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MIRECC/CoE Educational Products

National Mental Illness Research Education Clinical Centers

MIRECC Educational Products

All Educational Products as of 1/18/2019

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Click on Product Name for Details; Total Products = 181
Product Description
A Nurse-Delivered Brief Motivational Intervention for Women Who Screen Positive for Tobacco, Alcohol, or Drug Use: An Intervention Manual for Project START (Screening To Augment Referral and Treatment) This manual has been written to guide a nurse’s delivery of a brief motivational intervention for women who screen positive for tobacco, alcohol, or drug use in reproductive health care centers. The intervention is part of an overall approach called Screening, Brief Intervention, and Referral to Treatment(SBIRT) that is being implemented as part of a National Institute on Drug Abuse funded grant called Project START (Screening To Augment Referral and Treatment). The manual describes how the study nurse will intervene with women who are using tobacco, drinking in harmful or hazardous ways, misusing prescribed medications, or using illicit drugs to: (1) motivate them to stop using these substances or to reduce their use to less problematic or prescribed levels; and (2) refer them to treatment services. Treatment services for the purposes of this project include formal substance abuse treatment programs, self-help or 12-step programs, health care providers, and medication management.
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.
A Veteran’s Guide to Talking with Kids about PTSD This pamphlet can be used independently by a Veteran or in conjunction with a therapist as part of a therapy group, class, or workshop. This resource is honest, yet gentle in encouraging Veterans to consider their hopes and fears in talking with their kids about PTSD. Parents’ strengths are emphasized, and readers are encouraged to draw upon support from family members, friends, other Veterans, and mental health professionals. Numerous interactive activities are offered throughout the pamphlet to encourage reflection and personalizing the information. Quotes from participants in the Veteran focus groups and interviews are also included. This resource is rooted in a recovery approach and instills hope in Veteran parents, both for themselves and their children.
Acceptance and Commitment Therapy for PTSD Patient Manual This product is designed to aid clinicians in implementing a 10-week acceptance and commitment therapy group for Veterans with trauma-related disorders. It includes a clinician manual with detailed session-by-session guidelines and a Veteran Handbook that includes notes and homework assignments. The manual offers specific guidance in utilizing the ACT framework to introduce Veterans to exposure therapy.
Acceptance and Commitment Therapy for PTSD Therapist Manual This product is designed to aid clinicians in implementing a 10-week acceptance and commitment therapy group for Veterans with trauma-related disorders. It includes a clinician manual with detailed session-by-session guidelines and a Veteran Handbook that includes notes and homework assignments. The manual offers specific guidance in utilizing the ACT framework to introduce Veterans to exposure therapy.
Acceptance and Commitment Therapy: An Animated Review Six brief videos walk learners through the ACT Hexaflex, illustrating the core processes of psychological flexibility: acceptance, defusion, self as context, contact with the present moment, values, and committed action. The videos are available on the VA Talent Management System and also available on YouTube at : https://www.youtube.com/user/VeteransHealthAdmin/featured. Developed by Stephanie Goins, LCSW; Matthew Boone, LCSW, North Little Rock VA Medical Center, AR.
ACCESS Manual for Managing Physical and Emotional Issues of Chronic Illness Clinician Manual This therapist guide and patient workbook are products of the Adjusting to Chronic Conditions with Education, Support and Skills (ACCESS) research study examining the effectiveness and implementation of a psychosocial intervention to address the physical and emotional issues faced by chronically ill patients. ACCESS involves six active treatment sessions (weekly meetings of 45-60 minutes for session 1, and 30-45 minutes for sessions 2-6). Content in sessions 3-6 is flexible, allowing the flexibility to spend more than one session on focused skills, as needed. Follow-up booster sessions (10-to15-minute phone calls) are used to help solidify changes over time. The length of the total treatment (active treatment and boosters) is 16 weeks. Developed by Jeffrey A. Cully, PhD; Melinda A. Stanley, PhD; Michael R. Kauth, PhD; Aanand Naik, MD; & Mark E. Kunik, MD; Michael E. DeBakey VA Medical Center, Houston, TX.
ACCESS Manual for Managing Physical and Emotional Issues of Chronic Illness Patient Workbook This therapist guide and patient workbook are products of the Adjusting to Chronic Conditions with Education, Support and Skills (ACCESS) research study examining the effectiveness and implementation of a psychosocial intervention to address the physical and emotional issues faced by chronically ill patients. ACCESS involves six active treatment sessions (weekly meetings of 45-60 minutes for session 1, and 30-45 minutes for sessions 2-6). Content in sessions 3-6 is flexible, allowing the flexibility to spend more than one session on focused skills, as needed. Follow-up booster sessions (10-to15-minute phone calls) are used to help solidify changes over time. The length of the total treatment (active treatment and boosters) is 16 weeks. Developed by Jeffrey A. Cully, PhD; Melinda A. Stanley, PhD; Michael R. Kauth, PhD; Aanand Naik, MD; & Mark E. Kunik, MD; Michael E. DeBakey VA Medical Center, Houston, TX.
