Building Community Partnerships with the VA: Providing ... · Things We Have Learned Veteran...

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1 A nonprofit service and advocacy organization © 2013 National Council on Aging May 19, 2015 Building Community Partnerships with the VA: Providing Options Counseling to Rural Veterans Audio Portion: 1-866-740-1260 Web Portion: www.ReadyTalk.com Code: 4796976

Transcript of Building Community Partnerships with the VA: Providing ... · Things We Have Learned Veteran...

Page 1: Building Community Partnerships with the VA: Providing ... · Things We Have Learned Veteran Affairs have many silos Physicians TREAT patients and typically do not make referrals

1A nonprofit service and advocacy organization © 2013 National Council on Aging

May 19, 2015

Building Community Partnerships with the VA:

Providing Options Counseling to Rural

Veterans

Audio Portion: 1-866-740-1260

Web Portion: www.ReadyTalk.com

Code: 4796976

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2A nonprofit service and advocacy organization © 2013 National Council on Aging

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3A nonprofit service and advocacy organization © 2013 National Council on Aging

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4A nonprofit service and advocacy organization © 2013 National Council on Aging

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5A nonprofit service and advocacy organization © 2013 National Council on Aging

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6A nonprofit service and advocacy organization © 2013 National Council on Aging

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7A nonprofit service and advocacy organization © 2013 National Council on Aging

Today’s Presenters

Bret Hicken, Geriatrics Domain Lead for the Veterans

Rural Health Resource Center Western Region

Jennifer Morgan, director of the Utah Aging and

Disability Resource Center

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COVER to COVERConnecting Older Veterans (Especially Rural) to

Community Or Veteran Eligible Resources

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Veterans

Benefits

Administration

(VBA)

Veterans

Health

Administration

(VHA)

National

Cemetery

Administration

(NCA)

One VA-Three Agencies

9

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State Offices of Veterans Affairs

http://www.va.gov/statedva.htm

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2010: Veteran Benefits Information

2010 National Survey of Veterans

41.0% had basic understanding of their VA benefits

-Knowledge of specific benefits lower

28% had used VA healthcare

-42% of nonusers not aware of VA healthcare benefits

-26% did not know how to apply for healthcare

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2012 ADRC National Survey

57.9%

36.8%

5.3%

Always

Usually

Never

Do you regularly assess a caller’s Veteran

status?

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2012: Nationwide Needs Assessment

Challenges Rarely connect with VA

to address Veteran needs

Lack basic information about most VA benefits

General awareness of VA information resources—not very helpful

Most positive feelings about VA resources with a personal contact at VA

Utah

ADRC

VRHRC-

WR

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2013: First Contact

Utah Active Re-Entry contacts VBA specialist about veteran outreach

Utah

ADRC

VRHRC-

WR

VBA

Specialist

Active

Re-Entry

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2013: ORH Funds Pilot (4 ADRC Sites)

Goals

Create access point for rural Veterans

Provide options counselors training in VA Benefits

Build relationships with the VA and ADRC

Expand to all Utah ADRC sites in rural areas

Disseminate to ADRC programs nationwide

Utah

ADRC

VRHRC-

WR

VBA

Specialist

SL

County

Bear

River

Mountain

Land

Active

Re-Entry

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Participating Area Agencies on Aging

Bear River - AAAServing: Box Elder, Cache, Rich

Salt Lake Aging and Adult Services - AAAServing: Salt Lake County

Mountainland - AAAServing: Summit, Utah, Wasatch

Active Re-Entry- CIL*Serving: Grand, San Juan

Five County - AAAServing: Beaver, Garfield, Iron, Kane, Washington Counties

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2014: VA Trainings Hours = 1276February 1 2013 –April 30, 2015

