Re Deployment Leadership Training

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By: ouagnimesoro (115 month(s) ago)

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Leadership Training on Managing Re-deployment Stress: 

Leadership Training on Managing Re-deployment Stress

Overview: 

Redeployment Warrior Transition and Return and Reunion Brief Typical mental health problems seen post deployment Command interventions Avenues for assistance at home Overview

Overview: 

Overview “We should pay attention to mental health issues after deployment like we do hydration. It is every unit leader’s responsibility to look after their Marines. This should be a campaign.” Colonel Dunford Readjustment and mental health problems will occur. It is the job of the unit leaders to pay attention to this and involve chaplains, mental health and MCCS to assist.

Preparing for Redeployment: 

Preparing for Redeployment Provide an ending chapter for deployment: Let Marines know the mission is complete Summary of Accomplishments Summary of Losses Permission to regroup, grieve, close chapter Commanders Permission to stand down Set course for Transition Home

Commander’s Tools: 

Commander’s Tools Chaplain Memorial Services/Counseling Warrior Transition Process Return & Reunion Medical Officer Post Deployment Health Assessment Marine Corps Family Team Building Return and Reunion briefs for families in rear Mental Health Counseling

Warrior Transition: 

Warrior Transition Conducted by the Chaplain or someone else trusted within the unit Platoon size gatherings preferable (<40 Marines) Groups should be organic in nature Purpose: Allows Marines a chance to discuss the deployment as a group: the highs/lows, thoughts and emotions Marines are encouraged to continue talking and helping each other out at home just as they did here Unit cohesion is key Done after the RIP

Return and Reunion: 

Return and Reunion Conducted by Chaplain or someone else familiar with reunion issues Groups should be less than 100 Marines/Sailors Purpose: To provide Marines with practical information on what to expect and how to prepare for returning home Inform them of problems to look out for and where to go for help Return & Reunion for Families Provided by MCFTB/MCCS Provided prior to Marine’s return

Medical: 

Medical Post Deployment Health Assessment Has several mental health questions Marines can get counseling in Iraq if needed prior to going home A chance for the Marine to discuss any other health issues MOs will be on guard for Marines who appear to need help

Leadership Interventions: 

Leadership Interventions Regularly Visit and Assess your Marines Ask what they think about going home, etc. Use the Ramp Scale (10 = game face, 1 = relaxing at home: Are you ramping down?) Look for Marines who can’t relax or appear too keyed up Provide continual support and reassurance that they did a good job, answered their country’s call, etc.

Post-Deployment: 

Post-Deployment Post Deployment Stress Brief Provide within 45 days of return from AOR MCCS counselor, Chaplain, mental health Provide to Officers/SNCOs Leadership model: Looking for indicators in troops

Post Deployment, cont.: 

Post Deployment, cont. Ministry of Presence Utilize Chaplain to visit small units/sections and engage in informal or short lectures on Return and Reunion issues Highlight most prevalent problems Assure that reintegration can be difficult Assure resources are available and effective Chaplain can help gauge level of difficulty in transition Chaplain/RMT to make available counseling resources to all command

Post Deployment, Cont.: 

Post Deployment, Cont. Unit Function Within 60 days of return from AOR plan a Family Day or unit event to integrate returning Warriors and New joins for solidification of unit

What’s Normal and What’s Not?: 

What’s Normal and What’s Not? Normal Readjustment Most will go through some difficulties the first few months upon return Spouse/Significant other/Kids Readjust to garrison work Everyone adjusts differently at their own pace Although there will be some difficulties, serious problems do not usually occur

What’s Normal and What’s Not?: 

What’s Normal and What’s Not? Abnormal Adjustments Readjustment takes longer than normal Produce serious consequences like NJP, spousal separation/abuse, alcohol problems, legal problems, dangerous behavior They range from temporary problems to serious mental health disorders These will be seen in each battalion given human nature, deployment and combat operations

What Problems Can I Expect to See?: 

