Campus Support for the Returning Veteran CSRV For the University of Washington

Transcription

1 Campus Support for the Returning Veteran CSRV For the University of Washington Helping America s Best, Brightest and Bravest get their degree OMF- CSRV Mike Schindler, Dr. John Schupp, Jon Heroux

2 Veteran Resource Centers How to fund it q Money from grants very competitive q Money from student veteran tuition may not be enough as of yet q Money from community may not be available Unless you show them the financial impact a VRC can have on the community Create a Business plan for a Campus VRC

3 Business Plan for the VRC What a donor would like to see q Where their money goes q Who it will impact q How will it impact q What kind of financial impact Return on Investment (ROI) q What kind of Human impact Lives changed/saved if possible q A 5 year plan for their investment

4 Starting the Business Plan What OMF CSRV can help you with q Determine your present vet enrollment q Determine number of veterans in your region q Find the financial impact on the campus q Find the financial impact on the community q Find the human impact on the veteran/family q Obtain ROI (Return on Investment) You present this report to potential donors

5 Which type of vets to consider All service-members/chapters on campus can be counted q National Guard q Deployed National Guard q Chapter 30- Montgomery GI Bill, veterans q Chapter 33- Post 9-11 GI Bill, veterans and families q q With BAH, Book stipend, etc. Chapter 31- Vocational Rehab Those veterans with disability-full tuition, book stipend, living stipend Chapter 35- Survivors benefits Family members of 100% disabled, or deceased veterans Veterans are most stable number of students on campus/semester q Chapter 30 and 33, Completed their service, will not be deployed q Are in greatest number for most states

6 VRC-Goals & Objectives Five-year goals q Start fund-raising for VRC on your campus Spr 2013 q Have a VRC by Fall 2013 q Set veteran enrollment goal to a % available in area Need to know what your market is q Financial objectives Allow for Center to be self-sufficient Set aside agreed upon % of tuition to run the Center Obtain funding from campus and area donations

7 What is the present Market? How many GI Bill eligible Post 9-11 veterans are there in my state? How many are attending campus presently? What type of campuses are they attending? q Public, private, for profit?

8 Starting your VRC-What is the cost? First Year-Fall One Time Capital Costs q Donated by area businesses Space for center- $60,000, Computers, office furniture, etc.- $45,000 q Total donated from community-$105,000 Annual Costs-(Personnel) covered by campus q One each campus coordinator-$55,000/year Works in VRC- enrolls student veterans, student veteran advocate q One each campus recruiter- $36,000/yr Travels the area to meet up with and recruit veterans q $10,000 for office supplies, recruiting needs etc q Total Campus costs-first year-$101,000 Total Costs-First year-$206,000

9 Looking at the Region How many student veterans are presently enrolled? q Use the average from the previous slides How many campuses are there? q Private(non-profit)/Public q University, college, community college What % veterans available are enrolled? q Let s do the Math and approximate!

10 How many veterans in the region? Washington State Those that have returned King 5,901 Pierce 10,320 Thurston 3,233 Snohomish 3,525 Kitsap 3,432 Mason 369 Chelan 187 KiBtas 187 Yakima 800 total 27,954 My Source- The VA Ombudsma ns office

11 The Public campuses in the region and their avg student vet enrollment Public Campus Name City Type of Campus Avg # of student vets Bates Technical College Tacoma Comm college 263 Bellevue Community College Bellevue Comm college 263 Cascadia Community College Bothell Comm college 263 Green River Community College Auburn Comm college 263 North Seattle Community College Seattle Comm college 263 Olympic College Bremerton Comm college 263 Pierce College Lakewood Comm college 263 Seattle Central Community College Seattle Comm college 263 Shoreline Community College Shoreline Comm college 263 Skagit Valley College Mt. Vernon Comm college 263 South Puget Sound Comm College Olympia Comm college 263 Tacoma Community College Tacoma Comm college 263 Totals 3,156 Evergreen State College Olympia Public 1,495 University of Washington Seattle Public 498 University of Washington - Bothell Bothell Public 498 University of Washington - Tacoma Tacoma Public 498 Totals 2,990 Total Public 6,146

12 The Public campuses in the region and their avg student vet enrollment Private Campus Name City Avg # of student vets Antioch University Seattle Seattle 32 Bastyr University Kenmore 32 City University Bellevue 32 Cornish College of the Arts Seattle 32 Crown College Tacoma 32 Henry Cogswell College Everett 32 Heritage University Toppenish 32 Northwest Graduate School Seattle 32 Northwest University Kirkland 32 Saint Martin's College Lacey 32 Seattle Pacific University Seattle 32 Seattle University Seattle 247 University of Puget Sound Tacoma 32 Totals 631 Total Private 631

13 What is the Actual Market? Post 9-11 vets available in the region q 27,954 Approximate total student veterans presently enrolled in the region Area Public/Private campuses-6,777 Private for-profit (big approximation for region)-1,000 q Approximately total enrolled- 7,777 # of Post 9-11 vets available to region q 20,177

14 What is the Future Market? q How many service-members are presently in the region? q How many will leave the military in 2014? q How many will leave the military during the drawdown in 2017?

