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National Council on Family Relations


                                   Family Focus on . . .
                                                                                   Military Families
In focus //                                                                                                            Issue FF52

Reflections on
intergenerational relations	    page F3
                                          Working with the military
                                          by Shelley MacDermid Wadsworth, Associate Dean, College of Health and Human Sci-
Who gets custody of                       ences; Director, Center for Families; Director, Military Family Research Institute; profes-
                                          sor, Human Development and Family Studies, Purdue University, shelley@purdue.edu
Grandma after the divorce?	     page F5

The many faces of parental
                                          Since 2000, it has been my honor to lead the       military programs for
estrangement	                   page F8   Military Family Research Institute at Pur-         lacking sufficiently
                                          due University. This was an experience 	           rigorous evaluation
Intergenerational cultural                I never expected to have, but I have found         protocols. In at least
In focus // at
bonds: A look                             it to be among the most meaningful and             some of these cases,
Ukranian-American families page F11       intellectually engaging of my career. Today,       there were good
Buddy-to-Buddy: an innovative             the institute is actually misnamed because         reasons that evalua-
substitute for family support
Building intergenerational                we now carry out not just research but also        tion activities were
among at-risk, returning veterans         outreach with and for military families,           limited, such as legal
relationships via an Elder
of Iraq and Afghanistan	      page F2     working closely with military and com-             restrictions on        Shelley MacDermid
Service Partner program	      page F13    munity organizations. We often receive             appropriate use of         Wadsworth
Advice to the therapists working          calls from colleagues who are eager to learn       funds. You should always assume that
with military families	 in
Family stress and risk        page F4     about working with the military, and so in         your predecessors were smart, thoughtful
grandparent-headed                        this article I share some suggestions. Some        people who wanted to do a good job. If
Military Families Internship:             of these were presented at a recent meeting        you can find out about the constraints they
households	
Strengthening families        page F14
                                          of the Society for Social Work Research.           faced, you will have a much better chance
and communities	              page F6                                                        of improving on their effort.
                                          Go Back to the Books
World War II in                           There is a good chance that many of the            Never Forget that It’s Not About You 	
people’s lives	                page F9    research questions or intervention ideas you       or Your Program
                                          are thinking of have already been thought of       Military folks have an important mis-
Military service and the life             by others. Because research about military         sion to carry out for the country. They are
course: An assessment of                  families tends to wane between conflicts,          completely funded by taxpayer dollars
what we know	                 page F11    the most recent research relevant to your          and they expect accountability. They work
                                          question may have been published soon              with academics to find better ways to
Military families: what we know           after the most recent large-scale conflict (the	   fulfill their mission, not because they are
and what we don’t know	      page F13     first Gulf War in the 1990s). Considerable         trying to help us publish articles, conduct
                                          research on military families is published in      randomized trials of a new intervention, or
Returning home: What we
                                          technical reports rather than peer-reviewed        train students. If they learn of a resource
know about the reintegration
                                          literature (because it is funded by military       that they think will help them fulfill their
of deployed service members               contracts), and thus you must search the           mission better, cheaper, or faster, they need
into their families and                   “gray” literature as well as the traditional       to pursue that option even if it means with-
communities	                page F16      scientific literature (the Defense Techni-         drawing support from existing projects.
                                          cal Information Center is a very important
Teaching about military families:                                                            Every day, military members are in harm’s
                                          source). Before you conclude that your idea
Lessons from the field	     page F18                                                         way around the world. Even in European
                                          really is new, make sure you scan the envi-
                                                                                             cities on “regular” deployments, service
                                          ronment very carefully.
 The theme for the next issue of 	                                                           members have been targets of lethal vio-
 NCFR Report is “Teaching Family          Remember the Old Adage that “Fools                 lence. Combat deployments are decreas-
 Science.” Deadline for submission is     Rush in Where Angels Fear to Tread”                ing as troops leave Iraq and Afghanistan,
                                          It can be easy to find flaws in prior research     but deployments for peacekeeping, natural
 March 21, 2012. Questions? Write the
                                          or intervention efforts. For example, many         disasters, training, and many other purpos-
 editor at nancygonzalez@ncfr.org
                                          reports have recently criticized existing          es continue. Thus, the children, partners,

                                                                                           working with the military continued on page F2
Family Focus on...	                          Military Families

Buddy-to-Buddy: An innovative substitute
for family support among at-risk, returning
veterans of Iraq and Afghanistan
by Christopher Jarman, MSW, Michigan State University, christja@med.umich.edu; Adrian Blow, Ph.D., Michigan State University;
Marcia Valenstein, M.D., M.S., The University of Michigan


Soldiers at war anticipate few events so much    experiences upon
as returning home to family, friends, and a      returning home,
sense of peace. Yet for many returning vet-      however, are at best
erans, peace eludes them as they begin new       only loosely similar
battles with combat sequelae such as post-       to those of their full-
traumatic stress, depression, substance abuse,   time counterparts.
anxiety, traumatic brain injuries, and social
                                               Active-duty soldiers
isolation, all of which can have devastating
                                               typically return to
effects on close relationships. For one group
                                               large military com-
of recent veterans members of the Army                                    Christopher Jarman          Adrian Blow          Marcia Valenstein
                                               munities replete with
National Guard these experiences appear to                                                       ticularly for NG soldiers. However, these
                                               specialized support services for reintegration
occur at still higher rates and with greater                                                     family members are at times not able to
                                               (e.g., military hospitals, outpatient clinics,
severity than the rest of the military.                                                          be ideal supporters. Frequently, service
                                               family support groups and programs, ad-
Army National Guard (NG) soldiers comprise     diction treatment, and military chaplains,        members may choose not to speak with
nearly a third of the nation’s 1.12 million    to name but a few). Crucially, active-duty        family members about their struggles out
soldiers. Working part time (one weekend a     soldiers return to communities where they         of concern for burdening these individu-
month and a two-week annual training), these are surrounded both by military peers with          als. In addition, service members may find
citizen soldiers lead more traditional lives   similar experiences as well as the structure      it very difficult to talk to family members
when not in uniform. During the 10 years of    and close monitoring of their chain of com-       about disturbing or traumatizing deployment
the Global War on Terror, however, NG units mand; in short, they are relatively ensconced        events. Family members themselves may
across the nation have repeatedly been called by their “military family,” a significant          have their own difficulties and as a result
to full-time duty, serving year-long tours far source of social support above and beyond         they may not be receptive to the difficulties
from home and family. NG veterans’             reintegration services.                           of the service member. NG family members
                                                                                                 live in a civilian world and may not be as
                                                 Guard soldiers, by contrast, return to largely understanding about the perils of war as the
working with the military                        civilian hometowns where they must quickly service member needs. In other cases, fam-
continued from page F1                           decompress from war while reintegrating         ily may be absent from the lives of service
                                                 into their civilian jobs and communities. So- members by virtue of distance or strained
parents, and other people who love military      cial interactions with members of their units relationships, leaving the service member
members will continue to watch, wait, and        often decrease precipitously, and many NG       with limited support. Whatever the reason,
worry. Over the past decade, we have added       veterans report a sense of isolation and disil- it is increasingly apparent that in some cases
millions of men and women to the veteran         lusionment with the more mundane, day-          service members are more easily able to
population, and the costs of caring for the      to-day experiences of civilian living. Poten- talk to their fellow service members about
service-connected illnesses and injuries         tially contributing to the challenge, many      struggles with deployment and reintegration,
of these individuals will not peak for sev-      young soldiers are unmarried or unpartnered and in cases where family is not ideal as a
eral decades. As educators, scholars, and        and no longer live with their families. These support, the military family takes on a much
practitioners, we are obligated to pay atten-    veterans are at potentially even greater risk   larger significance.
tion to this new demographic group. 	            of negative outcomes by virtue of social iso-
I am proud to be among many wonderful                                                            In response to growing awareness of the
                                                 lation and lack of close family support. For
colleagues around the world who are doing                                                        struggles facing National Guard veterans,
                                                 soldiers struggling with the traumatic effects
this work and we at MFRI are eager to col-                                                       our team of researchers, clinicians, and
                                                 of war, their “military family” may become
laborate with students and faculty who share                                                     military leaders in Michigan felt compelled
                                                 as important as their family of origin.
our interest in gathering and analyzing data,                                                    to respond. After several years of close col-
strengthening programs, and educating new        Often, family members (spouses, parents,        laboration we developed what is known as
colleagues. 			                                 and extended family) are the first lines of     Buddy-to-Buddy, an innovative peer support
                                                 support for soldiers when they return, par-                buddy-to-buddy continued on page F3
F2                                                                                                                  family focus // spring 2012
Family Focus on...	                             Military Families
buddy-to-buddy continued from page F2
program carefully tailored to meet the chal-      soon received grant funding from the Robert tions with soldiers, available resources, and
lenges and needs of our National Guard            R. McCormick Foundation’s Welcome Back      limited training regarding symptoms sug-
veterans. By enhancing the effectiveness 	                                                    gestive of the need for further evaluation.
                                                  Veterans initiative and began regularly meet-
of these soldiers’ “military family,” we are      ing to set a course for enhanced support forSoldiers are then assigned a panel of four to
hoping to improve outcomes among these            returning soldiers in Michigan.             10 soldiers in their units whom they contact
deserving veterans.                                                                           each month by phone or in person. During
                                                  Through an iterative process among group    these conversations, B1s rely on a list of
The military has long been aware of the           members, the collaboration between MSU,     11 potential problem areas to guide them.
struggles of returning soldiers and provides      UM, the VA, and the Michigan National       Importantly, these volunteers do not serve
soldiers in the NG and active duty alike with     Guard eventually developed a peer-support   as mental health counselors or case manag-
considerable support. Despite these resourc-      program for units returning from Operation  ers and do not diagnose conditions. Instead,
es, fear of stigmatization, a warrior ethos,      Iraqi Freedom (OIF) and Operation Endur-    B1s provide soldiers in need or at risk with
distrust of healthcare professionals, and         ing Freedom (OEF). Our intent was not to    an opportunity to speak to a trained, trusted
career concerns persist as powerful barriers      develop another mental health program, but peer and with substantially reduced concerns
to seeking care, and more than half of those      rather a unit-level mechanism for identify- about stigmatization, breeches of confiden-
in need choose not to seek it.                    ing soldiers with needs and confidentially  tiality, or career implications. If B1s have
In response to these alarming realities           connecting them with available resources. A concerns about one of their soldiers, they
among returning veterans, various organi-
zations in Michigan began considering a                      In response to growing awareness of the struggles facing
way to augment existing support programs.
Michigan which has no active-duty military           National Guard veterans, our team of researchers, clinicians, and military
installations, but a relatively large National           leaders in Michigan felt compelled to respond. After several years
Guard presence was rife with opportunities            of close collaboration we developed what is known as Buddy-to-Buddy,
to serve returning veterans. In 2005, faculty
at Michigan State University (MSU) began                 an innovative peer support program carefully tailored to meet the
developing tailored programs for returning                     challenges and needs of our National Guard veterans.
veterans and their families through what are
known as Reintegration Weekends. These            variety of hurdles including concerns about      can contact NG mental health personnel for
NG sponsored events provide soldiers and          confidentiality, ambivalence regarding treat-    consultations and referrals. Such concerns
their families opportunities to reconnect         ment, relational issues between the NG and       cover an array of matters, however, and
with their “military family” while simultane-     nonmilitary organizations, respect for the       may include financial issues, employment
ously receiving briefings and referral infor-     NG chain of command, programmatic feasi-         concerns, substance abuse problems, marital
mation for common needs. The MSU faculty          bility and effectiveness, and “in-unit” versus   difficulties, and so on.
sought to enhance these events by providing       “out-of-unit” peers required negotiation and     The second tier of volunteers consists of vet-
soldiers and families with information and        creative solutions. The result of these early    erans no longer serving who are selected and
assistance grounded in the latest research.       efforts became known as the Buddy-To-            supervised by VA and UM staff. These vol-
At many of these events, two of Michigan’s        Buddy Veteran Volunteer Program, or B2B.         unteers are selected because of their demon-
Vietnam veterans volunteered to provide           Designed specifically for service members        strated maturity, responsibility, interpersonal
informal, unstructured outreach efforts to        returning from OIF and OEF, we developed         skills, knowledge of mental health services,
soldiers, typically by giving talks about their   B2B to improve outcomes by activating            and trainability in more nuanced strategies
own experiences with the challenges and           veterans’ “military families.”                   for motivating soldiers to seek and remain in
pitfalls of reintegration. The veterans’ talks    Today, Buddy-to-Buddy is a two-tier peer-        care. B2s receive two days of intensive train-
had a powerful effect on soldiers as well as      support program run by within-unit soldier       ing, including the use of Motivational Inter-
visiting faculty members, who were intrigued      volunteers (Buddy Ones, or B1s) and vet-         viewing (MI), an empirically validated tech-
by their approach. The two veterans’ status       eran volunteers external to units (Buddy         nique for effectively responding to ambiva-
as relative outsiders to formal systems en-       Twos, or B2s). This tiered design provides a     lence. B2s often interact with their assigned
abled them to deliver their message of hope       balance between effectiveness and the con-       units at training weekends and reintegration
while bypassing the resistance so common          cerns mentioned above. Buddy One soldiers        events, and soldiers know they can call B2s
among returning veterans. Soon, University        are selected because peers view them as          directly if they prefer. B2s also receive sol-
of Michigan (UM) and Veteran’s Administra-        informal leaders to whom they willingly          dier referrals from B1s, military chaplains,
tion (VA) investigators joined the MSU fac-       turn for advice or support. These volunteers     commanders, family service organizations,
ulty at reintegration briefings, and by 2008,     receive roughly four hours of training on        and other sources. Each Buddy Two receives
discussions about more deliberate outreach        the Buddy-to-Buddy program, their roles as       weekly supervision teleconferences with an
programs based largely on the concept of          B1 volunteers, open-ended questioning and        experienced clinician in the VA.
peer support were ongoing. The collaboration      reflections to sustain and enhance conversa-              buddy-to-buddy continued on page F4

family focus // spring 2012                                                                                                                    F3
Family Focus on...	                          Military Families

