Website Resources for Mental Health Providers
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Website Resources for Mental Health Providers was presented by Dr. Peter Tuerk on Day 1 of the Using Technology Tools in Clinical Practice Workshop. This presentation provides an overview of T2/VA/DoD websites and other valuable NGO websites that can be a resource for mental health providers.
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Website Resources for Mental Health Providers
- 1. Peter W. Tuerk Website Resources for Mental Health ProvidersWebsite Resources for Mental Health Providers VHA Clinical Sciences Research & Development; Dept. of Psychiatry & Behavioral Sciences, Military Sciences Division, Med. U. of SC
- 2. OverviewOverview • Informal web-based tools/websites for clinicians treatingInformal web-based tools/websites for clinicians treating PTSPTS • Formal web-based resources:Formal web-based resources: For WarriorsFor Warriors For Family, Parents, KidsFor Family, Parents, Kids For clinicians to interact with patientsFor clinicians to interact with patients For clinician educationFor clinician education For those seeking helpFor those seeking help For those considering seeking helpFor those considering seeking help DD
- 3. Web ResourcesWeb Resources Defense Centers of Excellence: http://www.dcoe.mil/ After deployment : http://afterdeployment.t2.health.mil/ Outreach Center: http://www.dcoe.mil/Families/Help.aspx About Face: NCPTSD: http://www.ptsd.va.gov/apps/AboutFace/Index.html My Health E-Vet: https://www.myhealth.va.gov/index.html Real Warriors Campaign: www.realwarriors.net MentalHealth.gov: http://www.mentalhealth.gov/get-help/veterans/ Military Kids: www.militarykidsconnect.org Center for Deployment Psychology: www.deploymentpsych.org MHS Learn: www.tricare.mil/tma/privacy/MilitaryHealthSystemLearningPortal.aspx Trauma Focused CBT: http://tfcbt.musc.edu/ PT’s YouTube Resources: https://www.youtube.com/user/PeterTuerksChannel Emory University and MLB: www.braveheartveterans.org Sesame St: Talk, Listen, Connect: http://www.sesamestreet.org/parents/topicsandactivities/toolkits/tlc
- 4. http://www.soundsnap.com/taxonomy/term/1371/popular http://www.partnersinrhyme.com/soundfx/warsounds.shtml http://www.shockwave-sound.com/sound-effects/war_sounds.html Examples of informal web resources to promoteExamples of informal web resources to promote therapeutic engagement in exposuretherapeutic engagement in exposure
- 5. Good exposure therapists know the difference between conditioned & unconditioned stimulus Unconditioned Conditioned Examples of informal web resources to promoteExamples of informal web resources to promote therapeutic engagement in exposuretherapeutic engagement in exposure http://www.soundsnap.com/taxonomy/term/1371/popular http://www.partnersinrhyme.com/soundfx/warsounds.shtml http://www.shockwave-sound.com/sound-effects/war_sounds.html
- 6. http://www.soundsnap.com/taxonomy/term/1371/popular http://www.partnersinrhyme.com/soundfx/warsounds.shtml http://www.shockwave-sound.com/sound-effects/war_sounds.html Bad Examples that could promote general engagement but not necessarily processing, (not to use): http://www.youtube.com/watch?v=6yYwxty930g http://www.youtube.com/watch?v=-_6vGj67Iq8 General Environment (non battle-oriented) stimuli: http://www.youtube.com/watch?v=FswM09Fa2uM (maybe listen with volume off) http://www.youtube.com/watch?v=XyfxEj8LsqI Consider the difference between a conditioned & unconditioned stimulus Examples of informal web resources to promoteExamples of informal web resources to promote therapeutic engagement in exposuretherapeutic engagement in exposure
- 7. Defense Centers ofDefense Centers of ExcellenceExcellence DCoE was established in November 2007 to integrate knowledge and identify, evaluate and disseminate evidence based practices and standards for the treatment of psychological health and TBI within the DoD.
