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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
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