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 and/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 individual’s income by having the client go to the money manager to access his/her funds. ATM has three parts: Teller Function: The money manager helps a client manage money in his/her 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. Training Function: The money manager helps the client learn to budget his/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 as well as 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. 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 manager’s 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. The following ATM information may be downloaded directly from the VISN 1 MIRECC web pages: ATM Therapist Manual: The manual provides an overview of the ATM therapy model and includes strategies for engaging clients in ATM as well as descriptions of how to conduct the ATM therapy sessions. ATM Training Materials: The manual contains interactive exercises to make learning ATM interesting. It also contains nuts-and-bolts information about how to deliver ATM. Additional ATM materials can be found on http://www.behaviorchange.yale.edu: Managing Program Accounts: The template can be downloaded and used to start a program to store client funds. ATM Film: In this 15-minute film, Drs. Marc Rosen and Robert Rosenheck speak about how ATM was developed, therapists describe how to conduct ATM, and one individual describes her experience in ATM. Assessment Instruments: The website has links to instruments to assess money mismanagement such as Structured Clinical Interview for Money Mismanagement (S.C.I.M.M.) 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.
After the Dust Settles TBI Assessment DVD This 55-minute instructional DVD demonstrates basic techniques to help clinicians recognize a history of combat-related mild traumatic brain injury, assess current symptoms, and provide feedback to the Veteran regarding the assessment results. The mock interview is separated into three chapters and punctuated with teaching moments. This program may be especially helpful to clinicians in rural areas or areas where Veterans may have difficult assessing specialty care for mild brain injury. Copies of the DVD have been distributed to VISN 16 medical centers and community-based outpatient centers. Developers: Kimberly Arlinghaus, MD and Nicholas Pastorek, MD. Houston VA Medical Center.
Anger Management Handouts Handouts to accompany the 8-session cognitive-behavioral workbook for group treatment. Great for a new group. Developed by Eddy White, LCSW; Fayetteville VA Medical Center, AR.
Anger Management Instructor Guide An 8-session cognitive-behavioral workbook for group treatment. Great for a new group. Developed by Eddy White, LCSW; Fayetteville VA Medical Center, AR.
Anger Management Patient Guide An 8-session cognitive-behavioral workbook for group treatment. Great for a new group.
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.
Behavioral Medicine Management of Irritable Bowel Syndrome: A Referral Toolkit for Gastroenterology Providers This toolkit is intended to help gastroenterology providers identify the best candidates for behavioral medicine services and provide guidance for the referral process. Published 6/2018
Benefits Counseling Benefits counseling was developed to assist Veterans as they apply for disability benefits. Benefits counseling uses motivational interviewing methods to encourage Veterans to work and/or engage in vocational rehabilitation. As prescribed in motivational interviewing, the benefits counselor adopts a supportive, empathic stance to help Veterans explore ambivalence about working. The counselor will explain that working does not invariably lead to loss of benefits. The benefits counselor will help Veterans identify other barriers to working and develop a plan to address them. Benefits counseling consists of four one-hour sessions: an initial session around the time of the Compensation and Pension evaluation; two sessions during the next two weeks; and a final session after the Veterans Benefits Administration makes a determination on the Veteran’s application for disability. The goal of benefits counseling is to foster involvement in work and vocational rehabilitation. The following benefits counseling information may be downloaded directly from the VISN 1 MIRECC web pages: Benefits Counseling Manual--The manual includes: an overview of benefits counseling; explanation of motivational interviewing principles used in benefits counseling; recommended techniques for the benefits counselor to use; and a session-by-session breakdown with activities and worksheets. Session Activity Worksheets: Session #1’s activities include using the Personal Values Activity and Personal Values Ranking Worksheet. Session #2’s activities include using the Action Plan and Work Attitudes Decisional Balance Worksheets. Session #3’s activities include using the Financial Goals and Monthly Budget Worksheets.
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.
Calmer Life Program Clinician Intervention Manual The Calmer Life Clinician Manual is a guide for providing individual mental health counseling to adults 50 years and older with worry and stress. This intervention is intended to be provided through community or faith-based organizations that offer mental health counseling. Staff with a background providing interventions for mental health or who have access to supervision of a mental health expert are qualified to provide the intervention. Providers should also be aware of the crisis procedures for their agencies or organizations. Published 10/2018.
Calmer Life Program Enhanced Community Care Template The Enhanced Community Care (Information and Resource Counseling) template assists organizations in creating a list of local resources that can be used to provide telephone based information about community resources to address worry/stress and basic needs and offer follow-up support. Information and Referral specialists, options counselors, community health workers, health educators, and social service providers housed in senior housing with service coordinators or community or faith-based organizations that provide Information and resource counseling would benefit from this tool. Providers should also be aware of the crisis procedures for their agencies or organizations. Published 10/2018.
Calmer Life Program Participant Workbook The Calmer Life Participant Workbook may be used to accompany the Clinician Intervention Manual or may be used as a self-help resource. It contains modules addressing topics related to worry/stress, instructions for practicing skills used to reduce worry/stress, and records for participants to track their worry/stress and skills practice. The workbook can be distributed through community or faith-based organizations regardless of whether they offer mental health counseling. Published 10/2018
Calmer Life Workshop Curriculum - Bingo Cards This curriculum addresses mental health topics (in particular, worry/anxiety and depression) in older adults and is intended for delivery to groups of older adults reached through their participation in faith-based groups, health education coalitions, senior centers, community agencies, and senior housing units. The content is designed to be delivered by community health workers, health educators, social service providers, and volunteers with effective group presentation skills. The curriculum includes content for four sessions with each session including PowerPoint presentation on worry and stress, handouts, and a guide for presenters. Developed by Fallon Keegan, BA, Jose Cortes, BA, Carolyn Sneed, Anette Ovalle, BA, Kerstin Hollan, BA, Srijana Shrestha, PhD, Nancy L. Wilson, MSW, and Melinda A. Stanley, PhD; Houston, TX. Published 3/2018.
