Enduring Continuous Cycles of Deployment & Implications for Treatment MAMFT Conference November 12, 2010 James McAuley, MA LAMFT Rebekah Miller, MA Claddagh Counseling Wellness Counseling Services (WCS) Web: www.claddaghcounseling.com Web: www.wellnesscounselingmn.com Email: firstname.lastname@example.org Email: Rmiller@wellnesscounselingmn.com Phone: 320-223-0015 Phone: 651-399-6920 Suggested Assessment Questions when Working with a Military Family Pre-deployment Questions: Post-deployment: 1. What were your relationships like before 1. Traumatic brain injury (TBI)—can affect balance, deployment? language skills, memory, impulsivity 2. What did you do for fun: alone/with 2. Is the soldier ready for individual, couple, or family partner/with family? intervention or a combination? 3. What was most important to you before 3. Suicidality deployment? 4. PTSD Symptomology: hyperarousal, avoidance, 4. Suicidality reexperiencing & Secondary Trauma 5. What was leadership on deployment like? (often influences symptoms of anger, satisfaction, etc.) 6. Survival guilt? Deployment Questions: 7. Value/Meaning attributed to deployment experience? 1. What was the deployment experience like (affects self-image positively or negatively) (overseas or at home)? 8. How has each family member changed? 2. What challenges did you overcome? 9. Emotional support that was available to veteran and 3. What was an average day like or did your family during the deployment daily mission vary alot? 10. Plans for the future 11. Triggers for PTSD symptoms 12. Prevalence of anger Recommended ResourcesBeyond the Yellow Ribbon: www.btyr.org MN program developed to connect service members and their families with support, services, and resources.Courage After Fire by Keith Armstrong, Suzanne Best, & Paula Domenici. For veterans and their families to navigate post deployment challenges. Provides helpful insight for therapists.Military Family Care Initiative: https://www.militaryfamilies.state.mn.us/ Practitioners can sign up to provide discounted health and wellness services to military families.Strong Bonds Strong Couples Website: http://www.strongbondsstrongcouples.com/index.html Using EFT to help Military Couples reunite after deploymentGive an Hour - http://www.giveanhour.org Give an hour of your time to provide critical mental health services to U.S. troops and their family members. Provider resources section.Center for Deployed Psychology- http://www.deploymentpsych.org Trains military & civilian mental health professionals on deployment related behavioral health services.In Their Boots http://www.intheirboots.com Video series that sheds light on how veterans and their families deal with pre, during and post deployment.Defense Centers of Excellence for Psychological Health & TBI http://www.dcoe.health.mil Webinars, Resources, Emails
Assessments of Military Families During Any Phase1. Where is the family in it’s own stage of development? 1. How many deployments and2. What style has/had the family developed to deal with coping strategies? periodic separation and reunion 2. Previous injuries/head injuries3. What other factors that could have a great impact upon the 3. Substance use family at a time of crisis (cultural, ethnic, racial background, 4. Affairs recent move)? 5. Financial situation4. What is the family’s concept of how the military sees the 6. Depression, anxiety, and sleep family? The Military, Service families and the Therapist, by disturbances Ridenour, R. (1984) 7. Explore quality of attachments5. Has the service member ever been mobilized/deployed? pre, during, and post deployment6. What was his/her deployment experience like? 8. Shame: related to actions on7. If mobilized/deployed, when, where, duration deployment or at home while8. Is this a career military family? separated9. Is the family a dual military family? 9. History of or Current Physical,10. When was the family’s last extended separation? sexual, emotional abuse/Previous11. Is the service member receiving medical care at the VA? traumas12. What lead to the service member joining the military? 10. Spiritual beliefs pre, during, and13. What do they do in the military? post deployment14. Where is their unit based? 11. Work Functioning15. What is the service members rank (enlisted/officer) 12. Deployment related experiences16. What does the member think of his/her chain of command? 13. Interpersonal functioning17. Any issues with children? 14. Past exposure to traumatic events18. Did you ever have a talk with your children in preparation to 15. Recreation/self care deployment? 16. Past distress and coping skills19. Has family at home talked with children upon service 17. Physical Functioning member’s return? 18. Psychological symptomology20. Were there any support groups that family was connected with? If so, which one? How often did they meet? Where did they meet? Overall impression of group?21. Who did the family rely on for support in times of need?22. How was communication during the deployment and how often did they communicate?23. What was the greatest challenge during the deployment?24. What was something that went well during the separation?