Advice to the therapists 		
working with military families
by Angela J. Huebner, Ph.D., Associate Professor, Department of Human Development,
Virginia Tech, ahuebner@vt.edu


The military conflicts in Iraq and Afghani-      emotions can shift into feelings of indepen-     access to a wide vari-
stan mark the first time in our nation’s         dence and control as the deployment wears        ety of mental health
history of military service that we have         on. Finally, reintegration occurs when the       supports. These sup-
attempted to maintain such an involved           service member returns to the United States      ports can include
forward deployment with an all-volunteer         and is reunited with his or her loved ones.      counseling through
force. To date, about 1.8 million troops have    This period may start as a honeymoon, but        behavioral health,
been deployed. This translates into 2.7 mil-     end in the reality of renegotiating roles and    chaplains, or Military
lion family members who have experienced         getting to know each other once again.           OneSource. Despite
separation from their service member for      Service members ranked deployment length            the availability of sup-
extended periods of time.                     and family separation among their top               ports and the docu-         Angela Huebner
                                              noncombat-related stressors. Other studies          mented impact of the
The experience of deployment can be di-
                                              have documented the impact of deploy-               stressors of deploy-
vided into three distinctive phases, each
                                              ment on family members, noting the shifts           ment, studies suggest that service members
with its own associated stressors and emo-
                                                                                                  and their families are often hesitant to seek
tions. First, predeployment begins when the needed for adjustment. For some children
                                              and youth, parental deployment has been             mental health services. Service members
service member receives his or her orders.
                                              associated with depression, anxiety, lower          cite concerns about confidentiality, fear of
It typically involves extended training and
                                                                                                  appearing weak, and negative repercussions
preparation for the upcoming mission. Fami- grades in school, and increased familial
                                              conflict. Deployment has also been linked to        on career advancements (including threats to
lies may become more distancing and argu-
                                              depression, anxiety, isolation, and sadness         security clearance) as reasons for not seek-
mentative during this phase of deployment
                                                                                                  ing mental health support when needed.
as they vacillate between denial and sadness for some nondeployed spouses. Not surpris-
about the service member’s departure. Sec-    ingly, the adjustment of the at-home parent         Therapists outside the military community
ond, deployment occurs when the service       (the nondeployed spouse) has repeatedly             can be a valued support to service members
member begins his or her actual mission in    been shown to have the greatest impact on           and their families precisely because they are
or in support of the theater of war. Families the overall adjustment of the children.             unaffiliated with any military branch. This
typically experience a wide variety of emo-   Depending on their geographic location,             nonaffiliation can be helpful in assuring
tions during the actual deployment including service members and their families can have          confidentiality but it may also be accompa-
relief, sadness, numbing, or anxiety. These                                                       nied by a lack of understanding about the
                                                                                                  military culture, which can compromise the
buddy-to-buddy continued from page F3                                                             therapeutic alliance.

B2s encourage soldiers to open up about          for several thousand veterans, qualitative in-   Understanding Military Culture
their problems, seek help when needed, and       terviews of soldiers, leaders, and key infor-    How can therapists become the “inside”
remain in care if necessary. They also pro-      mants in the program, and analysis of health     outsiders for service members and their
vide soldiers with confidential information      data. Preliminary data is already enabling       families? The following suggestions are
about a wide range of resources, all without     the Michigan National Guard to improve the       designed to familiarize the militarily naïve
involving the chain of command.                  program’s reach and effectiveness. The data      therapist to the military culture and potential
                                                                                                  issues of special concern for military service
After the initial development and implemen-      are also providing encouraging evidence that
                                                                                                  members and their families.
tation of the B2B peer-support program, the      the concept of an extended “military fam-
Michigan Army National Guard assumed             ily” can help struggling veterans survive and    One of the most important things to recog-
control of the program and has assigned          even thrive under truly challenging circum-      nize when working with military service
an officer and noncommissioned officer to        stances. We hope to continue supporting this     members or their families is what has been
conduct training and implementation. NG          wonderful group well into the future through     termed the “warrior ethos.” Service mem-
Bureaus 	in other states have expressed inter-   our close relationship with the National         bers and their families pride themselves on
est in the program and efforts to disseminate    Guard. While we do not wish to supplant the      their strength and ability to successfully
Buddy-to-Buddy are ongoing. We are cur-          role of family in providing support, we hope     confront challenge. The notion of asking
rently conducting a multistate evaluation of     to extend the picture to include the valuable    for help or support often carries with it the
the program, including longitudinal surveys      support found among close peers.                stigma of weakness. In our studies, service

F4                                                                                                                   family focus // spring 2012
Family Focus on...	                             Military Families
advice to therapists continued from page F4
advice to therapists continued on page F5         posts. Those in the Navy are called sailors        majority have been involved in or witnessed
                                                  and their installations are referred to as         trauma but may not be willing to share this
members have reported concerns about
                                                  bases. Marines are affiliated with the Navy        information unless explicitly asked. The
appearing weak in front of their peers or
                                                  but are referred to as Marines. Those in the       service member and his or her family need
commanders; commanders have reported
                                                  Air Force are airmen or airwomen and their         to know that you are aware of the reality of
concerns of appearing weak to their subor-
                                                  installations are also called bases. Referring     combat exposure and that you can handle
dinates. In a culture where respect and team-
                                                  to someone in the Army as a sailor or to           hearing about it.
work reign, such fears are not unwarranted.
                                                  someone in the Navy as a soldier lessens the       Depression and Suicide
No one wants to be considered the “weakest
                                                  therapist’s credibility and can be interpreted      The growing rate of suicide in the military
link” and many believe their families to be
                                                  as disrespectful.                                  has received increased attention. Given the
a direct reflection on them. These beliefs,
which help make our military strong, can          A service member’s rank can provide infor-         warrior ethos, it is not surprising that service
also place service members in a double bind       mation about his or her education, income,         members would be hesitant to talk about
when they do find themselves in need of           and job description. For example, those            suicidal ideation even if it were occurring.
support, especially when that support entails     in the enlisted ranks usually have no prior        Again, be specific in asking about this.
mental health services. It is imperative that     college degree. Commissioned officers              Survivor Guilt
therapists have an awareness of this tension      have either completed a college Reserve            Many service members may be experiencing
if they are to successfully work with military    Officers’ Training Corps (ROTC), a degree          survivor guilt. “Why did my comrade step
service members and their families.               from a U.S. service academy, or officer            on the IED and I didn’t?” “Why did their
                                                  training school. Noncommissioned officers          convoy get attacked and mine didn’t?” It is
As with any culture, the military has its own
                                                  have ascended up the ranks from enlisted to
set of acronyms and terms that flow through-
out their everyday conversations. While
it is not necessary to become completely
                                                       Identifying service members by their proper branch is a sign of respect.
fluent in “military-ese,” an understanding             For example, those in the Army are called soldiers and their installations
of common terms can go a long way in                     are referred to as forts or posts. Those in the Navy are called sailors
establishing a therapeutic alliance. Several             and their installations are referred to as bases. Marines are affiliated
websites provide excellent primers in this
regard (e.g., http://www.militaryfamily.org/
                                                        with the Navy but are referred to as Marines. Those in the Air Force are
get-info/new-to-military/military-culture/).         airmen or airwomen and their installations are also called bases. Referring
Some frequently used terms include: OEF               to someone in the Army as a sailor or to someone in the Navy as a soldier
(Operation Enduring Freedom); OIF (Op-               lessens the therapist’s credibility and can be interpreted as disrespectful.
eration Iraqi Freedom); PCS (Permanent
Change of Station or moving to a new loca-        enlisted officer status, but they still remain     important to explore this issue and to help
tion); TDY (temporary duty going away for         part of the enlisted culture. In establishing      the service member make sense of the expe-
a conference, education, or training); MOS        a therapeutic relationship, it is important to     rience and surrounding feelings.
(Military Occupational Specialty); CONUS          acknowledge the rank initially (as a sign of
(located in the continental United States);                                                          History of Trauma (Military and Nonmilitary)
                                                  respect), then to make it clear to the client      As suggested above, ask about trauma ex-
OCONUS (located outside the continental           that you view him or her as a person, rather
United States); IA (individual augmentee,                                                            posure experienced during deployment. But
                                                  than a position.                                   don’t limit the inquiry to this period of time.
a service member who is deployed with a
unit other than the one with whom he or           Assessment                                         According to Seifert and colleagues (2011)
she has trained); FRG (Family Readiness           Several specialized areas of assessment may        46% of service members report a history of
Group, provides support for spouses and           be needed in working with military service         childhood physical abuse; 25% report both
families left behind, especially during de-       members and their families. Note that these        physical and sexual abuse. Those who expe-
ployment); and “in theater” (in the location      suggestions are meant to supplement regular        rienced both have a higher rate of develop-
of the conflict or battle).                       assessment of strengths and social supports        ing PTSD. Additionally, for female service
                                                  as well as issues of depression, ATOD,             members, it is important to query about their
Each service branch brings with it its own        violence, and the like as appropriate for the      experiences of sexual harassment or assault
culture and pride. Each specializes in dif-       presenting issue.                                  during deployment. Murdoch and colleagues
ferent contexts of battle (land, sea, sky) and                                                       (2003) reported that incidents of sexual ha-
                                                  Deployment Experience
each operates different lengths of deploy-                                                           rassment were reported by 80% of the mili-
                                                  Ask the service member about his or her ex-
ment, ranging on average from 6-15 months.                                                           tary women in their study. In other studies,
                                                  perience with deployment. Ask specifically
Identifying service members by their proper                                                          researchers have suggested that 28%-30% of
                                                  about combat exposure and trauma expo-
branch is a sign of respect. For example,                                                            female service members have experienced a
                                                  sure. Estimates are that between 77%-87%
those in the Army are called soldiers and                                                            rape while in military service.
                                                  of OEF and OIF veterans had combat expo-
their installations are referred to as forts or
                                                  sure (i.e., shot or were shot at). Thus the vast        advice to therapists continued on page F6
family focus // spring 2012                                                                                                                       F5
Family Focus on...	                          Military Families

Military Families Internship:
Strengthening families and communities
by Sally Koblinsky, Ph.D., professor, koblinsk@umd.edu, and Zainab Okolo, M.A.,
undergraduate coordinator, University of Maryland, College Park,

When men and women serve our country,            Multiple and longer deployments strain
their families also serve. Supporting and        families, especially when the stress of war
strengthening military families is now a         affects a service member’s reunification
national priority. Fewer than 1% of Ameri-       with family members and readjustment to
cans have served in the armed forces during      civilian life. Some post-9/11 veterans have
the last decade, yet they and their families     sustained serious physical injuries, including
have borne the burdens of our nation’s lon-      amputations and traumatic brain injuries.
gest period of continuous conflict. Among        Others have unique behavioral health needs.
our current troops, 55% are married and more     According to a RAND study of military
than 40% have children. Although family          members who served in Operation Iraqi               Sally Koblinsky            Zainab Okolo
separations are an intrinsic component of        Freedom (OIF) or Operation Enduring Free-
military life, the post-9/11 wars have been      dom (OEF), one in five reports symptoms of       problems among military children and more
characterized by special challenges, includ-     post-traumatic stress disorder or depression.    mental health diagnoses among Army wives.
ing the increased number, length, and unpre-     Greater cumulative length of deployments         While our U.S. military continues to recruit
dictability of deployments.                      has also been linked to more emotional                         internship continued on page F7

