Health Services

Targeted Care

Our mental (behavioral) health clinic offers targeted care. Targeted care helps us give you the right mental health support for your specific needs, whether it’s an individual appointment, group therapy or non-clinical support.

How it Works

Targeted care synchronizes and expands the resources we have to address your specific needs. The process begins with a preliminary assessment.
You’ll meet with a technician who will:
  • Listen to your concerns.
  • Assess your needs.
  • Match you to the best support (either clinical or non-clinical).
Options for support may include an appointment with:
  • A primary or specialty care consultant – Clinical.
  • Military and family life counselors – Non-Clinical.
  • A chaplain – Non-Clinical.
You don’t need a referral, and you won’t be turned away or denied specialty care. Department of Behavioral Health, Brooke Army Medical Center will leverage local clinical and non-clinical resources to give you the right mental (behavioral) health support. 

Our Services

Our facility offers the following services:

Outpatient Behavioral Health Services

Outpatient Behavioral Health Clinic (OBH):
Outpatient Behavioral Health (OBH) is primarily located at the CPT Jennifer M. Moreno Primary Care Clinic. Hours of operation are 7:30 a.m. - 4:30 p.m. Monday through Friday.

Targeted Care

The OBH Clinic conducts Targeted care for all permanent-party adult patients. The goal is to help us give you the right mental health support for your specific needs, whether it’s an individual appointment, group therapy or non-clinical support. 
Due to their training status, active duty service members in training do not receive Targeted Care and are seen primarily in the Campus Behavioral Health Services (CBHS) clinic.  

How it Works

The process begins with a preliminary assessment conducted by a mental (behavioral) health technician who is supervised by a Licensed Independent Practitioner (LIP). The technician will listen to your concerns, assess your needs, and match you to the best support (either clinical or non-clinical). The technician may offer options for support that may include an appointment with a primary or specialty care consultant (clinical), a Military and Family Life Counselor (Non-Clinical), a Chaplain (Non-Clinical), or other non-clinical mental (behavioral) health support.
 
Outpatient Behavioral Health Clinic - Treatment Services:
The OBH Clinic provides psychological assessment and outpatient treatment services for only permanent-party adult patients who are identified through Targeted Care as needing specific clinical care (individual or group therapy), who self-refer, or who are referred by other clinics or providers throughout the hospital.
The patient will be seen by a mental (behavioral) health technician or a LIP for an intake interview which will include a discussion of the presenting problem, a mental status exam, and an assessment of the problem.
All technicians will be supervised by a LIP who will help identify an initial individualized treatment plan that includes referral to the appropriate level of clinical care for individual or group therapy. Some patients may be seen by a psychiatrist for evaluation of the use of psychotropic medications and medication management.
Many of the permanent party service members have deployed to combat situations, and their assessment and treatment reflect a higher level of attention to issues such as PTSD, adjusting to combat injuries, and the effects of deployment on the family.

Campus Behavioral Health Services (CBHS):
Campus Behavioral Health Services (CBHS) clinic is located at the McWethy Troop Medical Clinic (TMC) and CPT Jennifer M. Moreno Primary Care Clinic and treats active duty service members in training. Hours of operation are 6 a.m. - 3 p.m. Monday through Friday. CBHS provides walk-in triage services at the McWethy TMC, and all follow up outpatient behavioral health services on an appointment basis at the CPT Jennifer Moreno Clinic.
Patients may self-refer, be command-directed, or be referred by other clinics or providers throughout the hospital. The patient will be seen by a mental (behavioral) health technician or a LIP for an intake interview which will include a discussion of the presenting problem, a mental status exam, and an assessment of the problem.
All technicians will be supervised by a LIP who will help identify an initial individualized treatment plan that includes referral to the appropriate level of clinical care for individual or group therapy. Some patients may be seen by a psychiatrist for evaluation of the use of psychotropic medications and medication management.
Many active duty service members in training are away from their primary support systems for the first time. This stress, combined with the stress of the training environment, can lead to an adjustment to change, situationally based depression, or anxiety.
 
