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MIRECC Educational Products

All Educational Products as of 5/16/2012

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Click on Product Name for Details; Total Products = 120
Product Description
A Therapist's Guide to Brief Cognitive Behavioral Therapy. Developed by Jeffrey A. Cully, PhD, and Andra L. Teten, PhD at the Michael E. DeBakey VA Medical Center, the manual is designed to show how CBT can be adapted to brief sessions in medical settings such as Primary Care. The manual is composed of skill modules. This manual is not intended to produce competence in CBT but to support existing training and supervision in CBT.
Activity Pacing Handout This handout describes the pain cycle and introduces the reader to activity pacing as a way to manage chronic pain. It includes figures to explain key concepts as well as a form to help patients develop and track an activity pacing plan.
Advisor-Teller Money Manager (ATM) Many individuals with mental illnesses or addictive disorders misuse their funds leaving them without money for food, shelter, clothing, or healthcare. Mere assignment of a fiduciary, representative payee, or conservator is often ineffective and does not empower clients. Advisor-Teller Money Manager (ATM) involves having a money manager assist in budgeting an individuals income by having the client go to the money manager to access his/her funds. ATM has three parts: 1. Teller Function: The money manager helps clients manage money in their own best interests. The client arranges for deposit of his/her income into an account that allows the money manager to monitor the account. The client makes a budget with the money manager. Clients will be strongly encouraged to arrange for checks to be written directly to creditors for housing, food, electricity, and as many other expenses as possible. 2. Training Function: The money manager helps the client learn to budget his or her own funds. Clients will meet with the money manager at least monthly to plan a budget. They will collaboratively arrange for the dispensing of checks to pay for expenditures and checks to the client to spend as he/she pleases. Dispensing will involve planning for how the money will be spent so that it is not misspent. 3. Treatment-Linked Spending: The money manager and client develop agreements whereby the client is rewarded for constructive activity and abstinence. ATM involves making voluntary treatment contracts with clients in which disbursement of discretionary funds is linked to completion of treatment goals. Clients do not have to follow their money managers recommendations about how to manage their money if they do not want to do so. Clients do not have to adhere to the conditions of the treatment contract and can ask for their money out of the account whether or not they have agreed to the contract. This product includes a manual and worksheet. The manual includes a description of ATM and the forms necessary to enroll clients, plan a budget, track funds, and contract for treatment-linked spending. Several of the materials related to ATM can be found on www.behaviorchange.yale.edu:  ATM Therapist Manual  Managing Program Accounts: Can be downloaded and used to start a program to store client funds.  ATM Training Materials: Can be used to train ATM therapists to conduct ATM. The manual contains interactive exercises to make learning ATM interesting. It also contains nuts-and-bolts  Information about how to deliver ATM.  ATM film: In this fifteen-minute film, Drs. Rosen and Rosenheck speak about how ATM was developed, therapists describe how to conduct ATM, and one individual describes her experience in ATM.  Downloadable manual describing Benefits Counseling for veterans applying for Compensation and Pension for psychiatric conditions.  The website has links to instruments to assess money mismanagement such as S.C.I.M.M.(Structured Clinical Interview for Money Mismanagement) and Client-Rated Assessment. The S.C.I.M.M. is a semi-structured clinical interview designed to rate the extent of a client's mismanagement of funds and can also be scored to rate whether he/she is incapable of managing funds. It involves an assessment of the last year's expenditures, living situations and costs, and any periods when there was not enough money for housing. The Client-Rated Assessment consists of items that address substance use, ability to meet basic needs, and spending habits.
Anger Management Patient Handbook and Instructors Guide Developed by Eddy White, LCSW, Fayetteville VA Medical Center, this 8-session cognitive-behavioral workbook for group anger management compiles and organizes common psychosocial approaches into modules.
Approaches to Drug Abuse Counseling This manual covers the basic component of most treatment programs--group and individual counseling. The intent is to present information on various counseling approaches for treating drug and alcohol problems used in some of the best known and most respected treatment programs in the United States.
Assessment of Suicidality in the Elderly 04/01/2008 by William Marchand, MD at the University of Utah Geriatrics Grand Rounds a presentation on assessment and management of suicidal risk among the elderly.
Be A Quitter Just This Once: A Patients Guide to Stop Smoking This a patient-guided CD-ROM program that uses the Stages of Change model to identify a patient's readiness to stop smoking. It was developed by Dona Zanotti, Ph.D. and John Tassey, Ph.D.; Oklahoma City VA Medical Center.
Blast-Related Traumatic Brain Injury: What Is Known? Short review article from the "Windows to the Brain" series published in the Journal of Neuropsychiatry and Clinical Neurosciences. Dr. Robin Hurley (VISN 6 MIRECC Associate Director, Education) and Dr. Katherine Taber (VISN 6 MIRECC Assistant Director, Education) are the Contributing Editors for this series.
Buprenorphine Helpline This consult service provides and acts as a liaison to resources, educational activities, shadowing opportunities, clinical advice about the treatment of opioid dependence with buprenorphine, especially in outpatient settings.
CBT for Psychosis This is an ongoing implementation trial of an evidence-based psychotherapy for psychosis. Cognitive behavioral therapy (CBT) is also a recovery-oriented treatment. This trial will look at affectiveness of treatment for veterans who receive it, affective methods for training staff in this treatment modality, and compare different characteristics of facilitation for implementation of this service.
Clozapine Education Package of references for the use and indications of clozepine.
Cognitive Rehabilitation/Remediation This is a computer-based cognitive rehabilitation program that has been shown to be affectatious with demonstrated efficacy for neuropsychological dimensions of cognitive problems in schizophrenia and schizotypal disorder as well as for real-life functional measures in both disorders.
Cognitive Symptom Management and Rehabilitation Therapy (CogSMART) for Traumatic Brain Injury product description to be added
Cognitive-Behavioral Coping Skills Treatment for Cocaine Dependence This product includes a manual and videotape for clinicians and researchers which provide an introduction to the theory and techniques for Cognitive-Behavioral Therapy for cocaine dependence. The manual includes a detailed description of treatment strategies and methods, and the videotape provides an overview illustrated with clinical vignettes. This product includes a manual and videotape for clinicians and researchers which provide an introduction to the theory and techniques for Cognitive-Behavioral Therapy for cocaine dependence. The manual includes a detailed description of treatment strategies and methods, and the videotape provides an overview illustrated with clinical vignettes. A Spanish version of the manual is also available.
