Transcript Slide 1

CENTER FOR
DEPLOYMENT PSYCHOLOGY
© Henry M Jackson Foundation All Rights Reserved
Service Members and Veterans on Campus
MFRI – Battlemind to Home II Symposium
November 16, 2011
Ted C. Bonar, Psy.D.
Center for Deployment Psychology
Uniformed Services University of the Health Sciences
Disclaimer
This project is sponsored by the Uniformed Services
University of the Health Sciences (USU); however, the information
or content and conclusions do not necessarily represent the official
position or policy of, nor should any official endorsement be
inferred on the part of, USU, the Department of Defense, or the
U.S. Government.
Why join?
Family tradition
Transition to manhood/womanhood
To serve country
Support family
Friend did it
Get out of trouble with the law
Do something noble with life
Give life (death) a purpose
Protect people, country and way of life
Be a part of team - something bigger than self
Inherent sense of selflessness
College money, Free medical care, Travel
Get out of poverty
Service Members on Campus
Service Members on Campus
SGT Stephenie C. Austin
Service Members on Campus
SGT Stephenie C. Austin
Military-Connected Students
Reserve Component
Army & Air Force National Guard
ROTC
Veterans
Active Duty
Service Members and
Veterans on Campus - 2008
2007 – 2008
• Military undergraduates represented 4% of all undergraduates
enrolled in postsecondary education
• 660,000 veterans
• 215,000 military service members
• 75% veterans
• 16% active duty
• 9% reserves
Military Service Members and Veterans in Higher Education: What the New GI Bill May Mean for
Postsecondary Institutions, (2009). American Council on Education, Washington, DC. www.acenet.edu.
Service Members and
Veterans on Campus - 2008
2007 – 2008
• Only about 38% of military undergraduates
used their veterans’ education benefits
• 85% 24 or older
• 73% male
• 60% non-Hispanic white
• 62% had a spouse, child, or both
Military Service Members and Veterans in Higher Education: What the New GI Bill May Mean for
Postsecondary Institutions, (2009). American Council on Education, Washington, DC. www.acenet.edu.
Service Members and
Veterans on Campus - 2008
• In 1980, women represented 4% of veteran population
• In 2006, 1.64 million women represented
7% of all veterans, and 9% of all veterans under the age of 65
• In 2006 among post-9/11 veterans,
750,000 were women, representing 16% of this population
• The US Department of Veterans Affairs projects that by 2020,
the number of female veterans will reach 1.9 million,
representing 10% of the entire veteran population
Military Service Members and Veterans in Higher Education: What the New GI Bill May Mean for
Postsecondary Institutions, (2009). American Council on Education, Washington, DC. www.acenet.edu.
Deployment Stressors
© 2010 Center for Deployment Psychology
Campus Challenges
Administrative
Social
Visibility
Identity
Stigma/Barriers
Financial
The Deployment Cycle
Pre-deployment
Notification
Preparation
Training
Return from
Deployment
Deployment
Reunion
Reintegration
Departure
Sustainment
Combat and conflict
Deployment and Reintegration
Challenges for Service Members
Operational
Cognitive
Social
Emotional
Spiritual
Deployment Challenges for
Service Members
• Operational
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Heat
Dehydration
Lack of comforts
Desert
Noises
Fumes
Photo courtesy of Christopher Hines, MD
Deployment Challenges for
Service Members
• Cognitive
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Boredom
Monotony
Unclear role or mission
Experiences that defy
beliefs
– Info overload
Photo courtesy of Christopher Hines, MD
Deployment Challenges for
Service Members
• Social
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Separation from loved ones
Lack of privacy
Public opinion and media
Facebook
Photo courtesy of Christopher Hines, MD
Deployment Challenges for
Service Members
• Emotional
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Fear of failure
Guilt
Horror
Fear
Anxiety
Feeling devalued
Photo courtesy of LTC Jeffrey Yarvis, PhD, MSW, MEd
Deployment Challenges for
Service Members
• Spiritual
– Change in faith
– Inability to forgive
– Loss of trust
Reintegration
• 5 critical challenges / tasks service member
needs to master
1. Overcome alienation
2. Move from simplicity to complexity
3. Replace war with another form of high
4. Move beyond war and find meaning in life
5. Come to peace w/self, God, and others
CH (LTC) John Morris, Minnesota National Guard
Beyond the Yellow Ribbon reintegration program.
