This document provides an overview of information related to understanding military culture and common mental health issues among veterans. It discusses the departments and branches of the US military, as well as military ranks, hierarchy, language, and general observations about military culture. Common mental health treatment issues among veterans that are covered include traumatic brain injury, PTSD, depression, suicide, substance abuse, and family issues. The document also provides information on the VA healthcare system and connecting veterans to community care providers.
To better align government resources to support military families and veterans, President Obama issued Presidential Study Directive 9. This directive has resulted in the mobilization of the whole of the federal government to better support military families and veterans. DOJ and HHS are collaborating on improving Veterans Treatment Courts, the Department of Labor is organizing outreach to military spouses, and more.
Warrior Wellness: Mental Health and Women in the U.S. Militarymilfamln
Women play a pivotal role in military operations, and their experiences and responses may differ from their male counterparts. This webinar looks at how mental health manifests differently for women, in particular women in the military.
ABOUTWho is NCHVStaffBoard of DirectorsAnnual ConferenceHousing Sum.docxdaniahendric
ABOUTWho is NCHV?StaffBoard of DirectorsAnnual ConferenceHousing SummitJob OpeningsContact UsNEWS & MEDIABackground & StatisticsMedia InformationPublicationsAll NewsPOLICY & LEGISLATIONWrite-UpsPosition StatementsActive LegislationCongressional TestimonySERVICE PROVIDERSGrantsIn-Kind ResourcesTechnical AssistanceStand DownStart a Vet ProgramTeleconferencesPost-Conference NotesCorporate ConnectionHELP FOR VETERANSLocate OrganizationImmediate HelpStep-by-StepReplacing RecordsFederal BenefitsWomen VeteransIncarcerated VeteransEMPLOYMENTGuides & ResourcesWomen VeteransGrantees & ProfilesJob SeekersGET INVOLVEDHow You Can HelpAdvocacyJoin NCHVDonateBackground & StatisticsMedia InformationPublicationsAll NewsCoalition Call
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Background & Statistics
FAQ About Homeless VeteransHomeless Veterans FactsDemographics of Homeless VeteransIncarcerated VeteransResearch BriefsSources
FAQ ABOUT HOMELESS VETERANS
Who are homeless veterans?
The U.S. Department of Veterans Affairs (VA) states that the nation’s homeless veterans are predominantly male, with roughly 9% being female. The majority are single; live in urban areas; and suffer from mental illness, alcohol and/or substance abuse, or co-occurring disorders. About 11% of the adult homeless population are veterans.
Roughly 45% of all homeless veterans are African American or Hispanic, despite only accounting for 10.4% and 3.4% of the U.S. veteran population, respectively.
Homeless veterans are younger on average than the total veteran population. Approximately 9% are between the ages of 18 and 30, and 41% are between the ages of 31 and 50. Conversely, only 5% of all veterans are between the ages of 18 and 30, and less than 23% are between 31 and 50.
America’s homeless veterans have served in World War II, the Korean War, Cold War, Vietnam War, Grenada, Panama, Lebanon, Persian Gulf War, Afghanistan and Iraq (OEF/OIF), and the military’s anti-drug cultivation efforts in South America. Nearly half of homeless veterans served during the Vietnam era. Two-thirds served our country for at least three years, and one-third were stationed in a war zone.
About 1.4 million other veterans, meanwhile, are considered at risk of homelessness due to poverty, lack of support networks, and dismal living conditions in overcrowded or substandard housing.
How many homeless veterans are there?
Although flawless counts are impossible to come by – the transient nature of homeless populations presents a major difficulty – the U.S. Department of Housing and Urban Development (HUD) estimates that 40,056 veterans are homeless on any given night.
Approximately 12,700 veterans of Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF) and Operation New Dawn (OND) were homeless in 2010. The number of young homeless veterans is increasing, but only constitutes 8.8% of the overall homeles ...
Veterans Nearing the End of Life: Distinct Needs, Specialized CareVITASAuthor
The goal of this webinar was to equip healthcare professionals with an understanding of military veterans’ unique
medical, emotional, and spiritual needs as they near the end of life
This comprehensive reference guide provides a detailed overview of facts and figures on current era veterans and their families. It has the current statistics and analysis of the issues and available resources for veterans. It is updated quarterly.
Reverse Culture Shock is a term that is typically used to describe the unanticipated adjustment difficulties that many military people experience when returning to civilian life.
