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APPENDIX B: TOWN HALL MEETINGS
Pages 169-174

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From page 169...
... Numerous mental health providers attended the meeting and stated that they were overwhelmed by the number of service members and veterans requesting mental health care, citing caseloads of up to 900 patients. Some noted that the system was being "overtaxed to the breaking point"; others noted that the "system was overwhelmed." Several veterans expressed frustration with long 169
From page 170...
... Several attendees expressed frustration with the lack of couples and family counseling services, especially relationship and anger-management counseling. Although both veterans and care providers expressed frustration with barriers to accessing mental health care, they seemed pleased with the quality of the care.
From page 171...
... They noted that there are many resources and services but that better coordination is needed to maintain effectiveness and cost effectiveness. Others noted that service members and family members are not aware of all the programs available, that family and peer support is weak, and that the issue of stigma prevents many from seeking mental health counseling and treatment.
From page 172...
... Others were having trouble in adjusting to life outside the military and were worried about the adverse career effects of seeking care for mental health issues. Many preferred to seek mental health counseling from the military chaplain, believing that to be a safer alternative.
From page 173...
... . The MFS counselors raised the concern that although counseling records are confidential, any referral for additional mental health care in a military treatment facility must be recorded on the marine's permanent record, and this deters many service members from seeking recommended followup treatments.
From page 174...
... For example, reimbursement models are not set up to provide family counseling. The family members typically access care in the community and pay out of pocket because of the TRICARE benefit design.


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