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Slide 1 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09
Slide 2 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government.
Slide 3 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do
Slide 4 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned
Slide 5 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology
Slide 6 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues
Slide 7 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services
Slide 8 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty
Slide 9 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues
Slide 10 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life
Slide 11 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life 11 Substance Misuse: A Clear and Present Danger AF average of ~ 5300 Alcohol Related Incidents/Year (e.g. DUI/DWI & underage drinking) Alcohol misuse is involved in: 33% of suicides 57% sexual assaults 28.5% domestic violence cases 20-25% PMV accidents “Alcoholism” should not be our sole focus! Substance misuse directly impacts mission effectiveness… PREVENTION + DETECTION + TREATMENT = SUCCESS
Slide 12 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life 11 Substance Misuse: A Clear and Present Danger AF average of ~ 5300 Alcohol Related Incidents/Year (e.g. DUI/DWI & underage drinking) Alcohol misuse is involved in: 33% of suicides 57% sexual assaults 28.5% domestic violence cases 20-25% PMV accidents “Alcoholism” should not be our sole focus! Substance misuse directly impacts mission effectiveness… PREVENTION + DETECTION + TREATMENT = SUCCESS ADAPT SERVICES: EVALUATION AND EDUCATION All Referrals Receive: Initial diagnostic evaluations 6-hour Substance Abuse Awareness Seminar (SAAS) Alcohol Brief Counseling, pilot testing at 15 bases 85+% success = No further ARM   Education Topics - Military and civilian standards -Hazards of binge drinking - Individual responsibilities -Family Dynamics of substance abuse - Legal/administrative consequences -DUI/DWI education - Facts and statistics about alcohol -Drug abuse education - Physical and psychological effects -Values clarification - Impact on self, others, and community -Healthy stress management - Biopsychosocial Model of addiction -Decision-making and goal setting skills
Slide 13 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life 11 Substance Misuse: A Clear and Present Danger AF average of ~ 5300 Alcohol Related Incidents/Year (e.g. DUI/DWI & underage drinking) Alcohol misuse is involved in: 33% of suicides 57% sexual assaults 28.5% domestic violence cases 20-25% PMV accidents “Alcoholism” should not be our sole focus! Substance misuse directly impacts mission effectiveness… PREVENTION + DETECTION + TREATMENT = SUCCESS ADAPT SERVICES: EVALUATION AND EDUCATION All Referrals Receive: Initial diagnostic evaluations 6-hour Substance Abuse Awareness Seminar (SAAS) Alcohol Brief Counseling, pilot testing at 15 bases 85+% success = No further ARM   Education Topics - Military and civilian standards -Hazards of binge drinking - Individual responsibilities -Family Dynamics of substance abuse - Legal/administrative consequences -DUI/DWI education - Facts and statistics about alcohol -Drug abuse education - Physical and psychological effects -Values clarification - Impact on self, others, and community -Healthy stress management - Biopsychosocial Model of addiction -Decision-making and goal setting skills ADAPT Services: Treatment Patients with substance use disorder receive treatment Alcohol Abuse / Alcohol Dependence Treatment options: Outpatient, Intensive Outpatient, Partial or Full Hospitalization Programs as clinically indicated Family and unit involvement Duration ~4 - 24 months Successful completion of treatment is condition for continued employment “Treatment failure” AF rate = ~2%
Slide 14 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life 11 Substance Misuse: A Clear and Present Danger AF average of ~ 5300 Alcohol Related Incidents/Year (e.g. DUI/DWI & underage drinking) Alcohol misuse is involved in: 33% of suicides 57% sexual assaults 28.5% domestic violence cases 20-25% PMV accidents “Alcoholism” should not be our sole focus! Substance misuse directly impacts mission effectiveness… PREVENTION + DETECTION + TREATMENT = SUCCESS ADAPT SERVICES: EVALUATION AND EDUCATION All Referrals Receive: Initial diagnostic evaluations 6-hour Substance Abuse Awareness Seminar (SAAS) Alcohol Brief Counseling, pilot testing at 15 bases 85+% success = No further ARM   Education Topics - Military and civilian standards -Hazards of binge drinking - Individual responsibilities -Family Dynamics of substance abuse - Legal/administrative consequences -DUI/DWI education - Facts and statistics about alcohol -Drug abuse education - Physical and psychological effects -Values clarification - Impact on self, others, and community -Healthy stress management - Biopsychosocial Model of addiction -Decision-making and goal setting skills ADAPT Services: Treatment Patients with substance use disorder receive treatment Alcohol Abuse / Alcohol Dependence Treatment options: Outpatient, Intensive Outpatient, Partial or Full Hospitalization Programs as clinically indicated Family and unit involvement Duration ~4 - 24 months Successful completion of treatment is condition for continued employment “Treatment failure” AF rate = ~2% Behavioral Health in Primary Care Act as consultant and member of Primary Care team Support PCM decision making and build on PCM interventions 1-3 brief (~20-30 min) patient consultation sessions: Educate patient in self management skills Improve provider-patient working relationship Effective triage of patients in need of specialty behavioral health Avoid MH stigma—not therapy, no mental health records
Slide 15 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life 11 Substance Misuse: A Clear and Present Danger AF average of ~ 5300 Alcohol Related Incidents/Year (e.g. DUI/DWI & underage drinking) Alcohol misuse is involved in: 33% of suicides 57% sexual assaults 28.5% domestic violence cases 20-25% PMV accidents “Alcoholism” should not be our sole focus! Substance misuse directly impacts mission effectiveness… PREVENTION + DETECTION + TREATMENT = SUCCESS ADAPT SERVICES: EVALUATION AND EDUCATION All Referrals Receive: Initial diagnostic evaluations 6-hour Substance Abuse Awareness Seminar (SAAS) Alcohol Brief Counseling, pilot testing at 15 bases 85+% success = No further ARM   Education Topics - Military and civilian standards -Hazards of binge drinking - Individual responsibilities -Family Dynamics of substance abuse - Legal/administrative consequences -DUI/DWI education - Facts and statistics about alcohol -Drug abuse education - Physical and psychological effects -Values clarification - Impact on self, others, and community -Healthy stress management - Biopsychosocial Model of addiction -Decision-making and goal setting skills ADAPT Services: Treatment Patients with substance use disorder receive treatment Alcohol Abuse / Alcohol Dependence Treatment options: Outpatient, Intensive Outpatient, Partial or Full Hospitalization Programs as clinically indicated Family and unit involvement Duration ~4 - 24 months Successful completion of treatment is condition for continued employment “Treatment failure” AF rate = ~2% Behavioral Health in Primary Care Act as consultant and member of Primary Care team Support PCM decision making and build on PCM interventions 1-3 brief (~20-30 min) patient consultation sessions: Educate patient in self management skills Improve provider-patient working relationship Effective triage of patients in need of specialty behavioral health Avoid MH stigma—not therapy, no mental health records Typical Areas of Consultation