15 How many will leave Active Duty in 2014? J. Schupp has data for every base in every state q By branch and hometown Drawdown begins in 2017 q How will this impact your region How many Active Duty will be leaving the military from area Bases in 2014? In 2017?

16 Military Bases in the Region Average Members Who Will Leave Military Total military % leaving Leaving Branch Base Base City populagon Army Fort Lewis Tacoma 34, % 1,763 Army Yakima training center Yakima % 50 Navy Manchester Bremerton % 18 Navy Whidbey Island Oak Harbor 3, % 153 Navy NAVBASE Kitsap Bangor 6, % 305 Navy NS EvereX EvereX % 41 Air Force Fairchild AFB Fairchild 3, % 59 Totals 49,717 2,389 2,389 will leave military bases in Washington State in 2014 and every year thereafter

17 Troop Drawdown 2017 D. MILITARY PERSONNEL Ground forces will congnue to decrease this year and over the FYDP, with the size of the acgve Army dropping from 519,037 to 490,000 by FY 2017 and the ac>ve Marine Corps decreasing to 182,100 in FY The Air Force will execute a rebalancing of the size of its acgve, reserve and guard forces in accordance with the FY 2013 NDAA. The Navy is staying about the same size in total, making modest end strength reducgons in its reserve forces and slightly growing the acgve component. From the Report- DEFENSE BUDGET PRIORITIES AND CHOICES FISCAL YEAR 2014

18 The Impact of the Drawdown & Annual Average Military Exits Present Total US Army strength 519,037 Projected US 2017 Army strength (drawdown) 490,000 Total Army reducqon 29,037 % addiqonal reducqon by % J. Schupp has this data for every state and for every base

19 Projected leaving active duty in the region with 2017 drawdown Total military % leaving % leaving Total leaving Branch Base Base City populagon Army Fort Lewis Tacoma 34, % 1,910 3,674 Army Yakima training ctr Yakima % Navy Manchester Bremerton % Navy Whidbey Island Oak Harbor 3, % Navy NAVBASE Kitsap Bangor 6, % Navy NS EvereX EvereX % Air Force Fairchild AFB Fairchild 3, % Totals 49,717 2,540 4,929

20 Future impact on UW Vet enrollment 20,000 in the region q Most from Post 9-11 build-up ~2,400 will leave military every year q JBFLM very large military base ~15,000 available to UW by 2017 q 2,400/yr x 4yrs + 5,000 extra in 2017

21 Active Duty Suicides What is the rate of Active Duty Suicides? What is the cause for the suicides? How many can be projected for the region? Can UW help reduce the rate?

22 Army Active Duty Suicide Deaths ** * * = Preliminary Civilian Rate NOT CDC OFFICIAL (as of 16 March 2011 update) **= HP&RR TF EsGmated NOT ARMY OFFICAL: is based on an AcGve Duty Army strength of 715,662 (as of 1 Oct 11)

23 Army Active Duty Suicide Rates (# of suicides per 100,000 Active Duty Army) Total army year suicides In a recent interview with USA TODAY, Gen. Ray Odierno, Army chief of staff, said suicides are now the most common form of death in the Army, claiming more lives that combat or motor vehicle accidents.

24 National Recognition Then-Defense Secretary Leon Panetta has called on military leaders to explore a epidemic of suicide among active duty service-members and veterans a record number of active-duty service members 349 committed suicide, VA combatting suicide epidemic among active duty military and veterans By Lucy Nalpathanchil / WNPR Posted on December 16, 2012

25 Out of the 349 in 2012 The Army sustained the heaviest suicide toll at 182 q q 52% of all active duty suicides 47% of All active duty service-members are Army Active Duty Navy- 60 suicides q q 17% of all active duty suicides 27% of all Active Duty service-members are Navy Active Duty Air Force- 59 suicides q q 17% of all active duty suicides 13% of All Active Duty service-members are Air Force Active Duty Marine Corps- 48 suicides q q 12% of All Active Duty service-members are Marines 14% of all active duty suicides They all follow the enlistment percentages Jan , Military suicide rate hit record high in 2012, By Bill Briggs, NBC News CTS Deployment file May 2012

26 Projecting suicides at your Active Duty bases Present Suicide Data is for q Active Duty Service-members Most have had their deployments q Are finishing up their 4 year commitment Sensing of lack of mission Not knowing what to do next Dealing with what they have experienced q If communities/campuses/employers were to embrace them before they leave the service They may gain a sense of mission again q Reduce the suicide rate of Active Duty

27 Projecting suicides for 2014 at military bases Total Army Navy/marines Air Force enlisted 1,088, , , ,683 suicides Mult. factor The mult. Factor is found by dividing the number of suicides by the total enlisted. This will be used to project suicides at other bases nationwide

28 Projected Suicides for major military bases Based on military in the region Army Navy/Marines Marines Air Force Total enlisted in region 35,146 10,968 3,603 Total enlisted in US 537, , ,683 % of total within the region 6.54% 4.15% 1.26% Total Suicides # of suicides per total enlisted proejcted suicides in the region total suicides projected for 2014 in region

