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AACC Webinar NOVEMBER 13, 2012 Bob Dees Major General, U.S. Army, Retired AACC Military Director 11/13/2012 RFD LLC 1 Resiliency, Combat Trauma and Military Suicide: Effective Faith-based Interventions

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Page 1: Resiliency, Combat Trauma and Military Suicide: Effective ...military.aacc.net/media/resiliency_ppt.pdf · Resiliency, Combat Trauma and Military Suicide: Effective Faith-based Interventions

AACC Webinar NOVEMBER 13, 2012

Bob Dees

Major General, U.S. Army, Retired

AACC Military Director

11/13/2012 RFD LLC 1

Resiliency, Combat Trauma and Military Suicide:

Effective Faith-based Interventions

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• AACC

– committed to our Nation’s Military and their Families

• The NEED is great, and worsening.

• COUNSELORS and CAREGIVERS, and COACHES are in great demand

– FAITH-based counseling and programs are highly relevant.

• A Process of EDUCATION and MOBILIZATION

– Across broad range of CAREGIVERS and CONSTITUENCIES

WE, TOGETHER,

can accelerate the mental, behavioral, emotional, relational,

and spiritual health and healing of

generations of our Nation’s Warriors and their Families

11/13/2012 RFD LLC 2

WHY THIS SEMINAR?

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Current Status – HONOR TO WHOM HONOR IS DUE

– MILITARY CULTURE AND CURRENT REALITIES

– COMBAT TRAUMA SPECTRUM

– THE NEEDS OF THE HOUR

• MENTAL & BEHAVIORAL HEALTH ISSUES

• MILITARY SUICIDE DYNAMICS AND DEMOGRAPHICS

• MILITARY SUICIDE RISK FACTORS

– ONGOING EFFORTS TO ADDRESS

• ARMY RESILIENCY EFFORTS

– COMPREHENSIVE SOLDIER AND FAMILY FITNESS

• MILITARY SUICIDE PREVENTION

– Q & A / DISCUSSION

• PART 2

11/13/2012 RFD LLC 3

OUR GAME PLAN – PART 1

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WHERE WOULD WE BE

WITHOUT THE VETERANS, THE WARRIORS, OF OUR NATION?

WE WOULD NOT BE THE LAND OF THE FREE,THE HOME OF THE BRAVE

WE ARE THE LAND OF THE FREE BECAUSE OF OUR BRAVE PROTECTORS… PAST, PRESENT, AND FUTURE

GRATEFULLY, WE DO NOT HAVE TO ASK THIS QUESTION

THEY HAVE ALWAYS BEEN THERE FOR US 11/13/2012 RFD LLC 4

HONOR TO WHOM HONOR IS DUE

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• ETHOS OF SERVICE AND SACRIFICE

• CURRENTLY OPERATIONAL TEMPO AND GEOPOLITICAL REALITIES

• HOMEFRONT REALITIES

• FAITH DEMOGRAPHICS (RELATED TO HOLISTIC APPROACH, INCLUDING FAITH/SPIRITUALITY)

– Christian: 68%

– No preference (or atheist): 21%

– Other/Unknown/No response: 11%

– Jewish, Muslim, Buddhist: < 1%

• Q & A / DISCUSSION

11/13/2012 RFD LLC 5

MILITARY CULTURE AND CURRENT REALITIES

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Mild

Reintegration Issues

Combat/Operational Stress Reactions

Adjustment Disorders

Acute Stress

Disorder

Severe

Post Traumatic Stress Disorder

Mild

Everyone returning from deployment falls somewhere on this spectrum, regardless if they were in combat or not.

A similar spectrum of secondary trauma exists for spouses and other family members. It generally parallels the severity and duration of the primary sufferer.

Both can be mitigated through faith and hope, as well as

Exposure Therapy

Cognitive-Behavioral

Medical

Combat Trauma Spectrum

Acute Stress Disorder: 4 weeks or less

Acute PTSD: 1-3 months

Chronic PTSD: > 3 month

Delayed Onset PTSD: Symptoms start > 6 months 11/13/2012 RFD LLC 6

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Suicide

Divorce Homelessness

Failure to Reintegrate

Incarceration

Sexual Assault

PTSD/TBI Isolation

Spouse Abuse

Child Abuse

Drug/Alcohol Abuse

Lawlessness

The Needs of the Hour

11/13/2012 RFD LLC 7

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• The “suicide crisis” (per CJCS) in the US military is a complex challenge, reflecting societal dynamics and the strains of persistent conflict – Reserve component “not on active duty” and veteran

suicides are equally alarming. – Suicides among military spouses and family members are

likewise rampant, yet not reliably measured.

