Transcript Slide 1

Select SLIDE MASTER to Insert Briefing Title Here
Child and Family Behavioral Health
MCEC 2012 National Training Seminar
Paul Ban, Ph.D.
Child, Adolescent and Family Behavioral Health Office
United States Army Medical Command
28 June 2012
UNCLASSIFIED
Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address
7-Jul-15
Select SLIDE MASTER to Insert Briefing Title Here
DISCLAIMER
The opinions or assertions contained
herein are the private views of the
authors and are not to be construed as
official or reflecting the views of the
Department of the Army or the
Department of Defense.
Name/Office
Symbol/(703)
XXX-XXX
/ email
address
Paul Ban Ph.D./
MCHO-CL-C
(BHO) / (DSN
(253) XXX)
968-4726
(DSN
782) / [email protected]
UNCLASSIFIED
Slide 2 of 17
28 June 2012
7-Jul-15
Select SLIDE MASTER to Insert Briefing Title Here
Name/Office
Symbol/(703)
XXX-XXX
/ email
address
Paul Ban Ph.D./
MCHO-CL-C
(BHO) / (DSN
(253) XXX)
968-4726
(DSN
782) / [email protected]
UNCLASSIFIED
Slide 3 of 17
28 June 2012
7-Jul-15
Select SLIDE MASTER to Insert Briefing Title Here
BEHAVIORAL HEALTH SYSTEM OF CARE
Name/Office
Symbol/(703)
XXX-XXX
/ email
address
Paul Ban Ph.D./
MCHO-CL-C
(BHO) / (DSN
(253) XXX)
968-4726
(DSN
782) / [email protected]
UNCLASSIFIED
Slide 4 of 17
28 June 2012
7-Jul-15
Select
SLIDE MASTER
to Insert Briefing
Title Here
GOALS
POPULATION
BASED
MEDICAL/BEHAVIORAL PROGRAMS
• Child/Student Level, e.g., decreased absences, increased
grades, fewer behavior problems
• Family Level, e.g., increased cohesion and functioning,
decreased family violence, Soldier Readiness
• Community/School Level, e.g., decreased aggressive
incidents, improved climate, better overall performance
• System Level - Develop Resiliency and Unit Readiness
The Army Family is the deployable Unit!
Name/Office
Symbol/(703)
XXX-XXX
/ email
address
Paul Ban Ph.D./
MCHO-CL-C
(BHO) / (DSN
(253) XXX)
968-4726
(DSN
782) / [email protected]
UNCLASSIFIED
Slide 5 of 17
28 June 2012
7-Jul-15
Select SLIDE MASTER to Insert Briefing Title Here
OUTREACH & PREVENTION
“Definitions of Promotion and Prevention Interventions,” National Research Council and Institute of
Medicine of the National Academics (2009). In: Preventing Mental, Emotional, and Behavioral Disorders
Among Young People: Progress and Possibilities.
Mental health promotion interventions (Definition): Usually targeted to the general public or a whole
population. Interventions aim to enhance individuals’ ability to achieve developmentally appropriate tasks
(competence) and a positive sense of self esteem, mastery, well-being, and social inclusion, and
strengthen their ability to cope with adversity.
Universal preventive interventions (Definition): Targeted to the general public or a whole population
that has not been identified on the basis of individual risk. The intervention is desirable for everyone in that
group. Universal interventions have advantages when their costs per individual are low, the intervention is
effective and acceptable to the population, and there is a low risk from the intervention.
Selective preventive interventions (Definition): Targeted to individuals or a population subgroup whose
risk of developing mental disorders is significantly higher than average. The risk may be imminent or it
may be a lifetime risk. Risk groups may be identified on the basis of biological, psychological, or social risk
factors that are known to be associated with the onset of a mental, emotional, or behavioral disorder.
Selective interventions are most appropriate if their cost is moderate and if the risk of negative effects is
minimal or nonexistent.
Indicated preventive interventions (Definition): Targeted to high-risk individuals who are identified as
having minimal but detectable signs or symptoms foreshadowing mental, emotional, or behavioral
disorder, or biological markers indicating predisposition for such a disorder, but who do not meet
diagnostic levels at the current time. Indicated interventions might be reasonable even if intervention costs
are high and even if the intervention entails some risk.