Slide 16 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life 11 Substance Misuse: A Clear and Present Danger AF average of ~ 5300 Alcohol Related Incidents/Year (e.g. DUI/DWI & underage drinking) Alcohol misuse is involved in: 33% of suicides 57% sexual assaults 28.5% domestic violence cases 20-25% PMV accidents “Alcoholism” should not be our sole focus! Substance misuse directly impacts mission effectiveness… PREVENTION + DETECTION + TREATMENT = SUCCESS ADAPT SERVICES: EVALUATION AND EDUCATION All Referrals Receive: Initial diagnostic evaluations 6-hour Substance Abuse Awareness Seminar (SAAS) Alcohol Brief Counseling, pilot testing at 15 bases 85+% success = No further ARM   Education Topics - Military and civilian standards -Hazards of binge drinking - Individual responsibilities -Family Dynamics of substance abuse - Legal/administrative consequences -DUI/DWI education - Facts and statistics about alcohol -Drug abuse education - Physical and psychological effects -Values clarification - Impact on self, others, and community -Healthy stress management - Biopsychosocial Model of addiction -Decision-making and goal setting skills ADAPT Services: Treatment Patients with substance use disorder receive treatment Alcohol Abuse / Alcohol Dependence Treatment options: Outpatient, Intensive Outpatient, Partial or Full Hospitalization Programs as clinically indicated Family and unit involvement Duration ~4 - 24 months Successful completion of treatment is condition for continued employment “Treatment failure” AF rate = ~2% Behavioral Health in Primary Care Act as consultant and member of Primary Care team Support PCM decision making and build on PCM interventions 1-3 brief (~20-30 min) patient consultation sessions: Educate patient in self management skills Improve provider-patient working relationship Effective triage of patients in need of specialty behavioral health Avoid MH stigma—not therapy, no mental health records Typical Areas of Consultation Family Advocacy Program
Slide 17 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life 11 Substance Misuse: A Clear and Present Danger AF average of ~ 5300 Alcohol Related Incidents/Year (e.g. DUI/DWI & underage drinking) Alcohol misuse is involved in: 33% of suicides 57% sexual assaults 28.5% domestic violence cases 20-25% PMV accidents “Alcoholism” should not be our sole focus! Substance misuse directly impacts mission effectiveness… PREVENTION + DETECTION + TREATMENT = SUCCESS ADAPT SERVICES: EVALUATION AND EDUCATION All Referrals Receive: Initial diagnostic evaluations 6-hour Substance Abuse Awareness Seminar (SAAS) Alcohol Brief Counseling, pilot testing at 15 bases 85+% success = No further ARM   Education Topics - Military and civilian standards -Hazards of binge drinking - Individual responsibilities -Family Dynamics of substance abuse - Legal/administrative consequences -DUI/DWI education - Facts and statistics about alcohol -Drug abuse education - Physical and psychological effects -Values clarification - Impact on self, others, and community -Healthy stress management - Biopsychosocial Model of addiction -Decision-making and goal setting skills ADAPT Services: Treatment Patients with substance use disorder receive treatment Alcohol Abuse / Alcohol Dependence Treatment options: Outpatient, Intensive Outpatient, Partial or Full Hospitalization Programs as clinically indicated Family and unit involvement Duration ~4 - 24 months Successful completion of treatment is condition for continued employment “Treatment failure” AF rate = ~2% Behavioral Health in Primary Care Act as consultant and member of Primary Care team Support PCM decision making and build on PCM interventions 1-3 brief (~20-30 min) patient consultation sessions: Educate patient in self management skills Improve provider-patient working relationship Effective triage of patients in need of specialty behavioral health Avoid MH stigma—not therapy, no mental health records Typical Areas of Consultation Family Advocacy Program Family Advocacy Program OPR for the prevention and treatment of domestic violence Works to reduce the number and severity of family maltreatment incidents Prevent where possible…treat where needed All DoD personnel are mandatory reporters of domestic violence Assess and intervene: physical abuse, emotional abuse, neglect of spouse or child Promotes alliance between leadership, agencies and community to: Facilitate an atmosphere of nonviolence in work and home Encourage member and family asset and skill development Enhance victim safety Build member and family strengths Services provided through Outreach Prevention Program; New Parent Support Program; Treatment Intervention
Slide 18 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life 11 Substance Misuse: A Clear and Present Danger AF average of ~ 5300 Alcohol Related Incidents/Year (e.g. DUI/DWI & underage drinking) Alcohol misuse is involved in: 33% of suicides 57% sexual assaults 28.5% domestic violence cases 20-25% PMV accidents “Alcoholism” should not be our sole focus! Substance misuse directly impacts mission effectiveness… PREVENTION + DETECTION + TREATMENT = SUCCESS ADAPT SERVICES: EVALUATION AND EDUCATION All Referrals Receive: Initial diagnostic evaluations 6-hour Substance Abuse Awareness Seminar (SAAS) Alcohol Brief Counseling, pilot testing at 15 bases 85+% success = No further ARM   Education Topics - Military and civilian standards -Hazards of binge drinking - Individual responsibilities -Family Dynamics of substance abuse - Legal/administrative consequences -DUI/DWI education - Facts and statistics about alcohol -Drug abuse education - Physical and psychological effects -Values clarification - Impact on self, others, and community -Healthy stress management - Biopsychosocial Model of addiction -Decision-making and goal setting skills ADAPT Services: Treatment Patients with substance use disorder receive treatment Alcohol Abuse / Alcohol Dependence Treatment options: Outpatient, Intensive Outpatient, Partial or Full Hospitalization Programs as clinically indicated Family and unit involvement Duration ~4 - 24 months Successful completion of treatment is condition for continued employment “Treatment failure” AF rate = ~2% Behavioral Health in Primary Care Act as consultant and member of Primary Care team Support PCM decision making and build on PCM interventions 1-3 brief (~20-30 min) patient consultation sessions: Educate patient in self management skills Improve provider-patient working relationship Effective triage of patients in need of specialty behavioral health Avoid MH stigma—not therapy, no mental health records Typical Areas of Consultation Family Advocacy Program Family Advocacy Program OPR for the prevention and treatment of domestic violence Works to reduce the number and severity of family maltreatment incidents Prevent where possible…treat where needed All DoD personnel are mandatory reporters of domestic violence Assess and intervene: physical abuse, emotional abuse, neglect of spouse or child Promotes alliance between leadership, agencies and community to: Facilitate an atmosphere of nonviolence in work and home Encourage member and family asset and skill development Enhance victim safety Build member and family strengths Services provided through Outreach Prevention Program; New Parent Support Program; Treatment Intervention Drug Demand Reduction Program All military members are subject to drug testing regardless of rank or status Random selection Maintain chain of custody DDR supports administrative/UCMJ actions All Active Duty Service Members Drug Positives FY03 % personnel with positive drug test(s) DoD Air Force Army Navy Marines 1.26% 0.41% 1.76% 1.21% 1.26%