Calmer Life Workshop Curriculum - Manual This curriculum addresses mental health topics (in particular, worry/anxiety and depression) in older adults and is intended for delivery to groups of older adults reached through their participation in faith-based groups, health education coalitions, senior centers, community agencies, and senior housing units. The content is designed to be delivered by community health workers, health educators, social service providers, and volunteers with effective group presentation skills. The curriculum includes content for four sessions with each session including PowerPoint presentation on worry and stress, handouts, and a guide for presenters. Developed by Fallon Keegan, BA, Jose Cortes, BA, Carolyn Sneed, Anette Ovalle, BA, Kerstin Hollan, BA, Srijana Shrestha, PhD, Nancy L. Wilson, MSW, and Melinda A. Stanley, PhD; Houston, TX. Published 3/2018.
Calmer Life Workshop Curriculum - Slides This curriculum addresses mental health topics (in particular, worry/anxiety and depression) in older adults and is intended for delivery to groups of older adults reached through their participation in faith-based groups, health education coalitions, senior centers, community agencies, and senior housing units. The content is designed to be delivered by community health workers, health educators, social service providers, and volunteers with effective group presentation skills. The curriculum includes content for four sessions with each session including PowerPoint presentation on worry and stress, handouts, and a guide for presenters. Developed by Fallon Keegan, BA, Jose Cortes, BA, Carolyn Sneed, Anette Ovalle, BA, Kerstin Hollan, BA, Srijana Shrestha, PhD, Nancy L. Wilson, MSW, and Melinda A. Stanley, PhD; Houston, TX. Published 3/2018.
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
Collaborative Safety Planning For Older Adults Manual A brief manual for VA staff members. It is a collection of best practices and practical tips for safety planning, with a focus on issues that are common in older adult patients. This collaborative approach will increase the quality of safety plans and the likelihood that they will be understood and used by Veterans.
Collaborative Safety Planning for Older Adults Wallet Card A wallet card for VA staff members to be used in conjunction with the Collaborative Safety Planning for Older Adults Manual. The manual is a collection of best practices and practical tips for safety planning, with a focus on issues that are common in older adult patients. This collaborative approach will increase the quality of safety plans and the likelihood that they will be understood and used by Veterans.
Collaborative Safety Planning for Older Veterans Video Elizabeth Conti, PhD and Rhonda London, DNP provide an in-depth overview of safety planning and the manual
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.
Cómo hablar con un hijo de 14 a 18 años acerca de un intento de suicidio en la familia This is the Spanish version of 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 child’s level of development and ability to understand events when deciding how to talk with them about this issue.
Cómo hablar con un hijo de 4 a 8 años acerca de un intento de suicidio en la familia Our Spanish version of 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 child’s level of development and ability to understand events when deciding how to talk with them about this issue.
Cómo hablar con un hijo de 9 a 13 años acerca de un intento de suicidio en la familia This is the Spanish version of 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 child’s level of development and ability to understand events when deciding how to talk with them about this issue.
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 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.
Dialectical Behavior Therapy: A Visual Review. Video training on DBT program modules (individual therapy, group therapy, consultation team, and phone coaching) and skills (mindfulness, interpersonal effectiveness, distress tolerance, and emotion regulation). It is geared towards mental health clinicians who would like to learn more about DBT or enhance their current DBT practices. The training can also be viewed by clients or used during individual or group DBT therapy to provide psychoeducation.
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. Download the Brochure: http://www.mirecc.va.gov/VISN16/docs/sc_mirecc_depression_brochure.pdf Download the Flyer: http://www.mirecc.va.gov/VISN16/docs/sc_mirecc_depression_flyer.pdf
Discontinuing Your Medication for Depression Patient Flyer A brief take-home guide for patients who are discontinuing their antidepressants. Content covers withdrawal symptoms and warnings of signs of returning depression. Developed by JoAnn Kirchner, MD; Kathy Henderson, MD; Maga Jackson-Triche, MD; and VISN 16 Mental Health Product Line.
Driving and Dementia: Hanging up the Keys Cognitive disorders gradually affect a person’s ability to take care of him or herself, first with instrumental activities of daily living such as shopping, maintaining finances, and driving, and later with activities of daily living such as grooming and feeding. Providing care for people with dementia can be intellectually and emotionally demanding. As the abilities of individuals with dementia change, so do their needs and the needs of their caregivers. As a part of PACERS (Program for Advancing Cognitive Disorders Education for Rural Staff), with funding from the VA Office of Rural Health and in collaboration with the VA Employee Education System, Drs. Geri Adler and Ali Asghar-Ali developed a training video to help providers and Veterans and their caregivers to help address driving for those with dementia. This video, "Driving with Dementia: Hanging Up the Keys," helps providers identify and address driving and can also be used to educate families and Veterans and provide strategies about stopping driving.
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
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.
Get Moving and Get Well (GMGW) Facilitator Manual GMGW was developed for Veterans living with psychotic disorders, major depression, bipolar disorder, or severe PTSD who have difficulty identifying and making use of opportunities for physical activity. This wellness program is designed to be delivered in 60-minute classes scheduled twice a week for 12 weeks. GMGW participants engage in walking, dancing, and stretching activities.Class topics include benefits of physical activity, neighborhood walkability, physical pain, the relationship between physical activity and mood, using pedometers, and safety tips. A 12-week follow-up cycle of the class is focused on community integration.