29 If UW creates a good campus vet program If UW creates a good campus veteran program q Student Veteran Enrollment increases UW campus enrollment larger than state average for public campuses q Lives Saved 17 Active Duty Suicides in the region may be reduced q Federal Dollars Generated Tuition at UW less than that of max allowed by VA for private campuses (Yellow Ribbon)

30 UW student vet enrollment- estimated from Spring 2014 numbers Fall 09* Spr 10 Fall 10 Spr 11* Fall 11 spr 12 fall 12 spr 13 fall 13 spr 14 Chapter Chapter Chapter , Chapter Chapter Chapter totals ,087 1,231 1,197 1,395 1,340 1,395 1,405

31 Present Financial Impact of student vets on UW Semester Total vets Chap 33 Max Fed reimb Total tuigon Fall $4,132 $1,970,964 win/spr $8,264 $7,040,928 % drawn 4.22% $9,011,892 Fall $4,132 $4,082,416 Spring 11 1, $8,264 $8,982,968 % drawn 5.39% $13,065,384 Fall 11 1, $4,132 $5,086,492 Spring 12 1, $8,264 $9,892,008 % drawn 5.93% $14,978,500 Fall ,076 $4,132 $5,764,140 Spr 13 1,340 1,032 $8,264 $11,073,760 % drawn 6.64% $16,837,900 Total actual tuition over the last five years $71.2M fall ,395 1,065 $4,132 $5,764,140 spr 14 1,405 1,078 $8,264 $11,610,920 % drawn 6.33% $17,375,060

32 Potential Financial Impact of student vets on UW Semester Total vets Chap 33 Max Fed reimb Total tuigon Fall 14 1,604 1,231 $4,132 $6,628,761 Spr 15 1,652 1,268 $8,264 $13,655,248 % drawn 7.44% $20,284,009 Fall 15 1,845 1,416 $4,132 $7,623,075 Spr 16 1,900 1,458 $8,264 $15,703,535 % drawn 7.85% $23,326,610 Fall 16 2,122 1,628 $4,132 $8,766,536 Spr 17 2,185 1,677 $8,264 $18,059,065 % drawn 8.33% $26,825,601 Fall 17 2,440 1,872 $4,132 $10,081,517 Spr 18 2,513 1,928 $8,264 $20,767,925 % drawn 9.58% $30,849,442 An average of an 18% increase every year, total tuition impact for the next four years = $101M

33 Semester Total vets Chap 33 Your BAH Total BAH Fall $1,821 $983,340 win/spr $1,821 $4,024,410 % drawn 4.22% total $5,007,750 Fall $1,821 $2,845,313 Spring 11 1, $1,821 $5,567,138 % drawn 5.39% total $8,412,451 Fall 11 1, $1,821 $4,097,250 Spring 12 1, $1,821 $8,230,920 % drawn 5.93% total $12,328,170 Fall ,076 $1,821 $4,898,490 Spr 13 1,340 1,032 $1,821 $9,396,360 % drawn 6.64% total $14,294,850 fall ,395 1,065 $1,821 $4,848,413 spr 14 1,405 1,078 $1,821 $9,815,190 % drawn 6.33% total $14,663,603 Present Financial Impact of UW student vets on Seattle Total actual BAH spent in the Seattle over the last five years $ 54M

34 Potential Financial Impact of UW student veterans on Seattle Semester Total vets Chap 33 Your BAH Total BAH Fall 14 1,604 1,231 $1,821 $5,603,565 Spr 15 1,652 1,268 $1,821 $11,543,345 % drawn 7.44% total $17,146,910 Fall 15 1,845 1,416 $1,821 $6,444,100 Spr 16 1,900 1,458 $1,821 $13,274,846 % drawn 7.85% total $19,718,946 Fall 16 2,122 1,628 $1,821 $7,410,715 Spr 17 2,185 1,677 $1,821 $15,266,073 % drawn 8.33% total $22,676,788 Fall 17 2,440 1,872 $1,821 $8,522,322 Spr 18 2,513 1,928 $1,821 $17,555,984 % drawn 9.58% total $26,078,307 An average of an 18% increase every year, total BAH impact for the next four years = $85M

35 ROI Return on the Investment tuiqon BAH Total invested impact impact ROI ROI costs academic yr academic yr campus community VRC Campus (months) (months) opens salary A $55,000 Fall 2013 salary B $36,000 other $10,000 Total $101,010 $17,375, VRC Community opens business A $20,000 fall 2013 business B $20,000 business C $30,000 business D $35,000 $105,000 $14,663,

36 Total Direct Financial Impact Direct Financial Impact of vets on campus by academic year q Campus Tuition- $30.8M q Community BAH- $26.0M q Total financial impact- $56.8M

37 The Human impact of a VRC Preventing Substance abuse, Suicide & Homelessness with our OEF/OIF veterans q PTSD, Major Depression, Feeling Disconnected q No Daily Mission VRC s can bring student vets and the VA together Campus can help local VA find more OEF/OIF veterans Previous generations of veterans can go to VRC Vietnam Vets identify with OEF/OIF vets VRC s can help families of student vets q How many generations can be impacted?