Community Reinforcement and Family Training Support and Prevention (CRAFT-SP) manual This family education manual is adapted from earlier work on the CRAFT model by Dr. Robert Meyers. The program is designed to aide family members in improving their relationship with the addict/user, while encouraging the individual to seek treatment. This manual was developed by Steven M. Scruggs, Psy.D., Oklahoma City; Robert J. Meyers, PhD, University of New Mexico. Center on Alcoholism, Substance Abuse and Addictions; and Rebecca Kayo, PhD, University of Oklahoma Health Sciences Center.
Compliance Enhancement: A Manual for the Psychopharmacotherapy of Drug Abuse and Dependence This product includes a manual and videotape for clinicians and researchers which provide an introduction to the techniques entailed in Compliance Enhancement (CE), a brief behavioral treatment that is designed for clinical trials of pharmacological treatments for drug abusers. By providing a comparable behavioral treatment to different medication groups, CE helps pharmacotherapy investigators to draw valid conclusions about the relative efficacy of medications that are being studied.
Contingency Management: Using Motivational Incentives to Improve Drug Abuse Treatment This product includes a manual and videotape for researchers and clinicians which describe the use of contingency management in drug abuse treatment. Contingency management is a behavioral therapy that uses motivational incentives to increase individuals' retention in treatment, achievement of treatment goals, and sustained abstinence.
Coping with Chronic Pain Developed by Jeffrey West, Ph.D., at the New Orleans VA Medical Center, this short DVD describes a group treatment approach for chronic pain management. It provides a good introduction to pain management.
Courage Group manual Developed by Dana D. Foley, Ph.D., at the Oklahoma City VA Medical Center, this workbook is the manualization of a 12-week outpatient psychotherapy group for veterans who have experienced sexual trauma (begun in 1995). The workbook focuses on effects of trauma, coping with emotions, self esteem, trust, relationships and intimacy, confrontations and forgiveness, and celebration. Handouts are included.
Cultural Competency Manuals, workbooks, and reader for a curriculum for a culturally competent curriculum that has been piloted in the Bronx, focused on person-centered assessment, diagnosis, and treatment planning.
Department of Veterans Affairs Bibliotherapy Resource Guide This brief guide is designed to provide VA clinicians, as well as administrators, peers, and veterans, with information about bibliotherapy resources that can serve as supplements to treatment. It is intended that this guide will promote the use of such resources both in specialty mental health settings, as well as in primary care, where VA is integrating mental health services nationally. This guide is provided as an informational resource and is not an endorsement of any specific product. This Resource Guide was created by a national workgroup composed of representatives of the ten Mental Illness Research, Education and Clinical Centers (MIRECCs), at the request of and in collaboration with the Office of Mental Health Services, VA Central Office. Experts among the MIRECCs (see appendix) and VA Central Office identified resources that they and others recommend to their own clients. Multiple nominations were selected for inclusion in this guide, as the type of resource or approach that a veteran or family member finds helpful is likely to vary. This resource guide is not intended to be exhaustive, and as noted above, is not an endorsement of any commercial product. The guide is designed to provide information on many established resources available for a variety of mental health conditions.
Department of Veterans Affairs Safety Plan Quick Guide for Clinicians This pocket card is a quick reference guide which summarizes the 6 steps invloved in the development of a Safety Plan.
Discontinuing Your Medication for Depression patient brochure This is a brief take-home guide for patients who are discontinuing their antidepressants. Content covers withdrawal symptoms and warnings of signs of returning depression. This brochure was developed by JoAnn Kirchner, MD; Kathy Henderson, MD; Maga Jackson-Triche, MD; and VISN 16 Mental Health Product Line.
Drug Risk Response Test This product includes a manual and videotape, and it is an assessment method to guide cognitive and behavioral treatments of individuals who abuse drugs. It includes role-play assessment of coping skills for high-risk situations associated with cocaine and other substance use.
Effective Psychotherapies for Pain Control This patient handout introduces the reader to three effective psychotherapies for pain control: Acceptance and Committment Therapy (ACT); Cognitive Behavioral Therapy (CBT); and Graded Exercise Therapy.
Effective Psychotherapies for Pain Control - for providers This handout describes three types of psychotherapies that have empirical support for pain control: Acceptance and Committment Therapy (ACT); Cognitive Behavioral Therapy (CBT); and Graded Exercise Therapy. A research study is cited for each treatment.
Effects of Sex and Normal Aging on Regional Brain A paper describing the effects of aging and mental illness (schizophrenia, major depression and bipolar disorder) on oligodendrocytes in the thalamus.
Family Psychoeducation Family psychoeducation (FPE) promotes recovery from severe mental illness by reducing risk of relapse and rehospitalization and promoting improved psychosocial functioning. This project will support a developing program offering Family Psychoeducation to veterans with Serious Mental Ilness and their families at the Bronx VA Medical Center and the VA New Jersey Healthcare System by developing accessible implementation strategies, providing clinical supervision, and designing/conducting program evaluation. We will also train 25 additional therapists to deliver evidence-based Family Psychoeducation through-out the VISN in a 2.5 day training session in September '09 co-sponsered by the MIRECC with VACO and VISN 3.
Fred Frese, PhD (DVD on Recovery) Fred Frese talks about the nature and importance of recovery oriented care for people with serious mental illness. There is also some specific reference to suicide prevention in this group of individuals. Diagnosed with schizophrenia when he was 25, Dr. Frese has worked tirelessly as a practitioner and advocate for consumers and their families. He has been a leader in recovery and patient centered care for individuals with serious mental illness throughout the nation.
From Deployment to Arraignment: Addressing the Needs of Veterans in the Criminal Justice System VA Center of Excellence for Stress and Mental Health (CESAMH) recently co-sponsored a 1-day training for criminal justice practitioners (judges, prosecutors, public defenders, law enforcement, etc), Veterans, active duty service members, and Veteran service providers and agencies. The training focused on: •Resources needed to connect veterans with untreated mental health and substance abuse issues to early, comprehensive treatment services. •California Penal Code (“PC”) 1170.9., a California law designed to divert Iraq/Afghanistan Veterans from jail into mental health or substance abuse treatment; •The San Diego Veterans Justice Outreach initiative and local partnership with the San Diego Sheriff's Department. •The San Diego Veterans Treatment Court, designed to assist veterans who are becoming involved in the Criminal Justice system as a result of symptoms related to psychological war injuries. •Common behavioral characteristics of PTSD and TBI that may contribute to criminal activity; •The signs of a Veteran who is suicidal or potentially violent to others and ways to intervene.
