Operational Stress Control and Reintegration
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Transcript of Operational Stress Control and Reintegration
1Operational Stress Control and Reintegration JUL 2013
Operational Stress Control and Reintegration
FACILITATOR’S NAMEDATE
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• Recognize the type and scope of issues impacting reintegration for Service Members, family members, and others.
• Identify helpful tools and resources for coping with the challenges of reintegration.
• Facilitate a successful transition for yourself and/or your loved ones.
Objectives
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• Reentry into pre-deployment life or into a new civilian life.
• History has taught us reunions are more stressful than separations.
Goals of Reintegration
Why do you think that is?
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Seeing Others Perspective
Positive and negative feelings -• Part 1 – Service Member• Part 2 – assigned individual
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All Service Members
•Sense of relief•Proud of accomplishment•Happiness•Contentment
Service Member Perspective
Single Service Members•Wanting to reestablish living situation•Social Life/ Significant other•Changes in friends•Often overlooked!
Married Service Members•Wonder how spouse may have changed•Wonder how the children will react •Possible loss of importance to the family
• Financial worries• Loss of freedom• Work reunion• Irritability, Guarded• Resentment• Overwhelmed• Frustration
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• Relieved!• Proud of accomplishment• Excitement• Apprehension• Appreciation• Supportive• Comfortable• Elation
Spouse Perspective
• Wonder how they are perceived by returning spouse
• Loss of freedom• Wonder how will children react • Stability of relationship• Possible resentment• Nervousness• Restlessness• Irritability• Anxiousness• Role confusion
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• Happy!• Excited• Hesitant• Shy• Anticipation
Child Perspective
• Possibly resentful• Wonder if Dad/Mom will leave again• Clinging• Will want to “talk your ear off”• Worry about how things will change• Anger• Confusion• Fear, Scared• Regression
Remember kids are still developing!
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• Relieved!• Proud of accomplishment• Excitement• Apprehension• Appreciation• Supportive• Comfortable• Elation
Extended Family Perspective
• Possibly resentful• Overwhelmed• Frustration• Readjustment• Nervousness• Anxiousness
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• Happy … friend returns• Relieved due to more help• Excitement• Anticipation
Co-Worker Perspective
• Possibly resentful• Feel under appreciated• Change in work roles• Personnel changes• Readjustment
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• Be Realistic!
• Show appreciation to and for each other
• Respect changes that have occurred
• Allow for dedicated couple / children time
• Reestablishing intimacy
• Avoid the “who had it worse” game
Communication and Patience are the Key !
Considering Different Perspectives
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Common Areas of StressCommon Areas of Stress
Thinking/Feeling
BoredomRoutineDisillusion
Thrill SeekingIrritabilityAngerGuiltShameHatred
RelationshipsSpouseChildrenFriendsGrowthChange
ConflictIrritabilityAngerDetachmentWithdrawalControl
Spirituality
Understanding WhyLoss of Trust in OthersLoss of Trust in SelfLoss of Trust in higher power
Environment
TrafficCrowdsMoneyAlcoholSecurity
Aggressive DrivingAggressionControlHyper-vigilance
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Stress Continuum ModelStress Continuum Model
READYREADY(Green)
REACTINGREACTING(Yellow)(Yellow)
INJUREDINJURED(Orange)(Orange)
ILLILL(Red)(Red)
• Good to go• Well trained• Prepared• Fit and
focused• Cohesive
units & ready families
• Ready to go!
• Mild and temporary distress or impairment
• Anxious, irritable, or sad
• Physical or behavioral changes
• Mild and reversible!
• More severe or persistent distress or impairment• May leave lasting
memories, reactions, and expectations• Temporarily non-
mission ready!
• Stress injuries that don’t heal without help• Symptoms persist
for >60 days, get worse, or initially get better and then return worse• Only diagnosed by
health professionals!
Caregiver Responsibility
Caregiver Responsibility
Individual, Service Member, Family Responsibility
Individual, Service Member, Family Responsibility
Unit LeaderResponsibilityUnit LeaderResponsibility
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• Common• Always temporary• Mild distress or loss
of function• Self-correcting
• Less common• May leave a scar• More severe distress or loss
of function• May heal faster with help
Stress InjuriesStress Injuries
Stress Reaction vs Stress InjuryStress Reaction vs Stress Injury
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Causes Results
Impact Trauma
Wear and tear Fatigue
Loss Grief
Inner conflict Injury to core beliefs
Stress injuries are wounds to the mind or brain caused by intense or prolonged stress.
