Working with Military Families in the community Harold Kudler, M. D. ([email protected]) Mid-Atlantic Mental Illness Research, Education and Clinical Center (MIRECC) Department of Veterans Affairs Department of Psychiatry and Behavioral Sciences, Duke
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Working with Military Families in the community Harold Kudler, M. D. ([email protected])[email protected] Mid-Atlantic Mental Illness Research, Education.
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Veterans and 27% of ALL Veterans use VA health services, what about the rest - and what about their family members?
• Are community providers and programs prepared to help?
Key Findings of Serving Those Who Have Served
• 56% of community providers don’t routinely ask patients about being a current or former member of the Armed Forces or a family member
• Only 29% of providers agreed with the statement: “I am knowledgeable about how to refer a Veteran for medical or mental health care services at the VA”
Needed:On behalf of service
members, veterans and their families
Military and Veteran friendly principles and practices as part of a
public health intervention
Ongoing NC Initiatives• The Governor’s Focus on Service
Members, Veterans and their Families– http://www.veteransfocus.org/
• NC as a mentor state in U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) national Paving the Road Home Program
• NC Institute of Medicine Report identifying gaps in services and policy– http://www.nciom.org/publications/?honoring-
– Military Families– Deployment Mental Health– Deployment Primary Care– Women Veterans– Employment Assistance Programs
• 14,000+ community providers and stakeholders have completed at least one training
• New National AHEC Grant to train 70,000 more community providers
•Searchable Provider Database at www.WarWithin.org•1,500+ providers nationally• 1,200+ providers in NC
-- 96 of 100 NC counties• Developed by the Citizen
Soldier Support Program in partnership with the VISN 6 MIRECC
Keys to Building Military-Friendly Practices & Health
Systems
1. Ask each patient “Have you or someone close to you served in the military?”
– Train providers/students to ask
2. Flag military experience (including military family status) in medical records in a way that it is noted at each clinical encounter
– Champion in VISN 6/Reward in BC/BS
3. Train all staff on military cultural competence and basic deployment mental health
Keys to Building Military-Friendly Practices and Health Systems
4. Connect providers with support on military medical issues including– National Military/Veteran Health
Programs– VA’s National Center for PTSD
5. List trained providers/programs in a national referral database accessible to:4.Warfighters and family members in
need of referral5.Providers, employers, college
officials, congregational leaders and other stakeholders seeking consultation or to make a referral
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1.Have you or someone close to you served in the military? 2. When and where did you/he/she serve? 3. What do/did you/he/she do in the military? 4. Has your/his/her military experience affected your: a. Health? b. Family? c. Work? d. Other aspects of your life?
d. Other aspects of your life?
Draft Version of the First 4 Questions from the VA Office of Academic Affiliations Military Health
History Pocket Cards(http://www.va.gov/oaa/pocketcard/)
As They Might be Adapted for Use in an Electronic Health Record
If your patient answers “Yes” to any of these questions, ask:
“Can you tell me more about that?”
If your patient answers “Yes” to any of these questions, ask:
“Can you tell me more about that?”
Key VA Websites for Community Providers
• http://www.mentalhealth.va.gov/communityproviders– New from VA Office of Mental Health
• http://maketheconnection.net – For Veterans, families and providers
• http://www.ptsd.va.gov/– VA’s National Center for PTSD