1. MILITARY CULTURE

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

4. The Military

5. 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)

6. Forging the Warrior from the Civilian 8 to 12 Week Process

7. Continuous Training for War Months to 20+ Years

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

9. What about Families ?

10. Accessing Care through the VA Not so easy…

11. To keep the following in mind…

12. First: Safety and Stabilization

13. Then: Remembrance and Mourning

14. Finally: Reconnection

15. Consider: For some of us, “a lifetime ago” happens every day.

16. 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!

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

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

19. 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

20. 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

21. 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

22. ?

23. THANK YOU!

24.  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, 3 rd Ed. (2012), William Miller and Sam Rollnick RESOURCES

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

26. Resources  Motivational Interviewing http://www.motivationalinterview.org/ andhttp://www.motivationalinterview.org/  http://www.motivationalinterview.org/ clinical/METDrugAbuse.PDF 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.htmhttp://pubs.niaaa.nih.gov/publications/ match.htm  Self-assessment Mental Health screening http://www.militarymentalhealth.org/http://www.militarymentalhealth.org/  Problem-solving http://startmovingforward.t2.health.mil/http://startmovingforward.t2.health.mil/  Wellness resources http://afterdeployment.t2.health.mil/http://afterdeployment.t2.health.mil/

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

28. Online and Telephone Resources