Slide 19 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life 11 Substance Misuse: A Clear and Present Danger AF average of ~ 5300 Alcohol Related Incidents/Year (e.g. DUI/DWI & underage drinking) Alcohol misuse is involved in: 33% of suicides 57% sexual assaults 28.5% domestic violence cases 20-25% PMV accidents “Alcoholism” should not be our sole focus! Substance misuse directly impacts mission effectiveness… PREVENTION + DETECTION + TREATMENT = SUCCESS ADAPT SERVICES: EVALUATION AND EDUCATION All Referrals Receive: Initial diagnostic evaluations 6-hour Substance Abuse Awareness Seminar (SAAS) Alcohol Brief Counseling, pilot testing at 15 bases 85+% success = No further ARM   Education Topics - Military and civilian standards -Hazards of binge drinking - Individual responsibilities -Family Dynamics of substance abuse - Legal/administrative consequences -DUI/DWI education - Facts and statistics about alcohol -Drug abuse education - Physical and psychological effects -Values clarification - Impact on self, others, and community -Healthy stress management - Biopsychosocial Model of addiction -Decision-making and goal setting skills ADAPT Services: Treatment Patients with substance use disorder receive treatment Alcohol Abuse / Alcohol Dependence Treatment options: Outpatient, Intensive Outpatient, Partial or Full Hospitalization Programs as clinically indicated Family and unit involvement Duration ~4 - 24 months Successful completion of treatment is condition for continued employment “Treatment failure” AF rate = ~2% Behavioral Health in Primary Care Act as consultant and member of Primary Care team Support PCM decision making and build on PCM interventions 1-3 brief (~20-30 min) patient consultation sessions: Educate patient in self management skills Improve provider-patient working relationship Effective triage of patients in need of specialty behavioral health Avoid MH stigma—not therapy, no mental health records Typical Areas of Consultation Family Advocacy Program Family Advocacy Program OPR for the prevention and treatment of domestic violence Works to reduce the number and severity of family maltreatment incidents Prevent where possible…treat where needed All DoD personnel are mandatory reporters of domestic violence Assess and intervene: physical abuse, emotional abuse, neglect of spouse or child Promotes alliance between leadership, agencies and community to: Facilitate an atmosphere of nonviolence in work and home Encourage member and family asset and skill development Enhance victim safety Build member and family strengths Services provided through Outreach Prevention Program; New Parent Support Program; Treatment Intervention Drug Demand Reduction Program All military members are subject to drug testing regardless of rank or status Random selection Maintain chain of custody DDR supports administrative/UCMJ actions All Active Duty Service Members Drug Positives FY03 % personnel with positive drug test(s) DoD Air Force Army Navy Marines 1.26% 0.41% 1.76% 1.21% 1.26% Displays at the BX, Commissary, Community Center, Youth Center, Post Office, Medical Clinic, and Library OCTOBER 25,  WEDNESDAY PUPPET SHOW--Kindergarten, grade 1, 2 and 3 08:40 -- 9:15 --Mrs.  Mailloux, Mrs. Lerner, Mrs.  Edwards, Ms. Beavers 9:30 -- 10:00 -- Mrs. Becker, Mr. Becker, Ms. Glass, Mrs. Weiland DISCUSSION/Question/Answer time Grade 4 and Grade 4/5 11:00 - 11:30 -- Dr. Westbrook and Ms. Sullivan 11:30-1230 High school 12:30-1:30 staffed table at high school OCTOBER 27 FRIDAY DISCUSSION/Question/Answer time Grades 5/6 9:15 -- 9:45 -- Ms. Henderson & Mrs. McVay 10:00 -- 10:30 --Mrs. Wilson 11:30-12:30 Middle School 12:30-1:30 staffed table at middle school Tribase United Against Drugs & Alcohol Abuse
Slide 20 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life 11 Substance Misuse: A Clear and Present Danger AF average of ~ 5300 Alcohol Related Incidents/Year (e.g. DUI/DWI & underage drinking) Alcohol misuse is involved in: 33% of suicides 57% sexual assaults 28.5% domestic violence cases 20-25% PMV accidents “Alcoholism” should not be our sole focus! Substance misuse directly impacts mission effectiveness… PREVENTION + DETECTION + TREATMENT = SUCCESS ADAPT SERVICES: EVALUATION AND EDUCATION All Referrals Receive: Initial diagnostic evaluations 6-hour Substance Abuse Awareness Seminar (SAAS) Alcohol Brief Counseling, pilot testing at 15 bases 85+% success = No further ARM   Education Topics - Military and civilian standards -Hazards of binge drinking - Individual responsibilities -Family Dynamics of substance abuse - Legal/administrative consequences -DUI/DWI education - Facts and statistics about alcohol -Drug abuse education - Physical and psychological effects -Values clarification - Impact on self, others, and community -Healthy stress management - Biopsychosocial Model of addiction -Decision-making and goal setting skills ADAPT Services: Treatment Patients with substance use disorder receive treatment Alcohol Abuse / Alcohol Dependence Treatment options: Outpatient, Intensive Outpatient, Partial or Full Hospitalization Programs as clinically indicated Family and unit involvement Duration ~4 - 24 months Successful completion of treatment is condition for continued employment “Treatment failure” AF rate = ~2% Behavioral Health in Primary Care Act as consultant and member of Primary Care team Support PCM decision making and build on PCM interventions 1-3 brief (~20-30 min) patient consultation sessions: Educate patient in self management skills Improve provider-patient working relationship Effective triage of patients in need of specialty behavioral health Avoid MH stigma—not therapy, no mental health records Typical Areas of Consultation Family Advocacy Program Family Advocacy Program OPR for the prevention and treatment of domestic violence Works to reduce the number and severity of family maltreatment incidents Prevent where possible…treat where needed All DoD personnel are mandatory reporters of domestic violence Assess and intervene: physical abuse, emotional abuse, neglect of spouse or child Promotes alliance between leadership, agencies and community to: Facilitate an atmosphere of nonviolence in work and home Encourage member and family asset and skill development Enhance victim safety Build member and family strengths Services provided through Outreach Prevention Program; New Parent Support Program; Treatment Intervention Drug Demand Reduction Program All military members are subject to drug testing regardless of rank or status Random selection Maintain chain of custody DDR supports administrative/UCMJ actions All Active Duty Service Members Drug Positives FY03 % personnel with positive drug test(s) DoD Air Force Army Navy Marines 1.26% 0.41% 1.76% 1.21% 1.26% Displays at the BX, Commissary, Community Center, Youth Center, Post Office, Medical Clinic, and Library OCTOBER 25,  WEDNESDAY PUPPET SHOW--Kindergarten, grade 1, 2 and 3 08:40 -- 9:15 --Mrs.  Mailloux, Mrs. Lerner, Mrs.  Edwards, Ms. Beavers 9:30 -- 10:00 -- Mrs. Becker, Mr. Becker, Ms. Glass, Mrs. Weiland DISCUSSION/Question/Answer time Grade 4 and Grade 4/5 11:00 - 11:30 -- Dr. Westbrook and Ms. Sullivan 11:30-1230 High school 12:30-1:30 staffed table at high school OCTOBER 27 FRIDAY DISCUSSION/Question/Answer time Grades 5/6 9:15 -- 9:45 -- Ms. Henderson & Mrs. McVay 10:00 -- 10:30 --Mrs. Wilson 11:30-12:30 Middle School 12:30-1:30 staffed table at middle school Tribase United Against Drugs & Alcohol Abuse Traumatic Stress Response Team Team of Mental Health, Chapel, and AFRC personnel Provide support to units and community after traumatic events