How well is the US government addressing the needs of military personnelEMDRHAP Yusupova
How well is the US government addressing the needs of military personnel and veterans with combat PTSD? View and download this extensive overview by CDR Mark Russell USN, a leading authority, as presented at 2008 EMDRIA Conference.
What does it mean "taking the shield of faith"? Why does a Christian require a "shield"? What is faith? Is all faith the same? How does faith protect? Do you know how to use the "shield of faith"?
More is written about the death and resurrection of Jesus Christ than of any other person in history. Why is that? What did He accomplish by dying on the cross? Why was His resurrection necessary? Is there strong attestation to Christ's resurrection? Must we believe He is alive today? How does the resurrection of Jesus of Nazareth effect you?
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Similar to Civilian Clinicians Counseling Military Veterans
To better align government resources to support military families and veterans, President Obama issued Presidential Study Directive 9. This directive has resulted in the mobilization of the whole of the federal government to better support military families and veterans. DOJ and HHS are collaborating on improving Veterans Treatment Courts, the Department of Labor is organizing outreach to military spouses, and more.
Warrior Wellness: Mental Health and Women in the U.S. Militarymilfamln
Women play a pivotal role in military operations, and their experiences and responses may differ from their male counterparts. This webinar looks at how mental health manifests differently for women, in particular women in the military.
ABOUTWho is NCHVStaffBoard of DirectorsAnnual ConferenceHousing Sum.docxdaniahendric
ABOUTWho is NCHV?StaffBoard of DirectorsAnnual ConferenceHousing SummitJob OpeningsContact UsNEWS & MEDIABackground & StatisticsMedia InformationPublicationsAll NewsPOLICY & LEGISLATIONWrite-UpsPosition StatementsActive LegislationCongressional TestimonySERVICE PROVIDERSGrantsIn-Kind ResourcesTechnical AssistanceStand DownStart a Vet ProgramTeleconferencesPost-Conference NotesCorporate ConnectionHELP FOR VETERANSLocate OrganizationImmediate HelpStep-by-StepReplacing RecordsFederal BenefitsWomen VeteransIncarcerated VeteransEMPLOYMENTGuides & ResourcesWomen VeteransGrantees & ProfilesJob SeekersGET INVOLVEDHow You Can HelpAdvocacyJoin NCHVDonateBackground & StatisticsMedia InformationPublicationsAll NewsCoalition Call
SITE SEARCH
Search
Background & Statistics
FAQ About Homeless VeteransHomeless Veterans FactsDemographics of Homeless VeteransIncarcerated VeteransResearch BriefsSources
FAQ ABOUT HOMELESS VETERANS
Who are homeless veterans?
The U.S. Department of Veterans Affairs (VA) states that the nation’s homeless veterans are predominantly male, with roughly 9% being female. The majority are single; live in urban areas; and suffer from mental illness, alcohol and/or substance abuse, or co-occurring disorders. About 11% of the adult homeless population are veterans.
Roughly 45% of all homeless veterans are African American or Hispanic, despite only accounting for 10.4% and 3.4% of the U.S. veteran population, respectively.
Homeless veterans are younger on average than the total veteran population. Approximately 9% are between the ages of 18 and 30, and 41% are between the ages of 31 and 50. Conversely, only 5% of all veterans are between the ages of 18 and 30, and less than 23% are between 31 and 50.
America’s homeless veterans have served in World War II, the Korean War, Cold War, Vietnam War, Grenada, Panama, Lebanon, Persian Gulf War, Afghanistan and Iraq (OEF/OIF), and the military’s anti-drug cultivation efforts in South America. Nearly half of homeless veterans served during the Vietnam era. Two-thirds served our country for at least three years, and one-third were stationed in a war zone.
About 1.4 million other veterans, meanwhile, are considered at risk of homelessness due to poverty, lack of support networks, and dismal living conditions in overcrowded or substandard housing.
How many homeless veterans are there?
Although flawless counts are impossible to come by – the transient nature of homeless populations presents a major difficulty – the U.S. Department of Housing and Urban Development (HUD) estimates that 40,056 veterans are homeless on any given night.
Approximately 12,700 veterans of Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF) and Operation New Dawn (OND) were homeless in 2010. The number of young homeless veterans is increasing, but only constitutes 8.8% of the overall homeles ...
