MILITARY AND VETERAN-RELATED ONLINE COURSES AND WEBINARS FOR CIVILIAN HEALTHCARE PROVIDERS Military Culture: Sponsored by the National Center for PTSD and prepared by Patricia Watson, Ph.D., Dartmouth University, Understanding Military Culture When Treating PTSD is a free online course (1 hour) that provides valuable information to civilian providers when they work with military and veterans’ families. The course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/military_culture.asp Learning objectives are (1) to describe military terms and demographics; (2) to discuss stressors in the military; (3) to report programs offered by the Department of Defense (DoD) relevant to combat and operational stress, and (4) to describe implications of military culture for clinicians. One hour of continuing education units (CEUs) is available. Funded by the Uniformed Services University of Health Services, the Center for Deployment Psychology offers an online course (75 minutes) on Military Cultural Competence that can be taken for a fee of $30 can be taken for credit (1.25 CEUs) at Relias Learning’s (formerly known as Essential Learning) website: http://www.cequick.com/Military-Cultural-Competence.aspx. Learning objectives include: (1) to explain the military rank structure and organization and distinguish the primary mission and core values of each branch of service; (2) to describe differences and similarities between Active and Reserve components; (3) to discuss demographic characteristics of Service members; and (4) to recognize general and deploymentrelated military terms. Developed by Harold Kudler, M.D., and Charlotte Wilmer, M.S.W., L.C.S.W., the Treating the Invisible Wounds of War (TTIWW) series is a collaboration of the Citizen Soldier Support Program, the Area Health Education Centers (AHECs) in North Carolina, and the Mental Illness Research, Education, and Clinical Center (MIRECC) of the U.S. Department of Veterans Affairs VISN 6. Each new training is first taught as a full-day workshop, offered by AHECs throughout the State. Subsequently, the courses are adapted into online courses at a shorter length, and like the workshops, the online courses are free. All courses are available at: http://www.aheconnect.com/citizensoldier/courses.asp. o Treating the Invisible Wounds of War (TIWW) series (English and Spanish editions) Learning objectives are (1) to identify strategies for establishing and maintaining a therapeutic alliance with combat veterans and their families by examining military structure and culture and the combat experience; (2) to examine the current knowledge of trauma and PTSD and how it is unique to military personnel; (3) to identify frames of mental health assessment and treatment options for military personnel; (4) to identify how family relationships are impacted by mobilization, deployment and redeployment; and (5) to identify services available for Veterans and their families, including those provided by the U.S. Department of Veterans Affairs and TRICARE. Four hours of CEUs are available. 1 o TTIWW: A Primary Care Approach Learning objectives are (1) to identify barriers to receipt of mental health care by returning military service members and veterans; (2) to identify strategies for establishing and maintaining a therapeutic alliance by understanding military culture; (3) to demonstrate the ability to diagnose PTSD and monitor response to treatment; (4) ) to demonstrate the ability to screen for mild TBI using standard psychological tests; (5) to describe the components used in assessment of suicide risk. One hour of CEU is available. o TTIWW: Issues of Women Returning from Combat Learning objectives are (1) to explain the history of women in combat and the scope of the problem; (2) to describe the importance of military culture; (3) to identify psychological issues unique to women returning from combat; (4) to recognize child development issues for women returning from combat; (5) to discuss gender-specific treatments; (6) to describe mental health care resources including TRICARE insurance. Three hours of CEUs are available. o TTIWW: Recognizing the Signs of mTBI during Routine Eye Examinations Learning objectives are (1) to define mild traumatic brain injury (mTBI) and its impact on vision; (2) to review the pathophysiology of mTBI; (3) to define the role of mTBI on cranial nerves and visual pathway damage resulting in visual problems; (4) to identify the primary tools of optometric assessment; (5) to identify methods of assessing facial and ocular injuries as they relate to mTBI; (6) to outline the effects of vascular compromise that occur in mTBI; (7) to describe health care resources of the U.S. Department of Veterans Affairs and TRICARE. Two hours of CEUs are available. o TTIWW: Employee Assistance in the Civilian Workforce Learning objectives are: (1) to describe military culture and structure, (2) to recognize the potential impact that deployment and reintegration may have on service members and their families, (3) to recognize the potential impact that deployment and reintegration issues may have on a service member transitioning between the military workplace and civilian workplaces, (4) to recognize the issues common to employees with military backgrounds, (5), to identify ways to assist employees and members of management to better understand the impact of deployment on the employee performance in the civilian workplace, and (6) to list various military & Veteran-related resources that are available for referral. Sleep Disturbances: The Defense Center of Excellence for Psychological Health and Traumatic Brain Injury offers this 1.5 hour online webinar, Treating Sleep Problems in PTSD and TBI. Participants may download the audio portion as well as the PowerPoint slides for the three presentations. It is unclear whether continuing education credits continue to be available although St. Louis University offered CEUs when the webinar was first offered in February 2012. The purpose of the webinar is to examine sleep disturbances and to discuss promising behavioral and pharmacological treatments for sleep problems associated with PTSD and TBI. For additional information, see http://www.dcoe.health.mil/NewsArticle.aspx?id=2980; for slides, go to http://www.dcoe.health.mil/Content/Navigation/Documents/Treating%20Sleep%20Problems% 20in%20PTSD%20and%20TBI.pdf. 2 The Center for Deployment Psychology offers a 2-DVD set (3 hr. 20 min. lecture) developed by William Brim, Psy.D., (Deputy Director of the Center for Deployment Psychology) on the Assessment and Treatment of Sleep Disturbance Associated with Deployment. Three hours of CEUs are available. It is also available as a downloadable podcast or streaming video. . The DVD set costs $75 and is available at: http://www.pesi.com/bookstore/Assessment___Treatment_of_Sleep_Disturbance_Associated_ with_Deployment-details.aspx. Learning objectives are (1) to increase knowledge about the prevalence and kinds of sleep problems experienced by military personnel; (2) to review clinical strategies and interventions to assist service members with sleep problems; (3) to provide research to support specific sleep interventions. Three hours of CEUs are available. Sponsored by the National Center for PTSD and prepared by Bruce Capehart, M.D. and Jason DeViva, Ph.D., Sleep Problems, Insomnia, and PTSD is a free online course (1 hour) that provides an overview of the VA/DoD 2010 Clinical Practice Guideline recommendations for managing sleep problems and PTSD. The presenters describe primary sleep disorders and comorbid conditions, as well as a general approach and evidence-based pharmacotherapy and psychotherapy interventions to treat these issues. The course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/sleep.asp. Learning objectives are (1) to review the 2010 VA/DoD Clinical Practice Guideline recommendations for medical management of insomnia; (2) to identify three comorbid conditions and three primary sleep disorders likely to affect sleep in Veterans with PTSD; (3) to describe the evidence base for three pharmacotherapies and three psychotherapies in the treatment of sleep problems related to PTSD, and (4) to describe a general approach to assessing and treating sleep problems associated with PTSD. Continuing education credits are not yet available. Combat Stress Injuries: Sponsored by the National Center for PTSD and prepared by William Nash, M.D. (U.S. Navy Medical Corp), Combat Stress Injuries is a free online course (1 hour) that examines the common stressors of operational military deployments, from the merely annoying through the potentially devastating, and places such experiences in their context defined by military cultural values and identity. The normal process of adaptation to stress is described, and it is contrasted with the injuries that can be inflicted on the mind and brain when adaptive capacities are exceeded. The three major mechanisms of stress injury are listed, and the effects of one of them (traumatic stress) are described in detail. The course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/combat-stress-injuries.asp Learning objectives are (1) to describe the major stressors of combat and operational military deployments, and of subsequent homecoming; (2) to describe the two main reasons for the gap between relatively frequent adverse stress responses during deployment and relatively mental health diagnosis and treatment after deployment; (3) to describe the three tactics of normal adaptation to stress, and the normal time course for adaptation and re-adaptation; (4) to describe the differences between normal adaptive responses to stress and those that are symptomatic of a stress injury, and list the three common mechanisms of stress injury; and (5) to describe the major components of traumatic stress injuries, and the nature of the biological and psychosocial damage such injuries entail. One hour of CEUs is available. 