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MENTAL FITNESS IN DEPLOYMENT TROOPS BY LT COL (DR) LOTFI BIN ANUAR MBBS (MALAYA), MMEDPSYCH (UKM) MILITARY PSYCHIATRIST & HOD HAT TUANKU MIZAN 3/29/2011 1 SEMINAR FOR UNIFIL MISSION
PENGENALAN ,[object Object]
Operation tasks, humanitarian missions, peacekeeping enforcement etc
Military downsizing has increased the likelihood that each soldier will eventually participate on an extended mission
Impact long separation as 60% of soldiers are married
The need of coping strategies to pass through all the stage of deployment3/29/2011 2 SEMINAR FOR UNIFIL MISSION
STAGES OF DEPLOYMENT Pre-deployment	: varies Deployment		: 1st month Sustainment		: 2nd to 5th month Re-deployment	: last month Post-deployment	: 3-6 month after 					  	  deployment 3/29/2011 3 SEMINAR FOR UNIFIL MISSION
WHY IT IS IMPORTANT? ,[object Object]
Failure to cope and understand the stages cause problems to family members and deployed soldier
Help family to cope positively towards deployment experience
 help to avert crises, minimize the need for command intervention and psychological  counseling
To reduce suicidal threats3/29/2011 4 SEMINAR FOR UNIFIL MISSION
PRE-DEPLOYMENT ,[object Object],	deployment ,[object Object]
Timeframe variable: several weeks - > a year
Anticipation of loss vs denial by the spouse
“you don’t have really to go?”or “ I wish you were gone already”
Sense of emotional and physical distance for military spouses3/29/2011 5 SEMINAR FOR UNIFIL MISSION
Argument ,[object Object]
Esp among young couple who experiencing extended separation for the first time
Catastrophic reaction  divorce
Usually due to fear that the relationship is over/ fear of infidelity and lead to tremendous anxiety to couple
Resolving marital issues that precede the deployment is very difficult and best left until the soldier return3/29/2011 6 SEMINAR FOR UNIFIL MISSION

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Mental fitness in deployment troops(slide show)

  • 1. MENTAL FITNESS IN DEPLOYMENT TROOPS BY LT COL (DR) LOTFI BIN ANUAR MBBS (MALAYA), MMEDPSYCH (UKM) MILITARY PSYCHIATRIST & HOD HAT TUANKU MIZAN 3/29/2011 1 SEMINAR FOR UNIFIL MISSION
  • 2.
  • 3. Operation tasks, humanitarian missions, peacekeeping enforcement etc
  • 4. Military downsizing has increased the likelihood that each soldier will eventually participate on an extended mission
  • 5. Impact long separation as 60% of soldiers are married
  • 6. The need of coping strategies to pass through all the stage of deployment3/29/2011 2 SEMINAR FOR UNIFIL MISSION
  • 7. STAGES OF DEPLOYMENT Pre-deployment : varies Deployment : 1st month Sustainment : 2nd to 5th month Re-deployment : last month Post-deployment : 3-6 month after deployment 3/29/2011 3 SEMINAR FOR UNIFIL MISSION
  • 8.
  • 9. Failure to cope and understand the stages cause problems to family members and deployed soldier
  • 10. Help family to cope positively towards deployment experience
  • 11. help to avert crises, minimize the need for command intervention and psychological counseling
  • 12. To reduce suicidal threats3/29/2011 4 SEMINAR FOR UNIFIL MISSION
  • 13.
  • 14. Timeframe variable: several weeks - > a year
  • 15. Anticipation of loss vs denial by the spouse
  • 16. “you don’t have really to go?”or “ I wish you were gone already”
  • 17. Sense of emotional and physical distance for military spouses3/29/2011 5 SEMINAR FOR UNIFIL MISSION
  • 18.
  • 19. Esp among young couple who experiencing extended separation for the first time
  • 21. Usually due to fear that the relationship is over/ fear of infidelity and lead to tremendous anxiety to couple
  • 22. Resolving marital issues that precede the deployment is very difficult and best left until the soldier return3/29/2011 6 SEMINAR FOR UNIFIL MISSION
  • 23. Impact of unresolved family argument Deployed soldier: Unable to focus on task especially on military movement and lead to accident Spouse: disturb house and office works, neglecting children Children : fear that the loved daddy/mummy not returned home lead to inconsolable crying, tantrums and regressive behaviors. 3/29/2011 7 SEMINAR FOR UNIFIL MISSION
  • 24.
