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The NAMI-Department of Veterans Affairs / Family-to-Family Partnership. Susan J. McCutcheon, RN, EdD Director, Family Services, Women’s Mental Health and Military Sexual Trauma Office of Mental Health Services Department of Veterans Affairs July 7, 2009.

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the nami department of veterans affairs family to family partnership
The NAMI-Department of Veterans Affairs / Family-to-Family Partnership

Susan J. McCutcheon, RN, EdD

Director, Family Services, Women’s Mental Health and Military Sexual Trauma

Office of Mental Health Services

Department of Veterans Affairs

July 7, 2009

uniform mental health services in va medical centers and clinics3
Uniform Mental Health Services in VA Medical Centers and Clinics

Minimal clinical requirements for VHA Mental Health Services:

  • Providers discuss family involvement with patient at least yearly & at inpatient discharge
  • Treatment plan to identify family contact or reason for lack of contact
  • Providers must seek consent from veterans to contact families in the future, as necessary
uniform mental health services in va medical centers and clinics4
Uniform Mental Health Services in VA Medical Centers and Clinics

Minimal clinical requirements for VHA Mental Health Services:

  • Family consultation, family education or family psychoeducation for veterans with serious mental illness must be provided at VA Medical centers and very large CBOCs
  • Opportunities for these family services must be available to all veterans with serious mental illness on site, by telemental health, or with community providers through sharing arrangements, contracting, or non-VA fee basis care
family education fe
Family Education (FE)

Family Education (FE)

  • Treatment team provides factual information necessary to support the veteran and partner
  • Offered in many formats, regularly scheduled and conducted over time including:
    • By professionals (e.g., SAFE Program)
    • By trained family members (e.g., NAMI Family-to-Family Education Program)
family education fe7
Family Education (FE)

VHA-NAMI Memorandum of Understanding

Family-to-Family Education (FFEP)

vha nami memorandum of understanding
VHA – NAMI Memorandum of Understanding
  • Offer NAMI Family-to-Family Education Program (FFEP) in:
    • At least one VHA facility in each state
    • During a two year period starting June 2008
  • Collaborative effort between the VA and NAMI on national, state and local levels
  • Selected VHA facility and local NAMI affiliate will then serve as model to continue this partnership throughout all networks
vha nami memorandum of understanding9
VHA – NAMI Memorandum of Understanding
  • The first VHA FFEP classes were held Fall’08
  • Currently planning VHA FFEP classes for Late Winter/Early Spring’09
  • Any VAMC can partner with their local NAMI affiliate to offer FFEP in their facility outside of the MOU
vha nami memorandum of understanding10
VHA – NAMI Memorandum of Understanding

VHA OMHS shall:

  • Identify VHA facility most likely to succeed and serve as a model for the rest of the state
  • Identify VHA employee as the FFEP POC
  • Ensure the VHA facility collaborates with local Vet Center
  • Participate in monthly VHA FFEP POC Conference Calls
vha nami memorandum of understanding11
VHA – NAMI Memorandum of Understanding

VHA OMHS shall:

  • Ensure the selected VHA selected facility informs veterans and staff about FFEP
  • Assist with enrolling families into FFEP
  • Reproduce the FFEP Manual and Handouts
  • Reserve an appropriate meeting space for the FFEP with Adequate parking
  • Develop PTSD “Take Home Packet”
vha nami memorandum of understanding12
VHA – NAMI Memorandum of Understanding

NAMI Shall:

  • Identify a NAMI affiliate POC to work with the VHA FFEP POC at the selected facility in the state
  • Ensure that a representative from the NAMI Education Dept participate in planning and communication among and between states and VHA sites in the project
vha nami memorandum of understanding13
VHA – NAMI Memorandum of Understanding

NAMI Shall:

  • Ensure that there are FFEP teachers for the selected VHA site
  • Ensure that a NAMI affiliate POC assists VHA in informing veterans & VA staff of availability of FFEP
  • If VA family enrollment does not meet the minimum required number for a FFEP, assist with recruitment/ enrollment of community family members to fill class
vha nami memorandum of understanding14
VHA – NAMI Memorandum of Understanding

Other Considerations:

  • Matching a motivated VHA facility with a NAMI affiliate with appropriate resources to teach FFEP will be a mutual decision between VHA OMHS and NAMI
  • The process for enrolling family members into the FFEP will be a local decision based on the established practice of the NAMI affiliate
vha nami memorandum of understanding15
VHA – NAMI Memorandum of Understanding

Other Considerations:

  • VHA has an extensive Community Residential Care Program – veterans residing in group homes
  • Frequently these placements are long term and the group home sponsor becomes part of the veteran’s “family”
  • When such a relationship exists, the group home sponsor may enroll in the FFEP
vha nami mou designated sites
VHA-NAMI MOU:Designated Sites

Completed Fall 2008

Completed Spring/Summer 2009

vha nami mou designated sites con t
VHA-NAMI MOU:Designated Sites (con’t)

Completed Fall 2008

Completed Spring/Summer 2009

vha nami mou designated sites con t18
VHA-NAMI MOU: Designated Sites (con’t)

Completed Fall 2008

Completed Spring/Summer 2009

slide19

Syracuse

New York Harbor

Sheridan

Cheyenne

San Francisco

Chicago/Hines

Martinsburg

Marion

Clarksburg

Long Beach

Amarillo

Alexandria

Dallas

NOLA

Houston

Completed Initiative

Initiative In Process

Not Completed

legal implications

Legal Implications

Family Services

definition of family
Definition of Family

Family

According to federal law, eligible individuals who may be provided family services for immediate family members are:

  • Members of the immediate family
  • Guardian of a veteran
  • Individual in whose household such veteran certifies an intention to live
pl 110 387 veterans mental health and other care improvement act of 2008
PL 110-387 Veterans’ Mental Health and Other Care Improvement Act of 2008
  • Sec 301 amends 38 USC 1782
  • Adds marriage and family counseling to services for family members of all veterans eligible for VA care
  • Rescinds prior stipulation that services which include family members for veterans receiving non-service connected treatment are contingent on initiation during an inpatient stay
training initiatives

Training Initiatives

Family Services

training for family services by end of fy2008
Training for Family Services by End of FY2008
  • Family Psychoeducation (FPE), Behavioral Family Therapy (BFT), or Multiple Family Group Therapy (MFGT)
    • 133 staff trained in care provision
    • 15 staff trained to be BFT or MFGT trainers
  • Family Consultation
    • 15 Staff trained in care provision
  • 35 Local Recovery Coordinators trained as Network Family Education Consultants to facilitate implementation of:
    • SAFE Program
    • NAMI Family-to-Family Education Program
ongoing initiatives next steps
Ongoing Initiatives / Next Steps

Meeting requirements of UMHSP:

  • Providers discussing family involvement with patient yearly and at inpatient discharge
  • Treatment plan to identify family contact or reason for lack of contact
  • Further dissemination of family education, family consultation and family psychoeducation models

Compliance with PL 110-387

thank you for supporting veterans

Thank you for supporting Veterans!

For additional information or questions

Contact Susan J. McCutcheon at susan.mccutcheon@va.gov