38 Substance Use Disorder (SUD) OEF/OIF veterans in % had diagnoses of alcohol-only SUDs, 21% had diagnoses of drug-only SUDs, 26% had diagnoses of both q 58% of OEF/OIF vets with SUD diagnoses Had a diagnosis of one or more additional mental health conditions. q PTSD, depression, bipolar disorder, and schizophrenia. U.S. Government Accountability Office, VA Faces Challenges in Providing Substance Use Disorder Services and Is Taking Steps to Improve These Services for Veterans, GAO R, March 10, 2010, new.items/d10294r.pdf

39 Spr 2017 Homelessness/SUD preventionon your campus-if you had a VRC Total veteran/service- member campus Enrollment Spr 17 2,185 Total Combat vets on campus # of vets with undiagnosed PTSD/Depression # of undiagnosed PTSD/Depression at risk for potenqal substance abuse # of undiagnosed PTSD/Depression with potenqal substance abuse at risk for Homelessness Total vets that your campus could prevent from being homeless 1, From the Rand Report- The Invisible Wounds of War 2008

40 How many families in the region and on the campus of Univ of Washington will benefit from a campus veteran program Ex- Service- members On campus 2017 Married vets Total # of vets Total # of # of reservists reservists Married reservists Married reservists 2,185 1,

41 How many families in the region and on the campus of Univ of Washington will benefit from a campus veteran program On Campus 2017 # Spouses of vets with between # of Spouses of reservists age between Married vets with kids Married reservists with kids 1,

42 How many families in the region and on the campus of Univ of Washington will benefit from a campus veteran program On campus 2017 single veterans single reservists total # of children # of children with kids with kids of veterans with reservists

43 How many families in the region and on the campus of Univ of Washington will benefit from a campus veteran program On campus 2017 Age of Children Of vets Age of Children Of reservists zero to zero to 5 6 to to to to to to

44 By having a CVP at Univ of Washington by Spring VRC on Campus of Univ of Washington You could impact q q q q 1,836 vets 297 Guard and reservists 1,138 spouses 1,064 children 754 of them younger than 12 yrs old At least two generations q All with a small investment

45 The Human impact of a VRC Preventing Substance abuse, Suicide & Homelessness with our OEF/OIF veterans Did we have a suicide problem after other wars that the US has had over the years? The Answer is Yes-

46 The 1 st Ever VA Suicide Report Printed Feb 2012 q Janet Kemp, RN PhD, Robert Bossarte, PhD Covers FY states provided data Suicide rates compared by q Age group q Gender q Marital Status

47 The VA study Compared civilian/vet suicides q Complete data from 21 states q Partial data from other 29 states Of 147,763 total suicides from this period q 27,062 were identified as having military service on their death certificate (18.3%) Suicide Data report 2012 Dept of Veterans Affairs Mental Health Services Suicide Prevention Program Dr. Janet Kemp, Dr. Robert Bossarte

48 Veteran Suicide Rates among VHA Users This is for All Veterans, of all age groups Suicide Data report 2012 Dept of Veterans Affairs Mental Health Services Suicide Prevention Program Dr. Janet Kemp, Dr. Robert Bossarte

49 Percent of Veterans Among all Suicides Has Decreased Suicide Data report 2012 Dept of Veterans Affairs Mental Health Services Suicide Prevention Program Dr. Janet Kemp, Dr. Robert Bossarte

50 Misleading Information Percent of veterans among all US suicides has decreased q Number of suicides have increased by 11% q Suicide rate (per 100,000) has increased by 8% Number of veterans who have died by suicide has increased over the time period Suicide Data report 2012 Dept of Veterans Affairs Mental Health Services Suicide Prevention Program Dr. Janet Kemp, Dr. Robert Bossarte

51 Estimated by 2010, 22 Veterans Will Commit Suicide Each Day Suicide Data report 2012 Dept of Veterans Affairs Mental Health Services Suicide Prevention Program Dr. Janet Kemp, Dr. Robert Bossarte

52 Determining OEF/OIF Suicide Rate Suicide rate, all veterans per 100,000 q 6% of these due to yr. old veterans 2.15 of these 35.9 are from this group Of the 100,000, q 4.7% from yr. old veterans 4,700 of this group is from this age bracket Doing the math q 2.15 suicides per 4,700 veterans = 46 per 100,000 for yr. old veterans

53 Veteran Suicide Rates - Age Groups Both Genders age group % of suicides % of populaqon # of suicides per total % of total Suicides populaqon per 100, % 4.70% , % 8.40% , % 14.40% , % 17.30% , % 25.60% , % 16.70% , yr. old age group is mostly Post 9-11 veterans Suicide Data Report, 2012 Dept. of Veterans Affairs Mental Health Services Suicide Prevention Program Dr. Janet Kemp, Dr. Robert Bossarte

54 VUB Demographic, Age & Gender Gender 83% Male 17% Female Age 26 yrs. and under - 14% yrs. - 77% 55 yrs. and over- 9% 91% are between 26 and 55 yrs. Old Highest suicide rate age bracket From the VUB Program review

