Operations and Implementation

Panel Presentation

(OI3-01) Development of a Telemental Health Network for Veterans and Their Families

Sunday, April 23
1:45 PM - 2:45 PM
Location: Tangerine Ballroom

This panel will provide a detailed description for how the Cohen Veterans Network (CVN) is establishing an independent, national model of telemental health delivery to veterans and their families through a network of Steven A. Cohen Military Family Clinics. The panel will focus on at least three objectives for participants:
1) Describe how CVN is implementing telemental health solutions to bridge mental health care delivery gaps for veterans and their families.
2) Understand how the national roll-out has been structured to deliver care from clinic to clinic and clinic to home.
3) Identify successes and lessons learned to date.
The CVN mission is to improve the quality of life for veterans and their families by ensuring that every veteran and their family members are able to obtain access to high-quality, effective mental health care. This mission is being met through a national network of Steven A. Cohen Military Family Clinics that are resourced to provide free, personalized, and evidence-based mental health care along with access to comprehensive case management support.
The CVN Telehealth Program leverages telemental health in the form of live interactive videoconferencing to improve access and quality of mental health care for CVN patients. This presentation will discuss how CVN is integrating telemental health services into each clinic to offer a balance of face-to-face and telemental health services as appropriate to the communities, settings and population that they are working with. Services are provided from clinic to clinic and from clinic to home settings.
We will discuss the overall CVN telemental health integration process. This will include an overview of expectations that each clinic offer telemental health services, the needs assessment process, the development of clinic implementation plan, service initiation, and full operating capacity. We will provide an overview of outcomes data to include utilization, satisfaction, and improved overall health status. We will also discuss the success and lessons learned of implementing a broad telemental health program across a national network of related, yet independent and non-institutional mental health clinics.

Learning Objectives:

Matthew Mishkind

Deputy Director
Helen and Arthur E Johnson Depression Center University of Colorado

Dr Mishkind received his PhD in psychology from the University of Vermont with a focus on organizational development and behavior. The majority of his career has had two focal points: military health care, and organizational development. He began his military health career with the Deployment Health Clinical Center (DHCC) at Walter Reed Army Medical Center in Washington, DC. He also served as one of the original staff members tasked with developing the National Center for Telehealth and Technology (T2) located on Joint Base Lewis-McChord, Washington State. While at T2, Dr. Mishkind helped lead the development of several technology-based initiatives to improve behavioral health access across the Department of Defense. His particular focus was on developing telehealth programs for remote and otherwise isolated populations. Both DHCC and T2 are part of the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE).

Dr Mishkind has also held positions focused on organizational development. Most recently, he served as team lead for training and human capital initiatives at the Bureau of Reclamation within the United States Department of Interior. He also has experience as a management consultant for global consulting firms Hay Group and Corporate Executive Board. Dr Mishkind began his career conducting national policy research on patient safety and other health-related programs.

Dr Mishkind has 20 publications primarily focused on improving access to behavioral health care for military populations. He is also certified as a Senior Professional in Human Resources.


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Anthony Hassan

Chief Executive Officer and President
Cohen Veterans Network

As the inaugural CEO of the Cohen Veterans Network, Dr. Hassan oversees the establishment of 25 mental health clinics nationwide. These clinics are designed to improve the mental health outcomes for post-9/11 veterans and their families, with a particular emphasis on post-traumatic stress, through high-quality, free, and accessible mental health care. In addition, he leads efforts to advance the field through funded research initiatives and training programs to improve care within the network and beyond.
Dr. Hassan is a veteran of the United States Army enlisted and Air Force officer with 30 years of experience in military behavioral health, serving as a military social work officer, leader, clinician, and academic. He served during Operation Iraqi Freedom in 2004 on the first-ever Air Force combat stress control and prevention team embedded with the Army. He also led the largest military substance abuse and family advocacy programs in the Pacific. These programs were recognized as benchmark programs and training sites for all other Pacific bases.


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Jay Shore

Director of Telemedicine
Helen and Arthur E Johnson Depression Center, University of Colorado Anschutz Medical Campus

Jay H. Shore, M.D., MPH is the Director of Telemedicine for University of Colorado Depression Center and Chief Medical Officer for AccessCare, where he works on a number of Telehealth projects. He is an Associate Professor at the University of Colorado Denver’s Department of Psychiatry and Centers for American Indian and Alaska Native Health. Dr. Shore has been an ATA member since 2000, served on its board of directors, and is an active member in the TeleMental Health Special Interest Group for which he is a past chair.


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Amy Williams

Clinic Director
Steven A Cohen Military Family Clinic at Metrocare

Amy M. Williams, Ph.D., is a clinical psychologist and the clinic director of the Steven A. Cohen Military Family Clinic at Metrocare and adjunct faculty at the University of Texas Southwestern Medical School. Dr. Williams’ practice and research focus has been on the treatment of posttraumatic stress disorder and she has published articles in the area of grief, trauma and constructivism. Dr. Williams is an approved cognitive processing therapy (CPT)-Facilitator in the VA Health Care System’s efforts to implement empirically based treatments. She has served as a primary liaison and consultant in the State of Texas CPT rollout. As part of the new Cohen Veterans Network, the clinic seeks to fill the gap of services faced by post 9/11 veterans and family members. Part of this initiative is the implementation of telehealth services within the clinic.


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Crystal Shelton

Vice President for Clinical Programs
Cohen Veterans Network

As Vice President, Clinical Programs, Crystal is responsible for the development and day-to-day oversight of Clinical Programs including clinical training, telehealth, clinical innovations, intern and scholars’ programs and works directly to support each clinic to have the clinical resources and expertise necessary to provide the highest-quality clinical services to our veterans and military families.
Following a 2-year post-graduate fellowship at Johns Hopkins, she served as an active duty social work officer in the United States Navy. During her time in uniform, she worked with infantry marines and combat instructors at the Marine Corps School of Infantry offering evidence-based interventions in the clinic and out in the training field. Crystal has worked closely with military leadership on multiple Force Preservation Counsels in an effort to build and sustain psychological readiness. In her final tour, she was part of team that built and led the first-ever mental health clinic at the Wounded Warrior Battalion-East, where she provided clinical care for the USMCs most wounded, ill and injured.
She received an MSSW from University of Texas, Austin, School of Social Work.


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(OI3-01) Development of a Telemental Health Network for Veterans and Their Families

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