US Public Health Service Impact at the Defense Department

1. US Public Health Service Impact at the Defense Department Commander George Durgin, USPHS Deputy Director Resilience & Prevention Directorate

2. Objectives • Defense Department/Health and Human Services Memorandum of Understanding • DoD Assignments • Benefits to DoD • Future in DoD

3. DOD/HHS MOUs • Office of the Assistant Secretary of Defense for Health Affairs (OASD-HA; Dec 1993) • Assist DoD in carrying out responsibilities for effective delivery of health care for DoD beneficiaries by providing technical support and coordination in the development of policies and health programs. • No end date. • Psychological Health & Traumatic Brain Injury (April 2008) • USPHS officers detailed to the Army, Navy or Air Force … in support of psychological health mission and/or mission in treating traumatic brain injury. • Remain in effect for 10 years

4. Psych Health & TBI MOU • Full-time equivalent ceilings may be determined by Office of Management and Budget (OMB). • Assignments are indefinite unless set in orders. • Officers can be returned to the Corps: • Only for…documented unsuitability, misconduct and/or disciplinary programs or unresolved performance issues. • DoD will fully investigate the matter and develop and forward a complete record of documentation sufficient to permit HHS to take appropriate action. • DoD will submit a written request for return of an officer… not less than 150 days before DoD desires to return an officer to HHS.

5. USPHS Billets • 83 billets • Army Surgeon General – 1 • Navy Bureau of Medicine – 1 • Joint Task Force Capital Medical (JTF-CAPMED) – 6 • Army Corps of Engineers – 1 • Armed Forces Surveillance Center – 6 • USAF Academy – 1 • Uniformed Services University - 1 • Tricare Management Activity (TMA) - 43 • Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) - 18 • Uniformed Services University of the Health Sciences • Army Center for Health Promotion & Surveillance Europe – 3 • National Guard Bureau - 1

6. USPHS Psych Health & TBI Billets • 178 billets (101 USA, 26 USN, 30 USAF, 19 JTF-CAPMED, 2 - DOD) • 1 – Neurologist • 33 – Nurses • 7 – Physician Assistants • 10 – Psychiatrist • 46 – Psychologist • 69 – Social Workers • 3 – Occupational Therapists • 4 - Physical Therapists • 3 – Speech Therapists • 2 – Other (Liaison & Program Manager)

7. Benefits to DoD • Unique expertise • Quick selection process • Quick report dates • Long-term fills • Mobility at assignment • Fresh ideas • Prior service experience

8. Leadership • TMA deputy director executive officer • TMA pharmaceutical operations • DOD/VA Integrated Mental Health Strategy – OSG COS • Office directors • Clinical directors • Chairman of the Joint Chiefs of Staff subject matter expert

9. Future in DoD • New MOU • Army Medical Command MOU • Expanded locations • Increased responsibilities • Flag billets • More USPHS officers

10. Questions • Contacts: • CDR Berry F. Williams • DOD/TMA Commissioned Corps Liaison Officer (Psych Health & TBI MOU) • 5111 Leesburg Pike (Skyline #5, Suite 810 A) Falls Church, VA 22041 • Office Phone: (703) 681-6481; Office Fax: (703) 681-6487 • Email: berry.williams@tma.osd.mil • CDR Sophia Russell • DOD/TMA Commissioned Corps Liaison Officer (TMA MOU) • 5111 Leesburg Pike, Skyline #5, Suite 810 A Falls Church, VA 22041 • Office: (703) 681-6483; Fax: (703) 681-6487 • Email: sophia.russell@tma.osd.mil • CDR George Durgin • Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury • 1335 East West Hwy #9-306, Silver Spring, MD • Office: (301) 295-8362 • George.Durgin@tma.osd.mil