These have four possible causes and associated results:
Stress InjuriesStress Injuries
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Reacting SM Reacting Families Good to go Trained, prepared Calm, steady Confident,
competent, in control
Sleeping, eating right
Active socially, spiritually
Getting job done
Good to go Ready, prepared
for deployment Functioning OK
socially, spiritually, vocationally
Sleeping, eating right
Sense of humor In control
Stress Reduction Retain good
coping skills Remain calm,
steady, confident Eat healthfully,
exercise regularly Get proper sleep Keep sense of
humor Remain active
socially, spiritually
Green Ready ZoneGreen Ready Zone
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Reacting SM Reacting Families Feeling anxious,
irritable, worrying Cutting corners on
the job Poor diet or trouble
sleeping Apathy, loss of
interest Poor focus Short tempered Keeping to self
Children having trouble in school
Fighting more amidst siblings
Couple not communicating effectively
Loss of interest in normal activities
Reduced intimacy Anxious or irritable
Stress Reduction Spending time with
family or friends Adequate
exercising, sleeping
Getting outside Manage home
front stressors Discuss issues
with others
Yellow Reacting ZoneYellow Reacting Zone
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Reacting SM Reacting Families Loss of control Can’t fall or stay
asleep Recurrent vivid
nightmares Intense guilt or
shame Attacks of panic or
rage Inability to enjoy
activities Disruption of moral
values Serious suicidal or
homicidal thoughts
Children having failing grades and discipline problems at school and/or home
Reduced intimacy Feeling of chaos Constant fighting Silence/no
communication Verbal or physical
abuse Can’t sleep,
disruptive nightmares
Stress Reduction Seek assistance Spending time with
family or friends Adequate
exercising, sleeping Getting outside Keep safe and calm 24-72 hr rest and
recuperation Refer to chaplain Provide and seek
social support
Orange Injured ZoneOrange Injured Zone
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Reacting SM Reacting Families Symptoms that
last for more than 60 days
get worse over time instead of better
get better for awhile but then come back worse
PTSD, major depression, certain anxiety disorders, substance abuse
Persistent stress or loss of function
Stress gets worse instead of better
Stress lasting several weeks
Serious suicidal behavior
Uncharacteristic outbursts of rage or panic
Inability to control emotions
Stress Reduction Refer for medical
evaluation Assist treatment
compliance Provide social
support Mentor back to unit
if possible Reintegrate with
unit Get caregiver
assistance
Red Ill ZoneRed Ill Zone
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Appropriate InterventionsAppropriate Interventions
• Where on the continuum did you place your individual?
• What signs or symptoms led you to choose that zone?
• What types of intervention may be needed to help this individual move to the Green/Ready zone?
READYREADY(Green)
REACTINGREACTING(Yellow)(Yellow)
INJUREDINJURED(Orange)(Orange)
ILLILL(Red)(Red)
Caregiver Responsibility
Caregiver Responsibility
Individual, Service Member, Family Responsibility
Individual, Service Member, Family Responsibility
Unit LeaderResponsibilityUnit LeaderResponsibility
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Get to GreenGet to Green
Caregiver ResponsibilityCaregiver Responsibility
Individual, Service Member, Family Responsibility
Individual, Service Member, Family Responsibility
Unit LeaderResponsibilityUnit LeaderResponsibility
READY READY (Green) REACTING REACTING (Yellow)(Yellow) INJUREDINJURED(Orange)(Orange)
ILLILL(Red)(Red)
The Goal is to move towards GREEN
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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.
Barriers to Successful IntegrationBarriers to Successful Integration
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• Each Service Member’s military experience and self concept are unique.
• To feel good about themselves, veterans must continue to feel like honourable warriors.
• Not all stress problems are mental illnesses.
• Not all stress problems are PTSD.
• You are not alone.
• Where do you get help?
Assistance is AvailableAssistance is Available
Other Service Members, family member, friend, command leadership, Chaplain, doctor, nurse or other medical staff member, counselor ….
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• Recognize the type and scope of issues impacting reintegration for Service Members, family members, and others.
• Identify helpful tools and resources for coping with the challenges of reintegration.
• Facilitate a successful transition for yourself and/or your loved ones.
Objectives
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Operational Stress Control and Reintegration
FACILITATOR’S NAMEDATE