Name/Office
Symbol/(703)
XXX-XXX
/ email
address
Paul Ban Ph.D./
MCHO-CL-C
(BHO) / (DSN
(253) XXX)
968-4726
(DSN
782) / [email protected]
UNCLASSIFIED
Slide 6 of 17
28 June 2012
7-Jul-15
Select SLIDE MASTER to Insert Briefing Title Here
CHILD AND FAMILY ASSISTANCE CENTERS
Integrate and provide direct Behavioral Health Support for Army Children and their
Families
-- Provides range of direct care
-- A convenient “gateway” for Children & Families (C & F)
-- Manages the Child & Family System of Care for the Military
Treatment Facility
-- Serves as principal interface for other agencies providing
services (Installation Mngt. Command, local community)
CAFAC
Manages
Interface
Embedded C & F Beh.
Health Services (in
housing areas, Primary
Care, Medical Homes,
units, Child Devlpt.
Cntrs., Schools (SBH),
and others as desired
Interface
Civilian
Services in
the Local
Community
Installation
Management
Command
Services
(IMCOM)
Name/Office
Symbol/(703)
XXX-XXX
/ email
address
Paul Ban Ph.D./
MCHO-CL-C
(BHO) / (DSN
(253) XXX)
968-4726
(DSN
782) / [email protected]
UNCLASSIFIED
Slide 7 of 17
28 June 2012
7-Jul-15
Select SLIDE MASTER
Insert Briefing Title Here
CAFACtoDEVELOPMENT:
PROBLEMS WITH THE PREVIOUS SYSTEM AT JBLM
• Difficult for providers and families to know where to get
care
– Multiple points of entry
– Multiple phone numbers
• Overlap of services
• Duplication of effort
• Gaps/”white space” in services
• Lack of communication between disciplines
• Frequent changes in availability of services for adults
depending on the active duty mission.
Name/Office
Symbol/(703)
XXX-XXX
/ email
address
Paul Ban Ph.D./
MCHO-CL-C
(BHO) / (DSN
(253) XXX)
968-4726
(DSN
782) / [email protected]
UNCLASSIFIED
Slide 8 of 17
28 June 2012
7-Jul-15
Select SLIDE MASTER to Insert Briefing Title Here
CAFAC CLINICAL SERVICES
• Multidisciplinary Services
– Psychiatry, Nurse Practitioner, Psychologists, LCSWs, Case
Management
• Individual
• Family
• Couples/Marital
• Group
• Outreach & Prevention
Name/Office
Symbol/(703)
XXX-XXX
/ email
address
Paul Ban Ph.D./
MCHO-CL-C
(BHO) / (DSN
(253) XXX)
968-4726
(DSN
782) / [email protected]
UNCLASSIFIED
Slide 9 of 17
28 June 2012
7-Jul-15
Select SLIDE MASTER
to InsertOUTREACH
Briefing Title Here
EXAMPLES
OF CAFAC
&
PREVENTION
• Outreach efforts are tied to the Army’s deployment cycle
–
Community events:
•
•
•
•
•
•
–
Expectant/New Parents Health & Wellness Expo
Kids’ Fest, Military Family Nights
WA Military and Kids’ Summit (Tacoma)
Foster Care Partnership (Pierce County)
Parent University
WA State Children’s Justice Conference
Briefings:
• Family Readiness Support Assistants training, units
• Steering Committees
• Community Speaking Engagements, Chaplain programs, Madigan staff
–
Partnerships:
• Army Community Services: shared briefings
• Collaboration with chaplains (Marriage & Family therapists workshops with chaplains)
• Ongoing coordination with the installation during redeployment of 18,000 troops
–
Groups:
• Relationship Workshops
• Emotional Regulation
• Trauma Focused Couples Therapy
Name/Office
Symbol/(703)
XXX-XXX
/ email
address
Paul Ban Ph.D./
MCHO-CL-C
(BHO) / (DSN
(253) XXX)
968-4726
(DSN
782) / [email protected]
UNCLASSIFIED
Slide 10 of 17
28 June 2012
7-Jul-15
Select SLIDE MASTER to Insert Briefing Title Here
SCHOOL BEHAVIORAL HEALTH PROGRAMS
Name/Office
Symbol/(703)
XXX-XXX
/ email
address
Paul Ban Ph.D./
MCHO-CL-C
(BHO) / (DSN
(253) XXX)
968-4726
(DSN
782) / [email protected]
UNCLASSIFIED
Slide 11 of 17
28 June 2012
7-Jul-15
