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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NORTH CAROLINA NATIONAL GUARD INTEGRATED BEHAVIORAL HEALTH SYSTEM

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North carolina national guard integrated behavioral health system

NORTH CAROLINA NATIONAL GUARD INTEGRATED BEHAVIORAL HEALTH SYSTEM

“Taking Care of Our Own”


North carolina national guard integrated behavioral health system

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

  • 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


North carolina national guard integrated behavioral health system

Estimated unreported suicides:

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:


North carolina national guard integrated behavioral health system

CURRENT SITUATION CONTINUED

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)


North carolina national guard integrated behavioral health system

CURRENT SITUATION CONTINUED

  • 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


North carolina national guard integrated behavioral health system

NCNG Integrated Behavioral Health 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


North carolina national guard integrated behavioral health system

EMBEDDED LOCATIONS

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


North carolina national guard integrated behavioral health system

EMBEDDED LOCATIONS

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


North carolina national guard integrated behavioral health system

PROGRAM BENEFITS

  • 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


North carolina national guard integrated behavioral health system

PROGRAM BENEFITS CONTINUED

  • 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.


  • North carolina national guard integrated behavioral health system

    NORTH CAROLINA NATIONAL GUARD INTEGRATED BEHAVIORAL HEALTH SYSTEM

    • CONCLUSION

    • AND

    • QUESTIONS


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