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Veronica R. Baechler, MD LTC, MC, USA Developmental Pediatrician.

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Presentation on theme: "Veronica R. Baechler, MD LTC, MC, USA Developmental Pediatrician."— Presentation transcript:

1 Veronica R. Baechler, MD LTC, MC, USA Developmental Pediatrician

2 OIF / OEF 2003 Operation Iraqi Freedom 2001 Operation Enduring Freedom

3 History OEF: 2001 OIF: 2003 Ongoing Mission WRAMC Wounded Warrior Program Warrior In Transition Influx of transient population of WW Children Littlest Warrior Comprehensive Care Program PEDIATRICS Medical Home

4

5 Walter Reed SFAC Soldier and Family Assistance Center Mr. Stephen Maguire – Director of Services Ms. Karen Keon – Child, Youth, and School Services Liaison

6 Residential Origin AgeSoldier NameGuardian NameGuardian PhoneResidenceOrders?Previous CYSPrevious LocationSchool 3G C GMarriotYes Yuma Proving GroundN/A 9N CM CMarriotYes Ft. Drum, NYN 6N CM CMarriotYes Ft. Drum, NYN 3NCM CMarriotNoYesFt. Drum, NYN 12A MD MFisher-FGNoYesFort Bragg, NC 13A MD MFisher-FGNoYesFort Bragg, NC 12SPR PMologneYesNoN/AY 14S PR PMologneYesNoN/AY 9RSA SFt MeadeNo N/AFt Meade 13R SA SFt MeadeNo N/AHomeschool 15R SA SFt MeadeNoYesFt WainwrightHomeschool 8mR G Ft MeadeNoYesFt MeadeN/A 6mE SGlen HavenN/A 8mP TRTCrowne PlNo N/A 2PTR TCrowne PlNo N/A 2ySE SGlen HavenN/A 7w 2.5PMMologneYesNoNy 7K WA WFisher-WRNoYes 3B T BMologneYesNoFort Hood TXN/A 7mJ H 10JJBFisher-WR

7 SFAC Intake Process

8 Family Centered Care Parents as Teachers Additional Services – Lodging – Logistics – Finance Child and Youth Services Operation Brave Families

9 Developmental Ranges AgeSoldier NameGuardian NameGuardian PhoneResidenceOrders?Previous CYSPrevious LocationSchool 3G C GMarriotYes Yuma Proving GroundN/A 9N CM CMarriotYes Ft. Drum, NYN 6N CM CMarriotYes Ft. Drum, NYN 3NCM CMarriotNoYesFt. Drum, NYN 12A MD MFisher-FGNoYesFort Bragg, NC 13A MD MFisher-FGNoYesFort Bragg, NC 12SPR PMologneYesNoN/AY 14S PR PMologneYesNoN/AY 9RSA SFt MeadeNo N/AFt Meade 13R SA SFt MeadeNo N/AHomeschool 15R SA SFt MeadeNoYesFt WainwrightHomeschool 8mR G Ft MeadeNoYesFt MeadeN/A 6mE SGlen HavenN/A 8mP TRTCrowne PlNo N/A 2PTR TCrowne PlNo N/A 2ySE SGlen HavenN/A 7w 2.5PMMologneYesNoNy 7K WA WFisher-WRNoYes 3B T BMologneYesNoFort Hood TXN/A 7mJ H 10JJBFisher-WR

10 Impact on Children Stress in Children of Iraq War Soldiers By Matthew Tull, PhD, About.com GuideMatthew Tull, PhD Updated: June 22, 2009 About.com Health's Disease and Condition content is reviewed by the Medical Review BoardMedical Review Board Many soldiers are returning from the Iraq War are showing signs of PTSD and other difficulties, and the impact the war can also increase levels of stress in children of veterans.

