A Phelps, J Cooper and K Densley Australian Centre for Posttraumatic Mental Health, University of Melbourne.

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "A Phelps, J Cooper and K Densley Australian Centre for Posttraumatic Mental Health, University of Melbourne."

Transcription

1 Ms Andrea PHELPS A Phelps, J Cooper and K Densley Australian Centre for Posttraumatic Mental Health, University of Melbourne. Using Mental Health Outcome Measures to Support Quality Assurance of DVA-Funded PTSD Programs The Australian Centre for Posttraumatic Mental health has been responsible for the quality assurance of DVA funded treatment programs for veterans with Posttraumatic Stress Disorder (PTSD) since This presentation will explain the nature of these programs including their history and purpose, the mental health outcome measures that are routinely used by the programs, the treatment outcomes achieved nationally, and the way in which these outcome measures, combined with a number of other sources of information, are used to support quality assurance of the programs. Recent revisions to the accreditation process in anticipation of a broader range of treatment models arising from DVA s move towards more community based treatment for PTSD, will also be described. DVA funded PTSD programs Background and history The diagnosis of Posttraumatic Stress Disorder entered the psychiatric nomenclature in 1980 with impetus from the increasing presentations of posttraumatic stress symptoms in U.S. Vietnam veterans returning from the war in the 1970 s and the women s movement raising awareness of posttraumatic stress problems in women subject to domestic violence and sexual assault. Group treatment programs were established across the U.S. for Vietnam veterans with posttraumatic mental health problems in the late 1970 s but similar moves were not made in Australia until the early 1990 s. In 1994 representatives from the Australian Department of Veterans Affairs, ex-service organisations and treatment providers visited the U.S. programs before establishing the first treatment programs in Australia in in Melbourne and Sydney. In 1995 ACPMH was established (then called the National Centre for War-related PTSD) with responsibility for supporting the development of programs throughout Australia. The programs were set up to meet the expressed need of Vietnam era veterans who were presenting to mental health treatment services with posttraumatic mental health problems, as well as the anticipated needs of other Vietnam veterans who had not yet sought treatment. On the basis of an Australian epidemiological study (O Toole et al., 1996) the lifetime prevalence of PTSD in Vietnam era veterans could be expected to be around 20%; or of the Australian servicemen who served. As programs became established, ACPMH had an ongoing role in instituting quality assurance processes to ensure best practice care was provided. To this end, accreditation guidelines and evaluation protocols were developed and formal program accreditation began in Development of the Australian model The U.S. PTSD programs involved long stay inpatient treatment which placed great importance on the therapeutic milieu. Although popular with both veterans and staff, these programs were unfortunately associated with rather poor treatment outcomes (Johnson et al.,1996). A second existing treatment model was the Koach project in Israel, established to treat the chronic PTSD of veterans of the Lebanon War (Solomon et al., 1992; Solomon, Shalev et al., 1992). In this model, the inpatient stay was relatively brief (four weeks) followed by indefinite outpatient follow-up.

2 In line with the U.S. programs, the Koach model emphasised the group milieu but in addition, incorporated cognitive behavioural approaches to addressing the veterans avoidance behaviour. Unfortunately, also in line with the U.S. experience, the Koach program was perceived as very positive by veterans and staff but objectively had poor outcomes (Solomon, Shalev et al., 1992). The initial treatment model adopted by Australian programs comprised a 4 week inpatient stay followed by an outpatient phase of 1 day per week for 8 weeks. This was designed to provide the opportunity for skills transfer into veterans normal environment and thus to facilitate veterans re-integration into the community (Creamer et al., 1996). To address the prevailing problems of veterans with PTSD and common co-morbidities using best practice treatment, the programs were required to have: a multidisciplinary team a cognitive behavioural orientation a group program with core components including o psychoeducation about PTSD and its treatment o trauma focussed work o symptom management in areas such as anxiety and depression o anger management groups o substance abuse and addictive behaviours o interpersonal, problem-solving and communication skills; o physical health and lifestyle issues o relapse prevention o education and support to veterans partners individual therapy attention to discharge planning and appropriate follow-up Program outcome measures Dimensions rated Program outcome measures assess change in PTSD and common co-morbid mental health problems, marital adjustment and quality of life. The instruments used include: PTSD checklist (PCL; Weathers et al,. 1993), Hospital Anxiety and Depression Scale (HADS; Zigmond & Snaith, 1983), Dimensions of Anger Reaction (DAR; Novaco, 1975), Alcohol Use Disorders Identification Test (AUDIT; Saunders et al. 1993), Abbreviated Dyadic Adjustment Scale (ADAS; Sharpley & Rogers 1984; Spanier 1976) and Brief World Health Organisation Quality of Life Instrument (WHOQoL-Bref; WHOQOL Group, 1998). Time points Participants are asked to complete a battery of self-report instruments at intake, discharge, 3 month follow-up and 9 month follow-up. Use of effect size Effect size, the standardised difference between two means, is used as the measure of change in preference to statistical significance, because it is independent of sample size and provides a stronger assessment of the clinical importance of the change. The data base contains over 4000 cases and so even small differences across time would likely be identified as statistically significant. 2

3 An effect size of 0.2 is considered small, 0.5 moderate and 0.8 strong. Interpretation of effect size needs to take account of condition severity and end state functioning. Where symptoms are less severe at intake, the scope for improvement is less and smaller effect sizes are to be expected. In these circumstances, the end state scores are an important indication of the benefit veterans have derived from the program in terms of their end state functioning compared to other participants of other programs across the country. An early treatment outcome study (Creamer et al., 1999) was promising, with results from 419 program participants indicating modest improvements in core PTSD symptoms, anxiety, depression, alcohol abuse and anger on self report measures, from intake to 3 and 9 month follow-up (see Table 1). In most cases, treatment gains were apparent at 3 but maintained at the 9 month follow-up point. Table 1: Outcome data for PTSD programs reported in Creamer et al Intake 3 9 Measure Mean SD Mean SD Mean SD PCL (range 17-85) HADS Anxiety HADS Depression AUDIT (range 0-40) Anger (range 0-8) Effect size (ES) Intake to 9 mths Over time a range of treatment models have evolved including residential, day program and regional outreach and variations in number of treatment days between 20 and 30 days. Importantly, a treatment outcome study comparing inpatient and day programs (Creamer et al., 2002) found comparable effects with different models of treatment. Program participants have also changed over time with the programs initially targeting Vietnam era veterans but progressively including older (WWII and Korean) veterans as well as younger veterans and peacekeepers. According to our data (see Table 2), older veterans tend to have less severe PTSD and comorbid symptoms at intake, notably alcohol use, and smaller treatment effects compared to Vietnam era veterans. Importantly, with lower intake scores older veterans leave the programs with lower end state scores on all measures and the programs are of clinical benefit. 3

