UTOPIC HEALTH SYSTEM A COLLABORATIVE PROCESS WITH: WINGS FOR WARRIORS ORGANIZATION

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PRESENTATION AGENDA I. VETERAN VOICES VIDEO II. CASE STUDY MISSION AND GOALS III. CASE STUDY ORIGINAL HYPOTHESIS IV. CASE STUDY UPDATED HYPOTHESIS V. DEFINITIONS VI. METHODS OF DATA COLLECTION i. SYSTEM MAP ii. LITERATURE REVIEW iii. INTERVIEWS iv. INITAL PRESENTATION VII. REDEFINED HYOPTHESIS VIII. PANEL QUESTIONS IX. AUDIENCE QUESTIONS X. CLOSING

VETERANS VOICES

Mission To take a systematic approach with emphasis on PTSD PTS to discover and to bring awareness of veterans navigation through the military health system. Goal To create a dialogue about the overall effectiveness of the existing veteran healthcare system.

Hypothesis Initial: After 6 weeks of systematic research, we will produce solutions to the problems uncovered. DATA COLLECTION EXISTING RESEARCH UTOPIC SOLUTION case study 6 weeks product solution

Hypothesis Initial: After 6 weeks of systematic research, we will produce solutions to the problems uncovered. Updated: Upon starting the case study, we noted complex layers beginning to surface. Due to the intricacy of the issues, we decided to take a holistic approach: we wanted to ask for your help, to hear your reflections, and to carry out your feedback into concrete paths to solutions, while exploring partnership with interested parties. literature case study 6 weeks conceptual solutions literature

DEFINITIONS SYSTEM MAP- UTOPIC HEALTHCARE SYSTEM- LITERATURE ANALYSIS- A visual representation of the whole picture and how all people, infrastructure, and ideas interact. The idea of a perfect healing process (our goal) Understanding the body of knowledge and what is says about the topic. DATA- INTERVIEWS- INITIAL PRESENTATION- Themes and take-away messages we found from the literature A group dialogue with post-deployment veterans on their views of the current military health system with focus on PTS A presentation in front of field experts to gain their feedack on our presentation and insight on where to go from here.

complex veteran healthcare system system map literature analysis dialogue interviews

Deployment System Map WARNING ORDER SOLDIER DEPARTS FROM HOME STATION FAMILY READINESS GROUP INTENSE ANTICIPATION I. PRE DEPLOYMENT (TIME VARIES) II.DEPLOYMENT (1ST MONTH) III.SUSTAINMENT (2-5 MONTHS) IV.REDEPLOYMENT (LAST MONTH) ANTICIPATION OF LOSS VS. DENIAL MENTAL PHYSICAL DISTANCE ARGUMENTS MIXED EMOTION / RELIEF SLEEP DIFFICULTY NUMB, SAD AND ALONE NEW ROUTINES ESTABLISHED INDEPENDENCE FAMILY READINESS GROUP ANTICIPATION OF HOMECOMING APPREHENSION DIFFICULTY MAKING DECISIONS GET AFFAIRS IN ORDER TRAINING LONG HOURS AWAY DISORIENTED AND OVERWHELMED SECURITY ISSUES NEW SOURCES FOR SUPPORT, MORE CONTROL CONFIDENCE- I CAN DO THIS EXCITMENT BURST OF ENERGY

Deployment System Map COMPLETE MALARIA MEDICATION ASSESS MEDICAL STATUS COMPLETE POST-DEPLOYMENT ASSESSMENT FORM V. POST DEPLOYMENT(3-6 MONTHS) POST DEPLOYMENT TUBERCULOSIS SKIN TEST CHANGES IN HEALTH QUESTIONS SOLDIERS MAY HAVE ABOUT HEALTH REUNION WITH LOVED ONES EXPECTATIONS FOR, SOLDIERS, SPOUSES & CHILDREN ENVIRONMENTAL CONDITIONS 5 PHASES OF REUNION WHO SHOULD I CONTACT? PHASE I PRE ENTRY FEDERAL SYSTEM OF MEDICAL CARE PHASE II REUNION DECISION POINT PHASE III DISRUPTION VETERAN S ADMINISTRATION TRI-CARE NETWORK DEPARTMENT OF DEFENSE CIVILIAN COMMUNITY SERVICES PHASE IV COMMUNICATION PHASE V NEW NORMAL BRANCHES HEALTHCARE SYSTEM ACTIVE DUTY

complex veteran healthcare system system map post-deployment phase reintegration literature analysis emotional physical dialogue interviews

