1 00:00:01,509 --> 00:00:04,400 Access to care is really challenging 2 00:00:04,409 --> 00:00:06,650 across the Air Force . It doesn't 3 00:00:06,659 --> 00:00:09,909 matter what base you're at . Access is 4 00:00:09,920 --> 00:00:13,039 not the way it was 5 , 10 years ago , 5 00:00:14,520 --> 00:00:16,520 Stephanie Sergeant , I'm a licensed 6 00:00:16,520 --> 00:00:18,742 clinical social worker and I work at 37 7 00:00:18,742 --> 00:00:22,590 training wing . I 8 00:00:22,600 --> 00:00:26,409 am a retired L CS W in the air force 9 00:00:26,420 --> 00:00:28,530 served 20 years . Active duty was a 10 00:00:28,540 --> 00:00:30,799 licensed clinical social worker opening 11 00:00:31,229 --> 00:00:33,340 and it was working within an embedded 12 00:00:33,340 --> 00:00:37,270 setting and not in the clinic . So 13 00:00:37,279 --> 00:00:39,390 it was a great opportunity to jump in 14 00:00:39,390 --> 00:00:41,279 and do something that I've always 15 00:00:41,279 --> 00:00:43,223 wanted to do and the mission never 16 00:00:43,223 --> 00:00:45,700 allowed it . So this is great . Our 17 00:00:45,740 --> 00:00:49,029 mission in True North is really to give 18 00:00:49,040 --> 00:00:51,369 commanders the tools they need to help 19 00:00:51,380 --> 00:00:53,491 keep their forces and their families' 20 00:00:53,491 --> 00:00:56,599 mission ready . And we do that by 21 00:00:56,610 --> 00:00:59,560 intervening early and intervening in 22 00:00:59,569 --> 00:01:03,319 the unit if we can or connecting them 23 00:01:03,330 --> 00:01:05,250 with services close by and really 24 00:01:05,260 --> 00:01:07,482 trying to keep them as mission ready as 25 00:01:07,482 --> 00:01:09,959 possible . In True North , we're able 26 00:01:09,970 --> 00:01:11,970 to help the permanent party at this 27 00:01:11,970 --> 00:01:13,970 time . We're not able to see family 28 00:01:13,970 --> 00:01:15,692 members or students other than 29 00:01:15,692 --> 00:01:17,748 providing the prevention programs to 30 00:01:17,748 --> 00:01:19,970 them . Training instructors have a very 31 00:01:19,970 --> 00:01:22,192 rigid schedule and we have to make sure 32 00:01:22,192 --> 00:01:24,248 we're offering services when they're 33 00:01:24,248 --> 00:01:26,081 available . We don't want to put 34 00:01:26,081 --> 00:01:28,137 additional stress on them . We don't 35 00:01:28,137 --> 00:01:30,470 have a problem with people seeking help . 36 00:01:30,470 --> 00:01:32,692 We have a problem vectoring those folks 37 00:01:32,692 --> 00:01:35,169 to the right support . The mental 38 00:01:35,180 --> 00:01:37,250 health clinic is not necessarily the 39 00:01:37,260 --> 00:01:39,319 actual agency they need to go to . 40 00:01:39,330 --> 00:01:43,279 First thing who's been stressed 41 00:01:43,290 --> 00:01:45,569 out before they could come to a lower 42 00:01:45,580 --> 00:01:48,650 level agency like an or an embedded 43 00:01:48,660 --> 00:01:50,771 provider like myself or they can even 44 00:01:50,771 --> 00:01:52,938 go to the primary care provider . They 45 00:01:52,938 --> 00:01:54,993 don't necessarily need to hop to the 46 00:01:54,993 --> 00:01:57,049 mental health clinic . First thing , 47 00:01:57,049 --> 00:01:59,382 you weren't expecting it to be this way . 48 00:01:59,382 --> 00:02:01,493 We're not in all of the units , we're 49 00:02:01,493 --> 00:02:03,669 only in a few units and the Air Force 50 00:02:03,680 --> 00:02:06,260 is rolling out this program to the at 51 00:02:06,269 --> 00:02:08,889 risk units first . And if it's 52 00:02:08,899 --> 00:02:11,300 successful and if we're showing that 53 00:02:11,309 --> 00:02:13,360 the key performance indicators are 54 00:02:13,369 --> 00:02:15,369 improving , then they'll be able to 55 00:02:15,369 --> 00:02:17,779 roll it out to other units . Anything 56 00:02:17,789 --> 00:02:20,779 we do , we're measuring it . If it's a 57 00:02:20,789 --> 00:02:23,130 prevention program , we're measuring it 58 00:02:23,279 --> 00:02:26,580 with evidence based outcomes . When 59 00:02:26,589 --> 00:02:28,880 individuals come in for care , there's 60 00:02:28,889 --> 00:02:31,000 a session rating scale and there's an 61 00:02:31,000 --> 00:02:33,360 outcome rating scale that they'll take . 62 00:02:33,470 --> 00:02:35,581 And that helps us understand . Number 63 00:02:35,581 --> 00:02:37,803 one , are they getting better or are we 64 00:02:37,803 --> 00:02:40,179 off track ? And number two is the 65 00:02:40,190 --> 00:02:42,475 clinician effective and those , those 66 00:02:42,485 --> 00:02:44,207 key performance indicators are 67 00:02:44,207 --> 00:02:46,645 important for us in the unit overall 68 00:02:46,654 --> 00:02:48,934 down the road we want to look at are 69 00:02:48,945 --> 00:02:50,945 people getting what they need . Are 70 00:02:50,945 --> 00:02:53,278 they getting the medical care they need ? 71 00:02:53,278 --> 00:02:55,389 And if we can track that we'll have a 72 00:02:55,389 --> 00:02:57,556 better understanding if we're making a 73 00:02:57,556 --> 00:02:58,509 difference . Oh .