Reverse Culture Shock - Operation TBI Freedom


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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 - Operation TBI Freedom

  1. 1. Reverse Culture Shock: Military Transitions for Returning Soldiers with Traumatic Brain Injury Jennifer Anderson & Christen Mason Denver Options
  2. 2. Objectives <ul><ul><li>Define “Reverse Culture Shock” </li></ul></ul><ul><ul><ul><li>What is it? </li></ul></ul></ul><ul><ul><ul><li>What are the signs & symptoms? </li></ul></ul></ul><ul><ul><ul><li>What is the need? </li></ul></ul></ul><ul><ul><li>Describe how community partnerships make the difference in reintegration </li></ul></ul>
  3. 3. Reverse 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
  4. 4. Impact of Reverse Culture Shock
  5. 5. Case Study <ul><li>Patrick </li></ul><ul><ul><li>TBI & PTSD Diagnosis </li></ul></ul><ul><ul><li>Suicidal </li></ul></ul><ul><ul><li>Unemployed </li></ul></ul><ul><ul><li>At risk of homelessness </li></ul></ul><ul><ul><li>Lack of appropriate benefits </li></ul></ul>“ I now have a 100% disability rating through the VA so I can catch up on my rent payments and avoid bankruptcy. I know now that I can have a decent life with my boys; that’s all I want.”
  6. 6. What is the need? <ul><li>1.64 million troops deployed </li></ul><ul><ul><li>19% of returning soldiers (320,000) have sustained a Traumatic Brain Injury (TBI) </li></ul></ul><ul><ul><li>53% of these individuals also have PTSD </li></ul></ul><ul><ul><li>(RAND Report, 2008) </li></ul></ul><ul><li>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) </li></ul><ul><li>Male Veterans face roughly twice the risk of dying from suicide as their civilian counterparts (Kaplan et al., 2007) </li></ul>
  7. 7. What is the need? <ul><li>20% of marriages fall apart within two years when one spouse has been deployed to combat zones (US Army In Battle – Tom Leonard) </li></ul><ul><li>In 2007 there were 154,000 homeless veterans </li></ul><ul><ul><li>51% served post Vietnam </li></ul></ul><ul><ul><li>45% Substance Abuse Issues </li></ul></ul><ul><ul><li>20% Combat Experience </li></ul></ul><ul><ul><li>(US Department of Defense) </li></ul></ul>
  8. 8. Colorado Demographics <ul><li>95% Army; 3% Coast Guard; 2% Marines </li></ul><ul><li>95% Male; 4% Female </li></ul><ul><li>61% between 21-30; 39% between 31-59 </li></ul><ul><li>66% Active Duty vs 34% Veterans </li></ul><ul><li>92% of Active Duty soldiers are in the Warrior Transition Battalion </li></ul><ul><li>82% Blast related injuries; 13% other military related injuries; </li></ul><ul><li>i.e. helicopter/fall from military vehicles; 5% non-combat related </li></ul>
  9. 9. <ul><li>Collaboration </li></ul><ul><li>Knowledge of Community Resources </li></ul><ul><li>Care Coordination </li></ul>How the Community Makes A Difference
  10. 10. <ul><li>Partnerships with Department of Defense and the Veteran’s Administration </li></ul><ul><li>Collaboration with Key Community Leaders & Veteran’s Service Agencies </li></ul><ul><ul><li>Non-Profit Organizations </li></ul></ul><ul><ul><li>Mental Health Groups </li></ul></ul><ul><ul><li>Social Service Organizations </li></ul></ul><ul><li>Education & Community Outreach </li></ul><ul><ul><li>Survivor’s Series </li></ul></ul><ul><ul><li>Military Circle Groups </li></ul></ul><ul><ul><li>Colorado Injured Military Service members </li></ul></ul>Collaboration
  11. 11. Community Resources VOC Rehab Workforce Groups Community Veterans Groups Wounded Warrior Program Financial Planning Assistive Technologies Medical Care & Rehabilitation National Veterans Organizations Brain Injury Trust Fund Emergency Funds Denver VA Local Vet Clinics OIF/OEF Veteran and Care Coordinator
  12. 12. Care Coordination <ul><li>Crisis Stabilization, Self-Advocacy, Education and Community Re-Integration </li></ul>
  13. 13. Care Coordination <ul><li>&quot;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) </li></ul>
  14. 14. <ul><li>A Program of Denver Options, Inc. </li></ul><ul><li>9900 E Iliff Ave </li></ul><ul><li>Denver, CO 80231 </li></ul><ul><li>866-245-6600 </li></ul><ul><li>303-636-5660 FAX </li></ul><ul><li>[email_address] </li></ul><ul><li>[email_address] </li></ul>Operation TBI Freedom