Fundamentals of Recovery This list of fundamental recovery resources was compiled from recommendations from the VHA Recovery Advisory Board and from the MIRECCs' Recovery Interest Group
Gambling Education Workbook This is an 8-session gambling education workbook and resource guide that integrates cognitive-behavioral and 12-step approaches. Great for Substance Abuse Treatment Programs. This workbook was developed by Jefferson Parker, Ph.D.; Randy Burke, Ph.D.; Paul Matens, LCSW; and Frances Hill; G.V. Sonny Montgomery VA Medical Center, Jackson.
Geriatric Depression Scale The Geriatric Depression Scale is a screening tool that was designed specifically for older adults with and without dementia. Questions focus on affective and behavioral symptoms of depression rather than symptoms confused with somatic diseases or dementia. Items are yes/no questions and they can be administered in a variety of formats, either as a paper and pencil self-report measure or orally in blind patients. Translations in multiple languages and further information is available at the website.
Helping Dementia Caregivers DVD Developed by Thomas Teasdale, Dr.PH., at the Michael E. DeBakey VA Medical Center in Houston, this interactive DVD illustrates effective behavioral management skills to caregivers with a series of video clips. This DVD may be useful for self-study or groups.
Hepatitis C and Other Communicable Diseases Posing Threats to Homeless Veterans Brochure and DVD This brief brochure and DVD provide basic description and prevention information on hepatitis A, B, & C; trichomoniasis; chlamydia; gonorrhea; syphilis; pelvic inflammatory disease; genital warts; HIV; genital herpes; pubic lice; West Nile virus; body lice; influenza; TB and others for homeless Veterans. The DVD can be used in a group setting and is accompanied by a review and quiz. Developed by Estella Morris, Ph.D., LCSW and H. Lynn Hemphill, LCSW; Central Arkansas Veterans Healthcare System, Little Rock.
Homelessness Project New York City and VHA has formed a partnership to end homelessness amongst veterans. This paper outlines a novel use of multiple data sets to identify homeless veterans in order to access funds available to them which will aid in the transition to permanent housing.
How to Talk to a Child about a Suicide Attempt in Your Family: Guides Targeting Age Groups 4-8, 9-13 and 14-18 Description: This information sheet is intended to serve as a guide for adults to use when talking with a 4-8, 9-13 or 14-18 year-old child about a suicide attempt in the family. It is not intended to replace the advice of a mental health professional. In fact, it may be best to use this along with professional support if you or your child is struggling with how to talk about this difficult topic. It is important to consider the childs level of development and ability to understand events when deciding how to talk with them about this issue.
Improving Compliance with Alcoholism Treatment This manual provides a compendium of strategies for enhancing client compliance to psychosocial treatments, as well as therapist compliance with treatment protocols, in treatment and research programs involving alcohol-using populations. Multiple determinants of compliance are recognized and authors emphasize methods of enhancing treatment programs to meet the needs of a variety of clients, thereby improving compliance. The reference is: Carroll, K.M. (Ed.) (1997). NIAAA Project MATCH Monograph Series, Volume 6. NIH Publication 97-4143. Bethesda, Maryland: National Institute on Alcohol Abuse and Alcoholism.
Increase Your Suicide Prevention Skills with Older Veterans This program is a supplement to the previous "Suicide Risk Management Training for Clinicians".It is available on LMS and provides geriatric related information that is important to the assessment and prevention process for individuals whom may be at risk for suicide.
Insomnia: Difficulty Falling Asleep or Staying Asleep, and Quality of Sleep brochure This brochure provides a brief overview of causes of insomnia and tips for sleeping better. Includes a sleep log. The brochure was developed by JoAnn Kirchner, MD; Kathy Henderson, MD; and VISN 16 Mental Health Product Line.
Interactive Autopsy Program This interactive program demonstrates autopsy procedure and discusses its use and important for clinical and research applications in health and mental health.
Lithium Powerpoint Powerpoint available on the indications of lithium usage for bipolar disorder and its adjunective treatment for unipolar disorder and suicide prevention. Critical evalulation of the evidence for all these indications as well as selective references for each domain.
Making the Invisible Visible: Clinical Guide for Recognizing Traumatic Brain Injury in Veterans brochure This graphically powerful brochure is designed to increase clinician awareness about and screening for traumatic brain injury in returning veterans. Screening questions and next step recommendations are included. The brochure was developed by Kimberly A. Arlinghaus, MD; Helene K. Henson, MD; Stephanie Sneed, MD; and Janet Hickey, MD; Michael E. DeBakey VA Medical Center, Houston.
Managing Disruptive Behavior in Dementia Patients: A training tool for clinical nurse assistants This is an instructional DVD that models ineffective, effective, and preventive behavioral management skills to long-term care nursing staff through a series of video clips with actors. It was developed by Thomas Teasdale, Dr.PH., Michael E. DeBakey VA Medical Center, Houston.
MAPS: A Guide to Managing Adult Psychiatric Symptoms for Family Members and Friends This caregiver support packet is designed to by provided to family members of Veterans who are diagnosed with a mental illness, especially family members who cannot attend support/psychoeducational groups at the VA. Content information describes various mental illnesses and addresses caregiver stress. The packet is provided as a PDF file so that selected pages or the entire product may be printed as needed. Developed by Kristen H. Sorocco, Ph.D.; Thomas Teasdale, Dr.PH; and Michelle Sherman, Ph.D.; Oklahoma City VA Medical Center.
Mental Health Consumer Providers: A Guide for Clinical Staff The purpose of this booklet is to provide mental health clinic staff with a brief guide to implementing and sustaining a consumer provider program.
Mild Traumatic Brain Injury: Neuroimaging of Sports-Related Concussion Short review article from the "Windows to the Brain" series published in the Journal of Neuropsychiatry and Clinical Neurosciences. Dr. Robin Hurley (VISN 6 MIRECC Associate Director, Education) and Dr. Katherine Taber (VISN 6 MIRECC Assistant Director, Education) are the Contributing Editors for this series.
