Troop Command 808-433-9160

S1– 808-433-9161

S3-808-433-4293

Alpha Company– 808-433-9130

Bravo Company– 808-433-9131

Charlie Company– 808-433-8050

Delta Company-808-433-9130

Family Readiness Support Assistants

(FRSA) 808-433-9160

TROOP COMMAND

21 JANUARY 2011

Inside this

issue:

Hawaiian Luau Lunch 2

King and Queen of the Jungle 4

S.O.S 6

Pro Bowl Schedule 7-9

Military One Source 9

Saving where you spend 12

Continue on next pg.

U.S. ARMY GARRISON, HAWAII

Come to Hale Ikena

28 January for many of

your Hawaiian favorites.

Enjoy this buffet for only

$10.95

1100 to 1300

For more information please call 438-1974

Page 3

MFLAC/DEPLOYMENT SERVICES

Military Family Life Consultant provide solution-oriented consultations to individuals, cou-

ples, families, and groups. The Military and Family Life Consultant (MFLC) Program is de-

signed to provide support and assistance to active duty Soldiers, National Guard & Reserves,

military Family Members and civilian personnel. Military and Family Life Consultants can

help people who are having trouble coping with concerns and issues of daily life.

Tripler– Rene Gigoux Dave Gilbertson AMR Housing– Mike Watson

808-222-1089 808-264-2246 808-366-9121

Broward County Public School District to Partner with Tutor.com To Help Ninth Grade Students Get Ready for End-of-Course Algebra Exam

NEW YORK - December 16 – Tutor.com, the leading online tutoring service with over 6 million sessions served, an-

nounced today that the Broward County Public School District (FL) will offer one-to-one online tutoring to 3,100 ninth

graders in six high schools who must now take an end-of-course algebra proficiency exam. The program is supported

through Title I funds.

Read more at http://www.tutor.com/press/press-releases-2010/20101216

Register at http://www.tutor.com/military

Page 4

Page 5

“THIS IS A COMMUNITY BULLETIN”

Construction affects Tripler's Jarrett White Road through April

When: Wednesday, January 19, 9 am – Sunday, April 10, 2011, 6pm

Note: Construction of a third entry lane into Tripler Army Medical Center at

Jarrett White Road begins Jan. 10. There will be one lane into TAMC from Jan. 10 through April, 9 a.m.-6 p.m., daily. This should be of minimal impact as the rush of incoming traffic is greatly diminished by 9 a.m. There will be no impact to outgo-ing traffic.

Page 6

November 2010

What Is Non-Medical Counseling? By Phillip Walker, LCSW, CEAP

The purpose of counseling through Military OneSource is to help service members and their families return

from a distressful state to a previous state of functioning, and not to treat medically diagnosable conditions. It's

important for our providers to understand the objectives and guidelines of non-medical counseling — also

called employee assistance (EAP) counseling — and appreciate the value of this type of counseling to individ-

ual beneficiaries and the military as a whole.

The non-medical counseling referral is for short-term situational and problem-solving counseling. The follow-

ing examples are the type of issues appropriate for this model:

well-being

deployment stress

marital/couples issues

family relationships and concerns

homesickness

making friends

serious illness in family

parenting

divorce

parent-child communications

loss and grief

conflict resolution

self-esteem/independence

decision making

anxiety

stress

anger

addictive relationships

binge drinking

loneliness

conflicts with friends/roommates Non-medical counseling through Military OneSource gives service members and their families an avenue for

dealing with personal life issues in the context of a confidential relationship with a professional outside of the

military sphere. Your expertise and the resources you provide using the EAP model in counseling individuals,

couples, and families have become an essential component on the continuum of behavioral and psychological

health care available to military members and families. But there will be times when the type of services you're

authorized to provide through Military OneSource are not appropriate, and another type of assistance will need

to be provided.

