This document proposes a program called SNJVeterans@Home to provide vocational rehabilitation services to veterans living in southern New Jersey. It notes that many veterans currently face barriers in accessing services from the Philadelphia VA office due to transportation difficulties and time required. SNJVeterans@Home would be run through Abilities Center of Southern New Jersey, which has 50 years of experience providing similar services. The program would offer mobile evaluation, training, and job placement services throughout southern New Jersey to help veterans find work closer to home. It aims to improve employment outcomes and quality of life for the region's veterans population.
1. Regional Solutions for
Southern New Jersey’s Veterans
Partner Title
Comprehensive Vocational
Rehabilitation Services
Name benjamin-fr anklin- bridge.jpg
Title
Company
2. He left southern
New Jersey to
serve our country.
He’s home again -
but there’s no job
waiting.
He wants to work
where he lives,
back in southern
New Jersey.
Southern New Jersey’s veterans need
3. Homeless Veterans
How Many Need Vocational Rehabilitation?
Estimates show at least
6000- 8000 homeless
veterans in New Jersey.
Veterans returning from
Afghanistan and Iraq
are falling into
homelessness sooner
than veterans of earlier
conflicts.
160 appeared at “Stand
Down” in Cherry Hill,
NJ in May 2009.
Southern New Jersey’s Veteran
Population Needs Resources at Home
– Especially the Homeless
4. Mental Health Problems
Veterans returning after No previous tours One or more previous tours
more than one tour of duty 30
present more mental health 25.4
problems. 25
20
Veterans returning from
14 14.1
Operations Enduring 15
Freedom and Iraqi Freedom 9
10
(OEF/OIF) frequently 6.6 6.6
4.2
present with multiple 5 2.3
psychological and physical
0
symptoms. Depression
Alcohol Dependence PTSD
Depression, Alcohol or PTSD
This population needs to
access the VA Five-Track
Service Delivery System Preliminary Findings from the Pre-Deployment Survey of the
New Jersey National Guard 2007-2008 Department of Military and
without delay. Veterans Affairs VA, New Jersey Health Care System, Bloustein
Center for Survey Research, Rutgers University
5. PROBLEM:
Veterans face barriers to
employment services and job placement
Southern New Jersey veterans face barriers in accessing services that
require appearance in Philadelphia, from transportation to time required to
participate.
Veterans with disabilities are even more burdened, whether physically
impaired or diagnosed with mental health disorders which may impair
capacity to travel to Philadelphia.
Opportunities to find work in southern New Jersey are intrinsically less
available when veterans receive services out of the area where they live.
Numerous eligible veterans may overwhelm the Regional VA services when
they return from active duty and face unforeseen delays.
Homeless veterans number in the thousands; it is a tragedy best remedied
with services close to home.
6. SOLUTION:
Tell Southern New Jersey’s Veterans
You CAN
Abilities Center of SNJ has conceptualized a dynamic program for
veterans – .
Through , the Regional VA Office will have a
competent partner with nearly 50 years of experience delivering
vocational rehabilitation services and a network of resources
throughout southern New Jersey.
Abilities Center SNJ has a proven capacity to deliver this program
and collaborate with the VA.
Abilities Center SNJ can be part of delivering the VA’s Five-Track
Service Delivery System.
7. Vocational
Evaluation
Philadelphia VA -
Makes Referral Services
Job Placement or Coordinate
Follow-up
Training with VA
demonstrates Abilities Center’s capacity to bridge the gap in
delivering skilled services for veterans who live in southern New Jersey, contracting
as a collaborative partner with Veterans Affairs Philadelphia Regional Office (medical
and benefits).
8. :
Measurable Benefits to Veterans in
Southern New Jersey
Mobile services for Veterans who face transportation barriers in
accessing services;
SNJ@Home skilled staff to meet identified Regional VA demand in
southern New Jersey and increase participation of eligible Veterans;
Capability to reach homeless veterans as referred;
Culturally competent services address populations’ needs;
Demonstrated capacity to effectively provide job placement ;
Ready to reach more veterans as those deployed come home to
southern New Jersey;
Realistic opportunity for southern New Jersey veterans to pursue
program goal to
9. Abilities Center SNJ:
History and Mission
Abilities Center of Southern New Jersey (SNJ) is a 501c3 nonprofit
corporation which opened its doors nearly 50 years ago to provide
employment services for people with disabilities.
The Center forged a strong relationship with our nation’s veterans
early on, providing evaluation and job placement services to Viet
Nam veterans.
The Center now provides workforce development services to people
with disabilities and other disadvantages which may be barriers to
employment.
Abilities Center SNJ is responsive to regional needs and has
augmented its services during its nearly 50 year history.
Services now include vocational evaluation (short and long-
term), center-based transitional services, community-based and
competitive employment in hundreds of businesses across the region
and youth programs in conjunction with school districts.
10. Abilities Center SNJ:
Our Organizational Capacity
Abilities Center SNJ has increased its consumer
population by 800 percent over the past 15 years and
diversified its services to meet community need;
From one site, the Center has expanded to deliver
services in the eight counties of southern New Jersey;
It has developed relationships for job placement
throughout the region.
