lt. col darrick d. cunningham behavioral health branch chief 22 april 2015 air directorate field...
TRANSCRIPT
Lt. Col Darrick D. CunninghamBehavioral Health Branch Chief22 April 2015
Air Directorate Field Advisory Council DPH Program Update
Guarding America - Defending Freedom
DPH Program Development
PAST (2010)
CONTRACT MODEL1 Director - MIL
2 National Directors - CTR5 Regional Leads - CTR5 Administrators - CTR
89 Wing DPHs - CTR5 GSU DPHs - CTR
2007 DoD TF-MH $ Available (Time-Limited) HHS Model (RADM Hunter) Employee Assistance Pgm (EAP) Familiarity; Ease of Use
PRESENT (2015)
TITLE 5 (GS) – 4 YR TERM1 Director - MIL
4 Regional Leads - GS83 Wing DPHs - GS
2 GSU (FL/HI) DPHs – GS8 Wing DPHs -NDS
Title 5 (GS)Wing CC ControlNo Clinical Oversight with Title 32Can't Grow Military AFSCsNeed to be Non-DeployableClassificationFaces vs. Spaces (Wing CCs)
FUTURE(2018)
TITLE 5 (GS) – PERMANENT1 Director - MIL
4 Regional Leads - GS91 Wing DPHs - GS2 GSU DPHs – GS
Standardize DPHs w/ same classification
Maximize interoperability w/ AC
2
Provide Assessment & Assistance (No Treatment)
WHAT WHY
Provide Assessment & Assistance (No Treatment)
Provide Assessment & Assistance (No Treatment)
Guarding America - Defending Freedom
DoD/VA Executive and Congressionally Mandated Expansion of Mental Health Services
- FY10 NDAA sections 595 & 596 expansion of suicide prevention and community healing and response training
- FY10 NDAA, Sec 708; Mental Health Assessments for Members of the Armed Forces Deployed in Connection with a Contingency Operation
- FY12 NDAA, Sec 703, Behavioral Health Support for Members of the Reserve Components of the Armed Forces
- Aug ’12 Executive Order -- Improving Access to Mental Health Services for Veterans, Service Members, and Military Families
- Aug ‘14 POTUS 19 executive actions -- improve mental health of service members, veterans and their families
- FY15 NDAA Jacob Sexton Act- Annual person-to-person Mental Health assessments for all DoD personnel
- Feb ‘15 Clay Hunt Suicide Prevention for American Veterans Act, signed by POTUS
- Feb ‘15 GAO Report to Congressional Committees - SECDEF & SECAF separate enlisted NG SMs functioning poorly due to non-disabling mental condition(s)
* Each drives a new requirements, trend suggest more to follow!
Guarding America - Defending Freedom
Distribution of ANG DPH Hires
40
25
17
38
GS12 GS12 Pending GS11 GS11 Pending NDS
Total Count: 93
Current as of 20 Apr 2015
Non-Dual Status
WI 115 FWUnknown
MT 120 AWContract thru Sep15; Transition to T5 in FY16
WI 128 ARWHiring T32
WV 130 AWPursuing T32
OK 137 ARWHired T32 (GS11)
OK 138 FWHired T32 (GS11)
OR 142 FWContract/Pursuing T32
WV 167 AWPursuing T32
Guarding America - Defending Freedom
Distribution of ANG DPH Hires
GS12 GS110
10
20
30
40
50
60
70
41
16
15
1
8
4
Pending HirePending StartHired
73 of 85 (86%) Total Hired
64
21
Pending Hires – Certs requested
Current as of 20 Apr 2015
Guarding America - Defending Freedom
ANG DPH Capabilities
GS-11 Non-Accredited Licensed Professional
Counselor
Inherently Governmental Roles
CAIB/IDS Member
CAIB Executive Director /IDS Chair
Master Resiliency Trainer/Facilitator
Suicide Prevention Program Manager
Mental Health SME
Provides Consultation with Leadership
Base-Tailored Psychological Health Requirements
Builds Military Conscious Referral Network
Develops Wing-Specific Prevention Plans
Conducts In-House Risk Assessments
Destigmitization of Psychological Care
Case Management
Information and Referral
GS-12
Accredited/Privileged Clinical Social Worker, PhD/PsyD Psychologist, Psychiatric/MH Nurse
Practitioner, Psychiatrist *AFI 44-119 Congruent
*All of the above, plus the following:
Document in Official Military Medical Records
Fitness For Duty Assessments
Jacob Sexton Act –Annual Mental Health Screening
Physical Profiles and Duty Restrictions
Pre/Post Deployment Clearances
Deployment Health Assessments (DHA) closeouts
Provides Diagnosis for LOD/VA Disability
Unit Transfer/Release/PCS clearance
Formal Clinical Crisis Management
Alcohol Drug Abuse Prevention and Treatment Monitoring
Family Advocacy/Domestic Violence Program Access
Special Needs Identification and Disposition
Total Force Integration—(3 to 1, DPH Liaising)
Guarding America - Defending Freedom
Confidentiality Comparison1 ACTIVE DUTY MILITARY TREATMENT FACILITY (MTF)
MTF ANG DPH CONTRACT MOS MFLC
2 ANG DPH
3 PREVIOUS ANG CONTRACTED DPH
4 MILITARY FAMILY LIFE CONSULTANT (MFLC)
5 MILITARY ONE SOURCE (MOS)
Harm to Self X X X X X
Harm to Others X X X X X
Harm to Mission X X X X X
Special Personnel (PRP, PSP, 1042) *X *X *X *X *X
Inpatient Care X X X X X
Acute Medical Conditions Interfering with Duty X X X X X
Substance Abuse Treatment Program X X X X X
Psychotropic Medication use X X X
Non-medical counseling
Consultation
Advisement
*="Medical" cases only
Guarding America - Defending Freedom
Program Efficacy/Metrics/ Outcome Data