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IN THIS ISSUE:» Greetings from Shannon Peele, MFLC Clinical Liaison then what I know now, I would say that it wasn t ESP but good Karma. I would have done nothing differently.» United Healthcare Global (UHCG) 2016 Annual Open Enrollment - November 2nd through November 23rd» SPOTLIGHT ON: Holly Prichard & Lisa Wilkinson» Providers: Stay Present, Reduce Burnout with Mindfulness» Enroll (or Waive) Benefits Now! Greetings MFLCs! I am honored to pen our newsletter introduction during a month in which we celebrate the men and women that have sacrificed their lives for this great country. We get to honor our fellow service members and each other as we support them on missions stateside and abroad. I joined the Army Reserves 1989. Like many students, I met a recruiter on my college campus that offered financial options for my education. I thought the recruiter had ESP, because at the time, I was trying to figure out how I was going to pay for the following semester. If I knew Figure 1: Shannon Peele in 1989 at Boot Camp at Fort Dix, New Jersey A few months later I was off to basic training at Fort Dix in New Jersey and then 91A Combat Medic training at Ft Sam Houston in San Antonio, Texas. Serving in the Armed Forces has been one of the most profound experiences of my life. I was able to harness skills and abilities that I didn t even know existed. The training, challenges and friendships that I had acquired over the years strengthened my core values of Honor, Integrity, and Tenacity. During my enlistment, I ve had the opportunity to train at various 1

installations such as Ft Dix, Macguire AFB, NJ; Ft Eustis, VA; Ft Drum, NY; Ft Gordon, VA; and Ft Buchannan, PR. I even served a year at a National Guard Base in St Croix, USVI. boots on the ground at various installations. Figure 3: Shannon Peele at Naval Medical Center Portsmouth 2015 Figure 2: Shannon Peele circa 1994 Saluting the Troops after receiving the "Soldier of the Cycle" medal at Fort Gordon, GA I joined the MHN team in 2009 and was one of the Clinical Supervisors on the Airforce Team during the MFLC I contract. I felt an instant connection with the work and the mission of the MFLC program. Since honorably discharging from the Army in 2000, it was great to be working with clinicians who were Before rejoining the MHN team in April of this year, I had the opportunity to work at Portsmouth Naval Hospital doing intensive outpatient group therapy with service members and their families. What stands out more and more are the needs of the military family. The challenges that they endure due to multiple deployments and high ops tempo are to be commended. The culture of the branches are different, but the theme is the same. I continue to be in awe of the resiliency of the military spouse and family. The supportive service that we are providing to our military members is invaluable. 2

Like most clinicians, doing the work keeps me grounded. Working with the MFLC program keeps me feeling that I am still serving my country in some capacity. To my fellow veterans, military families, and the professionals that support them. Thank you for your service, Honor, Integrity and Tenacity. Hooraah!!!! Shannon Peele LCSW, CSAC ACTION REQUIRED: Due to a provision in the Affordable Care Act, please be advised that you must take action to either waive or enroll in the plan. If you fail to take any action, you will be automatically enrolled in the plan at the "Associate Only" level of coverage. SPOTLIGHT ON: Holly Prichard & Lisa Wilkinson The following heartfelt recognition penned by Senior Master Sergeant Richardson at RAF Mildenhall, highlights the work of two of MHN s outstanding MFLCs Holly Prichard & Lisa Wilkinson: United Healthcare Global (UHCG) 2016 Annual Open Enrollment - November 2 nd through November 23 rd! The United Healthcare Global (UHCG) SPA Annual Open Enrollment for 2016 began Monday, November 2nd and will remain open through Monday, November 23rd. During the enrollment period, all SPAs have the opportunity to log onto UHCG's OnlineEnroll system and review/confirm their current elections, make changes to their current elections or affirmatively waive coverage for 2016. Mr. Cox & Mr. Whyte, Just a quick email to spotlight our fantastic MFLCs currently assigned to RAF Mildenhall (Holly Prichard & Lisa Wilkinson). Since their arrival they have been a valued member of our team. Day in and Day out they've provided excellent support & care to our Team Mildenhall members. That aside, we've had a couple of tragedies within the last month, which has required 'extra' assistance from our MFLC's. They've been available & willing to provide any assistance - anytime. In fact, I had to ask Lisa to assist at 1830 last Friday evening. She didn't question it. 3

