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- 1. Respect-Mil BACHFort Campbell Kentucky Jennifer Hanley, DNP F/PMHNP-BC Behavioral Health Champion Adult Behavioral Health WTB
- 2. Objectives Overview of RESPECT-MIL Fort Campbell, Kentucky Our Mission Key Players Where we stand Where we are going Challenges
- 3. Key Players Desiree Allen, RN (T) RCF Robin Sloan, RCF (N) Sarah Merkle, Medical Clerk (V) Jennifer Hanley, DNP BHC ABH LTC Tamara Lafrancois, Primary Care Champion COL Wasserman DCCS Carenton Clinic -Working
- 4. Fort Campbell Specs 101st Airborne Division 5th Special Forces Group (ABN) 160th Spec Ops Aviation Regimen US Army Medical Activity TN Valley District Corps of Engineers Veterinary Command US Army Dental Activity Families Multiple Clinics-Plans to reformat/Expand
- 5. A 26-year old Ft. Campbell-based Army sergeant with the 1st Battalion, 30th Infantry Regiment, 3rd Brigade, who'd enlisted after 9/11 doing three tours in Iraq, committed suicide in Clarksville, TN seven weeks after coming home. After his second tour, he answered 'yes' to the PTSD identifiers on his post-deployment questionnaire, writing in that "he had combat-related nightmares, felt down or hopeless at times, and had mood swings." Diagnosed with PTSD and unfit to deploy, two days later he was sent back to Iraq for his third tour. When he returned, family say he was a changed man, and believed he had been trying to get killed after speaking to men from his unit at his funeral. He would "flip on a dime," paranoid and anxious. His wife reported his "condition … 'spiraled fast…‘ including an incident that led to his arrest and a charge of domestic assault." He was found face down in a local park with a shotgun at his side. 115 36 50 29 2007 Source: Inter Press News Service Agency [2007-09-10]
- 6. Our Soldiers Soldiers deployed from Fort Campbell have served up to 15-month stints and have fought in heavy combat zones such as Basra, Mosul and Al An bar province. Some (many) soldiers, have been deployed multiple times since the war began. Nov 26 2008 Since the beginning of November, more than 10,000 soldiers have returned to Fort Campbell - 9,000 coming back from Iraq and about 90 from Afghanistan. 3,000 soldiers from the 101st Airborne are going to Afghanistan and 450 are being sent to Iraq. In January, another 1,200 from Fort Campbell will be deployed to Iraq. ASSOCIATED PRESS 2008 November
- 8. TBI-FundedOT PT Psych, Sleep Lab
- 10. Dept SW Services
- 11. Inpatient Referrals- CH, LT, Vanderbilt
- 16. Feb 08-April 08
- 19. The Army has recorded 115 suicides in 2007, 36 during deployment, 50 previously deployed, 29 never deployed. At Fort Campbell, there have been five confirmed suicides this fiscal year. Army.Mil /News Oct. 2008 SPC Carl B. McCoy, 23, a former Fort Campbell soldier who transferred in May from Fort Bragg, N.C., killed himself in July, a day after a scheduled mental health appointment at the hospital was canceled. September 13, 2008 Nashville Tennessean
- 20. Expansion Redeployments/Prevention RCM Care Facilitator-Weekly/High Risk, specific referral requests F/T Intensive PTSD pilot program Jan 09 –Beverly Sivley, LCSW Primary Care Champion/BHC Coordinated Plan of Introduction Diagnosis PTSD work group Buy-in: Turnover- Contractors, Clinic changes, time issues c/t civilian practice Training –Stigma, on post need Temp RCM position, volunteer and p/t to 1 F/T RCM coordinator, blend efforts
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- MeOthersBasics
- RESPECT-Mil program has been implemented at 15sites throughout the Army to provide, as appropriate, BH treatment in thePrimary Care setting. Deputy Chief for Clinical Services(pluses and minuses), Hx of RESPECT-Mil rollout, progress withRESPECT-Mil (stats on screening, referrals, remissions, etc.), and nextsteps for your post.
- emdr
- As of April 2008 compiled by RCF and assisting volunteer at Carentan Clinic. METRICS FOR RESPECT-MIL PRGRAM 07 MARCH - 25 APRIL 08 Bitmap PATIENT VISITS 1395 PATIENTS SCREENED 1318 POSITIVE SCREENS 226 PERCENT SCREENED 94.48% PERCENT POSITIVE 16.20% Bitmap BitmapBitmap POSITIVE SCREENS 226 POSITIVE FOR DEPRESSION 95 42.04% POSITIVE FOR PTSD 35 15.49% POSITIVE FOR PTSD&DEPRESSION 96 42.48% FALSE POSITIVE 55 24.34% POSITIVE SCREENS 226 POSITIVE SCREENS ALREADY IN RESPECT MIL 9 POSITIVE SCREENS ALREADY IN ABH 96 POSITIVE SCREENS 226 REFERRED TO R.M. 35 REFERRED TO ABH. 40 REFERRED TO OTHER SOURCE 15
- Buy in with fnp/pmhnp. One clinic-Carenton Clinic. Soldiers only. Refer dependents off post at this time. Children on post therapy and family/marital but no meds. Expand to other remaining clinics. In process of changing from multiple clinics (red,white,blue) to White only seeing blended family and service members. Many provifers used to seeing only soldiers for instance may find it daunting seeing unfit individuals with chronic health care problems. Add mental health. The facts: MH issues in half of patients. My experience=unaddressed due to time or addressed incompletely due to lack of information. Civilian world already doing this. Some clinics having a mental health day each week and incorporating BH specialists for this purpose only or having on staff a trained specialist=built in resource. We already have that resource built in. Train up not down. Training updatesTemp and contracto workersTime concernsLiability concernsLiason