• Suicide Prevention has become a top priority for senior military leadership, and the stimulus for significant institutional “soul searching,” resource allocation, and program development

• Despite a full court press and “doing everything possible,” the statistics continue to degrade

• Suicide Causalities are multiple and complex, with most directly or indirectly connected with relationships

11/13/2012 RFD LLC 8

Suicide Realities in the Military

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Suicide Causalities in the Military

• ISOLATION ( “Alone”) • Social Isolation & Loneliness • Intense loss

• grief feelings caused by the death of a loved one • break-up of a relationship

• Survivor guilt • STRESS (“Anxious and Angry”)

• Severe chronic stress • Family, work, financial, legal, or social problems

• Combat Trauma Spectrum, incl PTSD • Victim or perpetrator of domestic violence

• INJURY/ILLNESS/ADDICTION (“ Overwhelmed“) • Alcohol or other substance abuse/self-medicating • Severe depression or physical/mental injury or illness

• DESPAIR (“Hopeless”) • Low self-esteem • Inability to craft life alternatives or view different futures

11/13/2012 RFD LLC 9

Four Significant Clusters:

ISOLATION STRESS INJURY DESPAIR

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• Departments of Defense and Veterans Affairs (DOD,DVA) – WORKING IT HARD

– EXPENDING BILLIONS

– GROWING EMPIRICAL UNDERPINNINGS

– LIMITED INTEGRATION OF FAITH-BASED RESOURCES AND PROGRAMs

• Office of the Chairman of the Joint Chiefs of Staff (OJCS) – Sea of Goodwill Initiatives

– Warrior and Family Support

– Office of Religious Affairs

• U.S. Army (mirrored in various ways by other Services)

– Comprehensive Soldier and Family Fitness

– Resilience Training

– Health Promotion (reduction of suicide, sexual assault, drug abuse, et. al.)

• Private Sector (academic institutions, medical profession, churches, et. al.)

11/13/2012 RFD LLC 10

ONGOING EFFORTS TO ADDRESS

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Significant effort identifying “at risk” personnel… Need greater “upstream” efforts

• The Department of Defense (DOD) has begun to aggressively address the problem of military suicides.

• Defense Secretary Leon Panetta recently unveiled his plan to combat the rising number of suicides, focusing on 4 key “pillars”:

1. Leadership

2. Improving access to and quality of health care.

3. Elevating mental fitness to the same level as physical fitness is in the military/DOD culture

4. Increasing research into suicide prevention

Read more: http://www.foxnews.com/opinion/2012/09/27/plan-to-

combat-military-suicide/#ixzz2AjhLQXyQ

11/13/2012 RFD LLC 11

DOD Suicide Prevention Approach

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Comprehensive Fitness leading to RESILIENCE

• Physical • Mental • Social • Emotional • Spiritual

11/13/2012 RFD LLC 12

Marine Operational Stress Surveillance and Training(MOSST)

U.S. Army - Comprehensive Soldier Fitness A structured, long term assessment and development program to

BUILD THE RESILIENCE and enhance the performance of every Soldier, Family member and DA civilian

• Physical • Family • Social • Emotional • Spiritual

• Physical (Strength)

• Mental (Mind)

• Social (“Neighbor”)

• Emotional (Heart)

• Spiritual (Soul)

Army Judeo Christian Marines

U.S. Army Comprehensive

Soldier Fitness (CSF) http://csf.army.mil

Holy Bible Great Commandment

Mark 12:30,31

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10.16.12 RFD LLC 2012 13

rĭ-zĭl'yəns n.

1. The ability to recover quickly from illness, change, or misfortune; buoyancy.

2. The property of a material that enables it to resume its original shape or position after being

bent, stretched, or compressed; elasticity.

