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Comprehensive Military Mental Health Operations Overview

Explore the mental health clinic, alcohol and substance abuse treatment, family advocacy, resiliency element, and suicide prevention in military operations. Discover the services available and the key roles within each program.

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Comprehensive Military Mental Health Operations Overview

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  1. Military Mental Health Operations Ch 2,8

  2. Disclaimer • Information and opinions expressed by Maj Dhillon and other military/government employees providing lectures are not intended/should not be taken as representing the policies and views of the Department of Defense, its component services, or the US Government.

  3. Overview • Mental Health Clinic • Alcohol and Substance Abuse Clinic • Family Advocacy • Resiliency Element • Director of Psychological Health • Suicide Prevention

  4. Mental Health Clinic • Providers have clinical skills to eval/treat any disorder & arrange for higher level of care PRN • Serve AD, dependents, retirees, foreign svc mbrs/dependents, nationals of foreign countries, enemy combatants • Composed of AD Os/Es, contractor, & GS providers • Multidisciplinary • Governed by Department, Service, & Unit lvl instructions

  5. Mental Health Clinic • Tx (therapy, meds, combo) • Assessment • Command (CC) consultation • Psychoeducational Briefings • Clearances • Coordinate intensive care • Svcs by appointment and walk-in

  6. Mental Health Clinic • Access to care 72 hours for initial appt, immediate for crisis • Case load 4 pts for 50 min appts • Prescribers 50 min for intial/complex pt; 30 min for refills • Duty limiting conditions (DLCs) • High Interest pts • Inpatient unit discharge evals • After hours consultation

  7. Alcohol And Substance Abuse Tx • USAF: Alcohol and Drug Abuse Prevention and Treatment (ADAPT) • USA: Army Substance Abuse Program (ASAP) • USN: Substance Abuse Rehabilitation Program (SARP)

  8. Alcohol And Substance Abuse Tx • Usually one officer and multiple MH techs • MH techs play large role in clinical care • MH techs can obtain CADAC certification • Medical Director to review labs • Prevention events across installation • Coord care with MHC for dual dx • ARI, referraleval: abuse, dependence, neither • Lvls of care .5, I, II, III • Aftercare tx for dependence after inpttx • Psychoeducation for abuse

  9. Alcohol and Substance Abuse Tx • Deglamorize alcohol use across the services • DoD: If CC or medical personnel suspect misuse of ETOH or any illicit or Rx, referral to clinic mandatory • Self referrals recommended, no adverse job impact • Alcohol Related Incident (ARI) on base police blotter released to clinic • Any incident where someone was under the influence by any degree • ARI referrals most often lead to administrative action • No medical benefits if discharged from svc for ETOH/Substance disorder

  10. Family Advocacy • Healthy families are better for svc mbrs and mission • Mainly LCSW • Manage cases of child maltreatment, domestic violence • High visibility • Svc mbrs removed from duty if guilty of domestic violence—Lautenberg Amendment

  11. Family Advocacy • New Parent Support • Educational resources for new families • Home support visits for new mothers • Free car seat and car seat safety instruction • Support for families with Special Needs • Marital/Family Therapy

  12. Resiliency Element • Newest Element in AF Mental Health Flights • Responsible for outreach for each element • Officer sits on board for installation’s leadership in area of health, welfare, morale

  13. Director of Psychological Health • Advisor to installation’s CC on issues related to the mental health of the force • Higher ranking mental health provider • Suicide prevention coordinator • Track suicide related activity • Most likely is officer appointed for Resiliency

  14. Suicide Prevention • AF Guide for Managing Suicidal Behavior • Annual Training • 18 initiatives • Not mandates, recommendations for clinical mgmt • Developing Wingman, Battle Buddy culture • Ask • Care • Escort

  15. Suicide Prevention • Efforts to destigmatize MH care, MFLC, Military OneSource, Chaplain, unit support • Outreach, Svc wide education • DoDSER—Means for suicide event reporting across svcs

  16. Suicide Prevention Kristen Freeman, LCSW Suicide Prevention Coordinator VA Gulf Coast Health Care System

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