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QUALIFICATIONS FOR NAVAC SPECIALTY IN POST TRAUMATIC STRESS DISORDER COUNSELING
To qualify for Competency in PTSD Counseling,
please complete the following are the requirements:
APPLICATION FOR NAVAC
BOARD CERTIFIED CHAPLAIN
WITH A COMPETENCY-IN PTSD COUNSELING
1. PERSONAL INFORMATION
Name________________________________ Title_______
Mailing address____________________________________
Work phone_____________________
Home phone __________________
FAX __________________
E-mail address___________________________
Current member of NAVAC? ____________
VA Medical Center ___________________________
Position ______________________________
2. EDUCATIONAL BACKGROUND
College_____________________________
Degree________ Date_____________________________
Seminary___________________________ Degree________
Date_____________________________
Further education________________________________
3. ENDORSEMENT
Endorsed by which faith group?__________________
Date ___________________
(provide copy of current endorsement)
Ordained or commissioned? ________
When & where______________________________
4. PROVIDE EVIDENCE OF 50 HOURS OF EDUCATION
IN PTSD RELATED TOPICS.
5. SUPPORTING DOCUMENTS:
Provide a current letter of ecclesiastical endorsement.
Provide a letter from the Supervisor of Chaplains at the VA where you are
employed stating that you have completed 120 spiritual assessments for patients
being treated for post traumatic stress disorder.
Provide two letters of recommendation from currently active members
of the post traumatic stress treatment team stating that you have been active
member of the treatment team and stating that you have done one of the following:
- An in-service on spirituality
- Written a paper or article
- Done a research project
6. ANSWER THE FOLLOWING QUESTIONS (Short Answers)
1. Be able to define causes, symptoms, and recovery programs for post traumatic
stress disorder patients and families.
2. Describe a spirituality plan that you devised and how it was successfully
implemented for patient and family.
3. Describe a case in which you helped to bring out unspoken feelings.
4. How have you helped a patient to address unfinished business with regard to
PTSD?
5. What is the chaplain’s role on the interdisciplinary team?
6. In what way have you been an advocate for patient rights?
7. What is the role of the chaplain in treating PTSD?
8. How has culture or ethnic diversity affected how you treat a patient?
9. Do different substances (of abuse) impact the spiritual needs of a patient suffering
from PTSD? If so, how do you think it impacts him/her.?
10. How do you reconcile it if your values differ with that of the patient?
Submit the Packet to:
Chaplain Ted Bleck-Doran
James H. Quillen VA Medical Center (621/125)
Mountain Home, TN 37684
Include a check payable to NAVAC in the amount of $50.00
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