Tuesday, December 16, 2008

Center for Rural Health Update



Center for Rural Health Update Center for Rural Health Update
view online: http://ruralhealth.und.edu/listserv/updates/121608.html
In this Dec. 16, 2008 issue:
• News
• Staff News
• Funding & Other Opportunities
• Publications
• Resources
• Events
Working with North Dakota communities to educate tomorrow's health care professionals.
Tell us what you think about our redesign! E-mail comments to wopsahl@medicine.nodak.edu.
 News Return to Top 
ORH Logo
UND Center for Rural Health to Support Federal VA?s Office of Rural Health
December 12, 2008.
The Center for Rural Health has been selected to provide support to the federal Office of Rural Health (ORH) within the U.S. Department of Veterans Affairs (VA). The 5-year, multimillion dollar partnership will provide program and regulatory support for rural VA endeavors.
hospital
North Dakota Rural Hospitals Receive Funds Through UND Center for Rural Health
December 11, 2008.
The Center for Rural Health disbursed over $289,000 from the Small Hospital Improvement Program (SHIP) to 35 small rural hospitals in North Dakota.
hear it now
North Dakota Area Health Education Center in the News
December 3, 2008.
Area Health Education Centers help clinics and hospitals recruit and retain health care workers in underserved areas. UND is establishing a center to serve North Dakota. Mary Amundson, UND Center for Rural Health, and Loretta Heuer, UND College of Nursing, were guests on North Dakota Public Radio's "Hear It Now" to discuss the new AHEC program. Listen to the interview here:  mms://streamer.prairiepublic.org/audio/hearitnow/2387.mp3

cow
North Dakota Critical Access Hospital Quality Network Selects Clarity Group in Pilot Project to Improve Patient Safety in the State
November 14, 2008.
Clarity Group, a leading provider of healthcare risk, quality and patient safety software and consulting services, and the Critical Access Hospital (CAH) Quality Network of the North Dakota Center for Rural Health have joined forces in a pilot project to improve patient safety across the state in the small and rural hospital settings.

 Staff News: Return to Top 
Brad Gibbens
Around North Dakota
Brad Gibbens attended the Non-Profit Summit: Can We Preserve our Quality of Life, hosted by the Otto Bremer Foundation on November 20, 2008. The event, held at the Alerus Center in Grand Forks, involved approximately 100 representatives of area non-profits to discuss collaboration efforts and to learn more of the new Bremer initiative, the Emergency Fund program.

Annabell Hill has joined the Health Workforce Information Center at the Center for Rural Health. As project coordinator, she will coordinate and assist with activities in the areas of financial management, outreach and marketing, web analytics and project assessment, as well as the selection and creation of Web site content. Originally from Las Cruces, N.M., Hill is bilingual in Spanish and English. She earned her bachelor's degree in community health from New Mexico State University.

Joely Lee
Joely Lee has joined the Rural Assistance Center, Health Workforce Information Center, and VA Office of Rural Health Policy and Planning Group, as the administrative secretary. She will maintain directory databases, coordinate meetings and conference calls, proofread documents, assist in preparation of conferences and workshops and perform other secretarial duties. Lee received her Associate in Arts degree in 1999 from the North Dakota State College of Science in Wahpeton, ND.

RHRC Logo
Around the Country
Patricia Moulton, Wendy Opsahl and Holly Gabriel presented information about the Rural Health Research Gateway project at the Office of Rural Health Policy Technical Assistance Meeting of Rural Health Research Centers in Washington, D.C. on December 4, 2008.


 Opportunities Return to Top 


money-house
Funding

Tobacco Control Innovative Grants Program
Deadline: January 16, 2009
American Legacy Foundation supports projects that advance creative, promising solutions based on sound principles of tobacco control to remedy the harm caused by tobacco use in America. Grants under this program seed new projects or enable an organization to pilot a new idea or approach.

North Dakota Rural Development Funds Available
Organizations looking to expand, buy new equipment, or any qualifying project may be eligible for low interest rates through the Impact Foundation?Dakota CDC Intermediary Relending Program (IRP).

nih
Utilizing Health Information Technology (IT) to Improve Health Care Quality
Supports demonstration research grants that rigorously study health IT implementation and use to improve the quality, safety, effectiveness and efficiency of health care in ambulatory settings and in the transitions between care settings. Costs are limited to $1.2 million over three years with no more than $500,000 in total costs in a given year.

