State Environmental Scan N State: Maryland VA State Summaries: https://www.va.gov/vetdata/stateSummaries.asp State Profile Snapshot Veteran Demographics* State/County VA Partnership: There are eight commissioners appointed by the governor for each congressional district. Some counties also have veterans’ advisory councils. MDVA manages five programs in partnership with federal, state, and county organizations that focus on access to benefits and services for veterans and families. - The Service Program: USVA certified reps - Charlotte Hall Veterans Home - Maryland Veterans Trust Fund - The Cemetery Program: 5 State Cemeteries - MDVA Outreach and Advocacy Program Caregivers/Survivors: Total for state is 206; tier 1 is 90, tier 2 is 54, tier 3 is 62. Caregivers support less than 1% of veterans Suicide Prevention/Mental Health: There were 67 recorded suicides for veterans in Maryland in 2016. For all age groups, this is lower than the national average for all veterans and the entire population. Employment & Jobs: According to the U.S. Bureau of Labor for 2017, the Veteran unemployment rate in Maryland for veterans over 18 and not currently serving is 3.3% which is slightly lower than the national average. Housing & Homelessness: *For 2017, Veterans make up 9% of the population which is 19th in the According to HUD’s 2018 PIT Estimate of veteran country; in 2016 it was 17th. homelessness, there are 574 homeless veterans in MD. *OIF and OEF veterans are 30% of Maryland’s veteran population This is a 9% increase from 2017. Depending on location, *WWII, Korea, and Vietnam vets comprise about 45% of the vet population affordable housing may be a challenge. Education: Pilot Programs and Initiatives in According to the VA State data, the number of Veterans Action with a 4 year or higher college degree in MD is roughly 10 percent more than the national average. However, those with some college is roughly 6% less than the national • DoD BHMC average. Maryland Veterans received $4,904,942 in • Cohen Network education benefits from various U.S. Department of • Humane Society of the US (Baltimore) Veterans Affairs education programs in 2017. • NVI working with Chesapeake Vet Alliance CVEB Women’s Veteran Issues: Female Veterans are 13% of population as compared to national average 9.4% (2015 data; 3rd highest in USA). Challenges/Gaps Summary Population projected to increase through 2030. Gulf War participation for women was 17%. Transition Post-9/11 Veterans/Gulf War: • Mission Act and transition to community care network MD Gulf War I and II veterans’ population is 25% and 24% • Rural Transportation respectively which is slightly higher than the national • Affordable housing and homelessness average. This cohort is 30% of the veteran population. • Rural Outreach Access to Healthcare, Benefits and Memorial services: • Aging veteran population and long term care There are 3 medical centers, 13 CBOCs, one regional office • Increasing Women Population with satellites throughout the state, 4 national cemeteries, • Outreach to Post 9/11 veterans 5 state cemeteries, and 9 vet centers. About 40% of veterans are enrolled with VHA. • Integration of federal, state, and county/local services *All numbers rounded to nearest whole percent Last updated: December 19, 2018 N State Environmental Scan Heat Maps https://www.va.gov/vetdata/ https://www.womenshealth.va.gov/latestinformation/facts.asp https://www.va.gov/vetdata/docs/SpecialReports/Women_Veterans_2015_Final.pdf Veteran Suicide: https://www.mentalhealth.va.gov/suicide_prevention/data.asp N State Environmental Scan Heat Maps Homeless PIT Count https://www.hudexchange.info/programs/coc/coc-homeless-populations-and-subpopulations-reports/ CVEB Coverage Last updated: 9/17/2018 BALTIMORE VAMC Customer Experience Data Last Three Months: Top Concerns: Top Compliments: Number of Responses: 2,638 Pain Management Staff Courtesy Website and Online Dental Clinic Services Number of Comments: 1,325 Applications Laboratory Services Trust Score VHA: 87.1% Customer Service Over the Ordering of Prescriptions Trust Score Baltimore VAMC: Phone and Refills 85.6% Wait Time at Facility Pharmacy Services Availability of Appointments Received by Mail BLUF: Veterans who leave feedback in the Outpatient Services Surveys at Baltimore VAMC show lower trust than the VHA- average in the past year. Male Veterans show higher trust (86.6%) in their Outpatient Services Surveys than female Veterans (82.3%) at Baltimore VAMC over the past year. Veterans 80 and older show the highest trust (91.5%) in the Outpatient Services Surveys at Baltimore VAMC over the past year; Veterans younger than 50 years of age show the lowest trust (77.9%). Outpatient Services Surveys Trust at Baltimore VAMC vs VHA-Average from the