Homefront Vol 2, Issue 2 February 2012 Welcome! In This Issue Waking Up from the Nightmares Research shows that almost 45 percent of returning veterans will have experienced traumatic events potentially causing Post Traumatic Stress Disorder (PTSD) or other psychological disorders such as depression. Large numbers also suffer from Traumatic Brain Injury (TBI). Left untreated these invisible wounds can have devastating impact on the lives of those suffering in silence, their families, and their communities. CSC's response is to establish a community system of holistic support to veterans and their families that is focused on mental health and substance abuse needs, and extends to primary health care, employment, housing and education. Specifically, work will be directed towards; Say Hello Free Training Making Connections Quick Link New to VA Federal Benefits for Veterans, Dependents and Survivors: 2011 Edition National Center of PTSD Expanding identification of and outreach to veterans and families, Enhancing coordination of services for veterans and families, Improving mental health treatment and increased access to Veterans Treatment Court, Reducing homelessness among veterans, Broader community engagement and awareness of PTSD and traumatic brain injury, and Coordinating state leadership and stronger national policy support. Evidence-Based Treatment for Traumatic Nightmares: Exposure, Rescripting, Relaxation Therapy Dr. Joanne Davis presented at the February Veterans meeting about her work regarding nightmares and PTSD: Nightmares leading to sleep disturbance are common for patients with PTSD, and often remain as residual symptoms of PTSD after pharmacotherapy and trauma focused psychotherapies,( i.e., Prolonged Exposure, Cognitive Processing Therapy) (Zayfert, 2004; Spoormaker, 2008). Joanne Davis developed Exposure, Rescripting, and Relaxation Therapy (Davis, 2009) to specifically address trauma based nightmares. Three randomized controlled studies have demonstrated the efficacy of the ERRT method and it is being used to successfully treat both civilian and military patients with trauma nightmares. The ERRT method includes daily monitoring of basic sleep hygiene practices as well as progressive muscle relaxation exercises. These behavioral skills are combined with written exposure to the nightmare content and the identification and rescripting of patients' most distressing nightmares during treatment sessions. The nightmare rescripting content is based on the introduction of common psychological themes that are typically linked to thoughts and beliefs generated after a trauma experiences. This thematic content is utilized to inform the rewriting of nightmares such that the patient can practice the rescripted dream content and practice relaxation exercises to enhance self efficacy around re-experienced trauma events during sleep. The presentation provided a basic overview of the development of the treatment and results of a recent study conducted with veterans in the Tulsa area. New Director at the Jack C. Montgomery Veterans Affairs Medical Center Mr. James Floyd was named as the new director of the Jack C. Montgomery Veterans Affairs Medical Center. He is scheduled to present to the Veterans Initiative Advisory Board at our April 12th meeting. James R. Floyd, MPA, FACHE Mr. James R. Floyd was appointed Medical Center Director, Jack C. Montgomery VAMC in Muskogee, Oklahoma effective January 17, 2012. From October 2008 to January 2012, Mr. Floyd served as the VISN 15 Network Director (VA Heartland Network). Mr. Floyd administered health care services to veterans from seven medical centers on nine campuses, and more than forty-seven Community Based Outpatient Clinics (CBOC) in Kansas, Missouri, southern Illinois, Indiana and northwest Kentucky. Mr. Floyd is a graduate of 2009 class of the Department of Veterans, Affairs Executive fellows Program. Mr. Floyd is also a 2009 Recipient of the coveted federal Presidential Rank Award for outstanding career achievements for leadership in health care. In 2008 he was appointed by the Secretary of Veterans Affairs to serve as a member of the Veterans Rural Health Advisory Committee. The Association of Military Surgeons of the United States presented him the Ray E. Brown Award, in 2008 for his advocacy in federal healthcare leadership. James Floyd was originally appointed within the VA as the Director of the VA Salt Lake City Health Care System in 1997. In 2004 he was recognized with the Under Secretary for Health's Diversity Award Winner for his work in establishing innovative outreach and treatment programs to Native American Veterans, and in 2002 he received the VA Secretary's Medal for Meritorious Service for exceptional performance in coordinating federal agencies' medical and security support for the 2002 Winter Olympic and Paralympic Games. Prior to working in the Department of Veterans Affairs, Mr. Floyd served in the U.S. Public Health Service, Indian Health Service, for more than ten years. During that time, he served as the Director, Portland Area Indian Health Service, from 1992 to 1997, directing the management of federal health care facilities in the states of Washington, Oregon, and Idaho, and assisting tribal governments in the development of community-based health care programs. During his tenure in the Indian Health Service, he served a special assignment in the U.S. Senate Committee on Indian Affairs developing legislative authority for Native American health care programs. Mr. Floyd's health care career began with the Muscogee (Creek) Nation of Oklahoma in 1978 where he served as the Director of Community Services. In that capacity, he designed and established the first tribal owned and operated health care system in the United States consisting of a 39-bed community hospital and four outpatient health clinics. Mr. Floyd is a Creek and Cherokee Indian and a member of the Muscogee (Creek) Nation. James is Board Certified by the American College of Healthcare Executives, holds a Master's Degree in Public Administration/Health Administration, and a post-graduate Certificate in Managed Care Administration. Free Online Training Free online training is available sponsored by the Red Sox Foundation, Massachusetts General Hospital and the VA's National Center for PTSD. The training series begins February 23 and will continue every Thursday for 14 weeks (sessions archived online). The training will help you: Diagnose and treat PTSD and TBI with traditional and complementary evidence-based therapy. Recognize and address emotional stresses in spouses, parents and children of veterans with PTSD or TBI. Support the needs of military families. Register Agency Liaison Pilot Moving Forward Eleven individuals have been identified to serve as Agency Liaisons. These individuals will be available to assist service members, veterans, and their family members seeking services at their respective organizations. Additionally the Liaison will be available to their co-workers serving those with a military background who may need further information and resources. A half-day training has been scheduled for February 24 from 8:30 to Noon at the Community Service Council. The training will provide further information about the Liaison functions, introduction to military culture and benefits. Thanks to Wendy Nix and Craig Prosser with the Oklahoma National Guard Family Programs for their willingness to provide this training. If you would like your agency to participate in this pilot program contact Colleen Ayres-Griffin at cag@csctulsa.org or 918-699-4244. Disclaimer Links to non-Federal and Federal organizations are provided solely as a service to our users. These links do not constitute an endorsement of these organizations or their programs by the Community Service Council of Greater Tulsa or the Federal Government, and none should be inferred. The Community Service Council is not responsible for the content of the individual organization Web pages found at these links. Until next time... Sincerely, Colleen Ayres-Griffin Veterans Initiative Community Service Council | 16 East 16th Street, Suite 202 | Tulsa | OK | 74119