Select SLIDE MASTER to Insert Briefing Title Here
SBH CLINICAL SERVICES
• Partnership between Madigan Hospital, JBLM and Clover
Park School District
• Serves six post elementary schools; expanding “beyond
the gates”
• Embedded Behavioral Health:
– Licensed Child & Adolescent Psychiatrist
– Two Licensed Clinical Psychologists (Child and Adolescent
specialty; Pediatric Neuropsychologist)
– Six Licensed Clinical Social Workers
• One provider asset per school; works with existing
resources
• Child Psychiatrist - mobilized
• Evidence Based Treatment
Name/Office
Symbol/(703)
XXX-XXX
/ email
address
Paul Ban Ph.D./
MCHO-CL-C
(BHO) / (DSN
(253) XXX)
968-4726
(DSN
782) / [email protected]
UNCLASSIFIED
Slide 12 of 17
28 June 2012
7-Jul-15
Select SLIDE MASTER to Insert Briefing Title Here
SBH CLINICAL SERVICES (2)
• Psychiatric diagnosis / evaluation
• Psychiatric medication evaluation and management
• Psychiatric emergency evaluation
• Individual and Family Therapy
• Behavioral Health case management for SBH students
• Psychoeducational and therapeutic groups
• Prevention and wellness/resilience
• “Curbside” consultation
• Universal Emotional
Screening Pilot
Name/Office
Symbol/(703)
XXX-XXX
/ email
address
Paul Ban Ph.D./
MCHO-CL-C
(BHO) / (DSN
(253) XXX)
968-4726
(DSN
782) / [email protected]
UNCLASSIFIED
Slide 13 of 17
28 June 2012
7-Jul-15
Select SLIDE MASTER to Insert Briefing Title Here
TIERED INTERVENTION
SBH services
capture High-Risk
students (Tier 3)
Name/Office
Symbol/(703)
XXX-XXX
/ email
address
Paul Ban Ph.D./
MCHO-CL-C
(BHO) / (DSN
(253) XXX)
968-4726
(DSN
782) / [email protected]
UNCLASSIFIED
Slide 14 of 17
28 June 2012
7-Jul-15
Select SLIDE MASTER
to Insert Briefing Title Here
TIERED
INTERVENTION(2)
…the “At-Risk” Students (Tier 2)
• Groups:
–
–
–
–
–
–
–
–
“Coping CAT” – Anxiety
Social Skills
Leadership-Positive Behavior
Communication & Feelings
“Buddy Lunches” & Mentoring
Activities (brigade basketball, Peer
Mediators)
Sibling Communication & Behavior
Stress Management
Anger Management
Name/Office
Symbol/(703)
XXX-XXX
/ email
address
Paul Ban Ph.D./
MCHO-CL-C
(BHO) / (DSN
(253) XXX)
968-4726
(DSN
782) / [email protected]
…and Promotes Prevention (Tier 1)
• Kids:
–
•
•
Deployment Group (the effects of
deployment and reintegration)
– Understanding and Combating Bullies
– Transition Group (5th graders)
Parents:
– Parent-Child Play Group
– Common Sense Parenting; 1-2-3 Magic
– Parent Support Groups
Teachers/Providers:
– Child and Family Process Action Team;
Health and Resiliency Promotion Board
– “Copier Chat” – targeted information delivery
– Brown Bag Series – diagnostic and
intervention specific; “Ask a Doc”
– Health & Fitness – Walk/Run group; Crafting
– Participant in the WA State Autism Coalition
– Campaign of Kindness – “filling someone
else’s ‘bucket’”
UNCLASSIFIED
Slide 15 of 17
28 June 2012
7-Jul-15
Select SLIDE MASTER to Insert Briefing Title Here
CONTINUOUS FEEDBACK LOOP
Process Action Team
Advisory Group
Advisory Council
Consultation
•Shared Goals
•Sense of Community
Triage
•Increased Awareness/Education
•Support of School’s Needs
•Desire to Contribute (resources,
subject matter expertise, time,
etc.)
Support of Military
Children and Families
Name/Office
Symbol/(703)
XXX-XXX
/ email
address
Paul Ban Ph.D./
MCHO-CL-C
(BHO) / (DSN
(253) XXX)
968-4726
(DSN
782) / [email protected]
UNCLASSIFIED
Slide 16 of 17
28 June 2012
7-Jul-15
Select SLIDE MASTER to Insert Briefing Title Here
Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address
Slide 17 of
7-Jul-15