Medication management and very large All Veterans enrolled in PTSD Coach App Avoidance and denial In 2006, VA allocated CBOCs provide: the VA health care (2011) Veterans believe they $19M for PTSD services Psychotherapies (group Specialised system will get better on their and OEF/OIF care or individual) outpatient programs AboutFace (2012) own or think that Cognitive Evidence-based talk Veterans must be services are for other In 2005, VA allocated behavioral therapy therapies referred for specialty people and not them $18M for PTSD services Cognitive Medications on-site services by an primary and OEF/OIF care processing therapy care provider Problems accessing Prolonged exposure VAMCs and very large care therapy CBOCs must have staff Finding a therapist, with training and transportation, or cost PTSD Coach App expertise to serve the (2011) OEF/OIF population Misinformation through an OEF/OIF Not knowing that PTSD Domiciliary PTSD or team or PTSD program treatments work PTSD Residential staff Rehabilitation Treatment Stigma Programs Large and mid-sized Negative labels or CBOCs provide: stereotypes (e.g. Mental Health Treatment Evidence-based talk showing of Coordinators (MHTC) therapies weakness), fear of Medication on-site discrimination at work, Telehealth school, or finding housing because of Small CBOCs provide: symptoms, and damage General and to career specialty services via on-site or Privacy telehealth Fear of confidentiality Referrals to RRTPs, breach in medical VAMCs, or records community services sharing agreement Timeliness contracts or a Most Veterans do not fee basis with get help until after local providers or returning from deployment or after
Medication management Psychotherapies (group or individual) Cognitive behavioral therapy Cognitive processing therapy Prolonged exposure therapy PTSD Coach App (2011) Domiciliary PTSD or PTSD Residential Rehabilitation Treatment Programs Mental Health Treatment Coordinators (MHTC) and very large CBOCs provide: Specialised outpatient programs Evidence-based talk therapies Medications on-site VAMCs and very large CBOCs must have staff with training and expertise to serve the OEF/OIF population through an OEF/OIF team or PTSD program staff Large and mid-sized CBOCs provide: Evidence-based talk therapies Medication on-site Telehealth Small CBOCs provide: General and specialty services via on-site or telehealth Referrals to RRTPs, VAMCs, or community services sharing agreement contracts or a fee basis with local providers or All Veterans enrolled in the VA health care system Veterans must be referred for specialty services by an primary care provider PTSD Coach App (2011) AboutFace (2012) Avoidance and denial Veterans believe they will get better on their own or think that services are for other people and not them Problems accessing care Finding a therapist, transportation, or cost Misinformation Not knowing that PTSD treatments work Stigma Negative labels or stereotypes (e.g. showing of weakness), fear of discrimination at work, school, or finding housing because of symptoms, and damage to career Privacy Fear of confidentiality breach in medical records Timeliness Most Veterans do not get help until after returning from deployment or after In 2006, VA allocated $19M for PTSD services and OEF/OIF care In 2005, VA allocated $18M for PTSD services and OEF/OIF care
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