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stress in military families

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Hana Rovin

on 24 May 2013

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Transcript of stress in military families

due to deployment and post-deployment Stress in Military families Article Summaries Application of the ABC-X Multiple Choice Questions 1. What does FOCUS stand for?
A. Families operating control under stress
B. Families Over-Coming Under Stress
C. Families Offering Condolences in United States
D. Fathers Often Control Ultimate Stressors C - perceptions A - Stressors X
- crisis B - Resources Families Overcoming Under Stress: Implementing Family-Centered Prevention for Military Families Facing Wartime Deployments and Combat Operational Stress

From the abstract: "The toll of multiple and prolonged deployments on families has become clearer in recent years as military families have seen an increase in childhood anxiety, parental psychological distress, and marital discord. Families overcoming under stress (FOCUS), a family-centered evidence-informed resiliency training program developed at University of California, Los Angeles and Harvard Medical School, is being implemented at military installations through an initiative from Navy Bureau of Medicine and Surgery. The research foundation for FOCUS includes evidence-based preventive interventions that were adapted to meet the specific needs of military families facing combat operational stress associated with wartime deployments. Using a family narrative approach, FOCUS includes a customized approach utilizing core intervention components, including psychoeducation, emotional regulation skills, goal setting and problem solving skills, traumatic stress reminder management techniques, and family communication skills. The purpose of this study is to describe the development and implementation of FOCUS for military families. A case example is also presented" (Lester et al., 2011).

Hypothesis: The coping abilities of parents affect whether or not they are capable of understanding and resolving the family’s issues and thus react and adapt to stress. Implementation of FOCUS will provide parents and children with multiple stress management techniques to significantly ease deployment stress.

Sample: Several military families (case studies)

Results: Implementation of FOCUS will provided parents and children with multiple stress management techniques to significantly ease deployment stress and allow for greater adaptation to challenges.

Lester, P., Mogil, C., Saltzman, W., Woodward, K., Nash, W., Leskin, G., Bursch, B., Green, S., Pynoos, R., & Beardslee, W. (2011). Families overcoming under stress: Implementing family-centered prevention for military families facing wartime deployments and combat operational stress. Military Medicine, 176(1), 19-25. Impact of Military Deployment on Family Relationships

From the abstract: "The purpose of this study was to investigate how an active duty member’s increased time away from home (deployments, temporary duty assignments, and trainings) affects family stress as reported by the dependent spouse. Specifically, this research focused on the impact of increased time away from home on the parent–child relationship within the military family. This research analyzed Parenting Relationship Questionnaire (PRQ) and Parenting Stress Index (PSI) scores as reported by the military dependent spouse. Results revealed that extended time away from home can cause the dependent spouse to detach from the parent–child relationship. Mental health professionals and educators working within a community that supports the armed forces must be sensitive to the unique needs of military families during these times of transition” (Lowe, Adams, Browne & Hinkle, 2012).

Hypothesis: “Identified stress,” such as military deployments and the length of said deployments, will have a positive correlation and causation of “Total Stress,” which is measured by the Parenting Stress Index, or “Parenting Frustration,” which is measured by the Parenting Relationship Questionnaire.

Sample: Military dependents stationed at Moody Air Force Base in Georgia

Results: Extended deployments may lead to higher rates of parent-child detachment between the dependent and the child.

Lowe, K. N., Adams, K. S., Browne, B. L., & Hinkle, K. T. (2012). Impact of military deployment on family relationships. Journal of Family Studies, 18(1), 17-27. Working with Military Families through Deployment and Beyond

From the abstract: “Military families experience considerable stress, periods of long separation, and changes to the family system due to family members planning to enter a war zone, actively living in a war zone, and reuniting after being in a war zone. Anticipation and understanding of the stages of deployment improves family, couple and individual functioning. The issues that the family and the couple are confronting at each stage of deployment: predeployment, deployment, and post-deployment are presented. Clinical interventions for the family and the couple are presented at each stage of deployment. Additionally, the impact of the service member’s war time experience on the family, couple, and her/himself is discussed" (Laser & Stephens, 2011).

