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Responding to the PTSD Crisis Among Returning Vets Session 5065.0

Responding to the PTSD Crisis Among Returning Vets Session 5065.0. Ron Manderscheid, PhD Constella Group, LLC & Johns Hopkins University. Short History. Spring 2006 – Initial White Paper, Helping Veterans Return.

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Responding to the PTSD Crisis Among Returning Vets Session 5065.0

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  1. Responding to the PTSD Crisis Among Returning VetsSession 5065.0 Ron Manderscheid, PhD Constella Group, LLC & Johns Hopkins University

  2. Short History • Spring 2006 – Initial White Paper, Helping Veterans Return. • White Paper published in Archives of Psychiatric Nursing and Behavioral Healthcare.

  3. Nature of the Problem • Problem is significant (35-40%), with expected large numbers 450-500 thousand. • Most will suffer from PTSD, Depression, Anxiety, and Substance Use Disorders. • Epidemiology confirmed by the DoD Mental Health Report, issued in June 2007.

  4. Key Elements of the White Paper • Recommended Approach: • GIS and mapping. • Outreach to public and not-for-profit mental and substance use services (new partnerships). • Availability of a call center for anonymous care. • Creation of a virtual support group, with care elements. • Testing in key sites, with appropriate evaluation.

  5. Key Service Issues in Project Area • DoD vs. VA vs. National Guard • Units vs. VAMCs vs. States • Need for a Fusion Center

  6. Potential Future Research • Epidemiology and Surveillance: How many vets have problems, how severe are the problems, and how are these vets distributed? • Volunteers vs. Draftees: Volunteer army personnel come predominantly from poverty areas and poor families.

  7. Potential Future Research • Large Scale Analytical Studies: Who is using what services with what effects? • DoD and VA VistA Electronic Health Records • State encounter records.

  8. Potential Future Research • Evaluation Studies: Are the clinical interventions working as planned? What needs to be improved? • Field studies vs. controlled studies

  9. Potential Future Research • Family Impact Studies: What impact does the ill vet have on the family unit? On spouse? On children? • 20 suicides of vets/day.

  10. Potential Future Research • Preventive Interventions within a Public Health Framework: How can these problems be prevented before they occur? • Resiliency Theory • Social Support Theory • Analogues from other major stress situations.

  11. Potential Funding Sources • DOD – CDMRP • VISN/VAMC—Services Research Funds • Targeted HHS Projects • Projects Authorized by State Legislatures

  12. Contact Information • Ron Manderscheid, Ph.D. • Director, Mental Health and Substance Use Programs • Constella Group, LLC • 6003 Executive Boulevard, Room 416 • Rockville, Maryland 20852 • 240-514-2607 (Voice) • 301-787-1414 (Cell) • 240-514-2601 (Fax) • rmanderscheid@constellagroup.com • www.constellagroup.com • Enhancing human health around the world, every day

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