Slide 21 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life 11 Substance Misuse: A Clear and Present Danger AF average of ~ 5300 Alcohol Related Incidents/Year (e.g. DUI/DWI & underage drinking) Alcohol misuse is involved in: 33% of suicides 57% sexual assaults 28.5% domestic violence cases 20-25% PMV accidents “Alcoholism” should not be our sole focus! Substance misuse directly impacts mission effectiveness… PREVENTION + DETECTION + TREATMENT = SUCCESS ADAPT SERVICES: EVALUATION AND EDUCATION All Referrals Receive: Initial diagnostic evaluations 6-hour Substance Abuse Awareness Seminar (SAAS) Alcohol Brief Counseling, pilot testing at 15 bases 85+% success = No further ARM   Education Topics - Military and civilian standards -Hazards of binge drinking - Individual responsibilities -Family Dynamics of substance abuse - Legal/administrative consequences -DUI/DWI education - Facts and statistics about alcohol -Drug abuse education - Physical and psychological effects -Values clarification - Impact on self, others, and community -Healthy stress management - Biopsychosocial Model of addiction -Decision-making and goal setting skills ADAPT Services: Treatment Patients with substance use disorder receive treatment Alcohol Abuse / Alcohol Dependence Treatment options: Outpatient, Intensive Outpatient, Partial or Full Hospitalization Programs as clinically indicated Family and unit involvement Duration ~4 - 24 months Successful completion of treatment is condition for continued employment “Treatment failure” AF rate = ~2% Behavioral Health in Primary Care Act as consultant and member of Primary Care team Support PCM decision making and build on PCM interventions 1-3 brief (~20-30 min) patient consultation sessions: Educate patient in self management skills Improve provider-patient working relationship Effective triage of patients in need of specialty behavioral health Avoid MH stigma—not therapy, no mental health records Typical Areas of Consultation Family Advocacy Program Family Advocacy Program OPR for the prevention and treatment of domestic violence Works to reduce the number and severity of family maltreatment incidents Prevent where possible…treat where needed All DoD personnel are mandatory reporters of domestic violence Assess and intervene: physical abuse, emotional abuse, neglect of spouse or child Promotes alliance between leadership, agencies and community to: Facilitate an atmosphere of nonviolence in work and home Encourage member and family asset and skill development Enhance victim safety Build member and family strengths Services provided through Outreach Prevention Program; New Parent Support Program; Treatment Intervention Drug Demand Reduction Program All military members are subject to drug testing regardless of rank or status Random selection Maintain chain of custody DDR supports administrative/UCMJ actions All Active Duty Service Members Drug Positives FY03 % personnel with positive drug test(s) DoD Air Force Army Navy Marines 1.26% 0.41% 1.76% 1.21% 1.26% Displays at the BX, Commissary, Community Center, Youth Center, Post Office, Medical Clinic, and Library OCTOBER 25,  WEDNESDAY PUPPET SHOW--Kindergarten, grade 1, 2 and 3 08:40 -- 9:15 --Mrs.  Mailloux, Mrs. Lerner, Mrs.  Edwards, Ms. Beavers 9:30 -- 10:00 -- Mrs. Becker, Mr. Becker, Ms. Glass, Mrs. Weiland DISCUSSION/Question/Answer time Grade 4 and Grade 4/5 11:00 - 11:30 -- Dr. Westbrook and Ms. Sullivan 11:30-1230 High school 12:30-1:30 staffed table at high school OCTOBER 27 FRIDAY DISCUSSION/Question/Answer time Grades 5/6 9:15 -- 9:45 -- Ms. Henderson & Mrs. McVay 10:00 -- 10:30 --Mrs. Wilson 11:30-12:30 Middle School 12:30-1:30 staffed table at middle school Tribase United Against Drugs & Alcohol Abuse Traumatic Stress Response Team Team of Mental Health, Chapel, and AFRC personnel Provide support to units and community after traumatic events Command Consultation Mental Health Issues Suicide Prevention Violence Prevention Family Maltreatment Prevention Hostage Negotiation Team Consultant Community Issues
Slide 22 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life 11 Substance Misuse: A Clear and Present Danger AF average of ~ 5300 Alcohol Related Incidents/Year (e.g. DUI/DWI & underage drinking) Alcohol misuse is involved in: 33% of suicides 57% sexual assaults 28.5% domestic violence cases 20-25% PMV accidents “Alcoholism” should not be our sole focus! Substance misuse directly impacts mission effectiveness… PREVENTION + DETECTION + TREATMENT = SUCCESS ADAPT SERVICES: EVALUATION AND EDUCATION All Referrals Receive: Initial diagnostic evaluations 6-hour Substance Abuse Awareness Seminar (SAAS) Alcohol Brief Counseling, pilot testing at 15 bases 85+% success = No further ARM   Education Topics - Military and civilian standards -Hazards of binge drinking - Individual responsibilities -Family Dynamics of substance abuse - Legal/administrative consequences -DUI/DWI education - Facts and statistics about alcohol -Drug abuse education - Physical and psychological effects -Values clarification - Impact on self, others, and community -Healthy stress management - Biopsychosocial Model of addiction -Decision-making and goal setting skills ADAPT Services: Treatment Patients with substance use disorder receive treatment Alcohol Abuse / Alcohol Dependence Treatment options: Outpatient, Intensive Outpatient, Partial or Full Hospitalization Programs as clinically indicated Family and unit involvement Duration ~4 - 24 months Successful completion of treatment is condition for continued employment “Treatment failure” AF rate = ~2% Behavioral Health in Primary Care Act as consultant and member of Primary Care team Support PCM decision making and build on PCM interventions 1-3 brief (~20-30 min) patient consultation sessions: Educate patient in self management skills Improve provider-patient working relationship Effective triage of patients in need of specialty behavioral health Avoid MH stigma—not therapy, no mental health records Typical Areas of Consultation Family Advocacy Program Family Advocacy Program OPR for the prevention and treatment of domestic violence Works to reduce the number and severity of family maltreatment incidents Prevent where possible…treat where needed All DoD personnel are mandatory reporters of domestic violence Assess and intervene: physical abuse, emotional abuse, neglect of spouse or child Promotes alliance between leadership, agencies and community to: Facilitate an atmosphere of nonviolence in work and home Encourage member and family asset and skill development Enhance victim safety Build member and family strengths Services provided through Outreach Prevention Program; New Parent Support Program; Treatment Intervention Drug Demand Reduction Program All military members are subject to drug testing regardless of rank or status Random selection Maintain chain of custody DDR supports administrative/UCMJ actions All Active Duty Service Members Drug Positives FY03 % personnel with positive drug test(s) DoD Air Force Army Navy Marines 1.26% 0.41% 1.76% 1.21% 1.26% Displays at the BX, Commissary, Community Center, Youth Center, Post Office, Medical Clinic, and Library OCTOBER 25,  WEDNESDAY PUPPET SHOW--Kindergarten, grade 1, 2 and 3 08:40 -- 9:15 --Mrs.  