Motivational Interviewing Intervention for the Pathways-to-Vocational Rehabilitation Study This is a single session motivational interviewing (MI) intervention that was developed for Dr. Charles Drebing et al.s Rehabilitation Research and Development (RR&D) grant entitled, Pathways to Vocational Rehabilitation: Enhancing Entry and Retention. The MI intervention was designed to increase enrollment and participation in vocational rehabilitation through the resolution of ambivalence about returning to work for veterans with serious mental illnesses. The MI intervention is 60 minutes long and semi-structured in that the same categories are addressed for each participant: introduction; exploration of ambivalence; provision of assessment feedback; planning; and summary. The phases of the MI intervention include: 1. Rapport Building and Setting The Agenda: This very brief portion of the intervention involves establishment of mutual rapport, suggestion of an agenda by the provider, and solicitation of agreement by the participant to pursue the agenda. 2. Exploring Ambivalence: The provider utilizes two tools to explore ambivalence. First, the decisional matrix inquires about the participants view of the good and not-so-good aspects of his/her current situation versus participating in the VA vocational rehabilitation program entitled Compensated Work Therapy (CWT). A discussion then follows about the participants level of interest and confidence regarding entry or retention in CWT and the contributing factors to those levels. Providers use a variety of MI techniques during this phase including: (a) open-ended questions and summaries to check their understanding and elicit more information; (b) statements that encourage clarification by the participant; and (c) development of discrepancy by using double-sided summaries. From a MI perspective, a key objective is to identify the participants ambivalence toward entering or staying in CWT, and to develop a discrepancy between his/her values and goals and the stance of not entering/staying in CWT. This discrepancy is used to fuel increased CWT participation. A second objective is to identify any participant goals that are hampered by lack of skill or knowledge (e.g. I dont know how to fill out the application form; I dont know how to deal with disagreements between what I want to do and what a CWT counselor may want me to do) and then to arrange ways to address those deficits during the collaborative problem-solving phase. 3. Providing Assessment Feedback/Information: The goal of this part of the intervention is for the provider to offer information that may affect a participants level of interest or confidence in entering/staying in CWT but which was not fully been addressed above. This may include a review of information collected during the baseline evaluation such as the results of the work history and Meaning of Work Scales. Information is provided about the specific services offered through the CWT Program and ways in which other participants have utilized the CWT program to meet a variety of clinical goals. Providers utilize a variety of MI techniques during this phase: (a) use of an elicit-provide-elicit framework; (b) only giving the facts and asking the participant to make interpretations by asking, What do you think about that?; and (c) asking permission before sharing a perspective, Can I share with you some of my thoughts/concerns about that? Although supports and barriers to change are important for all participants, it is especially important for those who rate themselves as low in importance/confidence for entry/retention in CWT to hear information about supports for change. It is also important for individuals who are rate themselves as high in importance/ confidence to hear information about barriers for change. This creates a situation in which the next phase is relevant to all participants, not just the ones who have identified barriers themselves. 4. Addressing Barriers through Collaborative Problem Solving: The goal of this part of the intervention is to address 2-3 of the main barriers that the participant perceives to entering or staying in CWT. This varies according to a participants needs but can include an action plan if there is no work immediately available in CWT, taking an anger management class to learn other ways of resolving conflict on the worksite rather than leaving the program, maintaining attendance at clinical appointments or self-help groups to address substance abuse or clinical issues that interfere with successful CWT participation, etc. Providers utilize a variety of MI techniques during this phase: (a) roll with resistance; (b) build confidence by asking about past successes; (c) use 3rd person language such as folks have found; (d) use conditional words such as one might consider; (e) avoid the righting reflex; (f) encourage the participant to speak the change talk; and (g) use selective reflection. 5. Planning for Commitment: The final part of the intervention involves eliciting a commitment to an aspect of behavior change discussed above that supports entry or retention in CWT. The commitment is recorded by the provider who also signs as a witness to the participants signature of commitment. The participant is then asked to rate the level of importance/confidence in fulfilling this commitment followed by the possible ways that the importance or confidence level could be increased.
New England MIRECC Peer Education Center The mission of the New England MIRECC Peer Education Center is to:  Offer monthly training opportunities for peer support providers who are individuals that use their lived experiences with recovery to assist others working on recovery. The training sessions are designed to enhance peer support providers knowledge and further their development of skills that will aid them in their roles within the VA health care system. The center presents introductory and continuing education seminars and workshops for: individuals who want to become peer support providers; and individuals who are providing peer support services in the VA health care system as volunteers, contractors, and VA-employed peer support technicians.  Provide presentations for VA health care professionals that are designed to enhance their understanding of peer support services and open a dialogue about how peer support providers can partner with health care professionals to serve veterans in VA treatment programs. The New England MIRECC Peer Education Centers training faculty includes licensed health care professionals and certified peer specialists who work in partnership to present seminars and workshops for peer support providers and clinical staff that work within the VISN 1 VA health care system. The training offerings for peer support providers cover a variety of topics, and each session is structured to promote knowledge acquisition and skill enhancement. Experiential activities are often included in the sessions to allow participants to practice applicable skills and receive feedback. Trainings sessions for peer support providers cover the following topics:  Developing & using ones recovery story as a tool to assist others  Strategies for effective communication  Confidentiality  Navigating boundaries  Assisting others to develop recovery goals  Advocacy  Accessing and utilizing VA & community resources  Suicide prevention awareness  Group facilitation skills  Psychosocial rehabilitation & peer support services  Cultural competence & peer support  Basics of motivational interviewing  Navigating the VA health care system  Effective uses of supervision  Balancing self-care & helping others Training sessions for VA health care professionals cover the following topics:  Definitions of peer support  Roles and activities of peer support providers  Research and mental health literature outcomes related to peer support  Training & supervision of peer support providers  Strategies for setting up a peer support program
Operation Enduring Families: A Support and Education Program for Returning Iraq and Afghanistan Veterans and Their Families manual This is a 5-session psychoeducational class for returning Iraq and Afghanistan war veterans and their families. Topics include deployment and its impact on the family; parenting tips; communication skills; coping with depression, PTSD, and anger; and reconnecting as a family. The manual also includes promotional materials, leaders guide, and participant handouts. The manual was developed by Ursula B. Bowling, PsyD; Alan Doerman, PsyD; and Michelle Sherman, Ph.D.; Oklahoma City VA Medical Center, OKlahoma City.
Operation S.A.V.E. Training Operation S.A.V.E. Operation S. A. V. E. will help you act with care and compassion if you encounter a person who is suicidal. The acronym ?SAVE? summarizes the steps needed to take an active and valuable role in suicide prevention
Pain and Experiential Avoidance Handout This handout introduces the reader to the physical and psychological cycle of pain and discusses the role of activity avoidance in these cycles. Figures are used to explain concepts and engagement in activities is encouraged.
