Treating Young Veterans: Promoting Resilience Through Practice and Advocacy

383 Pages·2011·1.98 MB·English

by  Diann Kelly PhD LMSW

Treating Young Veterans
Promoting Resilience Through Practice
and Advocacy
DiannCameronKelly,PhD,isanAssociateProfessoratAdelphiUniversity,
SchoolofSocialWork,GardenCity,NewYork.Dr.Kellyisaneditorialboard
memberforYouth&Society,aformerFahs-BeckFellow(2007–2008),andconsults
withvariousorganizationstoinformandevaluateservicedeliverywithin
sustainablecommunities.
SydneyHowe-Barksdale,PhD,JD,istheDirectorofthePublicInterestResource
CenterandaProfessorofLegalMethodsatWidenerUniversitySchoolofLaw
inWilmington,Delaware.Dr.Howe-BarksdaleisaLegalAnthropologistand
examinestheimpactoflegalsystemsonindividualrightsandlocalcultures.
Dr.Howe-BarksdaleisadmittedtopracticeintheStateofMaryland,andisa
memberoftheABA,NBA,andPhiladelphiaBarAssociation.
DavidGitelson,DSW,LCSW,isDirector,SocialWorkDepartment,VAHudson
ValleyHealthCareSystem,Montrose,NY,FellowoftheNewYorkAcademyof
Medicine,andSeniorAdjunctProfessor,AdelphiUniversity,SchoolofSocialWork.
HealsoteachesSocialWelfarePolicyatNewYorkUniversityGraduateSchoolof
SocialWork,andMercyCollege,BSWProgram,DobbsFerry,NewYork.
Treating Young Veterans
Promoting Resilience Through Practice
and Advocacy
Diann Cameron Kelly, PhD
Sydney Howe-Barksdale, PhD, JD
David Gitelson, DSW, LCSW
Editors
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We dedicate this body of work to all who have
silently cried, ached, lost, and felt lost ...
on the field of battle during war and peace ...
and to your loved ones who have yet to
breathe deeply and exhale.
We, the Editors and Contributors, salute you.
A Special Mention to
InMemoria InHonor
CommanderCharlesKeithSpringle1 HarryS.Cameron,Sr.
U.S.Navy,Army55thMedicalCompany MasterSergeant,U.S.Army,82ndInfantry
CombatStressCenter,CampLiberty (1945–1963)
Baghdad,Iraq.Felledbyassailant’s
ChristopherS.Cameron
gunfireon5/11/2009.
E-5,U.S.Navy(2007–present)
LieutenantColonelJuanitaWarman,NP JoAnnKelly
U.S.ArmyReserve,MarylandArmy Captain,U.S.Army
NationalGuard (Reserves&OperationDesertStorm)
YellowRibbonFacultyMember.Felled
byassailant’sgunfireatFortHoodon Mark&MimiBranker
11/5/2009whileassistingfellowsoldiers U.S.AirForce
tosafety.
PeterB.Vaughan
Captain,U.S.Army
JohnM.Kelly
ActiveDuty—1966–1968
U.S.AirForce
Reserves—1964–1970
ScottF.Butler
E-4,U.S.Army(1978–1981)
ThomasReed
2ndLieutenant,USMC.U.S.NavyROTC
Midshipman;AirMedalreceived,1965
DominicanRepublicCrisis
1Universityof NorthCarolina Schoolof SocialWork hassetup theCharles Keith Springle, PhD
MemorialScholarshipFundthatwillsupportmilitary-dependentstudentsintheMastersofSocial
Work.ContributionsmaybemadetotheUNCSchoolofSocialWork(payee)c/oUNCSchoolof
Social Work Development Office. Please contact Mary Beth Hernandez, [phone],
[email protected].