4 Table 2: Intake scores and treatment outcomes for older veterans compared to Vietnam veterans Measure Older Veterans Vietnam veterans Mean score Effect Size Mean score Effect Size Intake 9 mth intake to 9 Intake 9 mth intake to 9 Clinician Administered 66.2 N/A N/A 82.2 N/A N/A PTSD Scale (CAPS) PCL (range 17-85) HADS Anxiety HADS Depression AUDIT (range 0-40) DAR (range 0-56) An early investigation of treatment outcomes for peacekeepers (Forbes et al., 2005) based on 3 month follow up data for 66 peacekeepers (deployments including Timor, Cambodia, Rwanda and Somalia) compared to 63 Vietnam veterans undertaking programs in the same facilities, indicated treatment gains similar to those seen for Vietnam veterans on anxiety depression and alcohol use, but weaker treatment effects on PTSD symptoms and anger. This data is presented in Table 3. Table 3: Outcome data for peacekeepers reported in Forbes et al Measure Peacekeepers Vietnam veterans Mean score Effect Size Mean score Effect Size Intake 3 mth intake to 3 Intake 3 mth intake to 3 PCL (range 17-85) HADS Anxiety HADS Depression AUDIT (range 0-40) War Stress Inventory (Anger) More recent data that includes 318 peacekeepers combined with veterans of the war in Iraq and Afghanistan (see Table 4) confirms this trend with peacekeepers and younger veterans presenting with more severe PTSD (clinician rated) and anger (self-rated) but otherwise a similar symptom profile to Vietnam veterans. In terms of treatment outcomes, while peacekeepers and younger veterans derive clinically important improvements from the programs the magnitude of change on measures of PTSD, anger and depression are smaller than those seen with Vietnam veterans. 4

5 One may have expected better results for peacekeepers and younger veterans given the (relatively) earlier intervention and so these outcomes are somewhat disappointing. The treatment of younger veterans and peacekeepers has been identified as one of the significant challenges facing programs. Table 4: Outcome data for peacekeepers and younger veterans compared to Vietnam veterans Measure Peacekeepers and younger veterans Vietnam veterans Mean score Effect Size Mean score Effect Size Intake 9 mth intake to 9 Intake 9 mth intake to 9 Clinician 88.1 N/A N/A 82.2 N/A N/A Administered PTSD Scale (CAPS) PCL (range 17-85) HADS Anxiety HADS Depression AUDIT (range 0-40) DAR (range 0-56) Use of treatment outcome data in the quality assurance process The outcome data collected from programs across Australia is used in the quality assurance for individual programs in three ways: an individual program s outcomes are compared to the national averages as a measure of accountability; an individual program s outcomes are compared to their previous outcomes as a means of providing feedback on service initiatives or other changes; and disparities between a program s outcomes and national outcomes are used as service development opportunities. At the time of accreditation, and at other times if requested, programs receive reports on their outcome data against national benchmarks. The data presented includes the national and program means on all measures at intake, discharge, 3 and 9 month follow-ups, along with the magnitude of change between time points expressed as an effect size. A sample report is presented in Table 5. 5

6 Table 5: Sample report to programs Measure National Mean Effect size (Intake Intake 3mths 9mths to 9mths) N Program Mean Intak e 3mths 9mths PCL TOTAL Intrusion Avoidance Arousal AUDIT TOTAL Hazardous Dependency Harmful HADS Anxiety Depression ADAS WHOQoL Physical Psychological Social Environment Effect size (Intake to 9mths) N Importantly, in the program accreditation process, outcome data is used as one source of information about quality, with any issues or concerns arising, checked against information from other sources. These other sources include program staff s description of their treatment model and practices, feedback from past participants and key stakeholders such as the Veterans and Veterans Families Counselling Service (VVCS). For example, where there is lower than average reduction in avoidance symptoms the program s approach to exposure therapy will be specifically examined; or if a program has high scores on alcohol use at intake and follow-up, an important focus of accreditation will be alcohol assessment, preparation and intervention. As an outcome of accreditation, specific recommendations for modifications to programs will be made with a view to promotion of ongoing service improvement. At subsequent accreditations, the specific outcome data pertaining to a service improvement recommendation will be examined along with staff reports and stakeholder feedback, to monitor changes made and any effect on treatment outcomes. If, during the examination of all sources of information in the course of accreditation, concern remains about the program s performance, a meeting is arranged to discuss the concerns. Again in this process, the outcome data is not used alone as an indicator of quality but triangulated with information from program staff and key stakeholders including veterans, family members, VVCS and DVA. 6

7 Maintaining quality during a time of change There are a number of challenges in ensuring the quality of PTSD treatment for veterans into the future. The two main issues of concern facing the existing PTSD programs appear to be maintaining quality during a period of declining demand for treatment and addressing the different needs of the younger veterans coming through. In addition, as DVA moves to purchasing PTSD treatment from a broader range of community based providers, there rises a challenge in ensuring the quality assurance of those treatments. Declining numbers Figure 1 shows the participation rate in programs over time Number of participants treated by financial year and state ACT NSW Qld SA Tas Vic WA Total Participants /96 96/97 97/98 98/99 99/00 00/ Figure 1: Participation rate in PTSD programs by financial year Clearly, the demand for PTSD programs has passed through a peak in 2000/2001 and has declined since that time, with some suggestion of a levelling off in that decline in recent years. The declining demand places pressure on program resourcing, and in some instances, brings the viability of programs into question. The number of programs in Australia reached a peak of 19 in 2002 with programs available in all states and territories except Northern Territory. With declining demand, there are currently 12 programs. Potential threats to quality arising from this declining demand include the pressure to fill a cohort with one or more veterans who are not be ready or suitable for intensive programmatic treatment, and the loss of a coherent and experienced staff team arising from staff being recruited from other hospital programs or teams for the purpose of running a PTSD program, and then being dispersed back to their core positions. 7

8 Younger veterans with different needs The key issues regarding the younger group of peacekeepers and veterans appear to be the need to increase accessibility of treatment and the need to tailor treatment to meet their particular needs. The 2004 Pathways to care study (Hawthorne et al., 2004) showed that 30% of veterans recently compensated for a mental health disability were not receiving treatment and that of those who had sought mental health care, 20% were dissatisfied. Peacekeepers were overrepresented in this group and indeed 42% of peacekeepers reported that they had stopped treatment. Barriers to health care included difficulty accepting they had a health problem, previous unsuccessful treatment, uncertainly about what was available and services not available locally. Anecdotal reports from PTSD programs involved in treating peacekeepers and younger veterans indicate that they generally present with more anger, social disruption and substance use issues, than their Vietnam veteran counterparts. A small number of these programs have begun to develop innovative approaches in an attempt to better meet needs. There would be benefit and efficiencies if this was approached on a national level as was done in the establishment of the early PTSD programs. In this way, the clinical experience of Australian programs could be combined with international experience in treating younger veterans and the limited available research, to develop best practice treatment guidelines for programs for younger veterans. Move towards community based treatment In addition to specialised PTSD treatment programs, veterans with PTSD currently receive care from a range of community based psychiatrists, psychologists, counsellors and general practitioners. The quality assurance mechanisms applied to the PTSD treatment programs do not currently extend to these other service providers. However as DVA moves towards purchasing more of its specialist treatment for veterans with PTSD and other mental health conditions from a broad range of community based providers, quality assurance processes will ideally be in place. In anticipation of this, ACPMH has reduced the intensity of its PTSD program accreditation processes, moving from the previous method of site visits, to a written self-assessment process. Importantly, the same sources of information are used; that is, program outcome data, staff reports on program content and operational management issues and feedback from veterans, partners, VVCS and DVA. The revised accreditation model incorporates the following components: access and targeting; quality of service; clinical processes of intake, assessment, case management and discharge; treatment; operational management; and outcome monitoring. The most recent accreditation guidelines and self-assessment documentation have been developed to apply to the current PTSD programs but be applicable across a broader range of community based treatment providers. 8