3 Trauma-Informed Care: Funded by the Substance Abuse and Mental Health Services Administration and developed by the National Crime Victims Research and Treatment Center of the Medical College of South Carolina, Trauma-focused Cognitive Based Therapy is a free online course, which is available at: http://tfcbt.musc.edu/. The course modules address the topics of [1] psychoeducation, [2] stress management, [3] affect expression and modulation, [4] cognitive coping, [5] creating the trauma narrative, [6] cognitive processing, [7] behavior management training, and [8] parentchild sessions. Continuing education credit for CPTWeb is awarded on a module-by-module basis; however, all modules (i.e., the entire course) must be completed in order to receive the ten hours of credit. A Certificate of Completion is available for printing once the final evaluation is submitted. The Center for Deployment Psychology offers an interactive online introductory course (75 minutes) on Cognitive Processing Therapy (CPT), Cognitive Processing Therapy (CPT) for PTSD in Veterans and Military Personnel (Course 113), that provides an overview of CPT, an evidencebased cognitive-behavioral treatment for PTSD. The course can be taken for credit (1.25 CEUs) for a fee of $30 at Relias Learning’swebsite: http://www.cequick.com/Cognitive-ProcessingTherapy-for-PTSD-in-Veterans-Military-Personnel.aspx. Learning objectives are (1) to describe the psychological theories behind CPT; (2) to summarize the empirical evidence for CPT’s effectiveness; and (3) to give an overview of the CPT protocol. The Center for Deployment Psychology offers an interactive online course (75 minutes) that provides an overview of prolonged exposure (PE) therapy, Prolonged Exposure (PE) Therapy for PTSD in Veterans and Military Personnel. The course can be taken for credit (1.25 CEUs) for a fee of $30 at Relias Learning’swebsite: http://www.cequick.com/Prolonged-Exposure-Therapy-forPTSD-for-Veterans-and-Military-Service-Personnel.aspx. Learning objectives are (1) to discuss the theoretical underpinnings for PE; (2) to summarize the empirical support for PE; and (3) to describe therapy procedures to include in-vivo and imaginal exposure and explain the general course of the treatment protocol. Sponsored by the National Center for PTSD and prepared by Sheila Rauch, Ph.D. , ABPP (Director of the SeRV-MH Program at the VA Ann Arbor Health Care System), Prolonged Exposure Therapy is a free online course (1 hour) that describes the clinical application of prolonged exposure (PE) and provides a thorough review of research supporting its use for PTSD. The course is available at: http://www.ptsd.va.gov/professional/ptsd101/coursemodules/prolonged_exposure.asp. Learning objectives are (1) to summarize the Veteran's Affairs / Department of Defense (DoD) 2010 Clinical Practice Guideline for PTSD; (2) to review the empirical evidence supporting PE; (3) to describe and demonstrate the clinical application of PE. CEU is not yet available. The Clinical Practice Guideline Management of Traumatic Stress Disorder and Acute Stress Reaction (2010) is available at: http://www.healthquality.va.gov/Post_Traumatic_Stress_Disorder_PTSD.asp 4 Posttraumatic Stress Disorders (PTSD): Sponsored by the National Center for PTSD and developed by Paula Schnurr, Ph.D. (Deputy Director of the National Center for PTSD), and Jaimie Gradus, D.Sc., (Epidemiologist, National Center for PTSD), the free online course, Epidemiology of PTSD, is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/epidemiology.asp Learning objectives are (1) to understand key epidemiologic concepts; (2) to describe factors that influence prevalence estimates in a given sample; and (3) to evaluate prevalence estimates for PTSD in civilian and Veteran populations. Information on CEUs was not provided. The Center for Deployment Psychology offers an interactive online course (90 minutes), Epidemiology of PTSD in Military Personnel and Veterans: Working with Service Members and Veterans with PTSD. The course can be taken for credit (1.5 CEUs) for a fee of $30 at Relias Learning’swebsite: http://www.cequick.com/Epidemiology-of-PTSD-in-Military-Personnel-andVeterans.aspx. Learning objectives are (1) to describe the prevalence of trauma and PTSD, as well as factors that contribute to the development of PTSD; (2) to recognize types of trauma exposure and emotional reactions for OIF/OEF Veterans; (3) to identify empirically-validated assessment tools and evidence-based treatments for PTSD; and (4) to recognize the stigma and barriers Servicemembers and Veterans face related to seeking care for PTSD. Posttraumatic Stress Disorder is part of the Treating the Invisible Wounds of War series (http://www.aheconnect.com/citizensoldier/courses.asp), which is a collaboration of the Citizen Soldier Support Program, the Area Health Education Centers in North Carolina, and the MIRECC. Together with TBI and women Veterans, PTSD is a free 4-hour online course. A description of the course is under Military Culture. The U.S. Department of Defense Military Health System offers a series of courses on PTSD to civilian providers that can be accessed at: http://www.humana-military.com/LearningLibrary/online-learning/dod-online-learning.asp The National Center for PTSD offers many free online courses as part of their PTSD 101 series. The entire series is available at: http://www.ptsd.va.gov/professional/ptsd101/coursemodules/course-modules.asp The basics are taught in the courses included in the PTSD 101 Core Curriculum. o What is PTSD? Developed by Jessica Hamblen, Ph.D., this course provides an overview of post-traumatic stress disorder (PTSD). The author outlines the history of the diagnosis and the current DSMIV-TR diagnostic criteria, which includes a detailed description of each symptom cluster. Prevalence rates, course, comorbidity, and risk factors for both civilian and veteran populations are reported from the National Comorbidity Study and other recent investigations. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/what-is-ptsd.asp Learning objectives are (1) to describe the diagnostic criteria for PTSD; (2) to describe the prevalence, consequences, and longitudinal course of PTSD in civilian and Veteran populations; and (3) to report the risk factors for PTSD. One hour of CEU is available upon completion. 5 o Assessment Written by Terry Keane, Ph.D., this course outlines the necessary components for quality PTSD assessments and reports. An integrated model of risk factors, stressors, resiliency, and PTSD symptoms is presented as it relates to assessment. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/assessment.asp Learning objectives are (1) to outline the necessary components of a thorough PTSD assessment and report; (2) to describe important documents used to gather background and supportive information for the diagnosis of PTSD; and (3) to understand how neuropsychological assessment can assist the diagnostic process. One hour of CEU is available upon completion. o Cognitive Behavioral Psychotherapies for PTSD Authored by Candice Monson, Ph.D. , this course outlines the components and empirical support for two evidence-based treatments: Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT). An interactive learning tool and case examples with audio excerpts help further a provider's understanding of these treatments. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/cbi-forptsd.asp. Learning objectives are (1) to understand the theoretical underpinnings of CPT and PE; (2) to describe the components of CPT and PE; and (3) to report the evidence for the use of these treatments for PTSD. One hour of CEU is available upon completion. o Overview of the VA/DoD 2010 Clinical Practice Guideline for PTSD Authored by Matthew Friedman, M.D., Ph.D. , the purpose of this course is to provide an overview of the newly revised (2010) VA/DoD Clinical Practice Guideline recommendations for PTSD, including the evidence behind the recommendations for psychotherapy and pharmacotherapy. Changes made from the previous (2004) version are reviewed. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/coursemodules/CPG_overview.asp. Learning objectives are (1) to review changes between the 2004 and 2010 VA/DoD Clinical Practice Guideline for Post-traumatic Stress Disorder ; (2) to describe the evidence for the psychotherapy recommendations; (3) to describe the evidence for the pharmacotherapy recommendations; and (4) to describe recommendations for treating complex comorbid conditions and symptoms. Continuing education credits are not yet available. o Pharmacological Treatment Authored by Matthew Friedman, M.D., Ph.D. , this course provides a review of the human stress system and the relationship between neurotransmitters and PTSD. It reviews controlled medication trials for PTSD and summarizes the relative evidence for psychotherapy versus pharmacological interventions. The author also discusses current practices for combining treatments and for managing comorbid conditions. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/coursemodules/pharmacotherapy.asp. Learning objectives are (1) to understand how the human stress system is altered by PTSD ; (2) to describe how these alterations indicate the usefulness of certain medications; (3) to report the current evidence regarding the effectiveness of different medications for PTSD. Continuing education credits are not yet available. 6 More advanced courses are included in PTSD 101 Beyond the Basics. These courses are grouped by general topic areas. The VA/DoD Clinical Practice Guideline series is an integral component of the advanced courses. Advanced Clinical Practice Deepen your understanding of PTSD treatment with advanced courses taught by expert clinicians. o Recommendations for Acute Stress Management and Prevention of PTSD Patricia Watson, Ph.D. authored the course (1 hour), which provides an overview of the Clinical Practice Guideline for acute stress management and prevention of PTSD. The author reviews the literature supporting interventions for acute stress and describes two specific protocols. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/coursemodules/recommendations_acute_stress_management.asp. Learning objectives are (1) to summarize the recommendations in the VA DoD Clinical Practice Guideline for PTSD (2010) for management of acute stress and prevention of PTSD; (2) to describe the evidenceinformed principles underlying the intervention strategies of Psychological First Aid and Stress First Aid; and (3) to describe the basic objectives and intervention strategies of Psychological First Aid and Stress First Aid. CEU information is not yet available. o Couples and PTSD Developed by Candice Monson, Ph.D., this course (1 hour) provides an overview of the research documenting the association between PTSD and intimate relationship problems. The rationale and methods for including partners and loved ones in the assessment and treatment of PTSD are also discussed. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/couples-and-ptsd.asp. Learning objectives are (1) to review research documenting the association between PTSD and intimate relationship problems; (2) to discuss inclusion of partners in the assessment of PTSD and relationship functioning; and (3) to review different methods of incorporating significant others in PTSD treatment. One hour of CEU is available upon completion. o Group Treatment for PTSD Developed by Denise Sloan and Tracie Shea, Ph.D. , this course (1 hour) provides an overview of group treatment for PTSD. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/group.asp. Learning objectives are (1) to describe group therapy for PTSD; (2) to important methodological factors to consider when evaluating clinical trial research on group treatment for PTSD; (3) to evaluate the available research for group treatment; and (4) to review the 2010 VA/DoD Clinical Practice Guideline for group treatment for PTSD. o Increasing Effectiveness of PTSD Treatments Authored by Kathleen Chard, Ph.D., this course (1 hour) addresses how to increase the effectiveness of evidence-based treatments for PTSD, particularly in difficult cases and situations. The author presents how to decide who is appropriate for evidence-based treatment using assessment. She discusses common barriers to effective delivery of PTSD treatment and provides solutions to overcome these barriers. