The Veteran Supported Education Service Treatment Manual: VetSEd

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ACKNOWLEDGEMENTS The production of the VetSEd manual was supported by a grant funded by the Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI) RRP 09-113 and Mental Health QUERI Veterans Health Administration (VHA), Health Services Research and Development (HSR&D). We greatly appreciate the vision and commitment of the Mental Health QUERI to support Veterans‘ education. Given that VetSEd is a relatively new initiative, we were fortunate to work closely with the VA Central Office leadership and are grateful for their guidance and suggestions for both national VHA and the local VA Medical Center (VAMC) service placement. We are grateful as well to the National Center on Homelessness Among Veterans, Mr. Vincent Kane (Director) and the Center for Health Quality Outcomes and Economic Research (CHQOER), Dr. Dan Berlowitz (Director) at the Edith Nourse Rogers Memorial (ENRM) Veterans Hospital, Bedford, MA, who shared in the vision of this manual and provided crucial infra-structure and support. Additionally, this work could not have been done without the direct and very generous participation of the Mental Illness Research Education and Clinical Center, VISN 1, and the Bedford Mental Health and Rehabilitation Service, Dr. Charles Drebing, Director. We are also grateful for our collaborators at the Illinois Institute of Technology, Drs. Patrick Corrigan and Jon Larson who are leaders in the field of psychiatric rehabilitation among non-Veterans. There are many others we would also like to thank for making important contributions to the conceptualization of this model of supported education including the members of the Participatory Action Research Team and key informant interviewees that participated in the needs assessment portion of this grant (RRP 09-113, Ellison, Mueller, Smelson, Corrigan et al., 2011). We are especially beholden to the groundbreaking work of Dr. Walter Penk who brought both the vision and practices of psychiatric rehabilitation and supported employment to the Veterans Health Administration and whose passion for Veteran educational and vocational achievement continually inspires us. 9 | P a g e
FOREWORD By Walter Penk, PhD, ABPP Professor, Psychiatry and Behavioral Sciences, Texas A&M Health Sciences Center College of Medicine and Consultant, VA VISN 17 Center of Excellence on Research for Returning War Veterans. Ellison, et al., VetSEd Treatment Manual Psychosocial rehabilitation techniques have long been considered beneficial for promoting recovery from trauma and stress. However, such techniques have not been sufficiently validated (Penk & Flannery, 2000; Glynn, Drebing, & Penk, 2009). Insufficient validation may be attributed, in part, to the fact that, while theories are strong and deeply embedded within our American cultures, psychosocial rehabilitations often times have lacked operational practices to guide those delivering, as well as those receiving, such services. The Veteran Supported Education Treatment Manual provided here removes all such insufficiencies for using education as a family of psychosocial rehabilitation techniques for coping with trauma. Such "choose, get, keep" educational approaches specified here began long ago in interventions pioneered by William Anthony, Karen Danley, Sally Rogers, Marianne Farkas, and LeRoy Spaniol in the Center for Psychiatric Rehabilitation at Boston University (e.g., Jansen, Farkas, & Penk, 2007) It should not be surprising that such educational remedies come from Boston, that "city on a hill," as seventeenth-century Massachusetts Bay Governor John Winthrop called Boston, paraphrasing the Psalms, the city that remains, to this day, the academic center for the United States of America. For, as embodied in the Boston-born GI Bill of 1944--i.e., legislation to educate World War II combat veterans now incorporated in the new Post 9/11 GI Bill of 2009 for Iraqi and Afghanistan war veterans--the United States of America, once again, is using education as a road for recovery after a decade of war since 9/11 and the great recession that followed. And the road to travel is modeled, in part, on the Servicemen's Readjustment Act of 1944, co-authored by Edith Nourse Rogers, and signed into law as the GI Bill by Franklin Delano Roosevelt on June 22, 1944. 10 | P a g e
Page 1 and 2: The Veteran Supported Education Ser
Page 3 and 4: For more information about the manu
Page 5 and 6: TABLE OF CONTENTS ACKNOWLEDGEMENTS
Page 7 and 8: VI. D. Engaging Key People/The Vete
Page 9: VII. SUPERVISION AND FIDELITY MEASU
Page 13 and 14: INTRODUCTION TO THE VETERAN SUPPORT
Page 15 and 16: designers on topics such as staffin
Page 17 and 18: Veterans with a mental health diagn
Page 19 and 20: IV. CORE COMPETENCIES OF THE PEER V
Page 21 and 22: C. Variable Service Intensity, Cont
Page 23 and 24: VI. FOUNDATIONS OF THE VetSEd SERVI
Page 25 and 26: administrators having knowledge abo
Page 27 and 28: PART TWO: TRAINING MANUAL FOR PEER
Page 29 and 30: foundation for this collaboration.
