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Reverse Culture Shock is a term that is typically used to describe the unanticipated adjustment difficulties that many military people experience when returning to civilian life.
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Reverse Culture Shock:Reverse Culture Shock:Military Transitions for Military Transitions for Returning Soldiers with Returning Soldiers with Traumatic Brain InjuryTraumatic Brain Injury
Jennifer Anderson & Christen MasonDenver Options
ObjectivesObjectives
– Define “Reverse Culture Shock”• What is it?• What are the signs & symptoms?• What is the need?
– Describe how community partnerships make the difference in reintegration
Reverse Culture ShockReverse Culture Shock
“Reverse Culture Shock is a term that is typically used to describe the unanticipated adjustment difficulties that many military people experience when returning to civilian life. People attempting to move beyond their military experiences can find themselves feeling disoriented and confused, neglected or frustrated, often unemployed, or under employed and generally struggling in their career as well as personal relationships.”
- BC/Yukon Command The Royal Canadian Legion and the Survival Kit for Oversees Living; For Americans Planning to Live and Work Abroad
Impact of Reverse Impact of Reverse Culture ShockCulture Shock
Case StudyCase Study
• Patrick
– TBI & PTSD Diagnosis
– Suicidal
– Unemployed
– At risk of homelessness
– Lack of appropriate benefits
“I now have a 100% disability I now have a 100% disability rating through the VA so I can rating through the VA so I can catch up on my rent payments catch up on my rent payments and avoid bankruptcy. I know and avoid bankruptcy. I know now that I can have a decent now that I can have a decent life with my boys; that’s all I life with my boys; that’s all I
want.”want.”
•1.64 million troops deployed•19% of returning soldiers (320,000) have sustained a Traumatic Brain Injury (TBI)•53% of these individuals also have PTSD (RAND Report, 2008)
•Reserve, National Guard and younger service members who deploy with combat exposure are at an increased rate of alcohol related problems (JAMA 8/13/08)
•Male Veterans face roughly twice the risk of dying from suicide as their civilian counterparts (Kaplan et al., 2007)
What is the need?What is the need?
•20% of marriages fall apart within two years when one spouse has been deployed to combat zones (US Army In Battle – Tom Leonard)
•In 2007 there were 154,000 homeless veterans•51% served post Vietnam•45% Substance Abuse Issues•20% Combat Experience (US Department of Defense)
What is the need?What is the need?
• 95% Army; 3% Coast Guard; 2% Marines
• 95% Male; 4% Female
• 61% between 21-30; 39% between 31-59
• 66% Active Duty vs 34% Veterans
• 92% of Active Duty soldiers are in the Warrior Transition Battalion
• 82% Blast related injuries; 13% other military related injuries; i.e. helicopter/fall from military vehicles; 5% non-combat related
Colorado DemographicsColorado Demographics
• Collaboration
• Knowledge of Community Resources
• Care Coordination
How the Community How the Community Makes A DifferenceMakes A Difference
• Partnerships with Department of Defense and the Veteran’s Administration
• Collaboration with Key Community Leaders & Veteran’s Service Agencies– Non-Profit Organizations– Mental Health Groups– Social Service Organizations
• Education & Community Outreach– Survivor’s Series– Military Circle Groups– Colorado Injured Military Service members
CollaborationCollaboration
VOC Rehab Workforce
Groups
Community Veterans Groups
WoundedWarriorProgram
FinancialPlanning
Assistive Technologies
Medical Care &
Rehabilitation
National Veterans
Organizations
Brain Injury Trust Fund
EmergencyFunds
Denver VA
Local VetClinics
OIF/OEFVeteran and Care
Coordinator
Community Community ResourcesResources
Care CoordinationCare Coordination• Crisis Stabilization, Self-Advocacy, Education and
Community Re-Integration
Care CoordinationCare Coordination
• "A final, often-overlooked, challenge is that, without care coordination and case management, injured service members and their families are left to navigate the system alone. Doing so may be particularly challenging, given that the service member may be cognitively or emotionally impaired and their families may have a limited understanding of the systems. Each of these issues suggest an increased need for effective care coordination and case management.” (George, 2007)
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Operation TBI FreedomOperation TBI Freedom