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/Increasing-Effectiveness-ofPTSD-Treatments.asp. Learning objectives are (1) to understand the limitations of evidencebased therapy for PTSD; (2) to identify and address potential treatment-interfering 7 behaviors; and (3) to develop strategies for managing complex cases. One hour of CEU is available upon completion. o Overcoming Barriers Developed by Ronald Murphy, Ph.D. and Craig Rosen, Ph.D., this course (1 hour) reviews strategies for improving PTSD patients' motivation to engage in treatment and to change long-standing maladaptive ways of coping with PTSD symptoms. Topics include behaviors that PTSD patients are often ambivalent about changing, roadblocks to admitting need to change, overview of a PTSD motivation enhancement group, treatment-related beliefs (fears and expectancies), and therapeutic alliance factors. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/overcoming-barriers.asp Learning objectives are (1) to identify reasons why patients may be reluctant to change long-standing behaviors; (2) to outline key elements of the PTSD Motivation Enhancement Group; and (3) to articulate common differences between clients' and therapists' perspectives and assumptions that may impede effective treatment. One hour of CEU is available upon completion. o Cognitive Processing Therapy Developed by Kathleen Chard, Ph.D., this course (1 hour) provides an overview of the 2010 VA/DoD Clinical Practice Guideline for Cognitive Processing Therapy as a Level A psychotherapy intervention for PTSD. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/CPT.asp. Learning objectives are (1) to summarize the VA/DoD 2010 Clinical Practice Guideline for PTSD related to Cognitive Processing Therapy; (2) to review the empirical evidence supporting Cognitive Processing Therapy; and (3) to describe and demonstrate the clinical application of Cognitive Processing Therapy. CEU information is not yet available. o Prolonged Exposure Therapy Developed by Sheila Rauch, Ph.D., this course (1 hour) describes the clinical application of Prolonged Exposure (PE) and provides a thorough review of research supporting its use for PTSD. The author also reviews the 2010 VA/DoD Guideline recommendation for the use of PE with patients who have PTSD. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/prolonged_exposure.asp. A description of the learning objectives is under Trauma-Informed Care. o Eye Movement Desensitization and Reprocessing (EMDR) and Stress Inoculation Training (SIT) Developed by Joe Ruzek, Ph.D., this course (1 hour) reviews the 2010 VA/DoD Clinical Practice Guideline recommendations regarding EMDR and SIT for PTSD. The presenter provides an overview of the components of each treatment and presents the research evidence behind these models for PTSD. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/emdr.asp. Learning objectives are (1) to summarize the VA/DoD 2010 Clinical Practice Guideline for PTSD related to EMDR and SIT; (2) to describe EMDR and the research literature supporting its use for PTSD; and (3) to describe SIT and the research literature supporting its use for PTSD. CEU information is not yet available. 8 o Acceptance and Commitment Therapy Developed by Robyn Walser, Ph.D., and Sonja Batten, Ph.D. , this course (1 hour) reviews the theoretical underpinnings and clinical application of Acceptance and Commitment Therapy (ACT) as it could be applied to PTSD. The presenters also describe the limited empirical support for delivering ACT to persons with PTSD and discuss the need for more research. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/coursemodules/ACtherapy.asp. Learning objectives are (1) to provide an overview of Acceptance and Commitment Therapy (ACT) and its theoretical underpinnings; (2) to review the evidence; and (3) to explore the six core processes used in ACT and introduce their clinical application. Information on credit hours is not yet available. Comorbidities and Complications The presence of co-occurring conditions can increase the complexity of treating patients with PTSD. These courses address conditions that commonly go hand-in-hand with PTSD. o Anger, Aggression, and PTSD Developed by Casey Taft, Ph.D., this course (1 hour) reviews the literature that describes the prevalence of anger and aggression in patients with PTSD and the interaction between anger and PTSD symptoms. The author reviews the 2010 VA/DoD Clinical Practice Guideline recommendations for treating anger and PTSD and describes a clinical application. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/coursemodules/anger_aggression.asp. Learning objectives are (1) to understand the association between PTSD and anger/aggression; (2) to review the 2010 VA/DoD Clinical Practice Guideline recommendations for treating anger and PTSD; and (3) to describe a clinical application. Information on CEUs is not yet available. o Physical Health Effects Developed by Paula Schnurr, Ph.D., this course (1 hour) reviews the physical health effects of trauma exposure. Research findings from both civilian and military populations are featured. The author illustrates how a person’s reaction – PTSD especially—mediates the effect of exposure and that there are plausible mechanisms through which PTSD could promote health. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/physical-health-effects.asp. Learning objectives are (1) to predict the possible different courses of PTSD that may occur as a Veteran ages; (2) to report the effects of trauma on physical health; (3) to relate the latest research findings related to the effects of traumatic exposure on the health of civilians and military Veterans; and (4) to predict plausible mechanisms through which PTSD could promote health. One hour of CEUs is available upon completion. o PTSD and Chronic Pain Developed by Carri-Ann Gibson, M.D., this course (1 hour) describes in detail the interaction between PTSD symptoms and chronic pain, with a special focus on Iraq and Afghanistan Veterans. The author reviews the 2010 VA/DoD Clinical Practice Guideline recommendations for treating pain and PTSD and discusses useful treatment approaches. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/coursemodules/PTSD_and_Pain.asp. Learning objectives are (1) to discuss the complex interaction of chronic pain and PTSD; (2) to review the 2010 VA/DoD Clinical Practice Guideline recommendations for the treatment of pain in Veterans with PTSD; and (3) to 9 identify effective treatment approaches to enhance the recovery of our Veterans who have both chronic pain and PTSD. Information on CEUs is not yet available. o Sleep Problems, Insomnia, and PTSD Developed by Bruce Capehart, M.D. and Jason DeViva, Ph.D., this course (1 hour) provides an overview of the VA/DoD 2010 Clinical Practice Guideline recommendations for managing sleep problems and PTSD. The presenters describe primary sleep disorders and comorbid conditions, as well as a general approach and evidence-based pharmacotherapy and psychotherapy interventions to treat these issues. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/sleep.asp. A description of the learning objectives is under Insomnia. o Smoking Cessation Developed by Miles McFall, Ph.D. and Andrew Saxon, M.D. ., this course (1 hour) provides an overview of the negative effects of smoking, particularly on Veterans with PTSD, to help providers understand the rationale for providing tobacco cessation treatment to patients. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/coursemodules/smoking-cessation.asp. Learning objectives are (1) to provide a rationale for tobacco cessation as a health care priority for Veterans with PTSD; (2) to understand the reasons and evidence for an integrated care approach for smoking cessation among smokers with PTSD; and (3) to describe psychological and pharmacological interventions for smoking cessation. One hour of CEU is available upon completion. o Traumatic Brain Injury Developed by Robin A. Hurley, M.D. , this course (1 hour) examines the functional anatomy of emotion, memory, and behavior circuits, using graphics and figures. The author discusses types of injuries and common functional deficits, as well as prevalence rates of TBI in OEF/OIF Veterans. A discussion of PTSD and TBI is also provided, as well as an overview of assessment and treatment. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/traumatic-brain-injury.asp. A description of the learning objectives is under Traumatic Brain Injury. Specific Populations These courses address the need to take individual and cultural differences into account during treatment. o o PTSD and the Life Course: Aging and PTSD Developed by Joan Cook, Ph.D. ., this course (1 hour) reviews the literature that describes the prevalence and course of PTSD in older adults and the impact of aging on PTSD. The author also describes best practices for assessment and treatment of PTSD in aging adults. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/coursemodules/Aging-PTSD.asp. Learning objectives are (1) to review the prevalence and longitudinal course of PTSD in older adults; (2) to describe the potential impact of aging on PTSD; and (3) to provide information on the assessment and treatment of PTSD in older adults. Information on CEUs is not yet available. Race and Ethnicity: Cross-Cultural Considerations Developed by Julia Whealin, Ph.D., this course (1 hour) explores cultural identity and highlights how shared learned behavior and socially transferred meanings result in 10 culturally-based assumptions about mental health. It will explore how interpretations of and reactions to severe stressors can vary by culture. It then provides strategies for modifying and augmenting assessment and treatment techniques when working with cross-cultural clients. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/coursemodules/cross-cultural-considerations.asp. Learning objectives are (1) to define culture and its impact on treatment; (2) to implement strategies for modifying and/or augmenting assessment methods when working with cross-cultural clients; and (3) to implement strategies for modifying and/or augmenting treatment methods when working with crosscultural clients. One hour of CEUs is available upon completion. o Race and Ethnicity: African-American Veterans Developed by Robert Jenkins, Ph.D., this course (1 hour) provides information about crosscultural issues with African-Americans that are helpful to be aware of in the context of both individual and group therapy. Cultural/societal issues involving power and privilege, AfricanAmerican families, multicultural awareness, competence, therapy guidelines, and overall PTSD issues are presented to assist clinicians in facilitating their therapeutic engagement and treatment effectiveness. