Training Overview

A general summary of the tiered training.

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Tier Three

Tier Three offers behavioral health professionals specific clinical skills that focus on evidence-based treatment to address some of the behavioral health issues facing service members. One training option is Prolonged Exposure (PE) Therapy for PTSD and another option is Cognitive Processing Therapy (CPT). Additional options listed will also be available at different times. Tier Three trainings are two day classroom trainings. To attend Tier Three trainings, you must be accepted into the registry and have completed Tier One and Tier Two. You may, however, register for the training before being accepted into the registry in order to reserve your spot. If you choose this option, you must complete your application and be accepted into the registry when you are notified by the SBHP administrator. If this is not completed, you will not be able to attend the training and your registration will be canceled.

Below you will find an overview of each of the courses for Tier Three. Please note that, while these topics are offered under Tier Three training, these courses are independent and conducted separately. To be listed as a Tier Three trained provider, you need only take one training; however, you may find it beneficial to attend several as it will offer you additional tools and resources.

Prolonged Exposure Therapy (PE) for PTSD

  1. Review evidence-based treatments for PTSD.
  2. Increase awareness of the empirical support for PE in treating PTSD.
  3. Illustrate the theoretical basis for using PE to treat PTSD.
  4. Examine the role maladaptive fear structures play in non-recovery from trauma.
  5. Recall the PE protocol and its four main techniques.
  6. Review homework assignments used in PE.
  7. Increase awareness of the mechanisms underlying in-vivo and imaginal exposure.
  8. Discuss the overall rationale of PE.
  9. Develop an in-vivo hierarchy.
  10. Administer imaginal exposure.
  11. Identify strategies to modify PE for certain kinds of patients.
  12. Discuss strategies for assessing the outcome of PE.
  13. Examine organizational barriers to implementing PE.
  14. Apply PE to deployment-related PTSD clinical cases.

Cognitive Processing Therapy (CPT) for PTSD

  1. Describe symptoms of PTSD through the lens of CPT theory.
  2. Identify some of the empirical evidence of CPT's effectiveness in reducing PTSD.
  3. Identify comorbid psychological disorders, and personality and environmental factors.
  4. Describe methods of assessing CPT treatment effectiveness.
  5. Implement the CPT standard protocol with individual patients diagnosed with PTSD.
  6. Describe CPT practice assignments and rationale.
  7. Illustrate role of avoidance in CPT.
  8. Describe two primary types of emotions.
  9. Implement structured treatment protocol.
  10. Define the goals of treatment.
  11. Elicit treatment compliance.
  12. Identify and understand the concept of stuck points and identify them.
  13. Interpret the concepts behind the five themes.
  14. Implement the use of Socratic Dialogue.

Cognitive Behavioral Therapy for Insomnia Related to Deployment

  1. Describe the prevalence and kinds of sleep problems experienced by military personnel during and after deployment.
  2. Identify types of insomnia and the symptoms associated with such sleep disturbance.
  3. Recognize the role of sleep disturbance in PTSD and TBI.
  4. Examine different components of Cognitive-Behavioral Therapy for Insomnia (CBT-I).
  5. Develop skills for using Stimulus Control and Sleep Restriction to treat insomnia in military personnel.
  6. Develop sills for using Imagery Rehearsal Therapy to treat nightmares in military personnel.

Assessment and Treatment of Suicidal Ideation in the US Military

  1. Articulate a few common misperceptions about suicide and suicide attempts.
  2. Discuss some of the negative consequences of the stigma associated with suicide and suicide attempts.
  3. Discuss rates of suicide in both civilian and military populations.
  4. Appropriately define/ label suicide and non-suicidal thoughts and behaviors.
  5. List several warning signs for suicide.
  6. Describe some of the similarities and differences in suicide risk factors between civilian and military populations.
  7. Summarize at least one psychological theory of suicide which describes either a model of suicide risk, or a process of risk assessment.
  8. Describe a few of the unique challenges associated with suicide risk assessment and prediction.
  9. Assess risk for suicide in a manner that is sensitive to both proximal and distal risk factors.
  10. Participants should be able to Collaborate with a patient to complete a safety plan.
  11. Identify key negative automatic thoughts associated with the intent to die by suicide.
  12. Create a timeline of a patient's suicidal crisis.
  13. Utilize Cognitive Behavioral Therapy for Suicide in the treatment of suicidal behavior.
  14. Discuss some of the specific challenges associated with assessing and managing suicide risk during deployment.

Psychological Interventions for Chronic Pain

  1. Describe current theoretical models of chronic pain.
  2. Identify common co-morbid mental health conditions in pain patients.
  3. Discuss specific issues relevant to military populations and chronic pain.
  4. Explain how psychosocial factors can influence the outcome of chronic pain.
  5. Perform basic psychological assessments of chronic pain patients.
  6. Provide cognitive-behavioral therapy for chronic pain.

Cognitive Behavioral Therapy for Depression in the Military

  1. Examine prevalence rates of depression in military populations.
  2. Identify military specific implications regarding diagnosing and treating depression in Serivce members.
  3. Review the theory relevant to Cognitive Behavioral Therapy (CBT).
  4. State the key principles of CBT.
  5. Understand the CBT formulation of depression.
  6. Learn how to develop an individualized case conceptualization for patients based on the cognitive behavioral model.
  7. Understand the role of assessment in developing a CBT case formulation.
  8. Examine the components of Cognitive Behavioral Therapy for Depression (CBT-D) sessions.
  9. Determine cognitive strategies utilized in CBT-D in order to modify unhelpful cognitions in Service members.
  10. Summarize behavioral strategies utilized in CBT-D in order to modify unhelpful behavioral patterns in Service members.
  11. Apply the use of Socratic Method in CBT.
  12. Identify common cognitive distortions of military personnel.
  13. Illustrate CBT techniques to treat depressed Service members via video and experimental approaches.
  14. Demonstrate increased skills and confidence to use CBT skills when working with depressed Service members.

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