American Heritage Dictionary

Medical Definition: the capability of a strained body to recover its size and shape after deformation caused especially by compressive stress

RESILIENCE

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SUMMARY

• Systemic Training Program

– Command priority with significant resources committed

– Mandatory Training aimed at saturation of entire force

– Challenges with consistent execution of program in high tempo environment

• 5 key elements: Physical, Social, Emotional, Family, and Spiritual

• Resilience Content

– based upon U/PENN positive psychology model

11/13/2012 RFD LLC 14

U.S. Army Resilience Program

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Skill 1: Activating Events, Thoughts, and Consequences: Identify your thoughts about an activating event and the consequences of those thoughts.

Skill 2: Avoid Thinking Traps: Identify and correct counterproductive patterns in thinking through the use of critical questions.

Skill 3: Detect Icebergs: Identify deep beliefs and core

values that fuel out-of-proportion emotion and evaluate

the accuracy and usefulness of these beliefs.

Skill 4: Energy Management: Enhance self-regulation so

that you are able to stay calm and concentrated when

facing an adversity or challenge.

Skill 5: Problem-Solving: Accurately identify what caused

the problem and identify solution strategies.

Skill 6: Put It In Perspective: Stop catastrophic thinking, reduce anxiety, and improve problem-solving by identifying the worst, best, and most likely outcomes of a situation.

Skill 7: Real-Time Resilience: Shut down counterproductive thinking to enable greater concentration on the task at hand.

Skill 8: Character Strengths: Identify your top character strengths and those of others and identify ways to use your strengths to increase your effectiveness and strengthen your relationships.

Skill 9: Strengths in Challenges: Identify the specific actions that flow from your strengths in challenges and in successes.

Skill 10: Assertive Communication: Communicate clearly and with respect. Use the IDEAL model to communicate in a confident, clear, and controlled manner.

Skill 11: Active Constructive Responding and Praise: Respond to others to build strong relationships and offer praise to build mastery and winning streaks.

Skill 12: Hunt the Good Stuff: Hunt the good stuff to counter the negativity bias, to create positive emotion, and to recognize and analyze what is good.

11/13/2012 RFD LLC 15

U.S. Army Resilience Skills

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Questions & Discussion

11/13/2012 RFD LLC 16

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Faith-Based Resiliency

– RELEVANCE OF FAITH-BASED APPROACHES

– REALITY OF TRAUMA

– RESILIENCE “GOD STYLE”

• COMPREHENSIVE PERSONAL FITNESS

• RESILIENCE LIFE CYCLE

– RESOURCES

• Light University Stress and Trauma Care Course

• Resilient Warriors

• Military Counseling Initiative Website (coming soon)

– Q & A / DISCUSSION 11/13/2012 RFD LLC 17

OUR GAME PLAN – PART 2

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Troops & Families are “Warriors”

11/13/2012 RFD LLC 18

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“IN THE WORLD YOU WILL HAVE TRIBULATION….

SELF OTHERS

SPIRITUAL FORCES INEXPLICABLE TRAJEDY

Resulting From: Greek “thlipsis” squeezing Latin “tribulum” threshing

BUT BE OF GOOD CHEER, I HAVE OVERCOME THE WORLD.”

JESUS -- John 16:33(NKJV)

This Tribulation results in Trauma, Pain, Suffering, and Opportunity.

11/13/2012

RFD LLC

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SUFFERING

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Source: Spiritual Fitness Handbook

“We are often troubled,

but not crushed; sometimes in doubt, but never in despair;

there are many enemies, but we are

never without a friend;

And though badly hurt at times,

we are not destroyed.”

2 Corinthians 4:8, 9

11/13/2012

RFD LLC

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RESILIENT & READY – “GOD Style”

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11/13/2012 RFD LLC 21

•ISOLATION ( “Alone”) •STRESS (“Anxious and Angry”) •INJURY (“Overwhelmed“) •DESPAIR (“Hopeless”)

FAITH

CARING COMMUNITIES/CHURCHES

HOPE

RELEVANT “TRUTH”

FAITH brings Help, Hope, & Resilience to

Wounded Lives and Relationships

Addressing Suicide Causalities

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FAITH is Relevant

• Although there are no “silver bullets” to solve these challenges,

there is an arena that has not been pursued to full extent: the

faith factor related to Spiritual Fitness.