Small Research Grant to Improve Healthcare Quality through Health IT
Supports different types of small research studies including (1) small pilot and feasibility or self-contained health IT research projects, (2) secondary data analysis of health IT research, and (3) economic (prospective or retrospective) analyses of health IT implementation. This grant is limited to $100,000 for up to two years of funding.

Exploratory and Developmental Grant to Improve Health Care Quality through Health IT
Supports the conduct of short-term preparatory, pilot, or feasibility studies that are needed to inform future health IT implementations such as the conduct of a health IT research demonstration grant. These projects are limited to $300,000 over two years with no more than $200,000 total costs in a given year.


Other

RHRC Logo
AcademyHealth Call for Abstracts
Deadline: January 15, 2009
Abstracts are invited for three categories: (1) call for papers, (2) call for posters, and (3) call for panels. The 2009 annual meeting (June 28-30 in Chicago) features 21 themes that cover a wide range of health services research issues.

RHRC Logo
7th Annual American Indian Health Research Conference
March 27, 2009
UND Memorial Union, Grand Forks, ND
Register Online
Apply for a Scholarship

Conan Heiselt
Dakota Conference on Rural and Public Health
April 1-3, 2009
Mandan, ND

Register Online

Become an Exhibitor or Sponsor
Deadline: January 26, 2009

Send Nominations for Outstanding Rural Health Awards
Award InformationNomination Form
Deadline: January 9, 2009

Apply for Registration Fee Scholarships
Complete this online form to apply.
Deadline: January 26, 2009


 Publications Return to Top 
Journal of Native Aging and Health, Vol. 3(1), Special Issue: Healthy Aging and Long-Term Programs for Native Americans
For a copy, please contact the National Resource Center on Native American Aging: 800-896-7628.

Medicaid Program At A Glance.
November 2008
The Kaiser Family Foundation provides an overview of the Medicaid program, the populations that it serves, and the services that it covers.

Medicare at a Glance
November 2008
The Kaiser Family Foundation provides an overview of the Medicare program, including how it is financed, who is eligible and what benefits are covered under the program. It describes supplemental health insurance, benefits provided by the new drug law and data on Medicare expenditures and financing.

A Look Ahead: The 2009 U.S. Health Legislative Landscape
November 2008
This issue of On the Subject discusses the outlook for both systemic health care reform as well as movement on individual health legislative issues.

 Resources Return to Top 
Sally Johnson
Free Webinar: Ways to Help Uninsured North Dakota Residents
gain better access to prescription medicines. Presented by Together Rx Access.
December 18, 2008, 11:00 a.m. – 12:00 p.m. C.S.T.
Get Ready Campaign
The Get Ready Campaign
This site provides information, resources and tools so that people in the U.S. are more prepared for a potential influenza pandemic, outbreak of emerging infectious disease or other hazard or disaster. Sponsored by the American Public Health Association.
New Blog Dedicated to Juvenile Justice, Teens and Substance Abuse
Participants discuss challenges of helping teens, converse with experts, and hear what's happening in the reclaiming futures communities.
Health IT Adoption Toolbox
Developed by the Health Resources and Services Administration?s (HRSA) Office of Health Information Technology, the toolbox is a compilation of planning, implementation, and evaluation resources to help community health centers and other safety net providers implement health IT applications in their facilities.
New Agriculture and Public Health Gateway Web Site
The Johns Hopkins Center for a Livable Future (CLF) has launched a Web site to enable research on the critical links between agriculture and public health. Visitors can browse by subject to find reports, peer-reviewed journal articles, relevant organizations and other research tools.
cms
Listening Session on Hospital-Acquired Conditions in Inpatient Settings and Hospital Outpatient Healthcare-Associated Conditions in Outpatient Settings. Medicare Program.
December 18, 2008 10 am- 5 pm EST
Get Ready Campaign
Chronic Disease Cost Calculator

