Family Member Brief on Soldier Medical Reintegration.ppt

Family Member Brief on Soldier Family Member Brief on Soldier Medical ReintegrationMedical Reintegration

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Three Pillars of Medical Three Pillars of Medical ReintegrationReintegration

• Physical Health Physical Health Assessment Assessment

• Behavioral/Mental Behavioral/Mental Health AssessmentHealth Assessment

• Medical Assistance Medical Assistance (TRICARE)(TRICARE)

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Health AssessmentsHealth Assessments

• Physical and Behavioral Health Assessments Physical and Behavioral Health Assessments are Conducted during:are Conducted during:– Re-Deployment medical Re-Deployment medical

screening in the theater screening in the theater

of operationsof operations– Reintegration medicalReintegration medical

screeningscreening– Post-Deployment medical screeningPost-Deployment medical screening

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Health AssessmentsHealth Assessments

• What are Physical and Behavioral Health Screenings?What are Physical and Behavioral Health Screenings?• Completed with healthcare provider presentCompleted with healthcare provider present• Review and address Soldiers current health and Review and address Soldiers current health and

concerns; both physical and mental healthconcerns; both physical and mental health• Further consultation is identified and resources Further consultation is identified and resources

coordinated to resolve any deployment issuescoordinated to resolve any deployment issues• Special medications taken during deploymentSpecial medications taken during deployment• Possible deployment-related occupational/ Possible deployment-related occupational/

environmental exposuresenvironmental exposures

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Physical Health Physical Health AssessmentAssessment

• Conducted three times to during ReintegrationConducted three times to during Reintegration• Provides an avenue forProvides an avenue for

your spouse to rehabilitate physicallyyour spouse to rehabilitate physically• Identify and address Physical Health Concerns Identify and address Physical Health Concerns • Further consultation is identified and Further consultation is identified and

coordinatedcoordinated

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Behavior Health Behavior Health AssessmentAssessment

• Mental Health screenings are conducted at the same Mental Health screenings are conducted at the same time as medical screeningtime as medical screening

• Post-Deployment HealthPost-Deployment Health Re-Assessment (PDHRA)Re-Assessment (PDHRA)

– More detailed to identify Behavioral Health Concerns More detailed to identify Behavioral Health Concerns – Addresses Soldiers Behavioral Health ConcernsAddresses Soldiers Behavioral Health Concerns– Identifies symptoms not presented by Soldier earlierIdentifies symptoms not presented by Soldier earlier– Further consultation is identified and coordinatedFurther consultation is identified and coordinated

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Behavioral Health Areas of Behavioral Health Areas of InterestInterest

• Post-Traumatic StressPost-Traumatic Stress• AngerAnger• DepressionDepression• Drinking ProblemsDrinking Problems• Problems with RelationshipsProblems with Relationships

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Behavioral Health Areas of Interest Behavioral Health Areas of Interest (Post-Traumatic Stress)(Post-Traumatic Stress)

Symptoms Possible Questions

Cannot stop thinking about what happened.

• Have you been having nightmares about what happened?

• Are you thinking about what happened all the time?

Tries to avoid thinking about what happened.

• Have you tried to avoid thinking about what happened?

• Do things that remind you of what happened upset you?

Appears numb or disconnected from others.

• Have you felt disconnected or detached from others since you returned?

• Are you less interested in being with your friends?

Appears jumpy or keyed up. • Have you felt on edge since you returned?

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Behavioral Health Areas of Interest (Anger)Behavioral Health Areas of Interest (Anger)Symptoms Possible Questions

Has physical fights: loses temper (for example, throws things).

• Are you getting into fights?

Has verbal fights: gets into lots of arguments with others.

• Are you arguing with people?

Appears irritable or short-fused.

• Do little things irritate you?

Appears on the verge of losing his or her temper.

• Have you been feeling like you are on the verge of losing your temper?

• Do you think about hurting others or smashing things?

Appears to have problems involving infidelity.

• Are you having arguments about being faithful to each other?

• Are you worried about your spouse being faithful?

• Is your spouse worried about you being faithful?

Appears to have problems involving physical or emotional abuse.

• Are you worried that your arguments might get out of control?

Appears to have problems with finances.

• Are you arguing about money a lot? • Are arguments about money affecting your

marriage? ForwardBack

Behavioral Health Areas of Behavioral Health Areas of Interest (Depression)Interest (Depression)


Appears sad or hopeless. • Have you been feeling depressed?

Appears irritable. • Do you feel like little things get on your nerves?

• Are you getting easily annoyed?

Shows an increase or decrease in appetite.

• Have you noticed your appetite changing (either increased or decreased)?

Has difficulty sleeping or is sleeping too much.

• Have you had trouble falling asleep or waking up and not being able to get back to sleep?

Has difficulty concentrating (for example, has trouble reading a newspaper or watching television).

• Have you found it harder to concentrate?

Lacks energy. • Have you felt tired or run down?

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Behavioral Health Areas of Behavioral Health Areas of Interest (Drinking Problem)Interest (Drinking Problem)


Cannot stop or cut down on drinking.

• Have you tried to cut down on your drinking and found that you could not?

Drinks more or needs to drink more to get the same effect (tolerance level has increased).

• Do you need to drink more to get the same effect?

• Are you drinking more than you used to?

Drinking appears to be affecting relationships with others.

• Is your drinking causing problems at home or with your friends?

• Are people complaining or worried about how much you drink?

Drinking appears to be affecting work performance.

• Have you noticed if your drinking is affecting how you do your job?

• Is it getting harder for you to bounce back in the mornings and be ready to focus on work?

