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Comprehensive Care for Returning Combat Veterans in Portland VA

Learn how Portland VA supports returning veterans with physical injuries, mental health conditions, and comprehensive care services. The program includes caregiver support and addresses common health issues faced by combat veterans.

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Comprehensive Care for Returning Combat Veterans in Portland VA

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  1. The Bravery in Seeking Care:  Portland VA’s Comprehensive Care of Returning Veterans Rachel Krokus, LCSW Leah christensen, LCSW OEF/OIF/OND Program Caregiver Support Program

  2. What are the health care needs of our returning combat Veterans?

  3. Our 26 y/o Combat Veteran is more likely to have: • Physical injuries • Diagnosable mental health conditions • Unexplained symptoms with general health decline • Hearing problems • Dental problems • Psychosocial distress: marital, occupational, financial, social • Risk of injury/death from “incidental trauma” • At least a 2-3 fold increased risk of suicide • And Veteran is much less likely to show up for his/her appointments

  4. Most Common Conditions • Diseases of Musculoskeletal System 58% • Mental Health (PTSD, Depression, Substance Abuse) 53% • Symptoms, Signs and Ill defined Conditions (neurologic, cognitive, sleep, pain) 53% • Concussion/Mild Traumatic Brain Injury • VA Health Care Utilization among OEF OIF OND Veterans Cumulative from 1st Qtr. FY 2002-4th Qtr 2012, Released January 2013

  5. Portland VA • OEF/OIF/OND case management services • Post Deployment Health Clinics – Vancouver, E. Portland, Portland Women’s, West Linn, Hillsboro, Salem, Bend, Dalles • Caregiver Support Program • Welcome Home Events • Mental Health – counseling, psychiatry, substance abuse treatment, suicide prevention, Veteran’s Justice Outreach, homeless services, emergency care…..& more….

  6. PVAMC OEF OIF OND Program Office • OEF OIF OND Case Management Services – short-term or long-term • Enrollment, Scheduling, Care Coordination, Support, Resources & Referral • No appointment needed • On-site VBA Representative

  7. Post Deployment Health Clinic • Primary Care Provider (specially trained provider who is training in Traumatic Brain Injury screening & specific health care needs of OEF/OIF/OND Veterans including: environmental exposures, musculoskeletal, dermatology. • Case Management via OEF/OIF/OND Program (works closely to help implement treatment recommendations) • Mental Health assessment available at most clinics to triage into appropriate MH services • Additional ancillary services

  8. Caregiver Support Program • General Support/Referral for All Era Caregivers • Comprehensive Program for Post 9/11 Caregivers • Comprehensive benefits – including stipend, health insurance, respite, MH counseling • Training/education • Quarterly home visits • Psychosocial support/supportive counseling

  9. Caregiver Support Program • Caregiver Support Line • Peer support mentoring • Monthly Education Series • Annual Caregiver Conference

  10. Caregiver Support Line/Website www.caregiver.va.gov

  11. Welcome Home Events • Offered annually • To Service Members who have deployed • Family event

  12. Case Study • “Jason” • 25 year old • Marine • PTSD, TBI, bilateral knee conditions • Married, father of 2 • Reintegration…..

  13. Reintegration “Re-enter or restore to unity; often referring to the process a soldier and his/her family undergo when the soldier returns from deployment”

  14. Case Discussion Strengths….. Challenges….. What would you do…..

  15. Thank you….. • OEF/OIF/OND Program 503.273.5075 • Caregiver Support Program 503.273.5210

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