55 Suicide Rate by Age Group Male Veterans Veteran age group % of total Total suicides Age group % of suicides # of 35.9 suicides by age group # of the 100K in age group Rate per 100K % % , % % , % % , % % , % % , % % , Most Post 9-11 veterans fall into the age group at time of this VA study (2009) Highest suicide rate since WW I

56 What do these age groups represent? (study from ) yrs. old If 29 yrs. old in 2009 q Born in 1980 q Was 21 yrs. old in 2001 Likely to enlist into War on Terrorism yrs. old If 59 yrs. old in 2009 q Born in 1950 q Was 18 yrs. old in 1968 q Likely drafted/enlisted into Vietnam war Top two age groups for suicides are from Iraq/Afghanistan and Vietnam Wars

57 Women Veteran Suicide Rates by Age Group - Women Veterans Veteran age group % of total Total suicides Age group % of suicides # of 35.9 suicides by age group # of the 100K in age group Rate per 100K % % , % % , % % , % % , % % , % % , The trend is opposite to that of male veterans!

58 What does history show us? We will compare suicide rates from q Civil war, WW I, WW II, Korea, Vietnam and OEF/ OIF We will compare Conditions during the war and when they came home What they received for their service q US Government and American Citizens Diagnosis of the veteran upon returning home How the veteran was treated for these diagnoses The impact of the GI Bill on the suicide rate q And the help in the veteran to civilian transition

59 Civil War PTSD & Suicide Rates Suicide Rate Union Army q Active-duty military personnel suicide rates During the war to per 100,000 After the war per 100,000 q Other post-war effects less than 1.0% q Chronic alcoholism, nostalgia, and insanity q No VA or government agency to quantify these numbers Could be much higher B. Christopher Frueh a, b, Jeffrey A. Smith, Journal of Anxiety Disorders; Volume 26, Issue 7 October 2012, pp

60 World War I - Facts & Figures US involvement Million troops enlisted/drafted Average length of service- 12 months q 2.2 million deployed overseas Average length of deployment- 5.5 months 1.1 million saw combat They were paid $30/month for their service q And $60 one time payment upon discharge Richard Severo & Lewis Milford-The wages of War, Simon and Shuster 1989, pp

61 WWI Enlistees - Qualifications Were tested for physical capability q No physical defects = ability to serve Were not screened for mental stability q No tests for Schizophrenia Hypochondria Childhood Trauma It was proposed that lack of screening q Contributed to the high mental casualty rate Forgotten Lunatics of the Great War; Peter Barham; New Haven, CT, Yale University Press, 2003.

62 WW I Fighting Conditions Small trenches, few feet wide, 50 yards long q More powerful artillery guns used, poison gas Casualties happened very close to the soldier q Decapitation by exploding shells, death by poison gas Conditions caused major transition issues q Symptoms include q Anxiety, depression, inability to concentrate, loss of memory, intense fears, uncontrollable shaking, mutism, hysterical blindness, partial or total paralysis, hysterical fits q Physicians labeled it shell shock Physical lesions of the brain caused by the atmospheric explosions of the artillery shells (TBI?) The Oxford Companion to American Military History-2000-John Whiteclay Chambers II

63 What the Early Psychiatrists Thought 1 st Shell Shock - caused the neurosis q The artillery shells caused a molecular rearrangement in the brain - Oppenheimer German POW s exposed continuously to shelling did NOT develop shell shock symptoms Soldiers exposed to gases developed symptoms 1000 s of Canadian soldiers with severe head wounds due to shrapnel had no symptoms of shell shock Can t be Shell Shock Trench Neurosis term begins to be used q Neurosis occurs usually in non-wounded soldiers Neuropsychiatry and The War, A bibliography with abstracts; Mabel Webster Brown- Librarian, the National Committee for Mental Hygiene; Edited by Frankwood E. Williams M. D., Associate Medical Director, The National Committee for Mental Hygiene The War Work Committee; National Committee for Mental Hygiene Inc.

64 Development of Trench Neurosis q American Psych in Germany Red Cross Volunteer when war broke out q In March1914,. most of the wounded arriving at the base hospitals in ca:le cars on straw bedding with wounds exposed and fractures o<en without splints. Germany was sure of a victory within three months and as a consequence no provision had been made for specialized treatment of any kind q q During the first part of the war,(april-june) that is, up to the time of the battle of the Marne, we did not see a single mental case in our hospital, In November 1914, with the definite departure from open to trench warfare, the picture changed. Hardly a transport of sick and wounded, and these transports arrived twice a week, did not contain its quota of mental cases. CLARENCE A. NKYMANX, M.D. Instructor in Psychiatry, the Johns Hopkins University, Baltimore, Maryland IN the spring of 1914

65 What the British Doctors Found When soldiers with Trench Neurosis were: q Evacuated from the war-front back to England Did not respond well to treatment q Treated at hospitals near the war-front Improved much more rapidly q Treated at casualty clearing stations Even better improvement then at war-front hospitals q Treated at a combat organization near the front! Was the best method for recovery, when given rest, encouragement and persuasion Neuropsychiatry and The War, A bibliography with abstracts; Mabel Webster Brown- Librarian, the National Committee for Mental Hygiene; Edited by Frankwood E. Williams M. D. Associate Medical Director, The National Committee for Mental Hygiene The War Work Committee; National Committee for Mental Hygiene Inc.

