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Understanding the Exper ience of the

Mil i tary Family and their Warf ighters

Ken Murray, LCSW, ACSW

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Agenda

Very Very Brief Bio

A New Kind of War The Culture of the Military

Impacts of Military Service

Supportive Services for Active Duty and Vets

Reference:Military Literature and Resource Review

Savitsky, L; Illingsworth, M; Dulaney, M. (2009). Civilian social work: Serving themilitary and veteran populations. Social Work (54) 4. 327-339.

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The Dude Up Fron t

Preparing to retire as a major from the Army

20 years, 52-ish countries, numerous roles Grad from Army MSW program (yes, Im recruiting)

Teaching at the Peay

Intro and Practicum

Private Practice in Clarksville

New and hopeful

Work with Lazarus and MC Jail

Therapy Preferred teaching style: interactive

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Todays Military

As of 2009, 1.5 million troops have deployed to

OIF or OEF A significant portion of those have multiple tours

Active duty, reserve, national guard

160,000 are women

Deployment Cycle

Predeployment

Deployment

Postdeployment

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Army Compos i tion

539,675;

49%

360,351;

33%

197,024;18%

Army Components

Active Duty

Guard

Reserve

60,607,

13%

13,434,

3%

392,362,

84%

Ranks

Officers

Warrants

Enlisted

62.7

19.8

10.9

3.4 3.2

EthnicityWhite

Black

Hispanic

Asian

Other

Women 14.1%

Army,483,341

, 90%

AMEDD,

56,334,

10%

Active AMEDD

15,512,

28%

144, 0%

40,822,72%

AMEDD Ranks

Officer

Warrants

Enlisted

39,729,

71%

16,605,

29%

AMEDD Gender

Men

Women

AMEDD women 22% of total Army Females

Source: Army G-1, 2008

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Mil i tary Cultu re

Rank vs Authority

Freedom of Speech- curtailed Confidentiality

Everyone in the mix

Violence Military Sexual Trauma

Stigma

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Rank vs . Posi t ion

Rank is secondary to position (role)

As a platoon leader (O-1) in

combat, the following officers

were assigned subordinate to

me:

1 x O-5 (P)

1 x O-5

3 x O-4

7 x O-3

1 x O-2

As a commander (O-3) in

combat, the following officers

were assigned subordinate to

me:

1 x O-5 (P)

3 x O-4

5 x O-3

4 x O-2

A captain (O-3) commander has significantlymore influence on his Soldiers than an O-6 in a

clinic, based on command authority.

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Lim its o f Con f ident ial i ty in the Mili tary (BH)

Six Conditions for release of information

Safety

Abuse Legal

Command Referrals

Care Coordination

Quality of Care Review

Commanders (not 1SGs or CSMs) get to know

Drug test results

Medical readiness for deployment issues

Medical Line of Duty Investigations

Changes in Duty Status due to Medical Condition (Hospitalization)

Weight Control data

Duty limiting medical conditions (just that one exists, not the diagnosis)

Perceived threats to life or health

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Where Soc ial Workers Exis t*

In uniform In the units

In the clinics

In administration

As GS employees Family Advocacy Prevention^

Family Advocacy Treatment Army Substance Abuse

Program

Warrior Transition Units

Adult Behavioral Health School Social Work

Marriage and Family Therapy

Emergency Department

* Who need military cultural competence ^non-clinical level BSW/MSW

In the community VA

Centerstone

Jail

Etc

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Mili tary Fam il ies

Here today, gone tomorrow, back next month

Domestic violence Child Abuse and Neglect

Childrens Mental Health

School Social Work

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Often have low self esteem.

Rush in to relationships

Are excessively jealous

Exhibit controlling behavior

Have unrealistic expectations or demands

Use isolation to keep you centered on them

Believe in male supremacy and the stereotyped masculine role in the family.

Use of force during sex

Have poor communication skills

Use negative behaviors (drugs, alcohol, battering) to cope with stress.

Blame others for their actions.

Are prone to hypersensitivity

Present dual personalities.

