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Military Mental Health Operations

Military Mental Health Operations. Ch 2,8. Disclaimer.

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Military Mental Health Operations

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  1. Military Mental Health Operations Ch 2,8

  2. Disclaimer • Information and opinions expressed by Maj Dhillon and other military/government employees providing lectures are not intended/should not be taken as representing the policies and views of the Department of Defense, its component services, or the US Government.

  3. Overview • Mental Health Clinic • Alcohol and Substance Abuse Clinic • Family Advocacy • Resiliency Element • Director of Psychological Health • Suicide Prevention

  4. Mental Health Clinic • Providers have clinical skills to eval/treat any disorder & arrange for higher level of care PRN • Serve AD, dependents, retirees, foreign svc mbrs/dependents, nationals of foreign countries, enemy combatants • Composed of AD Os/Es, contractor, & GS providers • Multidisciplinary • Governed by Department, Service, & Unit lvl instructions

  5. Mental Health Clinic • Tx (therapy, meds, combo) • Assessment • Command (CC) consultation • Psychoeducational Briefings • Clearances • Coordinate intensive care • Svcs by appointment and walk-in

  6. Mental Health Clinic • Access to care 72 hours for initial appt, immediate for crisis • Case load 4 pts for 50 min appts • Prescribers 50 min for intial/complex pt; 30 min for refills • Duty limiting conditions (DLCs) • High Interest pts • Inpatient unit discharge evals • After hours consultation

  7. Alcohol And Substance Abuse Tx • USAF: Alcohol and Drug Abuse Prevention and Treatment (ADAPT) • USA: Army Substance Abuse Program (ASAP) • USN: Substance Abuse Rehabilitation Program (SARP)

  8. Alcohol And Substance Abuse Tx • Usually one officer and multiple MH techs • MH techs play large role in clinical care • MH techs can obtain CADAC certification • Medical Director to review labs • Prevention events across installation • Coord care with MHC for dual dx • ARI, referraleval: abuse, dependence, neither • Lvls of care .5, I, II, III • Aftercare tx for dependence after inpttx • Psychoeducation for abuse

  9. Alcohol and Substance Abuse Tx • Deglamorize alcohol use across the services • DoD: If CC or medical personnel suspect misuse of ETOH or any illicit or Rx, referral to clinic mandatory • Self referrals recommended, no adverse job impact • Alcohol Related Incident (ARI) on base police blotter released to clinic • Any incident where someone was under the influence by any degree • ARI referrals most often lead to administrative action • No medical benefits if discharged from svc for ETOH/Substance disorder

  10. Family Advocacy • Healthy families are better for svc mbrs and mission • Mainly LCSW • Manage cases of child maltreatment, domestic violence • High visibility • Svc mbrs removed from duty if guilty of domestic violence—Lautenberg Amendment

  11. Family Advocacy • New Parent Support • Educational resources for new families • Home support visits for new mothers • Free car seat and car seat safety instruction • Support for families with Special Needs • Marital/Family Therapy

  12. Resiliency Element • Newest Element in AF Mental Health Flights • Responsible for outreach for each element • Officer sits on board for installation’s leadership in area of health, welfare, morale

  13. Director of Psychological Health • Advisor to installation’s CC on issues related to the mental health of the force • Higher ranking mental health provider • Suicide prevention coordinator • Track suicide related activity • Most likely is officer appointed for Resiliency

  14. Suicide Prevention • AF Guide for Managing Suicidal Behavior • Annual Training • 18 initiatives • Not mandates, recommendations for clinical mgmt • Developing Wingman, Battle Buddy culture • Ask • Care • Escort

  15. Suicide Prevention • Efforts to destigmatize MH care, MFLC, Military OneSource, Chaplain, unit support • Outreach, Svc wide education • DoDSER—Means for suicide event reporting across svcs

  16. Suicide Prevention Kristen Freeman, LCSW Suicide Prevention Coordinator VA Gulf Coast Health Care System

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