 Events Return to Top 
Jan 12, 2009 Uniting for Early Childhood Day
8:30 a.m. – 2:30 p.m.
Great Hall- State Capitol
Bismarck, ND
Display space available; contact: csc4kids@btinet.net
March 5-6, 2009 From the Bench to the Ranch - Enhancing the Transfer from Science to Service
Westin Tabor Hotel
Denver, CO
Join rural mental health researchers, providers, policymaker, consumers, and funding agencies to discuss how to adapt current evidence-based practices to, and create new evidence-based practices for rural and frontier areas.
March 27, 2009 7th Annual American Indian Health Research Conference
Friday, March 27, 2009
8:30am-3:30pm
UND Memorial Union, Grand Forks, ND
April 1-3, 2009 2009 Dakota Conference on Rural and Public Health
Health Care in Crisis: Creative Strategies
Best Western Seven Seas Hotel & Waterpark
Mandan, ND


Subscriber Services
To subscribe to the CRH Update - click here to go to subscription form.

To unsubscribe - Send an e-mail to srundquist@medicine.nodak.edu with the text 'Unsubscribe CRH Update' in the subject line. (Please check that the message has not been forwarded to you before attempting to unsubscribe).

To change your subscribed e-mail address - Send an e-mail to srundquist@medicine.nodak.edu with the text 'Change CRH Update Subscription' in the subject line and your old and new e-mail addresses in the text of the message.

This e-mail and the CRH Update are a service of the Center for Rural Health. The Center for Rural Health (CRH) does not assume any legal liability for the accuracy, completeness, or usefulness of the information provided in this message. Web site links included in the message are for your convenience. The CRH is not responsible for the availability or content of these web sites. For additional services and information, see the CRH web site at ruralhealth.und.edu or call 701-777-3848.


view online:
In this Dec. 16, 2008 issue:
• News
• Staff News
• Funding & Other Opportunities
• Publications
• Resources
• Events
Working with North Dakota communities to educate tomorrow's health care professionals.
Tell us what you think about our redesign! E-mail comments to wopsahl@medicine.nodak.edu.
 News Return to Top 
ORH Logo
UND Center for Rural Health to Support Federal VA?s Office of Rural Health
December 12, 2008.
The Center for Rural Health has been selected to provide support to the federal Office of Rural Health (ORH) within the U.S. Department of Veterans Affairs (VA). The 5-year, multimillion dollar partnership will provide program and regulatory support for rural VA endeavors.
hospital
North Dakota Rural Hospitals Receive Funds Through UND Center for Rural Health
December 11, 2008.
The Center for Rural Health disbursed over $289,000 from the Small Hospital Improvement Program (SHIP) to 35 small rural hospitals in North Dakota.
hear it now
North Dakota Area Health Education Center in the News
December 3, 2008.
Area Health Education Centers help clinics and hospitals recruit and retain health care workers in underserved areas. UND is establishing a center to serve North Dakota. Mary Amundson, UND Center for Rural Health, and Loretta Heuer, UND College of Nursing, were guests on North Dakota Public Radio's "Hear It Now" to discuss the new AHEC program. Listen to the interview here:  mms://streamer.prairiepublic.org/audio/hearitnow/2387.mp3

cow
North Dakota Critical Access Hospital Quality Network Selects Clarity Group in Pilot Project to Improve Patient Safety in the State
November 14, 2008.
Clarity Group, a leading provider of healthcare risk, quality and patient safety software and consulting services, and the Critical Access Hospital (CAH) Quality Network of the North Dakota Center for Rural Health have joined forces in a pilot project to improve patient safety across the state in the small and rural hospital settings.

 Staff News: Return to Top 
Brad Gibbens
Around North Dakota
Brad Gibbens attended the Non-Profit Summit: Can We Preserve our Quality of Life, hosted by the Otto Bremer Foundation on November 20, 2008. The event, held at the Alerus Center in Grand Forks, involved approximately 100 representatives of area non-profits to discuss collaboration efforts and to learn more of the new Bremer initiative, the Emergency Fund program.

