Presentation on theme: "The Hidden Casualties of War: Promoting Healing and Resiliency for U.S. Military Service Members and Their Families A Two-Day Symposium A Partnership."— Presentation transcript:
1The Hidden Casualties of War: Promoting Healing and Resiliency for U.S. Military Service Members and Their Families A Two-Day SymposiumA Partnership Project OfThe Deployment Health Clinic – Naval Hospital Pensacola&The Center For Applied Psychology – Department Of Psychology University of West Florida
2Two-Day Symposium Partnership: UWF Center for Applied Psychology and Department of Psychology,Department of Deployment Health and Wellness, Naval Hospital PensacolaPurpose:To provide education and outreach to military and civilian behavioral health professionals who deliver deployment-related behavioral health services to military personnel and their families.Audience: Mental Health ProvidersPsychologistsMental health counselorsSocial workersMarriage and family therapistsPhysiciansNurses14 Hours of CME/CEU’s Available
3Background 1.5 million American troops have been deployed One-third served at least two tours in a combat zone70,000 have been deployed three times20,000 have been deployed at least 5 timesApproximately 1.2 million children in America have at least one parent deployedOver 23,000+ Americans have returned from a combat zone with physical wounds and a range of permanent disabilities (traumatic brain injury)Over one-fourth are struggling with less visible psychological injuries*Note: these data are about 7 months old.
4Background“Given the risks associated with the stress of deployment and exposure to combat, it is not surprising that military service members and their families may be suffering significant mental health problems…” (American Psychological Association, 2007)
5Background“Mental Health is a state of subjective well-being and successful performance of mental function, resulting in productive activities, fulfilling relationships with other people, and the ability to adapt to change and to cope with adversity. Mental health is indispensable to personal well-being, family and interpersonal relationships, and contribution to community or society.” (Department of Defense, 2007)
6Impact of Military Deployment on Families Throughout the Deployment Cycle Pre-DeploymentAnger and protest; Emotional detachmentFamily stress; Martial disagreementsDeploymentEmotional destabilization and disorganizationSadness, depression, disorientation, anxietySleep disturbances, health complaints, great stressReunionApprehension over redefined roles and power dynamicsResentment over loss of independencePost-DeploymentInsecurityDifficulty disengaging from combat mission orientation*Note: Citations for this research are available upon request.
7BackgroundNot all of the vets from Vietnam, Desert Storm, and the current Global War on Terror (GWOT) suffer from psychological problems, and most go on to hold jobs, stay out of prison, contribute to society, and so forth.However, we don’t want to repeat mistakes made with veterans of these previous conflicts, i.e., treating combat stress problems as disciplinary problems, not providing adequate healthcare, not coming clean on Agent Orange for nearly a decade, etc.
8BackgroundWhat is different about the GWOT compared to previous conflicts?Multiple deploymentsFighting insurgenciesUrban environmentsAssignments outside the domain of trainingNational guardsmen and reservistsNavy on ground carrying weapons
9Why offer a Two-Day Symposium? American Psychological AssociationFebruary 2007, Presidential Task ReportThe Psychological Needs of U.S. Military Service Members and Their Families: A Preliminary ReportDepartment of DefenseJune 2007, Task Force on Mental HealthAn Achievable Vision: Report of the Department of Defense Task Force on Mental Health
10Primary Issues“…an adequate supply of well-trained psychologists and other mental health specialists to provide services..” (APA, 2007)“…a shortage of professionals specifically trained in the nuances of military life, and those who are qualified often experience “burnout” due to the demands placed on them.” (APA, 2007)“Against the backdrop of the Global War on Terror, the psychological health needs of America’s military service members, their families, and their survivors post a daunting and growing challenge to the DoD.” (DoD, 2007)
11APA Recommendations3.3: Mental health services should be available through the deployment cycle and include a focus on prevalent diagnoses/conditions…Further, mental health services through the deployment cycle should incorporate prevention and intervention strategies designed to help families.3.5: Outreach programs should be developed and fostered by both the military and non-military communities in order to ensure that—whenever possible—mental health problems among service members and their families are prevented rather than treated.5.3: Training and education regarding the unique needs of service members and their families who are faced with deployment must be on-going for all mental health service providers (military and civilian) who treat these populations…
12DoD Recommendations 1. Culture of support for psychological health Easily accessible mental health professionals2. Full continuum of excellent care (deployment cycle)Accessible high-quality care for family members3. Sufficient resourcesAdequate resources for mental health servicesAdequate supply of military providers
13Symposium Topics and Presenters Caring for the Psychologically Wounded: From Washington to BeyondCAPT Robert L. Koffman, M.D., Combat and Operational Stress Consultant, Bureau of Medicine and Surgery, U.S. NavyThe Deployment CycleBithiah R. Reed, Ph.D., ABPP, Center for Deployment PsychologyMilitary Traumatic Brain InjuryLouis M. French, Psy.D., Defense and Veterans Brain Injury Center, Walter Reed Army Medical Center, Department of Neurology Col.Bereavement Counseling for Families of OIF/OEF CasualtiesLynne Peralme, Ph.D., Clinical Coordinator at the Birmingham Veterans Center, Birmingham, AL
14Symposium Topics and Presenters Post Traumatic Stress Disorder (PTSD)Charles C. Engel, MD, MPH, Department of Defense Deployment Health Clinical Center, Walter Reed Army Medical Center; Department of Psychiatry, Uniformed Services University Teaching Children Resilience SkillsRonald S. Palomares, Ph.D., American Psychological AssociationMilitary Sexual TraumaSue Ann Garrison, Ph.D., Gulf Coast Veterans Health Care System and Mental Health ClinicThe Impact of OEF/OIF on Reserve and National Guard TroopsKenneth I. Reich, Ed.D. and Jaine L. Darwin, Psy.D., Harvard Medical School
15Conclusion“There is no such thing as a soldier, there is a soldier and someone.” (Darwin, 2007)More than 57.6 million people are impacted by soldiers deployed to Afghanistan and Iraq.A national public health crisis for years to come.We can help…
16For Further Information call 14 Hours CME/CEU’s For Physicians, Nurses, Psychologists, Social Workers, Marriage & Family Therapists Registration Fee - $245 (Includes 2 lunches) To Register Go ToFor Further Information callDavid Dean, Ed.D.Deployment Health Clinic – Naval Hospital Pensacola(850) or to