1. Tomah VA Residential Programs Robert B. Campbell, Psy.D., MH RRTP Director

2. Three Programs PTSD Substance Abuse CWT/TR

3. PTSD 65 day residential program 10 beds Combat trauma only

4. Substance Abuse 35 day residential program 22 beds Male and Female veterans Treats co-occurring disorders Medication-assisted therapy

5. CWT/TR Compensated Work Therapy Transitional Residence Up to one year Focus on transition to independence Home-like environment

6. Entrance Requirements No acute psychiatric or medical issues Tried a less restrictive alternative Not a significant risk of harm to self or others Capable of basic self-care Have needs that can be addressed by the program

7. Tomah Benefits Rural setting EBP focus Program size Individual therapy

8. New Developments New RRTP building Staff changes New recreation therapy building

9. SA RRTP

10. SA Program Elements Veterans from across the midwest Residential Group Milieu Setting Resident Veteran Government 4 Weeks of intensive individual and group psychotherapy Aftercare Groups for co-occurring disorders

11. Substance Abuse Treatments CBT for SA Motivational Enhancement Therapy 12-step Programs

12. Relapse Prevention Goal development Relationship enhancement Activity exploration Positive substitutes

13. Schedule of Programming - SA MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAY 8:00 - 8:30 COMMUNITY RM 1441 8:30 - 9:00 9:00 - 9:30 ANGER GROUPSOBER LIFESTYLESHAME & ADDICTIONCBT TOOLS POST-ACUTE WITHDRAWAL 9:30 - 10:00 RM 1441 10:00 - 10:30 BIOPSYCHOSOCIAL CBT/RETANGER GROUPMINDFULNESS OCCUPATIONAL THERAPYTWELVE STEP GROUP 10:30 - 11:00 RM 3465 11:00 – 11:30 11:30 - Noon Noon - 12:30 LUNCH 12:30 - 1:00 1:00 - 1:30 GOAL DEVELOPMENT EDUCATIONNUTRITION EDUCATION LEISURE EDUCATION EDUCATION 1:30 - 2:00 RM 3465 2:00 - 2:30 GRATITUDEORIENTATIONNUTRITION LABOPEN TIMEMUSIC THERAPY 2:30 - 3:00 RM 3415 3:00 - 3:30 PATHWAYS TO SOBRIETY COMBINED RELAPSE PREVENTIONRELAPSE PREVENTION COMBINED RELAPSE PREVENTION 3:30 - 4:00 RM 3465

14. PTSD RRTP

15. PTSD Program Elements Veterans from across the country Residential Group Milieu Setting Resident Veteran Government 9 Weeks of intensive individual and group psychotherapy Aftercare Groups for co-occurring SUD

16. Structure of the MHRRTP PTSD Program Combat-related trauma & PTSD. Community/Civilian life re-adjustment and re-integration Monthly family involvement Monthly outings in the community

17. Individual & Group Therapies Cognitive Processing Therapy (CPT) Prolonged Exposure (PE) Skills Training in Affective & Interpersonal Regulation (STAIR) Cognitive Behavioral Therapy (CBT) for PTSD Behavioral Activation (BA) CBT for Depression (CBT-D) Acceptance & Commitment Therapy (ACT) Problem Solving Therapy (PST) Mindfulness, Coping skills, Relaxation

18. Schedule of Programming - PTSD MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAY 8:00 - 8:30 COMMUNITY RM 2415 8:30 - 9:00 9:00 - 9:30 PTSD GROUPSTAFFINGS (AS ASSIGNED)SEEKING SAFETY STAFFINGS (AS ASSIGNED)DISCHARGE PLANNING 9:30 - 10:00 RM 3465RM 3433RM 3465RM 3433RM 3465 10:00 - 10:30 TRAUMA GROUP ART THERAPYTRAUMA GROUPTRAUMA RECOVERY SKILLS 10:30 - 11:00 RM 2465 RM 1441RM 2465 11:00 - 11:30 11:30 - Noon Noon - 12:30 LUNCH 12:30 - 1:00 1:00 - 1:30 SEEKING SAFETY EMOTIONS REGULATION PTSD GROUP EMOTIONS REGULATION 1:30 - 2:00 RM 2465 RM 3465RM 2465 2:00 - 2:30 OCCUPATIONAL NUTRITION EDUCATION Room 1441 OR OCCUPATIONALSEEKING SAFETYORIENTATION RM 3462 2:30 - 3:00 THERAPY (402-1200) ORIENTATION (AS ASSIGNED) RM 3462 THERAPY (402-1200) RM 2415(AS ASSIGNED) 3:00 - 3:30 TRAUMA RECOVERY SKILLSLEISURE EDUCATIONPTSD GROUPSLEEP SKILLS GROUPRELATIONSHIPS & 3:30 - 4:00 RM 2465RM 1441 (RM CHANGE)RM 2465 COMMUNICATION RM 2465

19. Referrals Veterans are referred via consult in CPRS or call (608) 372-1758 Veterans can self-refer Veterans must have been in a combat theatre with combat related trauma and PTSD Consults and referrals are reviewed by a multi- disciplinary team weekly to ensure timely review DD-214 as part of the referral process Veterans can encourage other veterans to self- refer

20. Allied Health Groups Art Therapy Recreation Therapy Occupational Therapy Music Therapy Nutrition Therapy

21. Contact Information Robert B. Campbell, Psy.D. Director, MH RRTP robert.campbell4@va.gov (608) 372-3971 x66414