Pathways Inventory: Alzheimers Disease Pathways-to-care or help-seeking pathways refer to the sequence of contacts which adults with clinical needs and their significant others have with individuals and organizations in an effort to seek help for that clinical need. The study of help-seeking in Alzheimers Disease (AD) is a relatively recent addition to the pathways-to-care literature. Interest in pathways-to-care for AD has grown out of the concern about new pharmacological treatments for AD and how their impact is potentially limited by the typical delays in diagnosis and treatment. Boise at al. used a retrospective questionnaire and focus group format with 151 family caregivers focusing on the timetable from recognition of first symptoms to the point of diagnosis. They found a mean delay between the first symptom recognition and initial consultation with a health care professional of 21 months, and a second delay between initial consultation and ultimately obtaining a diagnosis of AD of 10 months, for a mean total delay to diagnosis of 31 months. The Pathways Inventory is a semi-structured interview used to determine: (1) the steps taken in entering care for Alzheimers Disease; (2) length of delay between onset of the symptoms and the steps taken toward entering care; and (3) supports and barriers for successful completion of those steps. The pathways inventory was adapted and validated by staff of the New England MIRECC from other research procedures used in pathways-to-care studies. To insure accuracy, there is a memory formation section at the beginning of the interview which is designed to identify dated reference points in the participants life that can then be used to corroborate later responses. At the end of the interview, the interviewer summarizes the steps and dates of the pathways-to-care and asks the participant to review and revise his/her responses. The interviewer is asked to rate the degree to which the participant appeared to understand the questions and appeared motivated to give accurate answers. The Pathways Inventory is one of the few procedures for collecting pathways-to-care data that has documented evidence supporting its validity and reliability. In a study examining pathways-to-care for older adults with cognitive impairment, the dates and step responses were more consistent with consensus decisions than medical chart review or questionnaire data (Drebing et al., 2004), with a summary agreement level between the consensus and Pathways Inventory reaching 77%. Drebing, C.E., Movitz, R., Lyon, P., McCarty, E., Harden, L. & Herz, L. (2004). Documenting pathways to care: Relative validity of questionnaire, interview, and medical record data. American Journal of Alzheimers Disease and Other Dementias, 19 (3), 187-197.
Playing It Safer Workbook A 4-session behavioral skills-based group program to reduce HIV sexual risk. Good for Substance Abuse Treatment programs. Developed by Dana Ross, Ph.D. and Randy S. Burke, Ph.D., Sonny Montgomery VA Medical Center, Jackson.
Preparing Veterans for Group Psychotherapy DVD This 25 minute DVD features veterans discussing their experiences in group psychotherapy and how this treatment has been helpful. The product provides a good orientation to group therapy. The DVD was developed by Pamela C. Fischer, Ph.D.; Richard Carothers, Ph.D.; Oklahoma City VA Medical Center, OKlahoma City.
Presentation - Neurobiology of TBI This lecture provides an overview of traumatic brain injury from the biological perspective. Topics covered include common causes, forces involved, common injury types and mechanisms, and injury evolution.
Presentation - Pharmacist Medication Counseling for TBI TBI poses many healthcare challenges for the veteran and their caregiver. This program gives the counseling pharmacist the tools to facilitate knowledgeable and effective drug use by brain injured veterans. (32 minutes)
Presentation - TBI: Clinical Updates from Neuropsychiatry This lecture provides an overview of traumatic brain injury from the clinical perspective. Topics covered include incidence, types of injury, common functional deficits, influence of both pre and post injury factors, assessment and treatment.
Presentation - Visual Disorders in Brain Injury Provides an overview of the common visual disorders of individuals with brain injury and the optometric evaluation and visual rehabilitation treatment options. (60 minutes)
Presentation: Providing Support for Suicide Survivors: Understanding Pertinent Military/Veteran Issues This is a presentation given at the American Foundation for Suicide Prevention 2008 annual conference by Ryan E. Breshears, Ph.D., Nazanin H. Bahraini, Ph.D., & Lisa A. Brenner, Ph.D., ABPP Researchers have noted the complicated nature between risk factors and behavior, and suggested the need for further exploration of contributors to suicidal behavior in this population. Using both civilian and military literatures, areas for consideration when thinking about activity duty member/veteran suicide are presented. These include psychiatric and/or medical and military history and culture including exposure to trauma, combat, and deployment.
Providing Support for Suicide Survivors: Understanding Pertinent Military/Veteran Issues By Ryan E. Breshears, Ph.D., Nazanin H. Bahraini, Ph.D., & Lisa A. Brenner, Ph.D., ABPP Researchers have noted the complicated nature between risk factors and behavior, and suggested the need for further exploration of contributors to suicidal behavior in this population. Using both civilian and military literatures, areas for consideration when thinking about activity duty member/veteran suicide are presented. These include psychiatric and/or medical and military history and culture including exposure to trauma, combat, and deployment.
PTSD and Chronic Pain This patient handout discusses the interaction between PTSD and chronic pain. Evidence based treatments for each condition are listed and patients are encouraged to discuss treatment options with their VA providers.
PTSD and Chronic Pain - for providers This handout discusses the connection between PTSD and chronic pain symptoms. It encourages providers to refer appropriate patients for evidence-based treatment for both pain management and PTSD.
PTSD and Combat-Related Injuries: Functional Neuroanatomy Short review article from the "Windows to the Brain" series published in the Journal of Neuropsychiatry and Clinical Neurosciences. Dr. Robin Hurley (VISN 6 MIRECC Associate Director, Education) and Dr. Katherine Taber (VISN 6 MIRECC Assistant Director, Education) are the Contributing Editors for this series.
PTSD Sleep Therapy Group Manual & Relaxation CD This 6-session treatment protocol includes education, behavioral, and cognitive strategies for sleep problems related to PTSD in an individual or group setting. Included is a therapist manual, patient workbook and CD. This product was developed by Karin E. Thompson, Ph.D; C. Laurel Franklin, Ph.D.; Karen Hubbard, Ph.D.; Memphis and New Orleans VA Medical Centers.
Quick Guide - Patient/Family: Readjustment Issues - Anger This brochure in the series addresses challenges related to anger. It includes descriptions of anger, how to identify healthy and unhealthy anger, and strategies for managing anger.
Quick Guide - Patient/Family: Readjustment Issues - Budgeting & Financial Management This brochure in the series addresses challenges related to managing your money. It includes goal setting, how to create a budget, and tips on identifying budget busters.
