mental health in the department of defense from policy to programs and patients
Download
Skip this Video
Download Presentation
Mental Health in the Department of Defense: From Policy to Programs and Patients

Loading in 2 Seconds...

play fullscreen
1 / 29

Mental Health in the Department of Defense: From Policy to Programs and Patients - PowerPoint PPT Presentation


  • 109 Views
  • Uploaded on

Mental Health in the Department of Defense: From Policy to Programs and Patients. CAPT Robert DeMartino CDR Meena Vythilingam CDR Robert Marietta CAPT Paul Andreason.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Mental Health in the Department of Defense: From Policy to Programs and Patients' - mio


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
mental health in the department of defense from policy to programs and patients
Mental Health in the Department of Defense: From Policy to Programs and Patients

CAPT Robert DeMartino

CDR Meena Vythilingam

CDR Robert Marietta

CAPT Paul Andreason

slide2

Challenges and Opportunities for PHS Officers at the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury(DCoE)

CDR Meena Vythilingam

Director, PH CSoC

June 2012

slide3

Who We Are

Mission, Vision and Values

Organization

What We Do

Functions

Programs

Products

Opportunities

Contact Information

Overview

slide4

DCoE - Who Are We?

  • Mission
  • Improve the lives of our nation’s service members, families and veterans by advancing excellence in psychological health and traumatic brain injury prevention and care.
  • Vision
  • To be the Defense Department’s trusted source and advocate for psychological health and traumatic brain injury knowledge and standards, and profoundly improve the system of care.
  • Values
  • Excellence
  • Integrity
  • Teamwork
slide5

DCoE* Governance & Authority

Secretary of Defense

Mr. Leon Panetta

Dep. Secretary of Defense

Mr. Ashton Carter

Undersecretary of Defense

Personnel & Readiness

Dr. Jo Ann Rooney (acting)

Dr. Jonathan Woodson

Assistant Secretary

of Defense - HA

Capt. Paul Hammer

Director, Defense Centers

of Excellence PH/TBI

DD- PH

DD- TBI

Col Robinson

Ms. Helmick

Dr. Mark Bates

TBI-CSoC

Ms. Kathy Helmick

R&P

PH-CSOC

CDR Meena Vythilingam

Education

Mr. Carlton Drew

* Undergoing organizational restructuring and will be transitioning to MRMC

slide6

PH Clinical Standards of Care

320/07

GS-13

320/06

GS-14

320/05

O-4

320/04

GS-13

310/05

GS-11

Health Analyst

320/03

E-7

310/04

GS-13

310/07

GS-13

310/03

GS-13

Psych. Consult. Lead

320/02

O-4

Clinical Psychologist

310/06

GS-14

310/02

GS-14

Nurse Case Manager

Sr. Enlist. MH Advisor

Clinical Support Tools

Health Analyst

Clinical Guide. Coord.

Healthcare Admin Cons.

Psychologist (SME)

Psychiatrist (SME)

Social Science Analyst

GS-13

300A/04

GS-14

300A/03

RES. ASST PROG ANAL.

Senior advisor ph

CDR Vythilingam (USPHS)

Director

Program Effectiveness

Clinical Guidelines

Dr. Kathy McGraw

Deputy Director

- Division Chief-

Program Effectiveness

- Division Chief-

Clinical Guidelines

320/01

GS-14

310/01

GS-14

Psychiatrist Consultant

slide7

What We Do

  • Serve as the principal integrator and authority on psychological health and TBI knowledge and standards for the Defense Department
  • Uniquely positioned to accelerate improvements in psychological health and TBI outcomes and policy to impact the continuum of care across the services

Continuum of Care

Treatment

AcuteRecovery

Diagnosis

Reintegration

Surveillance

Rehabilitation

Prevention

Screening

Resilience

slide9

CLINICAL GUIDELINES DIVISION

Mission: To develop and provide evidence based PH clinical guidelines to the Military Health System.

Functions:Identify, develop, monitor, and revise psychological health Clinical Practice Guidelines (CPGs), Clinical Support Tools (CSTs), and other forms of evidence based guidance designed to assist clinicians in delivering quality care to patients.

slide10

The VA/DoD CPGs were developed in an effort to standardize the management of PTS and MDD. Some of the same topics are emphasized for both disorders

  • Patient centered care
  • Emphasis on screening
  • Emphasis on early identification and intervention
  • Functional assessment
  • Evidence-based pharmacology recommendations
  • Providers trained in evidence-based treatment provide care
  • Patient and family education

VA/DoD CPGs are available at:

www.qmo.amedd.army.mil/pguide.htm

www.healthquality.va.gov/

www.dcoe.health.mil

slide11

A “Toolkit” is comprised of a group of related CSTs. Evidence-based recommendations from the CPGs provide the foundation for the content of these tools

slide12

A stepped care treatment plan includes a recommended timeline for psychotherapy and pharmacotherapy interventions

ptsd care pathway model
PTSD Care Pathway Model

Care Pathway for PTSD

Acute Stabilization

(Hosp or Amb)

Initial Treatment (Recovery)

Pre-Treatment

Rehabilitation

Post Acute

Prevention

Maintenance

EXAMPLES OF METRICS/MEASURES:

Outcome Measures (Porter’s Model)

One Year Mortality Rate

Suicide Rate

Expanded Porter’s Model on Next Slide

Process / alerts

Time from Positive Screen to Treatment

Follow-Up With in 4-6 Weeks

Cost

Inpatient Hospitalization Costs

Prescription Medication Costs

Patient satisfaction/trust /activation

Patient Satisfaction

Patient Activation Measure

Patient data captured regularly by clinician

Electronic medical records data

Structured documentation

slide14

Program Evaluation Division

Evaluate Individuals Programs

DoD Wide Program Effectiveness

  • National Guard Bureau
  • OSD CAPE
  • DoD Dashboard

Evaluate Efficacy of CPG and CST

DoD Program Review

  • RAND: identify, catalogue, assess, evaluate and improe the cost effectiveness of all DoD PH programs
  • Evaluation of tools (e.g. CST, CPG and CR)
  • Outcomes Assessments related to tools (e.g. CST, CPG and CR)
slide16

Challenges and Opportunities

at DCoE

Meena Vythilingam, M.D.

