1. Lt. Col Darrick D. Cunningham Behavioral Health Branch Chief 22 April 2015 Air Directorate Field Advisory Council DPH Program Update

2. Guarding America - Defending Freedom DPH Program Development PAST (2010) CONTRACT MODEL 1 Director - MIL 2 National Directors - CTR 5 Regional Leads - CTR 5 Administrators - CTR 89 Wing DPHs - CTR 5 GSU DPHs - CTR 2007 DoD TF-MH $ Available (Time-Limited) HHS Model (RADM Hunter) Employee Assistance Pgm (EAP) Familiarity; Ease of Use PRESENT (2015) TITLE 5 (GS) – 4 YR TERM 1 Director - MIL 4 Regional Leads - GS 83 Wing DPHs - GS 2 GSU (FL/HI) DPHs – GS 8 Wing DPHs -NDS Title 5 (GS) Wing CC Control No Clinical Oversight with Title 32 Can't Grow Military AFSCs Need to be Non-Deployable Classification Faces vs. Spaces (Wing CCs) FUTURE (2018) TITLE 5 (GS) – PERMANENT 1 Director - MIL 4 Regional Leads - GS 91 Wing DPHs - GS 2 GSU DPHs – GS Standardize DPHs w/ same classification Maximize interoperability w/ AC 2 Provide Assessment & Assistance (No Treatment) WHAT WHY Provide Assessment & Assistance (No Treatment)

3. Guarding America - Defending Freedom DoD/VA Executive and Congressionally Mandated Expansion of Mental Health Services -FY10 NDAA sections 595 & 596 expansion of suicide prevention and community healing and response training -FY10 NDAA, Sec 708; Mental Health Assessments for Members of the Armed Forces Deployed in Connection with a Contingency Operation -FY12 NDAA, Sec 703, Behavioral Health Support for Members of the Reserve Components of the Armed Forces -Aug ’12 Executive Order -- Improving Access to Mental Health Services for Veterans, Service Members, and Military Families -Aug ‘14 POTUS 19 executive actions -- improve mental health of service members, veterans and their families -FY15 NDAA Jacob Sexton Act- Annual person-to-person Mental Health assessments for all DoD personnel -Feb ‘15 Clay Hunt Suicide Prevention for American Veterans Act, signed by POTUS -Feb ‘15 GAO Report to Congressional Committees - SECDEF & SECAF separate enlisted NG SMs functioning poorly due to non-disabling mental condition(s) * Each drives a new requirements, trend suggest more to follow!

4. Guarding America - Defending Freedom Distribution of ANG DPH Hires Total Count: 93 Current as of 20 Apr 2015 Non-Dual Status WI115 FW Unknown MT120 AW Contract thru Sep15; Transition to T5 in FY16 WI128 ARW Hiring T32 WV130 AW Pursuing T32 OK137 ARW Hired T32 (GS11) OK138 FW Hired T32 (GS11) OR142 FW Contract/Pursuing T32 WV167 AW Pursuing T32

5. Guarding America - Defending Freedom Distribution of ANG DPH Hires 73 of 85 (86%) Total Hired 64 21 Pending Hires – Certs requested Current as of 20 Apr 2015

6. Guarding America - Defending Freedom ANG DPH Capabilities GS-11 Non-Accredited Licensed Professional Counselor Inherently Governmental Roles CAIB/IDS Member CAIB Executive Director /IDS Chair Master Resiliency Trainer/Facilitator Suicide Prevention Program Manager Mental Health SME Provides Consultation with Leadership Base-Tailored Psychological Health Requirements Builds Military Conscious Referral Network Develops Wing-Specific Prevention Plans Conducts In-House Risk Assessments Destigmitization of Psychological Care Case Management Information and Referral GS-12 Accredited/Privileged Clinical Social Worker, PhD/PsyD Psychologist, Psychiatric/MH Nurse Practitioner, Psychiatrist *AFI 44-119 Congruent *All of the above, plus the following: Document in Official Military Medical Records Fitness For Duty Assessments Jacob Sexton Act –Annual Mental Health Screening Physical Profiles and Duty Restrictions Pre/Post Deployment Clearances Deployment Health Assessments (DHA) closeouts Provides Diagnosis for LOD/VA Disability Unit Transfer/Release/PCS clearance Formal Clinical Crisis Management Alcohol Drug Abuse Prevention and Treatment Monitoring Family Advocacy/Domestic Violence Program Access Special Needs Identification and Disposition Total Force Integration—(3 to 1, DPH Liaising)

7. Guarding America - Defending Freedom Confidentiality Comparison 1 ACTIVE DUTY MILITARY TREATMENT FACILITY (MTF) MTF ANG DPH CONTRACT MOS MFLC 2 ANG DPH 3 PREVIOUS ANG CONTRACTED DPH 4 MILITARY FAMILY LIFE CONSULTANT (MFLC) 5 MILITARY ONE SOURCE (MOS) Harm to SelfXXXXX Harm to OthersXXXXX Harm to MissionXXXXX Special Personnel (PRP, PSP, 1042)*X Inpatient CareXXXXX Acute Medical Conditions Interfering with DutyXXXXX Substance Abuse Treatment ProgramXXXXX Psychotropic Medication useXXX Non-medical counseling Consultation Advisement *="Medical" cases only

9. Guarding America - Defending Freedom Program Efficacy/Metrics/ Outcome Data