Psychological Health Intensive Outpatient Program (PHIOP):
PHIOP is located at Brooke Army Medical Center (BAMC) – Bed Tower on the 7th Floor (7 East). PHIOP provides intensive behavioral health care for adult active-duty patients who need more than once weekly outpatient therapy visits and may serve as a step down for patients coming from a higher level of care. The PHIOP offers two tracks: The Behavioral Health track and PTSD track. The program works closely with other programs within the Department of Behavioral Health, JBSA, and other installations to assure continuity of care.
The Behavioral Health Track is a four-day-a-week, four-week multidisciplinary structured group therapy program that provides an opportunity for service members to gain tools and knowledge to improve their coping skills to enhance stress tolerance, overall coping, and support. The group serves patients with a variety of behavioral health diagnoses. Patients may enter at any point in the four-week cycle. The emphasis is on Cognitive Behavioral Therapy (CBT) structured groups to address issues such as anger management, self-esteem, and stress management. Patients in the Behavioral Health Track are also seen for individual therapy at least one time per week.
The PTSD Track is a four-day-a-week, six-week program for patients who have a diagnosis of PTSD or who meet most of the diagnostic criteria for PTSD and have symptoms of PTSD that significantly impact their functioning. The program employs Prolonged Exposure and Acceptance and Commitment Therapy. The PTSD track is a closed cohort, with all members beginning and ending treatment at the same time as a group. Group members will participate in narrative therapy exercises, mindfulness meditation, and exposure activities during their time at PHIOP. Patients in the PTSD Track are also seen for individual therapy at least two times per week.
 On-Base/Post Resources
Vogel Resiliency Center Joint Base San Antonio:
Address2484 Stanley Rd, Fort Sam Houston, TX 78234
HoursMonday - Friday 7:30 a.m. - 4:30 p.m.
Phone210-221-1605
Joint Base San Antonio > Resources (jbsa.mil)
 
Chaplain Services Joint Base San Antonio:
Address: AMEDD Chapel, 3834 Garden Avenue
Hours: Dodd Field Chapel at 210-221-9151
Phone: 210-221-9151
Joint Base San Antonio > Resources > Chaplain Services (jbsa.mil)
 
Military & Family Life Counselors (MFLCs):
Phone: Call to schedule an appointment:
JBSA-Fort Sam Houston: 210-421-9387
JBSA-Lackland: 210-984-1076 or 210-238-5528
JBSA-Randolph: 210-744-4829 or 210-996-4037
Military & Family Readiness Services (jbsa.mil)

 Substance Use Disorder Services
Our facility offers the following substance use services:
 
Residential Treatment Program for Substance Use Disorders:
The Residential Treatment Program (RTP) is a 12-bed unit, located at BAMC – Bed Tower on the 7th Floor (7 West). The RTP has the primary mission of providing residential treatment for active-duty service members with a primary diagnosis of Substance Use Disorder and who require a 24-hour safe and therapeutic environment in which intense treatment can occur to promote abstinence and substance use recovery.
The RTP admits patients with a primary diagnosis of Substance Use Disorder whose needs cannot be met in a less restrictive outpatient setting and whose needs do not require the level of monitoring for safety that is afforded in an inpatient psychiatric ward. Patients must be medically stable and not require acute detoxification.
Treatment consists of both pharmacologic and therapeutic interventions, including medication management, medical consults as needed, individual therapy, group therapy, community reintegration outings/mindfulness practice/therapeutic movement/yoga, and occupational/recreational therapy,
Psycho-educational classes and other group activities with a focus on recovery and relapse prevention in a safe and structured military environment are provided.
 
Addiction Medicine Intensive Outpatient Program (AMIOP):
AMIOP is located at BAMC – Bed Tower on the 7th Floor (7 West). The program accepts active-duty service members by referral only. Hours of operation are 7:30 a.m. - 4:30 p.m. Monday through Friday. The program is not open evenings or weekends.
AMIOPs are an integral part of a comprehensive behavioral health system of care. AMIOPs are distinguished from routine addiction outpatient care by offering a multi-day/multi-week structured program of both individual and group therapy services. 
Patients enrolled in AMIOPs are considered outpatients since they are not occupying an inpatient bed in a Residential Treatment Program (RTP) or Partial Hospitalization Program (PHP). They can participate in unit activities and return to duty each day.  The structured nature of the program fills the continuum of care between less intensive (outpatient) to more intensive (inpatient, partial, and residential) programs.
The scope of services in the AMIOP includes the following: group and individual therapy, medication management, case management, psychoeducational programming, crisis intervention, and orientation to community-based support groups.
 