CDR, USPHS

Director

Psychological Health Clinical Standards of Care

Defense Centers of Excellence (DCoE)

W: 301-295-2615

[email protected]

dod and phs mental health partnership experiences at langley air force base

DoD and PHS Mental Health PartnershipExperiences at Langley Air Force Base

COA Annual Meeting

June 22, 2012

Bob Marietta, MD

CDR, US Public Health Service

slide18

Our Mission:

  • Train, Organize, Equip, & Deploy Expeditionary Medics
  • Provide World Class Healthcare for our Beneficiaries -- Anytime; Anywhere!
  • Our Vision:
  • Be the Clinical & Expeditionary Center of Healthcare Excellence
  • 633 MDG is a Currency & Operational Platform for our Nation
slide19

7 Currency Hospitals in the AFMS 2011

Where the Staff is:

Travis AFB

Wright-Patterson AFB

Nellis AFB

Langley AFB

Elmendorf AFB

Eglin AFB

Keesler AFB

Opportunity to recapture business:

Langley: Largest Opportunity—Smallest Footprint

who are we
Who Are We?
  • Largest Beneficiary Population in AF
    • An Even Bigger Multi-Service Market
  • Largest Growth in Past 3 Years
  • Busiest in AF for OB
  • 1st C-CMRF mission in DoD & Pilot unit for GRF/HRT
  • 26,000 Outpatient visits/month
  • 83,000 Prescriptions per month
  • 12,000 Dental & Dental Lab Procedures/month
  • Surgery - 250 OR cases/month
  • LDRP– 100 births/month
  • 3,100 X-Rays/month

1 of 7 Specialty Hospitals in the AFMS

multiple capability hospital
Multiple Capability Hospital

Primary Care Medicine

  • Family Medicine Pediatrics
  • Internal Medicine Flight Medicine

Specialty Services

  • Emergency Services General Surgery
  • Orthopedics OB/GYN
  • Ophthalmology Optometry/Audiology
  • Urology Mental Health
  • Otolaryngology (ENT) Physical Therapy
  • Dermatology Chiropractics (AD only)
  • Oral Maxillofacial Surgery Podiatry

New Services Planned (2011-2012)

  • Pulmonology Gastroenterology
  • Neurology Cardiology
  • Allergy Pathology
  • Speech Pathology Peds Surgery
  • Colorectal SurgeryMRI/Nuclear Med
slide22

Tidewater Overlapping Catchment Areas

Huge Population—Huge Opportunities

Ft. Eustis

Langley AFB

111,000 Beneficiaries

Naval Medical

Center Portsmouth

Total Tidewater : 417,000 Beneficiaries

behavioral health flight
Behavioral Health Flight
  • Deep set of comprehensive services
    • Occupational medicine
      • Direct patient care
      • Fitness for duty, disability and forensic evaluations
      • Coordination with military officials
    • 24 hour on-call coverage for ER and hospital
    • Two mental health disaster response teams
    • Integration with Primary Care
      • Behavioral Health Optimization Program
    • Joint Army-Air Force Base Family Advocacy Program
embedded phs officers
Embedded PHS Officers
  • CDR Bob Marietta, Psychiatrist
    • Mental Health Element Chief
  • CDR Bryan Davidson, Psychologist
    • Director of Psychological Health, Behavioral Health Optimization Program
  • LCDR Jenny McCorkle, Clinical Social Worker
    • Family Advocacy Element Chief
benefit to air force
Benefit to Air Force
  • Much needed, valued services
    • “Breathing room”
      • Reduces workload for critically manned AF personnel
    • Flexible support with local control
      • Custom tailor support to provide best fit
    • Stability
      • Longer tour length
      • Shorter deployments
      • Highly motivated
    • Experience
      • PHS providers further along in career
      • Diverse background
benefit to phs
Benefit to PHS
  • High profile, visibility
    • Increased attention to mental health services
  • Provide a much appreciated service
  • Work in a uniformed service environment
    • Daily uniform wear
    • Deployment is part of the culture
  • Participation in disaster response teams
    • Good training for PHS mission
  • Skills learned carry over to PHS
discussion points
Discussion Points
  • Learning curve for Air Force policies and procedures
  • “Purple suit”
    • Ex-Navy goes Air Force
  • Leadership roles
    • Integral part of Air Force officer promotion pathway
  • Acceptance from Air Force officials, colleagues
    • Ex-Air Force provider transfers in to PHS
  • Uniform
    • Good to stand out, easily identifiable
    • BDUs retired by Air Force
  • PHS headquarters support functions
results
Results
  • Integral part of hospital and Air Force Medical System
    • Trust, appreciation and acceptance
    • Air Force planning personnel movements around PHS personnel
questions
Questions?

Building The Next Generation in Healthcare

ad