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