Ch 2,8

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

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

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

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

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

USAF: Alcohol and Drug Abuse Prevention and Treatment (ADAPT) USA: Army Substance Abuse Program (ASAP) USN: Substance Abuse Rehabilitation Program (SARP)

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

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

Healthy families are better for svc mbrs and mission Mainly LCSW Manage cases of child maltreatment, domestic violence High visibility Svc mbrs removed from duty if guilty of domestic violenceLautenberg Amendment

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

Newest Element in AF Mental Health Flights – – Responsible for outreach for each element – – Officer sits on board for installations leadership in area of health, welfare, morale

Advisor to installations CC on issues related to the mental health of the force Higher ranking mental health provider Suicide prevention coordinator Track suicide related activity Most likely is officer appointed for Resiliency

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

Efforts to destigmatize MH care, MFLC, Military OneSource, Chaplain, unit support Outreach, Svc wide education DoDSERMeans for suicide event reporting across svcs

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