Treatment in the Inpatient CPRP is very intensive. Individuals are admitted on a Monday and undergo 19 full days of rehabilitation. Participants average six to eight hours of active programming each treatment day. An individualized program of treatment is developed for each participant. Basic components include:
Additional treatments may be used when the treatment team feels they are indicated. These include upper extremity therapy, gait training, vocational rehabilitation, individual psychotherapy, trigger point injections, Transcutaneous Electrical Nerve Stimulation (TENS), hot packs, cold packs, medication adjustments, or other appropriate treatments.
Treatment continues on weekends. Individuals may take therapeutic passes when medically cleared, but must continue their rehabilitation program on their own when away from the hospital. Those that remain in the hospital over the weekend must attend treatment sessions on Saturday and Sunday.
Treatment in the Outpatient CPRP involves many of the same treatment components as the Inpatient program but instead of staying at the hospital for 3 weeks, veterans come to the VA 2 days per week for 8 consecutive weeks to participate in treatment. Basic components include:
The Post-Deployment Clinic provides evaluation to veterans of Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) on broad-ranging issues. A full-time psychologist with a specialty in pain staffs the PDC and provides psychological assessment and evaluation, same-day consultation and triage, as well as immediate needs assessment and crisis intervention. OEF/OIF veterans present with a variety of issues including adjustment-related complaints, chronic pain conditions, TBI, anger management problems, substance abuse, PTSD, mood disturbance, and sleep problems. The psychologist determines the needs of the veteran and the appropriate treatment steps that should follow the initial contact. The PDC also provides regular orientation groups where general information is provided and the questions of veterans and their families are answered. The services of the PDC are invaluable in providing proper thorough evaluation and ensuring that these veterans get the continued care that they need.
The Clinic is located at the JAHVA's Polytrauma Rehabilitation Building 68 and can be reached at (813) 972-2000, Ext 5287. Consultations are welcomed, though patients should be assigned to the OEF/OIF Post Deployment Clinic for their Primary Care services in order to be accepted.
A growing body of evidence has been accumulating which identifies a prevalent cluster of symptoms among returning OEF/OIF service members. These symptoms, which include pain, PTSD, and post-concussive components, appear to be related to the signature injuries of the current conflicts and were recently termed Post-deployment Multi-symptom Disorder (PMD). Recent research suggests that this combination of issues may be the most prevalent clinical syndrome in OEF/OIF era active duty military personnel and military veterans now seeking VA medical care. These returning veterans report functional deficits across a broad range of psychosocial, vocational, emotional, cognitive, and physical functioning domains.
Due to the unique nature of these issues and the needs of the OEF/OIF populations, the Center for Post-Deployment Health and Education (CPHE) was created to address the diverse needs of this veteran cohort concurrently. The CPHE is a cutting-edge program unlike any other in the country developed to identify, evaluate, and address the constellation of symptom clusters among newly returning veterans that continue to emerge. The CPHE delivers symptomatic and preventive care to an expanded range of returning service members who experience functional impairment in multiple life roles. Objectives of the CPHE are to maximize function and life adjustment and to prevent symptom development or exacerbation. Treatment uses established cognitive-behavioral models of brief intervention. The CPHE is an intensive outpatient program that is individually tailored to each patient’s needs. Referred patients are evaluated by the CPHE team members and then all patients begin the core components of the program (i.e. sleep hygiene training, relaxation training, coping skills training, cognitive restructuring, and substance use education). Additional components of the program are determined based on patient need and include areas such as anger management, negative affect treatment, cognitive adaptation, relationship enhancement, work skills training, and physical conditioning. Treatment is provided in both individual and group based settings with specially trained interdisciplinary behavioral health providers that work with the patient and their family to maximize patient functioning.
Program services are in Building 41, and more information about the program and referrals can be obtained by emailing Dr. Michelle Bosco at Michelle.Bosco@va.gov. A consult can be placed through CPRS by choosing P3 <PostDeployment Health and Education> in the consult menu.