Quick Guide - Patient/Family: Readjustment Issues - Building Relationships This brochure in the series addresses challenges related to building and maintaining healthy relationships. It includes description of good relationships, tips for good communication, and suggestions for learning to reconnect with your partner, children and friends.
Quick Guide - Patient/Family: Readjustment Issues - Good Communication & Fighting Fair This brochure in the series addresses challenges related to communication. It includes description good and bad approaches to communication, good listening skills, tips for being a good communicator, and guidelines for keeping fighting fair.
Quick Guide - Patient/Family: Readjustment Issues - Home Safe Drive Safe Stay Safe This brochure in the series addresses challenges related to transitioning back to civilian driving. It includes tips on recognizing risky driving, differences between driving under combat conditions and at home, and helpful actions for becoming a safe driver again.
Quick Guide - Patient/Family: Readjustment Issues - Sleep Problems & Nightmares This brochure in the series addresses challenges related to sleep. It includes information about common causes for sleep problems, methods of assessment and treatment, and tips for improving sleep and coping with nightmares.
Quick Guide - Patient/Family: Readjustment Issues - Substance Use & Abuse This brochure in the series addresses challenges related to substance use. It includes questions to help you decide whether you have a problem with alcohol, treatment options, and tips for reducing use.
Quick Guide - Patient/Family: Traumatic Brain Injury Pocket card (two sides) - Providing basic information about traumatic brain injury including common symptoms and do's/don'ts is presented at a level suitable for the general audience.
Quick Guide - Patient/Family: Traumatic Brain Injury Handout (one side, single sheet) - Providing basic information about traumatic brain injury including common symptoms and do's/don'ts is presented at a level suitable for the general audience.
Quick Guide - Patient/Family: Traumatic Brain Injury Brochure (two sides, single sheet) - Providing basic information about traumatic brain injury including common symptoms and do's/don'ts is presented at a level suitable for the general audience.
Quick Guide - Patient/Family: Traumatic Brain Injury Short article (one side, single sheet) - Providing basic information about traumatic brain injury including common symptoms and do's/don'ts is presented at a level suitable for the general audience.
Quick Guide - Provider: Traumatic Brain Injury Handout (one side, single sheet) - Basic information about traumatic brain injury including common symptoms and clinical management is presented at a level suitable for the general practitioner.
Quick Guide - Provider: Traumatic Brain Injury Pocket card (two sides) - Basic information about traumatic brain injury including common symptoms and clinical management is presented at a level suitable for the general practitioner.
Quitting It All: Tobacco Cessation for Chemical Dependence and Dual Diagnosis Treatment Programs A 90-minute, single session program to address nicotine dependence. Product includes workbook, facilitator's guide, and relaxation tape. Developed by Theodore V. Cooper, Ph.D. and Randy S. Burke, Ph.D.; Sonny Montgomery VA Medical Center, Jackson.
Recovery Discussions A program for experiential recovery education with patients and staff. The discussion groups are designed to be co-led by one staff member and one veteran. With groups of approximately 4-5 veterans and 4-5 staff members for up to 10 total participants. Materials are based on focus group principles and include 15 minutes of introductory reading materials, a script for the group discussion, associative materials for training and a guide for group leaders, and a brief evaluation for participants as a group experience.
Recovery: A Journey of Healing and Transformation DVD This 48-minute DVD was developed to introduce the recovery model to veterans with mental illness, family members and significant others, and medical center staff. The program illustrates the dimensions of recovery through veteran-consumer testimonials and a simulated community meeting. Additional online resources are identified in the credits. This project was produced by mental health staff and veteran consumers at 4 medical centers (Houston, Biloxi, Dallas, Little Rock). The DVD was developed by Quang (Charlie) X. Nguyen, Ph.D., Michael E. DeBakey VA Medical Center, Houston and many others.
Recovery: The Culture of Change A powerpoint available and lecturer available for the changes from current practice to a recovery-oriented system of care.
Relaxation Enhancement Therapist Manual & Stress-for-Less Patient Manual This is a step-by-step guide for teaching relaxation skills using breathing control, muscle relaxation, and guided imagery in a group format. Relaxation logs and instructions for audio recording personal relaxation tapes are included. The manuals were developed by C. Laurel Franklin, Ph.D.; Shelia Corrigan, Ph.D.; Stephanie Repasky, Psy.D.; Karin E. Thompson, Ph.D.; Madeline Uddo, Ph.D.; & Jessica Walton, MS; Southeast Louisiana Veterans Health Care System, New Orleans.
Resilience to Trauma DVD This 3-part DVD depicts World War II ex-Prisoners of War describing their internment experiences and life after captivity. This visually engaging program is intended to communicate to veterans of all eras and to the general public that people can and do cope after horrific events. The DVD was developed by Wright Williams, Ph.D.; Michael E. DeBakey VA Medical Center, Houston.
Safety Plan Treatment Manual to Reduce Suicide Risk: Veteran Version The Safety Plan Manual is a clinician resource which helps to outline a prioritized list of coping strategies and sources of support Veterans can use who have been deemed to be at high risk for suicide. Veterans can use these strategies before or during a suicidal crisis. The plan is brief, is in the Veteran's own words,and is easy to read.
Serving Those Who Have Served: Educational Needs of Health Care Providers Working with Military Members, Veterans, and Their Families Report of a recently completed web-based survey of Mental Health and Primary Care professionals.
Short Breathing Relaxation Exercise This handout leads the reader through a simple, six step, breathing relaxation exercise.
Suicide Assessment and Prevention (Dialectical Behavioral Therapy) Powerpoint and lecture about implemented Dialectical Behavioral Therapy in VA.
Suicide Assessment and Prevention (Risk Assessment Template) Risk assessment template designed for CPRS along with associated reference materials, guide to use, and sample questions for each item on the risk assessment.
Suicide Assessment and Prevention (Training Materials) Variety of materials on website for presentations on risk assessment, psychopharmacology, training of staff members, lay-population, and families of veterans about suicide.
Suicide Attempt Survivor Family Resource Guide Resource guide for families with a member who has attempted suicide and survived; resource guide related to self-care, care for others (particularly children), and care for the suicide attempt survivor.
Suicide Pocket Card Small pocket sized card promoting suicide prevention.