Whether it was to provide a briefing-- simply to be seen & available--or performing multiple squadron walk-a rounds - they were there! They've both been tremendous, and I can't think of anything more valuable to say other than they have been 'teammates' in a time of need. If you have an 'MFLC of the month program' -- I have two nominees! Regards, SMSgt Richardson Providers: Stay Present, Reduce Burnout with Mindfulness Posted to dcoe.mil/blog by Sarah Heynen, DCoE Public Affairs providers are stressed and feel burned out, they may find it difficult to fully focus on their patients. Creating a regular mindfulness practice, such as mindfulness meditation or mindfulness-based stress reduction, can help providers cope with the daily stressors of their jobs. The benefits of mindfulness for providers are similar to the outcomes for patients: stress reduction, improved memory, increased focus, decreased emotional reactivity, improved cognitive flexibility and greater relationship satisfaction. In a recent study, a continuing education course on mindfulness-based stress reduction resulted in a reduction in burnout rates and an increase in the overall well-being of providers. We know mindfulness practices can help service members and veterans cope with their physical and psychological injuries. This practice is also a great tool for providers to build their own resilience while they treat wounded warriors. Treating members of the military can be a highly-rewarding experience, but it can also bring high levels of stress. Providers who treat service members, veterans and their families are at risk of experiencing compassion fatigue, burnout or secondary traumatic stress. Bearing witness to suffering and feeling powerless over other people's pain can contribute to stress and fatigue, as do long hours, lack of social support and lack of downtime. Additionally, when With regular mindfulness practice, providers learn to train their brains to stay present in the moment -- this benefits both providers and their patients. In addition to mindfulness practices, there are other resources available to 4

help providers stay mentally healthy and resilient. Here are a few we think are worth checking out: Provider Resilience is a mobile application by the National Center for Telehealth and Technology that gives health care providers tools to guard against burnout and compassion fatigue as they help service members, veterans and their families. Mindfulness Coach is a mobile application created to introduce the concept and skill of practicing mindfulness to help focus. The app is a collaborative product of the National Center for Telehealth and Technology and the Department of Veterans Affairs. "Provider Resiliency and Self-Care: An Ethical Issue" is an interactive online training course from the Center for Deployment Psychology that provides an overview on how to increase provider resilience. The course also looks at how organizations and individuals can implement strategies that promote self-care, reduce compassion fatigue and burnout, and maintain high-quality ethical practice. Working with Trauma Survivors: What Workers Need to Know is a page on the National Center for PTSD website that shares information on compassion fatigue, burnout and secondary traumatic stress, as well as warning signs and resources to cope with these challenges. For the full article with links, visit dcoe.mil/blog. Paris Message Reprint: memo originally disseminated to MHN s MFLC Workforce November 16, 2015 To our MHN MFLC Team Members, The terrorist attack in Paris over the past weekend has again emphasized the importance of the work each of you do in support of our global military community. During times of crisis and uncertainty, the responsive and flexible support you provide is essential to the health, morale and welfare of our military families around the world. As members of our military community process this tragedy, we must redouble our efforts to ensure every member of the military community knows about the 5

support we are able to provide. I know each of you will work to ensure the needs of the community we serve are met with compassion and professionalism. For our counselors on the ground in Europe please be advised that EUCOM has posted updated travel regulations which prohibit travel to France effective immediately. This restriction applies to all civilian personnel including contractors. Please abide by this travel restriction. Our team will provide relevant updates as they become available and members of our leadership team will remain in close contact with all counselors in our European footprint; as well as with members of government leadership; regarding this developing situation. For any immediate concerns please contact your MFLC Liaison. Both abroad and at home the importance of alertness and prudence on behalf of all our team members cannot be overstated. We are all members of the military community and it is incumbent upon us to exercise discretion and plan ahead. This includes evaluating travel plans and keeping others informed; never traveling alone; and taking into account all applicable Department of Defense and Department of State travel restrictions and recommendations. Members of our leadership team will be reinforcing information on measures to take so that all of the members of our team are accounted for in the event of an emergency at each respective location. We thank you as always for your commitment to service and your tremendous contributions to the morale, welfare and readiness of our global military community. Together in service, James Ferguson Deputy Program Director Have you gone on to the UHCG website to enroll in or waive your benefit coverage? Open Enrollment ENDS next Monday, November 23rd at midnight. Log on now to enroll or waive your benefit coverage: https://uhc.workterra.net/workterra Having trouble? Contact the ASC at 877-474-3577, Option 5 6