Campus Challenges
© 2010 Center for Deployment Psychology
BATTLEMIND Skills
WHILE DEPLOYED
HOME
Post -Deployment
Buddies (cohesion)
Accountability
Targeted Aggression
Tactical Awareness
Lethally Armed
Emotional Control
Mission OPSEC
Individual Responsibility
Non-Defensive Driving
Discipline and Ordering
vs.
vs.
vs.
vs.
vs.
vs.
vs.
vs.
vs.
vs.
Withdrawal
Controlling
Inappropriate Aggression
Hypervigilance
“Locked and Loaded” at Home
Anger/Detachment
Secretiveness
Guilt
Aggressive Driving
Conflict
Social
Alienation
Academic &
Career
Reintegration
Deployment
Culture
Spiritual
Financial
Depression
Relationship
Problems
Suicide
Deployment
Insomnia
mTBI
Substance
Use/Abuse
PTSD
-Unit cohesion
-High leadership
-Proper training
-Social support
-Proper dwell time
-Other
-Single deployment
-Short deployment
-Low/No combat
-Supportive relationship
-No trauma
-Other
-Low cohesion
-Low leadership
-Poor training
-Isolation
-Short dwell time
-Other
-Multiple deployments
-Long deployments
-High combat ops
-Relationship stress
-Trauma Fatigue
-Moral injury
-Grief
-Other
Combat and
military
resilience
Academic and
campus
resilience
-Task completion
-Academic fit
-Commitment
-Discipline
-Support
-Skills
-Other
-Poor attention
-Undisciplined
-Bad fit
-Introvert/independent
-Individualist
-Other
-Poor attention
-Lacks structure
-Poor goal setting
-Lack of skills
-Little support
-Other
-Task completion
-Commitment
-Discipline
-Teamwork
-Support
-Sacrifice
-Skills
-Other
Outreach Efforts
Other
Veterans
Friends
and
Family
Clergy
Counseling Center
Mental Healthcare
Providers
SM/Veteran
Faculty
and
Classroom
Financial
Aid
Veteran
Service
Office
University
Administration
Student Affairs
Etc.
Outreach 101 – Needs Assessment
– Outreach 101
–Needs Assessment
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Who is on campus
Best estimates
Strengths v. Weaknesses
What programs are in place
Web portals
Dedicated student groups
Dedicated offices/liaison
Ability to communicate
Campus Profile
Best estimate, approximate, or exact numbers below:
Undergraduate students:
Graduate students:
Veteran students:
National Guard/Reserve:
Active Duty:
GI Bill recipients:
State Grant recipients:
Minimum # identified:
Approximate/identified total:
4% of total undergraduate:
(Military veterans comprise approximately
4% of national undergraduate population.)
Outreach 201 – Direct Service
“Boots to Books”
– Outreach 201
– Direct Services to SM/Vets
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Psychoeducation
Build/strengthen the community
Clinical & Non-clinical services
How to reach SM/Vets
-Support Groups
-Open Hours
Outreach 301
Institutional Education
– Outreach 301
–Educate Staff/Faculty
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Professors
Advisors
Administrators
Res Halls
Financial Aid
Registrars
Grad Assistants
What do they need to know?
-Deployment Cycle stress
-Military Culture
-Social Challenges
-Return to Campus
-Other
Outreach 401 – Advocacy/Support
– Outreach 401
–Advocacy
–Institutional Support
– Steering Committee
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ODOS/Student Affairs
Financial Aid
Counseling Center
Disability Services
Housing
Chancellor/Provost Offices
Etc.
– Long-term Campus Plan
– Financial Resources
- Steering Committee
Following Deployment
Training resources….
