Transcript Mental Health Clinic Operations

Ch 2,8
• 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.
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Mental Health Clinic
Alcohol and Substance Abuse Clinic
Family Advocacy
Resiliency Element
Director of Psychological Health
Suicide Prevention
• 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
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Tx (therapy, meds, combo)
Assessment
Command (CC) consultation
Psychoeducational Briefings
Clearances
Coordinate intensive care
Svcs by appointment and walk-in
• 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
• USAF: Alcohol and Drug Abuse Prevention and
Treatment (ADAPT)
• USA: Army Substance Abuse Program (ASAP)
• USN: Substance Abuse Rehabilitation Program
(SARP)
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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, referral eval: abuse, dependence, neither
Lvls of care .5, I, II, III
Aftercare tx for dependence after inpt tx
Psychoeducation for abuse
• 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
• 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
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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
• 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
• 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
• AF Guide for Managing Suicidal Behavior
– Annual Training
– 18 initiatives
– Not mandates, recommendations for clinical mgmt
• Developing Wingman, Battle Buddy culture
– Ask
– Care
– Escort
• Efforts to destigmatize MH care, MFLC, Military
OneSource, Chaplain, unit support
• Outreach, Svc wide education
• DoDSER—Means for suicide event reporting
across svcs
Kristen Freeman, LCSW
Suicide Prevention Coordinator
VA Gulf Coast Health Care System