Peter W. Tuerk

Website Resources for Mental Health Providers Website Resources for Mental Health Providers

VHA Clinical Sciences Research & Development; Dept. of Psychiatry & Behavioral Sciences,

Military Sciences Division, Med. U. of SC

OverviewOverview• Informal web-based tools/websites for clinicians Informal web-based tools/websites for clinicians treating treating PTSPTS

• Formal web-based resources:Formal web-based resources:For Warriors For Warriors For Family, Parents, KidsFor Family, Parents, KidsFor clinicians to interact with patientsFor clinicians to interact with patients

For clinician educationFor clinician educationFor those seeking helpFor those seeking helpFor those considering seeking helpFor those considering seeking help

DD

Web ResourcesWeb ResourcesDefense Centers of Excellence: http://www.dcoe.mil/After deployment : http://afterdeployment.t2.health.mil/Outreach Center: http://www.dcoe.mil/Families/Help.aspxAbout Face: NCPTSD: http://www.ptsd.va.gov/apps/AboutFace/Index.html

My Health E-Vet: https://www.myhealth.va.gov/index.html

Real Warriors Campaign: www.realwarriors.net

MentalHealth.gov: http://www.mentalhealth.gov/get-help/veterans/

Military Kids: www.militarykidsconnect.org

Center for Deployment Psychology: www.deploymentpsych.org

MHS Learn: www.tricare.mil/tma/privacy/MilitaryHealthSystemLearningPortal.aspx

Trauma Focused CBT: http://tfcbt.musc.edu/ PT’s YouTube Resources: https://www.youtube.com/user/PeterTuerksChannel

Emory University and MLB: www.braveheartveterans.org

Sesame St: Talk, Listen, Connect: http://www.sesamestreet.org/parents/topicsandactivities/toolkits/tlc

http://www.soundsnap.com/taxonomy/term/1371/popular

http://www.partnersinrhyme.com/soundfx/warsounds.shtml

http://www.shockwave-sound.com/sound-effects/war_sounds.html

Examples of informal web resources to Examples of informal web resources to promote therapeutic engagement in promote therapeutic engagement in

exposure exposure

Good exposure therapists know the difference between conditioned & unconditioned stimulus

Unconditioned Conditioned

Examples of informal web resources to Examples of informal web resources to promote therapeutic engagement in promote therapeutic engagement in

exposure exposure http://www.soundsnap.com/taxonomy/term/1371/popular

http://www.partnersinrhyme.com/soundfx/warsounds.shtml

http://www.shockwave-sound.com/sound-effects/war_sounds.html

http://www.soundsnap.com/taxonomy/term/1371/popular

http://www.partnersinrhyme.com/soundfx/warsounds.shtml

http://www.shockwave-sound.com/sound-effects/war_sounds.html

Bad Examples that could promote general engagement but not necessarily processing, (not to use):http://www.youtube.com/watch?v=6yYwxty930g

http://www.youtube.com/watch?v=-_6vGj67Iq8

General Environment (non battle-oriented) stimuli:

http://www.youtube.com/watch?v=FswM09Fa2uM (maybe listen with volume off) http://www.youtube.com/watch?v=XyfxEj8LsqI

Consider the difference between a conditioned & unconditioned stimulus

Examples of informal web resources to Examples of informal web resources to promote therapeutic engagement in promote therapeutic engagement in

exposure exposure

Defense Centers of Defense Centers of ExcellenceExcellence

DCoE was established in November 2007 to integrate knowledge and identify, evaluate and disseminate evidence based practices and standards for the treatment of psychological health and TBI within the DoD.

Our mission is to help service members and their loved ones manage the challenges that are often

faced following a deployment

Multi-Modal ContentMulti-Modal Content

Topics are organized to provide:Topics are organized to provide: Coach-driven instruction/ guidanceCoach-driven instruction/ guidance Immersive video/ text-based educational Immersive video/ text-based educational

toolstools Standardized assessments/ tailored Standardized assessments/ tailored

feedbackfeedback Peer-based, experiential accountsPeer-based, experiential accounts Interactive exercisesInteractive exercises Additional resources (links, books, FAQAdditional resources (links, books, FAQ’’s)s) Persistent progress indicatorsPersistent progress indicators

1010

Self-Care SolutionSelf-Care Solution

• Quick, anonymous, 24/7 access to information• Manage symptoms with interactive behavior-change

exercises• Learning can be customized and self-paced• Immediate support via direct links to hotlines• Educational/ assessment features support preventative

efforts

Click on Post-Traumatic Click on Post-Traumatic StressStress

Post-Traumatic Stress Post-Traumatic Stress WorkroomWorkroom

Start Here!Start Here!

