To date, more than 1.3 million service members have served in the Global War on Terrorism. These men and women their families face a range of stressful situations must navigate many important tasks after deployment. This article outlines four reintegration: redefining roles, expectations, division labor; managing strong emotions; abandoning emotional constriction creating intimacy relationships; shared meaning. For each task, potential challenges are discussed suggestions for how...

Psychological distress among cohabitating female partners of combat veterans with posttraumatic stress disorder (PTSD) was examined in a cross-sectional study using modified version the Health Belief Model. A convenience sample 89 male outpatient PTSD treatment interviewed by telephone structured interview. Partners endorsed high levels psychological elevations on clinical scales at or exceeding 90th percentile. Severe overall distress, depression, and suicidal ideation were prevalent...

Background and Objectives: Implicit bias often affects patient care in insidious ways, has the potential for significant damage. Several educational interventions regarding implicit have been developed health professionals, many of which foster reflection on individual biases encourage personal awareness. In an attempt to address racism other at a more systemic level our family medicine residency training program, objectives were offer evaluate parallel trainings residents faculty by...

Domestic violence rates among veterans with posttraumatic stress disorder (PTSD) are higher than those of the general population. Individuals who have been diagnosed PTSD seek couples therapy their partners constitute an understudied Self-report measures domestic violence, relationship satisfaction, and intimacy were administered at intake to 179 seeking a Veterans Affairs clinic. Couples in which veteran was combat-related compared two other groups based on veteran's primary diagnosis...

This study compared the attitudes of mental health and primary care providers toward persons with schizophrenia at 5 Veterans Affairs (VA) facilities.This utilized a cross-sectional anonymous survey, including clinical vignettes describing identical patient scenarios for hypothetical without schizophrenia, to examine differences in providers. The survey was distributed 3 waves from August 2011 April 2012. Participants included 351 VA medical centers, 205 (psychiatrists, psychologists,...

Approximately one million gay and lesbian Americans are veterans, rates of engagement in the Veterans Affairs (VA) health care system may be increasing for both sexual gender minority veterans. Very little research has examined experience these veterans when receiving at VA facilities. The purpose this study was to explore experiences, beliefs, preferences lesbian, gay, bisexual, or transgender (LGBT) their communication with providers. LGBT (n = 58) participated focus groups individual...

Although considerable research has examined the impact of posttraumatic stress disorder (PTSD) on couples and partners, relatively little is known about how it can affect parenting, children, parent-child relationship. adverse effects parental PTSD child functioning have been documented, processes by which these outcomes occur are unknown. Further, parents' perspectives their affects parenting children yet to be studied. This 3-site, mixed methods exploratory study included 19 veteran...

Distress and professional impairment among psychologists in clinical practice can adversely affect the process of psychotherapy. In this study, 522 practicing (52.2%) completed a mail survey on distress impairment. Various life events work factors were associated with different

This study examined deployment effects in children and spouses of National Guard troops using a longitudinal design to assess 18 (ages 6 17 years) 13 nondeployed before, during, after deployment. Both self- parent reports revealed that deployed service personnel experienced emotional behavioral symptoms during the their fathers relative pre- post-deployment. The children's worry uncertainty, along with aspects family interactions, may give rise ambiguous loss associated military families.

Approximately 1 million gay and lesbian Americans are veterans. With the repeal of “Don’t Ask, Don’t Tell,” Veterans Affairs (VA) health care system is focusing on unique needs lesbian, gay, bisexual, transgender (LGBT) As a result research in private sector documenting stigmatizing attitudes discrimination toward LGBT individuals settings, Institute Medicine The Joint Commission published recommendations for responding to individuals. However, minimal has examined veterans their experiences...

Purpose: Many lesbian women experience stigma and discrimination from their healthcare providers as a result of sexual orientation. Additionally, others avoid disclosure orientation to for fear mistreatment. With the increasing number lesbian, gay, bisexual, transgender (LGBT) veterans seeking care Veterans Health Administration (VHA), it is important understand veterans' experiences with stigma, discrimination, This article examines perceived in VHA healthcare, perspectives on providers,...

Purpose: Primary care is an ideal setting to deliver efficacious treatments for opioid use disorder (OUD). providers need be aware of other concerns patients with OUD might have in order provide comprehensive care. This study describes the prevalence mental health, comorbid substance use, and psychosocial seeking treatment primary their relation 6-month retention. Methods: Patients (N = 100; M age 34.9 years (SD 10.8), 74% white, 46% female) who were starting buprenorphine at academic family...

It is well documented that family psychoeducation decreases relapse rates of individuals with schizophrenia. Despite the evidence, surveys indicate families have minimal contact their relative's treatment team, let alone participate in evidence-based practice psychoeducation. The Department Veterans Affairs (VA) sponsored a conference, Family Forum, to assess state art regarding and form consensus next steps increase involvement. forum reached on these issues: models should be optimized by...

Frequency and quality of family deployment communication was assessed examined in conjunction with emotions behaviors reported by military children spouses (N = 26) before, during, after deployment. Child siblings associated positive child outcomes. Conversely, before during a deployed parent related to more emotional reactions behavioral problems. For spouses, better the partner spouse's having less negative temper or stress reactions. Use newer technology

Purpose: Despite known health disparities for lesbian, gay, and bisexual (LGB) individuals, research in the civilian sector has documented low rates of patient disclosure provider assessment this domain. Very little is about Veterans Health Affairs (VHA) providers' care LGB veterans, a population that been relatively invisible until recently because vestiges Department Defense policy "Don't Ask, Don't Tell." This study examined attitudes, beliefs, clinical practices VHA healthcare providers...

Burnout is considered a public health crisis among physicians and related to poor quality of life, increased medical errors, lower patient satisfaction. A recent literature review conceptual model suggest that awareness life meaning, or meaning salience, improved stress coping, may also reduce experience burnout. This study examined associations burnout, fatigue, family medicine residency program directors.Data were collected via an online survey administered by the Council Academic Family...

If a client dealing with combat-related posttraumatic stress disorder (PTSD) presents for psychotherapy, should you consider including his or her partner in treatment? How could couples therapy be beneficial? What framework do have to conceptualize the relational issues and potential Although clinicians long been encouraged include families treatment of PTSD, few specific couple-family therapies exist, outcome research is scarce. Because adverse effects PTSD on relationships, can powerful...

Family psychoeducation is a highly effective, but underused, evidence-based practice in the treatment of schizophrenia and other serious mental illnesses. This study examined views about family relationships participation care among sample 69 consumers with illness receiving within Department Veterans Affairs healthcare system. We found that younger those higher levels psychiatric symptoms were more likely to report conflict distress. Of participating consumers, 67% wanted their at least...

CME Educational Objectives 1. Assess what is known about how deployment affects children of military personnel. 2. Evaluate perceive and think the experience having a parent deployed to active combat. 3. Choose suggestions for clinicians family members can help cope with