|
BACKGROUND
The Post-Deployment Health Reassessment (PDHRA) Program is a program mandated by the Assistant Secretary of Defense for Health Affairs in March 2005 and designed to identify and address health concerns, with specific emphasis on mental health, that have emerged over time since deployment. The PDHRA provides for a second health assessment using DD Form 2900 during the three- to six-month time period after return from deployment, ideally at the three to four month mark. The reassessment is scheduled for completion before the end of 180 days after return so that Reserve Component members have the option of treatment using their TRICARE health benefit.
The PDHRA will be offered to all servicemembers who have returned from operational deployment, including all active duty servicemembers, National Guard and Reserve members, as well as those who have separated or retired since their return from deployment. While the initial focus of the program is those servicemembers who fall within the three- to six-month time period, the program will be made available to all servicemembers who have returned from deployment since 11 Sep 01.
The PDHRA Program uses DD Form 2900 (Post-Deployment Health Reassessment) to document health concerns, assessment and referrals. The current version of the DD Form 2900, which is dated January 2008, replaces the original version dated June 2005. The form was updated to enhance questions on behavioral health and add questions on traumatic brain injury. The form must be completed in an electronic or web-enabled form following service-specific directives and using one of the following service-specific data systems: Army MEDPROS (Medical Protection System); Air Force PIMR (Preventive Health Assessment and Individual Medical Readiness) or AFCITA (Air Force Complete Immunization Tracking System) for AFRC; or Navy EDHA (Electronic Deployment Health Assessment). Servicemembers will be contacted by their unit leaders and given information on how to access the electronic or web-enabled version when they fall within the timeframe for completing the PDHRA process. After servicemembers have completed the form, a healthcare provider will discuss with the servicemember any health concerns which they have indicated on the form and will make referrals to appropriate healthcare or community-based services if further evaluation or treatment is needed. The data will be sent electronically through the service-specific data system to the Armed Forces Health Surveillance Center (AFHSC) for inclusion in the Defense Medical Surveillance System. The completed DD 2900 will be printed and placed in the individual's permanent medical record.
The Army developed Battlemind II Training to accompany the PDHRA. All Soldiers should complete Battlemind
Training prior to completing their PDHRA. Battlemind II includes video vignettes that help Soldiers relate
combat skills to feelings they may be feeling after deployment and helps them maximize these skills so that
they can use them effectively as they continue their transition home. Battlemind Training is available
online by clicking here.
For list of Service-Specific PDHRA Points of Contact (POCs), click here Updated 10 Oct 08
Table of Contents. The following information has been assembled to provide guidance and assistance for implementing the PDHRA Program.
Guidance for DD Form 2900
PDHRA Policies and Directives
DoD/Joint Forces
- ASD(HA) Memorandum, Implementation of Revised DD Forms 2796 and 2900, 24 Mar 08
- ASD(HA) Memorandum, Traumatic Brain Injury Questions for the Post-Deployment Health Assessment, 8 Mar 07
- DoDI 6200.05 Force Health Protection (FHP) Quality Assurance (QA) Program, 16 Feb 07
- DoDI 6490.03, Deployment Health, 11 Aug 06
- Post-Deployment Health Reassessment (PDHRA) Background Paper, 9 Jan 06
- HA Policy 05-011, Post-Deployment Health Reassessment, 10 Mar 05
Army
- ALARACT 003/2009: Post-Deployment Audiograms, 3 Jan 09
- ALARACT 314/2008, Post Deployment Health Reassessment (PDHRA) Screening Guidance for Commanders of Active Component (AC) Soldiers, Dec 08
