Special Concerns in Military Families.

摘要: Purpose of review Military cultural competence has been recognized as an important factor to delivering effective care service members, who are a distinct population with unique exposures, and thus different clinical implications-though only recently the military identity that can impact treatment (Meyer et al. Curr Psychiatry Rep. 18:26:1-8, 2016). Competencies within this field do not share universal definition but have by Center for Deployment Psychology (CDP) include four key components: (1) ethos, (2) organization roles, (3) stressors resources, (4) treatment, tools (Atuel & Castro Clin Soc Work J. 46:74-82, 2018). This article summarizes research literature published in last 6 years addressing common features health needs families goal improving competence. includes recognizing (a) The carries its own culture evidenced particular traditions, beliefs, language, set guiding principles (Sanghera Optom Educ J Assoc Sch Coll Optom. 42:8-16, 2017) (b) families-defined paper active duty their spouses, children, civilian warfighters form National Guard Reservists (NG/R)-face they access either facilities (MTFs) or settings. Given broad unshared competence, CDP's framework understanding helped shape focus our into interest on deployment, reintegration after interfamily relationships strained service, mental concerns related families, vulnerabilities warfighters. Recent findings A 2018 demographics profile revealed there were 1.3 million 605,677 spouses 981,871 children (Department Defense, Office Deputy Assistant Secretary Defense Community Family Policy (ODASD (MC&FP)). Concerningly, exhibit above-average issues-defined increased susceptibility diagnoses hospitalizations, worse academic achievement higher rates child maltreatment-and challenges such frequent relocations deployments, geographic isolation from social/support network, financial stressors, worries about infidelity, sexual trauma, maltreatment. described most engrossing demanding institution American society. Our shows issues, thought be related, at least part, deployments. implications broad, given 8% USA served military, third is directly member 2016) describes face member, spouse, children.