142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Outcomes of a pilot to divert veterans from jail into peer supported, trauma informed services

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 11:30 AM - 11:50 AM

Stacey Stevens Manser, PhD , Texas Institute for Excellence in Mental Health, University of Texas at Austin, Austin, TX
Ron Stringfellow, MS , Center for Healthcare Services, San Antonio, TX
Sam Shore, LMSW , Mental Health and Substance Abuse Services Division, Texas Department of State Health Services, Austin, TX
Cruz Vallarta, MS , Center for Healthcare Services, San Antonio, TX
George Houston, MA , Center for Healthcare Services, San Antonio, TX
Texas’ Jail Diversion and Trauma Recovery (JDTR) for Veterans pilot is located within the Center for Healthcare Services (CHCS) in Bexar County, home to approximately 150,000 veterans. This presentation shares outcomes from a 12 month pilot program focusing on chronically homeless veterans who were diverted by law enforcement officers from jail to the CHCS Restoration Center Sobering Unit.

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

Learning Objectives:
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

Presenting author's disclosure statement:

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.