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Disclosure to Participants Requirements for Successful Completion of Continuing Education Activity Requires You to: Complete registration and sign in sheet Attend entire educational activity Participate in education activities Complete participant evaluation Commercial Support: This educational activity received no commercial support. Disclosure of Conflict of Interest: The speakers and planning committee for this event have disclosed no financial interests. Non-Endorsement Statement: Accredited status does not imply endorsement by the DSHS, Continuing Education Service; Texas Medical Association; or American Nurse Credentialing Center. Off-Label Use: The speakers did not disclose the use of products for a purpose other than what it had been approved for by the Food and Drug Administration. Expiration Date for Awarding Contact Hours: Complete the attendance sheet and evaluation by the end of session.

MILITARY CULTURE

Manager, Veterans Mental Health Program Your Presenter Tim Keesling Manager, Veterans Mental Health Program

TED Talk by Mike Haynie

The Military

& (http://transportation.house.gov/uploadedfiles/coastguard2015.pdf) Active Components Reserve Components (http://www.dtic.mil/congressional_budget/pdfs/FY2016_pdfs/MILPER_CRPT-114hrpt102.pdf) & (http://transportation.house.gov/uploadedfiles/coastguard2015.pdf)

National Guard US Army National Guard: 354,200 US Air National Guard: 105,400 (http://www.dtic.mil/congressional_budget/pdfs/FY2015_pdfs/MILPER_CRPT-113hrpt446.pdf)

Forging the Warrior from the Civilian 8 to 12 Week Process

Continuous Training for War Months to 20+ Years

4mos to 18mos duration: multiple, back-to-back Combat Deployments 4mos to 18mos duration: multiple, back-to-back

Re-deployment / Reintegration Training 2 to 3 week process

Transition is a 60-90 day process… Or is it?

What about Families?

Accessing Care through the VA Not so easy…

Working with the Military Community Part 2 Working with the Military Community

To keep the following in mind…

First: Safety and Stabilization

Then: Remembrance and Mourning

Finally: Reconnection

Recognize: Hands Words War Stories

The keys to success Empathy vs “I understand” Effective Listening Creating a Comfort Zone Non-Judgmental Stay Calm Emphasize Hope Reach out to Resources Celebrate Success!

Resource Connections: They, and you, are not alone!

Federal Resources Veterans Affairs 1-800-827-1000 www.va.gov

Texas Veterans Commission TVC Main: (512) 463-5538 State Resources Texas Veterans Commission TVC Main: (512) 463-5538 TVC Veterans Mental Health: (512) 463-6091 www.tvc.texas.gov AND TexVet (512) 341-4924 www.texvet.com

Your local Peer Coordinator is: Gregory Morton (210) 685-8716 Local Resources Your local Peer Coordinator is: Gregory Morton (210) 685-8716 gmorton@chcsbc.org MVPN Peer Coordinator: Tish McCullough (210) 286-2960 tish.mccullough@tvc.texas.gov

Sean Hanna, Director (512) 784-5154 sean.hanna@tvc.texas.gov Texas Veterans Commission Veterans Mental Health Program Points of Contact Sean Hanna, Director (512) 784-5154 sean.hanna@tvc.texas.gov Tim Keesling, Manager (512) 956-3438 tim.keesling@tvc.texas.gov or TVC VMH Program (512) 463-6091

?

THANK YOU!

Resources Trauma and Recovery (1992), Judy Herman Treating Complex Traumatic Stress Disorders (2009), Christine Courtois and Julian Ford, eds. Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach (2012), Christine Courtois, Julian Ford, and John Briere The Trauma Recovery Group: A Guide for Practitioners (2011), Michaela Mendelsohn, Judith Herman, Emily Schatzow, and Diya Kallivayalil Seeking Safety (1998), Lisa Najavits Skills Training Manual for Borderline Personality Disorder (1993), Marsha Linehan Motivational Interviewing, 3rd Ed. (2012), William Miller and Sam Rollnick

Resources Trauma Focused-Cognitive Behavioral Therapy : http://tfcbt.musc.edu EMDR: http://www.emdr.com and http://emdria.org Seeking Safety: http://www.seekingsafety.org and http://vaww.collage.research.med.va.gov/collage/E_behav/SS/ Dialectical Behavior Therapy: http://www.behavioraltech.com Cognitive Processing Therapy: http://vaww.collage.research.med.va.gov/collage/CPT/ Prolonged Exposure: http://vaww.collage.research.med.va.gov/collage/E_behav/PE Acceptance and Commitment Therapy: www.act-for-anxiety-disorders.com and http://vaww.collage.research.med.va.gov/collage/E_ACT/training.asp International Society for Traumatic Stress Studies: http://www.istss.org

Resources Motivational Interviewing http://www.motivationalinterview.org/ and http://www.motivationalinterview.org/ clinical/METDrugAbuse.PDF Motivational Enhancement Therapy Manual (1994), NIH Pub. No. 94-3723. Order from http://pubs.niaaa.nih.gov/publications/ match.htm Self-assessment Mental Health screening http://www.militarymentalhealth.org/ Problem-solving http://startmovingforward.t2.health.mil/ Wellness resources http://afterdeployment.t2.health.mil/

Resources http://www.t2health.org/mobile-apps PTSD Coach T2 MoodTracker Breathe 2 Relax Tactical Breather LifeArmor (includes family section)

Online and Telephone Resources