Mailloux, Mrs. Lerner, Mrs.  Edwards, Ms. Beavers 9:30 -- 10:00 -- Mrs. Becker, Mr. Becker, Ms. Glass, Mrs. Weiland DISCUSSION/Question/Answer time Grade 4 and Grade 4/5 11:00 - 11:30 -- Dr. Westbrook and Ms. Sullivan 11:30-1230 High school 12:30-1:30 staffed table at high school OCTOBER 27 FRIDAY DISCUSSION/Question/Answer time Grades 5/6 9:15 -- 9:45 -- Ms. Henderson & Mrs. McVay 10:00 -- 10:30 --Mrs. Wilson 11:30-12:30 Middle School 12:30-1:30 staffed table at middle school Tribase United Against Drugs & Alcohol Abuse Traumatic Stress Response Team Team of Mental Health, Chapel, and AFRC personnel Provide support to units and community after traumatic events Command Consultation Mental Health Issues Suicide Prevention Violence Prevention Family Maltreatment Prevention Hostage Negotiation Team Consultant Community Issues INDIVIDUAL LEVEL Pre-Screening Treatment Education Discipline BASE LEVEL Awareness Education Prevention Intervention Alternatives COMMUNITY LEVEL Collaboration Responsible Alcohol Service Disciplinary Control Board Alcohol Prevention SME LEADERSHIP CULTURE OF RESPONSIBILITY
Slide 23 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life 11 Substance Misuse: A Clear and Present Danger AF average of ~ 5300 Alcohol Related Incidents/Year (e.g. DUI/DWI & underage drinking) Alcohol misuse is involved in: 33% of suicides 57% sexual assaults 28.5% domestic violence cases 20-25% PMV accidents “Alcoholism” should not be our sole focus! Substance misuse directly impacts mission effectiveness… PREVENTION + DETECTION + TREATMENT = SUCCESS ADAPT SERVICES: EVALUATION AND EDUCATION All Referrals Receive: Initial diagnostic evaluations 6-hour Substance Abuse Awareness Seminar (SAAS) Alcohol Brief Counseling, pilot testing at 15 bases 85+% success = No further ARM   Education Topics - Military and civilian standards -Hazards of binge drinking - Individual responsibilities -Family Dynamics of substance abuse - Legal/administrative consequences -DUI/DWI education - Facts and statistics about alcohol -Drug abuse education - Physical and psychological effects -Values clarification - Impact on self, others, and community -Healthy stress management - Biopsychosocial Model of addiction -Decision-making and goal setting skills ADAPT Services: Treatment Patients with substance use disorder receive treatment Alcohol Abuse / Alcohol Dependence Treatment options: Outpatient, Intensive Outpatient, Partial or Full Hospitalization Programs as clinically indicated Family and unit involvement Duration ~4 - 24 months Successful completion of treatment is condition for continued employment “Treatment failure” AF rate = ~2% Behavioral Health in Primary Care Act as consultant and member of Primary Care team Support PCM decision making and build on PCM interventions 1-3 brief (~20-30 min) patient consultation sessions: Educate patient in self management skills Improve provider-patient working relationship Effective triage of patients in need of specialty behavioral health Avoid MH stigma—not therapy, no mental health records Typical Areas of Consultation Family Advocacy Program Family Advocacy Program OPR for the prevention and treatment of domestic violence Works to reduce the number and severity of family maltreatment incidents Prevent where possible…treat where needed All DoD personnel are mandatory reporters of domestic violence Assess and intervene: physical abuse, emotional abuse, neglect of spouse or child Promotes alliance between leadership, agencies and community to: Facilitate an atmosphere of nonviolence in work and home Encourage member and family asset and skill development Enhance victim safety Build member and family strengths Services provided through Outreach Prevention Program; New Parent Support Program; Treatment Intervention Drug Demand Reduction Program All military members are subject to drug testing regardless of rank or status Random selection Maintain chain of custody DDR supports administrative/UCMJ actions All Active Duty Service Members Drug Positives FY03 % personnel with positive drug test(s) DoD Air Force Army Navy Marines 1.26% 0.41% 1.76% 1.21% 1.26% Displays at the BX, Commissary, Community Center, Youth Center, Post Office, Medical Clinic, and Library OCTOBER 25,  WEDNESDAY PUPPET SHOW--Kindergarten, grade 1, 2 and 3 08:40 -- 9:15 --Mrs.  Mailloux, Mrs. Lerner, Mrs.  Edwards, Ms. Beavers 9:30 -- 10:00 -- Mrs. Becker, Mr. Becker, Ms. Glass, Mrs. Weiland DISCUSSION/Question/Answer time Grade 4 and Grade 4/5 11:00 - 11:30 -- Dr. Westbrook and Ms. Sullivan 11:30-1230 High school 12:30-1:30 staffed table at high school OCTOBER 27 FRIDAY DISCUSSION/Question/Answer time Grades 5/6 9:15 -- 9:45 -- Ms. Henderson & Mrs. McVay 10:00 -- 10:30 --Mrs. Wilson 11:30-12:30 Middle School 12:30-1:30 staffed table at middle school Tribase United Against Drugs & Alcohol Abuse Traumatic Stress Response Team Team of Mental Health, Chapel, and AFRC personnel Provide support to units and community after traumatic events Command Consultation Mental Health Issues Suicide Prevention Violence Prevention Family Maltreatment Prevention Hostage Negotiation Team Consultant Community Issues INDIVIDUAL LEVEL Pre-Screening Treatment Education Discipline BASE LEVEL Awareness Education Prevention Intervention Alternatives COMMUNITY LEVEL Collaboration Responsible Alcohol Service Disciplinary Control Board Alcohol Prevention SME LEADERSHIP CULTURE OF RESPONSIBILITY Community Surveys
