New Mexico Military & Veteran Family Support Collaborative Phase 1

1. New Mexico Military & Veteran Family Support Collaborative Phase 1 Linda Roebuck NM Behavioral Health Purchasing Collaborative NASBHPD December 2007

2. System Transformation for Veterans • October 2006: Working group developed as part of Transformation grant to link Veterans Services Dept, VA Hospital and BH Collaborative • December 2006: Working group expanded to initiate discussions of formal program for returning veterans with PTSD • March 2007: Governor creates task force to oversee coordination efforts • March 2007: Legislature provides initial funding to support program

3. NM BH Collaborative NM Dept Veterans Services Governor’s Office Veteran’s Hospital system Veteran’s centers Dept. of Defense Kirtland Air Force Base Valueoptions New Mexico Presbyterian Medical Services UNM Center for Telehealth and Psychiatry Intel Corporation Sandoval County NM Human Services Sangre de Cristo Healthcare Partners at the Table

4. MVFSC Model • Initial focus on returning Military and veterans and their families • Clinical support focused on PTSD and expanded to include TBI and other related behavioral health issues • Based on rapid triage, assessment and family support, with link to appropriate providers and service

5. MVFSC Model cont. • Toll free number available at all times • Services components include linkages to psychiatric support, employment support, and case management for military, veterans and family members • Includes outreach to schools, primary care providers, other community agencies about program and referral information • Telehealth component under development

6. Future expansion • Governor has requested additional $1.5 million for next year • Focus on areas of expanded support for native American veterans, major metropolitan areas and homeless veterans • Telehealth component built into expansion plan

7. MVFSP PILOT • MVFSP currently being piloted in Sandoval County, New Mexico • Pilot program staffing: • Presbyterian Medical Services • 2 FTE Case Managers • 2 FTE Clinical Therapist • 1 FTE Program Administrator • 1 FTE Administrative Assistant • .3 FTE Psychiatrist (PMS) • Veterans Affairs • .4 FTE Psychiatrist • 1.0 FTE Administrative Assistant • Began taking calls in November, 2007

8. Evaluation: Consortium for Behavioral Health Training and Research Center for Rural and Community Behavioral Health (CRCBH) Deborah Altschul PhD, Daltschul@salud.unm.edu

9. Evaluation Questions: • Who will use this program and for what? (How many veterans and family members access the program and for what kinds of needs and problems?) • Is the program sustainable? • Is the program replicable in other communities? and at what cost? • Is the pilot program faithful to the proposed model? • What are the intrinsic components of the MVFSC model? • What are the outcomes of the MVFSC program?

10. Process Evaluation: • Investigate implementation process • Contextual analysis of: • Correspondence • Meeting minutes • Staffing efforts • Collaboration and partnership efforts • Logistics • Marketing and outreach efforts • Utilization analysis • Track calls – how many veterans, family members and others call and for what • Track referrals – how many are referred where and for what

11. Outcome Evaluation • Investigate the impacts/benefits/changes to MVFSC participants as a result of the program efforts. • Measureable outcomes: • Referral to treatment and support services • Consumer use of referrals • Consumer satisfaction with services • Provider agency satisfaction with training • Increased access to services