Video StoriesVideo Stories

““PBSPBS”” Documentaries Documentaries

Interactive WorkbookInteractive Workbook

Interactive Workbook MenuInteractive Workbook Menu

Multi-Session ExercisesMulti-Session Exercises

Targeted QueriesTargeted Queries

Tailored FeedbackTailored Feedback

Self-Assessment ToolsSelf-Assessment Tools

2222

Self AssessmentSelf Assessment

• Self-assessments available for each topic• User’s score provided within an acuity

continuum, from low to moderate to high.• Users receive immediate feedback on

results and recommendations

Self-Assessment FeedbackSelf-Assessment Feedback

RESULTSRESULTS: Your score reflects that : Your score reflects that you are not experiencing you are not experiencing symptoms that are typically symptoms that are typically associated with post-traumatic associated with post-traumatic stress. Although only a healthcare stress. Although only a healthcare professional can provide an actual professional can provide an actual diagnosis…diagnosis…

RECOMMENDATIONSRECOMMENDATIONS: Because : Because maintaining healthy habits means maintaining healthy habits means a lifestyle that includes stress a lifestyle that includes stress management and finding balance, management and finding balance, we encourage you to check out we encourage you to check out the many tools in…the many tools in…

RESOURCESRESOURCES: : AD.orgAD.org contains contains many tools, videos, exercises and many tools, videos, exercises and educational materials that may educational materials that may interest you. One of the areas we interest you. One of the areas we would recommend would be the would recommend would be the life stress program…life stress program…

LibraryLibrary

Library ExampleLibrary Example

Other ResourcesOther Resources

ResourcesResources

Personal StoriesPersonal Stories

Current Landing PageCurrent Landing Page(above the fold)(above the fold)

www.dcoe.mil

Please wait while we route your chat request to the next available specialist. If you prefer to speak to someone right Please wait while we route your chat request to the next available specialist. If you prefer to speak to someone right away, feel free to call DCoE at 866-966-1020. away, feel free to call DCoE at 866-966-1020.

peter says: "are you there? ".peter says: "are you there? ".

Agent JessyD has received your message and will be right with you.Agent JessyD has received your message and will be right with you.

Please wait while you are connectedPlease wait while you are connected

Connected!Connected!

JessyD says: Thank you for contacting the Defense Centers of Excellence for Psychological Health and Traumatic JessyD says: Thank you for contacting the Defense Centers of Excellence for Psychological Health and Traumatic

Brain Injury (DCoE) peter. My name is JessyD. How can I assist you?Brain Injury (DCoE) peter. My name is JessyD. How can I assist you?

peter says: not feeling so greatpeter says: not feeling so great

JessyD says: Hello PeterJessyD says: Hello Peter

peter says: hellopeter says: hello

JessyD says: Are you needing to speak to someone?JessyD says: Are you needing to speak to someone?

peter says: i think just want to chat 4 nowpeter says: i think just want to chat 4 now

peter says: cant sleep, nightmarespeter says: cant sleep, nightmares

JessyD says: If you need to speak to someone you can call the Vetern's Crisis line at 800 273.8255JessyD says: If you need to speak to someone you can call the Vetern's Crisis line at 800 273.8255

JessyD says: They have a chat line as well JessyD says: They have a chat line as well www.veterenscrisisline.net

peter says: would you prefer that?peter says: would you prefer that?

JessyD says: We only offer resources on our chat.JessyD says: We only offer resources on our chat.

JessyD says: You can also text them at 838255JessyD says: You can also text them at 838255

peter says:22:00:41OK thanks, ill trypeter says:22:00:41OK thanks, ill try

http://www.dcoe.mil/

Sometimes technical issues cause a chat to end unexpectedly. If this happens, please come back to chat again Sometimes technical issues cause a chat to end unexpectedly. If this happens, please come back to chat again or call us at 1-800-273-TALK (8255) and press 1.or call us at 1-800-273-TALK (8255) and press 1.

