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Command Directed Behavioral Health Evaluation (CDBHE) Process

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Presentation on theme: "Command Directed Behavioral Health Evaluation (CDBHE) Process"— Presentation transcript:

1 Command Directed Behavioral Health Evaluation (CDBHE) Process
Commander maintains non-stigmatizing Unit BH education program Emergent CDBHE Process Non-Emergent CDBHE Process Signs of BH Condition Change in behavior Unusual behavior Intense sadness Report of BH concerns CDR suspects a BH condition No Sustain Unit BH education efforts Ensure Safety . Contain Situation (Escort SM) . Use Community First Responders Notify SM . Intent to refer for CDBHE . Normalize (no stigma) Yes Use Local Resources . Closest ER . If on base may use MTF Use MTF . Contact nearest MTF BH . Communicate reason for CDBHE . Obtain appointment time, loc. Risk to safety or unit mission Indicators of Risk Threatening statements Statements re self harm Concentration problems Distracting behavior No Informal recommendation that SM seek BH support Communicate with Provider . Reason for referral/situation . Ensure release of info to unit . Assume provider will be civilian Direct SM to CDBHE . Provide appointment information . Communicate directly with SM . No waiting time or counseling Yes Indicators of Emergency Threatening behavior Threatens self harm Disoriented/disorganized CDR concerned re risk Ensure Duty Status for Accountability . If not in duty status, make it so . Use ADOS-RC for extended acute episode if necessary Ensure Duty Status for Accountability & Pay . Place on orders for movement and for evaluation time . Escort if required by MTF or if there is perceived risk No Is this an emergency? Yes Documentation/Notification . Initiate SIR . Initiate LOD . TRICARE one-off if needed Documentation . MTF completes DA 3822 Risk/dangerousness Treatment plan incl. meds Fitness for duty Conditions NOT considered a CDBHE: . Voluntary self referral . Deployment Health or Periodic Health Assessment . Family Advocacy Program or ASAP Assessment . Clinical referrals by health care providers . Law enforcement/corrections evaluations . Competency inquiry . Evaluations required by regulation not subject to CDR’s discretion Follow Up . Follow through on treatment recommendations . After resolution of acute episode schedule non-emergent CDBHE for admin documentation/actions Follow Up . Follow through on treatment recommendations . Any administrative actions related to fitness for duty DoDI , “Mental Health Evaluations of Members of the Military Services,” 4MAR13 ALARACT 079/2014, “Command Directed Behavioral Health Evaluations,” 31MAR14 29 July 2014


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