Behavioral / Mental Health Acronyms 1 Acronym Definition ADME Active Duty Medical Extension AR Army Regulation ARNG Army National Guard AVS Automated Voucher System BH Behavioral Health CCIR Commander s Critical Information Requirement CM Case Manager DA Department of the Army DARNG Director Army National Guard DEMOB Demobilization DOD Department of Defense DODI Department of Defense Instruction DPH Department of Psychological Health DSS Deputy State Surgeon DTM Directive Type Memorandum EXORD Executive Order FMR Fully Medically Ready HRR Health Readiness Record IMR Individual Medical Readiness INCAP Incapacitation Pay LHI Logistics Health Incorporated LOD Line of Duty Investigation LRMC Landstuhl Regional Medical Center MAR2 MOS Administrative Retention Review MEB Medical Evaluation Board MED NCO Medical Non Commissioned Officer MOB Mobilization MOS Military Occupational Specialty MMPS Medical Management Processing System MMRL Mobilization Medical Readiness Liaison MMSO Military Medical Support Office
Behavioral / Mental Health Acronyms 2, Systems and Forms Acronym MRDP NDR NGB PDHRA PEB PHA PHI PPOM QA / QC RFI SF SIR SM STR USR Military System ecase eprofile MEDCHART MEDPROS MODS Form Number DA Form 2173 DA Form 3822 DA Form 4866 DD Form 2766 DD Form 2870 DD Form 2900 SF 600 Definition Medical Retention Determination Point Non Duty Related National Guard Bureau Post Deployment Health Reassessment Physical Evaluation Board Periodic Health Assessment Protected Health Information Personnel Policy Operational Memorandum Quality Assurance / Quality Control Request for Information Standard Form Serious Incident Report Service Member Service Treatment Record Unit Status Report Definition Electronic Case (Module contained in MEDCHART for Case Management) Electronic Profile (Module contained in MODS for Profiling SMs) Medical Electronic Data Care History and Readiness Tracking System Medical Protection System Medical Operations Data System Form Name Statement of Medical Examination and Duty Status Report of Mental Status Evaluation Developmental Counseling Form Adult Preventive and Chronic Care Flow Chart Authorization for Disclosure of Medical or Dental Information Post-Deployment Health Reassessment Program Chronological Record of Medical Care
1.0 CONDUCT INITIAL SCREENING Behavioral Health Screenings must be done by a Physician s Assistant or a Behavioral Health Officer, or DPA, MC. Behavioral Health Screenings may be initiated through a variety of sources including but not limited to: - Command Directed - Medical readiness event roll-up report from CM - SM walk-in / self-report - Third-party report - PHA Each case is extremely labor intensive for case management; it is the OTSS/MEDDET s most vulnerable area because of the consequences of failed intervention. How many behavioral health related initial screenings were conducted in FY12, FY13, FY14? typically take, in minutes, to conduct a single behavioral health related initial screening? 1.1 Receive and review notification of SM requiring BH screening 1.2 Review SM treatment record / conduct interview to determine need for evaluation 1.3 Conduct initial clinical interview 1.4 Determine course of action 1.5 Document findings in automated systems 1.6 Notify SM, command, source of referral receive and review a request for an initial single behavioral health screening? conduct a preliminary non-clinical interview with a Soldier to determine the clinical requirements? - this may be done by anyone as brief intervention, via phone, in person, or any other means. conduct an initial clinical behavioral health related interview with a Soldier? determine a behavioral health treatment plan for a single Soldier? provide behavioral health related updates to HSS and ecase? notify the Soldier s Command and/or family of the treatment plan and next steps?
2.0 CONDUCT EVALUATION This process is the formal evaluation that follows an initial screening (Process 1.0) How many behavioral health clinical evaluations were conducted in FY12, FY13, FY14? typically take, in minutes, to conduct a single behavioral health clinical evalutaion? Include the completion of any profile or other documentation handed off to Case Management. 2.1 Receive and review SM intake form / screening tools 2.2 Review SM health record 2.3 Conduct interview 2.4 Develop course of action and document findings (ecase, DA Form 3822, local form) receive and review a single initial behavioral health screening? - this process begins following the initial behavioral health screening process review all sources of to compile an individual Soldier s Health Record? conduct a clinical behavioral health related interview with a Soldier? determine a behavioral health treatment plan for a single Soldier?
3.0 CONDUCT CONSULTATION This process is independent of the previous two in that the consultation is done with unit Commanders. It s a discussion over what the Commander needs to do to assist the Soldier in their recovery/treatment plan. How many behavioral health consultations were completed with unit commanders in FY12, FY13, FY14? typically take, in minutes, to conduct a single behavioral health consultation with a unit commander? Can be for a command, a unit, a SM, etc. This is distinct from map 6.0, which refers to clinical opinions provided after record review, typically for case managers benefit 3.1 Receive communication of BH concern regarding SM and conduct consult 3.2 Determine course of action / clinical opinion and advise receive and review a request for a consultation from a unit commander? conduct a consultation with a unit commander regarding their responsibility in a Soldier s behavioral health treatment and rehabilitation plan?
