U -- Clinical Training for Military Mental Health Providers: Cognitive Processing Therapy Clinical Workshops; and Cognitive Processing Therapy Clinical Consultations

1. Background: The United States Air Force (USAF) is committed to taking care of its own. Our Air Force (AF) members and their families deserve the best support possible. AF readiness targets combat stress reactions, the deployment environment and deployment-related stressors. Tailored support of the base helping agencies targets deployment challenges and engages the services of base helping agencies. The AF community is represented by several agencies, one of which is the Office of the Surgeon General (SG), Community Behavioral Health Division (CBHD). The USAF SG CBHD provides military readiness support through management of various programs engaged in individual, family and community health initiatives. These programs include Family Advocacy; Alcohol and Drug Abuse Prevention and Treatment/Demand Reduction; Education and Development Intervention Services/ Special Needs; and Suicide Prevention. Their objective is to address intervention and prevention strategies for common modifiable behavioral risk factors. The challenge is recognizing the stressful situations of military members; specific behaviors and concerns related to deployment stress. Congress has provided funding through the Department of Defense to the USAF to make available, tailored support, for pre-deployment; deployment; post-deployment; integration and combat stress reactions. There is an urgent need to provide various forms of early psychological intervention as part of the first response to the traumatic events of pre and post deployment. Contractor will provide various workshops and consultation and clinical supervision on evidenced-based treatment of Acute Stress Disorder (ASD) and Post-Traumatic Stress Disorder (PTSD). 2. Description of Services: This contract will involve the development and delivery of one Outside the Continental United States (OCONUS) two-day clinical training workshop and two within the Continental United States (CONUS) two-day clinical training workshop for military mental health providers (MHPs), which include psychologists, psychiatrists and social workers. The goal of these workshops is to train military MHPs to provide Cognitive Processing Therapy (CPT) treatment for active duty military members with combat-related ASD and PTSD. 2.1 Workshop Materials will be developed that are specifically tailored for the CPT treatment of combat-related ASD and PTSD in United States (U. S.) military personnel in both deployed and garrison settings. This will include the creation of workshop handouts, reprints of scientific publications, clinical assessment materials, psychological measures and a provider?s treatment manual. The contractor will provide relevant clinical training workshop and consultation materials during training to each attendee in hard copy and/or electronic media form. 2.2 CONUS CPT Clinical Training Workshops: Conduct one two-day CONUS CPT clinical training workshops and one two-day CONUS master clinical training workshop at the following locations and dates: All costs associated with travel, food, lodging and miscellaneous expenditures are to be borne by the contractor and are assumed to be covered in the agreed upon cost per workshop. Langley Air Force Base (AFB), Virginia; 22-23 January 2008 Wilford Hall Medical Center (WHMC), Lackland AFB, Texas; 19-20 February 2008 The workshops will include a review of evidence-based interventions for ASD and PTSD with a specific emphasis on CPT. Approximately twenty-five to seventy-five military mental health providers will attend each workshop and attendees will receive training in the assessment and CPT treatment of ASD and PTSD in CONUS and deployed locations. Clinical case examples, including audiotapes of treatment sessions of active-duty military patients with PTSD and ASD who were treated in Iraq, will be reviewed. Attendees will be provided copies of assessment tools and a treatment manual for CPT treatment of combat-related ASD and PTSD. The Government reserves the right to readjust the workshop dates in accordance with military and ops tempo demands. 2.3 OCONUS CPT Clinical Training Workshop: Conduct one two-day OCONUS clinical training workshop at Aviano, Italy, 21 through 22 August 2007 for military MHPs, which includes psychologists, psychiatrists and social workers. The goal of the workshop is to train military MHPs to provide CPT treatment for active duty military members with combat-related ASD and PTSD. The Contractor will provide the necessary materials as outlined in paragraph 2.1 for each appropriate workshop. The Contractor will be compensated for one rest day prior to the start of the OCONUS workshops to allow for jet lag. All costs associated with travel, food, lodging and miscellaneous expenditures are to be borne by the contractor and are assumed to be covered in the agreed upon cost per workshop. 