Welcome to VeteransChat, LaticiaS will be right with you. Welcome to VeteransChat, LaticiaS will be right with you.

Peter: OKPeter: OK

LaticiaS Welcome to Veterans Chat, how can I help you?LaticiaS Welcome to Veterans Chat, how can I help you?

Peter: not feeling so greatPeter: not feeling so great

LaticiaS: Whats going on?LaticiaS: Whats going on?

Peter: can't sleep, nightmaresPeter: can't sleep, nightmares

LaticiaS: Do you see a counselor?LaticiaS: Do you see a counselor?

Peter: not really, I take an SSRI thoughPeter: not really, I take an SSRI though

LaticiaS: Sorry you are struggling so much (about 45 seconds go by) LaticiaS: Sorry you are struggling so much (about 45 seconds go by)

LaticiaS : So you see a psychiatrist?LaticiaS : So you see a psychiatrist?

Peter: every time I have a dream, I get this feeling like I have to check the house. cant go back to sleepPeter: every time I have a dream, I get this feeling like I have to check the house. cant go back to sleep

   before looking in all the rooms.before looking in all the rooms.

Peter: Its stupid but cant relax until Im sure.Peter: Its stupid but cant relax until Im sure.

LaticiaS: I think you could benefit from consistent counseling.LaticiaS: I think you could benefit from consistent counseling.

Peter: yes I c a shrink for my meds. nice guy. but only chat for about 15 minutes every few monthsPeter: yes I c a shrink for my meds. nice guy. but only chat for about 15 minutes every few months

Peter I live in Charleston SC, who can i c?Peter I live in Charleston SC, who can i c?

LaticiaS: I can either have a responder call you or you can call the Veteran Crisis Line at 1-800-273-LaticiaS: I can either have a responder call you or you can call the Veteran Crisis Line at 1-800-273-8255, press 1 for Vets to begin the process.8255, press 1 for Vets to begin the process.

Peter: Ok thanks, Ill try.Peter: Ok thanks, Ill try.

1) Developed by T2 in 2010, with over 100,000 users since Jan 2012

2) Online community of military children (ages 6-17)

3) Provides access to age-appropriate resources to support children from pre-deployment, through parents return

Military Kids ConnectMilitary Kids Connect

http://militarykidsconnect.t2.health.mil/

Military Kids ConnectMilitary Kids Connect

4) Site offers informative activities, games, helpful videos, and user surveys that can educate and reinforce resilience and coping skills

5) Safety is a priority:

MKC includes parent controls & parents can monitor child’s activity

6) Parent and educator tracks that provide information to help them understand what it takes to support military children in at-home and school settings.

http://militarykidsconnect.t2.health.mil/

Military Kids ConnectMilitary Kids Connect

http://militarykidsconnect.t2.health.mil/

http://www.t2.health.mil/programs/militaryparenting

Military Kids ConnectMilitary Kids Connect

Trauma-Focused CBTTrauma-Focused CBT

TF-CBTWeb

1) Web-Based Learning for Trauma-Focused CBT

2) Includes specific, step-by-step instructions for each component of therapy

3) Includes printable sample scripts and streaming video demonstrating the therapy procedures

http://tfcbt.musc.edu/

Peer-resources on linePeer-resources on line

Therapy Fidelity Videos

with real time running

commentary

For

Session 1

Session 2

Session 3

Rational for imaginal Exposure

Directions for imaginal exposure

https://www.youtube.com/user/PeterTuerksChannel

https://www.youtube.com/watch?v=YZbJZMmoLwU&list=PL0Phhv0c-pWbkXxpL5aQ604H6IKm30i16

http://www.ptsd.va.gov/apps/AboutFace/Index.html

About Face: About Face: NCPTSD NCPTSD

Peter W. Tuerk

Website Resources for Mental Health Providers Website Resources for Mental Health Providers

VHA Clinical Sciences Research & Development; Dept. of Psychiatry & Behavioral Sciences,

Military Sciences Division, Med. U. of SC