PP107 – A Model for the Management of Higher Levels of Behavioral Health Army Solder Care in the Civilian Network
The Connect Care Program (CCP) is one of the Army’s 11 Behavioral Health System of Care programs, distinct to the Army. CCP was developed to address the large number of Army Soldiers being admitted to civilian (CV) behavioral health (BH) facilities with excessive lengths of stays (LOS). LOS was determined with no review of medical/psychological necessity or least restrictive level of care. Inpatient (IP) care coordination was limited by NCM lack of knowledge/experience of IP BH hospitalizations. Communication and care coordination was compartmentalized with TRICARE, the CV facility, and the Military Treatment Facility (MTF). A “coalition” of MTF leadership, leadership from local CV BH facilities and EDs, and TRICARE was formed to address challenges related Soldier readiness, safe transitions of care, military structure, and civilian network processes/constraints. In addition, regular interface for bi-directional sharing of clinical care status of Soldier hospitalized was structured with CV providers and the DBH to provide current status, discharge planning, and safe transitions of care. Within the first year, LOS decreased 50%, and CV facility leadership and TRICARE MCSC reported positive feedback about working relationship between all. MTF CCPMs work with TRICARE, CV facilities, and BH providers/NCMs to re-capture care back to the military system of care to the extent possible, and to ensure the Soldier is considered for least restrictive level of care, and meets medical/psychological necessity for higher levels of BH and Substance Use Disorder (SUD) care. The CCPM oversees that the Soldier’s command is notified in a timely manner of admission and discharge, and safe and timely transitions of care are addressed. The CCP provides the structure to “hand off” the care coordination aspect of higher levels of BH and SUD care to a CCPM, who has expertise in acute IP and SUD care, and advanced practice knowledge of psychiatric nursing.
1. The participant will understand a model distinct to the Department of Defense Military Health System overall, for the care management and coordination of higher levels of Behavioral Health and Substance Use Disorder Care for Soldiers in civilian facilities in conjunction with an Embedded BH model of care. (Acute Inpatient Hospitalizations, Non-Emergent BH and SUD Programs, Residential Treatment Programs, Intensive Outpatient Programs, Partial Hospitalization Programs)
2. The participant will identify key distinct and overlapping roles of the Military Treatment Facility Connect Care Program Manager and nurse case management
3. The participant will identify positive aspects and challenges with the CCP and NCM in the specialty area of Behavioral Health and Substance Use Disorder care