66 What They Found - Timing of Treatment Immediate attention Best recovery As time passes between evacuation & treatment Less chances for quick recovery Separation between soldier and their unit q Weakened the bonds with their unit Allowed time for the soldier to think: If I m not sick, then I am a coward who abandoned his comrades. I can t accept being a coward, therefore I Neuropsychiatry and am The War, sick. A bibliography with abstracts; Mabel Webster Brown- Librarian, the National Committee for Mental Hygiene; Edited by Frankwood E. Williams M. D., Associate Medical Director, The National Committee for Mental Hygiene The War Work Committee; National Committee for Mental Hygiene Inc.

67 US in World War I - End of the War November 11, 1918, War ended quickly q 600,000 were immediately demobilized 3.4 million sent home over the next 18 months q Very little transition time from battlefield What they came home to q Cities, not farms Civil war vet benefits consumed the federal budget WW I vets had to pay for their health care Rampant inflation, unemployment Forgotten Lunatics of the Great War; Peter Barham; New Haven, CT, Yale University Press, 2003.

68 Suicide rate 100 per 100, ,000 veterans in the region must be treated in insane asylums or go home

69 24,405 mental cases on record, only 6,099 beds to care for them

70 US vs Canadian WWI Veterans The Americans with the burden of pensions arising out of the Civil war yet upon them possibly went too far in the precautionary measures they took in reviewing WWI soldier claims. Canada highest pension for WW I vets 1,644 US dollars/yr, United States, 1,200, England, 879 Canadian WWI suicides less than 40/100,000 q Limited data Canada did not have a Civil War to pay for! OFFICIAL HISTORY OF THE CANADIAN FORCES IN THE GREAT WAR THE MEDICAL SERVICES BY SIR ANDREW MACPHAIL Kt., O.B.E., B.A., M.D., C.M., LL.D., M.R.C.S., L.R.C.P., F.R.S.C. PROFESSOR OF THE HISTORY OF MEDICINE, McGILL UNIVERSITY PUBLISHED BY AUTHORITY OF THE MINISTER OF NATIONAL DEFENCE, UNDER DIRECTION OF THE GENERAL STAFF Printer to the King's Most Excellent Majesty 1925

71 World War II - Facts & Figures million served q 12 million deployed q Time served was dependent upon a point system Depended upon battles fought, months served If enough points were totaled, you could go home q 54% of all WW II service-members saw combat They were paid $21/month for their service q Insurance and other costs came out of this amount Richard Severo & Lewis Milford-The wages of War, Simon and Shuster 1989, pp

72 WWII Vets - What US Gov t Did Servicemen's readjustment act of 1944 q 52/20 club q GI Bill Veterans received $20/week for 52 weeks q Allows for transition of industries to peace-time production Veterans received full tuition from any 4-year institution 51% of WW II vets used this benefit VA Home loans q Special discount interest rates for vets Richard Severo & Lewis Milford-The wages of War, Simon and Shuster 1989, pp

73 When They Came To Campus They Were the Campus : Majority of college students were WWII veterans 2.2M vets enrolled in ~ 1,800 Colleges/Universities Average of 1,222/campus 2.2M vets worked on their future 2.2M vets had 4 years of group therapy q They had their future/discussed their past q This combination impacted the suicide rate

74 Suicide Rates among WW II Vets 12.2 per 100,000 (even 5 yrs. later) q 10x lower than WWI, 3x lower the Civil War Potential reasons q Country embraced them q VA was established q 52/20 club kept them from needing to work right away q GI Bill allowed them to gather on campus q Can talk about their experiences before class q Unit Cohesion re-created on campuses Robert H. Stretch, "Follow-Up Studies of Veterans," in War Psychiatry (Falls Church, VA: U.S. Army Office of the Surgeon General, 1995).

75 Korean War June 27, January 31, Million troops enlisted/drafted Average length of service - 12 months 1,282,016 deployed to Korea q Maximum combat tour - 9 months q 19% saw combat At the time, it was still a Police Action q Not a war DATA ON VETERANS OF THE KOREAN WAR Assistant Secretary for Planning and Analysis Office of Program and Data Analyses June 2000

76 Korean War What the Government Provided GI Bill continued but modified for Korean vets q No more direct payment to colleges Vets given a monthly sum of $110 q To cover tuition, books, living expenses 43% of Korean vets used this benefit No 52/20 club q Korean vets received $26 for 26 weeks for unemployment/transition compensation Richard Severo & Lewis Milford-The wages of War, Simon and Shuster 1989, pp

77 Korean Vets Suicide Rate Suicide rate among Korean Army vets q 17.2 per 100,000 during and right after wars end vs 12.2 per 100,000 of WW 2 vets back home q Data collected from Yessler PSYCHIATRY IN THE U.S. ARMY:Lessons for Community Psychiatry By Albert Julius Glass, M.D., F.A.P.A.*Franklin D. Jones, M.D., F.A.P.A.** Edited by Franklin D. Jones, M.D., F.A.P.A. Linette R. Sparacino, M.A. Joseph M. Rothberg, Ph.D.