Gun Cable Lock with Veterans Crisis Line Phone Number Printed on it This is a steel cable gunlock. When in proper use in an unloaded pistol, revolver, shotgun or rifle, the lock prevents the firearm's action from closing. The device meets the requirements of the American Society for Testing and Materials and the California Department of Justice. Each cable gun lock comes with an instructional brochure.
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.
HERO (Healthy Emotions and Improving Health Behavior Outcomes) Clinician Manual The HERO program is a participant-centered integrated behavioral health treatment to improve psychological symptoms, health behaviors, and weight management among obese Veterans with coexisting emotional distress. It includes a clinician manual and Veteran workbook, has six core and two elective sessions, is personalized and accessible, and includes scripts for clinicians to assist with teaching skills in the workbook.
HERO (Healthy Emotions and Improving Health Behavior Outcomes) Veteran Workbook The HERO program is a participant-centered integrated behavioral health treatment to improve psychological symptoms, health behaviors, and weight management among obese Veterans with coexisting emotional distress. It includes a clinician manual and Veteran workbook, has six core and two elective sessions, is personalized and accessible, and includes scripts for clinicians to assist with teaching skills in the workbook.
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 Educational Needs Fit Within Veterans Health Administration Compensated Work Therapy’s Mission and Programming—Why Should We Care? Traditionally, educational needs have not been the focus of rehabilitation services in the Veterans Health Administration (VHA) Compensated Work Therapy (CWT) Programs. CWT Programs have focused primarily on improving the vocational functioning of all Veteran participants. This PowerPoint presentation focuses on how education has a role in raising the potential vocational functioning of Veterans and the importance of reviewing whether educational needs should become more of a focus for CWT programming.
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.
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.
Informacion y Apoyo para los Sobrevivientes del Suicidio: Guia de Recursos del Departamento de Veteran Affairs para las familias que esten lidiando con el suicidio Updated: 15 November 2012. This is the Spanish version of the resource guide related to self-care, care for others (particularly children), and care for the suicide attempt survivor.
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.
LifeGuard, Operation: Coming Home Website Just as you receive training before you engage in any mission-oriented task, this tool prepares you for the most important mission of all – the mission of Coming Home. This website is dedicated to helping returning Veterans reintegrate into their communities and families. VA LifeGuard gives Veterans and their family members an opportunity to experience five skills that help them respond to their thoughts, feelings, and memories that occur on a daily basis. We thank our service members and their families for their sacrifice and dedication to our country. We offer the this educational material as our way of showing appreciation for all that you and your families have done.
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.
Living with Purpose: A Guide for Getting More Out of Each Day Manual This patient workbook is designed to complement formal treatment for depression. The workbook uses a behavioral activation approach to get Veterans more active and more involved in pleasurable activities. Download the Living with Purpose Manual at http://www.mirecc.va.gov/VISN16/docs/Living_With_Purpose.pdf Download the Living with Purpose Provider Brochure at http://www.mirecc.va.gov/VISN16/docs/Living_With_Purpose_Provider_Brochure.pdf
Living with Purpose: A Guide for Getting More Out of Each Day Provider Brochure This patient workbook is designed to complement formal treatment for depression. The workbook employs a Behavioral Activation approach to get Veterans more active and more involved in pleasurable activities. Natalie Hundt, PhD; Maria Armento, PhD; Jeff Cully, PhD; Michael E. DeBakey VA Medical Center, Houston, TX. 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.
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.
Multi-Setting Peaceful Mind: A Manual to Aid in the Management of Anxiety in Veterans with Memory Impairment The easy-to-follow manual outlines an evidence-supported cognitive behavioral therapy (CBT) treatment for anxiety with older adults with dementia. The manual includes helpful worksheets for patients. This product was developed by Cynthia A. Kraus-Schuman, Ph.D., Nancy Wilson, MA, MSW; Whitney A. McCray, LCSW; Jessica Calleo, PhD; Carmen Spain, RN; Mark E. Kunik, MD, MPH; and Melinda A. Stanley at the Houston VA Medical Center.
New England MIRECC Peer Education Center As the VA health care system began hiring Peer Support Technicians and, more recently, Peer Specialists, many questions arose regarding the peers’ roles, responsibilities, and types of training they require for their roles in VA. In 2008, the VISN 1 New England MIRECC developed the New England MIRECC Peer Education Center which offers free ongoing training opportunities for Veterans who want to become peer support providers as well as Veterans who are providing peer support services in the VA health care system as volunteers, Without Compensation Employees, VA-employed Peer Support Technicians, or VA-employed Peer Specialists. The goals of the training sessions are to enhance peer support providers’ knowledge and further development of skills that will aid them in their roles within the VA health care system. The mission and purposes of this center are consistent with VA’s goal of ensuring that training needs for VA peer support providers are being met. The center’s practice of clinical staff and peer support providers partnering in the planning and facilitation of trainings can serve as a role model for similar partnerships between clinical staff and peer support providers in health care service delivery in the VA system. In furtherance of this modeling, the center’s co-directors are a clinical psychologist and a VA-employed Peer Support Technician who is a Veteran and has a key leadership role in all of the center’s operations. The New England MIRECC Peer Education Center has offerings in both an Introductory Track and a Continuing Education Track to serve the needs of current and future VA peer support providers. The training offerings cover a variety of topics, and each session is structured to promote knowledge acquisition and skill enhancement related to mandatory competencies expected of VA peer support providers. Experiential activities are often included to allow participants to practice applicable skills and receive feedback. Continuing