4.0 CONDUCT CRISIS INTERVENTION How many crisis interventions of Soldier exhibiting behavioral health characteristics or concerns were performed in FY12, FY13, FY14? typically take, in minutes, to conduct a single intervention for a Soldier exhibiting behavioral health characteristics or concerns? Examples include: - Discussing situation with SM over the phone until crisis is mitigated - Contacting emergency services - Coordinating emergency services remotely 4.1 Receive notification and details of SM who presents imminent threat to self, others or property (situation is emergent) 4.2 Conduct appropriate course of action IAW local crisis response plan 4.3 Assign case to appropriate behavioral health provider 4.3 Document incident details, notify unit receive, review, and begin compiling the commander s critical information requirements or serious incident report? contact emergency services, local authorities, or conduct immediate intervention with the distressed Soldier? assign a behavioral health case to the appropriate provider? complete the commander s critical information requirements, serious incident report, or other incident summary and submit/file?
5.0 COORDINATE FOLLOW-UP CARE AND RESOURCES How often was follow-up/routine care coordinated for Soldiers requiring behavioral health care during FY12, FY13, FY14? typically take, in minutes, to coordinate a single follow-up/routine appointment for a Soldier who requires behavioral health care? - Post crisis event follow-up - Routine follow-up - Received from Case Management - Post readiness event follow-up - Command inquiry May include: - DA Form 4856 - ecase - DA Form 3822 - SF 600 5.1 Identify SM requiring BH followup care / resources 5.2 Assign to behavioral health provider 5.3 Complete/collect appropriate documentation 5.4 Ensure that profile is initiated and systems are updated discern when behavioral health follow-up or routine care is necessary? ensure that the Soldier s case is assigned to a behavioral health provider? complete and collect appropriate behavioral health related documentation? initiate a profile (if necessary) and ensure that Medical Readiness systems and databases are updated?
6.0 PROVIDE CLINICAL OPINION TO CASE MANAGER This typically consists of a provider reviewing medical documentation provided by the case manager to determine if a medical evaluation and review board is necessary. It may also be done to determine fitness-for-duty or as a result of a command directed evaluation. How many behavioral health cases were sent to medical evaluation or review boards in FY12, FY13, FY14? typically take, in minutes, to make a decision to send a behavioral health care case to a medical evaluation and review board? Typically from case managers who require BH specific knowledge before they are able to move a case forward (e.g. for a medical board) May include: - DA Form 4856 - ecase - DA Form 3822 - SF 600 - Proxy profile 6.1 Receive and review SM medical documentation 6.2 Determine clinical recommendation 6.3 Document findings and disseminate to inquiring parties receive and review a request to compile paperwork for a provider s review? typically take for a clinical determination to be made on whether to send a behavioral health case for a medical evaluation and review board? document the clinical determination in the appropriate medical readiness systems and databases and inform all required parties?
7.0 CONDUCT BEHAVIORAL HEALTH TRAINING Two types of behavioral health training: internal to behavioral health and external to other units. How many behavioral health training event were provided to requesting units in FY12, FY13, and FY14? How many training events were required for the Behavioral Health Officer and/or their staff in FY12, FY13, FY14? typically take, in minutes, to provide behavioral health training to a unit? typically take for the Behavioral Health Officer and/or their staff to complete a single behavioral health training requirement? 7.1 Receive and review request to provide BH training 7.2 Coordinate and schedule training date / time / location 7.3 Prepare training materials (e.g. PowerPoint slides, pamphlets) 7.5 Conduct training and AAR receive and review a request to provide behavioral health training? coordinate and schedule requested behavioral health training? consolidate and prepare training material in order to provide behavioral health training? conduct a single behavioral health training event, to include an after action review? Only collect for training that is requested by units. The required cyclic or event driven training I can account for via authoritative data: - pre-deployment - post-deployment - annual unit training - post-vention training (reactionary training) - PDHRA
8.0 DEVELOP PROVIDER / COMMUNITY BH RESOURCE REFERRAL LIST This consists of identifying, vetting, and auditing civilian and community providers. Examples are Military Family Life Consultant Counselors (MFLCC), wellness events, Give an Hour Program, and other programs that specifically address Soldier behavioral health needs. How many civilian or community behavioral health providers were identified, vetted, and added to a local resource referral list in FY12, FY13, and FY14? typically take, in minutes, to identify, validate, and add a civilian or community behavioral health provider to a local resource referral list? 8.1 Identify need for BH providers / resources 8.2 Conduct research to locate providers / resources that fit identified needs 8.3 Contact providers / resources to develop working relationship / MOU 8.4 Update referral list to include new providers / resources receive and review a possible addition to the local behavioral health resource referral list? determine whether a civilian or community provider can meet the behavioral health needs of your Soldiers? develop a relationship with the civilian or community provider and establish an agreement for behavioral health support to your Soldiers? update the local resource referral list and file for future use?
9.0 CONDUCT CLINICAL QUALITY ASSURANCE This process can be a review of a waiver, a line of duty, a post-mortem line of duty, or anything relating to clinical competency. In this process, we are specifically looking and clinical quality assurance as it related to behavioral health issues. How many behavioral health cases reviewed for clinical quality assurance in FY12, FY13, FY14? typically take, in minutes, to conduct a clinical quality assurance review of a behavioral health case? 9.1 Receive and review notification of clinical quality assurance requirement 9.2 Conduct clinical quality assurance activity 9.3 Document case decisions / feedback provided in logbook receive and review a notification to conduct a clinical quality assurance review of a behavioral health case? conduct a quality assurance review of a behavioral health case? document findings, insights, and conclusions and provide them to the case manager, behavioral health officer, or other appropriate personnel?