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/af-am-vets.asp. Learning objectives are (1) to integrate major historical and current cultural and societal issues into case conceptualization and treatment of African-American clients; (2) to relate the differences in African-American and European-American cultural roots including world views, cultural patterns and themes, values and male/female relations; and (3) to employ a culture grid to aid in the conceptualization of the therapist/ client relationship when treating African-American clients with PTSD. One hour of CEU is available upon completion. o Race and Ethnicity: Asian-American & Pacific Islander Veterans Developed by Lori Daniels, Ph.D. ., this course (1 hour) focuses on the cultural issues within PTSD treatment of specific Asian-American and Pacific Islander ethnicities. Levels of cultural competence are discussed, as well as how mental health treatment is perceived among Hawaiian, Samoan, Chamorran, Chinese, Japanese, and Filipino cultures. Suggestions for building rapport and communication (which also allow for sensitivity to possible norms and values of each of these cultures) are also presented. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/aa-pi-veterans-ptsd.asp. Learning objectives are (1) to present the continuum of cultural competence; (2) to recognize the role of family for each of the selected cultures; (3) to restate some of the beliefs about mental health for each of the selected cultures; and (4) to report suggested methods of building rapport among each of the selected cultures. One hour of CEUs is available upon completion. o Race and Ethnicity: Hispanic Veterans Developed by Diane Castillo, Ph.D., this course (1 hour) provides an overview of issues that providers need to consider in their planning and provision of services to the Hispanic client. Using case examples, the author provides a review of PTSD symptoms, discusses the role of primary/secondary language, family, role, assessment considerations, and other topics in order to familiarize or enhance the provider’s trans-cultural competencies. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/hispanicveterans.asp. Learning objectives are (1) to discuss the symptoms of PTSD; (2) to interpret the salient features and frequently encountered themes of the Hispanic culture in their 11 provision of services to Hispanic individuals; and (3) to incorporate basic assessment and treatment issues when providing services to Hispanic individuals. One hour of CEUs is available upon completion. o Military Issues: Combat Stress Injuries Developed by William Nash, M.D. , this course (1 hour) examines the common stressors of operational military deployments, from the merely annoying through the potentially devastating, and places such experiences in their context defined by military cultural values and identity. The normal process of adaptation to stress is described, and it is contrasted with the injuries that can be inflicted on the mind and brain when adaptive capacities are exceeded. The three major mechanisms of stress injury are listed, and the effects of one of them (traumatic stress) are described in detail. The course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/combat-stress-injuries.asp A description of the learning objectives is under Combat Stress Injuries. o Military Issues: Understanding Military Culture Developed by Patricia Watson, Ph.D., Dartmouth University, this course (1 hour) provides valuable information to civilian providers when they work with military and veterans’ families, including military demographics, branches, rank, status, and stressors. The author provides useful terminology and visuals to help the viewer understand military culture. Two programs created to help service members prevent and manage combat and operational stress are also described, Army BATTLEMIND and Marine Corps Combat Operational Stress Continuum. Finally, additional Army and Marine Corps interventions are discussed, as well as assessment and treatment implications for clinicians. The course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/military_culture.asp. A description of the learning objectives is under Military Culture. o Military Issues: Military Sexual Trauma Developed by Amy Street, Ph.D., this course (1 hour) defines sexual harassment and assault and provides prevalence rates for these events in the military. Effects on mental health, approaches to treatment, and common themes of treatment are presented. The author discusses the unique issues of victims in the military, both women and men. The course provides information that may be applicable to non-military sexual trauma as well. The course is available at: http://www.ptsd.va.gov/professional/ptsd101/coursemodules/military_sexual_trauma.asp. A description of the learning objectives is presented at under Military Sexual Trauma. Special Topics o Complementary and Alternative Medicine (CAM) and PTSD Developed by Stephen Ezeji-Okoye, M.D., this course (1 hour) describes Complementary and Alternative Medicine (CAM) and the use of CAM in the United States and by Veterans, as well as the VA/DoD Clinical Practice Guideline for the use of CAM for PTSD. The presenter also reviews the literature relevant to CAM for PTSD and provides information related to special considerations for using CAM. The course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/compaltmed.asp. Learning objectives are (1) to describe CAM and provide an overview of the VA/DoD Clinical Practice Guideline for the use of CAM for PTSD; (2) to review the research evidence 12 behind CAM; and (3) to describe recommendations for usage and special issues to consider. Information on CEUs is not yet available. o Epidemiology of PTSD Developed by Paula Schnurr, Ph.D. and Jaimie Gradus, D.Sc., this course (1 hour) is designed to provide the viewer with a beginning overview of the science of epidemiology and related key concepts. After building this framework, factors related to the epidemiology of PTSD are discussed in relation to how they influence prevalence estimates. An in-depth discussion of prevalence estimates of PTSD in different samples, particularly Veterans, is then provided. The course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/epidemiology.asp. A description of the learning objectives presented in the first entry of Post Traumatic Stress Disorder. o Resilience to Trauma and Stress Developed by Steven Southwick, M.D., this course (1 hour) provides an overview of resilience and posttraumatic growth. The author reviews the scientific literature behind resilience to trauma and PTSD and describes how clinicians can foster resilience in their patients. The course is available at: http://www.ptsd.va.gov/professional/ptsd101/coursemodules/resilience.asp. Learning objectives are (1) to define and describe resilience; (2) to review the scientific literature related to mediators and moderators of trauma and resilience and growth; and (3) to describe clinical applications of resilience and growth. Information on CEUs is not yet available. Traumatic Brain Injury (TBI): The Division of Mental Health, Developmental Disabilities, and Substance Abuse Services is the lead agency for traumatic brain injury and public services in North Carolina. They provide a free training course that consists of five modules (20-45 minutes each). The course is available at: http://www.nctbitraining.org/. Learning objectives are (1) to ensure service providers understand the range of outcomes of traumatic brain injury (TBI) and the implications for assessment and care planning and (2) to improve the ability of service providers to identify and deliver appropriate services for persons with TBI—including coordination across service agencies when appropriate. The transcript is a printable confirmation that this online training course has been successfully completed indicating 3.0 contact hours. Continuing Education credits (CE) for professional affiliation instruction hours are not currently available for this training but may be included in future updates. Developed by Robin Hurley, M.D., for the National Center for PTSD, Windows to the Brain: Neuropsychiatry of TBI is part of their PTSD 101 series. This course (1 hour) examines the functional anatomy of emotion, memory, and behavior circuits, using graphics and figures. The author discusses types of injuries and common functional deficits, as well as prevalence rates of TBI in OEF/OIF Veterans. A discussion of PTSD and TBI is also provided, as well as an overview of assessment and treatment. This course is available at: http://www.ptsd.va.gov/professional/ptsd101/course-modules/traumatic-brain-injury.asp. Learning objectives are (1) to describe the functional anatomy of emotion, memory, and behavior circuits; (2) to report common functioning deficits in civilian brain injury; and (3) to 13 describe up-to-date assessment and treatment of TBI. One hour of CEUs is available upon completion. The Defense Center of Excellence for Psychological Health and Traumatic Brain Injury offers this 1.5 hour online webinar, Identifying Concussion/mTBI in Service Members. Participants may download the audio portion as well as the PowerPoint slides for the three presentations. It is unclear whether continuing education credits continue to be available although St. Louis University offered CEUs when the webinar was first offered in April 2012. The purpose of the webinar is to review department screening procedures and measures and discuss the impact of mild TBI in service members (see http://www.dcoe.health.mil/NewsArticle.aspx?id=3070 for description and http://www.dcoe.health.mil/Content/Navigation/Documents/DCoE_March_2012_Webinar_Pre sentation.pdf for slides). The U.S. Department of Defense Military Health System offers a series of courses on TBI to civilian providers that can be accessed at: http://www.humana-military.com/Learning-Library/online-learning/dod-online-learning.asp. The Center for Deployment Psychology offers an interactive online course (90 minutes), The Fundamentals of Traumatic Brain Injury. The course can be taken for credit (1.5 CEUs) for a fee of $30 at Relias Learning’s website: http://www.cequick.com/Fundamentals-of-TraumaticBrain-Injury.aspx. Learning objectives are (1) to identify signs, symptoms, severity levels, and types of TBI as well as rule-outs for disorders with symptom overlap; (2) to recognize neuropsychological screenings and tests for TBI and describe treatment options based on severity, and (3) to learn about care coordination strategies and available resources for TBI patients and their families. Recognizing the Signs of mTBI during Routine Eye Examinations is one module of the Treating the Invisible Wounds of War series, which is a collaboration of the Citizen Soldier Support Program, the Area Health Education Centers in North Carolina, and the MIRECC (http://www.aheconnect.com/citizensoldier/courses.asp). A description of the online course is under Military Culture. Several teaching cases have been developed by faculty of the VISN 6 MIRECC and made available online that are designed to help clinicians in training to establish connections between functional neuroanatomy and clinical practice, deepen their interest in the individual aspects of each patient, and enhance their appreciation of pathology and prognosis. Links to these cases and supporting materials is available at: http://www.mirecc.va.gov/visn6/Tools-Tips.asp. 14 o o o o Case 1: Amnestic Disorder and