1. Substance Abuse Rehabilitation Program Naval Hospital Camp Lejeune Robert M. Peebles, Dept Head

2. Population Served Active Duty MilitaryActive Duty Military RetireesRetirees Family MembersFamily Members Eligible Government EmployeesEligible Government Employees

3. Services Provided Initial ScreeningInitial Screening Intro to Treatment/Skills Building GroupIntro to Treatment/Skills Building Group IMPACTIMPACT OutpatientOutpatient Intensive OutpatientIntensive Outpatient Continuing CareContinuing Care Dual Diagnosis GroupDual Diagnosis Group Couples GroupCouples Group

4. Additional Resources Back on TrackBack on Track –Two week Intensive Outpatient for Combat Stress and PTSD (MHC) Outpatient Crisis Prevention Program (OCCP)Outpatient Crisis Prevention Program (OCCP) –One week Intensive Outpatient for Coping and Resiliency Skills building Combat Stress Group (MHC)Combat Stress Group (MHC) –Twice weekly Back on Track continuing care group Ad-sep Group (MHC)Ad-sep Group (MHC) –Weekly support group for service members waiting for admin separation

5. Additional Resources (cont) Concussion & mTBI Program (Blast Clinic)Concussion & mTBI Program (Blast Clinic) –Two week Intensive Outpatient coping, resiliency & education for TBI Active Duty Women (MHC)Active Duty Women (MHC) –Weekly process and support group for women’s issues Depression/Anxiety Class (MHC)Depression/Anxiety Class (MHC) –Four week cycle of CBT for mild-moderate depression/anxiety PTSD Group 1 and 2 (DHC)PTSD Group 1 and 2 (DHC) –Twice weekly process group Relaxation Group (DHC)Relaxation Group (DHC) –Weekly group for relaxation techniques and social support.

6. SARP Identified GWOT Issues CY 08 CmdSeenGWOTReferredReceiving Clinic Div1299 294 105 Div Psych MLG 481 68 24 Mental Health II MEF 261 49 16 Mental Health MCB 374 53 16 Mental Health TOTAL: 2415 464 161 GWOT-Screening process identified that substance use was caused/exacerbated by combat Referred-after review by Clinical Psychologist to need further assessment/intervention outside the substance abuse professional scope of practice

7. Initial Screening Conducted daily (approximately 20)Conducted daily (approximately 20) Determine an individuals provisional diagnosis and Level of Care.Determine an individuals provisional diagnosis and Level of Care. 45-60 minutes45-60 minutes Reasons Seen:Reasons Seen: –ARI’s –DRI’s –Self Referrals –Medical

8. Screening Tools Navy Clinical PackageNavy Clinical Package DSM-IV-TRDSM-IV-TR ASAM Patient Placement CriteriaASAM Patient Placement Criteria PHQ-9PHQ-9 AUDITAUDIT PCL-MPCL-M TBI ScreenTBI Screen Epworth Sleepiness ScaleEpworth Sleepiness Scale BreathalyzerBreathalyzer Saliva Drug Test (randomly)Saliva Drug Test (randomly)

9. Intro to Tx/Skills Building Didactic SessionsDidactic Sessions Task Group SessionsTask Group Sessions IOP recommendation, OP case-by-caseIOP recommendation, OP case-by-case Once weekly until OP/IOP beginsOnce weekly until OP/IOP begins

10. IMPACT Level.5 20 hours of substance use/abuse education and prevention.20 hours of substance use/abuse education and prevention. 4 half days4 half days Conducted every other weekConducted every other week No DxNo Dx Isolated incidentsIsolated incidents AUDIT Score <4AUDIT Score <4

11. Outpatient Level I Group SessionsGroup Sessions Didactic SessionsDidactic Sessions Individual SessionsIndividual Sessions 20-40 hours per week for two weeks20-40 hours per week for two weeks Admission every other weekAdmission every other week Abuse/Dependence DxAbuse/Dependence Dx AUDIT Score 4-9AUDIT Score 4-9

12. Intensive Outpatient Level II.I and II.5 Group SessionsGroup Sessions Didactic SessionsDidactic Sessions Individual SessionsIndividual Sessions Up to 100 hours over three weeksUp to 100 hours over three weeks Admission every other weekAdmission every other week Abuse/Dependence DxAbuse/Dependence Dx AUDIT Score 10+AUDIT Score 10+

13. Continuing Care Group SessionsGroup Sessions Individual SessionsIndividual Sessions Six sessions closed, transferred to open groupsSix sessions closed, transferred to open groups Once per week for two hoursOnce per week for two hours Currently 6 meeting timesCurrently 6 meeting times Abuse/Dependence DxAbuse/Dependence Dx Up to 12 months following treatmentUp to 12 months following treatment

14. Dual Dx Group Psychologist/LCSW leadPsychologist/LCSW lead Didactic/process groupsDidactic/process groups Twice weeklyTwice weekly Substance abuse/dep and PTSD DxSubstance abuse/dep and PTSD Dx Pre/Post treatment as neededPre/Post treatment as needed

15. Couples Group Psychologist/LCSW leadPsychologist/LCSW lead Process groupsProcess groups WeeklyWeekly Substance abuse/dep and PTSD DxSubstance abuse/dep and PTSD Dx Pre/Post treatment as neededPre/Post treatment as needed Minimum of 4 sessionsMinimum of 4 sessions

16. Staffing 1 – Department Head1 – Department Head 1 – Admissions Coordinator1 – Admissions Coordinator 2 – Clinical Psychologists2 – Clinical Psychologists 2 – LCSW2 – LCSW 13 – SA Counselors13 – SA Counselors 8 – Admin/Medical Support8 – Admin/Medical Support

17. Contact Information Substance Abuse Rehabilitation ProgramSubstance Abuse Rehabilitation Program –Dept Head(910)451-0244 –Admissions(910)451-0256/0257 –Front Desk(910)451-1175