Veterans Nearing the End of Life: Distinct Needs, Specialized CareVITASAuthor
The goal of this webinar was to equip healthcare professionals with an understanding of military veterans’ unique
medical, emotional, and spiritual needs as they near the end of life
This comprehensive reference guide provides a detailed overview of facts and figures on current era veterans and their families. It has the current statistics and analysis of the issues and available resources for veterans. It is updated quarterly.
Reverse Culture Shock is a term that is typically used to describe the unanticipated adjustment difficulties that many military people experience when returning to civilian life.
How well is the US government addressing the needs of military personnelEMDRHAP Yusupova
How well is the US government addressing the needs of military personnel and veterans with combat PTSD? View and download this extensive overview by CDR Mark Russell USN, a leading authority, as presented at 2008 EMDRIA Conference.
What does it mean "taking the shield of faith"? Why does a Christian require a "shield"? What is faith? Is all faith the same? How does faith protect? Do you know how to use the "shield of faith"?
More is written about the death and resurrection of Jesus Christ than of any other person in history. Why is that? What did He accomplish by dying on the cross? Why was His resurrection necessary? Is there strong attestation to Christ's resurrection? Must we believe He is alive today? How does the resurrection of Jesus of Nazareth effect you?
All four Gospels -- Matthew, Mark, Luke, and John -- record the triumphal entry of Jesus Christ into the city of Jerusalem on Palm Sunday, Nisan 10. This study is an exposition of John 12:12-19 and answers the question: "What's most important about Palm Sunday?"
What does "having your feet shod with the gospel of peace" mean? How does a Christian prepare their feet? Why is comparing the armor of God to the Roman soldier inappropriate? To what is this metaphor more likely referring?
What is the Christian's "Breastplate of Righteousness" described in Ephesians 6? We are often told the believer's armor is to be compared to that of a Roman soldier. Is this accurate? Study this lesson, and if possible, listen on FaceBook or YouTube by typing my name and the title or text of this study.
The first piece mentioned in the panoply of the "armor of God" for the Christian is "the belt of truth." But, what is truth? Why is it listed first? Why is it vital and what does it protect? Jesus said to Pilate, "To this end was I born, and for this cause I came into the world, that I should bear witness to the truth." (18:37)
The world, the flesh and the devil are hostile to true faith in God because all three are at enmity with God, hate Jesus (who is God come in flesh), and therefore hate those whom Christ has chosen out of this world. What hope is there for Christians facing such enemies? How can we "stand against the evil of the day"?
What is the Bible all about? What is its purpose? How can we get the most out of studying the Bible?
This lesson is part of a series of studies entitle, "Living the Word" taught at the Lighthouse Freedom Center. These slides will help you if you're following us online on Sunday at 8:45.
In many ways Jacob is a picture of every person. We were all by nature selfish, deceitful, "graspers". Jacob is a type of our human carnal nature. But, Jacob changed! One night he wrestled with the Lord and begged for a blessing. His blessing came in the form of a changed character, reflected in his new name: Israel. Israel is a picture of a person changed by God, someone with whom the Spirit of God dwells.
Who was Uzziah? Why did Isaiah “see the Lord when Uzziah died”? Who is your Uzziah? Who are the seraphim? What is their function? What did Isaiah see and hear them doing? What effect did their worship have on the Temple and on the Prophet Isaiah? How will you respond upon observing holy angels worshipping “the Lord high and lifted up”? Why does Isaiah confess, “I am a man of unclean lips and dwell in the midst of a people of unclean lips”? Would you confess the same? Why? Did Isaiah actually see the Lord Jesus Christ, Yeshua Hamashiach? (Jn. 12:37-41) Have you actually seen Him? How? (Jn. 1:9,14) How has “beholding Him” changed you? (2 Cor. 3:18; 1 Jn. 3:2)
God's sovereignty is evident in every aspect of life. Redemption is the overarching purpose of divine sovereignty. Genesis 31 reveals God's hand and heart in Jacob's relationship with Laban, a wiley, manipulative uncle, father-in-law, employer. This chapter is filled with lots of practical, relevant lessons in God's redemption for all of us.
