Mental fitness in deployment troops(slide show)

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Mental fitness in deployment troops(slide show)

  1. 1. MENTAL FITNESS IN DEPLOYMENT TROOPS<br />BY LT COL (DR) LOTFI BIN ANUAR<br />MBBS (MALAYA), MMEDPSYCH (UKM)<br />MILITARY PSYCHIATRIST & HOD<br />HAT TUANKU MIZAN<br />3/29/2011<br />1<br />SEMINAR FOR UNIFIL MISSION<br />
  2. 2. PENGENALAN<br /><ul><li>Military deployment can be anywhere
  3. 3. Operation tasks, humanitarian missions, peacekeeping enforcement etc
  4. 4. Military downsizing has increased the likelihood that each soldier will eventually participate on an extended mission
  5. 5. Impact long separation as 60% of soldiers are married
  6. 6. The need of coping strategies to pass through all the stage of deployment</li></ul>3/29/2011<br />2<br />SEMINAR FOR UNIFIL MISSION<br />
  7. 7. STAGES OF DEPLOYMENT<br />Pre-deployment : varies<br />Deployment : 1st month<br />Sustainment : 2nd to 5th month<br />Re-deployment : last month<br />Post-deployment : 3-6 month after deployment<br />3/29/2011<br />3<br />SEMINAR FOR UNIFIL MISSION<br />
  8. 8. WHY IT IS IMPORTANT?<br /><ul><li>Each stage has specific emotional challenges
  9. 9. Failure to cope and understand the stages cause problems to family members and deployed soldier
  10. 10. Help family to cope positively towards deployment experience
  11. 11. help to avert crises, minimize the need for command intervention and psychological counseling
  12. 12. To reduce suicidal threats</li></ul>3/29/2011<br />4<br />SEMINAR FOR UNIFIL MISSION<br />
  13. 13. PRE-DEPLOYMENT<br /><ul><li>Onset begin with warning order for </li></ul> deployment<br /><ul><li>Ended when the soldier actually departs from home station
  14. 14. Timeframe variable: several weeks - > a year
  15. 15. Anticipation of loss vs denial by the spouse
  16. 16. “you don’t have really to go?”or “ I wish you were gone already”
  17. 17. Sense of emotional and physical distance for military spouses</li></ul>3/29/2011<br />5<br />SEMINAR FOR UNIFIL MISSION<br />
  18. 18. Argument<br /><ul><li>Argument with the spouse is common due to stress of pending separation
  19. 19. Esp among young couple who experiencing extended separation for the first time
  20. 20. Catastrophic reaction  divorce
  21. 21. Usually due to fear that the relationship is over/ fear of infidelity and lead to tremendous anxiety to couple
  22. 22. Resolving marital issues that precede the deployment is very difficult and best left until the soldier return</li></ul>3/29/2011<br />6<br />SEMINAR FOR UNIFIL MISSION<br />
  23. 23. Impact of unresolved family argument<br />Deployed soldier: Unable to focus on task especially on military movement and lead to accident<br />Spouse: disturb house and office works, neglecting children<br />Children : fear that the loved daddy/mummy not returned home lead to inconsolable crying, tantrums and regressive behaviors.<br />3/29/2011<br />7<br />SEMINAR FOR UNIFIL MISSION<br />
  24. 24. PREPARATION FOR COUPLE<br /><ul><li>To discuss in detail their expectation each other during the deployment period such as</li></ul>Freedom to make independent decision<br />Contact with the opposite sex (fidelity)<br />Going out with friends<br />Budgeting<br />Child-rearing<br />How often the communication will be done during the period<br />3/29/2011<br />8<br />SEMINAR FOR UNIFIL MISSION<br />
  25. 25. Must do list<br />Home repairs<br />Security (door/alarms etc)<br />Car maintenance<br />Finances (ATM, CC cards)<br />Child care plan<br />Wills<br />g) Special family vacation<br />h) Increased intimacy<br /> i) Visiting older parent<br /> j) Plan of paying installment<br />3/29/2011<br />9<br />SEMINAR FOR UNIFIL MISSION<br />
  26. 26. PREPARATION FOR DEPLOYED COMMANDER<br /><ul><li>Enhance the unit support system through religious officer/ counselor
  27. 27. Do not forget the program for the deployed spouses
  28. 28. Increase the field training and promoting the unit cohesion
  29. 29. Giving clear explanation about the mission, its duration and the allowances
  30. 30. Established a family support group for deployed spouses and families</li></ul>3/29/2011<br />10<br />SEMINAR FOR UNIFIL MISSION<br />
  31. 31. DEPLOYMENT<br /><ul><li>Stage started from the soldier’s departure from home through the first month of deployment
  32. 32. Mainly mixed emotion, unpleasant feeling, feeling disoriented, overwhelming and residual anger, feeling numbness, sadness and being alone or abandonment
