CAPT Karl Leonard / LT Michael Doria Thursday, 29Nov12

1. Yellow Ribbon Program Office of Reserve Affairs DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria Thursday, 29Nov12

2. Objectives • Welcome Home! • Immediate “short-term” Reintegration • Facilitate successful transition • Combat & Operational Stress Control (C/OSC) Transition • Educate members on next steps (“long-term” Reintegration) DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

3. Goals of CG YRRP DEMOB / Reintegration briefing: • Focus on return and reunion • Provide information • Facilitate a successful transition • Educate members Why have a reintegration briefing? History has taught us reunions are more stressful than separations DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

4. Upon return the service member may experience a myriad of thoughts and feelings. • Sense of relief • Proud of accomplishment • Wonder how spouse may have changed • Wonder how the children will react • Financial worries • Possible loss of importance to the family • Loss of freedom • Work reunion • Plus many more! DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

5. Upon return the spouse may experience a myriad of thoughts and feelings. • Relieved! • Proud of accomplishment • Wonder how they are perceived by returning spouse • Loss of freedom • Wonder how will children react • Stability of relationship • Possible resentment • Plus many more ! DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

6. Upon return the children may experience a myriad of thoughts and feelings. • Happy! • Possibly resentful • Wonder if Dad/Mom will leave again • Clinging • Will want to “talk your ear off” • Worry about how things will change • Remember kids are still developing ! DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

7. Upon return the single member may experience a myriad of thoughts and feelings. • Proud of accomplishment • Wanting to reestablish living situation • Financial Concerns • Social Life / Significant other • Work Reunion • Changes in friends • Often overlooked ! DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

8. Upon return coworkers may experience a myriad of thoughts and feelings. • Happy … friend returns • Relieved due to more help • Possibly resentful • Feel under appreciated • Change in work roles • Personnel changes • Be aware of these ! DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

9. Some things to consider: • Be Realistic ! • Show appreciation • Respect changes • Allow for couple / children time • Reestablishing intimacy • Avoid the “Who had it worse” game • Communication and Patience are the Key ! DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

10. Objectives and Purpose for Discussing OSC Learn how and where to get help when needed To prepare you for the challenges of reintegration by providing you the understanding and tools to navigate through it DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

11. Common Areas of Stress After Deployment Environment Thinking/Feeling Aggressive Driving Aggression Control Hyper-vigilance Traffic Crowds Money Alcohol Security Boredom Routine Disillusion Thrill Seeking Irritability Anger Guilt Shame Hatred Relationships Spirituality Spouse Children Friends Growth Change Conflict Irritability Anger Detachment Withdrawal Control Understanding Why Loss of Trust in Others Loss of Trust in Self Loss of Trust in higher power DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

12. Stress Continuum Model Caregiver Responsibility • Good to go • Well trained • Prepared • Fit and focused • Cohesive units & ready families • Distress or impairment • Mild and temporary • Anxious, irritable, or sad • Physical or behavioral changes • Stress injuries that don’t heal without help • Symptoms persist for >60 days, get worse, or initially get better and then return worse • More severe or persistent distress or impairment • May leave lasting memories, reactions, and expectations Unit Leader Responsibility Individual, Shipmate, Family Responsibility DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

13. What is a “Stress Reaction”? “STRESS REACTION” Temporary, mild physical or mental distress DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

14. Recognizing Stress: The Yellow Reacting Zone DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

15. What Are “Stress Injuries”? “STRESS INJURIES” • Wounds to the mind or brain caused by • intense or prolonged stress • Impact • Trauma • Wear and Tear • Fatigue • Loss • Grief • Inner conflict • Injury to core beliefs DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

16. Stress Outcome Spectrum: Reactions versus Injuries Stress Reactions Stress Injuries • Less common • May leave a scar • More severe distress or loss of function • May heal faster with help • Common • Always temporary • Mild distress or loss of function • Self-correcting DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

17. Recognizing Stress Injuries: The Orange Injured Zone DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

18. Recognizing Stress Injuries: The Orange Injured Zone DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

19. Recognizing Stress Illnesses: The Red Zone All stress Illnesses MUST be referred to Medical for evaluation by MO or PCM DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

20. Stress Continuum Model Caregiver Responsibility The Goal is to move towards GREEN Unit Leader Responsibility Individual, Shipmate, Family Responsibility DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

21. Barriers to Successful Integration • Avoidance • Numbing and withdrawal • Response to intense emotions • Response to shame and guilt • Alienation • From those who had not shared their experience • Feeling of being misunderstood • Personal meaning • Unique effect of traumatic event • Keep this in mind:Everyone experiences deployments differently. Deployments can and have changed people for the better. Its okay to be different and it makes you special. DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

22. CG Yellow Ribbon Reintegration Program • Each service member’s military experience and self concept is unique. • To feel good about themselves, veterans must continue to feel like honorable warriors. (Don’t confuse the proximity to the front line with the value and criticality of the job performed). • Not all stress problems are mental illnesses. • Not all stress problems are PTSD. • You are not alone. • Where do you get help? Shipmate, Family member, Command leadership, Ombudsman, Chaplain, Doctor, EAP, nurse, other or medical staff member. DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

23. Coast Guard Video’s SUICIDE VIDEO https://www.achievesolutions.net/achievesolutions/en/cgsuprt/Content.do?contentId=18399 CGSUPRT VIDEO https://www.achievesolutions.net/achievesolutions/en/cgsuprt/Content.do?contentId=32057 DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

24. What’s next? • 30-day interval post deployment event • (with families/designated others) January 4-6, 2013 • If interested send e-mail to yellowribbon@uscg.milwith: • - Name/rank • - Reserve unit • - Who would be travelling with you (and ages for all under 18) DEMOB Brief – RAID Team 15 CAPT Karl Leonard / LT Michael Doria

25. Coast Guard Yellow Ribbon Program Thank you for your service as a veteran. POC: CAPT Karl Leonard / LT Michael DoriaE-mail:yellowribbon@uscg.milPhone: (202) 475-5461 / (202) 365-0350