education credits are awarded for every face-to-face training for peer support providers. Here is a sample of some of the training offerings from the center that include materials that can be downloaded from the VISN 1 MIRECC web pages: Confidentiality & Peer Support Services: This seminar focuses on discussing strategies to maintain confidentiality, why maintaining confidentiality is important in peer support relationships, limitations of confidentiality, and guidelines for what to do in challenging situations where an issue of confidentiality is at stake. Downloadable Materials: PowerPoint Presentation and Vignettes for Group Discussion Disengaging from Peer Support Relationships: This seminar discusses the necessity and value of ending peer support relationships and also discusses when and how to engage in the ending process. Downloadable Materials: PowerPoint Presentation Part I of Group Facilitation Skills Training Series: This workshop focuses on tips and guidelines for planning peer support groups and being a successful group facilitator. Participants have opportunities to practice their group facilitation skills and obtain feedback. Downloadable Materials: PowerPoint Presentation; Role Play Activities; Practice Exercise; and Practice Exercise Feedback Sheet Part II of Group Facilitation Skills Training Series—Dealing with Challenges in Groups: This workshop focuses on how to manage crises and disruptions in peer support groups and be a successful group facilitator. Participants have opportunities to practice their group facilitation skills and obtain feedback. Downloadable Materials: PowerPoint Presentation; Role Play Activities; Practice Exercise; and Practice Exercise Feedback Sheet Making Effective Use of Your Recovery Story in Peer Support Relationships: This seminar explores the importance of self-disclosure when providing peer support services to Veterans. The seminar addresses how a peer support provider’s personal recovery story can be an effective and powerful tool in instilling hope in others as they follow their own path of recovery, but also how it might become a potential barrier if not used effectively with the right goals in mind. Participants look critically at the differences between illness and recovery stories, and they learn the benefits and potential risks associated with sharing either an illness story or recovery story when providing peer support services. Participants also learn the essential components of an effective recovery story, and how a recovery story may be used in direct peer support work with Veterans as well as how it could be used when speaking to members of VA health care staff in different settings and/or when speaking to community groups. Downloadable Materials: PowerPoint Presentation and Session Activities Navigating Boundaries in Peer Support Services: This seminar discusses the importance of maintaining appropriate interpersonal boundaries and what boundaries look like when peer support providers interact with Veteran consumers, fellow peer support providers, and VA clinical staff members. Downloadable Materials: PowerPoint Presentation and Vignettes for Group Discussion Peer Support Provider Self-Care--Walking the Tightrope Between Helping Others & Maintaining Your Own Wellness: This seminar focuses on the dangers of compassion fatigue and burnout in caregiver roles and the importance of including a regular routine of self-care activities that enhance one’s wellness and sense of well-being when working as a peer support provider. Downloadable Materials: Presentation Handout and Session Activities Psychosocial Rehabilitation & Peer Support: This seminar presents an overview of psychosocial rehabilitation principles and values. Discussion focuses on how peer support services fit with the mission of psychosocial rehabilitation and recovery and why peer support providers are important to the role of recovery. Downloadable Materials: PowerPoint Presentation and Vignettes for Group Discussion Understanding Mental Health Symptoms from a Recovery Perspective: In this seminar, participants learn about medical model approaches and psychosocial rehabilitation approaches to addressing mental health conditions. They also learn about recovery-oriented interventions they can use as VA peer support providers to assist Veterans with mental health issues. Downloadable Materials: PowerPoint Presentation and Vignettes for Group Discussion
OCD and PTSD Fact Sheet This resource includes a fact sheet about the differential diagnosis between OCD and PTSD. Developed by Terri Fletcher, PhD, Melinda Stanley, PhD, Jan Lindsay, PhD, & Ellen Teng, PhD.
OCD and Related Disorders VA Pulse Page This VA Pulse Page is a place for mental health clinicians to ask questions about or find resources on the assessment and behavioral treatment of obsessive compulsive disorder (OCD) and related disorders. It discusses hoarding disorder, body dysmorphic disorder, excoriation disorder, trichotillomania, and obsessive compulsive personality disorder. VA Pulse can only be accessed by VA employees. Published 2018. Developed by Terri Fletcher, PhD, Melinda Stanley, PhD, Jan Lindsay, PhD, & Ellen Teng, PhD.
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
PACERS: Dementia and Delirium E-Learning Course - Non VA Providers Learn how to define delirium and dementia according to DSM-5 criteria, identify the signs, symptoms, evaluation, and treatment of delirium and dementia/dementia subtypes, and indicate differences between delirium and dementia. Program for Advancing Cognitive disorders Education for Rural Staff (PACERS) was developed to assist providers who are caring for patients with cognitive disorders in rural communities and also improve outcomes for Veterans and their caregivers. The program was funded by the VA Office of Rural Health.
PACERS: Dementia and Delirium E-Learning Course - VA Providers Learn how to define delirium and dementia according to DSM-5 criteria, identify the signs, symptoms, evaluation, and treatment of delirium and dementia/dementia subtypes, and indicate differences between delirium and dementia. Program for Advancing Cognitive disorders Education for Rural Staff (PACERS) was developed to assist providers who are caring for patients with cognitive disorders in rural communities and also improve outcomes for Veterans and their caregivers. The program was funded by the VA Office of Rural Health.
PACERS: Dementia and Driving E-Learning Course - Non VA Providers Learn how to identity the impact of dementia on driving, identify risk factors for unsafe driving, and indicate different approaches to assist drivers and their families with driving decisions. Program for Advancing Cognitive disorders Education for Rural Staff (PACERS) was developed to assist providers who are caring for patients with cognitive disorders in rural communities and also improve outcomes for Veterans and their caregivers. The program was funded by the VA Office of Rural Health.