78 Vietnam War - Facts & Figures 9,087,700 served on active duty 1964 to 73 q 3,403,100 served in Southeast Asia q 2,594,000 deployed to Vietnam 58,220 killed, 303,644 wounded q 40-60% were exposed to combat conditions Average age of soldier 19.2 years q Much younger than all previous wars q 11,645 killed were less than 20 years old Deployment was for 1.0 years

79 What They Came Home To They were flown home within 24 hrs. of leaving q When 12 months were completed The 12 month time-frame caused issues q New enlistees were flown into a new unit No time for Unit Mentality to develop q When time was completed, no long good-byes No bond created for support there or back home q Vietnam vets back home didn t draw on each other for support right away War Psychiatry-Textbook of Military Medicine, Chapter 18 Follow up studies on veterans Robert H. Stretch PhD.

80 What They Came Home To US Government No post deployment briefing/transition period q Picked up from Saigon, Landed home < 18hrs GI Bill was scaled back even more q Initially Less $ per month than Korean GI Bill period q Campuses were not vet friendly Vets didn t want to even think about going there No 52/20 club, no unemployment compensation VA health care system not prepared for the cases Richard Severo & Lewis Milford-The wages of War, Simon and Shuster 1989, pp

81 Vietnam Veteran Suicide/Mortality Rate During mid-early 1970 s, 19.6 per 100,000 q 40% higher than that of their nonveteran peers q 72% higher than that of the Vietnam-era veteran who did not serve in Vietnam q Alcoholism rate 40% higher than non-veterans 60% higher than WW II or Korean veterans 17% higher mortality rate of Vietnam era veterans q 95% higher automobile accident mortality rate q 60% higher rate for accidental poisoning (drug overdose) Felde, 422 So. 2d at 377 A Post-Vietnam Pattern?, Wash. Post, Feb. 11, 1987,

82 Overall Suicide Rate Summary Suicide Rates per 100,000 q Civil war - 30 q WW I q WW II q Korea q Vietnam q OEF/OIF(age 20-29) - 46

83 % of vets on campus GI Bill era WW II- q Korea 1951-Total college enrollment-2,101, Total vet enrollment-1,870,000 q 88.9% of campus enrollment were veterans q Campus veteran friendly environment established Suicide Rate- 12 per 100, Total college enrollment-2,918, Total vet enrollment-2,312,000 -WWII & Korean vets q 79.2% of campus enrollment were veterans q Somewhat campus vet friendly environment established Suicide Rate- 17 per 100,000 This data compiled from the DOE enrollment data, 1947 to present

84 % of vets on campus GI Bill era Vietnam Total college enrollment-11,184, Total vet enrollment-2,019,733 q 18.0% of campus enrollment were veterans Suicide Rate- 19 per 100,000 q Presently 2011-Total college enrollment-21,016, Total vet enrollment- 962, %% of campus enrollment are veterans q Suicide Rate- 45 per 100,000 As the % of vets on campus drops Suicide Rate increases This data compiled from the DOE enrollment data, 1947 to present

85 Factors in suicide rate between WWI and WW II veterans They used their GI Bill in very large numbers q Nearly 8.5M used their GI Bill benefits When they went to campus, they were the campus Didn t talk about the war before, during or after class Their education/degree gave them hope for their future* q Rather than dwelling on their past Better future means less reason for suicides *Quote from Milton Greenburg, WW 2 veteran and expert on the GI Bill

86 What is the suicide rate for student veterans today? What is the suicide information on today s student veterans? Does education still help lessen the need for suicide being the only option? Can the campuses help reduce the suicide rate? q Provide a better environment (VRC s) to increase graduation among student veterans

87 David Rudd, the scientific director for the U. s National Center for Veterans Studies- Congressional Testimony Suicides among military servicemen and women have surged in recent years. Between 2002 and 2009, army suicides more than doubled. "This problem doesn t go away once somebody separates from service," Rudd said. [See After the Battle: 7 Health Problems Facing Veterans] Rudd and colleagues examined survey results from a nationally representative sample of 525 student veterans whose average age was 26. Nearly all had been deployed to the wars in Iraq or Afghanistan, and close to 60 percent said they had experienced combat. After the Battle: 7 Health Problems Facing Veterans Nov 10, :41 PM ET Maureen Salamon, MyHealthNewsDaily Contributor

88 Rudd Study continued 46% said they had had suicidal thoughts at some point in their lives, 20% reported having suicidal thoughts and a plan to carry it out, about 10% said they thought of suicide very often, 7.7% reported attempting suicide, and 3.8 percent said a suicide attempt was either likely or very likely. Eighty-two percent of those who attempted suicide also struggled with significant post-traumatic stress disorder symptoms, Rudd said. After the Battle: 7 Health Problems Facing Veterans Nov 10, :41 PM ET Maureen Salamon, MyHealthNewsDaily Contributor