Suicide Prevention (DVDs from Evidence-Based Interventions for Suicidal Persons Conference) A 4-DVD set* containing presentations from the June 2006 Evidence-Based Interventions for Suicidal Persons Conference held in Atlantic City, NJ, a collaboration of the VISN 3, VISN 4, and VISN 19 Mental Illness Research, Education, and Clinical Centers (MIRECCs), the VISN 2 Center of Excellence (COE), the Department of Veterans Affairs Employee Education System, and the Chesapeake Health Education Program, Inc. (CHEP). The DVDs include national leaders in the areas of Pharmacologic Interventions (Herbert Meltzer, J. John Mann), the Consumer Perspective (Fred Frese), Interpersonal Psychotherapy (Mark Miller), Dialectical Behavior Therapy (Beth Brodsky) and Cognitive Behavioral Therapy/Latest Research Findings (Gregory Brown, Amy Wenzel). *A single DVD containing only the Consumer Perspective (Fred Frese) is also available.
Support and Family Education (SAFE) Program Manual-Revised An 18-session workshop and resource guide for educating families of veterans with chronic mental illness. Very helpful if starting family services for first time. Developed by Michelle Sherman, Ph.D.; Oklahoma City VA Medical Center. It is also available for downloading at w3.ouhsc.edu/safeprogram. An Appendix on implementing the SAFE Program in a rural area or VA Community Based Outpatient Clinic (CBOC) is now available.
Supporting Information Guide These organizations provide unique resources for veterans: Vet Centers, Veterans Benefits Administration, Suicide Prevention Hotline, National Center for PTSD, Military Onesource, Deployment Health Clinical Center, VA forms, Transition Assistance Advisors. This guide supports the web-based video: Face of the New Veteran: Operation Enduring/Iraqi Freedom (OEF/OIF) located at the V6 MIRECC website.
Targeting in Schizophrenia (in Newsday) An introduction to novel hypotehsis for the pathogenesis of schizophrenia: the myelin hypothesis. This discover was made by researchers in the VISN 3 MIRECC, confirmed in other labs, and is a promising hypotehsis for the generation of new assessment and treatment modalities.
The Combating Civilian: Suicide Risk Factors in Combat Veterans A PodCast featuring Lisa Brenner Ph.D. ABPP(rp) The International Program of Psycho-Social Health Research (IPP-SHR) recently interviewed Dr. Brenner regarding an article she co-authored A Qualitative Study of Potential Suicide Risk Factors in Returning Combat Veterans (Brenner, L., Gutierrez, P., Cornette, M., Betthauser, L., Bahraini, N., Staves, P. (2008) Journal of Mental Health Counseling, 30(3):211-225).
The Pathways Inventory: Vocational Services Despite society's investment in Vocational Rehabilitation (VR) services, only a fraction of the eligible adults who have vocational problems participate in those services, and those who do often enter after substantial delays. Many drop out before successful completion. Little is known about the reasons for low rates of entry and high rates of dropout for eligible adults with mental illnesses. One way to explore the process of entry and participation in VR is to use a pathways-to-care analysis. Pathways-to-care or help seeking pathways refer to the sequence of contacts by which persons with clinical needs, and their significant others, access help for those clinical needs (Rogler & Cortes, 1993). The Pathways Inventory is a semi-structured interview used to determine: (1) the steps taken in entering care for vocational problems; (2) length of delay between onset of the vocational problem and the steps taken toward entering care; and (3) supports and barriers for successful completion of those steps. The Pathways Inventory was adapted and validated by staff of the New England MIRECC from other research procedures used in pathways-to-care studies. To insure accuracy, there is a memory formation section at the beginning of the interview which is designed to identify dated reference points in the participants life that can then be used to corroborate later responses. At the end of the interview, the interviewer summarizes the steps and dates of the pathways-to-care and asks the participant to review and revise their responses. The interviewer is also asked to rate the degree to which the participant appeared to understand the questions and appeared motivated to give accurate answers. The Pathways Inventory is one of the few procedures for collecting pathways-to-care data which has documented evidence supporting its validity and reliability. In a study examining pathways-to-care for older adults with cognitive impairment, the dates and step responses were more consistent with consensus decisions than medical chart review or questionnaire data (Drebing et al., 2004), with a summary agreement level between the consensus and Pathways Inventory reaching 77%. Drebing, C.E., Movitz, R., Lyon, P., McCarty, E., Harden, L. & Herz, L. (2004). Documenting Pathways to Care: Relative Validity of Questionnaire, Interview, and Medical Record Data. American Journal of Alzheimers Disease and Other Dementias, 19(3), 187-197. Rogler, L.H. & Cortex, D.E. (1993). Help-seeking pathways: A unifying concept in mental health care. American Journal of Psychiatry, 150, 554-560.
The Technology Model: An Introduction to Psychotherapy Research in Substance Abuse This product includes a manual for clinicians and researchers which focuses on the methods and models currently used to evaluate the effectiveness of psychosocial treatments. The core elements of the Technology Model include: specification of treatment in manuals; selection, training, and supervision of therapists; and monitoring of treatment delivery to assess adherence and competence.
The Thalamus and Schizophrenia Paper A review of research on the thalamus in schizophrenia. Includes discussion of Dr. William Byne's work in that area done with the support of the MIRECC and the VA Merit. View of research on the thalamus and schizophrenia which includes work done under the auspices of the VISN 3 MIRECC.
The VA Ace Card The purpose of ACE is to help Veterans, their family members and friends learn that they can take the necessary steps to get help. The acronym ACE (Ask, Care, Escort) summarizes the steps needed to take an active and valuable role in suicide prevention.
TIP 50 Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment This training DVD is based on the Center for Substance Abuse Treatment at SAMHSA's manual and provides substance abuse counselors and superviors practical ways to assess and treat high-risk clients. A core strategy called "GATE": Gather Information, Access Supervision, Take Action and Extend the Action is outlined.
Training Video-Implmentating Family Psychoeducation This is a 90 minute educational and training video provides an introduction to family psychoeducation for serious mental illness and strategies for implementation within the VA health system. This project was an EES developed project orinally airing on May 15, 2007, and featured contributors from the MIRECCs of VISN 4, 5, and 22. A DVD duplicated from the original program is available.
Traumatic Axonal Injury: Atlas of Major Pathways Short review article from the "Windows to the Brain" series published in the Journal of Neuropsychiatry and Clinical Neurosciences. Dr. Robin Hurley (VISN 6 MIRECC Associate Director, Education) and Dr. Katherine Taber (VISN 6 MIRECC Assistant Director, Education) are the Contributing Editors for this series.