11 Child-Focused Care Child and Youth Services Operation Brave Families ? School needs September 2010 WR Department of Pediatrics PEDIATRICS Medical Home

12

13 MEDICAL HOME Definiton: Primary care that is Accessible Continuous Comprehensive Family centered Coordinated Compassionate Culturally effective. *American Academy of Pediatrics, 2010

14 PEDIATRICS Medical Home TIER 1: PRIMARY CARE Needs Well Child Care Acute Illness Immunizations School Physical Evaluations Sports Physical Evaluations Dental Referral Anticipatory Guidance – Home – Education – Social Life

15 Primary Care Providers Kristen BickleLeah EnrightKatie CharnockHeather DeLuca Luis RohenaCarrie ParkerBen NelsonRyan MascioApril Hurlston Ruth Gardner

16 Coping in Children Troops' kids feel war toll Updated 6/25/2009 By Gregg Zoroya, USA TODAYGregg Zoroya WASHINGTON — After seven years of war, most children of combat troops are showing more fear, anxiety and behavioral problems, according to the Pentagon's most sweeping survey of the effects of war on military children. Six out of 10 U.S. military parents told researchers their children have increased levels of fear and anxiety when a parent is sent to war, according to a survey of more than 13,000 military spouses of active-duty servicemembers. The results, tabulated early this year, were released to USA TODAY.

17 Intake Tracking Log Fiscal Year 2010 Littlest Warriors Pediatric Services Contacts October Soldier NameIntake NameChild Name Date PEDS Form? Referral Length of Stay PED Beneficial? UPDATES 1 M.A.A.A.M. A. 10/2 7Yes Unknownn/a 2 L. R. IIIA. R.L. R. IV 10/2 7YesNoUnknownn/a November Soldier NameIntake NameChild Name Date PEDS Form? ReferralLength of Stay PED Beneficial? UPDATES 1 K. D. T. D.11/4No UnknownNo 2 G. W.J. Wi.G. W. 11/2 4YesNo2 MonthsYes 3 G. W. 4 W. C.S. C.A. C. 11/2 4No 4 daysNo Austic and speech disability 5 H. C. 6 B. P.R. P.B. P. 11/2 5No 3 yearsYesN/A 7 U. C.S. C.J. C.11/5YesNoUnknownYes Speaks alternate languages 8 B. F.J. F.B..F.11/5YesNo6 monthsYes 9

18 SFAC Tier 2 Screening Are you concerned about your child’s academic performance or learning? Does your child receive special educational services or is he/she on an Individual Education Plan? Are you concerned about your child’s attention or activity level? Are you concerned about your child’s mood or emotions i.e. depression, anxiety, withdrawn behavior, compulsions? Are you concerned about a change in your child’s eating or sleeping habits? Are you concerned about any aggressive behavior or anger management issues in your child? Are you concerned about your child’s peer relationships or socialization? Parents’ Evaluation of Developmental StatusDevelopmental Questionnaire 8-17 yo

19 TIER 2 Coordinators Veronica R. Baechler, MDRuth Hoffman, Ph.D. LTC, MC, USAClinical Psychologist Developmental Pediatrician BB: FAX: Rockville Pike, Bldg 10, 7th Floor East Bethesda, MD

20 PEDIATRICS Medical Home TIER 2: Consultative Needs – Methods: Screening Assessment – Dysfunction in: Psychosocial adjustment Behaviors of concern Mental health needs – EDUCATIONAL NEEDS

21 Quarterly Follow Up

22 Transition Plan of Care Survey Tracking Informational Brochure Mentoring Program Links towards Homeward Bound Services Reintegration to Home Schools Continuation of Psychosocial Supports at Home

23 Review OIF and OEF Ongoing Missions Littlest Warrior Comprehensive Care Program Pediatrics Medical Home Primary Care Clinic Psychosocial Adjustment Screening Transition to Homeward Bound Services Referral: call or LTC V. Baechler and/or Dr. Ruth Hoffman.

24 Questions ?


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