advice to therapists continued from page F5
                                                                                                  person. Unprecedented access to the Internet
Such experiences may be particularly dif-        they being physically aggressive with others
                                                                                                  and cell phones even in theater makes such
ficult for female service members to make        or getting into physical fights?
                                                                                                  concerns real. Be ready to assess for Internet
meaning of, given that the assault came          Risk-Taking Behavior                             pornography use and potential addiction.
from those who were supposed to be on            Many returning service members report
their side.                                                                                       Financial Difficulties
                                                 difficulty adjusting to “normal life.” After
                                                                                                  It is not uncommon for families to experi-
PTSD Symptoms                                    having survived at a heightened sense of
                                                                                                  ence great changes in their family income
Check for symptoms of PTSD, noting even          alertness for such an extended period of
                                                                                                  during deployment. Finances can often
subclinical levels and their impact on the       time, a service member may be tempted to
                                                                                                  become a point of tension. How have money
service member’s behavior and interactions       engage in risk-taking behaviors in an effort
                                                                                                  issues been handled during the deployment?
with others. Also be mindful of the impact       to get the adrenalin rush that was such a part
                                                                                                  Are couples able to communicate about their
of vicarious trauma among family members         of everyday experience in theater. These
                                                                                                  needs and the status of their finances?
of service members.                              behaviors may be consciously intentional or
                                                 not, but can include driving recklessly, not     Youth Internalizing and 			
Drug Use                                                                                          Externalizing Behaviors
                                                 wearing a motorcycle helmet, drinking too
Assess the client’s use of licit, illicit, and                                                    Explore changes in behaviors and emotions
                                                 much, engaging in fights, and taking other
prescription drugs. Remember that admis-                                                          among the children in military families. Fall-
                                                 chances.
sion of use of illicit drugs can be grounds                                                       ing grades, withdrawal, depression, anger,
for discharge, so service members may be         Couple Communication
                                                 How often were the service member and            and sleep issues are all common responses
particularly hesitant to be honest about their                                                    to deployment. Some studies suggest that
use. Don’t forget to ask about prescrip-         spouse able to communicate during deploy-
                                                 ment? How well do they communicate now           youth have more difficulty with the re-
tion drug use, both in theater and at home.                                                       integration phase of deployment than do
Spouses may also have turned to drug use as      that the service member has returned home?
                                                 Look for changes from predeployment to           parents, in part because they are concerned
a coping response during the deployment.                                                          about the potential for redeployment.
                                                 reintegration phases.
Sleep Habits                                                                                      Summary
                                                 Infidelity (Physical and Emotional)
Check with service members and spouses                                                            The need for military-savvy therapists has
                                                 During long separations, the threat of infi-
about their sleeping habits. Disrupted sleep                                                      never been greater as the stress of repeated
                                                 delity is high on both service members’ and
can be sign of PTSD and other issues.                                                             deployments takes its toll. Knowing some-
                                                 spouses’ minds. Normalizing these concerns
Anger/Rage                                                                                        thing about the culture and specific issues
                                                 and assessing for extramarital relationships
Check to see how service members are                                                              can go a long way in brokering the relation-
                                                 is important. Note that such relationships
                                                                                                  ship of mutual respect needed for a success-
managing any issues with anger. Are they         can be Internet-based, with emotional at-
                                                                                                  ful therapeutic experience.		             
verbally lashing out at family members? Are      tachments formed at long distances or in
F6                                                                                                                     family focus // spring 2012
Family Focus on...	                              Military Families
internship continued from page F6
a first-rate, volunteer force and large num-       gram leaders, researchers, and family mem-        military bases and military-focused agen-
bers of military families exhibit resiliency, it   bers together to identify ways to increase the    cies had previously accepted our students
is important that family professionals better      effectiveness of military family support and      as interns, most students’ lack of familiarity
understand the challenges faced by military        readiness programs. Our program also com-         with military culture and lifestyles created 	
families and apply this knowledge to im-           plements two other internship programs in         a steep learning curve that limited their con-
proving their well-being.                          the USDA/DoD Military Extension Part-             tributions to the internship sponsor. 	 he
                                                                                                                                           T
                                                   nership that recruit interns from across the      current demands on military agencies further
Military Families Internship
                                                   nation. Purdue University’s 4-H Military In-      restricted the amount of time they could
One of the challenges involved in promoting                                                          devote to sifting through student requests to
resiliency among OIF/OEF military person-          ternship places student interns in child care
                                                   and youth programs on military bases in the       intern at their sites.
nel and their families is the short supply of
family science and behavioral health profes-       United States and overseas. North Carolina        To address these issues, family science
sionals who have been trained to identify          State University’s Project Y.E.S! (Youth Ex-      faculty initiated contact with nearby military
and meet military family needs. To address         tension Service) engages students in a year       bases, health centers, and agencies serving
this shortage, the University of Maryland’s        of service to provide youth development           military families to solicit their interest in
Department of Family Science created a             programs for military children nationwide.        hosting an intern. We informed potential
Military Families Internship program in 	
fall of 2011. This internship prepares senior                One of the challenges involved in promoting resiliency among
family science students to enhance the readi-          OIF/OEF military personnel and their families is the short supply of family
ness, resilience, and well-being of service               science and behavioral health professionals who have been trained
members, veterans, and families. Students
receive training to help military families              to identify and meet military family needs. To address this shortage, the
deal with deployments and family reunifica-                  University of Maryland’s Department of Family Science created
tion, gain access to services and benefits,                       a Military Families Internship program in fall of 2011.
and advocate for their needs. Major goals of
the program are to:
	Increase  students’ knowledge about mili-        While Maryland’s Military Families Intern-        supervisors/mentors that all prospective stu-
  tary culture and military family strengths       ship shares many of the goals of the national     dents would be screened by our internship
  and challenges;                                  programs, it recruits students from our uni-      directors and matched with bases/agencies
	Familiarize students with the range of pro-      versity and puts them to work with military       seeking their skills. All of the interns were
  grams and services available to military         families in the local community. Students         required to complete an online, 10-module,
  families;                                        gain real-world experience with military          Military OneSource course on military cul-
	Develop students’ skills for planning,           culture and increase community capacity to        ture and military families (at no cost) prior
                                                   foster and sustain resilient military families.   to beginning their internships. As in our
  implementing, and evaluating programs
                                                   Maryland’s internship places some students        larger internship program, Military Family
  that support military families and military
                                                   in military child/youth programs, but also        Interns must complete a contract with their
  children/youth;
                                                   prepares students to work with military           supervisor/mentor specifying professional
	Improve the capacity of local communi-
                                                   families in family readiness and human            learning goals, career fit, internship duties,
  ties to serve military families;
                                                   service and family life education programs        a supervision plan, and a schedule for prog-
	Build and enhance university partnerships
                                                   that focus on health, financial management,       ress reviews.
  with state military installations, military
                                                   housing, employment, parenting, caregiving,
  health centers, health/social service agen-                                                        During their placement semester, students
                                                   and other family issues. The program is one
  cies, and nonprofits addressing military                                                           attend bi-weekly seminars taught by fam-
                                                   model for land grant and other institutions
  family needs; and                                                                                  ily science and other university faculty who
                                                   seeking to strengthen community capacity-
	Increase the number of family science                                                              are engaged in research and service projects
                                                   building in support of military families and
  professionals in the workforce who have                                                            involving military families. Seminars pro-
                                                   develop a local workforce of professionals
  the knowledge, skills, and experience to                                                           vide an opportunity for students to share
                                                   prepared to meet military family needs.
  assist military families.                                                                          their experiences and to learn about timely
                                                   Internship Basics                                 military issues, such as effects of the de-
The goals of our internship program ad-
                                                   The Military Families Internship was an           ployment cycle on families, post-traumatic
dress major priorities of the recent National
                                                   outgrowth of our required senior internship       stress disorder, traumatic brain injury, and
Leadership Summit on Military Families. In
                                                   program in family science. After taking pre-      evidence-based interventions for building
2009, the University of Maryland partnered
                                                   requisite courses in family science and hu-       family resiliency. Local experts who direct
with the Department of Defense (DoD) and
                                                   man services, students complete a capstone,       military youth programs, behavioral health
the U.S. Department of Agriculture (USDA)
                                                   120-hour (minimum) internship where they                        internship continued on page F8
to bring military family policy makers, pro-       apply classroom learning in professional
                                                   positions in the community. Although a few
family focus // spring 2012                                                                                                                      F7
Family Focus on...	                           Military Families
internship continued from page F7
initiatives, and family support activities        and organizes warrior visits for distin-        Wood Johnson Foundation to coordinate and
present their work at the seminars. A panel       guished leaders and visitors.                   strengthen military and civilian services for
of the university’s veteran students also of-                                                     troops, veterans, and their families. The in-
                                                  Easter Seals Military Families
fers advice on working with military fami-                                                        tern is helping to map community resources
                                                  Respite Program
lies. Finally, interns complete a journal and a                                                   and create a user-friendly, online navigator
                                                  Easter Seals interns work with a respite care
poster project that enable them to reflect 	                                                      system that will enable military families to
                                                  program for military families who have
on their work as emerging professionals ad-                                                       locate and access needed services.
                                                  children with disabilities. They acquaint
dressing military family needs.                   military parents with the program, recruit      Other internships engage students in a va-
We began recruiting students for the Mili-        caregivers, provide training on quality child   riety of military family activities, including
tary Families Internship in the fall of 2011.     care, and make unannounced site visits to       organizing family health/wellness work-
Forty-five students applied for the 20 place-     evaluate respite caregiver interactions with    shops; developing and implementing curri-
ment sites. The authors interviewed all           children.                                       cula for Operation Military Kids/4-H pro-
applicants to assess their interest in military                                                   grams; working with families on financial
                                                  Operation HomeFront
families, familiarity with military life (e.g.,                                                   management; creating a peer support and
                                                  Operation Homefront internships involve
parent or spouse in the armed forces), and                                                        advocacy network for women veterans; and
                                                  identifying services and sources of emer-
relevant experience. The response of one                                                          helping service members reintegrate into
                                                  gency financial aid for families of deployed
student was representative of the group: “I                                                       civilian and family life.
                                                  service members and wounded warriors dur-
realized that these guys are my peer group        ing their period of recovery and transition.   Conclusion
… and they’ve been through so much. …             Interns assess service member and family       University of Maryland’s Military Families
I feel like working with wounded warriors         needs, acquaint them with community re-        Internship program can be replicated by oth-
and their families is a way for me to give        sources, organize family events, and monitor   er colleges/universities interested in serving
back.” One of the student interns is an Air       use of transitional housing.                   military families in their local communities.
Force veteran and several have relatives in                                                      The program educates students about mili-
the military. Many of the students who were       Ft. Meade Army Community Service
                                                                                                 tary family strengths and challenges, pro-
not selected (generally because they were         Interns at Fort Meade work in the cultural
                                                                                                 vides opportunities for meaningful service,
not graduating in May 2012) will serve as         awareness, employment readiness, mobi-
                                                                                                 and prepares family professionals to meet
interns in summer or fall 2012. We also have      lization/deployment, or volunteer services
                                                                                                 military family needs. Through the work of
plans to increase our military internship sites   program. Two students are planning military
                                                                                                 student interns, communities increase their
and expand the program to seniors in public       family readiness activities, including classes
                                                                                                 capacity to improve military families’ well-
health.                                           that introduce families to the culture of
                                                                                                 being. Although many institutions may not
                                                  Afghanistan and programs for children/youth
Internship Placements                                                                            have the diverse network of military bases
                                                  whose parents will soon deploy. Another stu-
Our Military Family interns are serving in                                                       and agencies found in the Maryland-Wash-
                                                  dent is developing onsite and online volun-
a variety of military and civilian organiza-                                                     ington, D.C., area, most communities have
                                                  teer programming for base families, as well
tions, including Walter Reed National Mili-                                                      veterans’ groups, behavioral health agen-
                                                  as helping to plan and evaluate a volunteer
tary Medical Center, Fort George G. Meade,                                                       cies, or youth programs that serve military
                                                  services fair. These interns also work with
Andrews Air Force Base, Operation Military                                                       families, including the National Guard and
                                                  family support groups and connect military
Kids/4-H, Operation Homefront, Operation                                                         reserves. A community-based military in-
                                                  spouses to programs that address their em-
Second Chance, Easter Seals Military and                                                         ternship program can provide students with
                                                  ployment, education, and health needs.
Veterans Services, Women Veterans Interac-                                                       valuable knowledge, skills, and apprecia-
                                                  Serving Together                               tion for the dedicated service of our nation’s
tive Foundation, Serving Together/Mental
                                                  The Serving Together intern participates in    military families.          
Health Association of Montgomery County,
                                                  a county-wide project funded by the Robert
University of Maryland Office of Veteran
Student Life, and the Maryland Department
of Health and Mental Hygiene. Below are
brief descriptions of selected internships:
Walter Reed Warrior Family
Coordination Cell
The Walter Reed internship involves ad-
dressing the daily needs of wounded war-
riors and their family members in inpatient
and outpatient settings. The intern also plans
and coordinates events for warriors and fam-
ily members, works with nongovernmental
organizations assisting wounded warriors,
F8                                                                                                                   family focus // spring 2012
Family Focus on...	                           Military Families

World War II in people’s lives
by Ralph LaRossa, Ph.D., Professor of Sociology, Georgia State University, rlarossa@gsu.edu


Seventy-some-odd years ago, in the wake 	       employer (e.g., in one of its ads, the Ameri-   Several years ago I
of the December 1941 attack on Pearl Har-       can Thermos Bottle Company, manufacturer        embarked on a proj-
bor, the United States of America became        of vacuum bottles and lunch boxes, claimed      ect to research World
a combatant in World War II. The country        that “the man with the lunch kit and the man    War II. I wanted to
would remain at war until 1945 when first       with the gun are equally vital to America’s     better understand
Germany and later Japan surrendered. In         war effort”). Children, too, contributed to     what the war meant
commemoration of the war, many in the           the war effort by being messengers in the       for fathers and their
United States and throughout the world will     U.S. Citizens Defense Corps and by solicit-     families. The project
periodically stop and think about the war’s     ing monetary donations as “Victory Volun-       began as a sequel of
battles and its overall impact. What we will    teers” (“Won’t you buy a war bond, Mister,      sorts to a book I had       Ralph LaRossa
remember will include (but not be limited       so’s my Daddy can come home?”).                 written on the history of fatherhood during
to): Presidential Executive Order 9102                                                          the Machine Age (1918-1941). Quickly,
                                                In short, the majority of Americans during
(signed into law in March 1942) establishing                                                    however, the venture expanded to include
                                                World War II, regardless of whether they
the War Relocation Authority and leading                                                        a lot more than this. The conversations I
                                                were in the armed forces, lived with the war
to the imprisonment of more than 110,000                                                        had with my parents about the war did little
                                                on a regular basis. “Military families” thus
resident Japanese men, women, and chil-                                                         to prepare me for the heart-wrenching and
                                                included not only those that happened to
dren (many of whom were U.S. citizens);                                                         heartwarming stories I came across.
                                                have a son or father or uncle (or daughter or
the congressional debate (in the spring and
                                                mother or aunt) in uniform, but also those in   What stood out were both the magnitude 	
summer of 1943) over whether the six mil-
                                                which a member of the family was engaged        of the conflict and the enormity of its reach.
lion fathers who had conceived a child on or
                                                in war-related work.                            My parents’ war was not a confrontation that
before the date of the Japanese attack should
                                                                                                touched only a fraction of the population
continue to be exempted from the draft               Postwar conversations about                while the rest of the country remained largely
(eventually it was decided that they should
                                                the war thus could be difficult, not just       unscathed. Rather, as its name implies, World
be among the pool of potential recruits);
                                                                                                War II was a full-scale conflagration, the
the Allied invasion of Normandy, otherwise              for the men who did not
                                                                                                consequences of which are still being felt.
known as D-Day (in June 1944); the battle             want to dwell on the terrible
of Okinawa (April to June 1945); the fall                                                       Central to understanding World War II was
of Berlin (in May 1945); and the dropping          things they saw and were forced              the diversity of people’s experiences. Some
of atomic bombs on Hiroshima and Naga-              to do, but also for the men who             have suggested that the singular impact of
saki (in August 1945), which ushered in the                                                     the war on the domestic front was the eco-
                                                   could not honestly offer the tales
Nuclear Age and redefined what it meant to                                                      nomic boom that it initiated and the speed
destroy something.                                of bravery that family and friends            with which it put Depression-era men back
                                                        so much wanted to hear.                 to work, as if war was only about gross
With the United States currently at war, 	
                                                                                                national production. Men in the 1940s also
we can appreciate, to some extent, what         My father served in World War II (as an Air
                                                                                                have often been characterized in monochro-
Americans were confronted with in the           Corps radio man on B-series bombers). So,
                                                                                                matic terms, with the impression given that
1940s. But we must understand, too, that the    in a way, did my mother, in that she was
                                                                                                all were (a) drafted or volunteered, (b) sent
breadth and depth of World War II put it in     employed for a while in a Brooklyn factory
                                                                                                overseas and into combat, and (c) welcomed
an entirely different realm. Today, approxi-    that manufactured gyroscopes for planes
                                                                                                home as heroes when they returned. Such
mately 1.5 million men and women are on         and ships. I remember as a child asking my
                                                                                                generalizations, however, ignore the myriad
active duty. During World War II, more than     parents about the war and being captivated
                                                                                                ways that the war was felt and perceived and
16 million were. Today, tens of thousands       by what they had to say. I remember, too,
                                                                                                the significant differences that existed from
of civilians are engaged in homeland secu-      playing war games and simulating combat
                                                                                                one group to the next. The social meaning of
rity (particularly at airports and seaports).   with my elementary school buddies in the
                                                                                                World War II varied substantially by (among
During World War II, the number was sig-        small field across the street from the house
                                                                                                other things): race, ethnicity, social class,
nificantly higher, especially if we take into   where I grew up. My friends and I would
                                                                                                gender, age, geography, religion, whether
account those who worked in munitions           “shoot” at each other and, every now and
                                                                                                one had or had not seen combat, and the par-
factories (e.g., “Rosie the Riveter”) and the   then, fall down and pretend to be dead, only
                                                                                                ticular relationship one had with the casual-
fact that everyone had to ration and get by     to miraculously arise a few seconds later
                                                                                                ties (e.g., as a father or mother or sibling of
with less. In the 1940s, even if a person’s     to fight again. Little did we realize how far
                                                                                                a soldier who died or who was injured).
job did not seem to be connected to the war,    removed our antics were from the actual
a link nonetheless was often made by an         horrors of battle.                                         world war II continued on page F10


