DHCC is committed to providing healthcare providers with sound clinical guidance on healthcare programs, practices and services to ensure highest quality care is given to our service men and women. Our goal in this section is to provide information on mental health related concerns based on evidence-based clinical practices including strategies on prevention and guidance on intervention. Further, we want to assist service members by providing patient education materials that will aid them in the recovery process as they seek to improve their over-all health and well-being. Below, we list programs and services that deal with posttraumatic stress (PTSD), combat trauma, military sexual trauma (MST) and other mental health issues and treatment centers that offers individual and family psychotherapy; and group and gender specific therapy treatments. We also provide other resources that may be helpful in understanding the trauma and treatment options.
Table of Contents
|Featured News Topics |
- DoD Report to Congress, Use of Telemedicine to Improve the Diagnosis and Treatment of Posttraumatic Stress Disorder, Traumatic Brain Injuries, and Mental Health Conditions, Sep 14 (The Department of Defense (DoD) prepared this report in accordance with the National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2014, P.L. 113-66, which requires the Secretary of Defense to submit a report to the congressional defense committees on the use of telemedicine to improve the diagnosis and treatment of
Posttraumatic Stress Disorder (PTSD), Traumatic Brain Injuries (TBI), and mental health (MH) conditions.)
- DoD Report to Congress, Research and Medical Practice on Mental Health Conditions, Sep 13 (DoD submits the report in accordance with the National Defense Authorization Act for Fiscal Year 2013, section 725. It discusses DoD's research approach on mental health conditions and DoD's key translational medical practice initiatives for mental health conditions.)
- DoD Report to Congress - Study on Physical and Mental Health and Other Readjustment Needs of Members and Former Members of the Armed Forces Who Deployed in OIF/OEF and Their Families - Phase II, 13 Aug 13 (Department of Defense and Department of Veterans Affairs joint response on Phase 2 of the congressionally mandated Institute of Medicine (IOM) two-part study of the physical, psychological, social, and economic effects of deployment on service members, their families, and communities.)
- Congressional Research Service, Post-Traumatic Stress Disorder and Other Mental Health Problems in the Military: Oversight Issues for Congress, 8 Aug 13 (This report is intended to provide assistance in understanding the issues associated with psychological health in the active duty forces, potential congressional responses, and what questions may remain unanswered.)
- AFHSC Medical Surveillance Monthly Report (MSMR), Mental Health Issue, Volume 20/Number 7, Jul 13 (Provides information on military mental disorder hospitalizations, mental disorders and mental health problems among recruit trainees, malingering and factitious disorders, and conditions diagnosed concurrently with insomnia. It includes an editorial on the mental heatlh of our deploying generation by the Director, Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury.)
- Interagency Task Force on Military and Veterans Mental Health 2013 Interim Report, 19 Mar 13 (Provides information on the progress
made on initiatives called for in Executive Order to Improve Access to Mental Health Services for Veterans, Service Members, and Military Families, 21 Aug 12.)
- Institute of Medicine (IOM) Report, Readjustment Needs of Veterans, Service Members, and Their Families (A two-phase congressionally mandated study to examine the physical, mental, and other needs of military personnel returning from the conflicts in Iraq and Afghanistan, and of veterans and their family members.)
- Phase 2, Returning Home from Iraq and Afghanistan: Readjustment Needs of Veterans, Service Members, and Their Families, 26 Mar 13 (IOM committee's comprehensive assessment of the physical, psychological, social, and economic effects of deployment on service members, their families, and communities.)
- Phase 1, Preliminary Assessment of Readjustment Needs of Veterans, Service Members, and Their Families, 31 Mar 10 (Presents findings on the scope and magnitude of the problems facing these populations and lays out a plan for the detailed assessment in the second phase.)
- Army Task Force on Behavioral Health Corrective Action Plan, Jan 1
(Report of the Army Task Force on Behavioral Health created in May 12 to identify systemic breakdowns or concerns in the Integrated Disability Evaluation System (IDES)
affecting the diagnosis and evaluation of behavioral health conditions amd develop a corrective action plan.)
- Executive Order, Improving Access to Mental Heatlh Services for Veterans, Service Members, and Military Families, 31 Aug 12 (Aimed at reducing the rate of suicide and mental health disorders in veterans and troops by improving access to behavioral health care.)
- RAND Corporation Technical Reports
- Improving Programs that Address Psychological Health and Traumatic Brain Injury - The RAND Toolkit, Jan 14 (The purpose of the Toolkit is to assist those responsible for overseeing portfolios of multiple psychological health and TBI programs understand, evaluate, and improve program performance.
- Programs Addressing Psychological Health and Traumatic Brain Injury Among U.S. Military Servicemembers and Their Families, 2011.
This report is the first comprehensive catalog of programs sponsored or funded by the Department of Defense to aid military members and
their families with psychological health or traumatic brain injury issues. It also assesses how such efforts compliment traditional
service providers and routine care and provides recommendations for for clarifying the role of programs, examining gaps in routine
service delivery that could be filled by programs, and reducing implementation barriers. The project includes an Innovative Practices
for Psychological Health and Traumatic Brain Injury Online Database, which is a catalog of the programs and their characteristics.
- Program Evaluation of Veterans Health Administration (VHA) Mental Health Services Capstone Report, 2011
This report summarizes a four-year evaluation of mental health services provided by the Veterans Administration (VA) for veterans with schizophrenia, bipolar disorder, posttraumatic stress disorder,
major depression, and substance use disorders.