VHA Healthcare

Mental Health

Caregiver Support

Aid & Attendance

Pension

VA Nursing Home

Burial Benefits

Disability Compensation

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Branches of

Veteran

Affairs

C&P

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Veteran Service Officers

Deborah Crowther

Bear River

Joey Allred

Active Re-Entry

Melanie Haws Mountainland

Rachel Stoddard SLCO

Stephanie Herrig SLCO

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Making a Difference

Who do we serve? Older Veterans, Caregivers, Widows

Many have never received VA Benefits or know that they are eligible

425

194

126

28

133

Veterans Served 906April 2013 - March 2015

80+

70-79

60-69

59-

Widows of Veterans

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Connecting Veterans to VA Programs

Veteran Healthcare Enrollment

In-Home Services

Disability Compensation

Pension

Aid & Attendance

Veterans Homes

Burial

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VA In-Home Services

Services help chronically ill or disabled Veterans of any age remain in their homes. Veteran can receive more than one service at the same time. **Must be enrolled in VA Healthcare**

Adult Day Health: VA can cover the cost of veteran going to Adult Day Care from approx 8am-5pm. (There may be $15 co-pay)

Homemaker: 1-2 times a week to help with laundry, light housekeeping, meal prep, if there are no family members who can help with this.

Home Health Aid Care: Assist with bathing and changing the Veteran up to 7 days a week.

Respite Care: VA can provide caregiving for 1-6 hour a day for a total of 30 days per calendar year in order to give caregivers a break.

www.va.gov/GERIATRICS/Guide/LongTermCare/Home_and_Community_Based_Services.asp

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Bear River – Veteran Story

Client

WW II Veteran, Age 90

Wife/Caregiver, Age 89

Veteran suffers from multiple health issues, primary

COPD

Their goal is to keep Sam at home

Intervention:

Client called Bear River AAA/ADRC to find services

Veteran had a VA Primary Care Physician but was

unaware he may be eligible for VA In-Home

Services

Options Counselor coached the veteran on how to

request these services from the PCP

Veteran is now receiving In-Home Services

Veteran’s wife/caregiver is participating in the

Caregiver Support Program through the AAA

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2014: Reaching New Partners

UDVMA (State VA)

Caregiver Support (VHA)

Geriatric Social Worker (VHA)

Outreach Worker and VA Project Champion (VBA)

Utah

ADRC

VRHRC-

WR

VBA

Specialist

VHA

Specialists

SL

County

Bear

River

Mountain

Land

Active

Re-Entry

State

Office of

Veterans

Affairs State

Nursing

Homes

Five

County

VBA

Leadership

Veterans

Homeless

Fellowship

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Working Hand in Hand

Collaboration in Veteran Outreach

Deborah Crowther Larry Dawson

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How did we make VA Connections?

Finding Supporters

Making Introductions

Requesting Training for ADRC staff

Additional Training Request for ADRC staff

Asking for Direct Phone Numbers

Learning VA Programs and Navigating the System

Understanding the Gaps: what the VA offers and what it does not

Tracking clients – DATA

Commitment to help veterans

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Overcoming Challenges

Finding direct VA contacts

Agency building trust with the veteran

Agency building trust with the VA

Learning the VA Language

Understanding Military Culture

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Trainings, Partnerships take…..

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Things We Have Learned

Veteran Affairs have many silos

Physicians TREAT patients and typically do not make referrals to VA programs

Many veterans do not know they are eligible for programs

Many veterans may have been told they were not eligible for services – BUT THAT MAY HAVE CHANGED

VA staff will give out their direct numbers

VA staff are willing to provide training

Better serving veteran clients is a common goal

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What we did not expect

Endorsement from VBA for TRIP training

Sponsorship from the Utah Department of Veteran and Military Affairs for Veteran Service Officer (VSO) accreditation

Invitations to VA trainings

Potential to self refer to the VD-HCBS program

Divert veterans from State Program waitlist to VA Programs

ADRC Staff were eager and enthusiastic to receive VA Benefits training

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Reach out to your VA Partners

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Thank You for your Service!

Bret Hicken Geriatrics Lead, Veterans Rural Health Resource Center –

Western Region [email protected]

Jennifer Morgan ADRC Director/VA Project Lead [email protected]