• Faith is clearly a relevant dynamic (in society, and in the military

demographic which is predominantly Christian) in the arenas of

prevention and recovery from trauma (including PTSD),

marital/family cohesion, suicide prevention, and RESILIENCE.

• If we are truly going to “get everything in the fight” on behalf of

suicide prevention, we need to more robustly investigate and

integrate the power of faith into a holistic and comprehensive

approach.

– This means we must include faith to “set conditions” for spiritual

fitness “up stream” to create positive alternatives to suicide, as

well as working the downstream symptoms.

11/13/2012 RFD LLC 22

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Faith Makes a Difference in

Suicide Risk & Prevention • National studies demonstrated that non-participation in religious activities

increased suicide risk by almost 400% (Comstock & Partridge, 1972; Nisbet et al,

2000)

• 57 of 68 studies (84%) that addressed the link between suicide and religion found

that there were lower suicide rates among those more actively involved in faith-

based activities (Koenig & Larsen, 2001)

• One landmark study discovered a link between religious beliefs and practices

(specifically Christian), reduced rates of depression, and receiving religiously-

oriented cognitive behavioral therapy (Propst et al, 1992)

– Participants showed reduced symptoms of post-treatment depression,

balanced clinical adjustment, and lower recidivism with this mode of

treatment

• Religion and spirituality have shown to reduce suicide rates for those suffering

from Traumatic Brain Injury (Brenner et al, 2009)

23

Chaplains and faith-based counselors are uniquely qualified to serve a large segment of the military population—those who identify with a

religious belief system—and especially those who carry the emotional and psychological wounds of war home with them.

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11/13/2012 RFD LLC 24

Duke University Medical Center

Center for Spirituality, Religion, and Health www.spiritualityandhealth.duke.edu

Harold G. Koenig, M.D. Professor of Psychiatry & Associate Professor of Medicine

The Research A systematic review of all quantitative research published from 1872-2010 in peer reviewed academic scientific journals in the English language listed in PsychInfo and Medline

This research is documented in: Handbook of Religion and Health, (Oxford University Press, 2001) Handbook of Religion and Health, Second Edition (Oxford University Press, 2012)

Selected Research Findings

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• High stress: before, during and after deployment

• Poor health behaviors, difficulty with self-regulation

• Alcohol and substance abuse

• Fear, anger, violence

• Isolation, lack of support (especially after return home)

• Divorce, domestic abuse, sexual acting out

• Depression, anxiety, PTSD

• Lack of meaning, lack of hope, giving up, suicide

Religion is related to every one

of the emotional and social challenges our soldiers face.

SOURCE: Koenig, Center for Spirituality, Religion, and Health

25

Overview of Challenges Faced by Military

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America’s Coping Response to Sept 11th:

1. Talking with others (98%) 2. Turning to religion (90%) 3. Checked safety of family/friends (75%) 4. Participating in group activities (60%) 5. Avoiding reminders (watching TV) (39%) 6. Making donations (36%)

Based on a random-digit dialing survey of the U.S. on Sept. 14-16

New England Journal of Medicine 2001; 345: 1507-1512

Note: Hundreds of quantitative and qualitative studies report similar findings in persons under stress, especially in minorities.

SOURCE: Koenig, Center for Spirituality, Religion, and Health

11/13/2012 RFD LLC 26

Religious Coping During National Stress

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1. Positive world view 2. Meaning and purpose 3. Psychological integration 4. Hope (and motivation) 5. Personal empowerment 6. Sense of control (prayer) 7. Role models for suffering (facilitates acceptance) 8. Guidance for decision-making (reduces stress) 9. Answers to ultimate questions 10. Social support (both human and Divine)

Not lost with physical illness or disability

SOURCE: Koenig, Center for Spirituality, Religion, and Health

11/13/2012 RFD LLC 27

How Religion Influences Coping

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Emotional disorders Depression Suicide Substance use

Positive emotions/virtues Well-being and happiness Meaning, purpose, and hope Forgiveness, altruism, gratitude, compassion

Social health Social support Social capital Marital stability

SOURCE: Koenig, Center for Spirituality, Religion, and Health

11/13/2012 RFD LLC 28

Research on Religion and Mental Health

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Religion and Depression in Hospitalized Patients

Geriatric Depression ScaleInformation based on results from 991 consecutively admitted patients (differences significant at p<.0001)