Slide 24 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life 11 Substance Misuse: A Clear and Present Danger AF average of ~ 5300 Alcohol Related Incidents/Year (e.g. DUI/DWI & underage drinking) Alcohol misuse is involved in: 33% of suicides 57% sexual assaults 28.5% domestic violence cases 20-25% PMV accidents “Alcoholism” should not be our sole focus! Substance misuse directly impacts mission effectiveness… PREVENTION + DETECTION + TREATMENT = SUCCESS ADAPT SERVICES: EVALUATION AND EDUCATION All Referrals Receive: Initial diagnostic evaluations 6-hour Substance Abuse Awareness Seminar (SAAS) Alcohol Brief Counseling, pilot testing at 15 bases 85+% success = No further ARM   Education Topics - Military and civilian standards -Hazards of binge drinking - Individual responsibilities -Family Dynamics of substance abuse - Legal/administrative consequences -DUI/DWI education - Facts and statistics about alcohol -Drug abuse education - Physical and psychological effects -Values clarification - Impact on self, others, and community -Healthy stress management - Biopsychosocial Model of addiction -Decision-making and goal setting skills ADAPT Services: Treatment Patients with substance use disorder receive treatment Alcohol Abuse / Alcohol Dependence Treatment options: Outpatient, Intensive Outpatient, Partial or Full Hospitalization Programs as clinically indicated Family and unit involvement Duration ~4 - 24 months Successful completion of treatment is condition for continued employment “Treatment failure” AF rate = ~2% Behavioral Health in Primary Care Act as consultant and member of Primary Care team Support PCM decision making and build on PCM interventions 1-3 brief (~20-30 min) patient consultation sessions: Educate patient in self management skills Improve provider-patient working relationship Effective triage of patients in need of specialty behavioral health Avoid MH stigma—not therapy, no mental health records Typical Areas of Consultation Family Advocacy Program Family Advocacy Program OPR for the prevention and treatment of domestic violence Works to reduce the number and severity of family maltreatment incidents Prevent where possible…treat where needed All DoD personnel are mandatory reporters of domestic violence Assess and intervene: physical abuse, emotional abuse, neglect of spouse or child Promotes alliance between leadership, agencies and community to: Facilitate an atmosphere of nonviolence in work and home Encourage member and family asset and skill development Enhance victim safety Build member and family strengths Services provided through Outreach Prevention Program; New Parent Support Program; Treatment Intervention Drug Demand Reduction Program All military members are subject to drug testing regardless of rank or status Random selection Maintain chain of custody DDR supports administrative/UCMJ actions All Active Duty Service Members Drug Positives FY03 % personnel with positive drug test(s) DoD Air Force Army Navy Marines 1.26% 0.41% 1.76% 1.21% 1.26% Displays at the BX, Commissary, Community Center, Youth Center, Post Office, Medical Clinic, and Library OCTOBER 25,  WEDNESDAY PUPPET SHOW--Kindergarten, grade 1, 2 and 3 08:40 -- 9:15 --Mrs.  Mailloux, Mrs. Lerner, Mrs.  Edwards, Ms. Beavers 9:30 -- 10:00 -- Mrs. Becker, Mr. Becker, Ms. Glass, Mrs. Weiland DISCUSSION/Question/Answer time Grade 4 and Grade 4/5 11:00 - 11:30 -- Dr. Westbrook and Ms. Sullivan 11:30-1230 High school 12:30-1:30 staffed table at high school OCTOBER 27 FRIDAY DISCUSSION/Question/Answer time Grades 5/6 9:15 -- 9:45 -- Ms. Henderson & Mrs. McVay 10:00 -- 10:30 --Mrs. Wilson 11:30-12:30 Middle School 12:30-1:30 staffed table at middle school Tribase United Against Drugs & Alcohol Abuse Traumatic Stress Response Team Team of Mental Health, Chapel, and AFRC personnel Provide support to units and community after traumatic events Command Consultation Mental Health Issues Suicide Prevention Violence Prevention Family Maltreatment Prevention Hostage Negotiation Team Consultant Community Issues INDIVIDUAL LEVEL Pre-Screening Treatment Education Discipline BASE LEVEL Awareness Education Prevention Intervention Alternatives COMMUNITY LEVEL Collaboration Responsible Alcohol Service Disciplinary Control Board Alcohol Prevention SME LEADERSHIP CULTURE OF RESPONSIBILITY Community Surveys Survey Results Example—Community Needs Assessment Top Community Concerns—issues in red targeted for intervention: #1 Transportation when arrive (90 people) #2 Long work hours (71) #3 Finding housing (68) #4 Sense of Community (67) #5 Fitness facilities for parents with young children (60) #6 Lack of childcare (59) #7 Sponsorship program (56) #8 Deployments (41) #9 Heavy drinking (36) #9 Marital problems (36) #10 English culture (35) #11 Financial management (30) #12 Working in Joint environment (29) #13 Fighting (23) #13 Parenting Skills (23) #14 New parents support (13) Items not CCAP targets referred to applicable agency
Slide 25 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life 11 Substance Misuse: A Clear and Present Danger AF average of ~ 5300 Alcohol Related Incidents/Year (e.g. DUI/DWI & underage drinking) Alcohol misuse is involved in: 33% of suicides 57% sexual assaults 28.5% domestic violence cases 20-25% PMV accidents “Alcoholism” should not be our sole focus! Substance misuse directly impacts mission effectiveness… PREVENTION + DETECTION + TREATMENT = SUCCESS ADAPT SERVICES: EVALUATION AND EDUCATION All Referrals Receive: Initial diagnostic evaluations 6-hour Substance Abuse Awareness Seminar (SAAS) Alcohol Brief Counseling, pilot testing at 15 bases 85+% success = No further ARM   Education Topics - Military and civilian standards -Hazards of binge drinking - Individual responsibilities -Family Dynamics of substance abuse - Legal/administrative consequences -DUI/DWI education - Facts and statistics about alcohol -Drug abuse education - Physical and psychological effects -Values clarification - Impact on self, others, and community -Healthy stress management - Biopsychosocial Model of addiction -Decision-making and goal setting skills ADAPT Services: Treatment Patients with substance use disorder receive treatment Alcohol Abuse / Alcohol Dependence Treatment options: Outpatient, Intensive Outpatient, Partial or Full Hospitalization Programs as clinically indicated Family and unit involvement Duration ~4 - 24 months Successful completion of treatment is condition for continued employment “Treatment failure” AF rate = ~2% Behavioral Health in Primary Care Act as consultant and member of Primary Care team Support PCM decision making and build on PCM interventions 1-3 brief (~20-30 min) patient consultation sessions: Educate patient in self management skills Improve provider-patient working relationship Effective triage of patients in need of specialty behavioral health Avoid MH stigma—not therapy, no mental health records Typical Areas of Consultation Family Advocacy Program Family Advocacy Program OPR for the prevention and treatment of domestic violence Works to reduce the number and severity of family maltreatment incidents Prevent where possible…treat where needed All DoD personnel are mandatory reporters of domestic violence Assess and intervene: physical abuse, emotional abuse, neglect of spouse or child Promotes alliance between leadership, agencies and community to: Facilitate an atmosphere of nonviolence in work and home Encourage member and family asset and skill development Enhance victim safety Build member and family strengths Services provided through Outreach Prevention Program; New Parent Support Program; Treatment Intervention Drug Demand Reduction Program All military members are subject to drug testing regardless of rank or status Random selection Maintain chain of custody DDR supports administrative/UCMJ actions All Active Duty Service Members Drug Positives FY03 % personnel with positive drug test(s) DoD Air Force Army Navy Marines 1.26% 0.41% 1.76% 1.21% 1.26% Displays at the BX, Commissary, Community Center, Youth Center, Post Office, Medical Clinic, and Library OCTOBER 25,  WEDNESDAY PUPPET SHOW--Kindergarten, grade 1, 2 and 3 08:40 -- 9:15 --Mrs.  Mailloux, Mrs. Lerner, Mrs.  