9 References Creamer, M., Morris, P., Biddle, D. & Elliot, P. (1999) Treatment outcome in Australian veterans with combtrelated posttraumatic stress disorder: A cause for cautious optimism? Journal of Traumatic Stress 12 (4), Creamer, M., Forbes, D., Biddle, D. & Elliot, P. (2002) Inpatient versus day hospital treatment for chronic, combat-related posttraumatic stress disorder: A naturalistic comparison. The Journal of Nervous and Mental Disease 190 (3), Forbes, D., Bennett, N., Biddle, D., Crompton, D., McHugh, A., Elliot, P. & Creamer, M. (2005) Clinical presentations and treatment outcomes of peacekeeper veterans with PTSD: Preliminary findings. American Journal of Psychiatry 162, Hawthorne, G., Hayes, L., Kelly, C. & Creamer, M. (2004) Pathways to care in veterans recently compensated for a mental health condition. Australian Centre for Posttraumatic Mental Health report commissioned by the Department of Veterans Affairs. Johnson, D. R., Rosenheck, R., Fontana, A., Lubin, H., Charney, D., & Southwick, S. (1996). Outcome of intensive inpatient treatment for combat-related posttraumatic stress disorder. American Journal of Psychiatry, 153, Novaco, R. (1975). Dimensions of anger reactions. Irvine, CA: University of California. O'Toole, B. I., Marshall, R. P., Grayson, D. A., Schureck, R. J., Dobson, M., Ffrench, M., Pulvertaft, B., Meldrum, L., Bolton, J., & Vennard, J. (1996). The Australian Vietnam veterans health study: III. Psychological health of Australian Vietnam veterans and its relationship to combat. International Journal of Epidemiology, 25, Saunders, J.B., Aasland, O.G., Babor, T.F., De la Fuente, J.R. & Grant, M. (1993) Development of the Alcohol Use Disorders Identification Test (AUDIT: WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption. Addiction, 88(6), Sharpley, C. F. & Rogers, H.J. (1984) Preliminary validation of the Abbreviated Spanier Dyadic Adjustment Scale: Some psychometric data regarding a screening test of marital adjustment. Educational and Psychological Measurement, 44, (4), Spanier, G.B. (1976) Measuring dyadic adjustment new scales for assessing quality of marriage and similar dyads. Journal of Marriage and the Family. 38(1), Weathers, F. W., Litz, B. T, Herman, D. S., Huska, J. A., & Keane, T, M. (1993). The PTSD Checklist (PCL): Reliability, validity, and diagnostic utility. Paper presented at 9th Annual Conference of the International Society for Traumatic Stress Studies, San Antonio, TX. WHOQoL Group (1998) Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychological Medicine 28, Zigmond, A., & Snaith, R. (1983). The Hospital Anxiety and Depression Scale. Ada Psychiatrica Scandinavia, 67,

10 Tables and Figures Table 6: Outcome data for PTSD programs reported in Creamer et al Intake 3 9 Measure Mean SD Mean SD Mean SD PCL (range 17-85) HADS Anxiety HADS Depression AUDIT (range 0-40) Anger (range 0-8) Effect size (ES) Intake to 9 mths Table 7: Intake scores and treatment outcomes for older veterans compared to Vietnam veterans Measure Older Veterans Vietnam veterans Mean score Effect Size Mean score Effect Size Intake 9 mth intake to 9 Intake 9 mth intake to 9 Clinician Administered 66.2 N/A N/A 82.2 N/A N/A PTSD Scale (CAPS) PCL (range 17-85) HADS Anxiety HADS Depression AUDIT (range 0-40) DAR (range 0-56) Table 8: Outcome data for peacekeepers reported in Forbes et al Measure Peacekeepers Vietnam veterans Mean score Effect Size Mean score Effect Size Intake 3 mth intake to 3 Intake 3 mth intake to 3 PCL (range 17-85) HADS Anxiety HADS Depression AUDIT (range 0-40) War Stress Inventory (Anger)

11 Table 9: Outcome data for peacekeepers and younger veterans compared to Vietnam veterans Measure Peacekeepers and younger veterans Vietnam veterans Mean score Effect Size Mean score Effect Size Intake 9 mth intake to 9 Intake 9 mth intake to 9 Clinician 88.1 N/A N/A 82.2 N/A N/A Administered PTSD Scale (CAPS) PCL (range 17-85) HADS Anxiety HADS Depression AUDIT (range 0-40) DAR (range 0-56) Table 10: Sample report to programs Measure National Mean Effect size (Intake Intake 3mths 9mths to 9mths) N Program Mean Intak e 3mths 9mths PCL TOTAL Intrusion Avoidance Arousal AUDIT TOTAL Hazardous Dependency Harmful HADS Anxiety Depression ADAS WHOQoL Physical Psychological Social Environment Effect size (Intake to 9mths) N 11

12 Number of participants treated by financial year and state ACT NSW Qld SA Tas Vic WA Total Participants /96 96/97 97/98 98/99 99/00 00/ Figure 2: Participation rate in PTSD programs by financial year 12

NOTES FOR ALLIED HEALTH PROVIDERS

NOTES FOR ALLIED HEALTH PROVIDERS NOTES FOR ALLIED HEALTH PROVIDERS SECTION 2(a) NOTES FOR ALLIED MENTAL HEALTH CARE PROVIDERS Notes for Allied Mental Health Care Providers February 2011 1 Introduction...3 Eligibility to provide allied

More information

Review of PTSD Group Treatment Programs: Final Report. Coordinating Author: Dr Annabel McGuire

Review of PTSD Group Treatment Programs: Final Report. Coordinating Author: Dr Annabel McGuire Review of PTSD Group Treatment Programs: Final Report Coordinating Author: Dr Annabel McGuire Katrina Bredhauer, Dr Renee Anderson, Professor Peter Warfe 31 August 2011 Research team Dr Annabel McGuire

More information

General Hospital Information

General Hospital Information Inpatient Programs General Hospital Information General Information The Melbourne Clinic is a purpose built psychiatric hospital established in 1975, intially privately owned by a group of psychiatrists

More information

Psychology Externship Program

Psychology Externship Program Psychology Externship Program The Washington VA Medical Center (VAMC) is a state-of-the-art facility located in Washington, D.C., N.W., and is accredited by the Joint Commission on the Accreditation of

More information

Art by Tim, patient. A guide to our services

Art by Tim, patient. A guide to our services Art by Tim, patient A guide to our services St John of God Health Care is a leading provider of Catholic health care in Australia and bases its care on the Christian values of Hospitality, Compassion,

More information

WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD

WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD Posttraumatic Stress Disorder (PTSD) is an anxiety disorder that can occur following the experience or witnessing of a

More information

Substance Abuse Recovery and Rehabilitation Treatment Program (SARRTP): an overview M A R T H A A. C A R L S O N, P H. D.