  • 25. Must do list Home repairs Security (door/alarms etc) Car maintenance Finances (ATM, CC cards) Child care plan Wills g) Special family vacation h) Increased intimacy i) Visiting older parent j) Plan of paying installment 3/29/2011 9 SEMINAR FOR UNIFIL MISSION
  • 26.
  • 27. Do not forget the program for the deployed spouses
  • 28. Increase the field training and promoting the unit cohesion
  • 29. Giving clear explanation about the mission, its duration and the allowances
  • 30. Established a family support group for deployed spouses and families3/29/2011 10 SEMINAR FOR UNIFIL MISSION
  • 31.
  • 32. Mainly mixed emotion, unpleasant feeling, feeling disoriented, overwhelming and residual anger, feeling numbness, sadness and being alone or abandonment
  • 33. Worries about security issues eg what if my child get sick, my car break down or the salary problem
  • 34. Sleep difficulties3/29/2011 11 SEMINAR FOR UNIFIL MISSION
  • 35.
  • 36. Phone call, video call or internet online are one of the way to relieve the unpleasant anxiety
  • 37. Search for the free phone call provided by unit if available or use the commercial phone lines
  • 38. Has to prepare to wait for some time before can make their first call home
  • 39. Ability to stay in close touch during special occasions (birthday, anniversaries) might help them to cope with separation.3/29/2011 12 SEMINAR FOR UNIFIL MISSION
  • 40.
  • 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. Spouse and soldier may feel helpless and unable to support each other at time of need
  • 43. These issues need to be monitored by the deployed commanders
  • 44. Role of peers, senior rank or officers as counselors and support provider 3/29/2011 13 SEMINAR FOR UNIFIL MISSION
  • 45. SUSTAINMENT Stage started from the first month to the fifth (penultimate) month of deployment New routine established New sources of emotional support eg religious institution, religious officer Spouse will feels more in control, independence and confidence 3/29/2011 14 SEMINAR FOR UNIFIL MISSION
  • 46. Common problem Usual challenge is rapid speed of information through phone calls or internet Response of children towards deployment of parent 3/29/2011 15 SEMINAR FOR UNIFIL MISSION
  • 47.
  • 48. To control rumor and limiting the negative impacts by keep the soldier and families fully informed and up to date
  • 49. To advice the soldier to make a call within regular interval and time
  • 50. eg allegation of infidelity (difficult to prove true or false), accident or injuries, changes in date of return etc3/29/2011 16 SEMINAR FOR UNIFIL MISSION
  • 51. Children reactions 3/29/2011 17 SEMINAR FOR UNIFIL MISSION
  • 52. RE-DEPLOYMENT Stage started at the month before the soldier is schedule to return home Anticipation of homecoming Excitement Burst of energy to complete to do list 3/29/2011 18 SEMINAR FOR UNIFIL MISSION
  • 53.
  • 54. Children rushes to the returning parent
  • 55. Warm embrace and kiss for the united couple
  • 56. Praise from senior commander
  • 57. To understand that some time it can be upsetting up to their expectation due to various reason
  • 58. Returning back to previous role in the family, be prepare for any change/loss, starting the communication
  • 59. Try not to make changes right away and to take time to renegotiating family rules and norms
  • 60. Allow several months to re-establish family bonds3/29/2011 19 SEMINAR FOR UNIFIL MISSION
  • 61.
  • 62. Babies less 1 year old may do not know the soldier and cry when held
  • 63. Toddlers (1-3 years) may be slow to warm up
  • 64. Pre-schoolers (3-6 years) may feel guilty and scared over the separation
  • 65. School aged children (6-12 years) may wants a lot of attention
  • 66. Teenagers (13-18 years) may be moody and may not appear to care3/29/2011 20 SEMINAR FOR UNIFIL MISSION
  • 67. CONCLUSION The separation of deployment(unlike civilian couple) provide soldier and spouse a chance to evaluate changes within themselves and what direction they want their marriage to take Although a difficult as well as joyful stage, many military couples have reported that their relationship is much stronger as a result 3/29/2011 21 SEMINAR FOR UNIFIL MISSION
  • 68. THANK YOU 3/29/2011 22 SEMINAR FOR UNIFIL MISSION