PACERS: Dementia and Driving E-Learning Course - VA Providers Learn how to identity the impact of dementia on driving, identify risk factors for unsafe driving, and indicate different approaches to assist drivers and their families with driving decisions. Program for Advancing Cognitive disorders Education for Rural Staff (PACERS) was developed to assist providers who are caring for patients with cognitive disorders in rural communities and also improve outcomes for Veterans and their caregivers. The program was funded by the VA Office of Rural Health.
PACERS: Dementia Case Studies - VA Providers Learn how to apply the comprehensive assessment to a clinical scenario, describe a diagnosis of a specific type of dementia, and identify ways to support Veterans with dementia and their family after a diagnosis is made. Program for Advancing Cognitive disorders Education for Rural Staff (PACERS) was developed to assist providers who are caring for patients with cognitive disorders in rural communities and also improve outcomes for Veterans and their caregivers. The program was funded by the VA Office of Rural Health.
PACERS: Identifying and Assessing for Dementia E-Learning Course - Non VA Providers Learn how to identify dementia warning signs, describe potential benefits of making a dementia diagnosis, describe barriers to early diagnosis of dementia, list the different steps of the comprehensive assessment, identify five commonly used brief cognitive tools, and distinguish between dementia and other illnesses that may present with signs and symptoms similar to dementia. Program for Advancing Cognitive disorders Education for Rural Staff (PACERS) was developed to assist providers who are caring for patients with cognitive disorders in rural communities and also improve outcomes for Veterans and their caregivers. The program was funded by the VA Office of Rural Health.
PACERS: Identifying and Assessing for Dementia E-Learning Course - VA Providers Learn how to identify dementia warning signs, describe potential benefits of making a dementia diagnosis, describe barriers to early diagnosis of dementia, list the different steps of the comprehensive assessment, identify five commonly used brief cognitive tools, and distinguish between dementia and other illnesses that may present with signs and symptoms similar to dementia. Program for Advancing Cognitive disorders Education for Rural Staff (PACERS) was developed to assist providers who are caring for patients with cognitive disorders in rural communities and also improve outcomes for Veterans and their caregivers. The program was funded by the VA Office of Rural Health.
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.
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.
Playing It Safer Workbook Evaluation A 4-session behavioral skills-based group program to reduce HIV sexual risk. Good for Substance Abuse Treatment Programs. Developed by Dana Ross, PhD, MPH; and Randy S. Burke, PhD; G.V. “Sonny” Montgomery VA Medical Center, Jackson.
Playing It Safer Workbook Posttest A 4-session behavioral skills-based group program to reduce HIV sexual risk. Good for Substance Abuse Treatment Programs. Developed by Dana Ross, PhD, MPH; and Randy S. Burke, PhD; G.V. “Sonny” Montgomery VA Medical Center, Jackson.
Playing it Safer Workbook Pretest A 4-session behavioral skills-based group program to reduce HIV sexual risk. Good for Substance Abuse Treatment Programs. Developed by Dana Ross, PhD, MPH; and Randy S. Burke, PhD; G.V. “Sonny” Montgomery VA Medical Center, Jackson.
Pocket Guide for Clinicians for Management of Chronic Pain The “Pocket Guide for Clinicians for Management of Chronic Pain” was developed to help primary care clinicians and trainees gain a basic understanding of pain and facilitate early assessment and interventions. It gives a brief synopsis of the various aspects of pain management including the types of pain, neurobiology of pain, common medical and psychiatric co-morbidities and the essential elements of pain assessment. In addition, there is an overview of Stepped Care Model for Pain Management, and the various pharmacological and non-pharmacological interventions known to be effective for pain management. Guidelines for opioid safety and risk assessment, with an emphasis on harm reduction strategies are also outlined.
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.
Problem Gambling: Assessing for and Making Plans for Reduction The goal of this brochure is to make information available regarding the description of gambling problems, how to briefly assess for gambling problems, and what steps can be taken to curtail the further development and continuation of gambling problems. The brochure utilizes information from the Shortened South Oaks Gambling Screen as well as the DSM-5. This highly accessible and easily transportable information will not only allow providers to conduct quick, on-site assessments within any type of Veteran-utilized clinic, it will also help educate providers and Veterans alike about whether a gambling problem may exist.
Provider Communication: Education and Practice in a Veterans Healthcare System Facilitator Manual This training video and accompanying facilitator's guide addresses provider-patient communication within the VA system. It provides concrete and empirically supported techniques that can be used by providers to improve Veteran understanding of their healthcare in any department. The training incorporates significant interactive components, allowing groups of providers to share effective communication techniques with each other. Positive outcomes of the training include improved communication between providers and patients, which leads to higher satisfaction for Veterans and for providers.
Provider Communication: Education and Practice in a Veterans Healthcare System Video This training video and accompanying facilitator's guide addresses provider-patient communication within the VA system. It provides concrete and empirically supported techniques that can be used by providers to improve Veteran understanding of their healthcare in any department. The training incorporates significant interactive components, allowing groups of providers to share effective communication techniques with each other. Positive outcomes of the training include improved communication between providers and patients, which leads to higher satisfaction for Veterans and for providers.
Provider Communication: Education and Practice in a Veterans Healthcare System Wallet Card This training video and accompanying facilitator's guide addresses provider-patient communication within the VA system. It provides concrete and empirically supported techniques that can be used by providers to improve Veteran understanding of their healthcare in any department. The training incorporates significant interactive components, allowing groups of providers to share effective communication techniques with each other. Positive outcomes of the training include improved communication between providers and patients, which leads to higher satisfaction for Veterans and for providers.