Annabell Hill has joined the Health Workforce Information Center at the Center for Rural Health. As project coordinator, she will coordinate and assist with activities in the areas of financial management, outreach and marketing, web analytics and project assessment, as well as the selection and creation of Web site content. Originally from Las Cruces, N.M., Hill is bilingual in Spanish and English. She earned her bachelor's degree in community health from New Mexico State University.

Joely Lee
Joely Lee has joined the Rural Assistance Center, Health Workforce Information Center, and VA Office of Rural Health Policy and Planning Group, as the administrative secretary. She will maintain directory databases, coordinate meetings and conference calls, proofread documents, assist in preparation of conferences and workshops and perform other secretarial duties. Lee received her Associate in Arts degree in 1999 from the North Dakota State College of Science in Wahpeton, ND.

RHRC Logo
Around the Country
Patricia Moulton, Wendy Opsahl and Holly Gabriel presented information about the Rural Health Research Gateway project at the Office of Rural Health Policy Technical Assistance Meeting of Rural Health Research Centers in Washington, D.C. on December 4, 2008.


 Opportunities Return to Top 


money-house
Funding

Tobacco Control Innovative Grants Program
Deadline: January 16, 2009
American Legacy Foundation supports projects that advance creative, promising solutions based on sound principles of tobacco control to remedy the harm caused by tobacco use in America. Grants under this program seed new projects or enable an organization to pilot a new idea or approach.

North Dakota Rural Development Funds Available
Organizations looking to expand, buy new equipment, or any qualifying project may be eligible for low interest rates through the Impact Foundation?Dakota CDC Intermediary Relending Program (IRP).

nih
Utilizing Health Information Technology (IT) to Improve Health Care Quality
Supports demonstration research grants that rigorously study health IT implementation and use to improve the quality, safety, effectiveness and efficiency of health care in ambulatory settings and in the transitions between care settings. Costs are limited to $1.2 million over three years with no more than $500,000 in total costs in a given year.

Small Research Grant to Improve Healthcare Quality through Health IT
Supports different types of small research studies including (1) small pilot and feasibility or self-contained health IT research projects, (2) secondary data analysis of health IT research, and (3) economic (prospective or retrospective) analyses of health IT implementation. This grant is limited to $100,000 for up to two years of funding.

Exploratory and Developmental Grant to Improve Health Care Quality through Health IT
Supports the conduct of short-term preparatory, pilot, or feasibility studies that are needed to inform future health IT implementations such as the conduct of a health IT research demonstration grant. These projects are limited to $300,000 over two years with no more than $200,000 total costs in a given year.


Other

RHRC Logo
AcademyHealth Call for Abstracts
Deadline: January 15, 2009
Abstracts are invited for three categories: (1) call for papers, (2) call for posters, and (3) call for panels. The 2009 annual meeting (June 28-30 in Chicago) features 21 themes that cover a wide range of health services research issues.

RHRC Logo
7th Annual American Indian Health Research Conference
March 27, 2009
UND Memorial Union, Grand Forks, ND
Register Online
Apply for a Scholarship

Conan Heiselt
Dakota Conference on Rural and Public Health
April 1-3, 2009
Mandan, ND

Register Online

Become an Exhibitor or Sponsor
Deadline: January 26, 2009

Send Nominations for Outstanding Rural Health Awards
Award InformationNomination Form
Deadline: January 9, 2009

Apply for Registration Fee Scholarships
Complete this online form to apply.
Deadline: January 26, 2009


 Publications Return to Top 
Journal of Native Aging and Health, Vol. 3(1), Special Issue: Healthy Aging and Long-Term Programs for Native Americans
For a copy, please contact the National Resource Center on Native American Aging: 800-896-7628.

Medicaid Program At A Glance.
November 2008
The Kaiser Family Foundation provides an overview of the Medicaid program, the populations that it serves, and the services that it covers.

Medicare at a Glance
November 2008
The Kaiser Family Foundation provides an overview of the Medicare program, including how it is financed, who is eligible and what benefits are covered under the program. It describes supplemental health insurance, benefits provided by the new drug law and data on Medicare expenditures and financing.

A Look Ahead: The 2009 U.S. Health Legislative Landscape
November 2008
This issue of On the Subject discusses the outlook for both systemic health care reform as well as movement on individual health legislative issues.