Exhibit cruelty to animals or children

Prof i l ing Abuse*

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Impacts o f Mil itary Service

PTSD/Anxiety

TBI Physical wounds

Depression

Substance Abuse Suicide

Unemployment

Homelessness

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Support ive Services

TRICARE

CHAMPVA Military One Source

Community sources

Non-profits

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Resources

National Guard Bureaus Psychological Health Programhttp://www.joinservicessupport.org/PHP

Yellow Ribbon Reintegration Program http://www.yellowribbon.mil

Defense Centers of Excellence for Psychological Health

& TBI http://www.dcoe.health.mil/default.aspx

Veterans Affairs Mental Health Home http://www.realwarriors.net/go/153

Veterans Affairs Vet CenterHome http://www.realwarriors.net/go/154

Military OneSource http://www.militaryonesource.com

Veterans Affairs Veterans & TheirFamilies http://www.realwarriors.net/go/155

Veterans Affairs Women Veterans Health Care http://www.realwarriors.net/go/149

Veterans Affairs Returning Service Members (OEF/OIF) http://www.realwarriors.net/go/145

AfterDeployment http://www.realwarriors.net/go/86

National Resource Directoryhttp://www.realwarriors.net/healthprofessionals/Militaryculture/resourcedirectory.php

Center for the Study of Traumatic Stress http://www.realwarriors.net/go/117

Defense and Veterans Brain Injury Centerhttp://www.realwarriors.net/go/115

Deployment Health Clinical Centerhttp://www.pdhealth.mil

TRICARE http://pdhealth.mil

Veterans Affairs Natl Ctr for Posttraumatic Stress Disorderhttp://www.realwarriors.net/go/96Veterans Suicide Prevention Hotline http://www.realwarriors.net/go/30

Military Health System http://www.health.mil

Force Health Protection & Readiness http://deploymentlink.osd.mil/audience.jsp?option=1

http://www.joinservicessupport.org/PHPhttp://www.yellowribbon.mil/http://www.dcoe.health.mil/default.aspxhttp://www.realwarriors.net/go/153http://www.realwarriors.net/go/154http://www.militaryonesource.com/http://www.realwarriors.net/go/155http://www.realwarriors.net/go/149http://www.realwarriors.net/go/145http://www.realwarriors.net/go/86http://www.realwarriors.net/healthprofessionals/Militaryculture/resourcedirectory.phphttp://www.realwarriors.net/healthprofessionals/Militaryculture/resourcedirectory.phphttp://www.realwarriors.net/go/117http://www.realwarriors.net/go/115http://www.pdhealth.mil/http://pdhealth.mil/http://www.realwarriors.net/go/96http://www.realwarriors.net/go/30http://www.health.mil/http://deploymentlink.osd.mil/audience.jsp?option=1http://deploymentlink.osd.mil/audience.jsp?option=1http://deploymentlink.osd.mil/audience.jsp?option=1http://deploymentlink.osd.mil/audience.jsp?option=1http://www.health.mil/http://www.health.mil/http://www.health.mil/http://www.realwarriors.net/go/30http://www.realwarriors.net/go/30http://www.realwarriors.net/go/30http://www.realwarriors.net/go/96http://www.realwarriors.net/go/96http://www.realwarriors.net/go/96http://pdhealth.mil/http://pdhealth.mil/http://pdhealth.mil/http://www.pdhealth.mil/http://www.pdhealth.mil/http://www.pdhealth.mil/http://www.realwarriors.net/go/115http://www.realwarriors.net/go/115http://www.realwarriors.net/go/115http://www.realwarriors.net/go/117http://www.realwarriors.net/go/117http://www.realwarriors.net/go/117http://www.realwarriors.net/healthprofessionals/Militaryculture/resourcedirectory.phphttp://www.realwarriors.net/healthprofessionals/Militaryculture/resourcedirectory.phphttp://www.realwarriors.net/healthprofessionals/Militaryculture/resourcedirectory.phphttp://www.realwarriors.net/go/86http://www.realwarriors.net/go/86http://www.realwarriors.net/go/86http://www.realwarriors.net/go/145http://www.realwarriors.net/go/145http://www.realwarriors.net/go/145http://www.realwarriors.net/go/149http://www.realwarriors.net/go/149http://www.realwarriors.net/go/149http://www.realwarriors.net/go/155http://www.realwarriors.net/go/155http://www.realwarriors.net/go/155http://www.militaryonesource.com/http://www.militaryonesource.com/http://www.militaryonesource.com/http://www.realwarriors.net/go/154http://www.realwarriors.net/go/154http://www.realwarriors.net/go/154http://www.realwarriors.net/go/153http://www.realwarriors.net/go/153http://www.realwarriors.net/go/153http://www.dcoe.health.mil/default.aspxhttp://www.dcoe.health.mil/default.aspxhttp://www.dcoe.health.mil/default.aspxhttp://www.yellowribbon.mil/http://www.yellowribbon.mil/http://www.yellowribbon.mil/http://www.joinservicessupport.org/PHPhttp://www.joinservicessupport.org/PHPhttp://www.joinservicessupport.org/PHP