Substance Use Disorder Clinical Care (SUDCC):
SUDCC services provide assessment, treatment, and aftercare, for service members within an integrated medical and behavioral health model to enhance health and readiness. 
A fully integrated, co-located comprehensive substance use disorder treatment that utilizes national best practices to optimize care delivery, treatment outcomes, and force conservation for service members. 
The goal of the SUDCC is to provide integrated, co-located behavioral health care for service members. SUDCC provides substance use disorder care as part of a comprehensive plan to address total behavioral health needs. Integrated care will maximize the opportunity for a rapid and successful recovery and return to full readiness status. 
Service members may be eligible to receive voluntary care.  The Defense Health Agency (DHA) promotes and encourages service members to seek help early.  The goal of voluntary care is for service members to receive help for self-identified problems before these problems result in mandatory treatment enrollment, deployment restrictions, command notification, and negative career impact.

Inpatient Behavioral Health Services

Inpatient Behavioral Health Unit (IBHU):
The IBHU is a 20-bed unit, located at BAMC in the Consolidated Tower (COTO) on the 6th Floor (6T). Services are provided 24-hours a day, 7-days a week.
The inpatient psychiatry service admits only adult patients. Military service members who are aged 17-19 are considered to be adults for purposes of inpatient treatment. The inpatient psychiatry service admits active-duty service members, both male and female, and other beneficiaries on a space-available basis with an age range of up to age 65.
Treatment includes psychiatric stabilization, medication evaluation and management, and group and individual therapy provided by a multi-disciplinary team of professionals and nursing staff.
 
Psychiatric Consultation/Liaison (C/L):
The Psychiatric C/L service is co-located with the Inpatient Unit on the 6th floor, COTO, and provides 24-hour psychiatric consultation to all BAMC inpatient services and all BH consultations in the BAMC Emergency Department.
The Psychiatry C/L service performs assessments for adults and children/adolescents (admitted to child/adolescent medical/surgical units).
The consulting team responds to consultations including questions of capacity, complex medical mental status concerns, patient and staff safety, and any mental health concerns of the primary team. The team also provides inter-service support staff and patient support resources and liaisons to ensure coordination of care.
 Specialty Behavioral Health Services
Neuropsychology Services:
The Neuropsychology Service is located at BAMC – Medical Mall on the 2nd Floor. Hours of operation are 7:30 a.m. - 4:30 p.m. Monday through Friday. Neuropsychology provides evaluation services for patients with traumatic brain injury, neurological disorders, or medical/psychiatric conditions that affect neurocognitive functions.
Patients seen in this clinic range in age from 6 years old and above. Patients are seen by referral from other services. Many of these referrals have a specific focus, such as evaluating degree of cognitive impairment for further treatment planning services for patients in the Institute of Surgical research (ISR) - Burn Unit and Amputee Center or evaluation of fitness for duty as part of a patients’ Medical Evaluation Board (MEB). The Neuropsychology Clinic provides services for active-duty service members from BAMC and for other military treatment facilities as needed.
 
Clinical Health Psychology Services (CHPS):
The Clinical Health Psychology Services (CHPS) provides specialized psychological services to patients with or at risk of developing acute or chronic medical conditions. The CHPS has clinicians embedded in several medical clinics in the hospital including Cardiology, Urology, Bariatric Surgery, Gastroenterology Bone Marrow Transplant, and Hematology/Oncology.
Hours of operation are 7:30 a.m. - 4:30 p.m. Monday through Friday. CHPS patients are seen by referral from specialty medical clinics or primary care clinics.
While some patients being seen in the Clinical Health Psychology Services are receiving treatment for emotional or behavioral disorders, the disorder is secondary to a medical disorder, a significant factor in the overall management of the medical disorder or related to the etiology of the medical disorder.
Methods for patient assessment, treatment planning, treatment, and education may focus on disease management rather than on the traditional psychotherapy that is provided to patients who are receiving treatment exclusively for emotional or behavioral disorders.
 
Child and Family Behavioral Health Services (CAFBHS):
CAFBHS is co-located adjacent to the General Pediatric Clinic at BAMC on the first floor COTO. Hours of operation are 7:30 a.m. - 4:30 p.m. Monday through Friday. CAFBHS patients are referred by other services in the facility and by self-referral.
Psychological and medication assessment and treatment services are offered to eligible beneficiaries, children 3 years and older, and adolescents up to the age of 18 years. CAFBHS provides evaluation and management of a broad range of developmental and general behavioral health disorders and behavior of children.
Treatment services may consist of individual, family and/or group psychotherapy and education as needed. The professional staff member will communicate with the referral sources to ensure that psychological and medical services are integrated.
What TRICARE Covers
TRICARE covers medically and psychologically necessary mental health and substance use care. This includes both inpatient and outpatient care.

Contact Us

Department of Behavioral Health (DBH) Service:

210-539-2273

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