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We are especially pleased to provide clinical support for the DoD/VA Post-Deployment Health Evaluation and Management Clinical Practice Guideline (PDH-CPG). Through this Web site, you will find clinical tools and educational resources as well as patient education materials. We constantly strive to keep this information current and relevant. If you need information that you cannot find here, please do not hesitate to contact us. We welcome all suggestions for additions or changes to the Web site that improve its value to you. For assistance in quickly finding items of interest on this site, see the DHCC Guide for Healthcare Providers to www.PDHealth.mil.
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- RESPECT-Mil, which stands for Re-Engineering Systems of Primary Care Treatment in the Military, is a system of primary care designed to enhance the recognition and high-quality management of Post-Traumatic Stress Disorder (PTSD) and depression. RESPECT-Mil uses the Three Component Model (3CM) of care, featuring the coordination of Primary Care Providers, Care Facilitators and Behavioral Health Specialists in the unique service of Soldiers with behavioral health needs The US Army Medical Command has directed wide implementation of RESPECT-Mil in Army primary care facilities. Tri-service implementation is in the planning stages. Clinical guidance and training for the program can be found on the RESPECT-Mil Web Page.
- PowerPoint briefings on the Post-Deployment Health Clinical Practice Guideline (PDH-CPG) and the PDH-CPG Desk Reference Toolbox have been updated. In addition, a new PowerPoint presentation providing an overview of the PDHealth.mil Web site has been produced. They can be found under Education and Training on the PDH-CPG Implementation Page.
- To enhance providers' awareness and utilization of the VA/DoD Clinical Practice Guidelines (CPGs), especially the deployment-related CPGs, PDHealth has a CPG Web page, containing information and helpful links.
Updated 05 Feb 09
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Policies and Directives
- DHCC has created a new Web page on the military Disability Evaluation System (DES) to provide clinical guidance, policies and directives, fact sheets, training material, and related links to assist healthcare providers and Service members and their families navigate through the Medical Evaluation Board (MEB), the Military Occupational Specialty/Medical Retention Board (MMRB), and the Physical Evaluation Board (PEB) process.
In addition to the Disability Evaluation System Page, PDHealth has added new Web pages during 2008 on the following topics:
Amputation/Polytrauma,
Disaster Preparedness and Response,
DoD Research Links,
Mental Health,
Metal Fragments,
Domestic Violence,
Sexual Assault Prevention/Response,
Sexually Transmitted Diseases,
Substance Use Disorders, and
Suicide Prevention.
Web-Based Training
- In conjunction with the RESPECT-Mil Program, the Army has mandated that all primary care providers take two one-hour web-based training modules on the management of depression and PTSD. A link to the training course can be found on the RESPECT-Mil Page.
- Communicating Risk About Emerging Chemicals. This Power Point Presentation was presented at the Navy and Marine Corps Public Health Center Conference, 19 Mar 08. It defines emerging chemicals and reviews the related risk communication issues. For additional Risk Communication information, click here.
Deployment Support Guidance
- The Navy has published a new directive OPNAVINST 6100.3, establishing policy and procedures to ensure timely and accurate completion of Deployment Health Assessments (DHAs) for Active Component (AC) and Reserve Component (RC) service members, and to provide the process for reporting compliance to the Chief of Naval Operations (CNO).
- The Deployment Support section of our Web site has Clinical Guidance, Military Policies and Directives, Forms, Training Material and other information for clinicians and service members on Pre-Deployment, Enhanced PDHA Process, Re-Deployment, Post-Deployment, and PDHRA Program. The section also includes a page on Information on Deployment-Related Exposures.
Updated on 04 MAr 09
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Providers who have prolonged exposure to patient suffering and on-going care demands may develop Provider Fatigue (the military term for Compassion Fatigue) and Burnout. The military has developed a program to promote Provider Resiliency through education, assessment and motivation tools, and healing activities. Resources for Provider Resiliency include:
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The Specialized Care Programs are two tertiary, multidiscplinary treatment programs for Service Members experiencing symptoms post deployment. The Track I program treats chronic, medically unexplained physical symptoms. The Track II program targets PTSD or difficult redeployment adjustment subsequent to GWOT deployment. Both are recommended levels of care outlined in appropriate DoD/VA Clinical Practice Guidelines.
The VA War Related Illness and Injury Study Centers (WRIISC) are specialized centers that provide service to combat veterans who have difficult-to-diagnose disabling illnesses through clinical care, risk communication, education, and research addressing potential environmental exposures and adverse health outcomes. VA primary care providers of veterans with undiagnosed illnesses can request an evaluation at one of the Centers through the VA Central Office. Referral acceptance is a joint decision of VA Central Office, the WRIISC, the referring provider, and the patient. Information about services and referral process can be found in VHA Handbook 1303.5, VA War-Related Illness and Injury Study Centers (WRIISC), 15 Jul 04 and WRIISC Brochure. A 15 minute video entitled "War and Health: Treating War-Related Illnesses at VA's WRIISCs" can be found by clicking here. | |
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