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 Patient Manual 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.
PTSD Sleep Therapy Group Therapist Manual 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.
REACH VET Resource Cards The REACH VET Resource Card features on one side Coping and Symptom Management Apps and on the other various ways to connect with the VA. They are a quick and handy resource for Veterans and easily fit in with caring cards.
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 Log 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. Developed by C. Laurel Franklin, PhD; Shelia Corrigan, PhD; Stephanie Repasky, PsyD; Karin E. Thompson, PhD; Madeline Uddo, PhD; & Jessica Walton, MS; Southeast Louisiana Veterans Health Care System, New Orleans, LA.
Relaxation Enhancement 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. Developed by C. Laurel Franklin, PhD; Shelia Corrigan, PhD; Stephanie Repasky, PsyD; Karin E. Thompson, PhD; Madeline Uddo, PhD; & Jessica Walton, MS; Southeast Louisiana Veterans Health Care System, New Orleans, LA.
Relaxation Enhancement Therapist 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.
Self Help STOP Worry Manuals: A Tool for Older Veterans Self-Help Workbook This Clinician Guide and Self-Help Workbook provide a user-friendly, guided cognitive behavioral treatment of generalized anxiety disorder for Veterans 60 years of age or older who experience high levels of worry and anxiety. The Self-Help Workbook contains practice exercises and forms to monitor progress. The Workbook also includes a CD with instructions for diaphragmatic breathing and progressive muscle relaxation. The Workbook may be used independently or as a component of formal treatment. Developed by Srijana Shrestha, Ph.D., and Melinda Stanley, Ph.D.; Michael E. DeBakey VA Medical Center, Houston, TX. Order CD by emailing VISN16SCMIRECCEducation@va.gov.
Self-Directed Violence Classification System (SDVCS) Nomenclature Laminated Tools The Self-Directed Violence Classification System (SDVCS) Nomenclature laminated sheet contains both the decision tree and the clinical tool grid. On the front is the SDVCS decision-tree to help lead the clinician to the correct self-directed violence term. On the back are the definitions. On a separate laminated sheet is a handy grid of SDV terms. Being laminated you will never after worry about spilling coffee on this hugely popular tool!
Self-Help STOP WORRY: A Tool for Older Veterans Clinician Workbook This Clinician Guide and Self-Help Workbook provide a user-friendly, guided cognitive behavioral treatment of generalized anxiety disorder for Veterans 60 years of age or older who experience high levels of worry and anxiety. The Self-Help Workbook contains practice exercises and forms to monitor progress. The Workbook also includes a CD with instructions for diaphragmatic breathing and progressive muscle relaxation. The Workbook may be used independently or as a component of formal treatment. Order CD by emailing VISN16SCMIRECCEducation@va.gov.
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.
Sexual Health After Military Sexual Trauma Provider Brochure These brochures raise awareness of the prevalence of sexual dysfunction after military sexual trauma (MST) and provides information on assessment and treatment of the disorder. Includes brochures for providers and women Veterans, defines MST, sexual health, and sexual dysfunction, Veteran brochure describes sexual problems, the effects of MST on sexual health, resources, and how to get help at the VA, provider brochure details DSM-5 and ICD-10 classifications for sexual dysfunction, provides tips on asking Veterans about sexual health, and lists resources for treatment, including the VA MST consultation program. Published 2018.
Sexual Health After Military Sexual Trauma Veteran Brochure These brochures raise awareness of the prevalence of sexual dysfunction after military sexual trauma (MST) and provides information on assessment and treatment of the disorder. Includes brochures for providers and women Veterans, defines MST, sexual health, and sexual dysfunction, Veteran brochure describes sexual problems, the effects of MST on sexual health, resources, and how to get help at the VA, provider brochure details DSM-5 and ICD-10 classifications for sexual dysfunction, provides tips on asking Veterans about sexual health, and lists resources for treatment, including the VA MST consultation program. Published 2018.
Short Breathing Relaxation Exercise This handout leads the reader through a simple, six step, breathing relaxation exercise.
Substance Use and Traumatic Brain Injury Risk Reduction and Prevention This seven-minute program provides information regarding the impact of using drugs and alcohol after a traumatic brain injury (TBI). The video guides the viewer through a discussion about how the brain works before and after a brain injury, and then demonstrates how drugs and alcohol can affect persons with a history of TBI using brain animations and short vignettes. This tool was designed to help providers engage clients in a dialogue about substance use post-injury and was made possible by funding from the Congressionally Directed Medical Research Program.
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 Updated: 15 November 2012. 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) NOT 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.
Team Up to Facilitate Functioning (TUFF) Series: Interactive Brochures for Treatment of Postconcussive Symptoms in Returning Veterans with History of Traumatic Brain Injury The six online TUFF modules address Academic Skills, Cognitive Skills, Managing Headaches, Healthy Sleeping, Stress Management, and Mood Management. Each brochure contains several 'team up' sections designed to encourage clinicians to personalize the administration of each brochure and practice new skills through collaboration with the Veteran. A pre- and post-symptom assessment is paired with each interactive brochure, allowing clinicians to determine the effectiveness of the intervention. Each module includes an evidence-based interactive brochure with references for additional community resources, pre- and post-intervention symptom assessment, and a user manual. Developers: Nicholas J. Pastorek, PhD; Carol Gustafson Holdaway, MS; Jared Benge, PhD; Jane Booth, PhD. Houston VA Medical Center
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 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.