Hypothesis: High levels of stress within the family will be present during pre-deployment, deployment, and post-deployment, but the types of stress, as well as the type of therapy needed to treat the stress, will vary at each stage.

Sample: 2-parent military families with 1 parent enlisted

Results: Clinical therapy during pre-deployment, deployment, and post-deployment improves family, parent, and child behavior, function, and understanding at each stage.

Laser, J. A., & Stephens, P. M. (2011). Working with military families through deployment and beyond. Clinical Social Work, 39, 28-38. doi: 10.1007/s10615-010-0310-5 Deployment of military service Post-deployment of military service FOCUS
Support groups
mental health services
Military Websites/ VA websites
Cameras/phones/social media
Attachment styles
Closeness of family
Strength of couple relationship 2. What are some other stressors besides deployment and post-deployment for military families?
A. Frequent separation
B. Relocation
C. Reorganization of family roles
D. All of the above 3. Deployment has many stages, these include all but:
A. Deployment
B. Pre-Deployment
C. War-Deployment
D. Post-Deployment 4. Which one is NOT a perception that we discussed during the presentation of the family members that's expressed upon the service members deployment?
A. Denial
B. Fear
C. Guilt
D. Excited 5. What is NOT one of the most prevalent issues surrounding returning deployed servicemen and women?
A. a.Post Traumatic Stress Disorder
B. Suicide
C. Domestic Violence
D. Malnourishment
E. Divorce Deployment
denial; family members tend to be in denial about their family members departure.
fear; experienced by both the service member and family members
resentment; family members specifically significant other and their children resent the service member for being deployed
guilt; younger children who are unable to process the deployment may believe that their behavior has cause their family members departure.
excited and enthusiastic about mission; an emotion expressed by the service member
deployment is perceived as a prelude to something "bad" (death/ injury,etc.) happening Post Deployment:
Happy; this emotion is expressed by all parties, as the post deployment is considered a joyous occasion
Excited; this emotion is expressed by all parties, family members are excited to get their service member back into civilization and
Anxious/nervous service member could possibly perceive post deployment as a nervous anxious
hurtful/frustrating an emotion expressed by service member if the family is not welcoming and accepting Deployment:
oThrough support groups, children still have a hard time but are able to share their feelings with other children going through the same thing.
oDeveloping a new routine helps them deal with the situation, thought a feeling of loss and longing is still experienced.
•Family:oCommunication allows for the relationships to be maintained more effectively.
oThings that the deployed member would do for the family have to be rearranged so that other familyu members can take on that role.
oSupport networks are key to couples experiencing deployment, so that they can meet with people going through the same thing. Post Deployment:
o Younger children may not remember deployed parent, which can cause crisis for both the deployed member and the child. Child needs to get to know deployed parent better.
oOlder child might be loyal to parent who stayed, and consider the deployed parent almost a stranger.
oDistance felt with children is due to a developmental stage.
oPhysical and mental issues of deployed parent might be a prevalent issue—therapy can help with some of these issues, but it’s important to communicate within the home.
oDeployed members might have to go through mental and physical exams, but some issues might not be seen early enough.
oCommunication may be faltered due to Post Traumatic Stress Disorder (PTSD)—the deployed member feels that no one can relate to his or her situation. Therapy is normally a requirement to deal with PTSD.
oDivorce and suicide rates of deployed members are rising and becoming more of a concern.
oDomestic violence within the family is an issue, and it’s important to deal with it immediately.
oA honeymoon stage might be followed by the first argument.
oPhysical reconnection comes much before emotional reconnection.
oCommunication becomes difficult, because deployed member doesn’t want to share gruesome details of deployment.
oCouples therapy can allow for the couples’ relationship to heal.
oDivorce is a growing issue and statistic.
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