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IRAQ WAR CLINICIAN GUIDE

Iraq War Clinician's Guide - Network Of Care

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Iraq War Clinician Guide 95 Appendix C<br />

--.--<br />

CaseManagers for Combat Veterans: Each combat veteran will be assigned a case<br />

manager, usually a social worker or nurse.<br />

Roles and Functions of VHA Combat Veteran Case Managers<br />

The principal role of VAMC Combat Veteran Case Managers is to provide ongoing<br />

case management services to returning combat veterans and their families over tile<br />

course of time VHA health care services are being provided.<br />

Thecase Manager makes contact with the combat veteran prior to transfer of<br />

health care from the MTF to provide hisher name and phone number and to<br />

explain the case manager role.<br />

The Case Manager makes similar contact with thc combat veteran's immediate<br />

family and determines whether any family members will accompany the veteran.<br />

(If family members will accompany the vctcron or visit during an inpatient stay, the<br />

casemanager will help arrange lodging in a VHA Fisher House or in tile local<br />

community.)<br />

The Case Manager will work closely with the combat veteran's interdisciplinary<br />

treatment tcam to assure good communication and treatment planning.<br />

The Case Manager will ask the VHA provider to contact the combat veteran's DoD<br />

provider at the MTF to discuss transfer of medical care.<br />

. The VHA Case Manager will communicate and collaborateclosely with the VBA<br />

Case Manager and will assist VBA in making contact with the veteran.<br />

The Case Manager will make referrals to community agencies for senices not<br />

provided by VA and will coordinateall the care and services provided to the<br />

combat veteran by the VA and by non-VA agalcies from the initial point of contact<br />

until the combat veeran no longcr requires services.<br />

The CaseManager will identify mental liealth treatment nculs and readjustment<br />

counseling needs and make referrals as appropriate to the VHA facility Mcntal<br />

Health program andlor to the local Vet Center.<br />

The Case Manager will communicate regularly with the MTF that referred the<br />

veteran.<br />

The Case Manager will actively participate in discharge planning if thc combat<br />

veteran is admitted to the VHA facility, involving the vetcran and family and<br />

kecping the MTF updated.<br />

....- .<br />

DEPARTMENT OF VETERAhS AFFAIRS<br />

\ATlOhAL CENTER FOR PTSD

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