Substance Abuse Recovery and Rehabilitation Treatment Program (SARRTP): an overview M A R T H A A. C A R L S O N, P H. D. Substance Abuse Recovery and Rehabilitation Treatment Program (SARRTP): an overview M A R T H A A. C A R L S O N, P H. D. SARRTP: Mission Statement We strive to provide a safe, educational, and supportive

More information

Initial Evaluation for Post-Traumatic Stress Disorder Examination

Initial Evaluation for Post-Traumatic Stress Disorder Examination Initial Evaluation for Post-Traumatic Stress Disorder Examination Name: Date of Exam: SSN: C-number: Place of Exam: The following health care providers can perform initial examinations for PTSD. a board-certified

More information

Dual Diagnosis Capability

Dual Diagnosis Capability Checklist: Dual Diagnosis Capability Agency / Service Level A tool for any Mental Health or Substance Treatment service to self-assess, reflect on and plan around their service s level of dual diagnosis

More information

Mental Health and Substance Abuse Reporting Requirements Section 425 of P.A. 154 of 2005

Mental Health and Substance Abuse Reporting Requirements Section 425 of P.A. 154 of 2005 Mental Health and Substance Abuse Reporting Requirements Section 425 of P.A. 154 of 2005 By April 1, 2006, the Department, in conjunction with the Department of Corrections, shall report the following

More information

2013/14 NHS STANDARD CONTRACT FOR VETERANS POST TRAUMATIC STRESS DISORDER PROGRAMME (ADULT)

2013/14 NHS STANDARD CONTRACT FOR VETERANS POST TRAUMATIC STRESS DISORDER PROGRAMME (ADULT) C09/S(HSS)/b 2013/14 NHS STANDARD CONTRACT FOR VETERANS POST TRAUMATIC STRESS DISORDER PROGRAMME (ADULT) PARTICULARS, SCHEDULE 2- THE SERVICES, A- Service Specification Service Specification No. Service

More information

Challenges to Detection and Management of PTSD in Primary Care

Challenges to Detection and Management of PTSD in Primary Care Challenges to Detection and Management of PTSD in Primary Care Karen H. Seal, MD, MPH University of California, San Francisco San Francisco VA Medical Center General Internal Medicine Section PTSD is Prevalent

More information

Objectives: Perform thorough assessment, and design and implement care plans on 12 or more seriously mentally ill addicted persons.

Objectives: Perform thorough assessment, and design and implement care plans on 12 or more seriously mentally ill addicted persons. Addiction Psychiatry Program Site Specific Goals and Objectives Addiction Psychiatry (ADTU) Goal: By the end of the rotation fellow will acquire the knowledge, skills and attitudes required to recognize

More information

LONG-TERM TREATMENT OUTCOME: WHAT ARE THE 11 YEAR OUTCOMES OF TREATMENT FOR HEROIN DEPENDENCE?

LONG-TERM TREATMENT OUTCOME: WHAT ARE THE 11 YEAR OUTCOMES OF TREATMENT FOR HEROIN DEPENDENCE? AUSTRALIAN T R E A T M E N T OU T C O M E STUDY - N S W Funded by the National Health and Medical Research Council and the Australian Government Department of Health. ATOS NSW is a project of the Centre

More information

Working Together for Better Mental Health

Working Together for Better Mental Health Working Together for Better Mental Health One in five Australian adults experience some form of mental illness each year. It can affect people of all ages and from all walks of life. The causes may be

More information

Traumatic Stress. and Substance Use Problems

Traumatic Stress. and Substance Use Problems Traumatic Stress and Substance Use Problems The relation between substance use and trauma Research demonstrates a strong link between exposure to traumatic events and substance use problems. Many people

More information

Veteran Mental Health Strategy

Veteran Mental Health Strategy Veteran Mental Health Strategy A TEN YEAR FRAMEWORK 2013 2023 PREVENT RECOVER OPTIMISE ISBN 978-1-877007-87-3 Commonwealth of Australia 2013 This work is copyright. Apart from any use as permitted under

More information

FACT SHEET. What is Trauma? TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS

FACT SHEET. What is Trauma? TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS FACT SHEET TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS According to SAMHSA 1, trauma-informed care includes having a basic understanding of how trauma affects the life of individuals seeking

More information

Do you help people recover from trauma? training programs

Do you help people recover from trauma? training programs Do you help people recover from trauma? 2015 training programs Do you or your staff help people who have experienced trauma? Phoenix Australia s training programs teach the skills required by a range of

More information

A Resource for Public Defenders Representing U.S. Veteran Clients

A Resource for Public Defenders Representing U.S. Veteran Clients A Resource for Public Defenders Representing U.S. Veteran Clients Information generously provided to the Louisiana Public Defender Board by the Louisiana Department of Veterans Affairs (November 2010)

More information

Acute Stress Disorder and Posttraumatic Stress Disorder

Acute Stress Disorder and Posttraumatic Stress Disorder Acute Stress Disorder and Posttraumatic Stress Disorder Key Messages Traumatic Events Events that involve actual or threatened death or serious injury (real or perceived) to self or others (e.g., accidents,

More information

Helping Heroes Come Home

Helping Heroes Come Home Helping Heroes Come Home Harris County Veterans Court May 30, 2012 Honorable Discharge, on active duty or in reserves Have pending eligible felony offense Be a legal resident of/or citizen of the United

More information

VAMC Durham Substance Abuse Overview: Greg Hughes, MSW, LICSW Chief, Social Work Services Population Served Approximately 50,000 unique patients served through Durham, Raleigh, Greenville and Morehead

More information

Suicide, PTSD, and Substance Use Among OEF/OIF Veterans Using VA Health Care: Facts and Figures

Suicide, PTSD, and Substance Use Among OEF/OIF Veterans Using VA Health Care: Facts and Figures Suicide, PTSD, and Substance Use Among OEF/OIF Veterans Using VA Health Care: Facts and Figures Erin Bagalman Analyst in Health Policy July 18, 2011 Congressional Research Service CRS Report for Congress

More information

CURRICULUM VITAE. Director, Veterans Mental Health Services, Wesley Hospital Ashfield

CURRICULUM VITAE. Director, Veterans Mental Health Services, Wesley Hospital Ashfield CURRICULUM VITAE NAME: CURRENT POSITIONS: Patrick John Morris Senior Staff Specialist Psychiatrist and Clinical Director, Henley Unit Psychosis and Substance Abuse Rehabilitation Program, Macquarie Hospital

More information

Scope of Services provided by the Mental Health Service Line (2015)

Scope of Services provided by the Mental Health Service Line (2015) Scope of Services provided by the Mental Health Service Line (2015) The Mental Health Service line provides services to Veterans with a wide variety of mental health needs at its main facility in Des Moines

More information

Substance Abuse Treatment Record Review Presentation

Substance Abuse Treatment Record Review Presentation Substance Abuse Treatment Record Review Presentation January 15, 2015 Presented by Melissa Reagan, M.S.W., L.S.W., Quality Management Specialist & Rebecca Rager, M.S.W., Quality Management Specialist Please

More information

Post Traumatic Stress Disorder

Post Traumatic Stress Disorder Post Traumatic Stress Disorder What Is Post Traumatic Stress Disorder? Post Traumatic Stress Disorder (PTSD) was introduced into the American Psychiatric Association s official manual (DSM) in 1980. PTSD

More information

ABOUT US. and Expressive Therapy (Dance/Movement, Art, Drama) in addition to individual, group and family therapy by skilled therapists.