What Problems Can I Expect to See? Survey done 3 months post OIF Examined mental health symptoms reported by Marine battalions Examined how Marines felt about receiving mental health care and the barriers to care 15.6% of Marines endorsed impairing mental health problems

What Problems Can I Expect to See?: 

What Problems Can I Expect to See? Depression Feeling down or no longer enjoying things, poor sleep and appetite, low energy and activity, suicidal thoughts 7.1%

What Problems Can I Expect to See?: 

What Problems Can I Expect to See? Anxiety Worrying about multiple things, can’t control the worry, tense, on edge, poor sleep and concentration, irritable 6.6%

What Problems Can I Expect to See?: 

What Problems Can I Expect to See? Post Traumatic Stress Disorder A description of a number of symptoms that can occur after a trauma Re-experiencing the trauma: Nightmares, flashbacks, feel like you are back there Avoidance/Numbness Don’t want to talk/do anything related to the trauma Lose emotions, concerns for others and future Increased Tension Irritable, Hyperstartle, Hypervigilence, Fighting 12.2%

What Problems Can I Expect to See?: 

What Problems Can I Expect to See? Alcohol Problems Drinking more than intended: 35% Need to cut back on drinking: 29% Drove after drinking several drinks: 19%

What Problems Can I Expect to See?: 

What Problems Can I Expect to See? Aggressive Behavior Got angry, smashed something, punched a wall, slammed a door, etc. 52% Threatened a person with physical violence 54% Got into a physical fight 29%

What Problems Can I Expect to See?: 

What Problems Can I Expect to See? These problems may not be temporary, and can last for months They create serious problems for the Marine at work and at home: discipline problems, inability to complete tasks, domestic violence, alcohol related incidents The Marine needs support from his command and from professionals to recover

How Many Marines Seek Help?: 

How Many Marines Seek Help? 86% of Marines who had a serious problem recognized it However, only 45% of those wanted help 33% received help from a professional 24% received help from mental health

Why Don’t More Marines Seek Help?: 

Why Don’t More Marines Seek Help? Stigma: I would be seen as weak: 66% Leadership would treat me differently: 57% My unit will have less confidence in me: 59% It would harm my career: 47% My leaders discourage the use of mental health: 19%

What Can I Do?: 

What Can I Do? Realize that some Marines will have serious symptoms that need attention. Make yourself available to your men If a Marine asks, listen to him and take his complaints seriously. Sometimes all a Marine wants is for someone to listen, understand and not tell him he is a coward.

What Can I Do?: 

What Can I Do? Validate his concerns. “Yeah, that firefight got pretty hairy. I was scared too.” Let him know he is not weak or less of a Marine for having concerns/problems Don’t treat him any differently in front of the other Marines. Keep encouraging him and show confidence in him as a Marine.

What Can I Do?: 

What Can I Do? Keep him ingrained in the unit. Help him take take pride and comfort as part of the team. “I wish I had been untrained afterward...re-integrated and included. My regret is wasting the whole of my productive adult life as a lone wolf.” --Vietnam veteran Let your men know that it is okay to ask for assistance. Seeking help will not affect their standing in the battalion. If he wants help, tell him you are glad he is trying to better himself.

What Will We Do?: 

What Will We Do? Division Mental Health Weekly clinic and office hours at Regiments Open time in the evening where Marines can be seen without going through the chain of command Visits to Battalions: leadership, chaplain, MO Chaplains Increased office hours for walk-ins (evenings) Combat Stress Program: Counseling Services Br. Walk-in hours daily Groups, individual therapy and classes Battalion Mental Health Brief every 3 months ***List what your unit will do***

Resources: 

Resources Chaplain Religious Enrichment Development Operation (CREDO): Retreats: Personal or Spiritual Growth, Marriage Enrichment workshop, Unit team Building Community Services Anger management, Financial Counseling, Family Advocacy, Alcoholics Anonymous

RESOURCES: 

RESOURCES LIST YOUR LOCAL RESOURCES

Questions or Thoughts???: 

Questions or Thoughts???

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