- 8. Our mission is to help service members and their loved ones manage the challenges that are often faced following a deployment
- 9. Multi-Modal ContentMulti-Modal Content Topics are organized to provide:Topics are organized to provide: Coach-driven instruction/ guidanceCoach-driven instruction/ guidance Immersive video/ text-based educational toolsImmersive video/ text-based educational tools Standardized assessments/ tailored feedbackStandardized assessments/ tailored feedback Peer-based, experiential accountsPeer-based, experiential accounts Interactive exercisesInteractive exercises Additional resources (links, books, FAQAdditional resources (links, books, FAQ’s)’s) Persistent progress indicatorsPersistent progress indicators
- 10. 1010 Self-Care SolutionSelf-Care Solution • Quick, anonymous, 24/7 access to information • Manage symptoms with interactive behavior-change exercises • Learning can be customized and self-paced • Immediate support via direct links to hotlines • Educational/ assessment features support preventative efforts
- 11. Click on Post-Traumatic StressClick on Post-Traumatic Stress
- 17. Interactive Workbook MenuInteractive Workbook Menu
- 22. 2222 Self AssessmentSelf Assessment • Self-assessments available for each topic • User’s score provided within an acuity continuum, from low to moderate to high. • Users receive immediate feedback on results and recommendations
- 23. Self-Assessment FeedbackSelf-Assessment Feedback RESULTSRESULTS: Your score reflects that: Your score reflects that you are not experiencing symptomsyou are not experiencing symptoms that are typically associated withthat are typically associated with post-traumatic stress. Although onlypost-traumatic stress. Although only a healthcare professional cana healthcare professional can provide an actual diagnosis…provide an actual diagnosis… RECOMMENDATIONSRECOMMENDATIONS: Because: Because maintaining healthy habits means amaintaining healthy habits means a lifestyle that includes stresslifestyle that includes stress management and finding balance,management and finding balance, we encourage you to check out thewe encourage you to check out the many tools in…many tools in… RESOURCESRESOURCES:: AD.orgAD.org containscontains many tools, videos, exercises andmany tools, videos, exercises and educational materials that mayeducational materials that may interest you. One of the areas weinterest you. One of the areas we would recommend would be the lifewould recommend would be the life stress program…stress program…
- 24. LibraryLibrary
- 29. Current Landing PageCurrent Landing Page (above the fold)(above the fold)
- 30. www.dcoe.mil
- 31. Please wait while we route your chat request to the next available specialist. If you prefer to speak to someone rightPlease wait while we route your chat request to the next available specialist. If you prefer to speak to someone right away, feel free to call DCoE at 866-966-1020.away, feel free to call DCoE at 866-966-1020. peter says: "are you there? ".peter says: "are you there? ". Agent JessyD has received your message and will be right with you.Agent JessyD has received your message and will be right with you. Please wait while you are connectedPlease wait while you are connected Connected!Connected! JessyD says: Thank you for contacting the Defense Centers of Excellence for Psychological Health andJessyD says: Thank you for contacting the Defense Centers of Excellence for Psychological Health and TraumaticTraumatic Brain Injury (DCoE) peter. My name is JessyD. How can I assist you?Brain Injury (DCoE) peter. My name is JessyD. How can I assist you? peter says: not feeling so greatpeter says: not feeling so great JessyD says: Hello PeterJessyD says: Hello Peter peter says: hellopeter says: hello JessyD says: Are you needing to speak to someone?JessyD says: Are you needing to speak to someone? peter says: i think just want to chat 4 nowpeter says: i think just want to chat 4 now peter says: cant sleep, nightmarespeter says: cant sleep, nightmares JessyD says: If you need to speak to someone you can call the Vetern's Crisis line at 800 273.8255JessyD says: If you need to speak to someone you can call the Vetern's Crisis line at 800 273.8255 JessyD says: They have a chat line as well JessyD says: They have a chat line as well www.veterenscrisisline.netwww.veterenscrisisline.net peter says: would you prefer that?peter says: would you prefer that? JessyD says: We only offer resources on our chat.JessyD says: We only offer resources on our chat. JessyD says: You can also text them at 838255JessyD says: You can also text them at 838255 http://www.dcoe.mil/