ABOUT US. and Expressive Therapy (Dance/Movement, Art, Drama) in addition to individual, group and family therapy by skilled therapists. ABOUT US n Riveredge Hospital maintains the treatment philosophy of Trauma Informed Care. n Our commitment to providing the highest quality of care includes offering Animal Assisted Therapy, and Expressive

More information

Rates of Trauma-Informed Counseling at Substance Abuse Treatment Facilities: Reports From Over 10,000 Programs

Rates of Trauma-Informed Counseling at Substance Abuse Treatment Facilities: Reports From Over 10,000 Programs Rates of Trauma-Informed Counseling at Substance Abuse Treatment Facilities: Reports From Over 10,000 Programs Nicole M. Capezza, Ph.D. Lisa M. Najavits, Ph.D. Objective: Trauma-informed treatment increasingly

More information

Frequent Physical Activity and Anxiety in Veterans of the Afghanistan and Iraq Wars. Brian Betthauser Mesa Community College

Frequent Physical Activity and Anxiety in Veterans of the Afghanistan and Iraq Wars. Brian Betthauser Mesa Community College Frequent Physical Activity and Anxiety in Veterans of the Afghanistan and Iraq Wars Brian Betthauser Mesa Community College Literature Review 1) Physical activity in postdeployment OIF/OEF veteran using

More information

Lisa R. Fortuna, MD, MPH Michelle V. Porche, Ed. D Sripallavi Morampudi, MBBS Stanley Rosenberg, PhD Douglas Ziedonis, MD, MPH

Lisa R. Fortuna, MD, MPH Michelle V. Porche, Ed. D Sripallavi Morampudi, MBBS Stanley Rosenberg, PhD Douglas Ziedonis, MD, MPH CBT for Youth with Co-Occurring Post Traumatic Stress Disorder and Substance Disorders Lisa R. Fortuna, MD, MPH Michelle V. Porche, Ed. D Sripallavi Morampudi, MBBS Stanley Rosenberg, PhD Douglas Ziedonis,

More information

Mental Health Services

Mental Health Services Mental Health Services At Maitland Private Hospital our team of professionals are committed to providing comprehensive assessment, treatment and support of people experiencing mental health issues. Located

More information

DDCAT. The Dual Diagnosis Capability in Addiction Treatment (DDCAT) Index Toolkit. Adapted for use in the

DDCAT. The Dual Diagnosis Capability in Addiction Treatment (DDCAT) Index Toolkit. Adapted for use in the DDCAT The Dual Diagnosis Capability in Addiction Treatment (DDCAT) Index Toolkit Adapted for use in the Improved Services for People with Drug and Alcohol Problems and Mental Illness Initiative for the

More information

PTSD, Opioid Dependence, and EMDR: Treatment Considerations for Chronic Pain Patients

PTSD, Opioid Dependence, and EMDR: Treatment Considerations for Chronic Pain Patients PTSD, Opioid Dependence, and EMDR: Treatment Considerations for Chronic Pain Patients W. Allen Hume, Ph.D.,C.D.P. Licensed Psychologist www.drallenhume.com October 2, 2007 COD client with PTSD seeking

More information

Trauma and Dissociation Unit Patient information brochure

Trauma and Dissociation Unit Patient information brochure Trauma and Dissociation Unit Patient information brochure Introduction The Trauma and Dissociation Unit (TDU), Belmont Private Hospital was established in 1997. It offers both inpatient and day patient

More information

Veterans Health Administration (VHA): Mental Health Services. Briefing for Commission on Care October 19, 2015

Veterans Health Administration (VHA): Mental Health Services. Briefing for Commission on Care October 19, 2015 Veterans Health Administration (VHA): Mental Health Services Briefing for Commission on Care October 19, 2015 Uniform Mental Health Services VHA is committed to providing a uniform package of mental health

More information

Appendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines

Appendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines Appendix D Behavioral Health Partnership Adolescent/Adult Substance Abuse Guidelines Handbook for Providers 92 ASAM CRITERIA The CT BHP utilizes the ASAM PPC-2R criteria for rendering decisions regarding

More information

Assessment of depression in adults in primary care

Assessment of depression in adults in primary care Assessment of depression in adults in primary care Adapted from: Identification of Common Mental Disorders and Management of Depression in Primary care. New Zealand Guidelines Group 1 The questions and

More information

Administration of Mental Health Initiatives to Support Younger Veterans

Administration of Mental Health Initiatives to Support Younger Veterans The Auditor-General Audit Report No.48 2011 12 Performance Audit to Support Younger Veterans Department of Veterans Affairs Australian National Audit Office Commonwealth of Australia 2012 ISSN 1036 7632

More information

DEPARTMENT OF THE AIR FORCE PRESENTATION TO THE SUBCOMMITTEE ON MILITARY PERSONNEL COMMITTEE ON ARMED SERVICES UNITED STATES HOUSE OF REPRESENTATIVES

DEPARTMENT OF THE AIR FORCE PRESENTATION TO THE SUBCOMMITTEE ON MILITARY PERSONNEL COMMITTEE ON ARMED SERVICES UNITED STATES HOUSE OF REPRESENTATIVES DEPARTMENT OF THE AIR FORCE PRESENTATION TO THE SUBCOMMITTEE ON MILITARY PERSONNEL COMMITTEE ON ARMED SERVICES UNITED STATES HOUSE OF REPRESENTATIVES SUBJECT: SUICIDE PREVENTION STATEMENT OF: LIEUTENANT

More information

Review of PTSD Group Treatment Programs: Phase 2 In depth Quantitative and Qualitative Analyses

Review of PTSD Group Treatment Programs: Phase 2 In depth Quantitative and Qualitative Analyses Appendix 2 Review of PTSD Group Treatment Programs: Phase 2 In depth Quantitative and Qualitative Analyses Co ordinating Author: Katrina Bredhauer Dr Renee Anderson, Dr Annabel McGuire, Professor Peter

More information

Syllabus & Schedule Fall, 2010

Syllabus & Schedule Fall, 2010 CPSY 590-02 Trauma Psychology in Clinical Practice Syllabus & Schedule Fall, 2010 I. INSTRUCTOR: Suzanne Best, Ph.D. e-mail: sbest@lclark.edu Phone: 503 306 2965 II. CREDIT HOURS: 3 III. IV. BRIEF COURSE

More information

The Field of Counseling. Veterans Administration one of the most honorable places to practice counseling is with the

The Field of Counseling. Veterans Administration one of the most honorable places to practice counseling is with the Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration

More information

Ass Professor Frances Kay-Lambkin. NHMRC Research Fellow, National Drug and Alcohol Research Centre UNSW

Ass Professor Frances Kay-Lambkin. NHMRC Research Fellow, National Drug and Alcohol Research Centre UNSW Ass Professor Frances Kay-Lambkin NHMRC Research Fellow, National Drug and Alcohol Research Centre UNSW Frances Kay-Lambkin PhD National Health and Medical Research Council Research Fellow Substance Use

More information

Evidence Based Approaches to Addiction and Mental Illness Treatment for Adults

Evidence Based Approaches to Addiction and Mental Illness Treatment for Adults Evidence Based Practice Continuum Guidelines The Division of Behavioral Health strongly encourages behavioral health providers in Alaska to implement evidence based practices and effective program models.