 Resources Return to Top 
Sally Johnson
Free Webinar: Ways to Help Uninsured North Dakota Residents
gain better access to prescription medicines. Presented by Together Rx Access.
December 18, 2008, 11:00 a.m. – 12:00 p.m. C.S.T.
Get Ready Campaign
The Get Ready Campaign
This site provides information, resources and tools so that people in the U.S. are more prepared for a potential influenza pandemic, outbreak of emerging infectious disease or other hazard or disaster. Sponsored by the American Public Health Association.
New Blog Dedicated to Juvenile Justice, Teens and Substance Abuse
Participants discuss challenges of helping teens, converse with experts, and hear what's happening in the reclaiming futures communities.
Health IT Adoption Toolbox
Developed by the Health Resources and Services Administration?s (HRSA) Office of Health Information Technology, the toolbox is a compilation of planning, implementation, and evaluation resources to help community health centers and other safety net providers implement health IT applications in their facilities.
New Agriculture and Public Health Gateway Web Site
The Johns Hopkins Center for a Livable Future (CLF) has launched a Web site to enable research on the critical links between agriculture and public health. Visitors can browse by subject to find reports, peer-reviewed journal articles, relevant organizations and other research tools.
cms
Listening Session on Hospital-Acquired Conditions in Inpatient Settings and Hospital Outpatient Healthcare-Associated Conditions in Outpatient Settings. Medicare Program.
December 18, 2008 10 am- 5 pm EST
Get Ready Campaign
Chronic Disease Cost Calculator

 Events Return to Top 
Jan 12, 2009 Uniting for Early Childhood Day
8:30 a.m. – 2:30 p.m.
Great Hall- State Capitol
Bismarck, ND
Display space available; contact: csc4kids@btinet.net
March 5-6, 2009 From the Bench to the Ranch - Enhancing the Transfer from Science to Service
Westin Tabor Hotel
Denver, CO
Join rural mental health researchers, providers, policymaker, consumers, and funding agencies to discuss how to adapt current evidence-based practices to, and create new evidence-based practices for rural and frontier areas.
March 27, 2009 7th Annual American Indian Health Research Conference
Friday, March 27, 2009
8:30am-3:30pm
UND Memorial Union, Grand Forks, ND
April 1-3, 2009 2009 Dakota Conference on Rural and Public Health
Health Care in Crisis: Creative Strategies
Best Western Seven Seas Hotel & Waterpark
Mandan, ND


Subscriber Services
To subscribe to the CRH Update - click here to go to subscription form.

To unsubscribe - Send an e-mail to srundquist@medicine.nodak.edu with the text 'Unsubscribe CRH Update' in the subject line. (Please check that the message has not been forwarded to you before attempting to unsubscribe).

To change your subscribed e-mail address - Send an e-mail to srundquist@medicine.nodak.edu with the text 'Change CRH Update Subscription' in the subject line and your old and new e-mail addresses in the text of the message.

This e-mail and the CRH Update are a service of the Center for Rural Health. The Center for Rural Health (CRH) does not assume any legal liability for the accuracy, completeness, or usefulness of the information provided in this message. Web site links included in the message are for your convenience. The CRH is not responsible for the availability or content of these web sites. For additional services and information, see the CRH web site at ruralhealth.und.edu or call 701-777-3848.


Sunday, December 14, 2008

Wreaths Across America- North Dakota December 13, 2008

Wreaths Across America- North Dakota December 13, 2008  Here's photos from the ceremony at the North Dakota Veteran's Cemetery;
http://webhost.btinet.net/~pro/wreathsacrossamerica/waa121308.html




The Wreaths Across America story began over 15 years ago when Worcester Wreath Company (a for-profit commercial business from Harrington, Maine) began a tradition of placing wreaths on the headstones of our Nation's fallen heroes at Arlington National Cemetery during the holidays.
Over that period of time, Worcester Wreath has donated 90,000 wreaths which were placed by volunteers in a wreath-laying ceremony each December. But as word spread, the mission to Remember; Honor; and Teach about the sacrifices made by our veterans has captured the hearts and minds of many communities across the Country.
In December 2007, 286 participating locations hosted Wreaths Across America ceremonies overseeing the placement of 32,553 wreaths on the headstones of those who served and sacrificed for our freedoms. In 2008 that number will exceed 350 locations and 100,000 wreaths placed in honor!  

