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