Depression due to Cerebral Aneurysm and TBI contributed by Dr. Robin Hurley, W.G. (Bill) Hefner VAMC, Salisbury NC (http://www.mirecc.va.gov/visn6/teaching_case1.asp) Case 2: Traumatic Brain Injury, Post-Traumatic Stress Disorder, and Headache contributed by Drs. Matthew Goodwin & Shane McNamee, Hunter Holmes McGuire VAMC, Richmond VA (http://www.mirecc.va.gov/visn6/teaching_case2.asp) Case 3: Anger and Irritability 6 Years After Blast Injury contributed by Dr. Robin Hurley, W.G. (Bill) Hefner VAMC, Salisbury NC (http://www.mirecc.va.gov/visn6/teaching_case3.asp) Case 4: Multiple Blast-related Brain Injuries with Co-Morbidities contributed by Dr. Robin Hurley, W.G. (Bill) Hefner VAMC, Salisbury NC (http://www.mirecc.va.gov/visn6/Teaching_case4.asp) Substance Use Disorders: The Defense Center of Excellence for Psychological Health and Traumatic Brain Injury offers this 1.5 hour online webinar, Addressing Alcohol Misuse Among Service Members. Participants may download the PowerPoint slides for the three presentations at http://www.dcoe.health.mil/Content/Navigation/Documents/Addressing%20Alcohol%20Misuse %20Among%20Service%20Members%20-%20SBIRT%20Model.pdf). It is unclear whether continuing education credits continue to be available although St. Louis University offered CEUs when the webinar was first offered in January 2012. The purpose of the webinar is to discuss the SBIRT (screening, brief intervention, and referral to treatment) model as a way to decrease the frequency or severity of alcohol misuse and increase the percentage of Servicemembers and Veterans entering specialized alcohol treatment: http://www.dcoe.health.mil/NewsArticle.aspx?id=2889. Reintegration: In 2012, the National Center for PTSD, the Massachusetts General Hospital, and the Red Sox Foundation collaborated on the Home Base Program. Nationally recognized faculty led From the War Zone to the Home Front: Supporting the Mental Health of Veterans and Families, a free 14part series of live, interactive, online trainings for community primary care and mental health providers. If you are unable to attend a specific session, you can later log on to the website and take the course at your own pace. The PowerPoint slides may also be downloaded. Overall learning objectives are (1) to recognize the challenges and integration issues faced by returning Veterans and their families; (2) to identify the key diagnostic features of PTSD and TBI; (3) to explain how Cognitive-Behavioral Conjoint Therapy (CBCT) for PTSD can keep families emotionally strong; (4) to describe the application of the PACT model to military families; and (5) to review the demographic and diagnostic features of Veterans presenting with military sexual trauma. One hour of CEUs is available for each week’s session, and a certificate can be downloaded. This course is available at: http://mghcme.org/courses/coursedetail/from_the_war_zone_to_the_home_front_supporting_the_mental_health_of_veteran. Each weekly session has its own learning objectives. 15 o Introductory Sessions (Lecture 1 -4) 1. The Challenges of Coming Home After War: What Providers Need to Know - Series Overview by Matthew Friedman, M.D., Ph.D., and Naomi Simon, M.D., M.Sc. 2. Reintegration Issues from the Veterans Perspective: Overcoming the Stigma of Seeking Help by Margaret Harvey, Psy.D., Roger A. Knight IV, and Nicholas Dutter 3. When One Family Member Serves, the Entire Family Serves by Kathy Clair-Hayes, LICSW, M.S.W., M.A. and Patricia Lester, M.D. 4. Recognizing PTSD and Co-Morbidities by Terence M. Keane, Ph.D. o Family & Child Content (Lecture 5 -8) 1. Keeping Military Families Emotionally Strong: Couples Therapy for PTSD by Steffany Fredman, Ph.D. 2. Challenges Facing Other Family Members When a Veteran Has PTSD by Bonnie Ohye, Ph.D. and Daniel Maher, LICSW 3. Supporting Resiliency in Military Connected Children: The PACT Model by Paula Rauch, M.D. 4. Impact of Combat-Related Injury, Illness and Death on Military Children and Families by Stephen Cozza, M.D. o Veteran Content (Lecture 9 -14) 1. Clinical Practice Guidelines and Resources for PTSD Treatment by Matthew Friedman, M.D., Ph.D. 2. Traumatic Brain Injury by Ross Zafonte, D.O. 3. Prolonged Exposure and Virtual Reality Therapy for PTSD Bby Barbara Rothbaum, Ph.D. and Stefan Schmertz, Ph.D. 4. Military Sexual Trauma by Amy Street, Ph.D. 5. Psychopharmacology of PTSD by Rebecca Brendel, M.D. and Bruce Capehart, M.D. 6. Cognitive Processing Therapy for PTSD by Kathleen Chard, Ph.D. In 2013, the National Center for PTSD, the Massachusetts General Hospital, and the Red Sox Foundation again collaborated and developed an additional nine-session online course for the Home Base Program (http://mghcme.org/courses/course-detail/from_the_war_zone_to_the_home_front_ii). The curriculum includes the following courses: o o o o o o o o o Challenges of Treating Co-Morbid PTSD and TBI by Rebecca Weintraub Brendel, MD, JD and Ross D. Zafonte, DO Recognizing Suicide Risk in Returning Veterans by Lisa Brenner, PhD, ABPP Military Culture and the Challenges of Coming Home by BG (Ret) Jack Hammond and Roger A. Knight IV Sleep Issues in Returning Veterans by Bruce P. Capehart, MD Substance Abuse by Andrew J. Saxon, MD Aggression and Domestic Violence by Casey Taft, Ph.D. Managing Grief and Loss in Returning Veterans and Families by Naomi M. Simon, MD, MSc Pain Issues in Returning Veterans by Carri-Ann Gibson, MD, DAAPM PTSD Diagnosis and DSM-5 by Matthew J. Friedman, MD, Ph.D. 16 o The National Council for Community Behavioral Healthcare offers a Veterans Behavioral Health Certificate, which includes 20+ hours of online work for the cost of $350 (http://www.thenationalcouncil.org/training-courses/veterans-behavioral-health-certificate/). Cognitive Processing Therapy for PTSD in Veterans and Military Personnel Domestic and Intimate Partner Violence Epidemiology of PTSD in Military Personnel and Veterans Fundamentals of Traumatic Brain Injury Improving Substance Abuse Treatment Compliance Meeting the Behavioral Health Needs of Returning Veterans Military Cultural Competence Overview of Suicide Prevention Prolonged Exposure Therapy for PTSD for Veterans and Military Service Personnel Provider Resiliency and Self-Care: An Ethical Issue PTSD Then and Now, There and Here The Impact of Deployment and Combat Stress on Families and Children: Part I: Understanding Military Families and the Deployment Cycle Part II: Enhancing the Resilience of Military Families Working with the Homeless: An Overview Women in the Military: Developed by Harold Kudler, M.D., Erin Simmons, Ph.D., Elizabeth Marks, and Kristy StraitsTröster, Ph.D., Issues of Women Returning from Combat is part of the Treating the Invisible Wounds of War series, which is a collaboration of the Citizen Soldier Support Program, the Area Health Education Centers in North Carolina, and the Mental Illness Research, Education, and Clinical Center. It is a free online course for 3 hours of CEUs (Military Sexual Trauma is touched on in this course, but is not the focus). http://www.aheconnect.com/citizensoldier/courses.asp. A description of the online course is under Military Culture. The Department of Defense offers a civilian portal for providers who serve military members, veterans, and their families. One of the online courses is Women Who Served in Our Military: Insights and Interventions - Provider Perspectives for 1.5 hours of CEUs through the Department of Veterans Affairs. In order to access the course, users must register on the Military Health System by developing a username and password (http://www.humana-military.com/LearningLibrary/online-learning/dod-online-learning.asp). Military Sexual Trauma (MST): Prepared by Amy Street, Ph.D., the National Center for PTSD offers an online course (1 hour), Sexual Harassment and Sexual Assault during Military Service as part of their PTSD 101 series. The course is structured into 13 lessons that define sexual harassment and assault and provide prevalence rates for these events in the military. Effects on mental health, approaches to treatment, and common themes of treatment are presented. The author discusses the unique issues of victims in the military, both women and men. The course provides information that may be applicable to non-military sexual trauma as well. The course is available at: 17 http://www.ptsd.va.gov/professional/ptsd101/course-modules/military_sexual_trauma.asp. Learning objectives are (1) to define the terms used to describe sexual harassment and assault in the military; (2) to report estimates of the frequencies of sexual harassment and assault in the military; and (3) to describe the mental health impact of sexual trauma and implications for care. One hour of CEUs is available upon completion. The Battered Women’s Justice Project (http://www.bwjp.org/webinar_recordings_military.aspx) offers a series of free webinars that can be accessed through their website. CEUs are not available. (See list of courses under the Battered Women’s Justice Project under Agencies.) Military Families: The Center for Deployment Psychology offers an interactive online course (135 minutes), The Impact of Deployment and Combat Stress on Families and Children, Part 1, that provides general information regarding the deployment cycle and how it impacts the Service member and family unit. This the first of a two-part online series designed to help civilian mental health providers better understand the myriad stressors associated with pre-deployment, deployment and reintegration, in addition to family risk and resiliency factors, so they are more equipped to engage in treatment with this important client group. The course can be taken for free without education credits on theirwebsite, http://deploymentpsych.org/training/training-catalog/theimpact-of-deployment-and-combat-stress-on-families-and-children-part-1 . Learning objectives are (1) to discuss demographic and risk characteristics of military families; (2) to describe general and deployment-related stressors for military families and the stages of the deployment cycle; and (3) to summarize the research on risk and resiliency factors for military families, the effects of PTSD on families, and the challenges for families coping with the injury or death of a Service member. The Center for Deployment Psychology offers an interactive online course (105 minutes), The Impact of Deployment and Combat Stress on Families and Children, Part 2, that provides general information regarding resilience in families, specifically how to increase resiliency in couples and children negotiating the challenge of deploy. This the second of a two-part online series designed to help civilian mental health providers better understand the myriad stressors associated with pre-deployment, deployment and reintegration, in addition to family risk and resiliency factors, so they are more equipped to engage in treatment with this important client group. The course can be taken for free without education credits on their website, http://deploymentpsych.org/training/training-catalog/course-118-online-the-impact-ofdeployment-and-combat-stress-on-families-and-children-part-2-promoting-resilience-inmilitary-families-throughout-the-deployment-cycle. Learning