 

The Mr/Ms Military Fundraiser Pagent


The Mr/Ms Military Fundraiser Pageant® 

Attention! Army, Navy, Air Force and Marines. Do you think you have what it takes to be Mister or Ms Military? If so, email us pageant@milcivex.org a link to your Youtube video explaining why you think you should be and let America vote for the winners.

http://www.youtube.com/milcivex

Tell us what your doing for your neighborhood, your community, your unit, your command. What humanitarian and or meritorious  achievements do you have? Basically, what makes you head and shoulders above the rest, deserving of the title of Mr or Ms Military.

 

2009 Mr. and Ms. Military Fundraiser Pageant®

A Creative Way to Donate

Thanks for your interest in the first annual MilCivEx Mr. and Ms.  Military Fundraiser Pageant®. Military Civilian Experience, Inc. was established as a nonprofit 501 c 19 corporation. As such, we depend entirely upon donations, therefore the Military Fundraiser Pageant® was developed with hopes of being a fun, exciting and continuous event to get people interested and involved in the charity. At the same time enabling MilCivEx to not have to spend hours chasing or depending upon conditional grants or other seasonal contributions. All proceeds will go to benefit the programs of Military Civilian Experience, Inc.®

The Mr./Ms Military Pageant is open to all U.S. active duty military members eighteen to forty-five. This pageant is for fund raising purposes only and is not intended to, nor will interfere with any individuals military obligations.

The greatest part of our pageant is: America you choose the winners, by casting your votes and at the same time, helping our men and women in uniform.

 

Nominations

Nominees must be: Male or Female, in the United States military, at least 18 years old at time the title is given, of a good character, mature, responsible and having no felony convictions. Please, no more nominations after September 1, 2009.

The price to enter someone is a $20.00 donation. http://www.milcivex.org/nomin.htm

Active duty may sign themselves up for free.

Winners

Towards the end of each fiscal year the top five men and women from each branch of service with the most votes will be screened by the board members of MilCivEx to ensure all eligibility requirements have been met. Afterwards, the board will forward all information to television producers working on the Mr. Military Reality TV Pageant.  However at this time we can not promise that producers will put any of the fundraiser winners in the television show.

www.milcivex.org

Saturday, December 13, 2008

Carrying the stress of war

Dec 13, 2008 - 08:57:51 CST
The rocket attack happened when he was working out.

The gear soldiers usually wear to protect themselves in combat was stowed in his living quarters. Maj. Steve Herda and another North Dakota National Guard soldier received shrapnel wounds.

"My stuff was far enough away, there was no immediate way to get to it," he said. "The nearest first aid kit was 300 yards away."

He received shrapnel wounds to his lower left leg, left thigh and chin.

When he talks about the injury, it dredges up feelings that are hard to shake.

"I won't say I enjoy talking about it, but I feel free to relate my experience," Herda said. "I find after I'm done, I feel nervous."

The nervousness, anxiety and jitters are possibly because of post-traumatic stress disorder. The North Dakota National Guard and Medcenter One hosted a workshop on the disorder for clinical psychologists in the region this week.

The disorder occurs in some people after a traumatic event or a series of events that cause a high level of stress.

"Post-traumatic stress disorder symptoms are normal after experiencing something traumatic," Dr. Ann Rasmusson said. "Symptoms usually last six weeks to three months."

Rasmusson works for the Veterans Affairs as the medical director of the VA Post Traumatic Stress Disorder Center for the VAof Boston. She also is an associate professor at Boston University and a member of the National Center for PTSD. She led the training seminar at the Bohn Armory on Friday. She promoted a treatment plan that looks at changing the cognitive functions of the disorder.

For a smaller, but still large, segment of the population, the PTSD symptoms persist, she said. It can affect people who have been in combat, raped or assaulted, along with other traumatic or stressful events.