89 Impacting the Student Veteran suicide rate Is it higher for those not using their GI Bill? How many total OEF/OIF veterans can we expect to attempt suicide at least once? What is the cost of counseling from the 1 st attempt to recovery? q Less than the cost of a good campus veteran program? Can a Campus Veteran Program reduce this 7.7%? q Federal Dollars for VRC s and CVP s nationwide q Can it increase the number of veterans using their GI Bill? Bring more veterans to campus, reduce the suicide rate for all OEF/ OIF veterans

90 1 st attempt suicides prevented in region/on campus Academic year with 2,440 student veterans on UW campus 1 st attempt suicide rate among student vets- 7.7% q Expect 188 student veterans to attempt suicide Create a good campus veteran program with a VRC- reduce 1 st attempt rate by 50% Save 94 student vets from attempting suicide on the campus of Univ of Washington

91 Impact of Univ of Washington Campus Veteran Program academic year Financial q Campus- $30M q Community- $26M q Total- $56M Human Impact q Homelessness prevented- 101 q 1 st attempt suicides from Univ of Washington student veterans NOT happening- 94 q 1,064 children impacted All by having OMF CSRV helping you

92 How well does the Business plan work? OMF CSRV has provided business plans to over 50 campuses nationwide q Both in person and by Many of these campuses have started VRC s based upon this information Here are a few..

93 Results from Hiram College From: Rood, Donna B. Sent: Wed 1/26/2011 2:21 PM To: Faculty; Staff; Class of 2011; Class of 2012; Class of 2013; Class of 2014; Weekend College Students; Graduate MAIS Students Subject: Message from the President To the campus community, I am delighted to share additional good news with you this week. Our friend and former trustee Chuck Miller has given $500,000 to Campus A through the estate of his parents, Paul C. and Kathryn W. Miller. Chuck s wishes are that we use the money to renovate Miller Dining Hall as the new home for student support services and for our new efforts to recruit and provide support to military personnel returning to civilian life. The funding will be used to complete the renovation of Miller and to create an endowment to support programs related to the work done by Kathryn Craig, Frank Hemphill, and their colleagues in Student Life. In his letter to me announcing the gift, Chuck said I am certain that our mother and father would be pleased and delighted that their contribution to Campus A would be used for these activities. Both of them were very strong believers in education and the opportunities that can result from learning for not only the individual student s career, but his or her family and the communities in which they live. This is a wonderful gift from Chuck and his wife, Judie, that enables us to advance the support we provide to our student body. Tom Chema

94 Terra Community College New Veterans Center at Terra State Opens For most of her career at Terra State Community College, Joyce Spencer has been an advocate for armed forces veterans. Now she has, well, an army of supporters. Thanks to a push from administration, the hard work of maintenance and housekeeping employees, and Spencer s steady guidance, the new Terra State Veterans Center opened on Nov. 15, 2012 It features four computer work stations, a conference room with white board, and a lounge area with a flat screen television. A coffee maker, microwave, refrigerator and sink round out all the comforts of home

95 Results from Eastern Washington From: John Schupp Sent: Friday, October 07, :59 AM To: Millet, David Subject: Re: Veteran's Mentoring Program David, great talking with you today- Attached is a file of those that have returned and checked in with their VA since 9/11 as of Oct 2010 (they update every october) I have the numbers for Eastern Washington Counties in yellow, you have a total of 4,470 Post 9-11 veterans available. This data is from the Ombudsman's office of the VA in DC. If you could have the attached spreadsheet filled in as best as you can, I can provide you with the cost analysis and financial impact of what your campus has provided to the region so far, and project what it could do in the future- Kind Regards J. Schupp University On Thu, Oct 6, 2011 at 1:27 PM, Millet, David <dmillet@ewu.edu> wrote: John we participated in the Sept 15 th webinar and would like to get some information. One of the slides mentioned you could provide the number of post 9-11 vets that have returned back home to your county-aka- your market We are located in eastern Washington state in Spokane county and draw many of our students from eastern Washington counties. Is it possible to get this date from you. Thanks-Dave M. David Millet Director of Advancement, College of Business and Public Administration, College of Social and Behavioral Sciences, Eastern Washington University, 102 Hargreaves Hall, Cheney, Wa 99004

96 On Mon, Jul 16, 2012 at 7:58 PM, Millet, David wrote: John I wanted to pass on a thank you and the below links to our opening of the EWU Veterans Resource Center. Part of the success of this project had to do with the information you provided last fall in ROI and from a purely business sense why we should do a better job of recruiting, retaining and graduating veterans. First link is to photos of the opening although still a work in progress. news/military- center.xml So EWU is moving forward and we look forward to assisting many more veterans in the future. Best,Dave M. David Millet Director of Advancement, College of Business and Public Administration, College of Social and Behavioral Sciences, Eastern Washington University, 102 Hargreaves Hall, Cheney, Wa 99004

97 Let OMF CSRV Help You Help your local veterans We can save this generation and make it The Next Great Generation (440)