35%

23%22%

17%

Low Moderate High Very High

Degree of Religious Coping

Perc

en

t D

ep

ressed

SOURCE: Koenig, Center for Spirituality, Religion, and Health

Religion and Depression in Hospitalized Patients

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Religious involvement is related to:

Less suicide and more negative attitudes toward suicide — 106 of 141 studies (75%)

Religious involvement is related to: Less anxiety, less PTSD (125 of 225 studies report significantly less)

SOURCE: Koenig, Center for Spirituality, Religion, and Health

11/13/2012 RFD LLC 30

Suicide, Anxiety and PTSD

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1,385 veterans from Vietnam (95%), World War II and/or Korea (5%) involved in outpatient or inpatient PTSD programs. VA National Center for PTSD and Yale University School of Medicine. Weakened religious faith was an independent predictor of use of VA mental health services—independent of severity of PTSD symptoms and level of social functioning. Investigators concluded that the use of mental health services was driven more by their weakened religious faith than by clinical symptoms or social factors. Fontana, A., & R. Rosenheck. Trauma, change in strength of religious faith, & mental health service use among veterans treated for PTSD. Journal of Nervous & Mental Disease 2004; 192:579–84.

SOURCE: Koenig, Center for Spirituality, Religion, and Health

11/13/2012 RFD LLC 31

Spiritual Injury and PTSD Symptoms

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Religious involvement is related to: Significantly greater MEANING AND PURPOSE IN LIFE 42 of 45 studies (93%) [100% of best] Significantly greater HOPE

29 of 40 studies (73%) Significantly greater OPTIMISM

26 of 32 studies (81%)

SOURCE: Koenig, Center for Spirituality, Religion, and Health 11/13/2012 RFD LLC 32

Meaning, Purpose, Hope, Optimism

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Religious involvement is related to:

Greater well-being and happiness 256 of 326 studies (79%) [82% of best]

Lower well-being or happiness (<1%)

AND SIMILAR FINDINGS FOR:

Well-Being and Happiness Positive Human Virtues/Character Social Support Marital Stability Self Regulation Et. al.

SOU

RC

E: Ko

en

ig, Ce

nte

r for Sp

irituality, R

eligio

n, an

d H

ealth

11/13/2012 RFD LLC 33

Well-being and Happiness (systematic review)

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• For some, particularly active duty soldiers, veterans, and

their families, religion can be a powerful coping resource.

• Religion is related to better mental health and better health behaviors.

• Religion is related to better physical health, medical and surgical outcomes, and greater longevity.

• We cannot ignore this powerful resource for resiliency at a time like this.

SOURCE: Koenig, Center for Spirituality, Religion, and Health

11/13/2012 RFD LLC 34

Summary

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ADDITIONAL RESEARCH NEEDS

More intentional focus on Military Population

11/13/2012 RFD LLC 35

• Primary Purpose: Assess effectiveness of faith-based protocols in addressing the most pervasive and persistent mental and behavioral health issues in the U.S. Armed Forces

• Overarching Research Questions: 1. Do before, during, and after best faith practices (prayer, hope,

encouragement, and life instruction from the Bible; faith community interaction, et al) help to mitigate the impacts of military trauma and the ensuing mental & behavioral health challenges?

2. Does active faith practice (esp. Christian) contribute to resilience in military personnel and their families?

3. Does active faith practice (esp. Christian) improve outcomes related to key military issues? Specifically,

• Suicide Prevention • Prevention of Sexual Assault and Domestic Violence • Cohesion of Families • Resistance to and Recovery from PTSD, TBI, and other impacts of military

trauma and lifestyle

NEED

: PILO

T PR

OG

RA

MS to

assess su

ch issu

es

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1. Within the current political and cultural environment, integration of faith-based programs is challenging, but essential

2. While Chaplains do great work as counselors and caregivers for troops and families, there are not effective overarching strategies for spiritual fitness which are as mature (or as resourced) as other CSF components (physical, social, emotional, and family). As well, spiritual fitness programs generally need greater command emphasis.

3. Efforts to “not offend” anyone often result in an impotent lowest common denominator (a homogenized approach) which is also not useful to anyone

4. An alternative approach (heterogeneous) is to identify and establish “best practice” programs for each faith group to achieve optimum spiritual fitness

This is a feasible approach which can be implemented within a context of appropriate religious freedoms, religious accommodation and respect for others.