objectives are (1) to describe the concept of resiliency in families; (2) to summarize general strategies that promote resiliency in couples and children; and (3) to discuss specific skills to promote healthy adjustment for families throughout the deployment cycle. The Impact of Deployment and Combat Stress on Families and Children, Part 1 (http://deploymentpsych.org/training/training-catalog/the-impact-ofdeployment-and-combat-stress-on-families-and-children-part-1) is a recommended prerequisite (see description above). In collaboration with the American Psychological Association, the Center for Deployment Psychology offers the online course, The Impact of Stress and Trauma Related to Military Deployment on Personnel and Their Families. This online course is a recording of a live APA pre18 conference workshop. This is an intermediate workshop for clinicians interested in learning about the needs of military personnel and their families during and after military deployments. A general description is available on their website: http://deploymentpsych.org/training/onlinecourses/online-training-event-in-collaboration-with-the-apa-the-impact-of-stress-and-traumarelated-to-military-deployment-on-personnel-and-their-families. The course is available on the APA website: http://www.apa.org/education/ce/aoa0010.aspx. Learning objectives are (1) to comprehend the military deployment cycle; (2) to recognize common stressors for Servicemembers and their families throughout the military deployment cycle; (3) to describe the emotional and psychological impact of combat deployments on military personnel and their families; (4) to identify characteristics of individuals and families that may indicate that they are at increased risk for problems during and after deployment; (5) to recognize the potential impact of stigma on the willingness of military personnel and their families to seek mental health care; (6) to list factors that contribute to difficulties in families of service personnel who return from combat with significant emotional difficulties; and (7) to evaluate possible clinical interventions that may be used to address the needs of recently deployed personnel and their families. Six hours of CEUs are available for $120. The Defense Center of Excellence for Psychological Health and Traumatic Brain Injury offers this 1.5 hour online webinar, Children of Deployed Parents: Health Care Provider Strategies for Enhancing Coping Skills. Participants may download the audio portion as well as the PowerPoint slides and resources for the two presentations. It is unclear whether continuing education credits continue to be available although St. Louis University offered CEUs when the webinar was first offered in April 2012. The purpose of the webinar is to offer strategies and resources to health care providers on the impact of parental deployment on children’s psychological health http://www.dcoe.health.mil/Training/MonthlyWebinars/2012Webinars.aspx. Depression: In 2009, the U.S. Department of Veterans Affairs issued a VA/DoD Clinical Practice Guideline, Management of Major Depressive Disorder, which describes the critical decision points in the management of Major Depressive Disorder (MDD) and provides clear and comprehensive evidence-based recommendations incorporating current information and practices for military providers. The Guideline is available in full, as a summary, and as a pocket card. PatientProvider Tools for screening and assessment, provider reference, and patient education are also available at this website: http://www.healthquality.va.gov/Major_Depressive_Disorder_MDD_Clinical_Practice_Guideline .asp. 19 Suicide Prevention and Intervention: Assessment and Management of Patients at Risk for Suicide: Developed by the U.S. Department of Veterans Affairs, this Clinical Practice Guideline describes the critical decision points in the management of suicidal risk behavior (SRB) for suicidal self-directed violent behavior and provides clear and comprehensive evidence-based recommendations incorporating current information and practices for practitioners throughout the DoD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with SRB (http://www.healthquality.va.gov/suicideRisk.asp). U.S. Army ACE (Ask, Care, and Escort) Suicide Intervention Program: Developed by the U.S. Army, ACE is a 4-hour training that provides Soldiers with the awareness, knowledge and skills necessary to intervene with those at risk for suicide. It includes suicide awareness, warning signs, risk factors and intervention skills development. The program is described here: http://www.army.mil/-news/2010/09/01/44579-ace-suicide-prevention-program-wins-nationalrecognition/. A copy of the Train-the-Trainers manual can be downloaded from here: http://kusahc.narmc.amedd.army.mil/kirkresources/ACE_SuicideInterventionProgramManual.p df. Primary Care: Developed by Jeffrey Sonis, M.D., M.P.H, and Harold Kudler, M.D., the NC Area Health Education Center (AHEC) offers a free one-hour online course, A Primary Care Approach, which is part of the Treating the Invisible Wounds of War series. This course was designed from a primary care perspective to help busy providers recognize, diagnose, treat, or refer post-deployment mental health issues in military Servicemembers and their families. Healthcare professionals may access the course at http://www.aheconnect.com/citizensoldier/cdetail.asp?courseid=citizensoldier5. Learning objectives are (1) to identify barriers to receipt of mental health care by returning military Servicemembers and Veterans; (2) to identify strategies for establishing and maintaining a therapeutic alliance by understanding military culture; (3) to demonstrate the ability to diagnose PTSD and monitor response to treatment; (4) to demonstrate the ability to screen for mild TBI using standard psychological tests; and (5) to describe the components used in assessment of suicide risk. One hour of CEU is available. Optometrists Developed by Clifford Brown, O.D., M.P.H., and Gary Mancil, O.D., the NC Area Health Education Center (AHEC) offers a free two-hour course, Recognizing the Signs of mTBI during Routine Eye Examinations, which is part of the Treating the Invisible Wounds of War series. Aimed at optometrists and other eye care providers, the course identified screening methods for assessing facial and ocular injuries as they relate to mild traumatic brain injury (mTBI) and provides a list of available community resources. Optometrists may access the website at http://www.aheconnect.com/citizensoldier/cdetail.asp?courseid=citizensoldier4. Learning objectives are (1) to define mTBI and its impact on vision; (2) to review the pathophysiology of mTBI; (3) to define the role of mTBI on cranial nerves and visual pathway damage resulting in 20 visual problems; (4) to identify the primary tools of optometric assessment; (5) to identify methods of assessing facial and ocular injuries as they relate to mTBI; (6) to outline the effects of vascular compromise that occurs in mTBI; and (7) to describe health care resources of the U.S. Department of Veterans Affairs and TRICARE. Two hours of CEUs are available. Employee Assistance Programs (EAPs) Developed by Renee Evans, Ph.D., LPC, and Jessica Meed, Ph.D., MPA, Employee Assistance in the Civilian Workforce provides an introduction to the impact of military culture and the deployment cycle on the civilian workplace experience of military-affiliated individuals. It includes case studies of how specific issues ranging from physical disabilities, to behavioral health issues, to work/military/family life balance might be addressed in an EA setting. This 2.75hour course is offered for free by the NC Area Health Education Center (AHEC) and targets employers and human resources personnel. Users may access the course at the following link, http://www.aheconnect.com/citizensoldier/cdetail.asp?courseid=citizensoldier8. Learning objectives are: (1) to describe military culture and structure, (2) to recognize the potential impact that deployment and reintegration may have on service members and their families, (3) to recognize the potential impact that deployment and reintegration issues may have on a service member transitioning between the military workplace and civilian workplaces, (4) to recognize the issues common to employees with military backgrounds, (5), to identify ways to assist employees and members of management to better understand the impact of deployment on the employee performance in the civilian workplace, and (6) to list various military & Veteran-related resources that are available for referral. Provider Resiliency and Self-Care The Center for Deployment Psychology offers the interactive online course (1 hour), Provider Resiliency and Self-Care: An Ethical Issue, that provides an overview of how to increase provider resiliency and illustrates how organizations and individuals can implement strategies that promote self-care, reduce compassion fatigue and burnout, and maintain high quality ethical practice. The course can be taken for a fee of $30 can be taken for credit (1 CEU) at Relias Learning’s website: http://www.cequick.com/Provider-Resiliency-and-Self-Care-An-EthicalIssue.aspx. Learning objectives are (1) to describe protective and risk factors associated with burnout and compassion fatigue/secondary traumatic stress as well as variables associated with provider satisfaction and growth; (2) to explain potential ethical issues faced by providers experiencing burnout or compassion fatigue/secondary traumatic stress; and (3) to employ strategies to assess provider functioning and increase resilience. 