family focus // spring 2012                                                                                                                 F9
Family Focus on...	                          Military Families
world war II continued from page F9
One thus cannot talk about the war’s eco-
nomic effect without acknowledging the
Japanese Americans who, in U.S. govern-
ment-sponsored roundups, were forced to
abandon their homes and leave behind most
of their possessions, and who, upon their
release years later, were unable to return to
the jobs they once had or find new jobs com-
mensurate with their skills. As one Japanese
American woman reported, “My father
kept looking for work [after the war], and
                                               guished themselves on the battlefield. Said a    but also for the men who could not honestly
he couldn’t find anything. … He never was
                                               corpsman who was wounded on D-Day, “No           offer the tales of bravery that family and
able to get back on his feet. …”
                                               one asked me if I was gay when they called       friends so much wanted to hear.
Nor can one speak of the pride that men        out ‘Medic!’ and you went out under fire
                                                                                                Geography was a factor, too. Today, Ameri-
gained from being in the military and be-      and did what you were expected and trained
                                                                                                cans in large cities are especially prone to
ing given a chance to defend their country     to do.” In the immediate postwar years and
                                                                                                feel vulnerable to terrorist attacks. New
without acknowledging the fact that Black      especially in the 1950s, thousands of men
                                                                                                Yorkers, many of whom personally wit-
men initially were barred from enlisting, and and women, many of whom were veterans,
                                                                                                nessed the fall of the Twin Towers, are in-
that when they were allowed to participate     were fired from their jobs if it was discov-     clined to have a heightened sense of alarm.
they were told they would have to serve in     ered that they were gay. The freedoms that       During World War II, Americans who re-
noncombat roles. Even when African Ameri- many had fought for were not made avail-
                                                                                                sided in cities and towns on the East Coast
cans were eventually permitted to join or be able to all.
                                                                                                or West Coast were more likely to believe
drafted (the United States could ill afford
                                               The social meaning of World War II also          they were in immediate danger because of
to continue to exclude them if it was to win
                                               varied by how close a person got to battle.      the assumption that the country would be in-
the war) and even though many were in
                                               Of the 16 million Americans who were on          vaded from the sea. Their fears were fueled
the thick of battle (the decorated Tuskegee
                                               active duty, only about 10% saw combat.          by the buildup of shoreline artillery batteries
Airmen constitute only a small proportion
                                               For these soldiers, the brutality of war was     and by the success of German submarines
of the Black soldiers who fought), they
                                               witnessed up close. One infantryman, who         in waters around America’s harbors. In early
were not revered when they returned, as
                                               had seen action in the Pacific, wrote in a       1942, U-boats patrolling off the East Coast
White soldiers were, but sometimes were
                                               letter to his father and mother about “mor-      sank 216 ships, and it was not uncommon
scorned. To cite but one example, in 1946,
                                               tar shells dropping in on heads and ripping      for bodies from the torpedoed vessels to
Isaac Woodward, traveling in uniform, was
                                               bodies” and how “faces [were] blown apart        wash up on shore. We can only imagine
on his way home by bus to South Carolina
                                               by flying lead and coral” on the beach. “The     what it was like for World War II-era fami-
and, at one point, asked the bus driver, who
                                               Catholic Chaplain,” the son reported, “was       lies to stroll on the beach, ever watchful of
was White, if it would be possible to stop
                                               killed as he was blessing each foxhole. An       what they might find in the sand.
the vehicle so he could use the bathroom.
“Hell no!” the driver told him. “Dammit,”      artillery shell cut him in half at the waist.”   More than 400,000 U.S. soldiers were killed
Woodward replied, “you’ve got to talk to me Some soldiers, though near battles, were not        in World War II. Kids suffered the loss of
like a man.” Furious that Woodward would       in any immediate danger, while others, far       their parents and siblings; parents grieved the
challenge him, the driver called ahead to the away from the front lines, never fired their      loss of their children. Yet another gruesome
police who at the next stop beat Woodward      weapons or were fired upon. Youngsters           statistic in the arithmetic of war is the number
so hard as to render him blind.                often wanted to know what their fathers did      of soldiers missing in action, lost at sea, or
                                                                                                interred as unknowns. (A mother, mourn-
Consider, too, that although the armed forces in the war. In many cases, they yearned to
                                               learn whether their fathers had killed any-      ing her child, exclaimed, “If they could just
were (by law) desegregated in 1948, the
                                               one. Not fully appreciating the import of        find him so I could bury him I don’t want the
privileges that White veterans enjoyed were
                                               what they were asking, the children hoped in     birds picking on his body.”) To this day, the
not offered in equal measure to Black veter-
                                                                                                remains of over 70,000 American G.I.s from
ans. G.I. Bill benefits, which provided educa- their hearts the answer was yes. One young
                                                                                                World War II have never been officially re-
tional and housing opportunities for millions man, finding out that his dad was not in
                                                                                                covered or identified. For the families of these
of White veterans, were frequently denied to combat, said that he “felt cheated.” (“After
                                               everything the rest of us went through so        veterans, the war, in some ways, is not over.
Black veterans. New York’s famed suburb,
Levittown, which began construction in 1947 he could go off the war, he never even got          Note
and flourished throughout the 1950s, system- shot at.”) Postwar conversations about the         This essay draws on the research and refer-
atically excluded African American families. war thus could be difficult, not just for the      ences reported in Ralph LaRossa, Of War
                                               men who did not want to dwell on the ter-        and Men: World War II in the Lives of Fa-
Gay soldiers also fought in World War II, 	    rible things they saw and were forced to do,     thers and Their Families (2011).	       
as they had done in wars before, and distin-
F10                                                                                                                family focus // spring 2012
Family Focus on...	                            Military Families

Military service and the life course:
An assessment of what we know
by Jay Teachman, Ph.D., Professor of Sociology, Western Washington University, Jay.Teachman@wwu.edu


Over the last 60 years, at least 1.5 million    Crime and Delinquency                            vein, it is important
military personnel have been on active duty     Research on crime and delinquency illus-         to note that variation
in each year, affecting 10% to 70% of rel-      trates well the importance of time and place     and changes in the
evant birth cohorts. The peak participation     when considering the impact of military ser-     civilian environment
figures are for birth cohorts affected by war   vice. The available literature suggests that     facing veterans and
and large-scale conscription (World War         service during World War II acted to reduce      non-veterans may be as
II, Korea, Vietnam), but military service is    the likelihood that veterans would engage in     important to consider
common even for peacetime birth cohorts.        criminal or delinquent behavior (Sampson         as variation and change
For example, a recent study estimates that      & Laub, 1996). For veterans of the Vietnam       in the military environ-
17% of Black men and 14% of White men           era, however, this was less true, and there is   ment that act upon            Jay Teachman
born 1965-1969 have served in the military      even some evidence that Vietnam veterans         veterans. Thus, alterations in civilian oppor-
(Pettit & Western, 2004). If men experienc-     were more likely to abuse alcohol and drugs      tunities for educational and economic suc-
ing incarceration are excluded, nearly one      than nonveterans (Bouffard & Laub, 2004).        cess are likely to be as important as changes
in four Black men of this generation has        More recently, veterans of the AVF are more      in the nature of selectivity into the military
                                                                                                 and the nature of military service. As we
       An often-ignored fact is that the military remains the single largest                     shall see, points two and three are important
    employer of young men in the United States. Thus, military service is not                    considerations for other outcomes of mili-
                                                                                                 tary service.
      an anomaly or an isolated event in the transition to adulthood, even
    during the All-Volunteer Force (AVF) era; it is a common event that occurs                   Marriage, Divorce, and Cohabitation
                                                                                                 An important component of the life course
         at ages during which many men (and increasingly women) are                              involves family transitions. Most research
     making decisions about education, careers, and intimate relationships.                      in the field has tied military service to the
                                                                                                 likelihood of divorce, with much less atten-
served in the military. An often-ignored fact likely to experience contact with the legal        tion being paid to marriage or cohabitation.
is that the military remains the single largest system than comparable nonveterans (Bouf- Moreover, much of the literature tends to be
employer of young men in the United States. fard, 2005).                                         contradictory. For example, one study found
Thus, military service is not an anomaly or                                                      that military service during World War II
                                                 As important as it is, the available research   raised the risk of divorce (Pavalko & Elder,
an isolated event in the transition to adult-
                                                 is limited in several ways. First, the data     1990), while another finds a decreased risk
hood, even during the All-Volunteer Force
                                                 sources for earlier cohorts of veterans are     of divorce for the same period (Ruger, Wil-
(AVF) era; it is a common event that oc-
                                                 restricted to small, specialized samples. 	     son, & Waddoups, 2002). Such variations
curs at ages during which many men (and
                                                 The limitations of these samples (lack of       in findings are likely due to differences in
increasingly women) are making decisions
                                                 geographic, racial, and socioeconomic varia- datasets and analysis procedures and high-
about education, careers, and intimate re-
                                                 tion) make it difficult to identify the true    light the difficulty in specifying an effect of
lationships. Military service also occurs at
                                                 pattern of change across time. Second, these military service on life course behavior.
an age when service members are forming
                                                 studies continue to struggle with appropri-
lifelong habits that will affect their health in                                                 Research on veterans of the Vietnam era
                                                 ate procedures to deal with selectivity into
the future.                                                                                      tends to be more consistent. This literature
                                                 the military. This is an especially important
Given the continuing importance of mili-         concern for any life course outcome given       generally finds that service during the Viet-
tary service in American life, it is important the fact that the military has always screened nam era had little to no effect on risk of
to understand its relationship to important      recruits on criteria such as health, education, divorce (Ruger et al., 2002). The literature
components of the life course. In this report mental aptitude, and criminal history. This        is also reasonably consistent in finding that
I consider the relationship between military     means that military recruits are far from be- combat exposure increases the risk of di-
service and several life course outcomes,        ing a random subset of all Americans. Third, vorce among veterans of this era. Evidence
including crime and delinquency; marriage, the mechanisms through which military                 for the post-Vietnam era indicates that di-
divorce, and cohabitation; socioeconomic         service may influence crime and delinquen- vorce rates while serving in the military are
attainment; and health. I also indicate some     cy remain poorly specified, both within and     generally lower than for comparable civil-
important limitations in our knowledge base. among different cohorts of veterans. In this                  the life course continued on page F12