3. CPT Clinical Consultation: 3.1 This contract will involve providing clinical consultation of approximately two hundred military MHPs, which include psychologists, psychiatrists, and social workers, upon completion of a two-day CPT training workshop on evidenced-based treatment of PTSD. Clinical consultation will be conducted by telephone for those providers located in the OCONUS and CONUS areas. Telephone consultation will be provided for the military MHPs as they begin to see clinical cases (patients) at their assigned medical treatment facility (MTF). It is anticipated that some of these cases will be located within CONUS; while others will located OCONUS, including individuals deployed to Iraq, Afghanistan and other locations, in support of Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF). For all consultation activities, guidelines will be followed to ensure privacy and confidentiality of all patient information. For consultation with deployed providers, proper guidance and procedures will be followed in accordance with Communications and Information Management Guidance and Responsibilities (CIMGR), Air Force Instruction (AFI) 33-101 and Communications Security (COMSEC), AFI 33-201, Volume (V) 1. Consultation times will be available for up to twenty hours per month and will be arranged at times that are convenient to the MHP and consultant. In-person supervision of cases and joint assessment and treatment will be available for patients treated at the WHMC, Lackland Air Force Base, Texas, as requested by the military MHP. The consultation format will allow for both individual, as well as, small group consultation. 3.2 This contract will also involve providing consultation to approximately twenty-five to seventy-five military MHPs; which include psychologists, psychiatrists and social workers, upon completion of the two-day master clinical CPT training workshop on evidence-based treatment of PTSD. These individuals will be training to serve as future PTSD case supervisors and will require more extensive consultation than those attending the three-day workshop. Clinical consultation will be conducted by telephone for those providers located in the OCONUS and CONUS areas. Telephone consultation will be provided for the military MHPs as they begin to see clinical cases (patients) at their assigned medical treatment facility (MTF). Consultation will also include the review of audiotape and videotape assessment and treatment cases, for which patients provide written consent for this clinical consultation. Consultation will be provided for the military MHPs as they begin to see clinical cases (patients) at their assigned MTF. It is anticipated that some of these cases will be located within CONUS, while others will be located OCONUS, including individuals deployed to Iraq, Afghanistan and other locations in support of OIF and OEF. For all consultation activities, guidelines will be followed to ensure privacy and confidentiality of all patient information. For consultation with deployed providers, proper guidance and procedures will be followed in accordance with Communications and Information Management Guidance and Responsibilities, (CIMGR), Air Force Instruction (AFI) 33-101 and Communications Security, (COMSEC), AFI 33-201, Volume (V) 1. Consultation times will be available for up to twenty-five hours per month and will be arranged at times that are convenient to the supervisee and supervisor. In-person supervision of cases and joint assessment and treatment will be available for patients treated at WHMC, Lackland Air Force Base, Texas, as requested by the military MHP. The consultation format will allow for both the individual, as well as, small group consultation. 4. Deliverables: 4.1 Training Materials: The Contractor will provide the necessary materials as outlined in paragraph 2.1 for each appropriate workshop. The contractor will provide relevant clinical training workshop and consultation materials during training to each attendee in hard copy and/or electronic media form. 5. Service Summary: Performance Objective Performance Work Statement (PWS) Paragraph Performance Threshold Method of Surveillance Conduct Workshops 2.2 2.3 100% of the time 100% of the time Attendee feedback Monthly Invoices 4.2 Within 5 workdays of the following month 100% Inspection Workshop materials 2.1 4.1 100% of the time 100% of the time Attendee feedback Consultation 3. 3.1 3.2 4. No more than hours specified 25% Random Inspection 6. General Information 7. Period of Performance: The period of performance is twelve months from the date of the first workshop. 8. Place of Performance: Various; as indicated in paragraphs 2.2, 2.3 and 2.4 of this PWS. The consultation will be conducted from the Contractor?s facility. 9. Travel: Contractor will be required to travel during the course of this contract. Required trips are as indicated in paragraphs 2.2, 2.3 and 2.4 of this PWS. 10. Security: This contract is for unclassified work. 11. Privacy Act: Work on this project will require Contractor personnel have access to Privacy Information. Personnel shall adhere to the Privacy Act, Title 5 of the U. S. Code, Section 552a and applicable agency rules and regulations. ATTENTION: Note 22 applies. Only interested parties who have an existing program for this requirement need respond. Due to the short suspense, there is insufficient time available for the creation of a training package. NOTE: Amendment to Combined Synopsis/Solicitaiton - the NAICS is changed from 611310 - Colleges, Universities, and Professional Schools to 611430 - Professional and Management Development Training