- 32. Sometimes technical issues cause a chat to end unexpectedly. If this happens, please come back toSometimes technical issues cause a chat to end unexpectedly. If this happens, please come back to chat again or call us at 1-800-273-TALK (8255) and press 1.chat again or call us at 1-800-273-TALK (8255) and press 1. Welcome to VeteransChat, LaticiaS will be right with you.Welcome to VeteransChat, LaticiaS will be right with you. Peter: OKPeter: OK LaticiaS Welcome to Veterans Chat, how can I help you?LaticiaS Welcome to Veterans Chat, how can I help you? Peter: not feeling so greatPeter: not feeling so great LaticiaS: Whats going on?LaticiaS: Whats going on? Peter: can't sleep, nightmaresPeter: can't sleep, nightmares LaticiaS: Do you see a counselor?LaticiaS: Do you see a counselor? Peter: not really, I take an SSRI thoughPeter: not really, I take an SSRI though LaticiaS: Sorry you are struggling so much (about 45 seconds go by)LaticiaS: Sorry you are struggling so much (about 45 seconds go by) LaticiaS : So you see a psychiatrist?LaticiaS : So you see a psychiatrist? Peter: every time I have a dream, I get this feeling like I have to check the house. cant go back to sleepPeter: every time I have a dream, I get this feeling like I have to check the house. cant go back to sleep before looking in all the rooms.before looking in all the rooms. Peter: Its stupid but cant relax until Im sure.Peter: Its stupid but cant relax until Im sure. LaticiaS: I think you could benefit from consistent counseling.LaticiaS: I think you could benefit from consistent counseling. Peter: yes I c a shrink for my meds. nice guy. but only chat for about 15 minutes every few monthsPeter: yes I c a shrink for my meds. nice guy. but only chat for about 15 minutes every few months Peter I live in Charleston SC, who can i c?Peter I live in Charleston SC, who can i c? LaticiaS: I can either have a responder call you or you can call the Veteran Crisis Line at 1-800-273-LaticiaS: I can either have a responder call you or you can call the Veteran Crisis Line at 1-800-273- 8255, press 1 for Vets to begin the process.8255, press 1 for Vets to begin the process. Peter: Ok thanks, Ill try.Peter: Ok thanks, Ill try.
- 33. 1) Developed by T2 in 2010, with over 100,000 users since Jan 2012 2) Online community of military children (ages 6-17) 3) Provides access to age- appropriate resources to support children from pre- deployment, through parents return Military Kids ConnectMilitary Kids Connect http://militarykidsconnect.t2.health.mil/
- 34. Military Kids ConnectMilitary Kids Connect 4) Site offers informative activities, games, helpful videos, and user surveys that can educate and reinforce resilience and coping skills 5) Safety is a priority: MKC includes parent controls & parents can monitor child’s activity 6) Parent and educator tracks that provide information to help them understand what it takes to support military children in at- home and school settings. http://militarykidsconnect.t2.health.mil/
- 35. Military Kids ConnectMilitary Kids Connect http://militarykidsconnect.t2.health.mil/
- 37. Trauma-Focused CBTTrauma-Focused CBT TF-CBTWeb 1) Web-Based Learning for Trauma- Focused CBT 2) Includes specific, step-by-step instructions for each component of therapy 3) Includes printable sample scripts and streaming video demonstrating the therapy procedures http://tfcbt.musc.edu/
- 38. Peer-resources on linePeer-resources on line Therapy Fidelity Videos with real time running commentary For Session 1 Session 2 Session 3 Rational for imaginal Exposure Directions for imaginal exposure https://www.youtube.com/user/PeterTuerksChannel https://www.youtube.com/watch?v=YZbJZMmoLwU&list=PL0Phhv0c-pWbkXxpL5aQ604H6IKm30i16
- 40. Peter W. Tuerk Website Resources for Mental Health ProvidersWebsite Resources for Mental Health Providers VHA Clinical Sciences Research & Development; Dept. of Psychiatry & Behavioral Sciences, Military Sciences Division, Med. U. of SC
Editor's Notes
- Some of our recent research across my research supported by South Carolina clinical and translational research institute VA CDA-2 Award
- Mission:Improving the lives of our nation’s service members, families and veterans by advancing excellence in psychological health and traumatic brain injury prevention and care. Vision:To be the Department of Defense’s trusted source and advocate for psychological health and traumatic brain injury knowledge and standards, and profoundly improve the system of care. Strategic Objectives:DCoE has established strategic objectives, illustrated in our 2012-2105 Strategy Map , which address the most important things we need to do well to be successful as a center of excellence and to achieve our mission, vision and value proposition. Overview:The Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) was established in November 2007 to integrate knowledge and identify, evaluate and disseminate evidence based practices and standards for the treatment of psychological health and TBI within