Part I.
A. Statement of Need
Statement of Need
The United States launched Operation Enduring Freedom (OEF) in Afghanistan on October 7, 2001 and Operation Iraqi Freedom (OIF) on March 20, 2003 in Iraq in order to combat terrorism and seek weapons of mass destruction (Hampson, 2010). Since then, “over two million troops have been deployed overseas” in support of these two wars (Tuerk, Yoder, Grubaugh, Myrick, Hamner & Acierno, 2011, p.397). The mental health status of these returning service members should be of utmost importance to everyone in society. Suicide rates in the military community have been rising since the wars began. In 2009, more service members had taken their …show more content…
I believe that the intensive mental health services and closely monitored follow up care that the PCLN model provides would offer the best possible outcome for the patient. However, my intervention team would be comprised of licensed clinical Social Workers, psychologists and psychiatrists who would begin to deliver prolonged exposure therapy (PE) to the patient as soon as the patient is medically stable. The intervention team would also consist of licensed nurses who would provide case management services to assist the patient in navigating the military’s health benefit systems and ensuring that the patient does not have lapses in care during their rehabilitation process. Prolonged exposure therapy is recognized by the Institute of Medicine as the “only treatment approach with sufficient efficacy data for combat related PTSD” (Tuerk, et al., 2011). The treatment team would also work with the patient’s family in order to take care of their psychosocial needs as well as teaching the family about the patient’s injury, PTSD, depression and suicide warning …show more content…
W. (2008). Perspectives in Psychiatric Consultation Liaison Nursing. Perspectives in Psychiatric Care, 44(3), 211-215.
Casualty Status. (2011, March 11). Defense.gov. Retrieved March 11, 2011, from http://www.defense.gov/news/casualty.pdf
Donnelly, J. (2009). Rising Military Suicides. Congress.org. Retrieved February 25, 2011, from http://www.congress.org/news/2009/11/25/rising_military_suicides
Grieger, T. A., Cozza, S. J., Ursano, R. J., Hoge, C., Martinez, P. E., Engel, C. C., et al. (2006). Posttraumatic Stress Disorder and Depression in Battle-Injured Soldiers. American Journal of Psychiatry, 163(10), 1777-1783.
Hampson, R. (2010). Afghanistan: America’s Longest War. Usatoday.com. Retrieved February 25, 2011, from http://www.usatoday.com/news/military/2010-05-27-longest-war-afghanistan_N.htm
Tuerk, P. W., Yoder, M., Grubaugh, A., Myrick, H., Hammer, M., & Acierno, R. (2011). Prolonged exposure therapy for combat-related posttraumatic stress disorder: An examination of treatment effectiveness for veterans of the wars in Afghanistan and Iraq. Journal of Anxiety Disorders, 25, 397-403.
Logic Model
Antecedent
Inputs/intervention
Short term Goals
Long term Goal
-Stigma surrounding mental health