Family-Centered Preventive Intervention for Military Families: Implications for Implementation Science

Beardslee, William R.; Lester, Patricia; Klosinski, Lee E.; Saltzman, William; Woodward, Kirsten; Nash, William P.; Mogil, Catherine; Koffman, Robert; Leskin, Gregory A.

doi:10.1007/s11121-011-0234-5

Cited by 67 publications

(36 citation statements)

References 38 publications

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“…Provider training included an online and in-person curriculum, as well as ongoing advanced training through a virtual learning community platform. 24 Model supervisors provided weekly supervision, reviewed intervention fidelity measures and delivery notes, and conducted quarterly site visits with observed sessions. Adult participants used the Family Resilience Check-In to complete standardized assessments at intake, program exit, and follow-up at 1 month (follow-up 1) and 6 months (follow-up 2) postcompletion.…”

Section: Methods Interventionmentioning

confidence: 99%

Evaluation of a Family-Centered Preventive Intervention for Military Families: Parent and Child Longitudinal Outcomes

Lester

Liang

Milburn

et al. 2016

Journal of the American Academy of Child & Adolescent Psych

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Objective: This study evaluates the longitudinal outcomes of Families OverComing Under Stress (FOCUS), a family-centered preventive intervention implemented to enhance resilience and to reduce psychological health risk in military families and children who have high levels of stress related to parental wartime military service. Method:We performed a secondary analysis of evaluation data from a large-scale service implementation of the FOCUS intervention collected between July 2008 and December 2013 at 15 military installations in the United States and Japan. We present data for 2,615 unique families (3,499 parents and 3,810 children) with completed intake and at least 1 postintervention assessment. Longitudinal regression models with family-level random effects were used to assess the patterns of change in child and parent (civilian and military) psychological health outcomes over time.Results: Improvement in psychological health outcomes occurred in both service member and civilian parents. Relative to intake, parental anxiety and depression symptoms were significantly reduced postintervention, and these reductions were maintained at 2 subsequent follow-up assessments. In addition, we identified an improvement over time in emotional and behavioral symptoms and in prosocial behaviors for both boys and girls. We observed reductions in the prevalence of unhealthy family functioning and child anxiety symptoms, as well as parental depression, anxiety, and posttraumatic stress symptoms from intake to follow-up.Conclusion: Longitudinal program evaluation data show sustained trajectories of reduced psychological health risk symptoms and improved indices of resilience in children, civilian, and active duty military parents participating in a strength-based, family-centered preventive intervention.

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Section: Methods Interventionmentioning

confidence: 99%

Evaluation of a Family-Centered Preventive Intervention for Military Families: Parent and Child Longitudinal Outcomes

Lester

Liang

Milburn

et al. 2016

Journal of the American Academy of Child & Adolescent Psych

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“…It uses psychoeducation to build skills in communication, emotional regulation, and problem solving (Lester, Mogil, et al, 2011). A program evaluation (N = 331 families) found high levels of program satisfaction and higher family functioning (Lester, Saltzman, et al, 2011). Our review suggests that FOCUS and other programs should be adapted for the unique needs of servicewomen.…”

Section: Implications For Family Practicementioning

confidence: 80%

Women Service Members and Family Reintegration

Lietz

Stromwall

Carlson

2013

Families in Society

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Women are being deployed at increasing rates. This article reviews literature related to the risk and protective factors that explain varied levels of adaptation for servicewomen and their families. Implications suggest that clinicians assess risk factors for female soldiers upon return home such as the number and length of deployments, the presence of mental health challenges, physical injuries including traumatic brain injury, the experience of military sexual trauma, a history of childhood or adult sexual trauma, and the pile-up of additional life Stressors that can lead to a cumulative negative effect for women and their families. Clinicians are also encouraged to assess and encourage family strengths that foster resilience such as social support, ongoing communication, family structure that is flexible, and positive appraisal. IMPLICATIONS FOR PRACTICE •Women service members face many unique Stressors as they reintegrate with families post deployment. Understanding non-gender and gender-specific risk and protective factors can increase the sensitivity to these issues by service providers,• Although this article synthesizes research about women in the military, our review suggests more research is needed that examines the unique needs of women in the military at the point of family réintégration.

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“…In addition, there was significant improvement in "child pro-social functioning and increases in children' s use of positive coping strategies." [55][56][57][58] In addition to direct contact with a case manager or mental health locator, at-home parents can request free parenting and support books from the online library and can find local support groups. …”

Section: Supporting the Parentmentioning

confidence: 99%

Health and Mental Health Needs of Children in US Military Families

Siegel¹,

Davis²,

Services³

2013

Pediatrics

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The wars in Afghanistan and Iraq have been challenging for US uniformed service families and their children. Almost 60% of US service members have family responsibilities. Approximately 2.3 million active duty, National Guard, and Reserve service members have been deployed since the beginning of the wars in Afghanistan and Iraq (2001 and 2003, respectively), and almost half have deployed more than once, some for up to 18 months’ duration. Up to 2 million US children have been exposed to a wartime deployment of a loved one in the past 10 years. Many service members have returned from combat deployments with symptoms of posttraumatic stress disorder, depression, anxiety, substance abuse, and traumatic brain injury. The mental health and well-being of spouses, significant others, children (and their friends), and extended family members of deployed service members continues to be significantly challenged by the experiences of wartime deployment as well as by combat mortality and morbidity. The medical system of the Department of Defense provides health and mental health services for active duty service members and their families as well as activated National Guard and Reserve service members and their families. In addition to military pediatricians and civilian pediatricians employed by military treatment facilities, nonmilitary general pediatricians care for >50% of children and family members before, during, and after wartime deployments. This clinical report is for all pediatricians, both active duty and civilian, to aid in caring for children whose loved ones have been, are, or will be deployed.

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Family-Centered Preventive Intervention for Military Families: Implications for Implementation Science

Cited by 67 publications

References 38 publications

Evaluation of a Family-Centered Preventive Intervention for Military Families: Parent and Child Longitudinal Outcomes

Evaluation of a Family-Centered Preventive Intervention for Military Families: Parent and Child Longitudinal Outcomes

Women Service Members and Family Reintegration

Health and Mental Health Needs of Children in US Military Families

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