More information

Claudia A. Zsigmond, Psy.D. FL. License # PY7297

Claudia A. Zsigmond, Psy.D. FL. License # PY7297 Claudia A. Zsigmond, Psy.D. FL. License # PY7297 EDUCATION 9/1989- State University of New York at Buffalo, Buffalo, NY 6/1993 Bachelor of Arts, Psychology, cum laude 9/1995- Illinois School of Professional

More information

Pragmatic Evidence Based Review Substance Abuse in moderate to severe TBI

Pragmatic Evidence Based Review Substance Abuse in moderate to severe TBI Pragmatic Evidence Based Review Substance Abuse in moderate to severe TBI Reviewer Emma Scheib Date Report Completed November 2011 Important Note: This report is not intended to replace clinical judgement,

More information

POST-TRAUMATIC STRESS DISORDER PTSD Diagnostic Criteria PTSD Detection and Diagnosis PC-PTSD Screen PCL-C Screen PTSD Treatment Treatment Algorithm

POST-TRAUMATIC STRESS DISORDER PTSD Diagnostic Criteria PTSD Detection and Diagnosis PC-PTSD Screen PCL-C Screen PTSD Treatment Treatment Algorithm E-Resource March, 2014 POST-TRAUMATIC STRESS DISORDER PTSD Diagnostic Criteria PTSD Detection and Diagnosis PC-PTSD Screen PCL-C Screen PTSD Treatment Treatment Algorithm Post-traumatic Stress Disorder

More information

POLL. Co-occurring Disorders: the chicken or the egg. Objectives

POLL. Co-occurring Disorders: the chicken or the egg. Objectives Co-occurring Disorders: the chicken or the egg Christopher W. Shea, MA, CRAT, CAC-AD Clinical Director Father Martin s Ashley Havre de Grace, Maryland chrismd104@yahoo.com Objectives To identify what is

More information

Who We Serve Adults with severe and persistent mental illnesses such as schizophrenia, bipolar disorder and major depression.

Who We Serve Adults with severe and persistent mental illnesses such as schizophrenia, bipolar disorder and major depression. We Serve Adults with severe and persistent mental illnesses such as schizophrenia, bipolar disorder and major depression. We Do Provide a comprehensive individually tailored group treatment program in

More information

Post Traumatic Stress Disorder and its Comorbidities. RANZCP Webinar series for rural trainees Tuesday 16 September 2014

Post Traumatic Stress Disorder and its Comorbidities. RANZCP Webinar series for rural trainees Tuesday 16 September 2014 Post Traumatic Stress Disorder and its Comorbidities RANZCP Webinar series for rural trainees Tuesday 16 September 2014 WEBINAR OUTLINE Intro & Housekeeping Dr Magella Lajoie, Director of Training, child

More information

PPC Worldwide Manager Resource

PPC Worldwide Manager Resource PPC Worldwide Manager Resource Guide Act as if what you do makes a difference. It does. William James (1842-1910 American Philosopher) Take control of the Employee Assistance Program in your workplace.

More information

Royal Commission Into Institutional Responses to Child Sexual Abuse Submission on Advocacy and Support and Therapeutic Treatment Services

Royal Commission Into Institutional Responses to Child Sexual Abuse Submission on Advocacy and Support and Therapeutic Treatment Services Royal Commission Into Institutional Responses to Child Sexual Abuse Submission on Advocacy and Support and Therapeutic Treatment Services Dr Michael Salter School of Social Sciences and Psychology Western

More information

Addiction Psychiatry Fellowship Rotation Goals & Objectives

Addiction Psychiatry Fellowship Rotation Goals & Objectives Addiction Psychiatry Fellowship Rotation Goals & Objectives Table of Contents University Neuropsychiatric Institute (UNI) Training Site 2 Inpatient addiction psychiatry rotation.....2 Outpatient addiction

More information

ARTICLE IN PRESS. Predicting alcohol and drug abuse in Persian Gulf War veterans: What role do PTSD symptoms play? Short communication

ARTICLE IN PRESS. Predicting alcohol and drug abuse in Persian Gulf War veterans: What role do PTSD symptoms play? Short communication DTD 5 ARTICLE IN PRESS Addictive Behaviors xx (2004) xxx xxx Short communication Predicting alcohol and drug abuse in Persian Gulf War veterans: What role do PTSD symptoms play? Jillian C. Shipherd a,b,

More information

Educational Attainment Among Homeless Veterans Served by the VA

Educational Attainment Among Homeless Veterans Served by the VA BRIEF PREPARED FOR THE U.S. HOUSE OF REPRESENTATIVES COMMITTEE ON VETERANS' AFFAIRS May 2014 Educational Attainment Among Homeless Veterans Served by the VA Stephen Metraux, PhD stephen.metraux@va.gov

More information

Integrating Behavioral Health and Primary Health Care: Development, Maintenance, and Sustainability Cici Conti Schoenberger, LCSW, CAS Behavioral

Integrating Behavioral Health and Primary Health Care: Development, Maintenance, and Sustainability Cici Conti Schoenberger, LCSW, CAS Behavioral Integrating Behavioral Health and Primary Health Care: Development, Maintenance, and Sustainability Cici Conti Schoenberger, LCSW, CAS Behavioral Health Provider Sunshine Community Health Center Why Integrate?

More information

Fixing Mental Health Care in America

Fixing Mental Health Care in America Fixing Mental Health Care in America A National Call for Measurement Based Care in Behavioral Health and Primary Care An Issue Brief Released by The Kennedy Forum Prepared by: John Fortney PhD, Rebecca

More information

DATA ANALYSIS AND REPORT. Melissa Lehmann Work Solutions. Abstract

DATA ANALYSIS AND REPORT. Melissa Lehmann Work Solutions. Abstract PO Box 12499 A Beckett Melbourne VIC 8006 t 03 9224 8800 f 03 9224 8801 DATA ANALYSIS AND REPORT Melissa Lehmann Work Solutions Abstract The role of work and work-life balance in contributing to stress

More information

THE OFFICE OF SUBSTANCE ABUSE SERVICES REQUIREMENTS FOR THE PROVISION OF RESIDENTIAL DETOXIFICATION SERVICES BY PROVIDERS FUNDED WITH DBHDS RESOURCES

THE OFFICE OF SUBSTANCE ABUSE SERVICES REQUIREMENTS FOR THE PROVISION OF RESIDENTIAL DETOXIFICATION SERVICES BY PROVIDERS FUNDED WITH DBHDS RESOURCES THE OFFICE OF SUBSTANCE ABUSE SERVICES REQUIREMENTS FOR THE PROVISION OF RESIDENTIAL DETOXIFICATION SERVICES BY PROVIDERS FUNDED WITH DBHDS RESOURCES PURPOSE: The goal of this document is to describe the

More information

IMPACT: An Evidence-based Approach to Integrated Depression Care Beth Israel Medical Center New York, NY. Day One: June 8, 2011

IMPACT: An Evidence-based Approach to Integrated Depression Care Beth Israel Medical Center New York, NY. Day One: June 8, 2011 IMPACT: An Evidence-based Approach to Integrated Depression Care Beth Israel Medical Center New York, NY 8:00 Registration & Continental Breakfast 8:30 Welcome & Introductions Day One: June 8, 2011 8:45