- Borden Institute Text Book of Military Medicine, Combat and Operational Behavioral Health, 2011 This is a new volume in the Borden Institute Text Books of Military Medicine which provides guidance based on lessons learned in the past 15 years to assist clinicians care for the behavioral health problems related to combat and operational assignments that affect the military and their families. It covers all aspects of behavioral health in the military population, including traumatic brain injury, posttraumatic stress syndrome, combat and operational stress control, training for resiliency and other preventive measures, pain management, grief, family dynamics, rehabilitation and occupational therapy, medications, suicide prevention, forensic psychiatry, detainee care, substance abuse, eating disorders, ethics, and the roles of military behavioral health providers and chaplains, as well as the military's evolving behavioral health policy and practices.
- DoD Training to Administer DoD Deployment Mental Health Assessments,
Official DoD Training designed to train and certify non-mental health providers to perform deployment mental
health assessments for Service members in accordance with Public Law 111-84, 28 Oct 09 Title VII Health Care Provisions Section 708 and
ASD(HA) Memorandum, Mental Health Assessments for Members of the Armed Forces Deployed in Connection with a Contingency Operation, 19 Jul 10.
Problems with accessing the posttest should be addressed to the Force Health Protection and Readiness (FHP&R) Help Desk (703) 578-8673. CME credits available.
- inTransition Program
The Military Health
System has created the in Transition Program to assist Service members receiving mental health treatment in providing a bridge to
their next provider in case of transfer or separation from the service. inTransition is free, voluntary, and confidential. The program is
open to all Service members in every branch – including the Reserves – who are currently receiving mental health treatment and are
either relocating to a new assignment, transitioning from active duty to veteran, veteran to active duty, or returning to civilian life,
including mental health provider transitions to the Department of Veterans Affairs (VA) health care system. When Service members
contact inTransition, they will be assigned their own Transitional Support Coach who will: coach them one-on-one as they go through
their transition; connect them with a new provider; and empower them with tools to continue making healthy life choices. Learn more
about the inTransition Program by listening to Dot Mil Docs 124
(Military Health System audio broadcast). To see several Public Service Announcements about the program,
- Real Warriors
The Real Warriors Campaign is an initiative launched by the Defense Centers
of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) to promote the processes of building resilience, facilitating recovery
and supporting reintegration of returning service members, veterans and their families. The campaign combats the stigma associated with
seeking psychological health care and treatment and encourages service members to increase their awareness and use of these resources.
To reach the broadest audience possible, the campaign features a variety of strategies including outreach and partnerships, print materials,
media outreach, an interactive Web site and social media.
Is a wellness resource for the military community.
Its mission is to help service members, their families, and veterans overcome common adjustment problems following a deployment. The resources and exercises on
afterdeployment.org address post-deployment challenges, including: post-traumatic stress and triggers; conflict at work; re-connecting with family and friends; depression;
anger; sleep problems; substance abuse; stress management; kids and deployment; spiritual guidance; living with physical injuries; health and wellness; and much more.
- Defense Centers of Excellence (DCoE)
The mission of the Defense Centers of Excellence
(DCoE) for Psychological Health and Traumatic Brain Injury is to assess, validate, oversee and facilitate prevention, resilience, identification,
treatment, outreach, rehabilitation, and reintegration programs for psychological health and traumatic brain injury to ensure the Department
of Defense meets the needs of the nation's military communities, warriors and families.
- Army Resilience Training (Formerly Battlemind Training, Resilience Training reflects a strength-based, positive psychology approach to Warrior behavioral health. It is designed for Warriors, Leaders, Spouses, Families and behavioral health providers. Training and information is targeted to all phases of the Warrior deployment cycle, Warrior life cycle and Warrior support system.)”
- Provider Resiliency Training
- Military Personnel and Their Families
|Common Stressors to the Deployment Cycle |
Pre-Deployment (from notification to departure)
- Anger and protest
- Emotional detachment
- Family stress
- Marital disagreements
Deployment (from departure to return)
- Emotional destabilization and disorganization
- Sadness, depression, disorientation, anxiety, loneliness
- Sleep disturbances
- Health complaints
- Financial problems
- Some find the midpoint of deployment as the time of greatest stress
- Fear for safety of deployed service member
- Apprehension over redefined roles and power dynamics
- Honeymoon period
- Resentment over loss of independence
- Insecurity about place in reconfigured system
- Service member may have difficulty disengaging from combat mission orientation
- Domestic violence
US Army Public Health Command (USAPHC), Soldier Combat Stress Reaction: A Pocket Guide for Spouse and Loved Ones, Jan 07
|Soldier Combat Stress Reaction |
Many of the reactions listed below are normal for people who experience high stress situations. It is not uncommon for most Soldiers to experience some or all of the following reactions:
- Trouble falling asleep
- Waking up in the middle of the night
- Difficulty with sexual and non sexual intimacy
- Feeling jumping
- Being easily startled
- Feeling overwhelmed
- Feeling numb
- Difficulty readjusting to family routines
- Difficulty reconnecting with family
- Discomfort being around other people or in crowds
- Difficult with memory
- Loss of interest/motivation
- Concentration problems
- Difficult talking about deployment experiences
- Loss of trust
Source: US Army Public Health Command (USAPHC), Combat/Operational Stress Control Page