21 Agencies Center for Deployment Psychology: The Center for Deployment Psychology (http://deploymentpsych.org/training) offers a variety of courses in different formats for military and civilian providers. (Providers can also reach these courses at http://www.realwarriors.net/healthprofessionals/militaryculture/onlinelearning.php.) Online Courses (http://deploymentpsych.org/training/online-courses): The CDP provides interactive web-based training to educate professionals working with Servicemembers and their families. It does not offer CE credits for these courses so providers will not receive a certificate of completion. Individuals interested in taking these online courses for CE credits for a cost will instead be directed to Relias Learning’s website. These interactive web-based courses were developed by Relias Learning (www.essentiallearning.com) in collaboration with CDP Subject Matter Experts. Any questions regarding pricing, CE credits, or technical issues should be addressed to Relias Learning. Online courses include the following (a description of each course is provided in previous sections): o Cognitive Processing Therapy (CPT) for PTSD in Veterans and Military Personnel o Epidemiology of PTSD in Military Personnel and Veterans: Working with Service Members and Veterans with PTSD o Military Cultural Competence o Prolonged Exposure (PE) Therapy for PTSD in Veterans and Military Personnel o Provider Resiliency and Self-Care: An Ethical Issue o The Impact of Deployment and Combat Stress on Families and Children, Part 1 o The Impact of Deployment and Combat Stress on Families and Children, Part 2 o The Fundamentals of Traumatic Brain Injury (TBI) o Identification, Prevention, and Treatment of Suicidal Behavior for Service Members and Veterans o Depression in Service Members and Veterans Face-to-Face Course: o Addressing the Psychological Health of Warriors and Their Families is an intensive weeklong course, which is comprised of four modules. It trains civilian mental health providers to better address the behavioral health needs of military personnel and their family members throughout the deployment cycle. The four modules are described below: Module 1 – Traumatic Brain Injury (TBI) Educate service members with TBI and their families about the symptoms and effects of this injury and provide them with coping strategies Direct service members with TBI and their families to services and resources for rehabilitation Module 2 – Military Culture & Deployment Describe aspects of the military culture that impact seeking mental health care Identify several psychosocial effects of deployment (before, during, and after) on service members and their families and ways to help them manage these challenges Module 3 – Post-traumatic Stress Disorder & Treatment Assess for deployment-related PTSD by using standardized instruments Treat deployment- related PTSD by applying either Cognitive Processing Therapy or Prolonged Exposure Therapy 22 Module 4 – Suicide & Depression Assess for deployment-related suicidal risk and depression by using standardized instruments Treat deployment-related suicidal behavior and depression by applying evidence-based approaches The course travels around the country to different locations. A schedule for this course is posted on the CDP homepage under Upcoming Training Events (http://deploymentpsych.org/). o The Center for Deployment Psychology offers free intensive weeklong courses—Topics in Deployment Psychology—for providers and professionals throughout the year (http://deploymentpsych.org/training/military; see this website for information on training topics, schedules, locations, and registration). These courses cover topics related to military and veteran mental health such as: Deployment 101: Examines the deployment cycle with attention to the unique culture, expectations and experience of military deployment including the reintegration with family and community upon return. Trauma and Resilience: Addresses issues of psychological trauma and resilience particular to the experience of combat deployment. This section also includes information pertaining to the assessment and treatment of PTSD and other problematic responses to trauma. Behavioral Health Care of the Seriously Medically Injured: Participants are introduced to issues that arise when providing behavioral health care to individuals suffering from serious medical injuries and traumatic brain injury. Deployment and Families: Explores the unique impact of military deployment on family members including children. Service Members and Veterans on Campus: Addresses the social, cultural, clinical, and campus-specific concerns of service members and veterans, including specific discussion of campus outreach and planning. o The Center offers two-to-three-day evidence-based workshops for military and civilian providers (http://deploymentpsych.org/training/workshops; see this website for information on training topics, schedules, locations, and registration). Sample topics include the following: Prolonged Exposure Therapy (PE) (http://deploymentpsych.org/training/workshops/pe); this two-day workshop utilizes the manual, Prolonged Exposure Therapy for PTSD – Therapist Guide, by Foa et al., 2007. Courses 105 and 106 are recommended prerequisites. Cognitive Processing Therapy (CPT) (http://deploymentpsych.org/training/workshops/cpt); this two-day workshop utilizes the manual, Cognitive Processing Therapy, Veteran/Military Version – Therapist’s Manual by Resick et al., 2008 Cognitive Behavioral Therapy for Insomnia (CBTI) (http://deploymentpsych.org/training/workshops/cbti); this two-to-three day workshop addresses sleep and sleep disorders and includes cognitive behavioral therapy for insomnia, imagery rehearsal therapy for nightmares, treatments for sleep disordered breathing, and pharmacotherapy for insomnia and nightmares. 23 Defense Center of Excellence for Psychological Health and Traumatic Brain Injury In addition to the courses listed above under Sleep Disturbances, Traumatic Brain Injury, Substance Use Disorders, Military Families, and Depression, the DCOE has been offering free monthly webinars on a variety of topics since 2011. This website provides not only a list of previously offered webinars but also upcoming ones. These webinars are available for CEUs (http://www.dcoe.health.mil/Training/Monthly_Webinars.aspx). Division of Mental Health, Developmental Disabilities, and Substance Abuse Services, North Carolina Department of Health and Human Services: The Division of Mental Health, Developmental Disabilities, and Substance Abuse Services is the lead agency for traumatic brain injury and public services in North Carolina. The Division provides a free training course, Traumatic Brain Injury and Public Services, which consists of five modules (20-45 minutes each). The course is available at http://www.nctbitraining.org/ . The learning objectives are described under Traumatic Brain Injury. Medical College of South Carolina (MUSC): MUSC offers the following free online course: The National Crime Victims Research and Treatment Center of the Medical College of South Carolina developed the online course, Trauma-focused Cognitive Based Therapy (http://tfcbt.musc.edu/). Continuing education credit for CPTWeb is awarded on a module-bymodule basis; however, all modules (i.e., the entire course) must be completed in order to receive credit. Ten units of Continuing Education credit are approved for the successful completion of this on-line training course. A Certificate of Completion is available for printing once the final evaluation is submitted. The National Association of Social Workers (NASW) has accepted the course as an approved continuing education course [NASW provider number: 886453433 (2/1/2010-1/31/2011)]. The American Psychological Association has not, largely due to cost. Some US States may not approve the use of free CEU credits that are attained by completing CPTWeb. Therefore, users should check with the state licensure board to determine whether credits will be accepted. The Learning objectives are described under Trauma-Informed Care. National Center for PTSD, U.S. Department of Veterans Affairs: The National Center for PTSD offers a series of free online courses for providers—the PTSD 101 Core Curriculum and PTSD 101 Beyond the Basics, which includes advanced courses on treatment, cooccurring problems, special populations, and special topics. In either grouping, courses marked with (CE) are available for Continuing Education credit (http://www.ptsd.va.gov/professional/ptsd101/coursemodules/course-modules.asp). The VA/DoD PTSD Clinical Practice Guideline Series (http://www.healthquality.va.gov/), listed under Beyond the Basics, provides expert training based on the latest revisions to the PTSD Clinical Practice Guideline (CPG). (All of the courses listed below are described above.) PTSD 101 Core Curriculum What is PTSD? (CE) Assessment (CE) Cognitive Behavioral Psychotherapies (CE) Overview of the VA/DoD 2010 Clinical Practice Guideline for PTSD 24 Pharmacological Treatment PTSD 101 Beyond the Basics: VA/DoD Clinical Practice Guidelines o Assessment and Management of Patients at Risk for Suicide: http://www.healthquality.va.gov/suicideRisk.asp o Bipolar Disorder in Adults: http://www.healthquality.va.gov/suicideRisk.asp o Management of Major Depressive Disorder: http://www.healthquality.va.gov/Major_Depressive_Disorder_MDD_Clinical_Practice_Guid eline.asp o Management of Post Traumatic Stress Disorder and Acute Stress Reaction: http://www.healthquality.va.gov/Post_Traumatic_Stress_Disorder_PTSD.asp o Management of Tobacco Use: http://www.healthquality.va.gov/Management_of_Tobacco_Use_MTU.asp o Management of Substance Use Disorder: http://www.healthquality.va.gov/Substance_Use_Disorder_SUD.asp o Management of Concussion-Mild Traumatic Brain Injury: http://www.healthquality.va.gov/management_of_concussion_mtbi.asp o Post-Deployment Health Evaluation and Management: http://www.healthquality.va.gov/Post_Deployment_Health_PDH.asp Advanced Clinical Practice Recommendations for Acute Stress Management and Prevention of PTSD Couples and PTSD (CE) Group Treatment for PTSD Increasing Effectiveness of PTSD Treatments (CE) Overcoming Barriers (CE) Cognitive Processing Therapy Prolonged Exposure Therapy Eye Movement Desensitization and Reprocessing (EMDR) and Stress Inoculation Training (SIT) Acceptance and Commitment Therapy (ACT) Comorbidities and Complications Anger, Aggression and PTSD Physical Health Effects (CE) PTSD and Chronic Pain Sleep Problems, Insomnia, and PTSD Smoking Cessation (CE) and Treating Tobacco Use and Dependence Management of Substance Use Disorders Traumatic Brain Injury (CE) Specific Populations PTSD and the Life Course o Aging and PTSD Race and Ethnicity o Cross-Cultural Considerations (CE) o African-American Veterans (CE) o Asian American & Pacific Islander Veterans (CE) o Hispanic Veterans (CE) Military Issues o Combat Stress Injuries (CE) o Military Culture (CE) 25 o Military Sexual Trauma (CE) Special Topics Complementary and Alternative Medicine (CAM) and PTSD Epidemiology of PTSD Resilience to Stress and Trauma The National Center for PTSD has issued many materials designed to help and inform the public: http://www.ptsd.va.gov/public/index.asp The Returning from the War Zone Guides, one for service members and one for family of military personnel, http://www.ptsd.va.gov/public/reintegration/returning_from_the_war_zone_guides.asp, are provided in multiple formats, including informative handouts that clinicians can provide to their clients and their families. For service members: http://www.ptsd.va.gov/public/reintegration/guide-pdf/SMGuide.pdf For family members of military personnel: http://www.ptsd.va.gov/public/reintegration/guidepdf/FamilyGuide.pdf North Carolina Area Health Education Centers (AHECs): The Treating the Invisible Wounds of War series is a collaboration of the Citizen Soldier Support Program, the Area Health Education Centers in North Carolina, and the MIRECC. Three of the trainings—Treating the Invisible Wounds of War (covers PTSD, TBI, and military culture), Issues of Women Returning from Combat, and Understanding Military Family Issues have been turned into free online courses and are available for credit by visiting: http://www.aheconnect.com/citizensoldier/courses.asp. A description of each course is provided in sections above. Treating the Invisible Wounds of War Issues of Women Returning from Combat Understanding Military Family Issues Other free online courses offered by the NC AHECs include the following: o A Primary Care Approach http://www.aheconnect.com/citizensoldier/cdetail.asp?courseid=citizensoldier5 o Recognizing the Signs of mTBI during Routine Eye Examinations http://www.aheconnect.com/citizensoldier/cdetail.asp?courseid=citizensoldier4 o Employee Assistance in the Civilian Workforce http://www.aheconnect.com/citizensoldier/cdetail.asp?courseid=citizensoldier8 U.S. Department of Defense Military Health System: The U.S. Department of Defense Military Health System (http://www.humana-military.com/LearningLibrary/online-learning/dod-online-learning.asp) offers the following online courses to its civilian network provider partners. Continuing Medical Education (CME) credit is awarded for these courses by the Department of Veterans Affairs (VA) which is accredited by the Accreditation Council for Continuing Medical Education (ACCME®). 