12-Step Aftercare Support Intervention Services Outpatient

Littleton VA Clinic

264 Cottage Street, Littleton, NH 03561

About Littleton VA Clinic – Littleton, New Hampshire

Littleton VA Community Based Outpatient Clinic is located in Littleton, New Hampshire. Littleton VA Community Based Outpatient Clinic offers outpatient Behavioral Health Services.

Littleton VA Community Based Outpatient Clinic honors America’s Veterans by providing exceptional health care that improves their health and well-being. They hope to serve the nation’s veterans following President Lincoln’s promise “To care for him who shall have borne the battle, and for his widow, and his orphan”.

ACT is a form of behavior therapy, grounded in mindfulness practice. The goal of therapy is to help individuals be more skillful, effective and flexible in handling challenges that might interfere with their pursuit of a vital life. ACT asks the following question – “Given what is important to me, what am I willing to do and experience to move me in that direction in this moment?”

Pain Management Group is a support group for veterans suffering with chronic pain. They check-in with the participants each week and chart their pain level, energy and mood over the past week. It is a forum for sharing information between participants and facilitators and for lending support.

Military Sexual Trauma (MST) includes persistent sexual harassment (comments, gestures, cornering, inappropriate touch, suggestions or pressure for sexual favors). It also includes gender and/or sexual orientation pressure or threats, sexual assault and/or rape. Male and female veterans may have experienced MST. A safe environment to report military sexual trauma is maintained at the WRJ VA. All veterans, male and female, are asked by VA medical and/or mental health providers whether they may have experienced MST.

Anger management provides education and support to individuals who have had difficulty managing anger. It is available in a group or individual setting. Anger management provides education about a variety of techniques and strategies to effectively deal with anger. It provides support to help each individual identify his or her triggers and cues and to develop skills to cope with anger.

Veterans are able to see a psychiatrist on the computer with the help of a webcam. This allows veterans to receive specialized care without having to drive long distances. The White River Junction VA Mental Health Service and the Richford Health Center, in Richford, Vermont, have begun a new program to bring VA Mental Health services to veterans in Northwestern Vermont at the Richford clinic, using audiovisual communications (television and microphone).

Specialized Geriatric Psychiatry services are provided through the Geriatric Evaluation and Management (GEM) team. This team includes geriatric specialists from Internal Medicine, Psychiatry, Neurology and Social Work. Patients are seen by the entire team at the first visit and follow-up plans made according to need. In addition, a board certified Geriatric Psychiatrist is available to provide consultation for other mental health clinicians caring for older veterans.

Mental Health Intensive Case Management (MHICM) is a community based program for veterans with very disabling mental health problems who live within an hour’s drive of the WRJ VAMC. The program provides mental health services to eligible veterans in their homes and communities. The goal of the MHICM program is to support veterans in their recovery goals and minimize demoralizing crises.

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Our Team

Brett Rusch, MD

Brett Rusch, MD

Executive Director

Dr. Daniel O'Rouke

Dr. Daniel O'Rouke

Chief of Staff

Kelley Saindon, DNP, RN, NE-BC, CHPN

Kelley Saindon, DNP, RN, NE-BC, CHPN

Associate Director of Nursing and Patient Care Services

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264 Cottage Street, Littleton, NH 03561

Littleton, New Hampshire

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