Caring for Children of Military Families Course: Mental Health Assessment and Interventions for Common Issues
Approximately 2.6 million service members have been deployed and 2 million children in the U.S. have lived through a parent’s deployment in support of Post 9/11 conflicts. As service members begin their reintegration process, many are confronted with mental health issues. Approximately 20 percent or 300,000 of Iraq and Afghanistan veterans suffer from posttraumatic stress disorder (PTSD) and depression according to a recently released RAND Corporation study. (1)
Today it is estimated that some 40% of veterans will use community, non-VA settings for their health care (2). In a recent study, conducted by RAND, aimed to assess the readiness of those mental health providers working in community settings, it was found that only 13% of providers met the threshold to deliver cultural competence and evidence-based care to our returning veterans, service members and families (3). It is essential that clinicians be aware of the challenges facing those who are returning home and the re-integration issues that affect military families.
The post-deployment reintegration phase also brings disruption to the family re-organization and equilibrium achieved during the military parent’s 8-12 month absence, raising the unique challenges of re-establishing the family unit, its routine and relationships following deployment. These challenges are magnified when the parent returns home with PTSD or TBI.
The impact of PTSD and/or TBI on military families and relationships is often overlooked. The invisible wounds of war can impair communication, increase family conflict and risk for divorce, impair parenting and decrease intimacy. It is imperative that clinicians not only treat veterans but address the needs of military family members as well.
The military family course will be an on line, multi-session course with the MGH Academy. All courses will be available on line, on-demand, and will be offered free of charge for CEs and CEUs.
This course is generously funded by the Cohen Veterans Network
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This program is intended for clinicians in mental health settings and pediatric practices
At the end of this program, participants will be able to:
- Describe the Pediatric Symptom Checklist (PSC) and how it is being used in diverse child mental health, health, and educational settings
- Explain how to conduct behavioral health screening using the PSC
- Discuss how to respond to positive screens on the PSC
- Define internalizing disorders in children and adolescents and the prevalence.
- Describe the symptoms that comprise the internalizing disorders; mood disorders, anxiety disorders, and obsessive- compulsive disorder in children and adolescents.
- Describe the evidence-based treatments for the internalizing disorders
- Describe the types and subtypes of aggression
- Define the measurement of aggression
- Explain ODD measurement, epidemiology, and course
- Describe ODD treatment
- Discuss SUD Relations with aggression and antisocial behavior
- Describe SUD Risk factors in adolescence
- Recognize common school difficulties among youth with ADHD
- Describe the educational supports available for youth with ADHD via 504 plans and IEPs
- Read and utilize assessment reports for youth with ADHD
- Explain why traditional discipline doesn’t work for many challenging kids
- Describe the types of thinking skills that challenging kids struggle with
- Recognize that there are three options for how to handle any problem with a child
- Demonstrate the process of solving problems collaboratively with children
- Describe the mission of parent guidance and how to form an alliance with parents of children and adolescents with the internalizing disorders – depression and anxiety disorders
- List the key diagnostic features of and psychosocial and environmental factors associated with depression and anxiety disorders in children and adolescents
- Explain how to implement the principles of parent guidance with parents of children and adolescents with depression and anxiety disorders.
