INVESTORS NEEDED Author: Michael Maloney; President and Founder of “InterveRe”, the New Promise Intervention Services, C.A.C. Senior Interventionist and combat veteran. intervere Date: 6/7/14 Subject: This template is for a not for profit veteran inpatient treatment program to be staffed by licensed and qualified veterans. This template is subject to modification when necessary. Objective: To provide 24 hour inpatient treatment of Veterans for Post-Traumatic Stress Disorder and mental health issues sustained after tours of duty in theater during the Iraq and Afghanistan War campaigns. Also, for the treatment of addictive illnesses that are co-morbidly reside with PTSD and mental health concerns post war campaign and discharge from active duty service. This treatment program is also made available to active duty soldiers who have been identified in need of inpatient as a result of deployment into combat theaters during the Iraq and Afghanistan War campaigns. Note: I have never written a proposal before so I am just going to clearly outline what this vision looks like in my mind’s eye. Please forgive me if this does not follow a professional format. I do not have time to consult on the formatting of this professional document. Time is of the essence. We simply can’t afford to lose another brother or sister due to the negligence of a government healthcare system incapable of dealing with long term mental health, addictions, and PTSD concerns of our warriors. This system has failed them time and time again. No more! Vision: This treatment center would house from between 10-12 brothers and sisters at any given time. Obvious lodging accommodations would need to be made due to this being a program designed for men AND women. I will share more on that later. This center would provide 24 hour daily structured care. During day hours and perhaps some evenings, I envision at least 35-40 hours of clinical therapy during the week to include multiple individual sessions, daily group therapy, and ancillary therapy such as physical fitness, expressive therapy, equine therapy, spirituality, and “bivouac” therapy. Psycho-educational groups would be delivered every other day if not daily on topics ranging from family reintegration, community reintegration, relapse prevention, spirituality, sustainable employment, parenting skills, PTSD triggers, etc. In house 12 step meetings will be mandatory for those who are dealing with addictive diseases. This is a non-negotiable. Resistance to this directive would be considered a clinical issue and processed accordingly with each brother or sister. Styles of individual and group therapy used would be Cognitive Behavioral Therapy, Gestalt (Experiential) Therapy, ‘Here and Now’ therapy, Eye Movement Desensitization and Reprocessing Therapy, for example. Defining each and detailing other therapy styles would take pages of information. For the sake of brevity and urgency I wanted to provide a working list of what would be used. Pre-construction meetings and planning would be the appropriate time to dive deeper into therapies, etc. This facility would need a medical doctor who could also be the medical director to oversee all physical illness and injury occurrences. This program will support those who lost limbs and may need special or additional medical support as a result. This facility would also need an Addictionologist, or, a psychiatrist who specializes in addiction and mental health care. A psychiatrist could also function in the role of Medical director. However, they should not tend to general medical concerns. This facility would need licensed nursing staff to carry out medical and psychiatric orders as well as monitor the physical and mental well-being of our brothers and sisters. All medical staff will have served in theater just as our brothers and sisters did. We can send out to a local pharmacy for medication support when needed. Having an onsite pharmacy is preferred, however, the licensing and oversight is daunting. This is doable but daunting to get up and running. Once this service is in place, operations run exceeding well. This program would need to be licensed and accredited by the state where it will reside. Accredited facilities are golden in that it would open up our services health insurance providers. This happens after the physical construction of the said program. Accrediting managers will inspect sites to make sure everything falls within state and/or federal specifications for safety, adequate lodging, medical health and psychiatric care. Basically it does a top to bottom assessment of all services, checking licensure and qualification of staff, physical safety of property, etc. Health insurance verification and approval, doctor to doctor updates on our warriors for the purpose of insurance extensions (if applicable), and checking staff licensure and qualifications would fall within the Utilization Review purview. UR is a sub-component of Human Resources. Of course, HR would be a necessary component to make sure policy and procedures are adhered to, paycheck/accounting…among other duties and responsibilities. This facility would be staffed by therapists, counselors, behavioral