Abilities Center SNJ provides CARF-accredited services.
NISH affiliate (2009)
Ticket-to-work provider
11. :
Program Highlights
’s skilled, experienced staff is qualified to meet
vocational rehabilitation services for veterans who live in southern New
Jersey;
may launch a secure web site for veterans as a
regional resource among the eight counties of southern New Jersey;
Advisory board for will include local members of
veterans’ fraternal organizations.
Vocational rehabilitation services will be customized to Veterans Affairs’
requirements;
Vocational evaluation services may be short-term or long-term, on site at
Center or mobile locations in SJ convenient to the veteran;
Access to Abilities Center’s network of community partners to meet
veterans’ preferences for training and job placement in southern New
Jersey, making it possible to say
12. Meeting Needs of Veterans:
PTSD, TBI and Mental Health
Abilities Center SNJ, through is prepared to
coordinate services to ensure veterans diagnosed with PTSD, TBI
and mental health diagnosis receive appropriate services.
Stigma and self-stigma are barriers to employment that
SNJVeterans@Home seeks to overcome.
can be part of an integrated system of care in
which primary care providers, polytrauma specialists, Abilities
Center’s vocational rehabilitation specialists, and mental health
clinicians work together.
13. Coordination of Services with
Philadelphia’s Regional VA
Center of SNJ may complement or replicate, as
required, Vocational Rehabilitation and Employment Service Division (VR&E)
within the VBA Regional Office (RO), including initial evaluation of the Veteran
to determine his or her entitlement for these services and assistance and
develops, in cooperation with the Veteran, an Individualized Written Plan of
Services. (Determination of entitlement remains with VA.)
Alternatively, Abilities Center is prepared to step in at various points congruous
with VA Regional Office requirements.
Rehabilitation plans may include all of the following, depending upon Regional
VA requirements:
Individualized Written Rehabilitation Plans (IWRP) that outlines training and
job placement services needed to achieve employment goals; employment
placement under an Individualized Employment Assistance Plan (IEAP);
Individualized Extended Evaluation Plan (IEEP) to determine feasibility for
employment.
14. :
Connecting to other Services
With direction of the Philadelphia Veterans Affairs (Health and
Benefits Administration) offices, Abilities Center , in addition to
current range of services, is prepared to facilitate veterans’
participation in other programs, as indicated but not limited to:
Compensated Work Therapy (CWT)
REALifelines
Transitional Assistance Program
Complementary services through county Veterans’ offices
15. :
Referral to Evaluation
INITIATE CONTACT
• Coordinate with VA
ancillary providers
• Assign Abilities • SNJVeterans@Home • Meet at Center or
Center/SNJ contacts veteran other location
Veterans@Home • Ensure transport in • Evaluation (L or S)
Specialist place or mobile
contact to veteran’s
location PROVIDES
REFERRAL FROM SERVICES
PHILADELPHIA VA
16. :
Evaluation to Job Placement
TRAINING • Regional
• Short-term
Employment
• Long-term
• On site or mobile. • Transitional. • Coordinated With
Mobile Team Center-based Philadelphia VA
Travels • Community • Follow-up As
Throughout the Partners Indicated
Region • Behavioral Health JOB PLACEMENT
Partners As Needed & FOLLOW-UP
EVALUATION
Notes or comments In June 2009, more than 2,800 soldiers from the New Jersey National Guard returned home. (11/2007) ARE THEY READY TO WORK? For example , a survey conducted by Military.com, a community Web site for the military and veterans owned by Monster Worldwide, indicated that Among employers - • Sixty-one percent reveal they do not have a complete understanding of the qualifications ex-service members offer. • Sixty-four percent feel that veterans need additional assistance to make a successful transition into the civilian job-seeking market, with 27 percent citing the need for stronger interviewing skills. Among veterans: • Fifty-three percent of employers spend two percent or less of their recruitment advertising budget on targeted military hiring. Eightty-two percent feel unprepared to negotiate salary and benefits. • Eightty-six percent report an inability to effectively translate their military skills to civilian terms. • Fifty-eight percent are unsure of how to network professionally.
FOR EXAMPLE - Homeless veterans may avoid or be turned away by other program and services, veterans who have problems such as severe posttraumatic stress disorder (PTSD), long histories of substance abuse, serious psychosocial problems, legal issues, and those who are HIV-positive. These veterans require more time-consuming, specialized, intensive assessment, referrals and counseling than is possible in other programs that work with veterans seeking employment.The Veterans Transitional Housing Program (Veterans Haven) is a New Jersey State operated facility for homeless veterans. After being medically evaluated at a VA Medical Center, eligible veterans must agree to a long term program focusing on psychological, social and vocational rehabilitation. Veterans admitted to Veterans Haven come to a 54 bed, addictions free program with staff who are sensitive to the multiple needs they present. ONLY 54 beds.
