NCCOSC Program Overview
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NCCOSC Program Overview

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  • Use this slide as a chance to segue
  • 2008 - NCCOSC assesses needs at MH and DHC clinics at NMCSD & NHCPWII MH Treatment Needs:Comprehensive standardized careCore clinical processesAssessmentsOutcome measures Patient trackingReporting capabilitiesHigh quality data in a centralized databaseM2 doesn’t meet current needsPatient and program evaluationEffective EBT implementationConsistent coordination of careClinic resourcesClinical PathwayStandard process of best practices [from point of entry to transition]Use of uniform assessments with outcome measuresWeb-based case management toolAccess to EBTTreatment and progress monitored via interdisciplinary care conferencesCare ManagementFoundation of PHPTracks patient through clinical pathwaySupports consistent coordination and continuity of careData ManagementStandard assessment, reassessment and treatment review processInforms patient and programmatic needs, treatment planning & progress, program evaluation and population healthBeta phase began in 2009Beta Program limited by manual scoring and data entry (only 10%)Pilot Support:Funded by BUMEDRDML Faison supportsNMCSD ECOMS approvalElectronic data capture and management includes:Web-based platformTablet PCReal-time scoring and provider feedbackScalabilityPilot Benefits:Improve quality of careStandardized careEffective EBT implementationCross clinic and MTF collaborationCase management based on DOD guidelinesHigh-quality data in a centralized databasePatient and program evaluation, population health and research
  • Greater awareness of OSC continuum (42% increase) Greater willingness to ask for help (31% increase) Positive feelings of command support (58% increase) (NOT SHOWN) additionally, there was a decrease in stigma for the following: “Fear that Shipmates will see as weak” (18% decrease) and “feeling that the military creates barriers” (15% decrease) We assess those service members trained at all 4 NMPS (Navy Mobilization Processing Site) facilities (San Diego, Norfolk, Point Hueneme, Gulf Port) and those reservists trained at all NOSC (Navy Operational Support Center) sites (36 to date). Also assess special Navy communities assessed include such sites as:EMDEC (Executive Medical Department Enlisted Course) EODTEU (Explosive Ordinance Disposal Training Evaluation Unit) SWMI (Surface Warfare Medical Institute)NEPMU5 (Navy Environmental Protection Medical Unit 5)
  • “Research facilitation” : Study development and execution, data management andanalysis, dissemination of findings; leads to advancement of militaryscience, evidence-based evaluation and practice and improved identification,treatment and prevention of stress injuries. Collaborate across disciplines (mental health, pain medicine, urology, neurology, etc), across research organizations, other services and academia to target a variety of populations: IDC students, infantry marines, recruits, patients, etc. STUDIES: Actively engaged in 12 IRB approved studies. Currently developing 11 studies with expected approval and execution in 2012 and early 2013. COHERENCE: Comparison ofstress regulation programs for IDC students that could be appliedenterprise-wide to aid in stress management and increase performance SRTS: Evaluation of the effectiveness of the Stress Resilience Training System(SRTS) program through a randomized controlled trial with select Navy and MarineCorps commands.PROGRAM EVALUATION: Numerous program evaluation and data analysis projects. 3/5: Comparison of variousscreening methods, measures and time points to improve the post-deploymentscreening processWHITE PAPERS: Brief papers covering relevant COSC topics such as sleep, EBTs, optimal stress, etc. MANUSCRIPTS/PROFESSIONAL PRESENTATIONS: Representation at Military Health Systems (MHS), American Psychological Association and American Psychiatric Association, as well as other professional conferences. Co-author several manuscripts published in peer-reviewed journals. RESEARCH QUARTERLY: Very well received quarterly publication synthesizing the most relevant and timely COSC literature, with over a 1000 readers.
  • Social networking – which is very important when trying to reach young adult sailors and marines. (in fact, we’re tweeting the conference now under the hashtag #COSC12) (MOVE TO NEXT SLIDEAnd of course our two NCCOSC publications, (NEXT SLIDE)

NCCOSC Program Overview NCCOSC Program Overview Presentation Transcript

  • NCCOSC OverviewScott L. Johnston, PhD, ABPPCAPT, MSC, USNDirector, NCCOSC
  • Mission• Improve the psychological health of Marines and Sailors.• Educate service members, build resilience, aid research and promote best practices in the treatment of combat and operational stress injuries.• Informed by science and provide measurable, wide- reaching results.
  • Organizational Structure BUMED COMANDER WOUNDED, ILL and INJURED (M9) NMCSD DIRECTOR NCCOSC (M95) RESEARCH KNOWLEDGE STRATEGICPROGRAMS FACILITATION MANAGEMENT COMMUNICATIONS
  • Psychological Health Pathways (PHP)OverviewBest-practice psychological health treatment &care management systemBeta program status as of April 2012 • Total Patients Entered = 2,666 • Total # of Data Points = 1.34 millionPilot Program • 100% of identified mental health patients at NMCSD & NHCP • Electronic data capture & management • Fall 2012
  • WIIR – Wounded, Ill & Injured Registry• Meets the needs of the WII population – Clinical case management – Medical and behavioral health programs• Enterprise data solution from approved and verifiable sources
  • Signs of stigma reduction when asking for helpwith stress-related issues (% of agreement by year, 2009 - 2011) 100 90 80 70 60 50 2009 40 30 2010 20 2011 10 0 Aware of OSC Will ask for help Commands Seeking help model support seeking viewed positively help by leaders
  • Research• Studies• Program Evaluation• White papers• Manuscripts/ Professional presentations• Research Quarterly
  • Getting out the MessageWeb and Social Media
  • Getting out the MessageNCCOSC Publications andAnnual Conference
  • Thank YouScott L. Johnston, PhD, ABPPCAPT, MSC, USNDirector, NCCOSC