Edwards, Ms. Beavers 9:30 -- 10:00 -- Mrs. Becker, Mr. Becker, Ms. Glass, Mrs. Weiland DISCUSSION/Question/Answer time Grade 4 and Grade 4/5 11:00 - 11:30 -- Dr. Westbrook and Ms. Sullivan 11:30-1230 High school 12:30-1:30 staffed table at high school OCTOBER 27 FRIDAY DISCUSSION/Question/Answer time Grades 5/6 9:15 -- 9:45 -- Ms. Henderson & Mrs. McVay 10:00 -- 10:30 --Mrs. Wilson 11:30-12:30 Middle School 12:30-1:30 staffed table at middle school Tribase United Against Drugs & Alcohol Abuse Traumatic Stress Response Team Team of Mental Health, Chapel, and AFRC personnel Provide support to units and community after traumatic events Command Consultation Mental Health Issues Suicide Prevention Violence Prevention Family Maltreatment Prevention Hostage Negotiation Team Consultant Community Issues INDIVIDUAL LEVEL Pre-Screening Treatment Education Discipline BASE LEVEL Awareness Education Prevention Intervention Alternatives COMMUNITY LEVEL Collaboration Responsible Alcohol Service Disciplinary Control Board Alcohol Prevention SME LEADERSHIP CULTURE OF RESPONSIBILITY Community Surveys Survey Results Example—Community Needs Assessment Top Community Concerns—issues in red targeted for intervention: #1 Transportation when arrive (90 people) #2 Long work hours (71) #3 Finding housing (68) #4 Sense of Community (67) #5 Fitness facilities for parents with young children (60) #6 Lack of childcare (59) #7 Sponsorship program (56) #8 Deployments (41) #9 Heavy drinking (36) #9 Marital problems (36) #10 English culture (35) #11 Financial management (30) #12 Working in Joint environment (29) #13 Fighting (23) #13 Parenting Skills (23) #14 New parents support (13) Items not CCAP targets referred to applicable agency Community Action Plan Progress Check
Slide 26 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life 11 Substance Misuse: A Clear and Present Danger AF average of ~ 5300 Alcohol Related Incidents/Year (e.g. DUI/DWI & underage drinking) Alcohol misuse is involved in: 33% of suicides 57% sexual assaults 28.5% domestic violence cases 20-25% PMV accidents “Alcoholism” should not be our sole focus! Substance misuse directly impacts mission effectiveness… PREVENTION + DETECTION + TREATMENT = SUCCESS ADAPT SERVICES: EVALUATION AND EDUCATION All Referrals Receive: Initial diagnostic evaluations 6-hour Substance Abuse Awareness Seminar (SAAS) Alcohol Brief Counseling, pilot testing at 15 bases 85+% success = No further ARM   Education Topics - Military and civilian standards -Hazards of binge drinking - Individual responsibilities -Family Dynamics of substance abuse - Legal/administrative consequences -DUI/DWI education - Facts and statistics about alcohol -Drug abuse education - Physical and psychological effects -Values clarification - Impact on self, others, and community -Healthy stress management - Biopsychosocial Model of addiction -Decision-making and goal setting skills ADAPT Services: Treatment Patients with substance use disorder receive treatment Alcohol Abuse / Alcohol Dependence Treatment options: Outpatient, Intensive Outpatient, Partial or Full Hospitalization Programs as clinically indicated Family and unit involvement Duration ~4 - 24 months Successful completion of treatment is condition for continued employment “Treatment failure” AF rate = ~2% Behavioral Health in Primary Care Act as consultant and member of Primary Care team Support PCM decision making and build on PCM interventions 1-3 brief (~20-30 min) patient consultation sessions: Educate patient in self management skills Improve provider-patient working relationship Effective triage of patients in need of specialty behavioral health Avoid MH stigma—not therapy, no mental health records Typical Areas of Consultation Family Advocacy Program Family Advocacy Program OPR for the prevention and treatment of domestic violence Works to reduce the number and severity of family maltreatment incidents Prevent where possible…treat where needed All DoD personnel are mandatory reporters of domestic violence Assess and intervene: physical abuse, emotional abuse, neglect of spouse or child Promotes alliance between leadership, agencies and community to: Facilitate an atmosphere of nonviolence in work and home Encourage member and family asset and skill development Enhance victim safety Build member and family strengths Services provided through Outreach Prevention Program; New Parent Support Program; Treatment Intervention Drug Demand Reduction Program All military members are subject to drug testing regardless of rank or status Random selection Maintain chain of custody DDR supports administrative/UCMJ actions All Active Duty Service Members Drug Positives FY03 % personnel with positive drug test(s) DoD Air Force Army Navy Marines 1.26% 0.41% 1.76% 1.21% 1.26% Displays at the BX, Commissary, Community Center, Youth Center, Post Office, Medical Clinic, and Library OCTOBER 25,  WEDNESDAY PUPPET SHOW--Kindergarten, grade 1, 2 and 3 08:40 -- 9:15 --Mrs.  Mailloux, Mrs. Lerner, Mrs.  Edwards, Ms. Beavers 9:30 -- 10:00 -- Mrs. Becker, Mr. Becker, Ms. Glass, Mrs. Weiland DISCUSSION/Question/Answer time Grade 4 and Grade 4/5 11:00 - 11:30 -- Dr. Westbrook and Ms. Sullivan 11:30-1230 High school 12:30-1:30 staffed table at high school OCTOBER 27 FRIDAY DISCUSSION/Question/Answer time Grades 5/6 9:15 -- 9:45 -- Ms. Henderson & Mrs. McVay 10:00 -- 10:30 --Mrs. Wilson 11:30-12:30 Middle School 12:30-1:30 staffed table at middle school Tribase United Against Drugs & Alcohol Abuse Traumatic Stress Response Team Team of Mental Health, Chapel, and AFRC personnel Provide support to units and community after traumatic events Command Consultation Mental Health Issues Suicide Prevention Violence Prevention Family Maltreatment Prevention Hostage Negotiation Team Consultant Community Issues INDIVIDUAL LEVEL Pre-Screening Treatment Education Discipline BASE LEVEL Awareness Education Prevention Intervention Alternatives COMMUNITY LEVEL Collaboration Responsible Alcohol Service Disciplinary Control Board Alcohol Prevention SME LEADERSHIP CULTURE OF RESPONSIBILITY Community Surveys Survey Results Example—Community Needs Assessment Top Community Concerns—issues in red targeted for intervention: #1 Transportation when arrive (90 people) #2 Long work hours (71) #3 Finding housing (68) #4 Sense of Community (67) #5 Fitness facilities for parents with young children (60) #6 Lack of childcare (59) #7 Sponsorship program (56) #8 Deployments (41) #9 Heavy drinking (36) #9 Marital problems (36) #10 English culture (35) #11 Financial management (30) #12 Working in Joint environment (29) #13 Fighting (23) #13 Parenting Skills (23) #14 New parents support (13) Items not CCAP targets referred to applicable agency Community Action Plan Progress Check Deployments Mental Health Rapid Response Team Combat Operational Stress Control (COSC) Behavioral Science Consultation Team (BSCT) SOF Psych 6 months duration Currently Air Force has 17 mental health deployment missions (12 are Joint Expeditionary Taskings, i.e. for the Army)