family focus // spring 2012                                                                                                                F11
Family Focus on...	                              Military Families
the life course continued from page F11
ians, particularly for Black men (Lundquist,       (Fredland & Little, 1980). More recent            Health
2006; Teachman, 2008). After active-duty           research, however, has found little impact        A large body of literature has investigated
service, though, there appears to be little dif-   of service during World War II on income,         the health consequences of military service.
ference between veterans and nonveterans in        largely due to increased awareness of the         Much of this research focuses on PTSD and
the risk of divorce.                               need to control for selectivity (Teachman         the negative effects of combat. Irrespective
                                                   & Tedrow, 2004). That is, veterans would          of historical era, combat is positively linked
The literature pertaining to military service,
                                                   have earned more than nonveterans even if         to PTSD and other negative health effects
marriage, and cohabitation is limited. The
                                                   they had not served. An exception occurs for      (Dobkin & Shabani, 2007). Other research
available evidence suggests that rates of
                                                   Black veterans and veterans with little preser-   has linked military service during times of
marriage are particularly high during active-
                                                   vice education. Minorities and lesser educat-     combat to excess mortality later in life (Be-
duty military service in the AVF era, with
                                                   ed Whites appear to gain some benefit from        dard & Deschenes, 2006). The link between
Blacks being as likely to marry as Whites,
                                                   military service irrespective of selectivity.     combat, PTSD, and mortality is not unex-
contrary to the case for civilians. In addi-
                                                                                                     pected and its pervasiveness across different
tion, the evidence indicates that men serv-        This pattern of findings–little to no positive
                                                                                                     cohorts of veterans speaks to the powerful
ing on active duty are much more likely            effect of military service on income except
                                                                                                     impact that highly stressful military service
than civilian men to choose marriage over          for disadvantaged groups–is repeated for
                                                                                                     can have on the lives of veterans.
cohabitation, and active-duty military ser-        both the Vietnam and AVF eras (Teachman,
vice is strongly linked to the likelihood that     2004; Teachman & Tedrow, 2007). Indeed,           A strength of this literature is that it identi-
cohabiting unions will be converted into           for both eras, White men saw declines in          fies mechanisms through which military
marriages rather than dissolved. Active-duty       their civilian incomes as a result of military    service negatively affects health. The nega-
military service thus appears to be support-       service, even when controlling for selectiv-      tive mental health effects of experiencing
ive of marriage.                                   ity. Other research has also found similar        combat have been well-identified and ex-
                                                   results for education only minority men           ist across all cohorts of military veterans.
The literature linking marriage, divorce, and                                                        In addition, the excessive use of tobacco
                                                   seem to have benefited educationally from
cohabitation is limited in several fashions,                                                         among men in the military is a contributor
                                                   military service (Teachman, 2005). An ex-
though. First, it is difficult to obtain con-                                                        to their excess mortality (Bedard & De-
                                                   ception to the pattern for education occurs
sistent data on these important family life                                                          schenes, 2006). A variety of research has
                                                   for veterans of World War II, however. The
course statuses across different historical                                                          clearly shown that military service is related
                                                   availability of the G.I. Bill appears to have
eras. Only more recently have event history                                                          to abuse of tobacco and alcohol products.
                                                   increased the level of education obtained by
data collecting the dates of important transi-                                                       Some authors have also tied military service
                                                   veterans of this era (Stanley, 2003).
tions for nationally representative samples                                                          to risk-taking behaviors that impact mortal-
become available. Second, the mechanisms           Even though much has been learned, this           ity through accidental deaths (e.g., speeding,
linking military service to these family life      body of literature too is limited in many         motorcycle riding).
course events remain unclear. While active-        ways. First, there remains a lack of data that
duty service appears to spur marriage, at          can be used to compare the consequences of        Nevertheless, a significant gap in the litera-
least for more recent cohorts, the mecha-          military service across different eras. This      ture exists, in that there is very little re-
nisms by which this occurs remain opaque           makes it difficult to understand why changes      search that addresses the health implications
and crudely measured at best. Third, it is not     in the consequences of military service may       of noncombat military service. While we
known to what extent military service af-          have occurred over time. Second, the num-         know that veterans who experience combat
fects marriage, divorce, and cohabitation af-      ber of socioeconomic outcomes that have           have more negative health outcomes than
ter leaving active duty. Fourth, although we       been investigated is limited. Income and          noncombat veterans, we do not know how
have begun to accumulate information about         education are most commonly considered,           noncombat veterans compare to the general
a select number of family-related transitions,     but outcomes such as occupations, wealth          population. On one hand, the screening
other family events such as childbearing,          accumulation, and home ownership are              process that selects veterans into the ser-
child rearing, and kin relationships remain        scarcely discussed. Third, paths of socioeco-     vice suggests that they should be healthier
severely under researched.                         nomic attainment, and the interrelationships      than nonveterans. On the other hand, poor
                                                   between various components of attainment          health habits (use of tobacco and alcohol)
Socioeconomic Attainment                                                                             learned in the military may operate to negate
                                                   over the life course, have largely been ig-
There is a relatively rich history of research                                                       any positive selectivity effect. The existing
                                                   nored. Only recently have researchers begun
investigating the consequences of military                                                           literature also fails to fully consider how
                                                   to move beyond static indicators of income
service for subsequent socioeconomic at-                                                             variations in military service affect health.
                                                   and education. Fourth, research on socioeco-
tainment. Most of this research focuses on                                                           For example, are the health-related effects of
                                                   nomic attainment continues to struggle with
education and income. The earliest research,                                                         military service different for officers versus
                                                   appropriate controls for selectivity and pre-
focused on World War II, suggested con-                                                              enlisted men, for different military occu-
                                                   cise specification of the mechanisms through
siderable benefit to serving in the military.                                                        pational specialties, for different terms of
                                                   which military service impacts postservice
A number of studies found that veterans of                                                           service? In addition, with the exception
                                                   accomplishments.
World War II received an income premium                                                                       the life course continued on page F13
F12                                                                                                                     family focus // spring 2012
2012 2 focus
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2012 2 focus
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2012 2 focus