- OTSG/MEDCOM Policy 08-028, MEDCOM Military Treatment Facility (MTF) Access Standards for Active Duty Service Members, 03 Jul 08
- MEDCOM OPORD 08-50, Post Deployment Health Reassessment (PDHRA) Program - USAMEDCOM, 10 Jun 08
- Army G1 Memorandum, The Post-Deployment Health Reassessment and Frequent Deployments, 1 May 08
- MEDCOM Memorandum, Complete Post Deployment Health Reassessment (PDHRA) Screening and Individual Medical Readiness (IMR) Review as Part of Medical In- and Out-Processing Procedures, 22 Apr 08
- VCSA Memorandum, Post Deployment Health Reassessment (PDHRA), 18 Jun 07
- OTSG Memorandum, Behavioral Health Evaluation and Support to Medically Evacuated Soldiers, 5 Jun 07
- ALARACT 031/2006, Post-Deployment Health Reassessment - PDHRA Screening, 8 Feb 06
- DA Memorandum, Post-Deployment Health Reassessment, 23 Jan 06 "(Implementation Guidelines)"
- MILPER MSG 05-273, Line of Duty (LOD) Post Deployment Health Reassessment Policy, 3 Nov 05
- OTSG Information Paper, Post-Deployment Health Reassessment (PDHRA) Implementation Plan Military Organizational Responsibilities, 11 Sep 05
- PDHRA Web Pages
- Army Reserve
- Army National Guard
Air Force
Navy/Marines
- OPNAVINST 6100.3, Deployment Health Assessment (DHA) Process, 12 Jan 09
- NAVADMIN 207-08, Deployment Health Assessment Policy and Process, 27 Jul 08
- MTF PDHRA Field Guide (MEPRS and Accounting Information), 17 Jul 06
- NAVADMIN 200/06, Post-Deployment Health Reassessment and Electronic Submission of Deployment Health Assessments (EDHA), 10 Jul 06
- MARADMIN 283/06, New Post-Deployment Health Reassessment (PDHRA) and Electronic Methods and Procedures for Deployment Health Assessments (corrected copy), 21 Jun 06(Canceled by NAVADMIN 207/08)
- NMCPHC, EDHA (Electronic Deployment Health Assessment) Quick Reference Tri-Fold
- BUMED Fact Sheet, Post-Deployment Health Reassessment (PDHRA DD Form 2900), 30 Jun 06
- NAVMED Policy 06-004, Implementation of the Post Deployment Health Reassessment Policy in Navy Medicine Facilities, 4 Apr 06
- Navy and Marine Corps Public Health Center (NMCPHC) PDHRA Web Page
- ASN (M&RA) Memorandum, Post-Deployment Health Reassessment (PDHRA) Implementation Plan, 5 Jul 05
- Navy Reserve
Additional Screening Forms and Measures
- Forms and Measures Page. (Contains forms used for documenting deployment-related health evaluations and standard health assessment tools that can be used for evaluating patients with deployment-related concerns)
Information on Deployment Exposures for PDHA/PDHRA
Deployment-Related Exposures (DHCC Web Page created to provide information and assistance to healthcare providers and Service members regarding potential deployment-related exposures. It contains links to fact sheets, articles, Web pages and training materials. The information includes materials targeted to the deployment-related exposures listed on the DD Form 2796, Post-Deployment Health Assessment (PDHA) (Sep 07) (Questions 9a, 16, 19 and 20) and the DD Form 2900, Post-Deployment Health Reassessment (PDHRA) (Sep 07) (Questions 9a and10a).
Service-Specific Fact Sheets/Material
Medical Concerns
- Medically Unexplained Symptoms
- Traumatic Brain Injury
Behavioral Health Concerns
- Post Traumatic Stress Disorder (PTSD)
- Depression
- Domestic Violence
- Sexual Assault
- Suicide
- Substance Abuse
- Combat/Operational Stress
Healthcare Resources
Education and Training
- Coding PDHRA and Deployment-Related Visits in AHLTA, Air Force PDHRA Program PowerPoint
- Post-Deployment Health Reassessment (PDHRA) Clinician Training, Jun 05
- Instructions for Accessing the UDM PDHRA Tutorial
- UDM PDHRA Tutorial Zip File
- Instructions for Non-AF Providers: Accessing and Closing Out PDHRA Page 4s for ADAF Service Members
- Marine Corps, PDHRA Clinician Training PowerPoint Presentation, Feb 06
- Navy, PDHRA Clinician Training PowerPoint Presentation, Feb 06
- Army Battlemind (Soldiers need to view the Battlemind II training video as part of the PDHRA Program.)
