The Waco VA is a center of excellence with strong community and political support.

2. The Waco VA is a center of excellence with strong community and political support.

3. A win-win situation that dovetails with selected Price Waterhouse options and effectively accomplishes VA goals.

4. Barbara Tate Heart of Texas Region Mental Health Mental Retardation Center

5. The Waco VA is “the” place for caring • In operation for 73 years • Veterans with serious mental help needs consistently increase • Over 17,000 veterans from the Central Texas area have come to Waco for treatment • Provides more long-term care than any other VA facility in the country

6. Basis for Development of Continuum Care • 25 out of 26 of the residential care homes are in Waco in addition to those living in their own homes • State and local facility mental health bed capacity is extremely limited. Most are unable to accept patients 85% of the time

7. Basis for Development of Continuum Care • Amount of patients with PTSD increased 42% from 1998 to 2003 • Needed treatment programs for women • Impact of the War on Terror with soldiers returning to Ft. Hood needing treatment

8. The Waco VA meets the goals embraced in George Bush’s New Freedom Commission Report on Mental Health

9. New Freedom Commission Goals • Mental health is essential to overall health • Mental health is consumer and family driven • Planning and partnerships • Support for incarcerated veterans • Focus on supportive housing • Counseling for family members

10. New Freedom Commission Goals • Disparities in mental health are eliminated • Early mental health screening, assessment, and referral to services are common practice • Excellent mental health care is delivered and research is accelerated • Technology is used to access mental health care and information

11. VA Blind Rehab Unit • 63% increase in the need for this program by 2015 • Currently 2,400 people on national waiting list per year • Location issues

13. Dr. Nancy Speck

14. Show Video

15. Dr. Clay Sawyer

16. Veteran Mental Health Needs • Inpatient care • Stand alone • Returning veterans • Community partnerships

17. Kent Keahey President of Providence Healthcare Network

18. Financial Areas of Concern: • Revenue for Psychiatric Care • Operating Costs of Vacant Space • Laundry & Austin Financial Services Center • General, Special Purpose & Carry-Over Funding

19. Local Market Analysis of Care: • Providence DePaul Center- 22 adult beds available & only 12 ICU beds at capacity 75% of the time • Hillcrest Baptist Medical Center- does not offer psychiatric services • Community Residential Care Homes- 150 veterans in 26 homes served by the Central Texas VA

20. Business Plan Options for Inpatient: • BPO 1 - Utilize existing Waco VAMC • BPOs 2 thru 9 • BPOs 14 thru 17 • BPO 10 – Adds VBA and domiciliary to Waco campus • BPO 11 – Adds research center and domiciliary to Waco campus • BPO 12 – Adds domiciliary to Waco campus. Nursing home care is purchased from local community • BPO 13 – Department of Defense collaboration. Vacates campus Move combinations of services to Temple

21. Sarah Roberts Greater Waco Chamber of Commerce

22. Waco Chamber of Commerce • Assisting in identification of reuse opportunities & making them development-ready • Single point of contact to facilitate reuse • Expertise to develop cost-effective strategies to overcome development challenges

24. Mary Gibson NAMI Veterans Council

25. Bill Mahon Veteran

28. Mayor Virginia DuPuy City of Waco

29. The community supports BPO 1, 10 and 11 • In support of: • Cooperation on property issues • VA resource committee • Rich array of community collaborations

30. Former Mayor Linda Ethridge City of Waco