  • 1. National Council on Family Relations Family Focus on . . . Military Families In focus // Issue FF52 Reflections on intergenerational relations page F3 Working with the military by Shelley MacDermid Wadsworth, Associate Dean, College of Health and Human Sci- Who gets custody of ences; Director, Center for Families; Director, Military Family Research Institute; profes- sor, Human Development and Family Studies, Purdue University, shelley@purdue.edu Grandma after the divorce? page F5 The many faces of parental Since 2000, it has been my honor to lead the military programs for estrangement page F8 Military Family Research Institute at Pur- lacking sufficiently due University. This was an experience rigorous evaluation Intergenerational cultural I never expected to have, but I have found protocols. In at least In focus // at bonds: A look it to be among the most meaningful and some of these cases, Ukranian-American families page F11 intellectually engaging of my career. Today, there were good Buddy-to-Buddy: an innovative the institute is actually misnamed because reasons that evalua- substitute for family support Building intergenerational we now carry out not just research but also tion activities were among at-risk, returning veterans outreach with and for military families, limited, such as legal relationships via an Elder of Iraq and Afghanistan page F2 working closely with military and com- restrictions on Shelley MacDermid Service Partner program page F13 munity organizations. We often receive appropriate use of Wadsworth Advice to the therapists working calls from colleagues who are eager to learn funds. You should always assume that with military families in Family stress and risk page F4 about working with the military, and so in your predecessors were smart, thoughtful grandparent-headed this article I share some suggestions. Some people who wanted to do a good job. If Military Families Internship: of these were presented at a recent meeting you can find out about the constraints they households Strengthening families page F14 of the Society for Social Work Research. faced, you will have a much better chance and communities page F6 of improving on their effort. Go Back to the Books World War II in There is a good chance that many of the Never Forget that It’s Not About You people’s lives page F9 research questions or intervention ideas you or Your Program are thinking of have already been thought of Military folks have an important mis- Military service and the life by others. Because research about military sion to carry out for the country. They are course: An assessment of families tends to wane between conflicts, completely funded by taxpayer dollars what we know page F11 the most recent research relevant to your and they expect accountability. They work question may have been published soon with academics to find better ways to Military families: what we know after the most recent large-scale conflict (the fulfill their mission, not because they are and what we don’t know page F13 first Gulf War in the 1990s). Considerable trying to help us publish articles, conduct research on military families is published in randomized trials of a new intervention, or Returning home: What we technical reports rather than peer-reviewed train students. If they learn of a resource know about the reintegration literature (because it is funded by military that they think will help them fulfill their of deployed service members contracts), and thus you must search the mission better, cheaper, or faster, they need into their families and “gray” literature as well as the traditional to pursue that option even if it means with- communities page F16 scientific literature (the Defense Techni- drawing support from existing projects. cal Information Center is a very important Teaching about military families: Every day, military members are in harm’s source). Before you conclude that your idea Lessons from the field page F18 way around the world. Even in European really is new, make sure you scan the envi- cities on “regular” deployments, service ronment very carefully. The theme for the next issue of members have been targets of lethal vio- NCFR Report is “Teaching Family Remember the Old Adage that “Fools lence. Combat deployments are decreas- Science.” Deadline for submission is Rush in Where Angels Fear to Tread” ing as troops leave Iraq and Afghanistan, It can be easy to find flaws in prior research but deployments for peacekeeping, natural March 21, 2012. Questions? Write the or intervention efforts. For example, many disasters, training, and many other purpos- editor at nancygonzalez@ncfr.org reports have recently criticized existing es continue. Thus, the children, partners, working with the military continued on page F2
  • 2. Family Focus on... Military Families Buddy-to-Buddy: An innovative substitute for family support among at-risk, returning veterans of Iraq and Afghanistan by Christopher Jarman, MSW, Michigan State University, christja@med.umich.edu; Adrian Blow, Ph.D., Michigan State University; Marcia Valenstein, M.D., M.S., The University of Michigan Soldiers at war anticipate few events so much experiences upon as returning home to family, friends, and a returning home, sense of peace. Yet for many returning vet- however, are at best erans, peace eludes them as they begin new only loosely similar battles with combat sequelae such as post- to those of their full- traumatic stress, depression, substance abuse, time counterparts. anxiety, traumatic brain injuries, and social Active-duty soldiers isolation, all of which can have devastating typically return to effects on close relationships. For one group large military com- of recent veterans members of the Army Christopher Jarman Adrian Blow Marcia Valenstein munities replete with National Guard these experiences appear to ticularly for NG soldiers. However, these specialized support services for reintegration occur at still higher rates and with greater family members are at times not able to (e.g., military hospitals, outpatient clinics, severity than the rest of the military. be ideal supporters. Frequently, service family support groups and programs, ad- Army National Guard (NG) soldiers comprise diction treatment, and military chaplains, members may choose not to speak with nearly a third of the nation’s 1.12 million to name but a few). Crucially, active-duty family members about their struggles out soldiers. Working part time (one weekend a soldiers return to communities where they of concern for burdening these individu- month and a two-week annual training), these are surrounded both by military peers with als. In addition, service members may find citizen soldiers lead more traditional lives similar experiences as well as the structure it very difficult to talk to family members when not in uniform. During the 10 years of and close monitoring of their chain of com- about disturbing or traumatizing deployment the Global War on Terror, however, NG units mand; in short, they are relatively ensconced events. Family members themselves may across the nation have repeatedly been called by their “military family,” a significant have their own difficulties and as a result to full-time duty, serving year-long tours far source of social support above and beyond they may not be receptive to the difficulties from home and family. NG veterans’ reintegration services. of the service member. NG family members live in a civilian world and may not be as Guard soldiers, by contrast, return to largely understanding about the perils of war as the working with the military civilian hometowns where they must quickly service member needs. In other cases, fam- continued from page F1 decompress from war while reintegrating ily may be absent from the lives of service into their civilian jobs and communities. So- members by virtue of distance or strained parents, and other people who love military cial interactions with members of their units relationships, leaving the service member members will continue to watch, wait, and often decrease precipitously, and many NG with limited support. Whatever the reason, worry. Over the past decade, we have added veterans report a sense of isolation and disil- it is increasingly apparent that in some cases millions of men and women to the veteran lusionment with the more mundane, day- service members are more easily able to population, and the costs of caring for the to-day experiences of civilian living. Poten- talk to their fellow service members about service-connected illnesses and injuries tially contributing to the challenge, many struggles with deployment and reintegration, of these individuals will not peak for sev- young soldiers are unmarried or unpartnered and in cases where family is not ideal as a eral decades. As educators, scholars, and and no longer live with their families. These support, the military family takes on a much practitioners, we are obligated to pay atten- veterans are at potentially even greater risk larger significance. tion to this new demographic group. of negative outcomes by virtue of social iso- I am proud to be among many wonderful In response to growing awareness of the lation and lack of close family support. For colleagues around the world who are doing struggles facing National Guard veterans, soldiers struggling with the traumatic effects this work and we at MFRI are eager to col- our team of researchers, clinicians, and of war, their “military family” may become laborate with students and faculty who share military leaders in Michigan felt compelled as important as their family of origin. our interest in gathering and analyzing data, to respond. After several years of close col- strengthening programs, and educating new Often, family members (spouses, parents, laboration we developed what is known as colleagues.  and extended family) are the first lines of Buddy-to-Buddy, an innovative peer support support for soldiers when they return, par- buddy-to-buddy continued on page F3 F2 family focus // spring 2012
  • 3. Family Focus on... Military Families buddy-to-buddy continued from page F2 program carefully tailored to meet the chal- soon received grant funding from the Robert tions with soldiers, available resources, and lenges and needs of our National Guard R. McCormick Foundation’s Welcome Back limited training regarding symptoms sug- veterans. By enhancing the effectiveness gestive of the need for further evaluation. Veterans initiative and began regularly meet- of these soldiers’ “military family,” we are ing to set a course for enhanced support forSoldiers are then assigned a panel of four to hoping to improve outcomes among these returning soldiers in Michigan. 10 soldiers in their units whom they contact deserving veterans. each month by phone or in person. During Through an iterative process among group these conversations, B1s rely on a list of The military has long been aware of the members, the collaboration between MSU, 11 potential problem areas to guide them. struggles of returning soldiers and provides UM, the VA, and the Michigan National Importantly, these volunteers do not serve soldiers in the NG and active duty alike with Guard eventually developed a peer-support as mental health counselors or case manag- considerable support. Despite these resourc- program for units returning from Operation ers and do not diagnose conditions. Instead, es, fear of stigmatization, a warrior ethos, Iraqi Freedom (OIF) and Operation Endur- B1s provide soldiers in need or at risk with distrust of healthcare professionals, and ing Freedom (OEF). Our intent was not to an opportunity to speak to a trained, trusted career concerns persist as powerful barriers develop another mental health program, but peer and with substantially reduced concerns to seeking care, and more than half of those rather a unit-level mechanism for identify- about stigmatization, breeches of confiden- in need choose not to seek it. ing soldiers with needs and confidentially tiality, or career implications. If B1s have In response to these alarming realities connecting them with available resources. A concerns about one of their soldiers, they among returning veterans, various organi- zations in Michigan began considering a In response to growing awareness of the struggles facing way to augment existing support programs. Michigan which has no active-duty military National Guard veterans, our team of researchers, clinicians, and military installations, but a relatively large National leaders in Michigan felt compelled to respond. After several years Guard presence was rife with opportunities of close collaboration we developed what is known as Buddy-to-Buddy, to serve returning veterans. In 2005, faculty at Michigan State University (MSU) began an innovative peer support program carefully tailored to meet the developing tailored programs for returning challenges and needs of our National Guard veterans. veterans and their families through what are known as Reintegration Weekends. These variety of hurdles including concerns about can contact NG mental health personnel for NG sponsored events provide soldiers and confidentiality, ambivalence regarding treat- consultations and referrals. Such concerns their families opportunities to reconnect ment, relational issues between the NG and cover an array of matters, however, and with their “military family” while simultane- nonmilitary organizations, respect for the may include financial issues, employment ously receiving briefings and referral infor- NG chain of command, programmatic feasi- concerns, substance abuse problems, marital mation for common needs. The MSU faculty bility and effectiveness, and “in-unit” versus difficulties, and so on. sought to enhance these events by providing “out-of-unit” peers required negotiation and The second tier of volunteers consists of vet- soldiers and families with information and creative solutions. The result of these early erans no longer serving who are selected and assistance grounded in the latest research. efforts became known as the Buddy-To- supervised by VA and UM staff. These vol- At many of these events, two of Michigan’s Buddy Veteran Volunteer Program, or B2B. unteers are selected because of their demon- Vietnam veterans volunteered to provide Designed specifically for service members strated maturity, responsibility, interpersonal informal, unstructured outreach efforts to returning from OIF and OEF, we developed skills, knowledge of mental health services, soldiers, typically by giving talks about their B2B to improve outcomes by activating and trainability in more nuanced strategies own experiences with the challenges and veterans’ “military families.” for motivating soldiers to seek and remain in pitfalls of reintegration. The veterans’ talks Today, Buddy-to-Buddy is a two-tier peer- care. B2s receive two days of intensive train- had a powerful effect on soldiers as well as support program run by within-unit soldier ing, including the use of Motivational Inter- visiting faculty members, who were intrigued volunteers (Buddy Ones, or B1s) and vet- viewing (MI), an empirically validated tech- by their approach. The two veterans’ status eran volunteers external to units (Buddy nique for effectively responding to ambiva- as relative outsiders to formal systems en- Twos, or B2s). This tiered design provides a lence. B2s often interact with their assigned abled them to deliver their message of hope balance between effectiveness and the con- units at training weekends and reintegration while bypassing the resistance so common cerns mentioned above. Buddy One soldiers events, and soldiers know they can call B2s among returning veterans. Soon, University are selected because peers view them as directly if they prefer. B2s also receive sol- of Michigan (UM) and Veteran’s Administra- informal leaders to whom they willingly dier referrals from B1s, military chaplains, tion (VA) investigators joined the MSU fac- turn for advice or support. These volunteers commanders, family service organizations, ulty at reintegration briefings, and by 2008, receive roughly four hours of training on and other sources. Each Buddy Two receives discussions about more deliberate outreach the Buddy-to-Buddy program, their roles as weekly supervision teleconferences with an programs based largely on the concept of B1 volunteers, open-ended questioning and experienced clinician in the VA. peer support were ongoing. The collaboration reflections to sustain and enhance conversa- buddy-to-buddy continued on page F4 family focus // spring 2012 F3
  • 4. Family Focus on... Military Families Advice to the therapists working with military families by Angela J. Huebner, Ph.D., Associate Professor, Department of Human Development, Virginia Tech, ahuebner@vt.edu The military conflicts in Iraq and Afghani- emotions can shift into feelings of indepen- access to a wide vari- stan mark the first time in our nation’s dence and control as the deployment wears ety of mental health history of military service that we have on. Finally, reintegration occurs when the supports. These sup- attempted to maintain such an involved service member returns to the United States ports can include forward deployment with an all-volunteer and is reunited with his or her loved ones. counseling through force. To date, about 1.8 million troops have This period may start as a honeymoon, but behavioral health, been deployed. This translates into 2.7 mil- end in the reality of renegotiating roles and chaplains, or Military lion family members who have experienced getting to know each other once again. OneSource. Despite separation from their service member for Service members ranked deployment length the availability of sup- extended periods of time. and family separation among their top ports and the docu- Angela Huebner noncombat-related stressors. Other studies mented impact of the The experience of deployment can be di- have documented the impact of deploy- stressors of deploy- vided into three distinctive phases, each ment on family members, noting the shifts ment, studies suggest that service members with its own associated stressors and emo- and their families are often hesitant to seek tions. First, predeployment begins when the needed for adjustment. For some children and youth, parental deployment has been mental health services. Service members service member receives his or her orders. associated with depression, anxiety, lower cite concerns about confidentiality, fear of It typically involves extended training and appearing weak, and negative repercussions preparation for the upcoming mission. Fami- grades in school, and increased familial conflict. Deployment has also been linked to on career advancements (including threats to lies may become more distancing and argu- depression, anxiety, isolation, and sadness security clearance) as reasons for not seek- mentative during this phase of deployment ing mental health support when needed. as they vacillate between denial and sadness for some nondeployed spouses. Not surpris- about the service member’s departure. Sec- ingly, the adjustment of the at-home parent Therapists outside the military community ond, deployment occurs when the service (the nondeployed spouse) has repeatedly can be a valued support to service members member begins his or her actual mission in been shown to have the greatest impact on and their families precisely because they are or in support of the theater of war. Families the overall adjustment of the children. unaffiliated with any military branch. This typically experience a wide variety of emo- Depending on their geographic location, nonaffiliation can be helpful in assuring tions during the actual deployment including service members and their families can have confidentiality but it may also be accompa- relief, sadness, numbing, or anxiety. These nied by a lack of understanding about the military culture, which can compromise the buddy-to-buddy continued from page F3 therapeutic alliance. B2s encourage soldiers to open up about for several thousand veterans, qualitative in- Understanding Military Culture their problems, seek help when needed, and terviews of soldiers, leaders, and key infor- How can therapists become the “inside” remain in care if necessary. They also pro- mants in the program, and analysis of health outsiders for service members and their vide soldiers with confidential information data. Preliminary data is already enabling families? The following suggestions are about a wide range of resources, all without the Michigan National Guard to improve the designed to familiarize the militarily naïve involving the chain of command. program’s reach and effectiveness. The data therapist to the military culture and potential issues of special concern for military service After the initial development and implemen- are also providing encouraging evidence that members and their families. tation of the B2B peer-support program, the the concept of an extended “military fam- Michigan Army National Guard assumed ily” can help struggling veterans survive and One of the most important things to recog- control of the program and has assigned even thrive under truly challenging circum- nize when working with military service an officer and noncommissioned officer to stances. We hope to continue supporting this members or their families is what has been conduct training and implementation. NG wonderful group well into the future through termed the “warrior ethos.” Service mem- Bureaus in other states have expressed inter- our close relationship with the National bers and their families pride themselves on est in the program and efforts to disseminate Guard. While we do not wish to supplant the their strength and ability to successfully Buddy-to-Buddy are ongoing. We are cur- role of family in providing support, we hope confront challenge. The notion of asking rently conducting a multistate evaluation of to extend the picture to include the valuable for help or support often carries with it the the program, including longitudinal surveys support found among close peers.  stigma of weakness. In our studies, service F4 family focus // spring 2012
