Integrating Services to Improve Access to Care

THE BARN

LCDR Jane OlienCDR Richard Schobitz

This briefing is unclassified

June 20, 2012

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DISCLAIMER

The views expressed herein are those of the author and do not reflect the official policy or position of Brooke Army Medical Center, the U.S. Army Medical Department, the U.S. Army Office of the Surgeon General, the Department of the Army, Department of Defense or the U.S. Government.

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Learning Objectives

1. Identify the benefits of program integration

among services with overlapping missions.

2. Develop an understanding systemic challenges

that may create barriers to care.

3. Describe the benefits of focusing services not

only on the service member, but also on the

family.

PURPOSE: To provide an overview of lessons learned while integrating social work and psychology services in a behavioral health clinic

UnclassifiedCDR Schobitz/LCDR Olien 20 June 2012

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Current Statistics

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Current Statistics

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Improving the training environment

• BAMC has an APA accredited Psychology Internship

• BAMC has a Social Work Internship Program in cooperation with the University of North Carolina, Fayettville

– The programs collaborate to streamline training, increase faculty and improve access to care for all

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Mission Disposition

Every consult is seen for an intake

• All consults are contacted and appointed within a 7-10 window

• Intakes are performed primarily by Interns– Develop working diagnosis– Working disposition plan– Staff with clinic OIC– Disposition prior to client leaving the office

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WIN-WIN

• Consult is addressed in timely manner

• Interns trained on intake and quick decision disposition

• Clinical staff are freed up to see more follow up sessions

• Clients are appropriately dispositioned

• Referrals to network are decreased

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References

• Demographics 2010: Profile of the military community (Office of the Deputy Under Secretary of Defense, Military Community and Family Policy, 2009), http://www.militaryhomefront.dod.mil/12038/Project%20Documents/MilitaryHOMEFRONT/QOL%20Resources/Reports/2009_Demographics_Report.pdf

• Hosek, J. (2011). How is deployment to Iraq and Afghanistan affecting U.S. service members and their families? An overview of early RAND research on the topic. OP-316-DOD. Santa Monica, CA: RAND Corporation.

• Meadows, Sarah O. Military Families: What We Know and What We Don't Know. National Council on Family Relations Report Magazine, March 2012. Santa Monica, CA: RAND Corporation.

• White House. (2011). Joining forces. http://www.whitehouse.gov/joiningforces

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