26 Courses in Traumatic Brain Injury (TBI) (https://mhslearn.csd.disa.mil/ilearn/en/learner/mhs/portal/tbi.jsp?site=CPP) TBI: Introduction (0 credit) TBI: Epidemiology and the Nature of TBI (.33 credit) TBI: Concussion Management: Sequelae and Treatment of Mild TBI (.5 credit) TBI: Rehabilitation of the Veteran With Traumatic Brain Injury (.5 credit) TBI: Post-Acute/Chronic Sequelae: Medical and Physical Problems (.25 credit) TBI: Post-Acute/Chronic Sequelae: Cognitive Problems (.25 credit) TBI: Post-Acute/Chronic Sequelae: Emotional and Behavioral Problems (.25 credit) TBI: TBI in the Elderly and Aging With TBI (.25 credit) TBI: Living With TBI: Impact on the Survivor and Family (.33 credit) TBI: Driving Issues After TBI (.25 credit) TBI: VA TBI System of Care (.25 credit) TBI: Common Somatic Medical Problems Following TBI (.33 credit) Mild Traumatic Brain Injury Web-based Case Studies – a series of 12 modules on diagnosing mild TBI and assessing and managing specific symptoms (fatigue and sleep dysfunction; dizziness and disequilibrium; persistent headaches; persistent symptoms; cognitive and behavioral symptoms; hearing and vision problems) Assessing and Managing Fatigue and Sleep Dysfunction Assessing and Treating Dizziness and Disequilibrium Assessing the Individual with Persistent Headaches Assessing the Individual with Persistent Symptoms Cognitive and Behavioral Symptom Management Diagnosing Mild Traumatic Brain Injury DoD ICD-9-CM Coding Guidance for Traumatic Brain Injury Management of Hearing and Vision Problems Following mTBI Mild Traumatic Brain Injury: Putting it all Together Part 1 Mild Traumatic Brain Injury: Putting it all Together Part 2 Mild Traumatic Brain Injury: Return to Duty/Activity Use, Administration, and Interpretation of the MACE TBI 101: Introduction and Awareness – Army TBI 101: Introduction and Awareness – Joint TBI 201: TBI Overview for Healthcare Personnel TBI 401: Primary Care Assessment and Management for Concussion Courses in Post Traumatic Stress Disorder (PTSD) (https://mhslearn.csd.disa.mil/ilearn/en/learner/mhs/portal/civilian_ptsd.jsp) Cognitive-Behavioral Interventions for PTSD (1 credit) Combat Stress Injuries (1 credit) Neurobiology and Pharmacotherapy for PTSD (1 credit) Physical Health Effects of Traumatic Exposure (1 credit) Post Traumatic Stress Disorder Checklist - Military (0 credit) PTSD and Families (1 credit) PTSD and Substance Abuse: Dual Diagnosis Overview and Treatment (1 credit) PTSD for the Primary Care Clinician: Focusing on OIF/OEF Returnees (1 credit) PTSD: General Cross-Cultural Considerations (1 credit) 27 Risk and Resiliency Factors in PTSD: Making Meaning From War and Trauma (1 credit) Sexual Assault and PTSD: Information Screening, and Treatment (1 credit) The New Warrior: Combat Stress and Wellness – Provider Perspectives (1.5 credits) Vicarious Traumatization: Towards Recognition and Resilience-Building (1 credit) What Is PTSD? (1 credit) Mild Traumatic Brain Injury (0 credit) Women Who Serve in Our Military: Insights for Interventions – Provider Perspectives (1.5 credits) U.S. Department of Veterans Affairs VA Veterans’ Health Initiative: VA Veterans’ Health Initiative (http://www.publichealth.va.gov/vethealthinitiative/) has a series of self-study courses, in which the online courses and credit hours are only available for VA employees. However, civilians may download copies of the independent study guides. Post-Traumatic Stress Disorder (PTSD): Implications for Primary Care Study Guide: http://www.publichealth.va.gov/docs/vhi/posttraumatic.pdf, March 2002 Traumatic Amputation and Prosthetics Study Guide: http://www.publichealth.va.gov/docs/vhi/traumatic_amputation.pdf, May 2002 Traumatic Brain Injury (TBI) Study Guide: http://www.publichealth.va.gov/docs/vhi/traumaticbrain-injury-vhi.pdf April 2010 Military Sexual Trauma (MST) Study Guide: http://www.publichealth.va.gov/docs/vhi/military_sexual_trauma.pdf, January 2004 Caring for War Wounded Study Guide (for OEF/OIF wounded): http://www.publichealth.va.gov/docs/vhi/oef_oif.pdf, original presentation March 2003 Hearing Impairment Study Guide, March 2002: http://www.publichealth.va.gov/vethealthinitiative/hearing_impairment.asp Visual impairment and Blindness, April 2002: http://www.publichealth.va.gov/vethealthinitiative/visual_impairment.asp Battered Women’s Justice Project The Battered Women’s Justice Project offers an online course and a series of free webinars that can be accessed through their website. The online course, Safety at Home - Intimate Partner Violence, Military Personnel, and Veterans, consists of the following modules: Context of Violence; Risk and Danger; Combat Stress; Co-Occurring Conditions and Intimate Partner Violence; and Military and Veteran Cultural Competence (http://www.bwjp.org/elearning_course.aspx). The following modules are still in development: Department of Defense Response to Intimate Partner Violence; National Guard, Reserves, and Department of Veterans Affairs Response to Intimate Partner Violence; and Collaboration, Memoranda of Understanding, and Jurisdiction. Webinars (http://www.bwjp.org/webinar_recordings_military.aspx) include the following: The Battered Women’s Justice Project (BWJP) and the National Resource Center on Domestic Violence (NRCDV) Webinar Series: Military Experience, Trauma, and Intimate Partner Violence 28 o Session 1: What I Need to Know About Intimate Partner Violence and Military-Related Issues Even if I Don’t Live Near a Military Installation o Session 2: Justice-Involved Veterans and Intimate Partner Violence The Department of Defense Response to Intimate Partner Violence What You Always Wanted to Know About Military Justice, Intimate Partner Violence, and Sexual Assault But Didn't Know Who to Ask! Introduction to the Military-Civilian Advocate Resource Network Military and Civilian Protection Orders: What You Need to Know The Department of Veterans Affairs and Intimate Partner Violence: An Overview of Mental Health Services and Resources The National Guard and Reserves and Intimate Partner Violence Civil Law Issues and Intimate Partner Violence: What Happens to Military Family Members? Custody Issues and Military Families PTSD and Relationships: Intimate Partner Violence Across the Lifespan The Complex Dynamics of Intimate Relationships for Treatment Seeking Veterans with PostTraumatic Stress Disorder Military Personnel, Veterans, Suicide, and Intimate Partner Violence Resources for Advocates and Attorneys Working with Military-Related Survivors of Intimate Partner Violence Sexual Assault, Military Personnel, and Veterans Military and Veteran Cultural Competence for Civilian Attorneys and Legal Advocates The Invisible War – Sexual Assault in the Military Military Justice and the Legal Assistance Program Working with Military LGBTQ Intimate Partner Violence Survivors Post-Don’t Ask Don’t Tell You’ve Been Served: Ins and Outs of Service Active Duty Military Personnel with Legal Papers Women Veterans and Trauma Protection Orders: Tools in the Client-Safety Toolkit The Long Road Back: Resources for Women Veterans Domestic Violence, Firearms, and the Military Family Support Matters and the Military Family Advocacy Programs in the Military Services Department of Veterans Affairs Pocket Guides: Ethics http://www.ethics.va.gov/docs/integratedethics/Ethics_Consultation_CASES_Pocket_Ca rd--20070228.pdf Military Health History - http://www4.va.gov/oaa/pocketcard/default.asp 29 Preventive Ethics http://www.ethics.va.gov/docs/integratedethics/Preventive_Ethics_ISSUES_Pocket_Car d--20070228.pdf Depression Pocketcard: http://www.healthquality.va.gov/mdd/MDDClinicalGuidelinesPocketCard013013.pdf Errata sheet for depression pocketcard: http://www.healthquality.va.gov/mdd/ErrataforManagementofMDDPocketCard.p df PTSD Pocketcard: http://www.healthquality.va.gov/ptsd/PTSD_PocketGuide_13May2013v1.pdf SUDs Pocket-card for Provider, September 2001: http://www.healthquality.va.gov/sud/sud_poc_combined.pdf Substance Misuse Pocketcard: http://www.healthquality.va.gov/sud/SUDPocketGuideOverview.pdf MIRECC VISN 19 Suicide Prevention Pocket Card: http://www.mirecc.va.gov/visn19/VISN_19_Education.asp Quick Guides for Providers on Traumatic Brain Injury: o mTBI Pocketcard: http://www.healthquality.va.gov/mtbi/Pocket_Card_2-11-11.pdf o TBI Pocketcard for Provider: http://www.mirecc.va.gov/MIRECC/docs/visn6/TBIpocketcards-providers.pdf o TBI Handout for Provider: http://www.mirecc.va.gov/MIRECC/docs/visn6/TBI-handoutproviders.pdf o TBI Pocketcard for Veteran/Family: http://www.mirecc.va.gov/MIRECC/docs/visn6/TBIpocketcards-vet-family.pdf o TBI Handout for Veteran/Family: http://www.mirecc.va.gov/MIRECC/docs/visn6/TBIhandout-vet-family.pdf Best contacts: North Carolina Division of Mental Health, Developmental Disabilities, and Substance Abuse Services: Flo Stein, Chief Community Policy Management Section Division of Mental Health, Developmental Disabilities, and Substance Abuse Services North Carolina Department of Health and Human Services 3007 Mail Service Center Raleigh, NC 27699-3007 919/733-4670 Flo.Stein@dhhs.nc.gov Joan Kaye Community Policy Management Section Division of Mental Health, Developmental Disabilities, 30 and Substance Abuse Services North Carolina Department of Health and Human Services 3007 Mail Service Center Raleigh, NC 27699-3007 919/715-1294 Joan.Kaye@dhhs.nc.gov VA: Harold Kudler, M.D. Associate Director, Mid-Atlantic Mental Illness Research, Education and Clinical Center (MIRECC) Veterans Integrated Service Network 6 Veterans Affairs Medical Center Associate Clinical Professor Duke University Department of Psychiatry and Behavioral Sciences Durham, NC 27705 (919) 286-0411, ext. 7021 Harold.Kudler@va.gov North Carolina National Guard (NCNG): Stephanie W. Nissen, NCC, LMHC, LPC (All training requests must go through Ms. Nissen) State Behavioral Health Programs Director Psychological Services Section NCNG-JFHQ-J1/J9 (919) 664-6126 stephanie.w.nissen.ctr@mail.mil Wei Li Fang, Ph.D. Director for Research and Evaluation Governor’s Institute on Substance Abuse 1121 Situs Court Suite 320 Raleigh, NC 27606 (919) 452-3988 Prepared by Wei Li Fang, Ph.D. August 2, 2013 A project of the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services of the North Carolina Department of Health and Human Services, supported by the Substance Abuse and Mental Health Services Administration, US Department of Health and Human Services. 31