Issues Not Appropriate for Non-Medical Counseling When military clients are struggling with issues outside the scope of the EAP model, your help is necessary

to ensure they're moved to appropriate care. For example, you may decide after two counseling sessions that

your client has severe stressors or is dealing with severe emotional content that cannot be dealt with in a

short-term, problem-solving model. If you recommend ongoing psychotherapy, it will need to be provided

through the client's health insurance benefit.

Another example of inappropriate use of non-medical counseling is when a crisis situation escalates to a hos-

pitalization, and afterwards the patient is referred back to the affiliate provider. Hospital discharge plans

should include outpatient mental health treatment through insurance or community mental health and not

Military OneSource.

These are some other situations when you should move a client out of non-medical counseling:

court ordered/mandated counseling

potentially dangerous situations, including but not limited to:

violent and threatening behavior

harm to self or others.

long-term behavioral health issues, including but not limited to:

major depression

thought disorders

addictive disorder

post-traumatic stress disorder (PTSD) psychological evaluations

Many times issues will escalate during EAP counseling until it becomes apparent that longer-term treatment

or crisis intervention is required. It's extremely important that this clinical decision is made and followed

through. Often times, providers feel they should use all 11 sessions authorized by Military OneSource before

referring out. It could be in session 2, 4, or 9 when you notice a need to move the client to a more intensive

level of care. The best practice is to shift your focus to helping these clients understand and take action to

transition to another type of care. It's also best practice to assist them in navigating their health insurance and

see them through connecting with the referral. This is considered the "warm handoff." While the client is in

your office, help them make the phone call(s) to connect to the referred treatment.

It is important for you to witness your EAP client connect with the referral for their continuity of care suc-

cess. This process can take more than one session, which is another reason to start the referral process as

soon as the longer-term treatment need is identified.

Making a Mental Health Treatment Referral Continuing mental health care may be provided through TRICARE, installation mental health services, other

private health insurers, or community mental health. Dependents of active-duty service members have the

option of calling TRICARE directly to locate authorized mental health providers. Active-duty service mem-

bers must be referred to their Primary Care Manager at their Military Treatment Facility. That professional

may then refer the service member to a TRICARE provider. Most active-duty service members will be

treated by the mental health treatment facility at their installation. National Guard and Reserve members who

are not on active duty may have a TRICARE plan, or they may have private insurance through a civilian job.

Some Guard and Reserve clients may need to use community mental health when they don't have health in-

surance. For more information on TRICARE referrals go to www.ceridian.com/myceridian/support/files/

training/MOS/TRICAREReferrals/index.htm.

Our providers get referrals from various sources for both EAP counseling and outpatient mental health treat-

ment. This information is meant as a reminder to distinguish between the two and review helpful ways to

look at how you provide EAP services. We at Military OneSource take pride in the quality of your services,

and we want to do our part in helping you stay aware of service member's and their families' needs.

Phillip Walker is a Coordinator of Clinical Services for Military OneSource.

EAP Learning Resource You can learn more about EAP core technology by visiting the Web site of the Employee Assistance Profes-

sionals Association (EAPA) at www.eapassn.org. EAPA is a good resource for information on the employee-

assistance approach to addressing work-organization productivity issues and employee/client concerns affect-

ing job performance. EAPA also provides access to EAP certification and credentialing and a learning center

for online education.

Provider Tip: TRICARE Self-Referrals Effective immediately, Ceridian providers may no longer refer Military OneSource EAP clients to themselves

for continuing counseling through the client's long-term insurance benefit or private payment. Prior to the final

session(s), please ask active-duty clients to seek authorization from their Primary Care Manager for longer-

term behavioral health treatment. Spouses and family members may contact TRICARE (or other insurance car-

rier) directly for authorization and a referral list. This does not apply to non-military clients.

Provided to Ceridian EAP affiliates as part of Ceridian’s Military OneSource program.

View or download this issue or previous issues of the Affiliate Update at vwww.MilitaryOneSource.com/Affiliate Update.

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