What prevents the non-believing world from truly knowing who Jesus is? (Jn. 1:10-12; 2 Cor. 2:14) Why didn’t Pilate know what Truth was when the One who is Truth was standing only a few feet from him? (John 18:33-38) Why didn’t the disciples understand who Christ was though they had spent three solid years with Him? Why didn’t the disciples on the Emmaus Road know who Jesus was though He had already risen from the dead and reports of His resurrection had been announced to His disciples? (Luke 24:13-35)
What prevents world unity? Why have the world’s best of intentions and brightest of minds failed, abysmally, and repeatedly to achieve world unity and peace? What are common causes for disunity and conflict among Christians? How can church conflict strengthen and improve a congregation? When is church conflict destructive? What does James say is a common cause for conflict among Christians? (Jas. 4:1) What four steps does James give believers for conflict resolution? (Jas. 4:1-3; 4-6; 7-10; 11-12)
Genesis 30 describes how God uses circumstances and people in our lives to mold us and mature us. Often, God uses conflict. Certainly, this was the case for Jacob and his family. Jacob was a deceiver, a liar and a manipulator. God used his uncle Laban, who was also a deceiver, liar and manipulator to provoke change in Jacob. Conflict between two sisters, Rachel and Leah, Jacob's wives, Leah and Rachel, mirrored his relationship with his brother, Esau. God wasn't just working in the heart of Jacob. He was using the family dynamics to mold and mature each member of this family. He does the same with us today.
How is COVID-19 different from previous pandemics in history? How does the Coronavirus compare to future pestilences prophesied in the Bible? Do you think God sent the Coronavirus as a harbinger of future pandemics? If so, what should be learn about God and ourselves during COVID-19? As Christians how should we respond to pandemics? Do you have peace and hope? Why? How is your life, currently, giving others, especially non-Christians, cause to ask you for “an answer (lit. the reason) for the hope that lies in you”? (1 Peter 3:15)
God teaches each of us using sometimes intensely painful circumstances to inculcate profound and powerful lessons. Such was the case with Jacob, the deceiver, who spent 20 years with his uncle Laban being on the receiving end of deceitfulness. Everyone, Jacob and Laban, Leah and Rachel, and Zilpah and Bilhah learn life's lessons in God's classroom, known as Genesis 29.
How has COVID-19 changed you? Has the Coronavirus in any way changed your view of yourself, of the world, and of God? If so, have these changes been positive? Explain. As much as we may value science and medicine, what inherent limitations prevent us from basing our lives on them? (2 Timothy 6:19-21) How did each of the plagues defeat a god in Egypt? (Exodus 7-12) How do you think God, the Almighty God of Abraham, Isaac and Jacob, the God of Israel, the Lord Jesus Christ, is challenging the gods of our world today through COVID-19? (1 Samuel 17:47; 2 Chronicles 20:15-16; Zechariah 4:6)
Not unlike the effects of today’s Coronavirus, the older generation of Israel in the wilderness were dying. Numbers 20 begins with the death of Miriam (1) and concludes with the death of Aaron (28, 29). If you were to die today, what legacy would you leave? When was the last time you murmured or complained about something associated with COVID-19? What was your complaint? How did your criticism or complaint change you, your relationship with God and those around you? Why did the Lord send “fiery serpents among the people” (21:6)? What was Moses’ response when he heard their complaints and saw God’s judgment? (7) How should we be like Moses? What was the Lord’s response? (8) Why did Jesus compare Himself to Moses’ brazen serpent? (John 3:14-16) Why do many (sadly most) people refuse to look and live? (8)
More from Biblical Counseling Center of Bradenton, FL (20)
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
2. 2
To be introduced to:
1. Who’s Responsible for our Veterans
2. A Call to Serve those who have Served us
3. Understanding Military Culture
4. Common Treatment Issues
5. Connecting with the VA
3. 3
Department of Defense
➢ Defense Intelligence Agency
➢ National Security Agency
➢ NORAD
➢ National Geospatial Intelligence Agency
➢ Missile Defense Agency
➢ National War College
➢ And more…
5. 5
A Cabinet-level executive branch department
of the federal government charged with
integrating life-long healthcare services to
eligible military veterans at >1700 VA medical
centers and outpatient clinics located throughout
the country.
6. 6
Also provides non-healthcare benefits to military
veterans which include disability compensation,
vocational rehabilitation, education assistance,
home loans, and life insurance; and provides
burial and memorial benefits to eligible veterans
and family members at 135 national cemeteries.
7. 7
The VA Battles America’s Veteran
Mental Health Crisis with Telehealth
February 13, 2019
➢ "One in every four active-duty members of the
United States military exhibit symptoms of mental
illness, which are mostly the manifestation of
posttraumatic stress disorder (PTSD), depression,
traumatic brain injury (TBI), and/or transition
stress.”