Aswellasdedicationsto:
My grandfather, Samuel Mallow (WWI), my great uncle, Mitchell “Mike”
Feder (U.S. Army, WWII), my uncles, Nathan Carroll Mallow (U.S. Coast
Guard, WWII) and Thomas Mallow (Army Air Corp, WWII), and my
stepson, Frank DeMonte (U.S. Navy). This chapter is also dedicated to
Francis Walsh, an orphan, who in 1941 enlisted in the Navy, leaving behind
his fiance´e and a chance to build a family for the country he cherished. He
perishedontheUSSJuneau,sunkinthePacificin1942.
—AlissaMallow
Allofmyuncles,andcousins,theMitchellandWilliamsmenwhoservedwith
honor, humor, and strength in Korea, Germany, the Middle East, on ships,
abroad, stateside, and places unspoken. To my uncle Cecil Mitchell, Jr, a
Navy man whose brilliant mind and sensitive heart helped to heal the
broken at Walter Reed Hospital. To Dr. James D. Wilson, Sr, Special Forces,
for a lifetime of commitment and honor and in recognition of his sacrifices,
to keep us safe, especially after Vietnam. I am honored to recognize the
resiliency our veterans, our country’s true unsung heroes for so many
generations.
—BrendaWilliams-Gray
Chia Hsing Chen, who is presently serving a second tour in Iraq and whose
homecomingexperiencesinspiredthiswork.
—DonnaCaplinandKatharineKranzLewis
Thisisdedicatedwithlove,honor,andprofoundrespecttoallofthemenand
womenintheHowe,Barksdale,Pease,Vaughan,DeBourg,McCurdy,Dignan,
Clarke,andStellfamilieswhohaveservedineveryconflictsincewecameto
thiscountry.
—SydneyHowe-Barksdale
Onbehalfofmyfamily,Ipersonallydedicatethistomydad(U.S.Army),my
nephew(OEF),myniece-in-law(OEF),lateuncles(WWII,Korea),mygrand-
father (WWI), and most importantly my great-great grandfather, Burl Isham
(Union Army, Civil War), who began our family’s commitment to national
service—military and nonmilitary. My brother, our cousins and I, we thank
allofyoufromthebottomofourhearts.
—DiannCameronKelly
C
ONTENTS
Contributors ix
Foreword xiii
PeterB.Vaughan,PhD
Acknowledgments xvii
Introduction xxi
Today’sYoungVeterans:ServingaResilientCommunity
DiannCameronKelly
PARTI:ASSESSMENTANDPRACTICEAPPROACHESTO
PROMOTERESILIENCE
DavidGitelsonandWilliamValente
1. TheContextualChallengesforYoungVeterans 3
DiannCameronKelly
2. LivingBeyondtheIntersectionofWarTheaterandHome:
ProtectiveFactorsforHealthyReintegration 13
AlissaMallow,BrendaWilliams-Gray,
DiannCameronKelly,andJonathanAlex
3. TraumaandtheDevelopmentalCourseofPTSD
Postdeployment 23
ThomasQuinnandElizabethQuinn
4. TheBurdenofCombat:CognitiveDissonancein
IraqWarVeterans 33
WayneKlug,AnneO’Dwyer,DeirdreBarry,LeahDillard,
HailiPolo-Neil,andMeganWarriner
5. Veterans-by-Proxy:AmendingLossofSelfAmongtheChildren
ofCombatVeterans 81
DiannCameronKellyandShariWard
vii
viii Contents
PARTII:OUTREACHANDPRACTICEWITHSPECIALIZEDCOMMUNITIES
SydneyHowe-BarksdaleandWilliamValente
6. ComingHome:ExaminingtheHomecomingExperiencesof
YoungVeterans 101
DonnaCaplinandKatharineKranzLewis