CDP Website:
www.deploymentpsych.org
Features include:
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Schedules and descriptions of
training events
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Articles by subject matter experts
related to deployment
psychology, including PTSD,
mTBI,depression, and insomnia
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Descriptions of books and
resources on military-related
topics
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Latest news related to
deployment psychology
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Links to CDP’s Facebook
and Twitter pages
Online Learning
The following online courses are located on the CDP’s website at:
deploymentpsych.org/training/online-courses
NOTE: These courses can be taken for free or for CE Credits for a fee
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Cognitive Processing Therapy (CPT) for PTSD in Veterans and Military Personnel (2.5 CE Credits)
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Prolonged Exposure (PE) Therapy for PTSD in Veterans and Military Personnel (2 CE Credits)
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Epidemiology of PTSD in Veterans and Military Personnel : Working with Service Members and Veterans with
PTSD (2.5 CE Credits)
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Military Cultural Competence (3 CE Credits)
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The Impact of Deployment and Combat Stress on Families and Children, Part 1 (5 CE Credits)
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The Impact of Deployment and Combat Stress on Families and Children, Part 2 (3.5 CE Credits)
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The Fundamentals of Traumatic Brain Injury (TBI) (4 CE Credits)
University Counseling Center
Core Competency Program
http://deploymentpsych.org/training/uc4
Ted C. Bonar, PsyD
Chief, Continuing Education Programming
[email protected]
Mary Schuble
Project Manager, Continuing Education Programming
[email protected]
Questions and Discussion
Thank You
Clinical Resources
Prolonged Exposure Therapy for PTSD:
Emotional Processing of Traumatic Experiences
Therapist Guide
Foa, E.B., Hembree, E.A., & Rothbaum, B.O. (2007)
Oxford University Press
www.oup.com
Cognitive Processing Therapy for Rape Victims:
A Treatment Manual
Resick, P.A. & Schnicke, M.K. (1993)
Sage Publications
Cognitive Processing Therapy
Veteran/Military Version
Resick, P.A., Monson, C.M., & Chard, K.M. (2008)
Produced by VA Office of Mental Health, VA National Center for PTSD/ VA Boston
Healthcare System and Cincinnati VA Medical Center
CBT-Insomnia – Resources
Cognitive Behavioral Treatment of Insomnia: A Session-by-Session Guide
Perlis, Jungquist, Smith, & Posner (2008).
Insomnia: A Clinical Guide to Assessment and Treatment
Morin & Espie (2004).
TBI – Resources
Defense and Veterans Brain Injury Center
www.dvbic.org
TBI – Resources
Center for Deployment Psychology Online Training
The Fundamentals of Traumatic Brain Injury
http://deploymentpsych.org/training/online-courses
Suicide Prevention Video
http://www.army.mil/media/amp/
http://www.healthquality.va.gov/management_of_concussion_mtbi.asp
http://www.healthquality.va.gov/Post_Traumatic_Stress_Disorder_PTSD.asp
http://www.healthquality.va.gov/Major_Depressive_Disorder_MDD_Clinical_Practice_Guideline.asp
http://www.healthquality.va.gov/Substance_Use_Disorder_SUD.asp
Campus Planning
www.studentveterans.org
Student Veterans of America:
Veteran Center Plan
Step 1:
Step 2:
Step 3:
Step 4:
Step 5:
Step 6:
Step 7:
Step 8:
Step 9:
Develop a Veterans Task Force
Support a Student Veterans Organization
Create Veteran’s Office
Set up Space
Develop Online & Print Resources
Establish Partnerships
Educate Administration, Faculty & Staff
Converge all Resources in One Place
Evaluate Organizational Success
Download with details available at: www.studentveterans.org
American Council on Education
www.acenet.edu
American Council on Education:
Campus Recommendations
Serving Those Who Serve: Making Your Institution
Veteran-Friendly
- Publish Concise Information on Transfer Credit for Military
Experience
- Take a Community-Based Approach
- Give Your Veterans a Voice
- Build a Strong Web Presence
- Establish Specific Points of Contact
- Expand Housing Options
- Implement a tuition Deferment Plan
Download with details available at: www.acenet.edu
American Council on Education
www.acenet.edu
American Council on Education
www.acenet.edu