North carolina national guard integrated behavioral health system
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NORTH CAROLINA NATIONAL GUARD INTEGRATED BEHAVIORAL HEALTH SYSTEM. “Taking Care of Our Own” . CURRENT SITUATION. UNPRECEDENTED RISE IN SUICIDE ARMY WIDE Army-wide, June 2010 highest month of Soldier suicides to date In Reserve Component suicide trends continue upward

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CURRENT SITUATION SYSTEM

  • UNPRECEDENTED RISE IN SUICIDE ARMY WIDE

  • Army-wide, June 2010 highest month of Soldier suicides to date

  • In Reserve Component suicide trends continue upward

  • 50 suicides Guard-wide, compared to 37 at same point last year (27 of the 50 never deployed) Source: NGB-G1 as of 15 June 2010

  • Highest risk demographic:

    • < 24 years of age

    • never deployed

    • < 4 years of service


Estimated unreported suicides: SYSTEM

1 (CDC estimates 5% to 25% more actual suicides above reported number)

Estimated non-fatal suicidal behaviors:

160 to 500 (CDC estimates 40 to 100 times greater than number of suicides)

Number of people affected:

Each suicidal behavior may affect a few or a very large number

CURRENT SITUATION CONTINUED

NCNG

Region:

CY 2010

Year:

NCNG

Population:

4

Reported suicides:

Unknown

People with thoughts of suicide:


CURRENT SITUATION CONTINUED SYSTEM

TRENDING FACTORS IN CRISES:

RELATIONSHIPS

divorce, domestic violence and child abuse

EMPLOYMENT

approx 32% unemployment nationwide in National Guard (NGB)

vets aged 18-24 have unemployment rate of 21.1%, up from 14.1% in 2008, and higher than non-vets the same age (16.6%) – (Dept of Labor)

SUBSTANCE ABUSE

Emergency room visits for prescription drug abuse is up 400% from 12 months ago (DHHS DD/MH/SA)


CURRENT SITUATION CONTINUED SYSTEM

  • High number of behavioral health issues: 50% of participants had reported behavioral health issues at 3 month PDHRA (DMSS 2007)

  • Over 650 identified from recently redeployed units on high-risk list

  • Averaging 3 crises/week in NCNG

  • “While Army policy and processes are fundamentally sound, gaps allow soldiers to exploit or slip through the current system… There is a requirement to improve integration of surveillance, detection and accountability.”

  • Army Health Promotion, Risk Reduction & Suicide Prevention Report July 2010


NCNG Integrated Behavioral Health System SYSTEM

(Intake/Referral/Case Management)

BH Clinicians

Command

SARC

Family Programs

Chaplains

DPH

24/7 800 # answered by Behavioral Health Clinicians

PTO

EAP

MFLCs

SPP

TAA

EXTERNAL

AGENCIES

SOS

BH Case Managers

Specific to Region of Soldier’s Location

Casualty OPS


EMBEDDED LOCATIONS SYSTEM

STORE-FRONT FAC

Behavioral Health (BH) Positions

Currently Funded

  • Asheville BH Clinician WEST

  • Greensboro BH Clinician CENTRAL/WEST

  • Greenville BH Clinician CENTRAL/EAST

  • Wilmington BH Clinician EAST

  • Behavioral Health Case Manager WEST

  • Behavioral Health Case Manager EAST


EMBEDDED LOCATIONS SYSTEM

STORE-FRONT FAC

Behavioral Health (BH) Positions Proposed for Phase 2 Funding

  • Raleigh BH Clinician CENTRAL/EAST

  • Charlotte BH Clinician CENTRAL/WEST

  • Kannapolis BH Clinician CENTRAL/WEST

  • Lenoir BH Clinician WEST

  • Behavioral Health Case Manager CENTRAL


PROGRAM BENEFITS SYSTEM

  • SO WHAT?

  • NCNG is the first NG state to embed full time BH Clinicians (NCNG Psychological Services Section)

  • 800 number provides easy access into the system

  • 24/7/365 access for command consultations

  • 24/7/365 rapid access for Service Members and Families to qualified assessment and appropriate referral

  • Triage-based intake and appointment scheduling available with NCNG Psychological Services Section

  • Service Members have multiple options for entry into a non-retribution and confidential environment for services


PROGRAM BENEFITS CONTINUED SYSTEM

  • SO WHAT? (CONTINUED)

  • Behavioral Health Case Management provides outreach and follow-up:

    • ensuring comprehensive SM care

    • strengthening relationships with external partners

  • System provides enhanced visibility of NCNG behavioral healthcare needs and improved common operating picture

  • System is designed to prevent medical crises.

  • System will increase appropriate command communications in “need-to-know” situations.



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