More information

Mental Health, Disability and Work: Inpatient Medical Rehabilitation

Mental Health, Disability and Work: Inpatient Medical Rehabilitation Mental Health, Disability and Work: Inpatient Medical Rehabilitation Prof. Michael Linden Head of the Rehabilitation Center Seehof of the German Pension Fund and Director of the Department of Behavioral

More information

Alcohol and Chemical Dependency Inpatient Treatment Programs

Alcohol and Chemical Dependency Inpatient Treatment Programs Alcohol and Chemical Dependency Inpatient Treatment Programs Road to Recovery For the treatment of alcohol or chemical dependency, Marworth s specialized programs incorporate a person s unique lifestyle,

More information

The Forgotten Worker: Veteran

The Forgotten Worker: Veteran The Forgotten Worker: Veteran Larry Ashley & Meghan Pierce University of Nevada, Las Vegas Veteran Workforce Statistics The unemployment rate of veterans from all eras is 8.7% (Bureau of Labor Statistics,

More information

LEVEL I SA: OUTPATIENT INDIVIDUAL THERAPY - Adult

LEVEL I SA: OUTPATIENT INDIVIDUAL THERAPY - Adult LEVEL I SA: OUTPATIENT INDIVIDUAL THERAPY - Adult Definition The following is based on the Adult Criteria of the Patient Placement Criteria for the Treatment of Substance-Related Disorders of the American

More information

PTSD and Substance Use Disorders. Anthony Dekker DO Chief, Addiction Medicine Fort Belvoir Community Hospital

PTSD and Substance Use Disorders. Anthony Dekker DO Chief, Addiction Medicine Fort Belvoir Community Hospital PTSD and Substance Use Disorders Anthony Dekker DO Chief, Addiction Medicine Fort Belvoir Community Hospital Disclosure Anthony Dekker, DO has presented numerous programs on Chronic Pain Management and

More information

http://nurse practitioners and physician assistants.advanceweb.com/features/articles/alcohol Abuse.aspx

http://nurse practitioners and physician assistants.advanceweb.com/features/articles/alcohol Abuse.aspx http://nurse practitioners and physician assistants.advanceweb.com/features/articles/alcohol Abuse.aspx Alcohol Abuse By Neva K.Gulsby, PA-C, and Bonnie A. Dadig, EdD, PA-C Posted on: April 18, 2013 Excessive

More information

Introduction to Veteran Treatment Court

Introduction to Veteran Treatment Court Justice for Vets Veterans Treatment Court Planning Initiative Introduction to Veteran Treatment Court Developed by: Justice for Vets Justice for Vets, 10 February 2015 The following presentation may not

More information

Future Service Directions

Future Service Directions Alcohol, Tobacco and Other Drug Services Tasmania Future Service Directions A five year plan 2008/09 2012/13 Department of Health and Human Services Contents Foreword... 5 Introduction... 6 Australian

More information

Submission regarding intention self-harm and suicidal behaviour in children The Child and Youth Mental Health Team Central Australia

Submission regarding intention self-harm and suicidal behaviour in children The Child and Youth Mental Health Team Central Australia May 2014 Postal Address: Central Australian Mental Health Services (CAMHS) Child and Youth Team 3/15 Leichhardt Terrace PO Box 721 Alice Springs NT 0871 Tel: 8951 5950 Fax: 8953 1858 To the National Children

More information

treatment effectiveness and, in most instances, to result in successful treatment outcomes.

treatment effectiveness and, in most instances, to result in successful treatment outcomes. Key Elements of Treatment Planning for Clients with Co Occurring Substance Abuse and Mental Health Disorders (COD) [Treatment Improvement Protocol, TIP 42: SAMHSA/CSAT] For purposes of this TIP, co occurring

More information

Krystel Edmonds-Biglow, Psy.D. Licensed Clinical Psychologist PSY19260 dr_kedmondsbiglow@hotmail.com (323) 369-1292 phone (323)756-5130 fax

Krystel Edmonds-Biglow, Psy.D. Licensed Clinical Psychologist PSY19260 dr_kedmondsbiglow@hotmail.com (323) 369-1292 phone (323)756-5130 fax Return to www.endabuselb.org Krystel, Psy.D. Licensed Clinical Psychologist PSY19260 dr_kedmondsbiglow@hotmail.com (323) 369-1292 phone (323)756-5130 fax Education Doctorate of Clinical Psychology, Emphasis:

More information

FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment

FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment Background Studies show that more than 50% of patients who have been diagnosed with substance abuse

More information

Promising Practices ADDRESSING BARRIERS TO SUBSTANCE USE TREATMENT ACCESS AND UTILIZATION FOR LESBIAN, GAY, BISEXUAL, AND TRANSGENDER (LGBT) CLIENTS

Promising Practices ADDRESSING BARRIERS TO SUBSTANCE USE TREATMENT ACCESS AND UTILIZATION FOR LESBIAN, GAY, BISEXUAL, AND TRANSGENDER (LGBT) CLIENTS College of Social Work University of South Carolina Promising Practices ADDRESSING BARRIERS TO SUBSTANCE USE TREATMENT ACCESS AND UTILIZATION FOR LESBIAN, GAY, BISEXUAL, AND TRANSGENDER (LGBT) CLIENTS

More information

IMPROVING YOUR EXPERIENCE

IMPROVING YOUR EXPERIENCE Comments trom the Aberdeen City Joint Futures Brain Injury Group The Aberdeen City Joint Futures Brain Injury Group is made up of representatives from health (acute services, rehabilitation and community),

More information

!!!!!!!!!!!! Liaison Psychiatry Services - Guidance

!!!!!!!!!!!! Liaison Psychiatry Services - Guidance Liaison Psychiatry Services - Guidance 1st edition, February 2014 Title: Edition: 1st edition Date: February 2014 URL: Liaison Psychiatry Services - Guidance http://mentalhealthpartnerships.com/resource/liaison-psychiatry-servicesguidance/

More information

LEVEL III.5 SA: SHORT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE)

LEVEL III.5 SA: SHORT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE) LEVEL III.5 SA: SHT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE) Definition The following is based on the Adult Criteria of the Patient Placement Criteria for the Treatment of Substance-Related Disorders

More information

Suicidal. Caring For The Person Who Is. Why might a person be suicidal?

Suicidal. Caring For The Person Who Is. Why might a person be suicidal? Caring For The Person Who Is Suicidal For further information see also the following MIND Essentials resource Conducting a suicide risk assessment. Suicidal thoughts and behaviours are not unique to mental

More information

The Begun Center is currently serving as the evaluator for five drug courts in Ohio receiving SAMHSA grant funding. http://begun.case.