the Defense Department. DCoE is part of the Military Health System, which provides a ‘continuum of care’ – from initial accession to deployment to discharge. DCoE works across the entire continuum of care to promote resilience, rehabilitation and reintegration for warriors, families and veterans with psychological health concerns and traumatic brain injuries. DCoE leads a groundbreaking collaborative effort that includes the Department of Veterans Affairs (VA), civilian agencies, community leaders, advocacy groups, clinical experts and academic institutions that are dedicated to expanding the state of knowledge of psychological health and TBI. In addition, DCoE's Real Warriors Campaign is working to encourage help-seeking behavior for warriors with post-traumatic stress or mTBI. Structure:DCoE brings together five directorates and three centers. Their joint goal is to maximize opportunities for warriors and families to thrive through a collaborative global network to promote resilience, recovery and reintegration for PH and TBI.
- This is the PTS Workroom, containing all of the component content.
- Start Here! is the entry point for this topic. Clicking the button introduces a video narrator, who describes the topic layout and serves as a guide in the other sections shown on this page.
- Video Stories give an overview of PTS and describes how stress is normal after a traumatic event, but that people can learn how to control it, rather than letting it control them. The five modules lead the viewer through the stories of three service members and how they lived with and ultimately learned to cope with their post-traumatic stress. The videos use a narrator, dialogue from service members and commentary from a military psychologist to describe PTS symptoms and coping mechanisms, as well as how symptoms can affect personal relationships. The videos also note how to use all the other sections of this topic to supplement face-to-face cognitive behavioral therapy.
- The development of all of the workshops was rigorous; only evidence-based interventions and best practices were included. The interventions were developed by doctoral-level psychologists in consultation with experts in each topic area; examples include consultation with the Veterans Administration (VA), the National Center for PTSD, the Center for Deployment Psychology (CDP), the Defense & Veteran Brain Injury Center (DVBIC) and the Department of Pastoral Ministry Training, as well as topic specialists in academic research. Integrated “hands-on” guidance available in the workshops enables patients to personalize recommended self-help strategies, including deep-breathing exercises, individualized trauma-trigger records and conflict-resolution exercises. Patients are guided through the selection and use of interactive workshops as real-time supplements to treatment, or as homework assignments to do between treatment sessions. [Depression, Sleep, PTSD, Suicide Prevention, Financial Health… and Anxiety, mTBI].
- The reassuring video narrator guides users through a short, clear tutorial on how to work through the workbook’s six interactive modules. The six interactive sessions of the PTS Workbook are accessed by clicking on the Menu tab.
- The PTS Workbook provides users with interactive tools and exercises to help them reduce their stress. As in the Video Stories section, there are references throughout the modules to obtaining in-person care and using other resources on AD.org. The sessions in the PTS Workbook are: Trauma Triggers, Preparing for Triggers, Managing Triggers, Confronting Triggers, Diffusing Triggers, Long-Term Success.
- The workbook provides targeted queries…
- That then branch off to focus in on the user’s response…
- Each topic has a dedicated assessment…
- We don’t give actual diagnoses. We built algorithms to locate a score in an acuity continuum… low, moderate, high acuity…
- The software gives users three things immediately after one of the scales is completed: Result, Recommendations, Resources…
- There is a text-based library for each of the topics. Printable…
- Here is an example of the PTS Library, a booklet that describes four general types of post-traumatic stress reactions. It emphasizes that these are normal responses to traumatic events, where the brain is trying to process shocking events and regain some sense of control. Things that trigger unwanted thoughts and reactions are described, as well as several useful tools that can be used to identify triggers and gain control over natural reactions to them. These include keeping a trigger record to help recognize which events can trigger a response, understanding how to plan to avoid triggering situations and learning specific techniques for managing physiological and emotional reactions that can occur in response to triggers.
