Presenting The War Related Illness and Injury Study Center

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´╗┐Presenting The War Related Illness and Injury Study Center J. Wesson Ashford, MD, PhD Sandra Scaling, RN Louise Mahoney, MS US Department of Veterans Affairs VA Palo Alto Healthcare System Office of Public Health and Environmental Hazards

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Outline Background Clinical Programs Research Projects Education and Outreach Initiatives Questions and Answers

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The War Related Illness and Injury Study Center (WRIISC) A national program in the Department of Veterans Affairs (VA) , at first settled in 2001 to address post-arrangement wellbeing issues from the First Gulf War.

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ABOUT THE WRIISC Deployed Veterans have exceptional human services issues and concerns. We create and give mastery to Veterans and their medicinal services suppliers through clinical assessment, research, instruction, and hazard correspondence. The WRIISC now serves Veterans from any period or strife with war related diseases and wounds.

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WHERE WE ARE Three National Locations Covering Three Regions East Orange, New Jersey (built up 2001) Washington, DC (set up 2001) Palo Alto, California (set up 2007)

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WRIISC REGIONAL MAP

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WRIISC Clinical Activities We serve as a 2 nd supposition asset for tending to the post organization wellbeing needs of Operation Enduring Freedom/Operation Iraqi Freedom veterans and veterans of earlier clashes. Our group of wellbeing experts comprises of doctors, medical caretakers, pros in presentation, therapists, social laborers, ministers, and wellbeing training authorities.

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VAPAHCS WRIISC Team Jerome Yesavage, MD -ACOS for Mental Health J. Wesson Ashford, MD, PhD -WRIISC Director Joseph Cheng, MD, PhD -Neuroscience Steven Chao, MD, PhD -Neuroscience Louise Mahoney, MS -Education & Risk Communication Sandra Scaling, RN, MSN -Clinical Coordinator Stacy Moeder, MHA, MBA -Administrative Officer Maheen Adamson, PhD -Data Manager Lisa Kinoshita, PhD -Neuropsychology Trisha Suppes, MD, PhD -Bipolar Disorders Mylea Charvat, MS -PTSD Ansgar Furst , PhD -Neuroimaging Richard Brandt, M Div -Spiritual Assessment

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WRIISC Focus We are a program of the VA Office of Public Health and Environmental Hazards that has been entrusted with concentrating on war-related issues, for example, Anxiety Depression Gastrointestinal Disorders Pain Fatigue Chronic cerebral pain Substance reliance Post Traumatic Stress Disorder

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RESEARCH Environmental Exposures Medically Unexplained Symptoms Traumatic Brain Injury (TBI) Advanced Diagnostics (cerebrum imaging strategies: DTI, PET/CT, fMRI, physiological measures) Post-Traumatic Stress Disorder (PTSD) Complementary and Alternative Medicine Symptom Prevalence & Relief (a sleeping disorder, torment)

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Markers for the Identification, Norming & Differentiation (MIND) of TBI and PTSD Study Phase I: To evaluate the commonness of TBI and PTSD in OEF/OIF veterans (n=800). Stage II: To figure out whether OEF/OIF veterans determined to have TBI (VHA definition) as well as PTSD show debilitations in chose progressed neuroimaging, sensorimotor and intellectual measures that contrast from control bunches. Stage III: To figure out whether OEF/OIF veterans determined to have TBI or potentially PTSD display disabilities in chose neuroendocrine, rest and hereditary measures that vary from control bunches.

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CLINICAL EVALUATIONS Comprehensive Interdisciplinary Evaluation Focus is on side effects and enhancing capacity. Complete natural introduction counsels accessible for Veterans of any contention - No referral fundamental and telephone counsels accessible. Length of Exam One to two-day or three to five-day assessment as pre-dictated by WRIISC clinical group Based on intricacy of case and the individual Veteran's needs.

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Clinical Services Comprehensive Multidisciplinary Evaluation History and Physical Psychological Evaluation Neuropsychological Testing Exposure Assessment Spiritual Assessment Education Session Labs, X-Rays, EKGs, PFTs

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Care Model

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Clinical Services Resource to Primary Care Physicians Assess returning Veterans to recognize new issues and concerns Develop apparatuses and methods for all VA Pilot programs in Complementary and Alternative Medicine Mat and seat yoga classes for Veterans with PTSD, agony, and exhaustion

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WRIISC Education & Risk Communication Training programs for human services experts, for example, gatherings, workshops, chance correspondence, and cooperations Print-based instructive materials Newsletters Fact Sheets Brochures

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WRIISC Education & Risk Communication Web-based instructive materials @ www.warrelatedillness.va.gov Deployment wellbeing data Exposure data Slides and video addresses from meetings

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WRIISC Education & Risk Communication Veteran training sessions on self administration: Techniques for overseeing stress Information on brain/body works out, seat yoga Speakers authority

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WRIISC Referrals Primary Care Physicians finish a counsel ask for in our electronic record framework or get in touch with us at 1-888-482-4376 More data @ www.warrelatedillness.va.gov WRIISC Washington, DC wriisc.dc@va.gov 1-800-722-8340 WRIISC East Orange, NJ wriisc.nj@va.gov 1-800-248-8005 WRIISC Palo Alto, CA wriisc.ca@va.gov 1-888-482-4376

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