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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
• 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?
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
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
• 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
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MILITARY CULTURE AND CURRENT REALITIES
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
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
• 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
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
• 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
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
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DOD Suicide Prevention Approach
Comprehensive Fitness leading to RESILIENCE
• Physical • Mental • Social • Emotional • Spiritual
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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
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
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
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
Questions & Discussion
11/13/2012 RFD LLC 16
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
Troops & Families are “Warriors”
11/13/2012 RFD LLC 18
“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.
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SUFFERING
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
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RESILIENT & READY – “GOD Style”
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
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
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.
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
• 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
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
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
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
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
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
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
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
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)
• 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
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
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
Before During After
RESILIENCE LIFE CYCLE©
Source: Resilient Warriors, www.ResilienceTrilogy.com
LEARN & ADAPT
11/13/2012 RFD LLC 37
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
RFD LLC
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
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
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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
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
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40
Guard Primary Relationships
Choose Forgiveness & Gratitude
Grieve Well
Sing a New Song
Revalidate Your Calling
(Discern/Chart the Future)
Comfort Others
AFTER
• 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
• 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
www.ResilienceTrilogy.com
11/13/2012 RFD LLC
43
THE RESILIENCE TRILOGY
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!
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
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
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
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
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
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!
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
Questions & Discussion
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