  • 5. Family Focus on... Military Families advice to therapists continued from page F4 advice to therapists continued on page F5 posts. Those in the Navy are called sailors majority have been involved in or witnessed and their installations are referred to as trauma but may not be willing to share this members have reported concerns about bases. Marines are affiliated with the Navy information unless explicitly asked. The appearing weak in front of their peers or but are referred to as Marines. Those in the service member and his or her family need commanders; commanders have reported Air Force are airmen or airwomen and their to know that you are aware of the reality of concerns of appearing weak to their subor- installations are also called bases. Referring combat exposure and that you can handle dinates. In a culture where respect and team- to someone in the Army as a sailor or to hearing about it. work reign, such fears are not unwarranted. someone in the Navy as a soldier lessens the Depression and Suicide No one wants to be considered the “weakest therapist’s credibility and can be interpreted The growing rate of suicide in the military link” and many believe their families to be as disrespectful. has received increased attention. Given the a direct reflection on them. These beliefs, which help make our military strong, can A service member’s rank can provide infor- warrior ethos, it is not surprising that service also place service members in a double bind mation about his or her education, income, members would be hesitant to talk about when they do find themselves in need of and job description. For example, those suicidal ideation even if it were occurring. support, especially when that support entails in the enlisted ranks usually have no prior Again, be specific in asking about this. mental health services. It is imperative that college degree. Commissioned officers Survivor Guilt therapists have an awareness of this tension have either completed a college Reserve Many service members may be experiencing if they are to successfully work with military Officers’ Training Corps (ROTC), a degree survivor guilt. “Why did my comrade step service members and their families. from a U.S. service academy, or officer on the IED and I didn’t?” “Why did their training school. Noncommissioned officers convoy get attacked and mine didn’t?” It is As with any culture, the military has its own have ascended up the ranks from enlisted to set of acronyms and terms that flow through- out their everyday conversations. While it is not necessary to become completely Identifying service members by their proper branch is a sign of respect. fluent in “military-ese,” an understanding For example, those in the Army are called soldiers and their installations of common terms can go a long way in are referred to as forts or posts. Those in the Navy are called sailors establishing a therapeutic alliance. Several and their installations are referred to as bases. Marines are affiliated websites provide excellent primers in this regard (e.g., http://www.militaryfamily.org/ with the Navy but are referred to as Marines. Those in the Air Force are get-info/new-to-military/military-culture/). airmen or airwomen and their installations are also called bases. Referring Some frequently used terms include: OEF to someone in the Army as a sailor or to someone in the Navy as a soldier (Operation Enduring Freedom); OIF (Op- lessens the therapist’s credibility and can be interpreted as disrespectful. eration Iraqi Freedom); PCS (Permanent Change of Station or moving to a new loca- enlisted officer status, but they still remain important to explore this issue and to help tion); TDY (temporary duty going away for part of the enlisted culture. In establishing the service member make sense of the expe- a conference, education, or training); MOS a therapeutic relationship, it is important to rience and surrounding feelings. (Military Occupational Specialty); CONUS acknowledge the rank initially (as a sign of (located in the continental United States); History of Trauma (Military and Nonmilitary) respect), then to make it clear to the client As suggested above, ask about trauma ex- OCONUS (located outside the continental that you view him or her as a person, rather United States); IA (individual augmentee,  posure experienced during deployment. But than a position. don’t limit the inquiry to this period of time. a service member who is deployed with a unit other than the one with whom he or Assessment According to Seifert and colleagues (2011) she has trained); FRG (Family Readiness Several specialized areas of assessment may 46% of service members report a history of Group, provides support for spouses and be needed in working with military service childhood physical abuse; 25% report both families left behind, especially during de- members and their families. Note that these physical and sexual abuse. Those who expe- ployment); and “in theater” (in the location suggestions are meant to supplement regular rienced both have a higher rate of develop- of the conflict or battle). assessment of strengths and social supports ing PTSD. Additionally, for female service as well as issues of depression, ATOD, members, it is important to query about their Each service branch brings with it its own violence, and the like as appropriate for the experiences of sexual harassment or assault culture and pride. Each specializes in dif- presenting issue. during deployment. Murdoch and colleagues ferent contexts of battle (land, sea, sky) and (2003) reported that incidents of sexual ha- Deployment Experience each operates different lengths of deploy- rassment were reported by 80% of the mili- Ask the service member about his or her ex- ment, ranging on average from 6-15 months. tary women in their study. In other studies, perience with deployment. Ask specifically Identifying service members by their proper researchers have suggested that 28%-30% of about combat exposure and trauma expo- branch is a sign of respect. For example, female service members have experienced a sure. Estimates are that between 77%-87% those in the Army are called soldiers and rape while in military service. of OEF and OIF veterans had combat expo- their installations are referred to as forts or sure (i.e., shot or were shot at). Thus the vast advice to therapists continued on page F6 family focus // spring 2012 F5
  • 6. Family Focus on... Military Families Military Families Internship: Strengthening families and communities by Sally Koblinsky, Ph.D., professor, koblinsk@umd.edu, and Zainab Okolo, M.A., undergraduate coordinator, University of Maryland, College Park, When men and women serve our country, Multiple and longer deployments strain their families also serve. Supporting and families, especially when the stress of war strengthening military families is now a affects a service member’s reunification national priority. Fewer than 1% of Ameri- with family members and readjustment to cans have served in the armed forces during civilian life. Some post-9/11 veterans have the last decade, yet they and their families sustained serious physical injuries, including have borne the burdens of our nation’s lon- amputations and traumatic brain injuries. gest period of continuous conflict. Among Others have unique behavioral health needs. our current troops, 55% are married and more According to a RAND study of military than 40% have children. Although family members who served in Operation Iraqi Sally Koblinsky Zainab Okolo separations are an intrinsic component of Freedom (OIF) or Operation Enduring Free- military life, the post-9/11 wars have been dom (OEF), one in five reports symptoms of problems among military children and more characterized by special challenges, includ- post-traumatic stress disorder or depression. mental health diagnoses among Army wives. ing the increased number, length, and unpre- Greater cumulative length of deployments While our U.S. military continues to recruit dictability of deployments. has also been linked to more emotional internship continued on page F7 advice to therapists continued from page F5 person. Unprecedented access to the Internet Such experiences may be particularly dif- they being physically aggressive with others and cell phones even in theater makes such ficult for female service members to make or getting into physical fights? concerns real. Be ready to assess for Internet meaning of, given that the assault came Risk-Taking Behavior pornography use and potential addiction. from those who were supposed to be on Many returning service members report their side. Financial Difficulties difficulty adjusting to “normal life.” After It is not uncommon for families to experi- PTSD Symptoms having survived at a heightened sense of ence great changes in their family income Check for symptoms of PTSD, noting even alertness for such an extended period of during deployment. Finances can often subclinical levels and their impact on the time, a service member may be tempted to become a point of tension. How have money service member’s behavior and interactions engage in risk-taking behaviors in an effort issues been handled during the deployment? with others. Also be mindful of the impact to get the adrenalin rush that was such a part Are couples able to communicate about their of vicarious trauma among family members of everyday experience in theater. These needs and the status of their finances? of service members. behaviors may be consciously intentional or not, but can include driving recklessly, not Youth Internalizing and Drug Use Externalizing Behaviors wearing a motorcycle helmet, drinking too Assess the client’s use of licit, illicit, and Explore changes in behaviors and emotions much, engaging in fights, and taking other prescription drugs. Remember that admis- among the children in military families. Fall- chances. sion of use of illicit drugs can be grounds ing grades, withdrawal, depression, anger, for discharge, so service members may be Couple Communication How often were the service member and and sleep issues are all common responses particularly hesitant to be honest about their to deployment. Some studies suggest that use. Don’t forget to ask about prescrip- spouse able to communicate during deploy- ment? How well do they communicate now youth have more difficulty with the re- tion drug use, both in theater and at home. integration phase of deployment than do Spouses may also have turned to drug use as that the service member has returned home? Look for changes from predeployment to parents, in part because they are concerned a coping response during the deployment. about the potential for redeployment. reintegration phases. Sleep Habits Summary Infidelity (Physical and Emotional) Check with service members and spouses The need for military-savvy therapists has During long separations, the threat of infi- about their sleeping habits. Disrupted sleep never been greater as the stress of repeated delity is high on both service members’ and can be sign of PTSD and other issues. deployments takes its toll. Knowing some- spouses’ minds. Normalizing these concerns Anger/Rage thing about the culture and specific issues and assessing for extramarital relationships Check to see how service members are can go a long way in brokering the relation- is important. Note that such relationships ship of mutual respect needed for a success- managing any issues with anger. Are they can be Internet-based, with emotional at- ful therapeutic experience.  verbally lashing out at family members? Are tachments formed at long distances or in F6 family focus // spring 2012
  • 7. Family Focus on... Military Families internship continued from page F6 a first-rate, volunteer force and large num- gram leaders, researchers, and family mem- military bases and military-focused agen- bers of military families exhibit resiliency, it bers together to identify ways to increase the cies had previously accepted our students is important that family professionals better effectiveness of military family support and as interns, most students’ lack of familiarity understand the challenges faced by military readiness programs. Our program also com- with military culture and lifestyles created families and apply this knowledge to im- plements two other internship programs in a steep learning curve that limited their con- proving their well-being. the USDA/DoD Military Extension Part- tributions to the internship sponsor. he T nership that recruit interns from across the current demands on military agencies further Military Families Internship nation. Purdue University’s 4-H Military In- restricted the amount of time they could One of the challenges involved in promoting devote to sifting through student requests to resiliency among OIF/OEF military person- ternship places student interns in child care and youth programs on military bases in the intern at their sites. nel and their families is the short supply of family science and behavioral health profes- United States and overseas. North Carolina To address these issues, family science sionals who have been trained to identify State University’s Project Y.E.S! (Youth Ex- faculty initiated contact with nearby military and meet military family needs. To address tension Service) engages students in a year bases, health centers, and agencies serving this shortage, the University of Maryland’s of service to provide youth development military families to solicit their interest in Department of Family Science created a programs for military children nationwide. hosting an intern. We informed potential Military Families Internship program in fall of 2011. This internship prepares senior One of the challenges involved in promoting resiliency among family science students to enhance the readi- OIF/OEF military personnel and their families is the short supply of family ness, resilience, and well-being of service science and behavioral health professionals who have been trained members, veterans, and families. Students receive training to help military families to identify and meet military family needs. To address this shortage, the deal with deployments and family reunifica- University of Maryland’s Department of Family Science created tion, gain access to services and benefits, a Military Families Internship program in fall of 2011. and advocate for their needs. Major goals of the program are to:  Increase students’ knowledge about mili- While Maryland’s Military Families Intern- supervisors/mentors that all prospective stu- tary culture and military family strengths ship shares many of the goals of the national dents would be screened by our internship and challenges; programs, it recruits students from our uni- directors and matched with bases/agencies  Familiarize students with the range of pro- versity and puts them to work with military seeking their skills. All of the interns were grams and services available to military families in the local community. Students required to complete an online, 10-module, families; gain real-world experience with military Military OneSource course on military cul-  Develop students’ skills for planning, culture and increase community capacity to ture and military families (at no cost) prior foster and sustain resilient military families. to beginning their internships. As in our implementing, and evaluating programs Maryland’s internship places some students larger internship program, Military Family that support military families and military in military child/youth programs, but also Interns must complete a contract with their children/youth; prepares students to work with military supervisor/mentor specifying professional  Improve the capacity of local communi- families in family readiness and human learning goals, career fit, internship duties, ties to serve military families; service and family life education programs a supervision plan, and a schedule for prog-  Build and enhance university partnerships that focus on health, financial management, ress reviews. with state military installations, military housing, employment, parenting, caregiving, health centers, health/social service agen- During their placement semester, students and other family issues. The program is one cies, and nonprofits addressing military attend bi-weekly seminars taught by fam- model for land grant and other institutions family needs; and ily science and other university faculty who seeking to strengthen community capacity-  Increase the number of family science are engaged in research and service projects building in support of military families and professionals in the workforce who have involving military families. Seminars pro- develop a local workforce of professionals the knowledge, skills, and experience to vide an opportunity for students to share prepared to meet military family needs. assist military families. their experiences and to learn about timely Internship Basics military issues, such as effects of the de- The goals of our internship program ad- The Military Families Internship was an ployment cycle on families, post-traumatic dress major priorities of the recent National outgrowth of our required senior internship stress disorder, traumatic brain injury, and Leadership Summit on Military Families. In program in family science. After taking pre- evidence-based interventions for building 2009, the University of Maryland partnered requisite courses in family science and hu- family resiliency. Local experts who direct with the Department of Defense (DoD) and man services, students complete a capstone, military youth programs, behavioral health the U.S. Department of Agriculture (USDA) 120-hour (minimum) internship where they internship continued on page F8 to bring military family policy makers, pro- apply classroom learning in professional positions in the community. Although a few family focus // spring 2012 F7
  • 8. Family Focus on... Military Families internship continued from page F7 initiatives, and family support activities and organizes warrior visits for distin- Wood Johnson Foundation to coordinate and present their work at the seminars. A panel guished leaders and visitors. strengthen military and civilian services for of the university’s veteran students also of- troops, veterans, and their families. The in- Easter Seals Military Families fers advice on working with military fami- tern is helping to map community resources Respite Program lies. Finally, interns complete a journal and a and create a user-friendly, online navigator Easter Seals interns work with a respite care poster project that enable them to reflect system that will enable military families to program for military families who have on their work as emerging professionals ad- locate and access needed services. children with disabilities. They acquaint dressing military family needs. military parents with the program, recruit Other internships engage students in a va- We began recruiting students for the Mili- caregivers, provide training on quality child riety of military family activities, including tary Families Internship in the fall of 2011. care, and make unannounced site visits to organizing family health/wellness work- Forty-five students applied for the 20 place- evaluate respite caregiver interactions with shops; developing and implementing curri- ment sites. The authors interviewed all children. cula for Operation Military Kids/4-H pro- applicants to assess their interest in military grams; working with families on financial Operation HomeFront families, familiarity with military life (e.g., management; creating a peer support and Operation Homefront internships involve parent or spouse in the armed forces), and advocacy network for women veterans; and identifying services and sources of emer- relevant experience. The response of one helping service members reintegrate into gency financial aid for families of deployed student was representative of the group: “I civilian and family life. service members and wounded warriors dur- realized that these guys are my peer group ing their period of recovery and transition. Conclusion … and they’ve been through so much. … Interns assess service member and family University of Maryland’s Military Families I feel like working with wounded warriors needs, acquaint them with community re- Internship program can be replicated by oth- and their families is a way for me to give sources, organize family events, and monitor er colleges/universities interested in serving back.” One of the student interns is an Air use of transitional housing. military families in their local communities. Force veteran and several have relatives in The program educates students about mili- the military. Many of the students who were Ft. Meade Army Community Service tary family strengths and challenges, pro- not selected (generally because they were Interns at Fort Meade work in the cultural vides opportunities for meaningful service, not graduating in May 2012) will serve as awareness, employment readiness, mobi- and prepares family professionals to meet interns in summer or fall 2012. We also have lization/deployment, or volunteer services military family needs. Through the work of plans to increase our military internship sites program. Two students are planning military student interns, communities increase their and expand the program to seniors in public family readiness activities, including classes capacity to improve military families’ well- health. that introduce families to the culture of being. Although many institutions may not Afghanistan and programs for children/youth Internship Placements have the diverse network of military bases whose parents will soon deploy. Another stu- Our Military Family interns are serving in and agencies found in the Maryland-Wash- dent is developing onsite and online volun- a variety of military and civilian organiza- ington, D.C., area, most communities have teer programming for base families, as well tions, including Walter Reed National Mili- veterans’ groups, behavioral health agen- as helping to plan and evaluate a volunteer tary Medical Center, Fort George G. Meade, cies, or youth programs that serve military services fair. These interns also work with Andrews Air Force Base, Operation Military families, including the National Guard and family support groups and connect military Kids/4-H, Operation Homefront, Operation reserves. A community-based military in- spouses to programs that address their em- Second Chance, Easter Seals Military and ternship program can provide students with ployment, education, and health needs. Veterans Services, Women Veterans Interac- valuable knowledge, skills, and apprecia- Serving Together tion for the dedicated service of our nation’s tive Foundation, Serving Together/Mental The Serving Together intern participates in military families.  Health Association of Montgomery County, a county-wide project funded by the Robert University of Maryland Office of Veteran Student Life, and the Maryland Department of Health and Mental Hygiene. Below are brief descriptions of selected internships: Walter Reed Warrior Family Coordination Cell The Walter Reed internship involves ad- dressing the daily needs of wounded war- riors and their family members in inpatient and outpatient settings. The intern also plans and coordinates events for warriors and fam- ily members, works with nongovernmental organizations assisting wounded warriors, F8 family focus // spring 2012
