Lebanon VA Medical Center

Behavioral Health Mental Health Services

General Outpatient Psychiatry Clinic offers diagnostic evaluation, pharmacological management, and psychotherapy in the form of individual, group, couples and family therapy in veterans with mood disorders, anxiety, psychotic symptoms, Posttraumatic Stress Disorder (PTSD), eating disorders, Obsessive Compulsive Disorders (OCD), and ADD in both adult and geriatric population. Groups therapy is provided for PTSD, Depression, OEF/OIF Family and significant others, Coping, Social Skills for severely Mentally Ill, WWII, Korean War, Women's Group, and Vietnam Veterans Spouses' Group.

Memory Disorders and Neuropsychiatry Clinics are outpatient settings with focus on evaluation and treatment of patients with different forms of dementia, cognitive impairment, Tourette syndrome, TBI (traumatic brain injury), as well as behavioral disorders including epilepsy, stroke, multiple sclerosis, Parkinson’s disease and other neurological and medical conditions, in both adult and geriatric population presenting with psychiatric/neuropsychiatric symptoms. The typical patient seen in these clinical settings is one who is experiencing at least one of the following:

1 - Cognitive decline

2 - Difficulty performing familiar tasks

3 - Alterations in personality and/or judgment.

Recovery, Rehabilitation and Re-Integration Services

Incarcerated Veterans Re-entry Program: VISN 4’s Incarcerated Veterans Re-entry Program is coordinated at Lebanon VAMC by Otis Nash, Incarcerated Veterans Re-entry Specialist.  This expanded initiative involves conducting outreach at Federal, state, and county correctional facilities, as well as coordination with community-based correctional agencies, such as community corrections, parole and probation. 

In conjunction with the Health Care for Homeless Veterans (HCHV) Program, the services model includes screening and assessment of medical, psychiatric, and social needs, and referral and post-release linkages to VA and non-VA resources.  VISN 4’s model includes collaborative case management with HCHV social workers, Vet Center staff, VA residential drug and alcohol treatment, Vocational Rehabilitation staff, and referrals to VA homeless domicilaries and grant and per diem programs.

 

The Mental Health Intensive Case Management Community Assistance and Rehabilitation Team (MHICM-CART) is a multidisciplinary group of professionals who utilize a patient-centered, community-based, intensive case management approach.  The team serves veterans in the Lebanon VAMC’s catchment area, covering 13 counties in Central Pennsylvania.  Its services are reserved for those veterans with the most serious and persistent psychiatric illnesses who frequently utilize inpatient psychiatric hospitalization as a means of coping with their illnesses.

The central goal of the program is to support and assist the chronically ill veteran to develop the necessary skills and resources to remain in his/her community and to avoid repeated psychiatric hospitalizations.  The program accomplishes this by providing intensive, supportive, and rehabilitative treatment in the community where the veteran resides, using a multidisciplinary approach.  Unlike more traditional forms of treatment in which the patient goes to the clinic at set times to receive pre-determined services, MHICM-CART goes to the veteran and delivers services “in the field” as often as needed to accomplish its goals.  Such projects have often been referred to as “clinics without walls”.

 

Psychosocial Rehabilitation and Recovery Center (PRRC) is a supportive learning center that fosters and promotes transition from being defined by a mental illness to living a meaningful life in the community.  PRRC is unique in that patients will work with a recovery team that is specifically trained in rehabilitation. 

Based upon the patient’s recovery plan, they will go through the program that can last anywhere from 6 months to a year.  Initially, the patient will become oriented to the center and all the resources it has to offer.  Patients can attend anywhere from 5 to 25 hours of class per week to learn new recovery skills.  With the help of their Recovery Coach, the patient will learn new skills to deal with their illness.  Resources that the PRRC has to offer include:

  • Cooking Lab 
  • Computer Lab 
  • Resource Library -Books and DVDs that deal with overcoming illness, and skill development 
 

Substance Abuse Residential Rehabilitation Treatment Program (SARRTP): The SARRTP is an outpatient model with a 21-day intensive residential program for veterans who: require intensive motivating strategies, activities, and processes available only in a 24-hour structured environment; have failed to maintain sobriety in a less intensive level of care; or lack a healthy recovery environment.  The program is based on the 12-step Alcoholics/Narcotics Anonymous Program with an educational component utilizing lectures, videos, individual and group therapy, journalizing, and other modalities to educate  veterans about the disease of chemical dependence.  Our comprehensive evaluation process involves reviews by the medical, social work, dietary, psychology, nursing, and chaplain departments, as well as our drug and alcohol technicians.  Individual treatment is stressed with discharge planning focused on the maintenance of sobriety by utilizing the services of our Vocational Rehabilitation Program, homeless veteran services, local missions, halfway houses and an aftercare component.  Aftercare followup for each discharged patient is arranged at a local VA Medical Center, Substance Abuse Treatment Unit (SATU), community clinic, or through available community drug and alcohol programs to continue to build upon the knowledge and sobriety gained in treatment.

 

Veterans Activity Center: The Veterans Activity Center (VAC) has helped veterans improve leisure functioning that is an important element of psychosocial treatment.  The VAC is designed to provide veterans with an opportunity to utilize their free time constructively.

 

Vocational and Residential Rehabilitation Programs provide opportunities for veterans assigned to achieve their highest level of independent function by addressing their vocational, housing and other therapeutic needs.  The program has both vocational and housing components. 

Incentive Therapy (IT) provides veterans with opportunities to develop and improve prevocational skills. 

Compensated Work Therapy/Transitional Work Experience (CWT/TWE) is a vocational rehabilitation program that prepares veterans for competitive employment in the community by participating in therapeutic work assignments throughout the medical center or at local companies.  Compensated Work Therapy/Supported Employment (CWT/SE) assists veterans challenged with serious mental illness to seek, find and maintain community employment.

Community Re-entry Unit (CRU) is a 17-bed Psychosocial Residential Rehabilitation Treatment Program (PRRTP) located in building 18-2A that assists homeless, unemployed veterans with transition from hospital-based residential care to community living.  Veterans prepare for community re-entry by working in vocational assignments, budgeting their income, and attending self-help, aftercare, life issues and other therapy as needed.  The two Transitional Residences (one on VA grounds, the other in Lebanon city) are VA-owned homes where veterans address independent living skills, develop community support systems and prepare for competitive employment. Residents work in CWT during the day and receive ongoing counseling and assistance with their assimilation into the community in the evening.