Promoting Military Cultural Competence among Civilian Care Providers: Learning through Program Development

Nedegaard, Randall; Zwilling, Jana

doi:10.3390/socsci6010013

Cited by 22 publications

(10 citation statements)

References 23 publications

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“…Veterans are more likely to report having greater access to care and excellent/very good health. Yet, they face a higher chronic disease bur-Advances in Applied Sociology den and report higher rates of diagnoses of depression, past-year mental illness, and past-year suicidal thoughts than civilian women (Nedegaard & Zwilling, 2017). Female Veterans have military exposures that contribute to disproportionate disparities compared to their civilian peers, consisting of adverse reproductive health outcomes, a high-risk population for adverse pregnancy outcomes, rape and sexual assaults, and mental health conditions such as depression and PTSD (Katon et al, 2018).…”

Section: Disparities In Mental Health Treatmentmentioning

confidence: 99%

Veteran Evolution: Re-Classifying the Military and Veterans as Independent Cultures

Cameron¹

2023

AASoci

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Military Service Members and Veterans are not the same. This study sought to develop culturally appropriate operational definitions for Veterans by evaluating available literature, preferred self-identification, and cultural context. Previous research (Freed, 2019;Tanielian & Tanielian, 2014) identified that mental health providers need to be culturally competent to treat Veterans effectively. Cultural competence impacts the development of therapeutic rapport and treatment outcomes. The classified nature of the military facilitates a deficit of knowledge and resources for researchers resulting in varying and culturally inaccurate defining terminology resulting in the terms "military", "service member", and "veteran" used interchangeably in research for Veterans and members of the military (Randles & Finnegan, 2021). The study evaluated the relationship between how research modeled Veterans, the relationship between the criteria of culture and Veterans, and the relationship between Veterans and the Armed Forces. It was hypothesized that Veterans and Service Members are not culturally interchangeable; the cultures are distinct and independent of one another. A quantitative survey research design utilized a randomized sample (n = 655) consisting of members of the Armed Forces (n = 190, 25.60%) and Veterans (n = 465, 74.40%). Results identified Veterans as an independent culture separate from the military and the development of culturally appropriate operational definitions. Veterans are operationally defined as individuals formerly serving in the Armed Forces possessing a military discharge (DD 214). Service Members are members of the Armed Forces actively serving in a branch of the military in an active, reserve, or National Guard component.

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Section: Disparities In Mental Health Treatmentmentioning

confidence: 99%

Veteran Evolution: Re-Classifying the Military and Veterans as Independent Cultures

Cameron¹

2023

AASoci

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“…Civilian providers may be competent professionally but lacked understanding of ADSM's military experiences, challenges, and language, which can negatively affect active duty status and may result in ADSMs choosing not to seek mental health care. Knowledge deficits related to understanding acronyms and military language, rank and organizational structure, the impact of deployment, military ethical issues, knowledge about services available, and pertinent political and historical influences are often a significant reason why ADSM patients discontinue treatment with community-based providers after a single visit (Nedegaard & Zwilling, 2017).…”

Section: Table 3 (Continued)mentioning

confidence: 99%

Understanding Civilian Mental Health Providers’ Knowledge in Providing Care for Active Duty Service Members: Opportunities for Improvement

Powers

Lajoie

2021

J Am Psychiatr Nurses Assoc

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INTRODUCTION: There are a growing number of civilian mental health providers who are treating active duty service members (ADSM) from referrals of local emergency rooms, directly from military installations, or when a military mental health program is unavailable. Civilian providers may be unprepared to address issues that are unique to this population. AIM: The purpose of this quality improvement project was to develop and implement a survey-based knowledge assessment, in order to assess civilian psychiatric advanced practice nurse’s (APN) perceptions, knowledge, and practice of treating ADSMs. METHOD: The investigator developed and validated a survey that was posted on the American Psychiatric Nurses Association All-Purpose Discussion Forum, and the snowball technique was utilized to enhance psychiatric APN colleague recruitment. RESULTS: Seventy-eight participants scored extremely low with average score of 40.4%; however, the psychiatric APNs who received formal training from the Department of Defense on unique mental health issues of ADSMs scored significantly higher (49.6%) than participants without the formal training (38.2%; p = .03). CONCLUSIONS: Understanding the knowledge gap of psychiatric APNs as it relates to the care of ADSMs will allow educators to recommend available trainings or develop trainings that are tailored to meet their needs.

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“…A correlational analysis identified the relationships between the subscales of "identity", and the outcome variables differed in strength and direction depending on the form of identity, supporting a multidimensional structure of military identity and culture. Research to promote military, cultural competence among civilian care providers, Nedegaard, & Zwilling (2017) identified that assessments must measure military-specific knowledge to evaluate cultural competence for the Veteran population.…”

Section: Introductionmentioning

confidence: 99%

Defining Elemental Components of Veteran Cultural Competency for Mental Health Professionals

Cameron¹

2023

AASoci

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Veterans and Military Service Members are separate and independent cultures. As a principle element, clinicians seek to become culturally competent to develop therapeutic rapport and improve treatment outcomes. Previous research has identified that mental health providers must be culturally competent to treat the Veteran population effectively. There are vital elements that need to be assessed: culturally specific contextual knowledge, professional competence, and confidence in working within the population. This research sought to identify the elemental components of cultural competence by evaluating a Veteran-specific cultural training program called "Healing Our Heroes". The results concluded that direct military experience was not a significant factor in the ability to work within the population; however, possessing Veteran specific contextual knowledge was critical in obtaining cultural competence.

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Promoting Military Cultural Competence among Civilian Care Providers: Learning through Program Development

Cited by 22 publications

References 23 publications

Veteran Evolution: Re-Classifying the Military and Veterans as Independent Cultures

Veteran Evolution: Re-Classifying the Military and Veterans as Independent Cultures

Understanding Civilian Mental Health Providers’ Knowledge in Providing Care for Active Duty Service Members: Opportunities for Improvement

Defining Elemental Components of Veteran Cultural Competency for Mental Health Professionals

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