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Mental Health Care

Mental health, or psychological health, encompasses the well-being of mind, body and spirit and contributes to overall health and resilience. Throughout the military community, additional stressors placed on individuals and families adds to the importance of maintaining awareness of internal and external demands on health and of the many resources available to support psychological health.

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Signs of Distress

Some signs of distress could include:

  • Drinking more heavily than normal
  • Agitation or anger
  • Withdrawing from families and friends
  • Difficulty concentrating
  • Sadness or depression

Many of these tips may seem like common sense, but when faced with challenging life situations these things are often the first things that get neglected.

When psychological health is neglected and mental health concerns arise, it is natural to deny there's anything wrong. Sometimes the last person to recognize symptoms is the one who needs help, so it's important to recognize symptoms in friends, loved ones or oneself and to say something.

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DHA IPM 18-019: Guidance for Service Implementation of Separation Mental Health Assessments

Policy

This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) through (c), and in accordance with the guidance of References (d) through (g): • Assigns responsibilities and provides instructions for implementing Reference (d), which requires an MHA for Service members prior to separation in accordance with References (e) through (g). • Is effective immediately; it will be incorporated into DHA-Procedural Instruction xxxx.xx, “Separation History and Physical Examination.” This DHA-IPM will expire effective 12 months from the date of issue.

DHA PI 6490.01: BH Treatment and Outcomes Monitoring

Policy

This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (k): a. Establishes the Defense Health Agency’s (DHA) procedures for the collection and analysis of BH outcome data. b. Addresses how DoD will standardize BH outcome data collection to: assess variations in mental health and substance use care among in-garrison medical treatment facilities (MTFs) and clinics; assess the relationship of treatment protocols and practices to BH outcomes; and identify barriers to provider implementation of evidence-based clinical guidance approved by DoD. c. Designates the Army as the DoD lead Service for maintenance and sustainment of the Behavioral Health Data Portal (BHDP) in specialty care mental health and substance use clinics, referred to collectively as BH clinics, until BHDP functionality can be integrated with GENESIS or another electronic health record (EHR) system managed by DHA. d. Designates DHA Information Operations (J-6) as lead on transitioning BHDP functional requirements related to outcomes monitoring to future EHR data collection platforms and processes.

DoD Instruction 6490.10: Continuity of Behavioral Health Care for Transferring and Transitioning Service Members

Policy

In accordance with the authority in Reference (a), this Instruction establishes policy for the Military Departments, assigns responsibilities, and prescribes guidelines for establishment of Military Department policy and procedures to ensure continuity of behavioral health (BH) care at the losing and gaining installations when Service members transition from one health care provider (HCP) to another when transferring to a new duty station or transitioning out of the Service.

  • Identification #: DoD Instruction 6490.10
  • Date: 10/28/2015
  • Type: Instructions
  • Topics: Mental Health Care

DoD Instruction 6490.15: Integration of Behavioral Health Personnel (BHP) Services Into Patient-Centered Medical Home (PCMH) Primary Care and Other Primary Care Service Settings

Policy

This instruction establishes policy, assigns responsibilities, and prescribes procedures for attainment of inter-Service standards for developing, initiating, and maintaining adult behavioral health services in primary care.

  • Identification #: DoD Instruction 6490.15
  • Date: 11/20/2014
  • Type: Instructions
  • Topics: Mental Health Care

DoD Instruction 6490.05: Maintenance of Psychological Health in Military Operations

Policy

This instruction establishes policy and assigns responsibilities in accordance with References (c), (d), and (e) for developing combat and operational stress control (COSC) programs within the Military Departments, the Combatant Commands, and joint Service operations.

  • Identification #: DoD Instruction 6490.05
  • Date: 10/2/2013
  • Type: Instructions
  • Topics: Mental Health Care

DoD Instruction 6490.12: Mental Health Assessments for Service Members Deployed in Connection with a Contingency Operation

Policy

This instruction establishes the policy for person-to-person deployment mental health assessments for each member of the Military Services deployed in connection with a contingency operation according to Section 1074m of Title 10, United States Code (Reference (b)).

  • Identification #: DoD Instruction 6490.12
  • Date: 10/2/2013
  • Type: Instructions
  • Topics: Mental Health Care

DoD Instruction 6490.04: Mental Health Evaluations of Members of the Military Services

Policy

Reissues DoD Instruction 6490.4 (Reference (b)), establishing policy, assigning responsibilities, and prescribing procedures for the referral, evaluation, treatment, and medical and command management of Service members who may require assessment for mental health issues, psychiatric hospitalization, and risk of imminent or potential danger to self or others.

  • Identification #: DoD Instruction 6490.04
  • Date: 4/3/2013
  • Type: Instructions
  • Topics: Mental Health Care

DoD Instruction 6490.08: Command Notification Requirements to Dispel Stigma in Providing Mental Health Care to Service Members

Policy

This instruction provides guidance for balance between patient confidentiality rights and the commander’s right to know for operation and risk management decisions.

  • Identification #: DoD Instruction 6490.08
  • Date: 8/17/2011
  • Type: Instructions
  • Topics: Mental Health Care

Mental Health Assessments for Members of the Armed Forces Deployed in Connection with a Contingency Operation

Policy

Policy Guidance for Deployment-Limiting Psychiatric Conditions and Medications

Policy

This policy provides guidance on deployment and continued service in a deployed environment for military personnel who experience psychiatric disorders and/or who are prescribed psychotropic medication.

HA 97-017: Policy for Post-Deployment Mental Health Screening in the Bosnian Theater

Policy

This memo describes a change in procedure for medical surveillance of U.S. forces deploying to Bosnia.

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