7. BeyondWords:HomelessVeteransWhoServedinIraqand
Afghanistan 125
WesleyKasprowandRobertRosenheck
8. Tragedy,Loss,andTriumphAfterCombat:APortraitofYoung
WomenVeteranSurvivorsofSexualandCombatTrauma 135
GodfreyGreggandJamilaS.Miah
9. LivinginTransition:YoungVeterans’HealthandthePostdeployment
ShifttoFamilyLife 153
KristyStraits-Tro¨ster,JenniferM.Gierisch,PatrickS.Calhoun,
JenniferL.Strauss,CorrineVoils,andHaroldKudler
PARTIII:ADVOCACYPRACTICETOPROMOTEYOUNGVETERANS’
WELL-BEING
DavidGitelsonandWilliamValente
10. EnsuringEqualityAftertheWarfortheNationalGuardandReserve
Forces:RevisitingtheYellowRibbonInitiative 175
ChristinaHarnettandLieutenantColonelMichaelGafney
11. ManagingtheReturntotheWorkplace:ReservistsNavigatingthe
StormySeasoftheHomeland 219
ChristinaHarnettandJoanDeSimone
12. Veterans’CourtsandCriminalResponsibility:AProblem-Solving
HistoryandApproachtotheLiminalityofCombatTrauma 259
JustinHolbrook
13. TheFirstResponders’BridgetoProtectingVeterans:
ASocialWorker’sDesignonStreetReach 301
ElizabethRahilly,KristenTuttle,andDavidGitelson
14. The21st-CenturyVeteranandthe19th-CenturyPensionCode:
WhytheVAClaimsProcessIsaSteamEngineinanE-Universe 313
ThomasReed
Epilogue: MeetingtheNeedandRespectingtheVoice:
OurFinalWords 341
DiannCameronKelly,DavidGitelson,SydneyHowe-Barksdale,and
WilliamValente
Index 347
C
ONTRIBUTORS
JonathanAlex,LCSW AssistantProfessor,DepartmentofSocialWork,Lehman
College/CUNY,Bronx,NY.
DeirdreBarry AlumnaofBerkshireCommunityCollegeandWestfieldState
College,andmemberofamilitaryfamily.
PatrickS.Calhoun,PhD AssociateDirector,VAMid-AtlanticMIRECC;Research
Associate,VACenterforHealthServicesResearchinPrimaryCare;andAssistant
Professor,DepartmentofPsychiatryandBehavioralSciences,DukeUniversity,
Durham,NC.
DonnaCaplin,RN,MSN Completedthisstudyasagraduatestudentatthe
UniversityofHartford,WestHartford,CT;currentlyAdjunctFaculty,University
ofConnecticut,SchoolofNursing.
JoanDeSimone,PhD Instructor,JohnsHopkinsUniversity,DivisionofPublic
SafetyLeadership,Baltimore,MD.
LeahDillard AlumnaofBerkshireCommunityCollegeandElmsCollege,and
memberofamilitaryfamily.
LieutenantColonelMichaelGafney MarylandArmyNationalGuardDirectorof
ReintegrationPrograms,andOfficer-in-Charge(OIC),MarylandNationalGuard
DeploymentCycleSupportProgram;presentlyassignedtothe29thCombat
AviationBrigade.
JenniferM.Gierisch,PhD,MPH AHRQFellowinHealthServicesResearch,
DurhamVAMC,CenterforHealthServicesResearchinPrimaryCareand
DepartmentofMedicine,DukeUniversityMedicalCenter,Durham,NC.
GodfreyGregg,PhD,LCSW ClinicalAssistantProfessor,AdelphiUniversity,
SchoolofSocialWork,GardenCity,NY.
ChristinaHarnett,PhD,MBA AssistantProfessor,JohnsHopkinsUniversity,
DivisionofPublicSafetyLeadership;Faculty,MarylandNationalGuard,Yellow
RibbonProgram;Member,AllServicesResiliencyTaskForce,Departmentof
Defense,DefenseCentersofExcellence,YellowRibbonReintegrationProgram;
Major,MarylandDefenseForce,10thMedicalRegiment.
ix