Upload
preston-haynes
View
218
Download
1
Tags:
Embed Size (px)
Citation preview
The NAMI-Department of Veterans Affairs / Family-to-Family Partnership
Susan J. McCutcheon, RN, EdDDirector, Family Services, Women’s Mental
Health and Military Sexual TraumaOffice of Mental Health ServicesDepartment of Veterans Affairs
July 7, 2009
Uniform Mental Health Services in VA Medical Centers and Clinics
Minimal clinical requirements for VHA Mental Health Services:
• Providers discuss family involvement with patient at least yearly & at inpatient discharge
• Treatment plan to identify family contact or reason for lack of contact
• Providers must seek consent from veterans to contact families in the future, as necessary
Uniform Mental Health Services in VA Medical Centers and Clinics
Minimal clinical requirements for VHA Mental Health Services:
• Family consultation, family education or family psychoeducation for veterans with serious mental illness must be provided at VA Medical centers and very large CBOCs
• Opportunities for these family services must be available to all veterans with serious mental illness on site, by telemental health, or with community providers through sharing arrangements, contracting, or non-VA fee basis care
Family Education (FE)
Family Education (FE)
Treatment team provides factual information necessary to support the veteran and partner
Offered in many formats, regularly scheduled and conducted over time including:
By professionals (e.g., SAFE Program)
By trained family members (e.g., NAMI Family-to-Family Education Program)
VHA – NAMI Memorandum of Understanding
Offer NAMI Family-to-Family Education Program (FFEP) in: At least one VHA facility in each state During a two year period starting June 2008
Collaborative effort between the VA and NAMI on national, state and local levels
Selected VHA facility and local NAMI affiliate will then serve as model to continue this partnership throughout all networks
VHA – NAMI Memorandum of Understanding
• The first VHA FFEP classes were held Fall’08
• Currently planning VHA FFEP classes for Late Winter/Early Spring’09
• Any VAMC can partner with their local NAMI affiliate to offer FFEP in their facility outside of the MOU
VHA – NAMI Memorandum of Understanding
VHA OMHS shall:
• Identify VHA facility most likely to succeed and serve as a model for the rest of the state
• Identify VHA employee as the FFEP POC
• Ensure the VHA facility collaborates with local Vet Center
• Participate in monthly VHA FFEP POC Conference Calls
VHA – NAMI Memorandum of Understanding
VHA OMHS shall:
• Ensure the selected VHA selected facility informs veterans and staff about FFEP
• Assist with enrolling families into FFEP
• Reproduce the FFEP Manual and Handouts
• Reserve an appropriate meeting space for the FFEP with Adequate parking
• Develop PTSD “Take Home Packet”
VHA – NAMI Memorandum of Understanding
NAMI Shall:
• Identify a NAMI affiliate POC to work with the VHA FFEP POC at the selected facility in the state
• Ensure that a representative from the NAMI Education Dept participate in planning and communication among and between states and VHA sites in the project
VHA – NAMI Memorandum of Understanding
NAMI Shall:
• Ensure that there are FFEP teachers for the selected VHA site
• Ensure that a NAMI affiliate POC assists VHA in informing veterans & VA staff of availability of FFEP
• If VA family enrollment does not meet the minimum required number for a FFEP, assist with recruitment/ enrollment of community family members to fill class
VHA – NAMI Memorandum of Understanding
Other Considerations:
• Matching a motivated VHA facility with a NAMI affiliate with appropriate resources to teach FFEP will be a mutual decision between VHA OMHS and NAMI
• The process for enrolling family members into the FFEP will be a local decision based on the established practice of the NAMI affiliate
VHA – NAMI Memorandum of Understanding
Other Considerations:
• VHA has an extensive Community Residential Care Program – veterans residing in group homes
• Frequently these placements are long term and the group home sponsor becomes part of the veteran’s “family”
• When such a relationship exists, the group home sponsor may enroll in the FFEP
VHA-NAMI MOU:Designated Sites
STATE VAMC CITY STATE VAMC CITYAlabama Tuskegee Hawaii Honolulu
Alaska Anchorage Idaho Boise
Arizona Phoenix Illinois Chicago/Hines
Arkansas Little Rock Illinois Marion/Ft. Wayne
California San Francisco Indiana Indianapolis
California Long Beach Iowa Des Moines/Knoxville
Colorado Denver/Pueblo Kansas Topeka
Connecticut West Haven Kentucky Louisville
Delaware Wilmington Louisiana New Orleans
Florida Tampa Louisiana Alexandria
Georgia Atlanta Maine Togus
Completed Fall 2008 Completed Spring/Summer 2009
VHA-NAMI MOU:Designated Sites (con’t)
STATE VAMC CITY STATE VAMC CITYMaryland Baltimore New Mexico Albuquerque
Massachusetts Bedford New York Syracuse
Michigan Detroit New York New York Harbor
Minnesota Minneapolis North Carolina Durham
Mississippi Biloxi North Dakota Fargo
Missouri St. Louis Ohio Columbus
Montana Ft. Harrison Oklahoma Muskogee
Nebraska Omaha Oregon Portland
Nevada Las Vegas Pennsylvania Pittsburgh
New Hampshire Manchester Puerto Rico San Juan
New Jersey Lyons Rhode Island Providence
Completed Fall 2008 Completed Spring/Summer 2009
VHA-NAMI MOU: Designated Sites (con’t)
STATE VAMC CITY STATE VAMC CITYSouth Carolina Columbia Virginia Salem
South Dakota Sioux Falls Washington DC
Tennessee Mountain Home Washington Seattle/Puget Sound
Texas Dallas West Virginia Clarksburg
Texas Amarillo West Virginia Martinsburg
Texas Houston Wisconsin Madison
Utah Salt Lake City Wyoming Cheyenne
Vermont White River Junction
Wyoming Sheridan
Completed Fall 2008 Completed Spring/Summer 2009
Completed InitiativeInitiative In Process
Not Completed
San Francisco
Long Beach
New York Harbor
Syracuse
Dallas
Amarillo
Houston
NOLA
Alexandria
Sheridan
Cheyenne
Marion
Chicago/Hines
Clarksburg
Martinsburg
Definition of Family
Family
According to federal law, eligible individuals who may be provided family services for immediate family members are:
• Members of the immediate family
• Guardian of a veteran
• Individual in whose household such veteran certifies an intention to live
PL 110-387 Veterans’ Mental Health and Other Care Improvement Act of 2008
Sec 301 amends 38 USC 1782
Adds marriage and family counseling to services for family members of all veterans eligible for VA care
Rescinds prior stipulation that services which include family members for veterans receiving non-service connected treatment are contingent on initiation during an inpatient stay
Training for Family Services by End of FY2008
Family Psychoeducation (FPE), Behavioral Family Therapy (BFT), or Multiple Family Group Therapy (MFGT) 133 staff trained in care provision 15 staff trained to be BFT or MFGT trainers
Family Consultation 15 Staff trained in care provision
35 Local Recovery Coordinators trained as Network Family Education Consultants to facilitate implementation of: SAFE Program NAMI Family-to-Family Education Program
Ongoing Initiatives / Next Steps
Meeting requirements of UMHSP:
• Providers discussing family involvement with patient yearly and at inpatient discharge
• Treatment plan to identify family contact or reason for lack of contact
• Further dissemination of family education, family consultation and family psychoeducation models
Compliance with PL 110-387
Thank you for supporting Veterans!
For additional information or questions
Contact Susan J. McCutcheon at [email protected]