About

Mission:
afterdeployment.t2.health.mil’s provides self-care solutions targeting post-traumatic stress, depression, and other behavioral health challenges commonly faced after a deployment.
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About Us:
afterdeployment.t2.health.mil is a behavioral health resource supporting service members, their families, and veterans with common post-deployment challenges.
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About afterdeployment.t2.health.mil:

Approximately 20% of OIF/OEF Service Members report adjustment problems in the months following a deployment. Limited provider availability and the stigma of being labeled with a “mental illness” are some of the barriers to seeking face-to-face care. In this light, the need for online behavioral health tools has never been greater.

afterdeployment.t2.health.mil is an online resource supporting Service Members, their Families, and Veterans, with common post-deployment concerns. The website provides self-care solutions targeting post-traumatic stress, depression, anger, sleep, relationship concerns, and other mental health challenges.

afterdeployment.t2.health.mil was developed in response to the 2006 and 2007 National Defense Authorization Act (NDAA) aimed at improving and augmenting military and civilian health care systems.

The website went live to the public in AUG 08 and underwent a major redesign in JUL 09. The redesign featured easier navigation tools such as a search function and site map, a virtual assistant, and social networking features such as that includes blogs and community forums. Future content will include programs targeting traumatic brain injury, warrior resilience, veterans’ issues, military sexual trauma, anxiety, family and partner issues, and smoking cessation.

About the National Center for Telehealth & Technology:
The National Center for Telehealth & Technology (T2) emerged from the military leadership’s desire to leverage the latest technologies to help Service Members suffering with Psychological Health (PH) concerns and/or Traumatic Brain Injury (TBI).

Physically located at Fort Lewis, Washington, T2 is responsible for managing telehealth and technology programs within the Defense Centers of Excellence. T2’s core mission is to foster comprehensive programs that develop, evaluate, research, standardize, and deploy new and existing technologies for PH and TBI throughout the DoD. T2 meets this mission by serving as the principal DoD coordinator in such areas as innovative technology applications, suicide surveillance, online behavioral health tools, and telehealth.

About the Defense Centers of Excellence:
Under the leadership of Army Brig. Gen. Loree K. Sutton, special assistant to the assistant secretary of defense for health affairs, DCoE was created in November 2007. DCoE is the open front door of the Department of Defense for warriors and their families needing help with PH and TBI issues, promoting the resilience, recovery and reintegration of warriors and their families.

DCoE partners with the Department of Defense, the Department of Veterans Affairs and a national network of military and civilian agencies, community leaders, advocacy groups, clinical experts, and academic institutions to establish best practices and quality standards for the treatment of PH and TBI. Our work is carried out across these major areas: clinical care; education and training; prevention; research and patient, family and community outreach.

Leadership:
afterdeployment.t2.health.mil is a core Defense Centers of Excellence project led by the National Center for Telehealth & Technology (T2; Joint Base Lewis-McChord, WA).
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afterdployment is a core project within the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE PH-TBI; directed by BG Loree K. Sutton), and led at Joint Base Lewis-McChord by the National Center for Telehealth and Technology Center (T2; directed by Dr. Greg Gahm).

Greg Gahm
Director, the National Center for Telehealth and Technology (T2)

The National Center for Telehealth & Technology (T2) Director, Greg Gahm, Ph.D., is a former U.S. Army clinical neuropsychologist and researcher with over 20 years of experience in military behavioral health (BH), research, and technology. T2 is one of several centers located within the Department of Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE PH-TBI). His leadership established the Psychology Department at Madigan Army Medical Center at the forefront of innovation for the DoD. Dr. Gahm has successfully managed many multi-year funded research and development projects, including ongoing clinical trials in Virtual Reality and Prolonged Exposure Therapy. He also directs the DoD Suicide Risk Management & Surveillance Office (SRMSO), which is responsible for worldwide deployment of the DoD Suicide Event Report (DODSER), and established and previously directed the Army Behavioral Health Technology Office (ABHTO).

Dr. Gahm completed his doctorate in clinical psychology at the State University of New York at Stony Brook and completed a post-doctoral fellowship in neuropsychology at Walter Reed Army Medical Center.

Robert Ciulla
Chief, National Center for Telehealth & Technology
Population & Prevention Programs

Dr. Robert Ciulla joined the Madigan Army Medical Center (MAMC) Psychology Department in June, 2004. Since that time, Dr. Ciulla, a clinical psychologist, has served in lead positions and been at the forefront of various initiatives. He led a team of technical developers in creating an interactive DVD directed at the deployment cycle (ARC: Army Readiness Course). He served as Chief of MAMC's Soldier Readiness Service, and the Soldier Wellness Assessment Pilot Program. Currently, Dr. Ciulla serves as Chief of the National Center for Telehealth and Technology's (T2) P3 Division (Population & Prevention Programs). T2 is a component directorate of the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE PH-TBI). Dr. Ciulla's interests are particularly focused on the application of advanced technologies to address military psychological health concerns. P3 develops, coordinates, and expands population and preventative healthcare solutions, to include web-based technologies, standardized surveillance measures, mobile web applications, electronic search tools, provider-based products, and other innovative enterprise-wide resources that assist service members and their families, military leaders, and providers. Dr. Ciulla leads strategic planning efforts, establishes the vision, and is responsible for translating that vision to DoD and VA senior leadership, and to key staff and technical developers.