RECOMMENDED APPROACH:

Implement life cycle integration (accessions, operational, warrior transition, family, spiritual fitness centers) of distinctive faith resources and programs (Christian, Jewish, Muslim, Buddhist, et. al.) to promote spiritual fitness among troops and families, and minimize conditions for potential suicide (isolation, stress, injury, despair) and other adverse mental and behavioral health trends.

11/13/2012 RFD LLC 36

Political & Cultural Considerations

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Before During After

RESILIENCE LIFE CYCLE©

Source: Resilient Warriors, www.ResilienceTrilogy.com

LEARN & ADAPT

11/13/2012 RFD LLC 37

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Know Your Calling

(Mission, Purpose)

Know Your Enemy

Know Your Friends

Know Your Equipment

(Armor of God)

Deploy with the Right Mindset

Develop/Rehearse “Actions on Contact”

(Get Ready!)

Guard Primary Relationships

Choose Forgiveness

& Gratitude

Grieve Well

Sing a New Song

Revalidate Your Calling

(Discern/Chart the Future)

Comfort Others

LEARN & ADAPT

SOURCE: Chapter 5, Resilient Warriors, 2011, Dees 11/13/2012

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38

Dr

Know Your Calling

(Mission, Purpose)

Know Your Enemy

Know Your Friends

Know Your Equipment

(Armor of God)

Deploy with the Right Mindset

Develop/Rehearse “Actions on Contact”

(Get Ready!)

BEFORE

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Know Your Calling

(Mission, Purpose)

Know Your Enemy

Know Your Friends

Know Your Equipment

(Armor of God)

Deploy with the Right Mindset

Develop/Rehearse “Actions on Contact”

(Get Ready!)

Call 911

(Ask for help)

Start the IV

(Nurture yourself)

Keep Breathing

(Maintain routines)

Your Well of Courage

(Past strengths)

Remember Your Calling

Guard Primary Relationships

Choose Forgiveness

& Gratitude

Grieve Well

Sing a New Song

Revalidate Your Calling

(Discern/Chart the Future)

Comfort Others

LEARN & ADAPT

SOURCE: Chapter 6, Resilient Warriors, 2011, Dees 11/13/2012

RFD LLC

39

Call 911

(Ask for help)

Start the IV

(Nurture yourself)

Keep Breathing

(Maintain routines)

Your Well of Courage

(Past strengths)

Remember Your Calling

DURING

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Know Your Calling

(Mission, Purpose)

Know Your Enemy

Know Your Friends

Know Your Equipment

(Armor of God)

Deploy with the Right Mindset

Develop/Rehearse “Actions on Contact”

(Get Ready!)

Call 911

(Ask for help)

Start the IV

(Nurture yourself)

Keep Breathing

(Maintain routines)

Your Well of Courage

(Past strengths)

Remember Your Calling

Guard Primary Relationships

Choose Forgiveness

& Gratitude

Grieve Well

Sing a New Song

Revalidate Your Calling

(Discern/Chart the Future)

Comfort Others

LEARN & ADAPT

SOURCE: Chapters 7 & 8, Resilient Warriors, 2011, Dees 11/13/2012

RFD LLC

40

Guard Primary Relationships

Choose Forgiveness & Gratitude

Grieve Well

Sing a New Song

Revalidate Your Calling

(Discern/Chart the Future)

Comfort Others

AFTER

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• TRAUMA is a Reality… RESILIENCE is a Necessity

• Invest now in yourself and others…

• Before, During, After

• Not merely about human strength or grit

• Faith-based Resilience leads to greater Readiness

• Regarding Christian best practice…

– JESUS was the ultimate Resilient Warrior

• And HE grants that same Resilience to those who follow Him 11/13/2012 RFD LLC 41

RESILIENCE SUMMARY

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• RESILIENT WARRIORS with RW Advanced Study Guide

www.ResilienceTrilogy.com

• AMERICAN ASSOCIATION OF CHRISTIAN COUNSELORS

– STRESS AND TRAUMA CARE VIDEO SERIES http://www.aacc.net/courses/biblical-counseling/stress_trauma/

– MILITARY COUNSELING INITIATIVE (website coming soon!)