- DoD Force Health Protection and Readiness, PDHRA Servicemember Briefing, 12 Sep 05
-
- Deployment Health Clinical Training Series, Pre- and Post-Deployment Health Assessment Process, Jan 04
PDHRA Implementation Status
- Update: Deployment Health Assessments, U.S. Armed Forces, April 2009, AFHSC Medical Surveillance Monthly Report, Vol 16 No 4, Apr 09
- Update: Deployment Health Assessments, U.S. Armed Forces, February 2009, AFHSC Medical Surveillance Monthly Report, Vol 16 No 3, Mar 09
- Update: Deployment Health Assessments, U.S. Armed Forces, January 2009, AFHSC Medical Surveillance Monthly Report, Vol 16 No 2, Feb 09
- Update: Deployment Health Assessments, U.S. Armed Forces, December 2008, AFHSC Medical Surveillance Monthly Report, Vol 16 No 1, Jan 09
- Update: Deployment Health Assessments, U.S. Armed Forces, November 2008, AFHSC Medical Surveillance Monthly Report, Vol 15 No 10, Dec 08
- Update: Deployment Health Assessments, U.S. Armed Forces, October 2008, AFHSC Medical Surveillance Monthly Report, Vol 15 No 9, Nov 08
- Update: Deployment Health Assessments, U.S. Armed Forces, September 2008, AFHSC Medical Surveillance Monthly Report, Vol 15 No , Oct 08
- Update: Deployment Health Assessments, U.S. Armed Forces, August 2008, AFHSC Medical Surveillance Monthly Report, Vol 15 No 7, Sep 08
- GAO Report 08-1025R, Defense Health Oversight of Military Services' Post-Deployment Health Reassessment Completion Rates Is Limited, 4 Sep 08
- Update: Deployment Health Assessments, U.S. Armed Forces, July 2008, AFHSC Medical Surveillance Monthly Report, Vol 15 No 6, Jul-Aug 08
- Update: Deployment Health Assessments, U.S. Armed Forces, May 2008, AFHSC Medical Surveillance Monthly Report, Vol 15 No 5, Jun 08
- GAO Report 08-181R, Administration of DOD's Post-Deployment Health Reassessment to National Guard and Reserve Servicemembers and VA's Interaction with DOD, 25 Jan 08
- Update: Deployment Health Assessments, U.S. Armed Forces, April 2008, AFHSC Medical Surveillance Monthly Report, Vol 15 No 4, May 08
- Update: Deployment Health Assessments, U.S. Armed Forces, January 2003-February 2008, AFHSC Medical Surveillance Monthly Report, Vol 15 No 2, Feb/Mar 08
- Update: Deployment Health Assessments, U.S. Armed Forces, January 2003-December 2007, AFHSC Medical Surveillance Monthly Report, Vol 15 No 1, Jan 08
- Update: Deployment Health Assessments, U.S. Armed Forces, January 2003-November 2007, AMSA Medical Surveillance Monthly Report, Vol 14 No 8, Dec 07
- Update: Deployment Health Assessments, U.S. Armed Forces, January 2003-October 2007, AMSA Medical Surveillance Monthly Report, Vol 14 No 7, Nov 07
- Update: Deployment Health Assessments, US Armed Forces, January 2003-July 2007, AMSA Medical Surveillance Monthly Report, Vol 14 No 5, Aug 07
- AMSA Medical Surveillance Monthly Report, Vol 12 No 8, Nov 06
- Post-Deployment Health Reassessment (PDHRA) Program, US Armed Forces: responses by Service and Component, September 2005 - August 2006, AMSA Medical Surveillance Monthly Report, Vol 12 No 7, Oct 06
Related Links
|
|