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MILITARY VETERANS. Outline. Veterans who have access Veterans Services Veteran adjustment back to the civilian workforce Veteran difficulties readjusting to the stateside life. Veteran Services. Who uses Veterans Affairs services? Service members that were/are: unemployed
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Outline • Veterans who have access Veterans Services • Veteran adjustment back to the civilian workforce • Veteran difficulties readjusting to the stateside life
Veteran Services Who uses Veterans Affairs services? Service members that were/are: • unemployed • employed without insurance • employed with limited insurance • retired from civilian employment and/or the military • homeless veterans
Post DeploymentHealth Assessment Post Deployment Health Assessment (PDHA) is a part of the force health protection program. It enhances and extends deployment related continuum of care by providing education, screening, assessment and access to care for a wide range of questions and concerns service members may have about their health after they return from a deployment.
Timing of the Post Deployment Health Assessment Most Soldiers fail to seek medical assistance within 90-180 days through military channels or even their civilian healthcare providers after returning from a combat zone Access care through military health benefits, including Veterans Affairs Deployment-related health concerns aren’t apparent upon redeployment
Post Deployment Health Assessment after Reintegration The Army recognizes that soldiers top priority is focused on going home, so they are reluctant to report their concerns at demobilization. Readjustment issues may not emerge until a soldier re-enters the workforce and their family environment.
Deployment Related Issues Physical and/or persistent injuries Symptoms related to mild traumatic brain injury (mTBI) Possible Post-Traumatic Stress Disorder (PTSD) or related affects Severe depression Suicide thoughts Substance abuse risk factors Relationship Conflicts
Reintegration Programs Yellow Ribbon Provides soldiers and their families with access to healthcare and resources Stabilization policy, gives soldiers the opportunity to reset after a combat deployment Family Programs Youth Symposiums Marriage Retreats Strong Bonds
Employment Challenges • Experienced memory deficits • Difficulty sustaining concentration • Disorganization • Fatigue due to poor sleep patterns
Employer Solutions • Flexible work schedules and/or job sharing with another employee. • Scheduled rest breaks to prevent stimulus overload and fatigue. • Work task checklists, clipboards and tape recorders as memory aids. • Job coaches who make frequent, scheduled site visits. • Mentoring by a co-worker or retired worker.
Employer Solutions(Continued) • Providing encouragement, moral support, and a listening ear. • Support for pursuing treatment and assistance, even during work hours. Employers should know that treatment is a process that can be effective in managing psychological symptoms and conditions. • Supporting employees in their need to regularly follow up or comply with treatment recommendations that are an important part of their recovery.
Employer Resources The Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury The National Center for PTSD Employer Support of the Guard and Reserve Hire Vets First The Job Accommodation Network VetSuccess.gov
Ongoing Reactions to Combat Related Stress Service Members experience the following difficulties adjusting to stateside life: • Feeling nervous • Feeling emotionally cut off • Problems with alcohol or drug use • Problems concentrating • Problems with intimacy • Feelings of irritability, anger or rage
Ongoing Reactions to Combat Related Stress (Continued) Other difficulties adjusting to stateside life include the following: • Startled responses • Flashbacks • Nightmares or difficulty sleeping • No sense of future • Emotional numbing • Feelings of shame or guilt
Resources for the Service Member Army PDHRA Web Site: http://fhp.osd.mil/pdhrainfo Wounded Soldier and Family Hotline: 1-800-984-8523 Army G-1 PDHRA Web Site: http://www.armyg1.army.mil/hr/pdhra Army National Guard PDHRA Web site: http://www.virtualarmory.com/mobiledeploy/PDHRA/ U.S. Army Reserve PDHRA Web Site: https://www.hrc.army.mil/site/Reserve/soldierservices/medical/pdhra.htm
Resources for the Service Member (Continued) Military OneSource: www.militaryonesource.com or 1-800-342-9647 Army Well-Being: www.army.mil/armylife/wellbeing Army Suicide Prevention: http://fhp.osd.mil/pdhrainfo/media/Suicide_Prevention_Training_Tip_Cards.pdf Department of Veterans Affairs Health Benefits: http://www1.va.gov/health Battlemind II Training: www.battlemind.org :