• LIBERTY UNIVERSITY INSTITUTE FOR MILITARY RESILIENCE

www.LUOnline.com/imr

11/13/2012 RFD LLC 42

RESOURCES

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www.ResilienceTrilogy.com

11/13/2012 RFD LLC

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THE RESILIENCE TRILOGY

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50K Membership

• 10,000 licensed counselors

Counselor & Caregiver Training

For Professional & Lay

Counselors, as well as

Military Chaplains

Other Powerful Training Tools

Military Panels and Seminars

AACC Conferences

Mobilizing Christian Counselors across the nation on behalf of troops and families

11/13/2012 RFD LLC 44

Training Units Include: • Acute Stress & Trauma • Basic Crisis Intervention • PTSD • Military Applications • Spiritual Solutions

Taught by 30+ faculty & field experts : Dr Tim Clinton - - MG (Ret) Bob Dees Dr Diane Langberg - - Dr Don Snider Medal of Honor Recipient Gary Beikirch CH (MG) Charlie Baldwin, USAF (Ret) MG (Ret) Ken Farmer, MD LTG (Ret) & Mrs. Bob VanAntwerp Et Al

“STRESS & TRAUMA CARE

With Military

Applications”

30 HR VIDEO SERIES

American Association of Christian Counselors MILITARY COUNSELING INITIATIVE

Website coming soon!

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Difference between Crisis

and Trauma • Your past is not your past if it is still

affecting your present.

Loss/Grief Cycle and

Complicated Grief

7 Kinds of Abuse

Anxiety & Depression

Trauma and Relationships 11/13/2012 RFD LLC 45

Stress and Trauma Care Course Overview Unit 1: Acute Stress & Trauma

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Dynamics of Crisis

Counseling • Lessening the effects of trauma

Peer Support

Survival Guilt and

Fostering Resiliency

High Cost of Caring • “Hurting people hurt people.”

Cultural Differences 11/13/2012 RFD LLC 46

Stress and Trauma Care Course Overview Unit 2: Basic Crisis Intervention

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Signs & Symptoms

Risk Factors • Proximity to trauma

• Severity of trauma

• Duration of exposure

• Frequency of exposure

Trauma and Addiction

Scans of the Brain

Suicide Prevention

11/13/2012 RFD LLC 47

Stress and Trauma Care Course Overview Unit 3: Post-Traumatic Stress

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Use of Deadly Force • Is it Right to Bear Arms?

Realities of Service on the Military Member

Realities of Service on the Military Family

Combat Trauma Spectrum

• Every solider experiences trauma on some level

• What can help? RFD LLC 48

Stress and Trauma Care Course Overview Unit 4: Military Applications

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Theology of Suffering • Opportunity to become bitter or

better

Chaplains

Families • Families need hope!

Churches • Strive to be military friendly

Counselors

11/13/2012 RFD LLC 49

Stress and Trauma Care Course Overview Unit 5: Spiritual Solutions

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AACC Military Vision

• Expert care & counsel for our nation’s military servants and their families.

– Mobilize AACC membership across the nation

– Augment DOD and VA efforts in every way possible

• Move a nation to care…

• Counselors

• Church/Para-church

• Communities

11/13/2012 RFD LLC 50

AACC can make a huge difference in the mental health of a generation of warriors and their families.

Enlist NOW!

We

bsi

te c

om

ing

soo

n! W

eb

site co

min

g soo

n!

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Liberty University

Institute for Military Resilience (IMR) – Curriculum: (both undergrad & grad)

NOTE: Liberty University has 25,000 Military Students with an inventory of over 150 programs of study

– Resilient Warriors & Leaders

– Resilient Military Marriage and Family

– Military Transitions

– Military Mental & Behavioral Health

– Outreach • Existing Military Affairs Office activities

• Share best practices nationwide

• Training for Universities, Churches, Corporations

– Research • Integration and Assessment of Faith-Based Protocols

11/13/2012 RFD LLC 51

“Our nation’s first faith-based program for Military Resilience.”

New Programs focused on

most challenging

military issues of our day.

LIBERTY UNIVERSITY INSTITUTE FOR MILITARY RESILIENCE

www.LUOnline/imr

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Questions & Discussion

11/13/2012 RFD LLC 52