Slide 27 - Military Behavioral Health Services Alan Ogle, Maj, USAF, BSC Military Psychology PSY4990 University of West Florida, Spring 09 Disclaimer: information in this briefing was compiled from multiple sources in the US military medical services. Many have been modified or shortened to fit the educational purpose, format and training time available. Views expressed are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government. Why We Do What We Do Air Force Psychologists 42P Career Field Clinical Psychologist (AFI 44-119) 204 Active duty 9 Fellowships 22 Residents Current approx 70% manned Postdoctoral Fellowships Child Psychology Neuropsychology Clinical Health Psychology Forensic Combat/Aviation Psychology Psychopharmacology Scope of Practice Clinical interviews and psychological assessment Diagnose and treat mental disorders Provide individual, marital, and group treatment Recommend administrative and medical dispositions Perform dangerousness assessments Determine degree of impairment for military service Serve on competency and sanity boards Commander’s consultant on behavioral health issues 7 Behavioral Health Services MENTAL HEALTH CLINIC: Voluntary Care Talk therapy: individual, marital, families Education classes: stress, anger, couples communication, seasonal “blues”, healthy alcohol use, suicide/violence prevention, others upon request Special evaluations: Command Directed, security clearance, fitness for special duty Confidentiality and limitations Risk of harm to self/others UCMJ Fitness for duty Patient Issues Depressed Mood Anxiety Stress Work or Life Events Relationships Parenting Concerns Adjustment Grief Deployment-related issues ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT Program ) Promote readiness, health and wellness through prevention and treatment of substance abuse Minimize negative consequences of substance abuse to individual, family, and organization Provide education and treatment for individuals with substance abuse problems Return patients to unrestricted duty status or assist them in transition to civilian life 11 Substance Misuse: A Clear and Present Danger AF average of ~ 5300 Alcohol Related Incidents/Year (e.g. DUI/DWI & underage drinking) Alcohol misuse is involved in: 33% of suicides 57% sexual assaults 28.5% domestic violence cases 20-25% PMV accidents “Alcoholism” should not be our sole focus! Substance misuse directly impacts mission effectiveness… PREVENTION + DETECTION + TREATMENT = SUCCESS ADAPT SERVICES: EVALUATION AND EDUCATION All Referrals Receive: Initial diagnostic evaluations 6-hour Substance Abuse Awareness Seminar (SAAS) Alcohol Brief Counseling, pilot testing at 15 bases 85+% success = No further ARM   Education Topics - Military and civilian standards -Hazards of binge drinking - Individual responsibilities -Family Dynamics of substance abuse - Legal/administrative consequences -DUI/DWI education - Facts and statistics about alcohol -Drug abuse education - Physical and psychological effects -Values clarification - Impact on self, others, and community -Healthy stress management - Biopsychosocial Model of addiction -Decision-making and goal setting skills ADAPT Services: Treatment Patients with substance use disorder receive treatment Alcohol Abuse / Alcohol Dependence Treatment options: Outpatient, Intensive Outpatient, Partial or Full Hospitalization Programs as clinically indicated Family and unit involvement Duration ~4 - 24 months Successful completion of treatment is condition for continued employment “Treatment failure” AF rate = ~2% Behavioral Health in Primary Care Act as consultant and member of Primary Care team Support PCM decision making and build on PCM interventions 1-3 brief (~20-30 min) patient consultation sessions: Educate patient in self management skills Improve provider-patient working relationship Effective triage of patients in need of specialty behavioral health Avoid MH stigma—not therapy, no mental health records Typical Areas of Consultation Family Advocacy Program Family Advocacy Program OPR for the prevention and treatment of domestic violence Works to reduce the number and severity of family maltreatment incidents Prevent where possible…treat where needed All DoD personnel are mandatory reporters of domestic violence Assess and intervene: physical abuse, emotional abuse, neglect of spouse or child Promotes alliance between leadership, agencies and community to: Facilitate an atmosphere of nonviolence in work and home Encourage member and family asset and skill development Enhance victim safety Build member and family strengths Services provided through Outreach Prevention Program; New Parent Support Program; Treatment Intervention Drug Demand Reduction Program All military members are subject to drug testing regardless of rank or status Random selection Maintain chain of custody DDR supports administrative/UCMJ actions All Active Duty Service Members Drug Positives FY03 % personnel with positive drug test(s) DoD Air Force Army Navy Marines 1.26% 0.41% 1.76% 1.21% 1.26% Displays at the BX, Commissary, Community Center, Youth Center, Post Office, Medical Clinic, and Library OCTOBER 25,  WEDNESDAY PUPPET SHOW--Kindergarten, grade 1, 2 and 3 08:40 -- 9:15 --Mrs.  Mailloux, Mrs. Lerner, Mrs.  Edwards, Ms. Beavers 9:30 -- 10:00 -- Mrs. Becker, Mr. Becker, Ms. Glass, Mrs. Weiland DISCUSSION/Question/Answer time Grade 4 and Grade 4/5 11:00 - 11:30 -- Dr. Westbrook and Ms. Sullivan 11:30-1230 High school 12:30-1:30 staffed table at high school OCTOBER 27 FRIDAY DISCUSSION/Question/Answer time Grades 5/6 9:15 -- 9:45 -- Ms. Henderson & Mrs. McVay 10:00 -- 10:30 --Mrs. Wilson 11:30-12:30 Middle School 12:30-1:30 staffed table at middle school Tribase United Against Drugs & Alcohol Abuse Traumatic Stress Response Team Team of Mental Health, Chapel, and AFRC personnel Provide support to units and community after traumatic events Command Consultation Mental Health Issues Suicide Prevention Violence Prevention Family Maltreatment Prevention Hostage Negotiation Team Consultant Community Issues INDIVIDUAL LEVEL Pre-Screening Treatment Education Discipline BASE LEVEL Awareness Education Prevention Intervention Alternatives COMMUNITY LEVEL Collaboration Responsible Alcohol Service Disciplinary Control Board Alcohol Prevention SME LEADERSHIP CULTURE OF RESPONSIBILITY Community Surveys Survey Results Example—Community Needs Assessment Top Community Concerns—issues in red targeted for intervention: #1 Transportation when arrive (90 people) #2 Long work hours (71) #3 Finding housing (68) #4 Sense of Community (67) #5 Fitness facilities for parents with young children (60) #6 Lack of childcare (59) #7 Sponsorship program (56) #8 Deployments (41) #9 Heavy drinking (36) #9 Marital problems (36) #10 English culture (35) #11 Financial management (30) #12 Working in Joint environment (29) #13 Fighting (23) #13 Parenting Skills (23) #14 New parents support (13) Items not CCAP targets referred to applicable agency Community Action Plan Progress Check Deployments Mental Health Rapid Response Team Combat Operational Stress Control (COSC) Behavioral Science Consultation Team (BSCT) SOF Psych 6 months duration Currently Air Force has 17 mental health deployment missions (12 are Joint Expeditionary Taskings, i.e. for the Army) Resource Links Defense Center of Excellence for Psychological Health and Traumatic Brain Injury Army Behavioral Health page/ Navy mental health information page Deployment Medicine Research PDHealth--Deployment/Postdeployment Health http://www.afterdeployment.org/ Deployment Health Clinicians Center Air Force Suicide Prevention Program