  • 9. Family Focus on... Military Families World War II in people’s lives by Ralph LaRossa, Ph.D., Professor of Sociology, Georgia State University, rlarossa@gsu.edu Seventy-some-odd years ago, in the wake employer (e.g., in one of its ads, the Ameri- Several years ago I of the December 1941 attack on Pearl Har- can Thermos Bottle Company, manufacturer embarked on a proj- bor, the United States of America became of vacuum bottles and lunch boxes, claimed ect to research World a combatant in World War II. The country that “the man with the lunch kit and the man War II. I wanted to would remain at war until 1945 when first with the gun are equally vital to America’s better understand Germany and later Japan surrendered. In war effort”). Children, too, contributed to what the war meant commemoration of the war, many in the the war effort by being messengers in the for fathers and their United States and throughout the world will U.S. Citizens Defense Corps and by solicit- families. The project periodically stop and think about the war’s ing monetary donations as “Victory Volun- began as a sequel of battles and its overall impact. What we will teers” (“Won’t you buy a war bond, Mister, sorts to a book I had Ralph LaRossa remember will include (but not be limited so’s my Daddy can come home?”). written on the history of fatherhood during to): Presidential Executive Order 9102 the Machine Age (1918-1941). Quickly, In short, the majority of Americans during (signed into law in March 1942) establishing however, the venture expanded to include World War II, regardless of whether they the War Relocation Authority and leading a lot more than this. The conversations I were in the armed forces, lived with the war to the imprisonment of more than 110,000 had with my parents about the war did little on a regular basis. “Military families” thus resident Japanese men, women, and chil- to prepare me for the heart-wrenching and included not only those that happened to dren (many of whom were U.S. citizens); heartwarming stories I came across. have a son or father or uncle (or daughter or the congressional debate (in the spring and mother or aunt) in uniform, but also those in What stood out were both the magnitude summer of 1943) over whether the six mil- which a member of the family was engaged of the conflict and the enormity of its reach. lion fathers who had conceived a child on or in war-related work. My parents’ war was not a confrontation that before the date of the Japanese attack should touched only a fraction of the population continue to be exempted from the draft Postwar conversations about while the rest of the country remained largely (eventually it was decided that they should the war thus could be difficult, not just unscathed. Rather, as its name implies, World be among the pool of potential recruits); War II was a full-scale conflagration, the the Allied invasion of Normandy, otherwise for the men who did not consequences of which are still being felt. known as D-Day (in June 1944); the battle want to dwell on the terrible of Okinawa (April to June 1945); the fall Central to understanding World War II was of Berlin (in May 1945); and the dropping things they saw and were forced the diversity of people’s experiences. Some of atomic bombs on Hiroshima and Naga- to do, but also for the men who have suggested that the singular impact of saki (in August 1945), which ushered in the the war on the domestic front was the eco- could not honestly offer the tales Nuclear Age and redefined what it meant to nomic boom that it initiated and the speed destroy something. of bravery that family and friends with which it put Depression-era men back so much wanted to hear. to work, as if war was only about gross With the United States currently at war, national production. Men in the 1940s also we can appreciate, to some extent, what My father served in World War II (as an Air have often been characterized in monochro- Americans were confronted with in the Corps radio man on B-series bombers). So, matic terms, with the impression given that 1940s. But we must understand, too, that the in a way, did my mother, in that she was all were (a) drafted or volunteered, (b) sent breadth and depth of World War II put it in employed for a while in a Brooklyn factory overseas and into combat, and (c) welcomed an entirely different realm. Today, approxi- that manufactured gyroscopes for planes home as heroes when they returned. Such mately 1.5 million men and women are on and ships. I remember as a child asking my generalizations, however, ignore the myriad active duty. During World War II, more than parents about the war and being captivated ways that the war was felt and perceived and 16 million were. Today, tens of thousands by what they had to say. I remember, too, the significant differences that existed from of civilians are engaged in homeland secu- playing war games and simulating combat one group to the next. The social meaning of rity (particularly at airports and seaports). with my elementary school buddies in the World War II varied substantially by (among During World War II, the number was sig- small field across the street from the house other things): race, ethnicity, social class, nificantly higher, especially if we take into where I grew up. My friends and I would gender, age, geography, religion, whether account those who worked in munitions “shoot” at each other and, every now and one had or had not seen combat, and the par- factories (e.g., “Rosie the Riveter”) and the then, fall down and pretend to be dead, only ticular relationship one had with the casual- fact that everyone had to ration and get by to miraculously arise a few seconds later ties (e.g., as a father or mother or sibling of with less. In the 1940s, even if a person’s to fight again. Little did we realize how far a soldier who died or who was injured). job did not seem to be connected to the war, removed our antics were from the actual a link nonetheless was often made by an horrors of battle. world war II continued on page F10 family focus // spring 2012 F9
  • 10. Family Focus on... Military Families world war II continued from page F9 One thus cannot talk about the war’s eco- nomic effect without acknowledging the Japanese Americans who, in U.S. govern- ment-sponsored roundups, were forced to abandon their homes and leave behind most of their possessions, and who, upon their release years later, were unable to return to the jobs they once had or find new jobs com- mensurate with their skills. As one Japanese American woman reported, “My father kept looking for work [after the war], and guished themselves on the battlefield. Said a but also for the men who could not honestly he couldn’t find anything. … He never was corpsman who was wounded on D-Day, “No offer the tales of bravery that family and able to get back on his feet. …” one asked me if I was gay when they called friends so much wanted to hear. Nor can one speak of the pride that men out ‘Medic!’ and you went out under fire Geography was a factor, too. Today, Ameri- gained from being in the military and be- and did what you were expected and trained cans in large cities are especially prone to ing given a chance to defend their country to do.” In the immediate postwar years and feel vulnerable to terrorist attacks. New without acknowledging the fact that Black especially in the 1950s, thousands of men Yorkers, many of whom personally wit- men initially were barred from enlisting, and and women, many of whom were veterans, nessed the fall of the Twin Towers, are in- that when they were allowed to participate were fired from their jobs if it was discov- clined to have a heightened sense of alarm. they were told they would have to serve in ered that they were gay. The freedoms that During World War II, Americans who re- noncombat roles. Even when African Ameri- many had fought for were not made avail- sided in cities and towns on the East Coast cans were eventually permitted to join or be able to all. or West Coast were more likely to believe drafted (the United States could ill afford The social meaning of World War II also they were in immediate danger because of to continue to exclude them if it was to win varied by how close a person got to battle. the assumption that the country would be in- the war) and even though many were in Of the 16 million Americans who were on vaded from the sea. Their fears were fueled the thick of battle (the decorated Tuskegee active duty, only about 10% saw combat. by the buildup of shoreline artillery batteries Airmen constitute only a small proportion For these soldiers, the brutality of war was and by the success of German submarines of the Black soldiers who fought), they witnessed up close. One infantryman, who in waters around America’s harbors. In early were not revered when they returned, as had seen action in the Pacific, wrote in a 1942, U-boats patrolling off the East Coast White soldiers were, but sometimes were letter to his father and mother about “mor- sank 216 ships, and it was not uncommon scorned. To cite but one example, in 1946, tar shells dropping in on heads and ripping for bodies from the torpedoed vessels to Isaac Woodward, traveling in uniform, was bodies” and how “faces [were] blown apart wash up on shore. We can only imagine on his way home by bus to South Carolina by flying lead and coral” on the beach. “The what it was like for World War II-era fami- and, at one point, asked the bus driver, who Catholic Chaplain,” the son reported, “was lies to stroll on the beach, ever watchful of was White, if it would be possible to stop killed as he was blessing each foxhole. An what they might find in the sand. the vehicle so he could use the bathroom. “Hell no!” the driver told him. “Dammit,” artillery shell cut him in half at the waist.” More than 400,000 U.S. soldiers were killed Woodward replied, “you’ve got to talk to me Some soldiers, though near battles, were not in World War II. Kids suffered the loss of like a man.” Furious that Woodward would in any immediate danger, while others, far their parents and siblings; parents grieved the challenge him, the driver called ahead to the away from the front lines, never fired their loss of their children. Yet another gruesome police who at the next stop beat Woodward weapons or were fired upon. Youngsters statistic in the arithmetic of war is the number so hard as to render him blind. often wanted to know what their fathers did of soldiers missing in action, lost at sea, or interred as unknowns. (A mother, mourn- Consider, too, that although the armed forces in the war. In many cases, they yearned to learn whether their fathers had killed any- ing her child, exclaimed, “If they could just were (by law) desegregated in 1948, the one. Not fully appreciating the import of find him so I could bury him I don’t want the privileges that White veterans enjoyed were what they were asking, the children hoped in birds picking on his body.”) To this day, the not offered in equal measure to Black veter- remains of over 70,000 American G.I.s from ans. G.I. Bill benefits, which provided educa- their hearts the answer was yes. One young World War II have never been officially re- tional and housing opportunities for millions man, finding out that his dad was not in covered or identified. For the families of these of White veterans, were frequently denied to combat, said that he “felt cheated.” (“After everything the rest of us went through so veterans, the war, in some ways, is not over. Black veterans. New York’s famed suburb, Levittown, which began construction in 1947 he could go off the war, he never even got Note and flourished throughout the 1950s, system- shot at.”) Postwar conversations about the This essay draws on the research and refer- atically excluded African American families. war thus could be difficult, not just for the ences reported in Ralph LaRossa, Of War men who did not want to dwell on the ter- and Men: World War II in the Lives of Fa- Gay soldiers also fought in World War II, rible things they saw and were forced to do, thers and Their Families (2011).  as they had done in wars before, and distin- F10 family focus // spring 2012
  • 11. Family Focus on... Military Families Military service and the life course: An assessment of what we know by Jay Teachman, Ph.D., Professor of Sociology, Western Washington University, Jay.Teachman@wwu.edu Over the last 60 years, at least 1.5 million Crime and Delinquency vein, it is important military personnel have been on active duty Research on crime and delinquency illus- to note that variation in each year, affecting 10% to 70% of rel- trates well the importance of time and place and changes in the evant birth cohorts. The peak participation when considering the impact of military ser- civilian environment figures are for birth cohorts affected by war vice. The available literature suggests that facing veterans and and large-scale conscription (World War service during World War II acted to reduce non-veterans may be as II, Korea, Vietnam), but military service is the likelihood that veterans would engage in important to consider common even for peacetime birth cohorts. criminal or delinquent behavior (Sampson as variation and change For example, a recent study estimates that & Laub, 1996). For veterans of the Vietnam in the military environ- 17% of Black men and 14% of White men era, however, this was less true, and there is ment that act upon Jay Teachman born 1965-1969 have served in the military even some evidence that Vietnam veterans veterans. Thus, alterations in civilian oppor- (Pettit & Western, 2004). If men experienc- were more likely to abuse alcohol and drugs tunities for educational and economic suc- ing incarceration are excluded, nearly one than nonveterans (Bouffard & Laub, 2004). cess are likely to be as important as changes in four Black men of this generation has More recently, veterans of the AVF are more in the nature of selectivity into the military and the nature of military service. As we An often-ignored fact is that the military remains the single largest shall see, points two and three are important employer of young men in the United States. Thus, military service is not considerations for other outcomes of mili- tary service. an anomaly or an isolated event in the transition to adulthood, even during the All-Volunteer Force (AVF) era; it is a common event that occurs Marriage, Divorce, and Cohabitation An important component of the life course at ages during which many men (and increasingly women) are involves family transitions. Most research making decisions about education, careers, and intimate relationships. in the field has tied military service to the likelihood of divorce, with much less atten- served in the military. An often-ignored fact likely to experience contact with the legal tion being paid to marriage or cohabitation. is that the military remains the single largest system than comparable nonveterans (Bouf- Moreover, much of the literature tends to be employer of young men in the United States. fard, 2005). contradictory. For example, one study found Thus, military service is not an anomaly or that military service during World War II As important as it is, the available research raised the risk of divorce (Pavalko & Elder, an isolated event in the transition to adult- is limited in several ways. First, the data 1990), while another finds a decreased risk hood, even during the All-Volunteer Force sources for earlier cohorts of veterans are of divorce for the same period (Ruger, Wil- (AVF) era; it is a common event that oc- restricted to small, specialized samples. son, & Waddoups, 2002). Such variations curs at ages during which many men (and The limitations of these samples (lack of in findings are likely due to differences in increasingly women) are making decisions geographic, racial, and socioeconomic varia- datasets and analysis procedures and high- about education, careers, and intimate re- tion) make it difficult to identify the true light the difficulty in specifying an effect of lationships. Military service also occurs at pattern of change across time. Second, these military service on life course behavior. an age when service members are forming studies continue to struggle with appropri- lifelong habits that will affect their health in Research on veterans of the Vietnam era ate procedures to deal with selectivity into the future. tends to be more consistent. This literature the military. This is an especially important Given the continuing importance of mili- concern for any life course outcome given generally finds that service during the Viet- tary service in American life, it is important the fact that the military has always screened nam era had little to no effect on risk of to understand its relationship to important recruits on criteria such as health, education, divorce (Ruger et al., 2002). The literature components of the life course. In this report mental aptitude, and criminal history. This is also reasonably consistent in finding that I consider the relationship between military means that military recruits are far from be- combat exposure increases the risk of di- service and several life course outcomes, ing a random subset of all Americans. Third, vorce among veterans of this era. Evidence including crime and delinquency; marriage, the mechanisms through which military for the post-Vietnam era indicates that di- divorce, and cohabitation; socioeconomic service may influence crime and delinquen- vorce rates while serving in the military are attainment; and health. I also indicate some cy remain poorly specified, both within and generally lower than for comparable civil- important limitations in our knowledge base. among different cohorts of veterans. In this the life course continued on page F12 family focus // spring 2012 F11
  • 12. Family Focus on... Military Families the life course continued from page F11 ians, particularly for Black men (Lundquist, (Fredland & Little, 1980). More recent Health 2006; Teachman, 2008). After active-duty research, however, has found little impact A large body of literature has investigated service, though, there appears to be little dif- of service during World War II on income, the health consequences of military service. ference between veterans and nonveterans in largely due to increased awareness of the Much of this research focuses on PTSD and the risk of divorce. need to control for selectivity (Teachman the negative effects of combat. Irrespective & Tedrow, 2004). That is, veterans would of historical era, combat is positively linked The literature pertaining to military service, have earned more than nonveterans even if to PTSD and other negative health effects marriage, and cohabitation is limited. The they had not served. An exception occurs for (Dobkin & Shabani, 2007). Other research available evidence suggests that rates of Black veterans and veterans with little preser- has linked military service during times of marriage are particularly high during active- vice education. Minorities and lesser educat- combat to excess mortality later in life (Be- duty military service in the AVF era, with ed Whites appear to gain some benefit from dard & Deschenes, 2006). The link between Blacks being as likely to marry as Whites, military service irrespective of selectivity. combat, PTSD, and mortality is not unex- contrary to the case for civilians. In addi- pected and its pervasiveness across different tion, the evidence indicates that men serv- This pattern of findings–little to no positive cohorts of veterans speaks to the powerful ing on active duty are much more likely effect of military service on income except impact that highly stressful military service than civilian men to choose marriage over for disadvantaged groups–is repeated for can have on the lives of veterans. cohabitation, and active-duty military ser- both the Vietnam and AVF eras (Teachman, vice is strongly linked to the likelihood that 2004; Teachman & Tedrow, 2007). Indeed, A strength of this literature is that it identi- cohabiting unions will be converted into for both eras, White men saw declines in fies mechanisms through which military marriages rather than dissolved. Active-duty their civilian incomes as a result of military service negatively affects health. The nega- military service thus appears to be support- service, even when controlling for selectiv- tive mental health effects of experiencing ive of marriage. ity. Other research has also found similar combat have been well-identified and ex- results for education only minority men ist across all cohorts of military veterans. The literature linking marriage, divorce, and In addition, the excessive use of tobacco seem to have benefited educationally from cohabitation is limited in several fashions, among men in the military is a contributor military service (Teachman, 2005). An ex- though. First, it is difficult to obtain con- to their excess mortality (Bedard & De- ception to the pattern for education occurs sistent data on these important family life schenes, 2006). A variety of research has for veterans of World War II, however. The course statuses across different historical clearly shown that military service is related availability of the G.I. Bill appears to have eras. Only more recently have event history to abuse of tobacco and alcohol products. increased the level of education obtained by data collecting the dates of important transi- Some authors have also tied military service veterans of this era (Stanley, 2003). tions for nationally representative samples to risk-taking behaviors that impact mortal- become available. Second, the mechanisms Even though much has been learned, this ity through accidental deaths (e.g., speeding, linking military service to these family life body of literature too is limited in many motorcycle riding). course events remain unclear. While active- ways. First, there remains a lack of data that duty service appears to spur marriage, at can be used to compare the consequences of Nevertheless, a significant gap in the litera- least for more recent cohorts, the mecha- military service across different eras. This ture exists, in that there is very little re- nisms by which this occurs remain opaque makes it difficult to understand why changes search that addresses the health implications and crudely measured at best. Third, it is not in the consequences of military service may of noncombat military service. While we known to what extent military service af- have occurred over time. Second, the num- know that veterans who experience combat fects marriage, divorce, and cohabitation af- ber of socioeconomic outcomes that have have more negative health outcomes than ter leaving active duty. Fourth, although we been investigated is limited. Income and noncombat veterans, we do not know how have begun to accumulate information about education are most commonly considered, noncombat veterans compare to the general a select number of family-related transitions, but outcomes such as occupations, wealth population. On one hand, the screening other family events such as childbearing, accumulation, and home ownership are process that selects veterans into the ser- child rearing, and kin relationships remain scarcely discussed. Third, paths of socioeco- vice suggests that they should be healthier severely under researched. nomic attainment, and the interrelationships than nonveterans. On the other hand, poor between various components of attainment health habits (use of tobacco and alcohol) Socioeconomic Attainment learned in the military may operate to negate over the life course, have largely been ig- There is a relatively rich history of research any positive selectivity effect. The existing nored. Only recently have researchers begun investigating the consequences of military literature also fails to fully consider how to move beyond static indicators of income service for subsequent socioeconomic at- variations in military service affect health. and education. Fourth, research on socioeco- tainment. Most of this research focuses on For example, are the health-related effects of nomic attainment continues to struggle with education and income. The earliest research, military service different for officers versus appropriate controls for selectivity and pre- focused on World War II, suggested con- enlisted men, for different military occu- cise specification of the mechanisms through siderable benefit to serving in the military. pational specialties, for different terms of which military service impacts postservice A number of studies found that veterans of service? In addition, with the exception accomplishments. World War II received an income premium the life course continued on page F13 F12 family focus // spring 2012