Oklahoma City VA Medical Center

Oklahoma City VA Medical Oklahoma City VA Medical CenterCenter

OEF/OIF Program OfficeOEF/OIF Program Office

Oklahoma City VA Medical CenterOperation Enduring Freedom

Operation Iraqi FreedomOperation New Dawn

OEF OIF OND Program Office

921 NE 13th StreetOklahoma City, OK 73104

(405) 456-3215

OEF OIF OND Program OfficeOEF OIF OND Program Office• In the Spring of 2007 the Department of Veterans

Affairs created the OEF/OIF/OND Program Office to expand services to veterans as they transitioned from the military into the VA Healthcare System.

• Coordinated Care Management Structure for Seriously Injured/Ill and Non-Seriously Injured/Ill OEF/OIF/OND Veterans.

• Timely, quality, seamless and well-coordinated care management services to address physical, mental, and psychosocial needs of Veterans.

(Office of Patient Care Services, Care Management and Social Work Services)

Expanded HealthcareExpanded Healthcare

• On 28 January 2008 the National Defense Authorization Act of 2008 was signed into law by President Bush.

• OEF OIF OND Combat Veterans now have free deployment related healthcare extended for 5 years (from the date of discharge) at all VA Medical Centers.

• OEF OIF OND Veterans have 180 days to register for free dental care from the date of discharge on their DD-214

Three Core Services:Three Core Services:

1. Transition and Reintegration

2. Care Coordination and Advocacy

3. Proactive Outreach/Education/Training

Transition & Reintegration Goals:Transition & Reintegration Goals:• Honor and serve our OEF OIF OND Veterans

through enrollment in the VA. (Receive 5 years of cost-free health care for any injury or illness associated with their service).

• Participate in DoD Demobilizations, Post Deployment Health Re-Assessments, and other local military activities.

• Partner with Military Treatment Facilities and VA liaisons.

Care Coordination & AdvocacyCare Coordination & Advocacy• Assess and provide appropriate level of

case management services to every enrolled OIF/OEF/OND Veteran (Intensive, Progressive, Supportive, Lifetime).

• Work with all VA, DoD, and community health care partners to address Veteran’s bio-psychosocial needs.

• Provide advocacy services to individual Veterans to address concerns and reduce system barriers to seamless care.

Outreach, Education and Outreach, Education and TrainingTraining

• Collaborate with all VA/VHA program staff, community partners and Veterans/family/significant others to improve VA services and Veteran health care outcomes, (Focus Groups).

• Proactive outreach and collaboration with CBOC’s, Vet Centers, Veteran Service Organizations, law enforcement, community providers, and businesses/employers.

• Welcome and educate Veterans, their families and the community regarding VHA services for OEF/OIF/OND Veterans (Welcome Home Event).

VA Medical Center OKCVA Medical Center OKCOEF OIF OND Program Office OEF OIF OND Program Office

Michele Diesselhorst-Reese, LCSW,CCM, Program Manager

405-456-3215

Waco Blakley, Transition Patient Advocate

405-456-1410

Tanya Gutierrez, LCSW – Lead Coordinator

405-456-3214

Kelly White, LCSW – Lead Coordinator

405-456-5556

Katie Cox, LCSW – Lead Coordinator

405-456-

Sandra Nikkel, LCSW – Caregiver Support Coordinator

405-456-5569

Christy Pargeter, LCSW – Caregiver Support Coordinator

405-456-5569

Program ManagerProgram Manager

• Administrative and clinical responsibility for the Program.

• Ensures all OEF OIF OND Service Members and Veterans receive patient-centered, integrated care.

Transition Patient AdvocateTransition Patient Advocate

• Information about health care and Veteran benefits.

• Assist Veterans in understanding rights and responsibilities.

• Resolve complaints, breaks down barriers.

• Outreach coordination.

Case Managers - RN & LCSWCase Managers - RN & LCSW• Assessment

• Individualized care management for readjustment needs

• Supportive counseling

• Assistance with access to VA, community services and resources

Presenting Needs & ConcernsPresenting Needs & Concerns• Physical Health

– Signature Injury: Traumatic Brain Injury (TBI) (Motor Vehicle Accident [MVA], Improvised Explosive Device [IED], falls, blast exposure). (**Prevalence of Chronic Pain, PTSD & TBI 42.1%)

– Musculoskeletal Injuries (57%)*– Infectious and Parasitic Diseases– Diseases of the Skin– Diseases of Endocrine/Nutritional/Metabolic Systems (33.3%)*– Diseases of the Digestive System– Diseases of the Respiratory System (26.5%)*– Diseases of the Nervous System (Hearing) (45.8%)*– Poisoning/Injury (29.0%)*– Unexplained Symptoms (52.8%)*

References: * VHA Office of Public Health and Environmental Hazards Released Jan 2013 ** Lew et al. JRRD December 2009

Presenting Needs & ConcernsPresenting Needs & Concerns

• Mental Health (53.6%)*– Combat stress reaction - (PTSD)– Depression– Neurotic Disorders– Affective Psychoses– Alcohol and Drug Abuse/Dependence– Sexual Deviations and Disorders– Other pre-existing or exacerbated diagnoses

*Reference: VHA Office of Public Health and Environmental Hazards Released Jan 2013

PTSD SymptomsPTSD Symptoms

• Startle reactions to noise or movement

• Reliving of traumatic memories

• Guilt and/or depression• Concentration & memory

problems• Sleep problems, dreams

& nightmares• Alcohol and/or substance

abuse• Authority problems• Anger Management

TBI – Traumatic Brain InjuryTBI – Traumatic Brain Injury

• Traumatic Brain Injury is the signature wound of the war in Iraq & Afghanistan. If you as an OEF/OIF veteran were exposed to IED blasts, mortars, RPG’s, accidents, or other injury where you were dazed, confused, or lost consciousness and are experiencing any of the following symptoms please call us or walk-in to our offices. We can screen you for further evaluation & referrals.

Traumatic Brain Injury SymptomsTraumatic Brain Injury Symptoms

• Frequent or continuous headaches

• Ringing in the ears

• Dizziness or balance problems

• Irritability

• Memory Problems

• Sleep Problems

• Sensitivity to light or noise

Presenting Psychosocial Presenting Psychosocial Issues & Concerns Relate to:Issues & Concerns Relate to:

• Primary support group (Spouse, family of origin)

• Interaction/functioning in social environment• Finances• Vocation/Job• Education• Housing/Homelessness• Legal • Accessing/Navigating health care services

CONFIDENTIALITYCONFIDENTIALITY

The Oklahoma City VA Medical Center prides itself on confidentiality and the important fact that many of it’s employees are veterans or combat veterans themselves. NO Information will be released without your written permission!

OEF OIF OND PROGRAM OEF OIF OND PROGRAM OFFICEOFFICE

OKC VA MEDICAL CENTEROKC VA MEDICAL CENTER405-456-3215 OR 405-456-405-456-3215 OR 405-456-

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