Traumatic Axonal Injury: Novel Insights Into Evolution and Identification Short review article from the "Windows to the Brain" series published in the Journal of Neuropsychiatry and Clinical Neurosciences. Dr. Robin Hurley (VISN 6 MIRECC Associate Director, Education) and Dr. Katherine Taber (VISN 6 MIRECC Assistant Director, Education) are the Contributing Editors for this series.
Traumatic Brain Injury and Suicide: Information and Resources for Clinicians - Brochure This 2 page (front and back) brochure briefly explores the relationship between TBI (Traumatic Brain Injury) and Suicide.
Traumatic Brain Injury: A guide for patients. This 13 page handout (provided by the CogSMART program of the VA San Diego Healthcare System) has detailed information about causes of TBI, as well as how it is diagnosed, and it's symptoms and treatments. It also includes suggestions for managing some common symptoms.
Treating Chronic Pain in Substance Abusing Patients: An Interactive Primer on CD This is a comprehensive, interactive primer on managing chronic pain in substance abusing patients, including medication pocket guides and assessment and intervention resources. The CD was developed by Gabriel Tan, Ph.D.; Deacon Staggs, MD; Serena Chu, Ph.D.; Bilal F. Shanti, MD; Quang (Charlie) Nguyen, Ph.D.; Jaime Rhudy, Ph.D.; Rebecca Kayo, Ph.D.; Mobeen N. Choudhri, MD; John Ramirez; Michael E. DeBakey VA Medical Center, Houston.
Twelve-Step Facilitation Therapy for Drug Abuse and Dependence This product includes a manual and videotape for clinicians and researchers which provide an introduction to the theory and techniques for Twelve Step Facilitation Treatment for substance use disorders. This is a treatment based on the AA recovery model and is meant to complement ongoing and lifelong participation in 12 step programs. The manual provides detailed description of treatment strategies, and the videotape provides an overview illustrated with clinical vignettes.
Us and Them: The Experience of Mental Health Stigma presentation This PowerPoint program on CD and manual provides a facilitator-guided presentation for a medical center staff to challenge their beliefs about mental illness and promote greater sensitivity. The presentation was developed by Michelle Sherman, Ph.D.; Oklahoma City VA Medical Center, OKlahoma City.
VA Staff Resource Guide Includes a select set of resources with telephone numbers or web links to assist staff in working with OEF/OIF veterans. This guide was developed to accompany the web-based video: Face of the New Veteran: Operation Enduring/Iraqi Freedom (OEF/OIF)available at the V6 MIRECC website.
VA Staff Resource Guide Includes a select set of resources with telephone numbers or web links to assist staff in working with OEF/OIF veterans. This guide was developed to accompany the web-based video: Face of the New Veteran: Operation Enduring/Iraqi Freedom (OEF/OIF) available at the V6 MIRECC website.
Vet to Vet Program Vet-to-Vet is a peer support group model that was developed by Moe Armstrong, a veteran and well-recognized leader in the national peer support movement. The Vet-to-Vet groups are facilitated by trained peer support providers who are generally volunteers, and the groups operate in VA and non-VA settings across the United States. Vet-to-Vet has an educational focus and the groups follow a read-and-discuss format with recommended reading materials. The six topic areas for reading and discussion include: Disability Awareness; Disability Pride; Recovery Workshop; Writers Meeting; Wellness; and Mental Illness Anonymous. The New England MIRECC provides administrative support for the monthly national Vet-to-Vet teleconference as well as the Vet-to-Vet Program website.
Veteran Health Administration(VHA) Veteran Family Firearm Safety Initiative This website outlines the VISN 2 Center of Excellence Family Firearm Safety Program
Veteran Parenting Toolkit Five sets of age-specific parenting materials for young Veteran parents and their partner. Available at www.ouhsc.edu/vetparenting/ Developed by Michelle Sherman, Ph.D.; Ursula B. Bowling, Psy.D; Jeffrey Anderson, Ph.D.; and Karen Wyche, Ph.D.; Oklahoma City VA Medical Center.
Veteran Suicide Risk: The Role of Traumatic Brain Injury and Post-Traumatic Stress Disorder Peter M Gutierrez, Ph.D. . May 29, 2008 (Windows Media Player file - movie). Teaching the public and health care professional about suicidality in veterans.
Veterans & Families Resource Guide Includes a select set of programs with telephone numbers or websites to support OEF/OIF veterans and their family members. This guide was developed for staff to print and give to their patients. It is supportive material for the web-based video entitled: Face of the New Veteran: Operation Enduring/Iraqi Freedom (OEF/OIF) located at the V6 MIRECC website.
Veterans Helping Veterans: Key Insights for PTSD Recovery CD This is a 23-minute audio CD to promote treatment involvement and adherence via testimonials by combat veterans in PTSD treatment. Very moving. The CD was developed by Kathleen O. Reyntjens, Ph.D.; Leslie Root, Ph.D.; Gulf Coast VA Healthcare System, VA Medical Center, Gulfport.
Women Veteran's and Suicide Web Based Training The intent of this training is to supplement the Suicide Risk Management Training for Clinicians by providing gender related information important to the assessment and prevention process for women Veterans who may be at risk for suicide. The course content includes: Background of the problem women Veterans and suicide; Information related to gender differences in suicide; Information about the characteristics of female Veterans as compared to the general female population; An overview of general female statistics Veteran vs. non-veteran; Information related to risk factors for suicide; Information about protective factors; A brief overview of clinical interventions/treatment options; Information about associative concerns military sexual trauma(MST) and Post Traumatic Stress Disorder (PTSD); Information about myths and misinformation; Information regarding safety plans and relevance to suicide prevention.
Yale Adherence and Competence Scale (YACS) Guidelines This product includes a manual and videotape on psychotherapy efficacy research methods. The manual includes general guidelines for rating adherence and competence of treatment delivery as well as specific items and rating guidelines developed for assessment, general support, goals for treatment, and supplemental items. Rating guidelines are also included for specific treatments such as Clinical Management; Twelve Step Facilitation; and Cognitive Behavioral Treatment.

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This website is for educational purposes only.  If you are looking for professional medical care, find your local VA healthcare center by using the  VA Facilities Locator & Directory.

The VA has founded a national suicide prevention hotline to ensure veterans in emotional crisis have free, 24/7 access to trained counselors. Veterans can call the Lifeline number, 1-800-273-TALK (8255), and press "1" to be routed to the Veterans Hotline; you can also visit their website for more information.

Contact the National MIRECC Education Group at mireccinfo@med.va.gov with questions about the MIRECC program.

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