# Presentation: 075180

## Welcome

**March 7 & 8, 2007             **
**Houston, TX**

**South Central MIRECC         Annual Retreat**

## MIRECC Directions for the Next Five Years

**MIRECC Directions for the Next Five Years**

**Greer Sullivan, MD, MSPH**
**Michael R. Kauth, PhD**

## MIRECC for the Next 5 Years

***MIRECC for the Next 5 Years***

**Organizational changes**
**Personnel changes  (New Orleans)**
**Recruitment**
**External reviews**

## Organization

***Organization***

**Three major research focus areas**
**Two groups of experts**
**Five anchor sites**
**Ongoing programs**

## Three Focus Areas

***Three Focus Areas***

- _Disorder_

- _Population_

- _Service Use_

***Improving Care for Older Veterans ***
- Dementia
- Other Mental Illnesses
- Mental Health / Physical Health Interaction

***Promoting Access to Care***
- Rural Veterans
- Non-Specialty Settings
- Telemedicine

*Joe Constans, PhD **	**    Mark Kunik, MD **	**       JoAnn Kirchner, MD *
*New Orleans**	** **	**    Houston**	**	**       Little Rock*
*	**	**	**	**	**	**       **Pat Dubbert, PhD,                 **	**	**	**	**	**	**       Jackson*
*	*

***Investigating the Effects of Trauma on Health***
- Stress/Resilience
- War & Hurricanes
- Emotional & Cognitive Function

## Experts

***Experts***

_**Families**_
- Michelle Sherman, PhD
- Fred Sautter, PhD
_**CBT**_
- Melinda Stanley, PhD
_**SA/Dependence**_
- Tom Kosten, MD
- Jeff Parker, PhD
_**Bipolar**_
- Lauren Marangell, MD

_*Content Experts*_
*(examples)*

_*Methods Core*_
*(examples)*

_**Qualitative Methods**_
- Dean Belvins, PhD
- Louise Parker, PhD
_**VA Databases**_
- Teresa Hudson, PharmD
_**Statistics/Data Analysis**_
- Xaiotong Han, MS
- Houston HSR&D
_**Internet/Web**_
- Tom Teasdale, DrPH

## Five Anchor Sites & Site Directors

***Five Anchor Sites & Site Directors***

**Houston:  *****Vance Hamilton, MD***
**Little Rock:  *****Jeff Clothier, MD***
**Jackson:  *****Pat Dubbert, PhD***
**Oklahoma City:  *****Rich Carothers, PhD***
**New Orleans:****	****  *****????***

## Personnel Changes

***Personnel Changes***

**Michael Kauth, PhD – moved to Houston**
**Loss in New Orleans**
** ****Jennifer Vasterling, PhD**
** ****Kevin Brailey, PhD**
** ****Jeff West, PhD**
** ****Karin Thompson, PhD**
** ****Maga Jackson-Triche, MD**
** ****Anne Foundas, MD**
** ****Administrative Assistant**
** ****Budget Specialist**

## Recruitment

***Recruitment***

**PTSD Researchers!!!**
_**Empty Slots**_** ****	****	****psychiatrist****	****psychologist**
**Houston:****	****	****4****	****	****1****	**
**Little Rock:****	****	****1****	****	****1**
**New Orleans:****	****	****1****	****	****1**
**Jackson:****	****	****	****	****1**
**Oklahoma City:****	****7****	****	****5**

## External Review

***External Review***

**September 2007**
**Permanent Advisory Board (5 members)**

## Other Organizational Changes

***Other Organizational Changes***

**Communication (esp. research):  **
**	****- ****Research Rounds, Bringing Science to Practice**
**	****- research reviews in the newsletter**
**	****- revised MIRECC brochure, manual**
**	****- more info on web site**
**Productivity database & shared drive**
**Formalizing processes and procedures: Governance documents**

## Other Organizational Changes

***Other Organizational Changes***

**Assisting facilities to hire for MH initiatives**
**Education efforts consistent with 3 research foci**
**	****	****trauma - PTSD conference, May 14-15, Houston**
**	****	****access - Consultation on MH-PC initiative**

## Additional Education Efforts

***Additional Education Efforts***

**Additional Education efforts: Responsive to MHPL needs**
**	****Recovery implementation**** **
**	****– ****articles on recovery in newsletter**
**	****Suicide risk reduction **
**	****– ****consultation for Suicide Awareness Day**
**	****– ****training in management of parasuicidal, high service utilization patients**

## Additional Education Efforts

***Additional Education Efforts***

**Dialectical Behavior Therapy (DBT)**
**	****3 teams: Biloxi, Houston, Little Rock**
**	****	****- two day workshop in Nov**
**	****	****- first one week intensive training in Jan**
**	****	****- weekly local meetings; connect with other teams**
**	****	****- education of staff, managers**
**	****	****- 2/3 teams seeing patients**
**	****	****- programs fully functioning by summer**
**	****	****- second one week training in June to present **

## Additional Strategic Planning

***Additional Strategic Planning***

**Strategic planning continues. Current changes more in structure than process; more needed as we mature and grow **