Literature Data hospital wait times misdiagnosed care mental health treatment economic issues alternative treatment intimate relationships homelessness veteran stigma screening prevention gender specificity hospital architecture traumatic brain injury

Literature Themes Behavioral Emotional Built Environment

complex veteran healthcare system system map post-deployment phase emotional reintegration physical literature analysis - behavioral - emotional - built environment dialogue interviews

complex veteran healthcare system system map post-deployment phase emotional reintegration physical literature analysis - behavioral - emotional - built environment There are negative health issues that arise from the lack of simultaneous attention of emotional and physical behaviors during the reintegration phase. dialogue interviews

complex veteran healthcare system system map post-deployment phase emotional reintegration physical literature analysis - behavioral - emotional - built environment dialogue interviews At this point, we felt there was a need to look at the veterans experiences through the complex system; therefore, with the help from Wings for Warriors, we conducted a focus-group interview with 6 post-deployment soldiers.

Interview Data They just want to be treated the same... These guys are survivors and we survived it together... I don t like it how they see us we re weak or hindered... So just listen better... [My brothers and I] went camping...it was like the best... The forgotten element of the wounded warrior is the warrior itself......automatically have a diagnosis for you. Without hearing anything from you... I see them, I don t look down at them... I don t want to be pitied... Just let the person talk... I just want to be with my boys. I don t have anyone to talk to...

Interview Themes I just want to be with my boys. [My brothers and I] went camping...it was like the best... I see them, I don t look down at them... These guys are survivors and we survived it together... Brotherhood I don t want to be pitied... The forgotten element of the wounded warrior is the warrior itself... They just want to be treated the same... I don t like it how they see us we re weak or hindered... No Pity So just listen better......automatically have a diagnosis for you. Without hearing anything from you... I don t have anyone to talk to... Just let the person talk... Being Heard

complex veteran healthcare system system map post-deployment phase emotional reintegration physical literature analysis - behavioral - emotional - built environment Commonalities between the system map, literature, and veterans voices suggest a lack of individualized care, in terms of the physical and emotional needs of post-deployment veterans. dialogue interviews - brotherhood - no pity - being heard

Initially, we were looking for solutions for better veteran healthcare; however, after our comprehensive, we found the biggest area in need of improvement is the veteran reintegration process. PHASES 1 PHASES 2 PHASES 3 PHASES 5 PHASES 4 BUILT ENVIRONMENT REINTEGRATION

complex veteran healthcare system system map post-deployment phase reintegration emotional physical literature analysis - behavioral - emotional - built environment Commonalities between the system map, literature, and veterans voices suggest a lack of individualized care, in terms of the physical and emotional needs of post-deployment veterans. inital presentation interviews - brotherhood - no pity - being heard

complex veteran healthcare system system map post-deployment phase reintegration emotional physical literature analysis - behavioral - emotional - built environment inital presentation - continued access - collaboration interviews - brotherhood - no pity - being heard

complex veteran healthcare system system map post-deployment phase reintegration emotional physical literature analysis - behavioral - emotional - built environment Some veterans have found individualized care through alternative therapies as well as some traditional medicine. The main issue is accessibility because it is so difficult to navigate the system as it currently stands. inital presentation interviews - brotherhood - no pity - being heard

What we have learned is that our research needs to move away from focusing on a model and focus more on the process of obtaining individualized care?

Panel Dicussion: - What successes have you experienced? - What barriers have you experienced? - Where do we go from here to gain better accessibility?