- We provide links to additional resources for each Topic…
- PTS Resources lists additional resources to learn more about post-traumatic stress: -- Library (online booklet described previously) -- Links and Books (gives links to articles on other Web-based resources, books on post-traumatic stress and blogs) -- Forums (lists community forum postings by service members and their families)
- Personal Stories. This section contains short videos featuring actual service members, their families and health care providers working in military settings. The focus of the interviews includes coping with the demands of deployment, managing the family during the service member’s sustained absence from the home and the challenges faced by the entire family during the reintegration period following a deployment.
- MilitaryKidsConnect (MKC) is an online community of military children (ages 6-17 yr old) that provides access to age-appropriate resources to support children from pre-deployment, through a parent's or caregiver's return. MKC offers informative activities, fun games, helpful videos, and interesting user surveys that can guild and reinforce understanding, resilience, and coping skills in military children and their peers. Today's military kids grow up in a world where they may experience multiple deployments of important family members. They need a unique set of skills to draw on in order to get through long and often difficult separations and situations. MKC helps children prepare for the challenges faced during these significant family transitions. Through participation in MKC's monitored online forums, children can share their own ideas, experiences, and suggestions with other military children, helping them to know they are not alone in dealing with the stresses of deployment. MKC's focused parent and educator tracks provide information to help them understand what it takes to support military children in at-home and school settings. Safety is the number one priority for MKC. To keep your child safe on MKC, we include a way for parents to control and monitor their child's access and activity on the website. Parents can navigate the website in advance in order to understand the kinds of content their child(ren) will see and use. Every effort has been made to prevent undesirable persons from using MKC to interact with children. MilitaryKidsConnect.org is an initiative of the National Center for Telehealth & Technology (T2), the Department of Defense agency formed in 2008 to test, evaluate and leverage available and emerging software and hardware in support of psychological health and traumatic brain injury in the broad military community. Conceived in 2010, MilitaryKidsConnect.org is an initiative of the National Center for Telehealth & Technology (T2), the Department of Defense agency formed in 2008 to test, evaluate and leverage available and emerging software and hardware in support of psychological health and traumatic brain injury in the broad military community. Equally important is its work toward eradicating stigma that can deter people in the military from seeking help. Comprised of clinical psychologists, researchers, web developers, interactive designers, and technical specialists, T2 develops mobile applications, websites, assessments, screeners and treatment tools. T2 also conducts quality research to evaluate the efficacy of its technology- based products and programs. Headquartered at Joint Base Lewis-McChord, near Tacoma, Washington, T2 also maintains an office in the National Capital Region that coordinates with other government agencies and private sector organizations.
- MilitaryKidsConnect (MKC) is an online community of military children (ages 6-17 yr old) that provides access to age-appropriate resources to support children from pre-deployment, through a parent's or caregiver's return. MKC offers informative activities, fun games, helpful videos, and interesting user surveys that can guild and reinforce understanding, resilience, and coping skills in military children and their peers. Today's military kids grow up in a world where they may experience multiple deployments of important family members. They need a unique set of skills to draw on in order to get through long and often difficult separations and situations. MKC helps children prepare for the challenges faced during these significant family transitions. Through participation in MKC's monitored online forums, children can share their own ideas, experiences, and suggestions with other military children, helping them to know they are not alone in dealing with the stresses of deployment. MKC's focused parent and educator tracks provide information to help them understand what it takes to support military children in at-home and school settings. Safety is the number one priority for MKC. To keep your child safe on MKC, we include a way for parents to control and monitor their child's access and activity on the website. Parents can navigate the website in advance in order to understand the kinds of content their child(ren) will see and use. Every effort has been made to prevent undesirable persons from using MKC to interact with children. MilitaryKidsConnect.org is an initiative of the National Center for Telehealth & Technology (T2), the Department of Defense agency formed in 2008 to test, evaluate and leverage available and emerging software and hardware in support of psychological health and traumatic brain injury in the broad military community. Conceived in 2010, MilitaryKidsConnect.org is an initiative of the National Center for Telehealth & Technology (T2), the Department of Defense agency formed in 2008 to test, evaluate and leverage available and emerging software and hardware in support of psychological health and traumatic brain injury in the broad military community. Equally important is its work toward eradicating stigma that can deter people in the military from seeking help. Comprised of clinical psychologists, researchers, web developers, interactive designers, and technical specialists, T2 develops mobile applications, websites, assessments, screeners and treatment tools. T2 also conducts quality research to evaluate the efficacy of its technology- based products and programs. Headquartered at Joint Base Lewis-McChord, near Tacoma, Washington, T2 also maintains an office in the National Capital Region that coordinates with other government agencies and private sector organizations.