It took time and hindsight for Herda to realize he might be experiencing the disorder. His injury happened 14 months ago, but only in the last eight months has he started to realize he might be experiencing PTSD.

The symptoms can vary from person to person. Some people relive a traumatic event, while for others something triggers anxiety or anger.

Herda was at a British installation when it came under rocket attack. The personnel there followed British protocol to treat his injury. That meant assessment at a nearby hospital instead of evacuation to Germany.

It was difficult for him to be at the hospital in Iraq. He wanted to be with his fellow soldiers, and felt he let them down. After a week, he was transferred to Germany.

"At that time, there were more feelings of anxiety, because I was forced to leave my buddies," Herda said.

The injury sent him back to the United States. He went through recovery at Fort Carson in Colorado Springs, Colo. He didn't seek treatment for PTSD.

"In all fairness, I have to say no," he said. "My mindset was to get over it and go back."

There's been more of a need for psychologists to know how to treat someone with the disorder as more soldiers, like Herda, come back from Iraq and Afghanistan.

"The military tried to deny it for a long time," Rasmusson said. "Now, with the experience of Vietnam veterans, they're well aware of the problem."

Military culture also changed so that it was not punitive to the soldier to admit experiencing the disorder. Instead, soldiers are encouraged to seek out help so that they can resume their duties. The military has hired more psychologists to deal with the influx of people seeking treatment for PTSD. They also focused more on programs to help soldiers adjust to life outside the combat zone.

"... This workshop is the latest method we have employed," said Maj. Gen. David Sprynczynatyk, North Dakota National Guard adjutant general.

The North Dakota National Guard in Bismarck has three licensed social workers, a chaplain, a transition and re-entry coordinator and six outreach specialists to help returning soldiers and their families.

Herda was at Fort Carson for five months for rehabilitation. The first couple months he was back in the United States, he went through a re-entry program. While he spoke about his experience, he didn't seek out professional help in dealing with the emotional fallout. He has found other outlets.

"My brother is a psychiatrist," he said. "We talked many, many times."

He also spoke at a leadership symposium at the U.S. Air Force Academy about his experience, and when he returned to North Dakota, he visited the elementary class from South Dakota that adopted him while he was deployed.

"They had a lot of questions," Herda said about the class that sent him e-mails and letters.

He also receives help for coping with the post-traumatic stress through colleagues at work. He's the environmental officer for the joint force of the North Dakota National Guard. He has a work meeting every other week in which the chaplain attends. The chaplain always inquires how he's doing, Herda said.

The mindset of the Guard has changed to help its members with the disorder, Herda said. This shift in thought also is needed among the psychologists who treat the soldiers.

"Historically, it's been a debate if it's a chronic illness, but it's showing it's not," said Dr. Matt Doppler, a psychologist at Medcenter One. "So, that is encouraging."

It was once thought to be an untreatable disease. That's changed, with different treatment options.

"We're trying to get psychologists trained in the latest science-based treatment for PTSD," Doppler said.

It means there's hope that people with PTSD can be cured, so to speak., and no longer experience the symptoms. The approach is one that can be readily adapted to a psychologist's practice, he said.

Doppler and his colleagues who attended the workshop said they've seen more people with the disorder.

The approach Rasmusson taught at the seminar is one of two newer treatment methods for PTSD. Her's looks at changing though processes, while the other is prolonged exposure.

Rasmusson's approach is relatively quick. In 12 to 16 sessions, a person can be free of the symptoms, she said. More conventional treatment methods focus on coping skills, and in some cases medication to counteract symptoms, such as anxiety, insomnia or depression. Most of the sessions are an hour, but a few last longer.

Psychologists have the patient consider a series of questions, which gauges their perception compared to reality. For example, a person with the disorder may talk in absolutes, or start to feel the trauma-causing situation is more apt to happen that in reality.

Herda hopes he gets to a point he can talk about his experience without the anxiety, but he knows he might not.

"I have an uncle in Minot who is a World War II veteran," Herda said. "He doesn't talk about it. That's 60 years ago."

 
 
 
 
http://www.bismarcktribune.com/articles/2008/12/13/news/local/171679.txt