Wants alcohol early in the morning.

• Do you want to drink when you first wake up in the morning?

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Behavioral Health Areas of Interest Behavioral Health Areas of Interest (Problems with Relationships)(Problems with Relationships)


Appears to have problems with spouse.

• Have you and your spouse been arguing a lot? • Is this causing problems in your marriage? • Are you worried about the stability of your

marriage? • Have you or your spouse spoken with anyone to get

help, such as a chaplain or a counselor?

Appears to have problems involving infidelity.

• Are you having arguments about being faithful to each other?

• Are you worried about your spouse being faithful? • Is your spouse worried about you being faithful?

Appears to have problems involving physical or emotional abuse.

• Are you worried that your arguments might get out of control?

Appears to have problems with finances.

• Are you arguing about money a lot? • Are arguments about money affecting your

marriage?Back Forward


• A Soldier and Family Guide to Re-deployingA Soldier and Family Guide to Re-deploying• Redeployment Medical Guide for Missions in support of OIF Redeployment Medical Guide for Missions in support of OIF

& OEF Afghanistan Tri-fold& OEF Afghanistan Tri-fold• DoD Deployment Health Clinical CenterDoD Deployment Health Clinical Center

– Walter Reed Army Medical CenterWalter Reed Army Medical Center• Toll Free: from US-(800)796-9699; Europe-00800-Toll Free: from US-(800)796-9699; Europe-00800-

8666-86668666-8666• DSN: from US-662-6563/3577; Europe-312-662-DSN: from US-662-6563/3577; Europe-312-662-

6563/3577 6563/3577 • http://www.pdhealth.mil http://www.pdhealth.mil

(Remember “deploymenthealth.mil)(Remember “deploymenthealth.mil)

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Medical Assistance Medical Assistance (TRICARE)(TRICARE)

http://WWW.TRICAREONLINE.COM

Or

http://WWW.TRICARE.OSD.MILBack Forward

TRICARE - EuropeTRICARE - Europe

• TRICARE Prime (= Medical Treatment Facility Care)Active Duty & Active Duty Family Members

• TRICARE StandardAll CHAMPUS eligible beneficiaries• TRICARE for Life eligible beneficiaries

Must have Medicare Part B• TRICARE Plus at Participating Medical Treatment Facility

Primary care access only• TRICARE Remote for AD and AD Family Members

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TRICARETRICARE EuropeEurope

• TRICARE Europe phone numbers:• Commercial: 00-49-6302-67-6320• DSN: 496-6320

• TRICARE Europe website: http://www.europe.tricare.osd.mil

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Europe/US TRICARE Europe/US TRICARE Service Centers (TSC)Service Centers (TSC)

• One-Stop Support for all TRICARE beneficiaries One-Stop Support for all TRICARE beneficiaries – Beneficiary Counselors and Assistance Coordinators Beneficiary Counselors and Assistance Coordinators

(BCAC)(BCAC)• Trained to assist with all TRICARE issuesTrained to assist with all TRICARE issues

– Debt Collection Assistance Officers (DCAO)Debt Collection Assistance Officers (DCAO)– Host Nation Liaison (HNL) ProgramHost Nation Liaison (HNL) Program

• Conduit between beneficiaries and HN careConduit between beneficiaries and HN care– Medical Service Coordinators (MSC)Medical Service Coordinators (MSC)

• Conduct newcomers orientation briefingsConduct newcomers orientation briefings• Manage TRICARE enrollments and transfersManage TRICARE enrollments and transfers

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Europe/US Europe/US “After Hours Care”“After Hours Care”

• Emergency Care requires no prior coordinationEmergency Care requires no prior coordination• Contact your local TSCContact your local TSC or clinic for:or clinic for:

– Normal hours of operationNormal hours of operation– Guidance on obtaining medical care when clinics Guidance on obtaining medical care when clinics

are closedare closed– Actions required of soldiers and family members Actions required of soldiers and family members

after seeking care on the economyafter seeking care on the economy

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Host Nation Medical CareHost Nation Medical Care

• Over 1200 Preferred Network ProvidersOver 1200 Preferred Network Providers– Surrounding 52 military clinics in theaterSurrounding 52 military clinics in theater

• Host Nation Network Adequacy MonitoredHost Nation Network Adequacy Monitored– 51 specialties monitored for adequate numbers51 specialties monitored for adequate numbers– Critical shortages identified, addressedCritical shortages identified, addressed

• Host Nation Care Quality MonitoredHost Nation Care Quality Monitored– Host nation provider consults reviewed by U.S. Host nation provider consults reviewed by U.S.

providersproviders– Annual host nation hospital site visits madeAnnual host nation hospital site visits made– Patient feedback monitored and acted onPatient feedback monitored and acted on

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TRICARE TRICARE – Army Reserve– Army Reserve Soldiers Soldiers

• Transitional Assistance Management Program Transitional Assistance Management Program (TAMP)(TAMP)– 180 days post deployment coverage (requires 180 days post deployment coverage (requires

co-pay)co-pay)– Not used to cover a deployment related Not used to cover a deployment related

medical problemmedical problem• OCONUS RC SoldiersOCONUS RC Soldiers

– Receive treatment in local Medical Treatment Receive treatment in local Medical Treatment FacilityFacility

– Reserve Unit coordinates health assessment Reserve Unit coordinates health assessment screeningscreening

– One-day order from unit to seek treatment for One-day order from unit to seek treatment for deployment related illnessdeployment related illness

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Family Member Brief on Soldier Medical Reintegration.ppt

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Transcript of Family Member Brief on Soldier Medical Reintegration.ppt