BREAKING NEWS – NOV 27, 2009 – Levels of mental-health problems among former U.S. servicemen have increased dramatically since the U.S. invasion of Iraq.The study, conducted by the U.S. Department of Veterans Affairs and the University of California, San Francisco, also found that more than one in three veterans enrolled in the veterans health system has been diagnosed with a mental health disorder.But despite the increase in mental health problems, veterans are still hesitant to seek help. Past research has shown that, of service members who display symptoms of PTSD and other mental health issues, only 4 out of 10 have sought help from a therapist or other mental health professional.Stigma is a contributing factor..Reasons for not seeking treatment include worry about what others would think, fear of hurting their military career and concern that seeking help is a sign of weakness.
Documentation examples, if you want to mention - this may be more critical than collaborative but it does point to gaps in services to veterans: VA Vocational Rehabilitation and Employment: Better Incentives, Workforce Planning, and Performance Reporting Could Improve ProgramGeneral Accounting Office -09-34 January 26, 2009 – report excerpt:“VR&E has improved its capacity to provide services by increasing its collaboration with other organizations and by hiring more staff, but it lacks a strategic approach to workforce planning. Although there have been staff increases, many of VR&E's regional offices still reported staff and skill shortages.”AMONG its recommendations – “To ensure that the current and future needs of veterans are met, the Secretary of Veterans Affairs should direct VR&E to engage in a strategic workforce planning process that collects and uses relevant data, such as information on the appropriate counselor caseload and the critical skills and competencies needed by staff.”
5 Tracks to Employment:ReemploymentRapid Access to EmploymentSelf-EmploymentEmployment Through Long-Term ServicesIndependent Living ServicesOther References- McGuire-Kuletz, M., Shivers, S., & Anderson, P. (Eds.).2008). When Johnny (or Jeannie) comes marching home . .. and back to work: Linking Veterans Affairs and state vocational rehabilitation services for service men and women (Institute on Rehabilitation Issues Monograph No.34). Washington, DC: The George Washington University, Center for Rehabilitation Counseling Research and Education.
Selected potential benefits to homeless veterans -More effective outreach to veterans living on the streets and in shelters who otherwise would not seek assistance;
CARF-accredited service providers meet the highest national and international standards for quality, such as employing qualified professional staff. NISH works to create employment opportunities for people with severe disabilities by securing Federal contracts through the Ability One Program. NISH works through a network of more than 1300 non-profit agencies. Abilities Center became a NISH affiliate in 2009. Abilities Center – experienced and effective
Since Abilities Center of Southern New Jersey has a mobile evaluation team, vocational assessments can be arranged throughout various locations in southern New Jersey. It is expected that this feature will also increase veterans’ participation.
EXAMPLES - 1) “Posttraumatic stress disorder and employment in veterans participating in Veterans Health Administration Compensated Work Therapy”Sandra G. Resnick, PhD, Robert A.Rosenheck, MD. Journal of Rehabilitation Research & Development Volume 45, Number 3, 2008Pages 427–438 “These findings suggest that PTSD is a significant obstacle to employment, even after adjusting for potentially confounding factors including service era and service in various theaters of operations. VHA is currently renewing its commitment to evidence-based mental health treatment, including increased amounts and types of services for individuals with PTSD .” (p 437)2) Invisible Wounds: Predicting the Immediate and Long-Term Consequences of Mental Health Problems in Veterans of Operation Enduring Freedom and Operation Iraqi Freedom BENJAMIN R. KARNEY, RAJEEV RAMCHAND,KAREN CHAN OSILLA, LEAH B. CALDARONE, AND RACHEL M. BURNSWR- Rand Center for Military Health Policy Research, April 2008 “PTSD, depression, and TBI have all been associated with labor market outcomes.Specifically, there is compelling evidence indicating that these conditions will impact returningservice members return to employment, their productivity at work, and their future job prospectsas indicated by impeded educational attainment. However, these findings should be interpretedcautiously… Thus, poor performance in the workplace can influence the development of mental health symptoms or enhance symptoms that may already exist.”
PROGRAM SUMMARIES - Just FYI, not for narration . The CWT and IT programs provide assistance to veterans unable to work and support themselves. Under the CWT program, VA contracts with private industry and the public sector for work by veterans, who learn new job skills, strengthen successful work habits and regain a sense of self-esteem and self-worth. Veterans are compensated by VA for their work and, in turn, improve their economic and social well-being. REALifelines Advisor provides valuable information and access to contact information for one-on-one employment assistance and online resources to assist wounded and injured transitioning service members and veterans in their reintegration into the civilian workforce. (intended for wounded and injured, intended for all. The Transition Assistance Program (TAP) workshops have provided job-searchassistance to well over one million separating and retiring military members andtheir spouses since 1990. Participants will learn how to writeeffective resumes and cover letters, proper interviewing techniques, and the mostcurrent methods for successful job searches. The workshops further provide labormarket conditions, assessing individual skills and competencies, informationregarding licensing and certification requirements for certain career fields andup-to-date information regarding veteran benefits.
This graphically describes the concept behind SNJ Veterans@Home, through which there is a continuing relationship with the VA throughout the process.
Continued graphic representation – repeats information with a different visual.
Thank you for the opportunity to introduce you to Abilities Center of Southern New Jersey.