  33. 33. Worries about security issues eg what if my child get sick, my car break down or the salary problem
  34. 34. Sleep difficulties</li></ul>3/29/2011<br />11<br />SEMINAR FOR UNIFIL MISSION<br />
  35. 35. Communication with the love one<br /><ul><li>Reconnection between the spouse and the deployed soldier is a stabilizing experience
  36. 36. Phone call, video call or internet online are one of the way to relieve the unpleasant anxiety
  37. 37. Search for the free phone call provided by unit if available or use the commercial phone lines
  38. 38. Has to prepare to wait for some time before can make their first call home
  39. 39. Ability to stay in close touch during special occasions (birthday, anniversaries) might help them to cope with separation.</li></ul>3/29/2011<br />12<br />SEMINAR FOR UNIFIL MISSION<br />
  40. 40. Unwanted effect<br /><ul><li>Huge phone bills can result with further financial stress
  41. 41. Bad phone call can cause negative feeling like hurt, anger or frustration may cause emotional disturbance and inability to focus towards certain issues or missions
  42. 42. Spouse and soldier may feel helpless and unable to support each other at time of need
  43. 43. These issues need to be monitored by the deployed commanders
  44. 44. Role of peers, senior rank or officers as counselors</li></ul> and support provider<br />3/29/2011<br />13<br />SEMINAR FOR UNIFIL MISSION<br />
  45. 45. SUSTAINMENT<br />Stage started from the first month to the fifth (penultimate) month of deployment<br />New routine established<br />New sources of emotional support eg religious institution, religious officer<br />Spouse will feels more in control, independence and confidence<br />3/29/2011<br />14<br />SEMINAR FOR UNIFIL MISSION<br />
  46. 46. Common problem<br />Usual challenge is rapid speed of information through phone calls or internet<br />Response of children towards deployment of parent<br />3/29/2011<br />15<br />SEMINAR FOR UNIFIL MISSION<br />
  47. 47. Commanders role<br /><ul><li>To coordinate emergency leave if required
  48. 48. To control rumor and limiting the negative impacts by keep the soldier and families fully informed and up to date
  49. 49. To advice the soldier to make a call within regular interval and time
  50. 50. eg allegation of infidelity (difficult to prove true or false), accident or injuries, changes in date of return etc</li></ul>3/29/2011<br />16<br />SEMINAR FOR UNIFIL MISSION<br />
  51. 51. Children reactions<br />3/29/2011<br />17<br />SEMINAR FOR UNIFIL MISSION<br />
  52. 52. RE-DEPLOYMENT<br />Stage started at the month before the soldier is schedule to return home<br />Anticipation of homecoming<br />Excitement<br />Burst of energy to complete to do list<br />3/29/2011<br />18<br />SEMINAR FOR UNIFIL MISSION<br />
  53. 53. POST-DEPLOYMENT<br /><ul><li>Stage begins with the arrival at the home station
  54. 54. Children rushes to the returning parent
  55. 55. Warm embrace and kiss for the united couple
  56. 56. Praise from senior commander
  57. 57. To understand that some time it can be upsetting up to their expectation due to various reason
  58. 58. Returning back to previous role in the family, be prepare for any change/loss, starting the communication
  59. 59. Try not to make changes right away and to take time to renegotiating family rules and norms
  60. 60. Allow several months to re-establish family bonds</li></ul>3/29/2011<br />19<br />SEMINAR FOR UNIFIL MISSION<br />
  61. 61. Children reactions post-deployment<br /><ul><li>The feelings depends to their understanding of why the soldier was gone
  62. 62. Babies less 1 year old may do not know the soldier and cry when held
  63. 63. Toddlers (1-3 years) may be slow to warm up
  64. 64. Pre-schoolers (3-6 years) may feel guilty and scared over the separation
  65. 65. School aged children (6-12 years) may wants a lot of attention
  66. 66. Teenagers (13-18 years) may be moody and may not appear to care</li></ul>3/29/2011<br />20<br />SEMINAR FOR UNIFIL MISSION<br />
  67. 67. CONCLUSION<br />The separation of deployment(unlike civilian <br /> couple) provide soldier and spouse a chance to evaluate changes within themselves and what direction they want their marriage to take<br />Although a difficult as well as joyful stage, many military couples have reported that their <br /> relationship is much stronger as a result<br />3/29/2011<br />21<br />SEMINAR FOR UNIFIL MISSION<br />
  68. 68. THANK YOU<br />3/29/2011<br />22<br />SEMINAR FOR UNIFIL MISSION<br />

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