The VA Battles America's Veteran Mental Health Crisis With Telehealth - NeuroFlow
8. 8
The VA Battles America’s Veteran
Mental Health Crisis with Telehealth
February 13, 2019
➢ "The lifetime prevalence of depression and
PTSD are five and fifteen times higher
respectively when comparing veterans to
civilians.”
The VA Battles America's Veteran Mental Health Crisis With Telehealth - NeuroFlow
9. 9
The VA Battles America’s Veteran
Mental Health Crisis with Telehealth
February 13, 2019
➢ “It is an inescapable fact: serving in the armed
forces and returning to civilian life afterwards is
difficult. Transition stress encompasses all of
the pressures that veterans face when
transitioning back into civilian life, which can
also trigger mental health consequences.”
The VA Battles America's Veteran Mental Health Crisis With Telehealth - NeuroFlow
10. 10
The VA Battles America’s Veteran
Mental Health Crisis with Telehealth
February 13, 2019
➢ “The extreme physical and mental duress that
the men and women serving in the U.S. Military
experience, both while serving and while
transitioning back to civilian life, can trigger and
exacerbate mental health issues. The risk for
suicide was 22% higher amongst veterans than it
was non-veteran civilians.”
The VA Battles America's Veteran Mental Health Crisis With Telehealth - NeuroFlow
11. 11
The VA Battles America’s Veteran
Mental Health Crisis with Telehealth
February 13, 2019
➢ “The U.S. Department of Veterans Affairs’ (VA)
mental health report from June 2018 provides
evidence that the suicide rate amongst veterans
has grown by 25.9% from 2005 to 2015.”
➢ “In fact, veterans are one and a half times more
likely to take their own life than nonveterans.”
The VA Battles America's Veteran Mental Health Crisis With Telehealth - NeuroFlow
12. 12
Gen. Martin E. Debussy,
Chm. of the Joint Chiefs of Staff
2011-2015
“We face a deficit that is that’s larger than our budget,
and that is a deficit of understanding between those of
us who serve in uniform and our fellow citizens.”
Retrieved from http://www.wbur.org/npr/263333207/chairman-ofjoint-chiefs-
warns-of-disconnect-with-military
13. 13
VA MISSION ACT OF 2018 and Telehealth Law and Policy: A Closer Look at Governing the
Practice of Telehealth for Veterans' Mental Health (americanbar.org)
14. 14
• Authorizes access to walk-in community clinics
for enrolled veterans who have previously used
VA healthcare services in the last two years.
• Authorizes local provider agreements to
remove bureaucratic red tape and to meet
veteran’s needs in the community.
• Creates standards of timely payment to
community care providers.
The VA Maintaining Internal Systems & Strengthening
Integrated Outside Networks Act
15. 15
Balancing Demand and Supply for Veterans' Health Care | RAND
Despite the shrinking population of
veterans, the number of veterans who
use VA for healthcare will increase
until 2019.
16. 16
The US is amid the largest military
demobilization in its history. Projections
suggest that 300,000 are returning with
symptoms of PTSD or major depression;
320,000 have been exposed to probable
TBIs; and hundreds of thousands are
dealing with psychological effects of
physical injuries.
The Pew Research Center reports that 44% of veterans
from current wars are describing their adjustment to
civilian life as “difficult,” and many of them are, and
will be, returning to civilian mental health and primary
care clinicians for assistance.
17. 17
Pamela
S.
Hyde,
JD
View
From the Administrator (2009-2015)
“Because we know that private-sector providers can be more
effective in treating military consumers if they understand the
military culture, combat experience, and challenges of
deployment, SAMHSA encourages civilian mental health
practitioners to become certified TRICARE providers.”
Credentialing information and details on participating in the
TRICARE network are available through the SAMHSA
Technical Assistance Packet for Becoming a TRICARE Provider.
SAMHSA - Substance Abuse and Mental Health Services Administration
22. 22
4. Language • PMS: Prof. of Military Science
• MANPADS: MAN-Portable Air-Defense
System
• MANCOC: Maneuver Advanced NCO
Course
• DICC: Defense Intelligence Collection Cell
• DISCO: Defense Industrial Security
Clearance Office
• MAGIC CARPET: Maritime Augmented
Guidance and Integrated Controls for
Carrier Approach and Recovery Precision
Enabling Technologies
• DRBOB: Defense Resale Business
Optimization Board
• FARP: Forward Area Refueling Point
23. 23
4. Language
• BLT: Battalion Landing Team
• AOC: Army Operating Concept
Military Acronyms and Terms - Military Parent Technical Assistance Center (branchta.org)
Link for military acronyms and terminology:
https://images04.military.com/sites/default/files/styles/full/public/
2019-04/2z7fsl.jpg?itok=SxvtMm2d
24. 24
5. General Observations
➢ Nonhomogeneous: each branch and
each service member is unique.
