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Veronica R. Baechler, MD LTC, MC, USA Developmental Pediatrician

Veronica R. Baechler, MD LTC, MC, USA Developmental Pediatrician. OIF / OEF. 2003 Operation Iraqi Freedom. 2001 Operation Enduring Freedom. History. OEF: 2001 OIF: 2003 Ongoing Mission WRAMC Wounded Warrior Program Warrior In Transition Influx of transient population of WW Children

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Veronica R. Baechler, MD LTC, MC, USA Developmental Pediatrician

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  1. Veronica R. Baechler, MD LTC, MC, USA Developmental Pediatrician

  2. OIF / OEF 2003 Operation Iraqi Freedom 2001 Operation Enduring Freedom

  3. History • OEF: 2001 • OIF: 2003 • Ongoing Mission • WRAMC Wounded Warrior Program • Warrior In Transition • Influx of transient population of WW Children • Littlest Warrior Comprehensive Care Program • PEDIATRICS Medical Home

  4. Walter Reed SFAC • Soldier and Family Assistance Center • Mr. Stephen Maguire – Director of Services • Ms. Karen Keon – Child, Youth, and School Services Liaison

  5. Residential Origin

  6. SFAC Intake Process

  7. Family Centered Care • Parents as Teachers • Additional Services • Lodging • Logistics • Finance • Child and Youth Services • Operation Brave Families

  8. Developmental Ranges

  9. Impact on Children • Stress in Children of Iraq War Soldiers • By Matthew Tull, PhD, About.com Guide • Updated: June 22, 2009 • About.com Health's Disease and Condition content is reviewed by the Medical Review Board • Many soldiers are returning from the Iraq War are showing signs of PTSD and other difficulties, and the impact the war can also increase levels of stress in children of veterans.

  10. Child-Focused Care • Child and Youth Services • Operation Brave Families • ? School needs September 2010 WR Department of Pediatrics PEDIATRICS Medical Home

  11. MEDICAL HOME Definiton: Primary care that is Accessible Continuous Comprehensive Family centered Coordinated Compassionate Culturally effective. *American Academy of Pediatrics, 2010

  12. PEDIATRICS Medical Home • TIER 1: PRIMARY CARE Needs • Well Child Care • Acute Illness • Immunizations • School Physical Evaluations • Sports Physical Evaluations • Dental Referral • Anticipatory Guidance • Home • Education • Social Life

  13. Primary Care Providers Leah Enright Kristen Bickle Katie Charnock Heather DeLuca Ruth Gardner April Hurlston Ryan Mascio Ben Nelson Carrie Parker Luis Rohena

  14. Coping in Children • Troops' kids feel war toll Updated 6/25/2009 By Gregg Zoroya, USA TODAY • WASHINGTON — After seven years of war, most children of combat troops are showing more fear, anxiety and behavioral problems, according to the Pentagon's most sweeping survey of the effects of war on military children. • Six out of 10 U.S. military parents told researchers their children have increased levels of fear and anxiety when a parent is sent to war, according to a survey of more than 13,000 military spouses of active-duty servicemembers. The results, tabulated early this year, were released to USA TODAY.

  15. Intake Tracking Log

  16. SFAC Tier 2 Screening Parents’ Evaluationof Developmental Status Developmental Questionnaire 8-17 yo • Are you concerned about your child’s academic performance or learning? • Does your child receive special educational services or is he/she on an Individual Education Plan? • Are you concerned about your child’s attention or activity level? • Are you concerned about your child’s mood or emotions i.e. depression, anxiety, withdrawn behavior, compulsions? • Are you concerned about a change in your child’s eating or sleeping habits? • Are you concerned about any aggressive behavior or anger management issues in your child? • Are you concerned about your child’s peer relationships or socialization?

  17. TIER 2 Coordinators Veronica R. Baechler, MD Ruth Hoffman, Ph.D. LTC, MC, USA Clinical Psychologist Developmental Pediatrician BB: 202-642-0009 FAX: 301-295-5069 8901 Rockville Pike, Bldg 10, 7th Floor East Bethesda, MD 20889-5600

  18. PEDIATRICSMedical Home • TIER 2: Consultative Needs • Methods: • Screening • Assessment • Dysfunction in: • Psychosocial adjustment • Behaviors of concern • Mental health needs • EDUCATIONAL NEEDS

  19. Quarterly Follow Up

  20. Transition Plan of Care • Survey • Tracking • Informational Brochure • Mentoring Program • Links towards Homeward Bound Services • Reintegration to Home Schools • Continuation of Psychosocial Supports at Home

  21. Review • OIF and OEF Ongoing Missions • Littlest Warrior Comprehensive Care Program • Pediatrics Medical Home • Primary Care Clinic Psychosocial Adjustment Screening • Transition to Homeward Bound Services • Referral: call or e-mail LTC V. Baechler and/or Dr. Ruth Hoffman.

  22. Questions ?

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