- MilitaryKidsConnect (MKC) is an online community of military children (ages 6-17 yr old) that provides access to age-appropriate resources to support children from pre-deployment, through a parent's or caregiver's return. MKC offers informative activities, fun games, helpful videos, and interesting user surveys that can guild and reinforce understanding, resilience, and coping skills in military children and their peers. Today's military kids grow up in a world where they may experience multiple deployments of important family members. They need a unique set of skills to draw on in order to get through long and often difficult separations and situations. MKC helps children prepare for the challenges faced during these significant family transitions. Through participation in MKC's monitored online forums, children can share their own ideas, experiences, and suggestions with other military children, helping them to know they are not alone in dealing with the stresses of deployment. MKC's focused parent and educator tracks provide information to help them understand what it takes to support military children in at-home and school settings. Safety is the number one priority for MKC. To keep your child safe on MKC, we include a way for parents to control and monitor their child's access and activity on the website. Parents can navigate the website in advance in order to understand the kinds of content their child(ren) will see and use. Every effort has been made to prevent undesirable persons from using MKC to interact with children. MilitaryKidsConnect.org is an initiative of the National Center for Telehealth & Technology (T2), the Department of Defense agency formed in 2008 to test, evaluate and leverage available and emerging software and hardware in support of psychological health and traumatic brain injury in the broad military community. Conceived in 2010, MilitaryKidsConnect.org is an initiative of the National Center for Telehealth & Technology (T2), the Department of Defense agency formed in 2008 to test, evaluate and leverage available and emerging software and hardware in support of psychological health and traumatic brain injury in the broad military community. Equally important is its work toward eradicating stigma that can deter people in the military from seeking help. Comprised of clinical psychologists, researchers, web developers, interactive designers, and technical specialists, T2 develops mobile applications, websites, assessments, screeners and treatment tools. T2 also conducts quality research to evaluate the efficacy of its technology- based products and programs. Headquartered at Joint Base Lewis-McChord, near Tacoma, Washington, T2 also maintains an office in the National Capital Region that coordinates with other government agencies and private sector organizations.
- Voiceover: Welcome to TF-CBTWeb, the site for web-based learning of Trauma-Focused Cognitive-Behavioral Therapy. This website was developed to complement other methods of clinical learning, such as reading a book or manual, or attending a workshop or learning course. But, unlike most workshops and manuals, this site includes specific, step-by-step instructions for each component of therapy, printable scripts for introducing techniques to clients, and streaming video demonstrations of the therapy procedures. This website is also designed so that you can proceed at your own pace and use the learning experiences when it's convenient for you.
- Voiceover: Welcome to TF-CBTWeb, the site for web-based learning of Trauma-Focused Cognitive-Behavioral Therapy. This website was developed to complement other methods of clinical learning, such as reading a book or manual, or attending a workshop or learning course. But, unlike most workshops and manuals, this site includes specific, step-by-step instructions for each component of therapy, printable scripts for introducing techniques to clients, and streaming video demonstrations of the therapy procedures. This website is also designed so that you can proceed at your own pace and use the learning experiences when it's convenient for you.
- Some of our recent research across my research supported by South Carolina clinical and translational research institute VA CDA-2 Award