Week 1: Sept 14:
Session 1: Part 1: Pediatric Symptom Checklist (PSC) Part 2: The PSC-The Basics
Week 2: Sept 21
Session 2: Part 1: Using the PSC in Practice Part 2: Interpreting and Responding to PSC Scores
Week 3: Sept 28
Session 3: Internalizing Disorders
Week 4: October 5
Session 4: Principles of Parent Guidance for Internalizing Disorders: Depression and Anxiety
Week 5: October 12
Session 5: Externalizing Disorders: Oppositional Defiant Disorder, Conduct Disorder and Substance Use Disorder
Week 6: October 19
Session 6. Parenting Challenging Kids: The Collaborative Problem Solving Approach
Week 7: October 26
Session 7: ADHD and Education
David H. Rubin, MD, reviewer
Susan E. Sprich, PhD psychologist reviwer
Jane Pimental, MPH
Louis Chow, PhD
The following planners and/or their spouse/partner have reported no relevant financial relationship with a commercial interest:
David H. Rubin, Reviewer
Jane Pimental, MPH
The following planners and/or their spouse/partner have reported a relevant financial relationship with a commercial interest:
Susan Sprich, PhD, Psychologist Reviewer
Royalties (Co-Author): Oxford University
Press Royalties (Co-Edited Book): Springer
The following speakers and/or their spouse/partner have reported no relevant financial relationship with a commercial interest:
Michael Jellinek, MD
Michael Murphy, EdD
Khadijah Booth Watkins, MD
Eugene Beresin MD
Stuart Ablon, PhD
The following speakers and/or their spouse/partner have reported a relevant financial relationship with a commercial interest:
Robert R. Althoff, MD, PhD
Investigator: NIMH, NIDA
Grand Funds (Medical Student Training Program Faculty Sponsor and PI) : Klingenstein Third Generation Foundation
Ownership Equity (Partner): WISER Systems, LLC
Aude Henin, PhD
Royalties (Book Authorship): Oxford University Press
Policy on Faculty and Provider Disclosure
It is the policy of McLean Hospital that faculty and providers disclose real or apparent conflicts of interest relating to the topics of this educational activity. McLean Hospital has established policies in place that identify and resolve all conflicts of interest prior to this educational activity.
Resolution of Conflict of Interest (COI)
McLean Hospital has implemented a process to resolve COI for each CME activity. In order to help ensure content objectivity, independence, fair balance and ensure that the content is aligned with the interest of the public, McLean Hospital has resolved the conflict by External Content Review.
- 8.50 AMA PRA Category 1 Credit™
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of McLean Hospital and Massachusetts General Hospital. McLean Hospital is accredited by the ACCME to provide continuing medical education for physicians.
McLean Hospital designates this live activity for a maximum of 8.50 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
- 8.50 Nursing Contact Hours
Massachusetts General Laws, Chapter 13, sections 13, 14, 14A, 15 and 15D and Chapter 112, sections 74 through 81C authorize the Board of Registration in Nursing to regulate nursing practice and education.
This program meets the requirements of the Massachusetts Board of Registration in Nursing (244 CMR 5.00) for 8.50 contact hours of nursing continuing education credit. Advance practice nurses, please note: Educational activities which meet the requirements of the ACCME (such as this activity) count towards 50% of the nursing requirement for ANCC accreditation.
- 8.50 Social Workers
The Collaborative of NASW, Boston College, and Simmons College Schools of Social Work authorizes social work continuing education credits for courses, workshops, and educational programs that meet the criteria outlined in 258 CMR of the Massachusetts Board of Registration of Social Workers
This program has been approved for 8.50 Social Work Continuing Education hours for relicensure, in accordance with 258 CMR. Collaborative of NASW and the Boston College and Simmons Schools of Social Work Authorization Number D 61675-E
- 8.50 Participation
This course allows other providers to claim a Participation Certificate upon successful completion of this course.
Participation Certificates will specify the title, location, type of activity, date of activity, and number of AMA PRA Category 1 Credit™ associated with the activity. Providers should check with their regulatory agencies to determine ways in which AMA PRA Category 1 Credit™ may or may not fulfill continuing education requirements. Providers should also consider saving copies of brochures, agenda, and other supporting documents.
- 8.50 Psychologists CE Credit
The Massachusetts General Hospital Department of Psychiatry is approved by the American Psychological Association to sponsor continuing education for psychologists. The Massachusetts General Hospital Department of Psychiatry maintains responsibility for this program and its content.
This offering meets the criteria for 8.50 Continuing Education (CE) credits per presentation for psychologists.