health technicians who were in combat and licensed to provide services in which ever state this program would reside in. Therapists would direct all clinical services and certified behavioral health technicians would assist therapists. BHT’s would monitor non-clinical routines. For example, after clinical hours, CBHT’s would supervise living quarters, monitor the physical health and well-being of our brothers and sisters during non-clinical hours, provide transportation, follow directives of clinical staff, utilize an ‘on-call’ system with therapists to handle crisis after clinical hours, etc. We will have a spirituality advisor (or two) on staff for counseling and the provision of religious services. Or, we can transport off site for religious services. There is so much more that goes into this piece. Again, I wanted you to get an idea of what it would look like. Ancillary therapy such as equine therapy would require a state certified equine therapist to provide this service…and horses of course. Recreation therapy should be supervised by a recreation therapist, etc. Ancillary therapies are imperative to a highly successful treatment program to promote long term recovery for our wounded brothers and sisters. Housekeeping and maintenance staffs are necessary. Maintenance we can do on-call. Not preferred. If on-call maintenance is used, they would need to be on speed dial and capable of responding with immediacy to property issues. Family therapy will be a major component of every veteran’s treatment experience. This treatment program will need a family therapist steeped in family therapy theory and reintegration principles to meet the needs of each family member. This treatment facility will need to employ a case manager to facilitate all discharge needs of graduating veteran’s. No one falls through the cracks specific to discharge. Case management will foster a seamless transition for our veteran’s from our inpatient setting to appropriate outpatient, medical, and mental health settings. Case management will interface with employers, the criminal justice system if needed, any outside distractions that would disengage our veterans from embracing their treatment experience. The physical property this program needs to be multi-dimensional. It would not only serve as a place where all clinical would take place but they would also reside there. Meals would be served there as well. A dietician would be on staff to oversee all culinary responsibilities that include meal preparation and special diets, etc. All medical and psychiatric services would be provided within this physical structure. This main facility would be fitted to accommodate the needs of our handicapped brothers and sisters. Separate living quarters for men and women. They will be supervised by same gender CBHT’s. This main building needs to be large enough to room and board 10-12 warriors, clinical office space, group therapy space, medical and psychiatric space, HR and UR space, chow hall and spirituality space, recreation space, enough acreage to adequately provide the physical means for equine therapy and “bivouac therapy.” “Bivouac therapy” would be a special therapy used for our residents who will be graduating from our program. This is still a work in progress in my mind right now. All therapy is subject to enhancement as time goes by. The location of this program is up for debate. It needs to grow and thrive in an environment that provides serenity, privacy, and a place where they can learn “how to be still” all over again. Surroundings are critical. Must be away from large cities yet close enough for air travel to and from a major airport. One hour travel or 60 miles (give or take) to an airport would be the maximum distance. The more ‘country’ or scenic the physical location is, the more favorable the result. Geographic surroundings are equally as therapeutic as the rest of the therapy is. The more favorable the result…all things combined…the longer our brothers and sisters will have a chance at recovery. I think that is it for the time being. You know have bit of a descriptive idea regarding what the inner workings of a treatment program looks like. I know I have left out scores of other information. It is the sort of information that would come about (I am sure) when having meetings/conferences with those who deem this program as worthy to pursue. A work in progress! Something tells me proposals are pages upon pages of information. I hope I did an adequate job detailing what I know to be relevant specific to the ‘inside’ logistics of developing a high caliber and highly successful residential program for our brothers and sisters. Please call me or email me with any questions or concerns you might have. We have to help those we can. We have to! Thank you for believing in this! Words can’t begin to express my gratitude and admiration for you! Deepest Regards, Michael Maloney; BSW, C.A.C. and Senior Interventionist United States Army Veteran President and Founder of ‘InterveRe’ the New Promise Intervention Services 855-992-4673 intervere
Posted on: Sun, 08 Jun 2014 21:25:52 +0000
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