VA Palo Alto Health Care System
- Current problems are primarily due to military related PTSD or post-deployment adjustment difficulties;
- Must be psychiatrically and medically suitable for admission to the residential rehabilitation level of care and able to actively participate in and benefit from treatment in this setting;
- Must be able to remain alcohol and illegal substance free, including marijuana, during treatment at the program and not be actively withdrawing from alcohol or illegal substances;
- May be on prescribed opiates for the purpose of managing stable chronic pain or for opiate replacement therapy. Please include a pain consult or other notes regarding the use of opiates with the application;
- May be on prescribed benzodiazepines. Veterans in the TRP are provided treatment consistent with VA/DoD Clinical Practice Guidelines for the Treatment of PTSD. Accordingly, treatment planning will likely include tapering Veterans off benzodiazepines.
- Veterans who are court mandated to PTSD treatment may be eligible for admission; however, as a voluntary program that includes weekend passes in the community. The TRP cannot take legal custody of a Veteran;
- For active duty Service Members: Ideally assigned or attached to a Military Medical Command (e.g. Wounded Warrior Battalion, Warrior Transition Unit, medical hold unit, etc.); will be evaluated on a case-by-case basis.
For further information regarding the referral process and required documentation, please refer to the TRP application.
For referrals received from within VAPAHCS, providers submit an electronic consult in CPRS titled "PTSD Residential Rehabilitation Program/Trauma Recovery Program Consult." The Screening and Admissions Committee then designates one or two members to review the medical record and conduct a face-to-face or telephone screening. The screening includes a clinical assessment of appropriateness for admission to the WTRP and is a time to answer questions the applicant and her family or loved ones may have. A decision regarding admission is not made during this interview; rather the Veteran or service member is notified that a decision will be communicated to her referring provider in the near future.
WTRP applications are available on request. Completed applications can be faxed, mailed, or emailed with encryption to the WTRP Admissions Coordinator and are then reviewed by the WTRP Screenings and Admissions Team. Referring treatment providers will be notified of the need for any additional information or acceptance of an applicant.
Accepted applicants are contacted by the Admissions Coordinator and a brief pre-admission interview is completed which confirms no major changes in medical or psychiatric status. The interview provides further education about the WTRP (including anticipated length of stay, expectations regarding program participation, pass policies, and discharge planning process) and explains what to bring with them and what is prohibited (i.e., weapons, illegal substances, etc.). At this time the Veteran or service member is asked about any transportation or other coordination needs that might interfere with her ability to be admitted or participate fully in the WTRP, and assistance with any such issues is offered.
Military Sexual Trauma (MST) Eligibility
Veterans who have been subject to sexual trauma while in the military are eligible for health care benefits for conditions related to the sexual trauma. The law defines sexual trauma as sexual harassment, sexual assault, rape and other acts of violence to include unsolicited verbal or physical contact of a sexual nature which is threatening. You may enroll and receive counseling and treatment free of charge for any emotional or physical conditions that were a result of sexual trauma suffered while on active duty, or active duty for training for service members in the Reserves or National Guard.
For further information, contact the MST Coordinator at any VA health care facility, or contact any Readjustment Counseling Center (Vet Center) in the continental United States. You will be treated without regard to your service-connected rating status or length of military service.
For more information, visit the Military Sexual Trauma website.
Maximizing Opportunities for Success
- All Veterans and service members discharged from a residential treatment program require follow-up within 7 days.
- Outpatient continuing care that builds on treatment gains during the residential treatment program is critical.
- You can help maximize those opportunities for success:
– Plan for continuing care at the time of referral;
– Understand the treatment modality used by the program so that you can support the skills learned following completion of the program;
– Warm hand-offs;
– Consider use of technology to support ongoing follow-up as needed.