Therapeutic Risk Management of the Suicidal Patient Tool The Risk Stratification Table is a tool designed to: •help providers make determinations regarding suicide risk levels with respect to severity and temporality and to •aid in suicide risk management clinical decision making.
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.
Traumatismo Craneal y Prevención del Suicidio Algunas personas con un historial de traumatismo craneal y sus familiares compartieron sus historias con nostros e hicieron las siguientes sugerencias respecto a la prevención del suicidio.
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.
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. 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 Tai Chi for Pain and Stress This video is a basic introduction to Tai Chi for Veterans and created by Veterans. It can be used for mental, emotional and physical health. It is helpful for people with limited ability to exercise. It can be done alone or in a group. Published 2018. Developed by Laura Mortensen MSN, RN and Charles Plummer, LCSW
Vet-to-Vet Program Vet-to-Vet is a voluntary peer support group model for Veterans 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 educators, and the groups operate in VA hospitals, community outpatient centers, shelters, and other community sites across the United States. Vet-to-Vet has an educational focus, and the groups follow a read-and-discuss format with recommended reading materials related to recovery. The six topic areas for reading and discussion include: Disability Awareness; Disability Pride; Recovery Workshop; Writers’ Meeting; Wellness; and Mental Illness Anonymous. In addition to collaborating in the development of the original Vet-to-Vet materials and studying the program, the VISN 1 MIRECC continues to provide ongoing consultation and basic administrative support for the monthly national Vet-to-Vet teleconference. The following Vet-to-Vet materials may be downloaded directly from the VISN 1 MIRECC web pages: Vet-to-Vet Training Manual; Vet-to-Vet Facilitator Manual; and Mental Illness Anonymous meetings description.
Walking to Wellness: Exercise for Physical and Emotional Health Facilitator Manual Walking to Wellness includes a participant workbook and a facilitator manual for health care providers. The workbook is intended for adults who can walk for at least 10 minutes, but can be adapted for those who need to start with very brief walks due to other health conditions. Providers can use these materials as an adjunct to other interventions in primary care, mental health, and health promotion clinical settings for managing chronic conditions. These materials can be used along with medication, psychotherapy, supportive counseling for persons seeking treatment for mental health symptoms, or for other wellness education. The tip sheets can be used separately and can also be incorporated into individual counseling or groups that discuss other topics, such as nutrition or strategies for stress management. The facilitator’s guide includes an up to date summary of research supporting the benefits of exercise in mental health and suggestions for using the materials in group or individual sessions. The Walking to Wellness participant workbook can be used alone as a self-help guide. It includes tip sheets that outline basic information about exercise and its benefits, worksheets to plan activity, and personal logs to record experiences. We believe that many individuals who are struggling with anxiety or depression symptoms will be more successful if they try the activities with a group of other participants or in the context of individual counseling with a facilitator or therapist. Self-help participants should follow their health care provider’s advice about any activity limitations based on individual health status.
Walking to Wellness: Exercise for Physical and Emotional Health Workbook Walking to Wellness includes a participant workbook and a facilitator manual for health care providers. The workbook is intended for adults who can walk for at least 10 minutes, but can be adapted for those who need to start with very brief walks due to other health conditions. Providers can use these materials as an adjunct to other interventions in primary care, mental health, and health promotion clinical settings for managing chronic conditions. These materials can be used along with medication, psychotherapy, supportive counseling for persons seeking treatment for mental health symptoms, or for other wellness education. The tip sheets can be used separately and can also be incorporated into individual counseling or groups that discuss other topics, such as nutrition or strategies for stress management. The facilitator’s guide includes an up to date summary of research supporting the benefits of exercise in mental health and suggestions for using the materials in group or individual sessions. The Walking to Wellness participant workbook can be used alone as a self-help guide. It includes tip sheets that outline basic information about exercise and its benefits, worksheets to plan activity, and personal logs to record experiences. We believe that many individuals who are struggling with anxiety or depression symptoms will be more successful if they try the activities with a group of other participants or in the context of individual counseling with a facilitator or therapist. Self-help participants should follow their health care provider’s advice about any activity limitations based on individual health status.
What Is Major Depression? This brochure covers basic facts about depression including prevalence, diagnosis, symptoms, medication, how family members can help and treatments available.
What Is Schizophrenia? This brochure covers basic facts about schizophrenia including prevalence, diagnosis, symptoms, medication, how family members can help and treatments available.
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.
Working With Couples Training Modules The Working with Couples modules were developed by Drs. Michelle Sherman and Michael Kauth based on live training content created by Drs. Michelle Sherman, Ursula Bowling, and Dutch Doerman. The six modules provide an overview of essential content and skills for treating the Veteran and his or her partner or spouse who struggle with communication problems, anger and conflict, mental illness, trauma, and reintegration into the family after deployment. This training targets VA clinicians but may be helpful to non-VA providers who work with Veterans. Additional training and supervision are required to become competent to provide couples therapy. Funding for the Working with Couples program was provided by the VA South Central MIRECC.
Yale Adherence and Competence Scale (YACS) Guidelines II Manual The Yale Adherence and Competence Scale (YACS) is a general system for rating therapist adherence and competence in delivering behavioral treatments for substance use disorders. The Yale Adherence and Competence Scale (YACS) Guidelines II 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; cognitive behavioral treatment; interpersonal therapy; motivational interviewing; and supplemental items.

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Questions or issues please contact joe.huggins@va.gov.


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.

Contact joe.huggins@va.gov with technical problems and errors on this web site.