Partners:
Project partners for afterdeployment.t2.health.mil include leading behavioral health experts from the Department of Defense, Veterans Affairs, and civilian agencies.
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Press Kit:
Obtain copies of afterdeployment.t2.health.mil information papers, brochures, and other media materials.
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Topics, Assessments, and Videos
Post-Traumatic Stress	Physical Injury	Anxiety	Health & Wellness	Military Sexual Trauma	Tobacco	Community	About
Depression	Life Stress	Alcohol & Drugs	Families with Kids	Resillience	Stigma	Resources	Contact
Families & Friendships	Spirituality	Anger	Work Adjustment	mild Traumatic Brain Injury	Sleep

Featured Sites				Defense Centers of Excellence							DOD	MHS
Real Warriors www.realwarriors.net The Real Warriors Campaign is an initiative launched by the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) to promote the processes of building resilience, facilitating recovery and supporting reintegration of returning service members, veterans and their families.	Brainline Military www.brainlinemilitary.org Living with traumatic brain injury (TBI): help for service members, veterans, national guard, reserve, and families.	My HealtheVet www.myhealth.va.gov My HealtheVet is the VA's Personal Health Record. It was designed for Veterans, active duty Servicemembers, their dependents and caregivers. My HealtheVet helps you partner with your health care team. It provides you opportunities and tools to make informed decisions.	National Center for PTSD www.ptsd.va.gov The National Center for PTSD is a center of excellence for research and education on the prevention, understanding, and treatment of PTSD. The center has seven divisions across the country.	Defense Centers of Excellence www.dcoe.mil The National Center for PTSD is a center of excellence for research and education on the prevention, understanding, and treatment of PTSD. The center has seven divisions across the country.	National Center for Telehealth and Technology t2health.dcoe.mil The National Center for Telehealth and Technology (T2) researches, develops, evaluates, and deploys new and existing technologies for Psychological Health (PH) and Traumatic Brain Injury (TBI) across the Department of Defense (DoD). T2 is a component center of the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury.	Deployment Health Clinical Center www.pdhealth.mil The Deployment Health Clinical Center (DHCC) aims to improve deployment-related health by providing caring assistance and medical advocacy for military personnel and families with deployment-related health concerns. DHCC serves as a catalyst and resource center for the continuous improvement of deployment-related healthcare across the military healthcare system and the Center is a component of the Defense Center of Excellence (DCoE) for Psychological Health and Traumatic Brain Injury.	Center for Deployment Psychology deploymentpsych.org The Center for Deployment Psychology aims to promote the education of psychologists and other behavioral health specialists about issues pertaining to the deployment of military personnel. The CDP is a tri-service center funded by Congress to train military and civilian psychologists, psychology interns/residents, and other behavioral health professionals to provide high quality deployment-related behavioral health services to military personnel and their families.	Center for the Study of Traumatic Stress www.centerforthestudyoftraumaticstress.org The Center for the Study of Traumatic Stress (CSTS) is dedicated to advancing trauma-informed knowledge, leadership and methodologies. The Center’s work addresses a wide scope of trauma exposure from the consequences of combat, operations other than war, terrorism, natural and human-made disasters, and public health threats. CSTS is a part of Uniformed Services University (USU), and its Department of Psychiatry, as well as a partnering center of the Defense Centers of Excellence (DCoE) for Psychological Health and Traumatic Brain Injury.	Defense and Veterans Brain Injury Center dvbic.dcoe.mil The Defense and Veterans Brain Injury Center (DVBIC) serves active duty military, their beneficiaries, and veterans with traumatic brain injuries (TBIs) through state-of-the-art clinical care, innovative clinical research initiatives and educational programs. DVBIC fulfills this mission through ongoing collaboration with military, VA and civilian health partners, local communities, families and individuals with TBI. DVBIC is a component center of the Defense Centers of Excellence (DCoE) for Psychological Health and Traumatic Brain Injury.	National Intrepid Center of Excellence www.dcoe.mil The National Intrepid Center of Excellence is an advanced facility dedicated to the research, diagnosis and treatment of military personnel and Veterans suffering from traumatic brain injury (TBI) and psychological health challenges.	U.S. Department of Defense www.defense.gov The mission of the U.S. Department of Defense (DoD) is to provide the military forces needed to deter war and to protect the security of our country. The DoD engages in war-fighting, humanitarian aid, peacekeeping, disaster relief, and homeland security. The Department is currently headed by Secretary of Defense Robert Gates and is headquartered at the Pentagon.	Military Health System www.health.mil America’s Military Health System (MHS) is a unique partnership of medical educators, medical researchers, and healthcare providers and their support personnel worldwide. The MHS is prepared to respond anytime, anywhere with comprehensive medical capability to military operations, natural disasters and humanitarian crises around the globe, and to ensure delivery of world-class healthcare to all DoD service members, retirees, and their families. The MHS promotes a fit, healthy and protected force by reducing non-combat losses, optimizing healthy behavior and physical performance, and providing casualty care.

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