer supported, trauma informed services
Method: Inclusion criteria - Individual entering the Sobering Unit who screened positive for military service and trauma symptoms and who consented to participate. Interventions included:veteran peer case manager, services to meet basic needs (e.g. housing), address trauma (Trauma Specific Intervention/Seeking Safety), address mental health and substance use and other supports as needed.
Results: Of the 161 enrolled to date, 92.2% are male, 74.5% White, and mean age is 49.5 (SD=12.51). A majority served in the Army (59.2%) with Vietnam and post-Vietnam comprising 82.8% of all service eras. Outcomes determined from repeated measures analysis of baseline, 6-month, and 12-month interviews include clinically and statistically significant change in trauma symptoms (mean PCL-C scores reduced from 67.70 to 49.60, p<=.001), significant reduction (p<=.05) in homelessness (70.5% to 13.7%) and a significant increase (p<=.001) in veterans working full or part-time (14.7% to 26.8%). There were also significant improvements (p<=.05) on all of the BASIS-24 subscales (Depression/Functioning, Relationship, Self-Harm, Psychosis, and Substance Abuse).
Conclusions: Veterans who are difficult to engage and have experienced the long-lasting behavioral and social effects of unaddressed trauma show positive results from the targeted interventions offered in the Jail Diversion and Trauma Recovery program.
Learning Areas:Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Explain the process of jail diversion into services at the pilot site. Describe the vet to vet outreach, engagement, case management, and trauma treatment provided to veteran participants. Assess participant outcomes using repeated measures analysis on data collected at baseline, six, and 12-months.
Keyword(s): Veterans' Health, Mental Health Treatment &Care
Qualified on the content I am responsible for because: I have been the principal investigator and state evaluator of federally funded projects focused on evaluating evidence based trauma interventions for veterans as well as evaluating outcomes of jail diversion projects.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.