➢ Families: soldiers are recruited, but
families are enlisted. (Moore, 2012, p. 7)
➢ Hierarchy: significance of leadership
➢ Mission: priority over everything else
➢ Values: each branch has its own core
values
25. 25
5. General Observations
➢ Shared Oath Allegiance
“I, [name], do solemnly swear (or affirm) that
I will support and defend the Constitution of
the United States against all enemies, foreign
and domestic; that I will bear true faith and
allegiance to the same; that I take this
obligation freely, without any mental
reservation or purpose of evasion; and that I
will well and faithfully discharge the duties of
the office on which I am about to enter.
30. 30
ASD & PTSD
A Family’s Guide to
PTSD
A Family's Guide to Posttraumatic Stress Disorder (pdhealth.mil)
➢ What is ASD? What is PTSD?
➢ What is the difference?
➢ How would you explain these
disorders to a family?
➢ How would you help a family
cope with a vet suffering with
ASD or PTSD?
31. 31
Depressive Disorders
VA/DOD Essentials For Depression Screening
& Assessment in Primary Care
Follow this link: Patient check-in form.pdf (va.gov)
➢ Suicide Assessment
➢ Major Depressive Disorder screening
➢ Patient Health Questionnaire
32. 32
Suicidality
In 2018, 541 active and reserve service members
died by suicide. Within the active component, the
suicide rate was 24.8 per 100,000 personnel. In
the service reserves, the suicide rate for 2018 was
22.9 suicides per 100,000, and in the National
Guard, the 2018 suicide rate was 30.6 per 100,000.
DOD Report on Suicide
26 SEP 19
DOD Releases Report on Suicide Among Troops, Military Family Members > U.S. DEPARTMENT OF
DEFENSE > Defense Department News
38. 38
Provider Reference Library - Community Care (va.gov)
Provider Reference Library
Program
Fact Sheets
Contract &
Locator Links
Forms &
Guides
Education &
Training
39. 39
Learn About Military Culture | Center for Deployment Psychology
Uniformed Services University
Link for USU:
40. 40
This presentation is a very brief overview.
It does not qualify as training and does not
entitle you to counsel military veterans.
For training go to International Trauma Training Institute
(traumaonline.net)
41. Ainspan, Nathan D., Bryan, Craig J., Penk, Walter E. (eds.) (2016). Handbook of Psychological
Interventions for Veterans and Service Members: A Guide for the Non-Military Mental
Health Clinician. New York, NY: Oxford University Press.
Bush, Shane S. (ed.) (2014) Psychological Assessments of Veterans. New York, NY: Oxford
University Press.
Everson, R. Blaine. & Figley, Charles R. (Eds.) (2014). Families Under Fire: Systemic Therapy
With Military Families. New York, NY: Routledge.
Hicks, Robert (1993) Trauma: The Pain That Stays. Grand Rapids, MI: Fleming H. Revell.
Moore, Brett A. (Ed.) (2012). Handbook of Counseling Military Couples. New York, NY:
Routledge.
Psychological Health Center of Excellence (2017) A Family’s Guide to Posttrraumatic Stress
Disorder. Washington, D.C.: VA & DoD.
Veterans Administration & Department of Defense (2016) Clinical Practice Guideline For The
Management of Major Depressive Disorder (ver. 3.0). Washington, D.C.: VA & DoD.
Veterans Administration & Department of Defense (2017) Clinical Practice Guideline For The
Management of Posttraumatic Stress Disorder And Acute Stress Disorder (ver. 3.0).
Washington, D.C.: VA & DoD.
Williams, Tom (Ed.) (1980). Posttraumatic Stress Disorders of the Vietnam Veteran:
Observations and Recommendations for the Psychological Treatment of the Veteran and
His Family. Cincinnati, OH: Disabled American Veterans.
41
42. 42
Florida State University
Course NGR 6639: “Foundations for Working with Military/
Veteran and Their Families in a Healthcare Setting”
Email: help@campus.fsu.edu
Liberty University
Masters & Doctoral degrees offered
https://www.liberty.edu/military/counseling
Regent University
Masters degree offered
https://explore.regent.edu/psychology