Past Year BLUF: Veterans who leave feedback in the Outpatient Services Surveys at Baltimore VAMC show lower trust (86.0%) than the VHA-average (86.5%) in the past year. BALTIMOREVA t: Choose Home VAMC N Community Environmental Scan Geography: Baltimore City Community Profile Snapshot Veteran Demographics* Veteran Population: 31,000 State/County VA Partnership: Women Veteran Population:3,100 -Maryland’s Veteran Commission: Advisory board to State VA Secretary on topics including suicide prevention, homelessness, Age Distribution1 employment, and education benefit -Maryland State VA Services and Benefit Program 75+ 8% Caregivers/Survivors: 19% Charlotte Hall Veterans Home in St. Mary’s County has 168 living 65-74 assisted beds as well as 286 skilled nursing program beds. 27% 55-64 Suicide Prevention/Mental Health: No significant statistical data 35-54 21% 25% 18-34 Employment & Jobs: According to the 2017 U.S. Census Bureau, both men and women veterans have a higher income average than non-veterans. The veteran unemployment rate of 9.4% is just slightly lower than • In Baltimore City County, Maryland 5,192 non-veterans which is 10%. This is higher than the current veterans received compensation for disabilities national unemployment rate of 3.1% for veterans and the overall state unemployment rate which is 3.3%. 15.4% of veterans are in 2017, 826 or 15.9% were 100% disabled. below the poverty income level. Housing & Homelessness: According to the Baltimore City Mayor’s office, there are Challenges/Gaps approximately 420 homeless veterans; about 3 % or 13 are women veterans. • Mission Act and transition to community care network • Communication/Info Sharing Education: • Unemployment in Baltimore for veterans According to the 2017 U.S. Census Bureau, the percentage of • Veteran homelessness and affordable housing Veterans with either a 2 year or 4 year college degree is about • Women’s trust in VA medical services 45% which is the same for the non-veteran population. Women’s Veteran Issues: Pilot Programs and Initiatives in Action Female Veterans are 10% of the population in Baltimore county • DoD BHMC which is equal to the national average (10%). • Cohen Network Transition Post-9/11 Veterans: • Baltimore City Mayor’s Challenge to end Services available at the Baltimore VA Medical Center. homelessness for veterans • Humane Society of the US (Baltimore) Access to Healthcare, Benefits and Memorial services: • NVI Veterans have multiple options in this part of Maryland including VA medical centers, CBOCs, Vet Centers, national and state CVEBs and Community Groups cemeteries. Veterans using the Baltimore VAMC show less trust in the facility than the national average by one-half (.5) • Chesapeake Veteran Alliance percentage. Men trust the system more than women. Veterans • American Legion over 80 trust the system the most while those under 50 trust it • Vietnam Veterans of America the least. • Veterans of Foreign Wars *All numbers rounded to nearest whole percent Last updated: Dec 24, 2018 N Community Environmental Scan Geography: Frederick County Community Profile Snapshot Veteran Demographics* Veteran Population: 17,000 State/County VA Partnership: Women Veteran Population: 2040 (12%) -Maryland’s Veteran Commission: Advisory board to State VA Secretary on topics including suicide prevention, homelessness, Age Distribution1 employment, and education benefit -Maryland State VA Services and Benefit Program 8% Caregivers/Survivors: 75+ 18% Charlotte Hall Veterans Home in St. Mary’s County has 168 living 65-74 assisted beds as well as 286 skilled nursing program beds. 55-64 34% Suicide Prevention/Mental Health: 24% No significant statistical data 35-54 18-34 16% Employment & Jobs: According to the 2017 U.S. Census Bureau, both men and women veterans have a higher income average than non-veterans. The veteran unemployment rate of 2.6% is lower than non-veterans • In Frederick County, Maryland 3,439 veterans which is 5.2%. This is lower than the current national received compensation for disabilities in 2017, unemployment rate of 3.1% for veterans and the overall state unemployment rate which is 3.3%. 4.1% of veterans are below 381 or 11.1% were 100% disabled. the poverty income level. Housing & Homelessness: According to the local Frederick newspaper, there are Opportunities for growth approximately 12 homeless veterans in Frederick county. • Mission Act and transition to community care Education: network According to the 2017 U.S. Census Bureau, the percentage of • Communication/information sharing Veterans with either a 2 year or 4 year college degree is about • Aging Veteran population 73%% which is slightly higher than 68% for the non-veteran • Support to women veterans population. Women’s Veteran Issues: Pilot