Approaching Family-Focused Systems of Care for Military and Veteran Families

Wadsworth, Shelley MacDermid; Lester, Patricia; Marini, Christina; Cozza, Stephen J.; Sornborger, Jo; Strouse, Thomas B.; Beardslee, William R.

doi:10.1080/21635781.2012.721062

Cited by 60 publications

(31 citation statements)

References 53 publications

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“…This strategy may be of particular benefit to OEF/OIF women veterans since research has found stronger links between concerns about couple/family relationship disruption and mental health symptoms among female than male service members (Vogt et al, 2005). Consistent with a family systems perspective (Wadsworth et al, 2013), some participants suggested that family therapy might help to reduce stressors affecting couple relations and parenting among OEF/OIF veteran families.…”

Section: Discussionmentioning

confidence: 90%

“Give us respect, support and understanding”: Women veterans of Iraq and Afghanistan recommend strategies for improving their mental health care

Koblinsky

Schroeder

Leslie

2016

Social Work in Mental Health

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Section: Discussionmentioning

confidence: 90%

“Give us respect, support and understanding”: Women veterans of Iraq and Afghanistan recommend strategies for improving their mental health care

Koblinsky

Schroeder

Leslie

2016

Social Work in Mental Health

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“…17 FOCUS was designed to improve individual adjustment of parents and children as well as their functioning within family relationships (e.g., parent-parent, parent-child), with the expectation that improvements in each domain will reverberate throughout the entire family. 13,18 The FOCUS intervention development team conducted a rigorous review of each of the foundational interventions' protocols and research, and identified 4 core elements that were then adapted for military families and culture through a previously reported assessment of risk and protective processes 8 and a partnered adaptation process with military providers and families. 13,19,20 The core intervention elements include the following: 1) Family Resilience Check-in: a Webbased standardized psychological health and family assessment and provider decision-making tool that provides immediate analytics and guided feedback to provider and family; 2) family psychoeducation and developmental guidance with an emphasis on strengthening parenting, and information on the impact of military-related stressors on children, parents, and family (such as deployment cycle/ separation stressors, posttraumatic stress, traumatic brain injury, and physical injuries); 3) narrative timelines: structured, graphic narratives of the experiences of individual family members surrounding key family transitions to enhance perspective taking, reflection, communication, and understanding, and to promote the construction of a shared family narrative; and 4) resilience skill building: learning and practicing key skills, including communication, problem solving, goal setting, emotional regulation, and the management of reminders of separation, trauma, and loss.…”

mentioning

confidence: 99%

Evaluation of a Family-Centered Preventive Intervention for Military Families: Parent and Child Longitudinal Outcomes

Lester

Liang

Milburn

et al. 2016

Journal of the American Academy of Child & Adolescent Psych

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Objective: This study evaluates the longitudinal outcomes of Families OverComing Under Stress (FOCUS), a family-centered preventive intervention implemented to enhance resilience and to reduce psychological health risk in military families and children who have high levels of stress related to parental wartime military service. Method:We performed a secondary analysis of evaluation data from a large-scale service implementation of the FOCUS intervention collected between July 2008 and December 2013 at 15 military installations in the United States and Japan. We present data for 2,615 unique families (3,499 parents and 3,810 children) with completed intake and at least 1 postintervention assessment. Longitudinal regression models with family-level random effects were used to assess the patterns of change in child and parent (civilian and military) psychological health outcomes over time.Results: Improvement in psychological health outcomes occurred in both service member and civilian parents. Relative to intake, parental anxiety and depression symptoms were significantly reduced postintervention, and these reductions were maintained at 2 subsequent follow-up assessments. In addition, we identified an improvement over time in emotional and behavioral symptoms and in prosocial behaviors for both boys and girls. We observed reductions in the prevalence of unhealthy family functioning and child anxiety symptoms, as well as parental depression, anxiety, and posttraumatic stress symptoms from intake to follow-up.Conclusion: Longitudinal program evaluation data show sustained trajectories of reduced psychological health risk symptoms and improved indices of resilience in children, civilian, and active duty military parents participating in a strength-based, family-centered preventive intervention.

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“…Presumably, the more such relationship problems can be addressed, the better soldier performance will be. Marriage interventions may be helpful for Army couples to resolve relationship problems (Wadsworth et al, 2013). …”

Section: Discussionmentioning

confidence: 99%

Distraction During Deployment: Marital Relationship Associations With Spillover for Deployed Army Soldiers

Carter

Loew

Allen

et al. 2015

Military Psychology

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Military spouses often have concerns regarding the impact of their communication on soldiers during deployment. However, literature is mixed regarding how communication between soldiers and spouses may impact soldiers’ self-reported work functioning during deployment, suggesting the need to evaluate moderating factors. In the current study, three relationship factors (marital satisfaction, conflictual communication, and proportion of conversation focused on problems) were tested as moderators of communication frequency and negative marriage-to-work spillover for soldiers. Whereas the three relationship factors were independently related to negative spillover, none significantly moderated the relationship between communication frequency and spillover. The overall pattern of results suggests that (a) lower marital satisfaction, a focus on problems during communication, and conflictual communication are each strongly linked to spillover for deployed soldiers, and (b) military couples may be self-restricting deployment communication frequency when experiencing less marital satisfaction and higher rates of negative communication. Implications for communication during deployment are discussed.

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Approaching Family-Focused Systems of Care for Military and Veteran Families

Cited by 60 publications

References 53 publications

“Give us respect, support and understanding”: Women veterans of Iraq and Afghanistan recommend strategies for improving their mental health care

“Give us respect, support and understanding”: Women veterans of Iraq and Afghanistan recommend strategies for improving their mental health care

Evaluation of a Family-Centered Preventive Intervention for Military Families: Parent and Child Longitudinal Outcomes

Distraction During Deployment: Marital Relationship Associations With Spillover for Deployed Army Soldiers

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