Air Directorate Field Advisory Council DPH Program Update

Air Directorate Field Advisory Council DPH Program Update Lt. Col Darrick D. Cunningham Behavioral Health Branch Chief 22 April 2015

DPH Program Development WHAT CONTRACT MODEL PAST (2010) 1 Director - MIL 2 National Directors - CTR 5 Regional Leads - CTR 5 Administrators - CTR 89 Wing DPHs - CTR 5 GSU DPHs - CTR WHY 2007 Do. D TF-MH $ Available (Time-Limited) HHS Model (RADM Hunter) Employee Assistance Pgm (EAP) Familiarity; Ease of Use Provide Assessment & Assistance (No Treatment) TITLE 5 (GS) – 4 YR TERM PRESENT (2015) 1 Director - MIL 4 Regional Leads - GS 83 Wing DPHs - GS 2 GSU (FL/HI) DPHs – GS 8 Wing DPHs -NDS Title 5 (GS) Wing CC Control No Clinical Oversight with Title 32 Can't Grow Military AFSCs Need to be Non-Deployable Classification Faces vs. Spaces (Wing CCs) Provide Assessment & Assistance (No Treatment) FUTURE (2018) TITLE 5 (GS) – PERMANENT 1 Director - MIL 4 Regional Leads - GS 91 Wing DPHs - GS 2 GSU DPHs – GS Standardize DPHs w/ same classification Maximize interoperability w/ AC Provide Assessment & Assistance (No Treatment) Guarding America - Defending Freedom 2

Do. D/VA Executive and Congressionally Mandated Expansion of Mental Health Services - FY 10 NDAA sections 595 & 596 expansion of suicide prevention and community healing and response training - FY 10 NDAA, Sec 708; Mental Health Assessments for Members of the Armed Forces Deployed in Connection with a Contingency Operation - FY 12 NDAA, Sec 703, Behavioral Health Support for Members of the Reserve Components of the Armed Forces - Aug ’ 12 Executive Order -- Improving Access to Mental Health Services for Veterans, Service Members, and Military Families - Aug ‘ 14 POTUS 19 executive actions -- improve mental health of service members, veterans and their families - FY 15 NDAA Jacob Sexton Act- Annual person-to-person Mental Health assessments for all Do. D personnel - Feb ‘ 15 Clay Hunt Suicide Prevention for American Veterans Act, signed by POTUS - Feb ‘ 15 GAO Report to Congressional Committees - SECDEF & SECAF separate enlisted NG SMs functioning poorly due to non-disabling mental condition(s) * Each drives a new requirements, trend suggest more to follow! Guarding America - Defending Freedom

Distribution of ANG DPH Hires Non-Dual Status Total Count: 93 8 3 115 FW Unknown MT 120 AW Contract thru Sep 15; Transition to T 5 in FY 16 17 WI 128 ARW Hiring T 32 WV 130 AW Pursuing T 32 OK 137 ARW Hired T 32 (GS 11) OK 138 FW Hired T 32 (GS 11) OR 142 FW 40 25 GS 12 WI GS 12 Pending GS 11 Pending NDS Contract/Pursuing T 32 WV Guarding America - Defending Freedom 167 AW Pursuing T 32 Current as of 20 Apr 2015

Distribution of ANG DPH Hires 70 64 60 8 50 15 40 Pending Hire 30 20 Pending Start 21 41 10 4 Hired 1 16 0 GS 12 GS 11 Pending Hires – Certs requested 73 of 85 (86%) Total Hired Guarding America - Defending Freedom Current as of 20 Apr 2015

ANG DPH Capabilities Inherently Governmental Roles CAIB/IDS Member CAIB Executive Director /IDS Chair Master Resiliency Trainer/Facilitator Suicide Prevention Program Manager GS-11 Mental Health SME Provides Consultation with Leadership Base-Tailored Psychological Health Requirements Builds Military Conscious Referral Network Develops Wing-Specific Prevention Plans Conducts In-House Risk Assessments Destigmitization of Psychological Care Case Management Information and Referral *All of the above, plus the following: Document in Official Military Medical Records Fitness For Duty Assessments Jacob Sexton Act –Annual Mental Health Screening Physical Profiles and Duty Restrictions Pre/Post Deployment Clearances GS-12 Deployment Health Assessments (DHA) closeouts Accredited/Privileged Clinical Social Worker, Ph. D/Psy. D Psychologist, Psychiatric/MH Nurse Provides Diagnosis for LOD/VA Disability Practitioner, Psychiatrist *AFI 44 -119 Congruent Unit Transfer/Release/PCS clearance Formal Clinical Crisis Management Alcohol Drug Abuse Prevention and Treatment Monitoring Family Advocacy/Domestic Violence Program Access Special Needs Identification and Disposition Total Force Integration—(3 to 1, DPH Liaising) Non-Accredited Licensed Professional Counselor Guarding America - Defending Freedom

Confidentiality Comparison 1 ACTIVE DUTY MILITARY TREATMENT FACILITY (MTF) 4 MILITARY FAMILY LIFE CONSULTANT (MFLC) MFLC MOS ANG DPH MTF 3 PREVIOUS ANG CONTRACTED DPH CONTRACT 2 ANG DPH 5 MILITARY ONE SOURCE (MOS) Harm to Self X X X Harm to Others X X X Harm to Mission X X X Special Personnel (PRP, PSP, 1042) *X *X *X Inpatient Care X X X Acute Medical Conditions Interfering with Duty X X X Substance Abuse Treatment Program X X X Psychotropic Medication use X X X Non-medical counseling Consultation Advisement *="Medical" cases only Guarding America - Defending Freedom

Program Efficacy/Metrics/ Outcome Data Guarding America - Defending Freedom