Page 31 and 32: ainstorm together all the resources
Page 33 and 34: the postsecondary school of their c
Page 35 and 36: Identify schools with a wide variet
Page 37 and 38: iii. Considerations in Preparing an
Page 39 and 40: Veteran has liked and disliked abou
Page 41 and 42: Four-year Colleges or Universities.
Page 43 and 44: As a general rule, it is better to
Page 45 and 46: How to Identify Potential Barriers
Page 47 and 48: or hardship may qualify for the GI
Page 49 and 50: we provide basic information about
Page 51 and 52: vi. Using VR&E and Post-9/11 GI Bil
Page 53 and 54: Exercise Using Worksheet #8: Educat
Page 55 and 56: Financial Aid Packages Some Veteran
Page 57 and 58: which experiences may be useful to
Page 59 and 60: ii. How to Register for Classes Onc
Page 61 and 62:
After registration, but before clas
Page 63 and 64:
Arriving at School (adapted from Be
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i. Time Management for Large Projec
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Limited time spent on areas outside
Page 69 and 70:
To obtain an accommodation there ar
Page 71 and 72:
mental illness so I must be weak. T
Page 73 and 74:
Some will be openly skeptical of th
Page 75 and 76:
B. Engaging Schools The VetSEd mobi
Page 77 and 78:
with enrollment brochures and other
Page 79 and 80:
The following is a list of question
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Covered in this section are the fol
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his/her educational successes. Acco
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Exercise The Veteran you are meetin
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Key Elements of Sharing Recovery an
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Minimal encouragement - Short phras
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iii. Increasing Motivation The goal
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Worksheet # 9a/b: Ups and Downs for
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locating and maintaining an educati
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More efficient is consideration of
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solving attitude. ―I am hopeful t
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health coach or the like. Although
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In either event, depending on the l
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Maintain close contact with your cl
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not simply mean agreeing with every
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Social Skills Training (SST) SST wa
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Worksheet #1a: Intake: Academic His
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If you took college classes or had
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Worksheet #1b: Intake: Employment W
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Worksheet #1d: Intake: Support Netw
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In what ways have your experiences
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Worksheet #2: Educational Road Map
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Worksheet #3: Questions to Help Det
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Worksheet #5: My Personal Criteria
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Worksheet #7: School Schedule Fall
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Worksheet #9a: Ups and Downs for Go
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Worksheet #10: Current Resources/Ex
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Worksheet #11: Veteran’s Current
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Worksheet #13: Task List for Applyi
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Worksheet #15: Stopping Self-Stigma
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Person aware of my education goal?
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Worksheet #19: Ready, Able, Willing
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increase your sense of pride?......
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Worksheet #21: Education Change The
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Pick a Solution and Plan It - Who -
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The challenges posed by mental heal
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At present, educational supports to
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VetSEd Eligibility Criteria Veteran
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VI. SETTING UP YOUR VetSEd SERIVCE:
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D. Competencies of the Peer Support
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F. Caseload This model posits a ser
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Example 1 During supervision, Sarah
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Stage of Supervisory Relationship.
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unique role in recovery-oriented sy
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Manual (U.S. Department of Veterans
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Managing Crisis and Emergency Situa
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and the Veteran will review the ind
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Bond, G. R., Becker, D. R., Drake,
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Haynes, R., Corey, G., & Moulton, P
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Sareen, J., Cox, B., Stein, M., Afi
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Volk, R. (1968). Alternative method
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Target date for Overall Goal: 3 to
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Situation including the benefits I
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What will I do to achieve this goal
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Who can help me with this goal, and
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Appendix B Type of Degrees Offered
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Appendix C Sample School Schedule 7
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Appendix D Sample Task List for App
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Page 197 and 198:
Appendix F Sample VA Release of Inf
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Appendix G Supported Education Powe
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Page 203 and 204:
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Page 205 and 206:
Appendix I Essential Practices for
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Appendix J 206 | P a g e A “Home
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E. Supported Education as a VA Reco
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Telling your personal recovery stor
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17) Did the Veteran complete Worksh
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The Veteran Supported Education Service Treatment Manual: VetSEd

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