The Begun Center is currently serving as the evaluator for five drug courts in Ohio receiving SAMHSA grant funding. http://begun.case. The Begun Center for Violence and Prevention Research & Education at Case Western Reserve University has been awarded the contract to evaluate the effectiveness of Ohio s Addiction Treatment Pilot Program

More information

Response from Neurobehaviour Clinic at National Rehabilitation Hospital to Submission to Second Independent Monitoring Group: A Vision for Change

Response from Neurobehaviour Clinic at National Rehabilitation Hospital to Submission to Second Independent Monitoring Group: A Vision for Change November 30 2009: Page 1 of 5 Response from Neurobehaviour Clinic at National Rehabilitation Hospital to Submission to Second Independent Monitoring Group: A Vision for Change Prepared by: Dr. Simone Carton,

More information

The Psychotherapeutic Professions in Australia

The Psychotherapeutic Professions in Australia The Psychotherapeutic Professions in Australia Robert King 1, Tom O Brien 1, & Margot Schofield 2, 3 1 - School of Public Health 2 - La Trobe University 3 - Psychotherapy and Counselling Federation of

More information

(855) 717-3422 mentalhealthrehab.com. A Behavioral Health of the Palm Beaches Facility

(855) 717-3422 mentalhealthrehab.com. A Behavioral Health of the Palm Beaches Facility (855) 717-3422 mentalhealthrehab.com A Behavioral Health of the Palm Beaches Facility Start Healing from Mental Disorder Today The Substance Abuse and Mental Health Services Administration estimates that

More information

SUBSTANCE USE DISORDER SOCIAL DETOXIFICATION SERVICES [ASAM LEVEL III.2-D]

SUBSTANCE USE DISORDER SOCIAL DETOXIFICATION SERVICES [ASAM LEVEL III.2-D] SUBSTANCE USE DISORDER SOCIAL DETOXIFICATION SERVICES [ASAM LEVEL III.2-D] I. Definitions: Detoxification is the process of interrupting the momentum of compulsive drug and/or alcohol use in an individual

More information

As the State Mental Health Authority, the office of Mental Health has two main functions:

As the State Mental Health Authority, the office of Mental Health has two main functions: NYSOMH Mission The mission of the New York State Office of Mental Health is to promote the mental health of all New Yorkers, with a particular focus on providing hope and recovery for adults with serious

More information

Executive Summary. 1. What is the temporal relationship between problem gambling and other co-occurring disorders?

Executive Summary. 1. What is the temporal relationship between problem gambling and other co-occurring disorders? Executive Summary The issue of ascertaining the temporal relationship between problem gambling and cooccurring disorders is an important one. By understanding the connection between problem gambling and

More information

COURSE APPROVAL GUIDELINES APS COLLEGE OF SPORT PSYCHOLOGISTS

COURSE APPROVAL GUIDELINES APS COLLEGE OF SPORT PSYCHOLOGISTS COURSE APPROVAL GUIDELINES APS COLLEGE OF SPORT PSYCHOLOGISTS Updated October 2000 Page 2 1. General Introduction and Principles The following principles provide the bases and framework for the development

More information

Orange County Combat Veterans Court. Community Court Superior Court of California 909 N. Main Street Santa Ana, CA 92701

Orange County Combat Veterans Court. Community Court Superior Court of California 909 N. Main Street Santa Ana, CA 92701 Orange County Combat Veterans Court Community Court Superior Court of California 909 N. Main Street Santa Ana, CA 92701 1 MISSION STATEMENT The mission of the Orange County Combat Veterans Court is to

More information

2011 CONVENTION RESOLUTIONS

2011 CONVENTION RESOLUTIONS 2011 CONVENTION RESOLUTIONS 15 TH NATIONAL CONVENTION RENO, NEVADA AUGUST 17-21, 2011 PTSD/SUBSTANCE ABUSE First adopted in 1983 as L-3-83 Updated in 1991 as L-PS-3-91 Updated in 1993 as V-7-93 Updated

More information

CHRONIC PAIN AND RECOVERY CENTER

CHRONIC PAIN AND RECOVERY CENTER CHRONIC PAIN AND RECOVERY CENTER Exceptional Care in an Exceptional Setting Silver Hill Hospital is an academic affiliate of Yale University School of Medicine, Department of Psychiatry. SILVER HILL HOSPITAL

More information

Key Questions to Consider when Seeking Substance Abuse Treatment

Key Questions to Consider when Seeking Substance Abuse Treatment www.ccsa.ca www.cclt.ca Frequently Asked Questions Key Questions to Consider when Seeking Substance Abuse Treatment The Canadian Centre on Substance Abuse (CCSA) has developed this document to address

More information

Understanding PTSD and the PDS Assessment

Understanding PTSD and the PDS Assessment ProFiles PUTTING ASSESSMENTS TO WORK PDS TEST Understanding PTSD and the PDS Assessment Recurring nightmares. Angry outbursts. Easily startled. These are among the many symptoms associated with Post Traumatic

More information

TREATING ASPD IN THE COMMUNITY: FURTHERING THE PD OFFENDER STRATEGY. Jessica Yakeley Portman Clinic Tavistock and Portman NHS Foundation Trust

TREATING ASPD IN THE COMMUNITY: FURTHERING THE PD OFFENDER STRATEGY. Jessica Yakeley Portman Clinic Tavistock and Portman NHS Foundation Trust TREATING ASPD IN THE COMMUNITY: FURTHERING THE PD OFFENDER STRATEGY Jessica Yakeley Portman Clinic Tavistock and Portman NHS Foundation Trust Treating the untreatable? Lack of evidence base for ASPD Only

More information

CRITERIA CHECKLIST. Serious Mental Illness (SMI)

CRITERIA CHECKLIST. Serious Mental Illness (SMI) Serious Mental Illness (SMI) SMI determination is based on the age of the individual, functional impairment, duration of the disorder and the diagnoses. Adults must meet all of the following five criteria:

More information

Post-Traumatic Stress Disorder (PTSD)

Post-Traumatic Stress Disorder (PTSD) Post-Traumatic Stress Disorder (PTSD) Post traumatic stress disorder is a condition where you have recurring distressing memories, flashbacks, and other symptoms after suffering a traumatic event. Treatment

More information

Susan Rindt, PsyD SUMMARY EDUCATION CLINICAL EXPERIENCE. Markdown -> PDF, HTML, and more http://github.com/drrindt/resume

Susan Rindt, PsyD SUMMARY EDUCATION CLINICAL EXPERIENCE. Markdown -> PDF, HTML, and more http://github.com/drrindt/resume Susan Rindt, PsyD Markdown -> PDF, HTML, and more http://github.com/drrindt/resume SUMMARY I am an independent consultant and clinician providing case consultation, training & education seminars, program

More information

Effect of mental health on long-term recovery following a Road Traffic Crash: Results from UQ SuPPORT study

Effect of mental health on long-term recovery following a Road Traffic Crash: Results from UQ SuPPORT study 1 Effect of mental health on long-term recovery following a Road Traffic Crash: Results from UQ SuPPORT study ACHRF 19 th November, Melbourne Justin Kenardy, Michelle Heron-Delaney, Jacelle Warren, Erin

More information

Victor H. Cordero, Psy.D. Licensed Clinical Psychologist

Victor H. Cordero, Psy.D. Licensed Clinical Psychologist 2828 Speer Blvd., Unit 118 Denver, CO 80211 Office (303) 455-9480 Email: Vicordero@aol.com Offices in Denver, Greeley, Longmont EDUCATION and PROFESSIONAL CREDENTIALS Colorado Psychologist License Number

More information

The Field of Counseling

The Field of Counseling Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration

More information

National Mental Health Commission Review of Mental Health Programs Australian Primary Health Care Nurses Association (APNA) April 2014

National Mental Health Commission Review of Mental Health Programs Australian Primary Health Care Nurses Association (APNA) April 2014 National Mental Health Commission Review of Mental Health Programs Australian Primary Health Care Nurses Association (APNA) April 2014 For further information and comment please contact Kathy Bell, Chief

More information