Digital Commons Network^™

The Obstacles Facing Homeless Veterans With Mental Illness When Obtaining Housing, Melissa Miro

Electronic Theses, Projects, and Dissertations

This research study explored the barriers that homeless veterans face when seeking housing. The study adopted a post-positivist paradigm, and the data was collected through virtual interviews conducted on Zoom who are in contact with veterans through their employment or personal lives. The barriers mentioned in this study are the type of individual struggles that each veteran faces, the lack of communication between programs assisting veterans, veterans unaware of their services, veterans who have been incarcerated, the type of discharge the service member obtained, and programs being shorthanded. Additionally, the researcher included preferable options for veterans that included The Housing …

Veterans Treatment Court: Outreach Specialist, Francisco Narewski

Capstone Projects and Master's Theses

The Monterey Military and Veterans Affairs Office (MVAO) is a lifeline to Monterey County veterans who suffer from PTSD, substance abuse, and have fallen into the justice system due to service connected disabilities. The MVAO has a justice outreach program that includes peer mentorship. The project's purpose is to ensure that veterans comply with the rules and regulations of the Monterey County Veterans Court and graduate from the program. The current program manager is tasked with the huge responsibility of veteran advocate, court liaison, peer program manager, and Veterans Affairs subject matter expert. The next steps the agency can take …

Treating Active-Duty Military Members: Best Practices For Common Mental Health Diagnoses Across The Dod, Leah Lawson

Electronic Theses and Dissertations

Due to varying service experiences, active-duty service members endure military related stressors in addition to everyday life stressors. As a result, their risk of mental illness onset increases. Considering that many of the stressors and events are unique to military personnel, it is important to identify best-practice interventions for working with this population opposed to employing civilian best practices. The purpose of this study was to determine what treatment interventions are best-practice when working with active-duty military members diagnosed with the three most common mental disorders (e.g., adjustment disorder, depressive disorders, anxiety disorders) across the Department of Defense (DoD). This …

Combating Domestic Violence: Understanding Military Ipv And The Available Military And Civilian Ipv Interventions, Taylor Coutts

Electronic Theses, Projects, and Dissertations

Intimate relationships within the U.S. military community face domestic violence perpetration at rates three times higher than the civilian population. Currently, both military and civilian agencies work to combat this domestic violence in military relationships. However, delivery of service and intervention techniques are not universal among these providers, and because of this, gaps have been identified. This research, comprised of the nine 45-minute interviews of military agency and civilian non-profit service providers, highlighted four major themes impacting the prevention and intervention of domestic violence in military populations including prevention limitations, conflicting approaches to the truth in a case, lack of …

Loneliness As A Treatment Focus For Suicide Prevention In Airmen Who Seek Mental Health Care, Jovanna O. Gaines

Walden Dissertations and Doctoral Studies

The Department of Defense is challenged to decrease rising suicide rates in all branches of military service. Studies have consistently shown interpersonal risk factors versus intrapsychic factors as strong indicators of suicide risk, yet the practice has not focused on loneliness as a treatment focus for increased risk. This study explored clinical social workers’ view of loneliness as experienced in patients who are active-duty airmen to identify prevention, coping, and treatment strategies for managing suicides. The methodology involved a semistructured interview of 10 active duty licensed clinical social workers with greater than two years of experience working within a mental …

Secondary Trauma And/Or Potential Impacts Related To Military Family Members, Andressa Young

Electronic Theses, Projects, and Dissertations

Military members who have experienced combat deployments are at a greater risk for mental health issues. This can often affect the families who are placed in the role of being a buffer for these returning military members. Furthermore, the prevalence of mental health issues within the military community being at an all-time high has created a parallel prevalence for the family members who are impacted by these military members dealing with mental health issues. This research project examined data and information that was collected both from individual military family members and from persons who directly provide supportive services to military …

Are Social Work Services Provided To Deployed Military Families Adequate, Janet Walker

Electronic Theses, Projects, and Dissertations

This study was initiated to discover if Social Work services are as prevalent as they should be for deployed service families and troops abroad. Previous studies seem to suggest that social workers are minimally portioned without a true dedicated purpose. This study determined through input from enlisted personnel and their families what social work services are available to deployed military personnel and their families.

Deployed enlisted personnel and their families have a unique experience that from time to time cause trauma, both physical and mental. Whereas in the past, trauma was experienced only by fighting men, today’s military is multi-gendered …

National Guard Members With Suicide Ideation: The Impact Of Stigma, Mental Health, And Trauma History On Treatment-Seeking Outcomes, Amy Brown

Theses and Dissertations--Social Work

Background. Veterans are overrepresented among suicide deaths in the United States, representing 20% of annual suicide deaths but only about 1% of the U.S. population (Department of Veteran Affairs, 2010). Of all military suicide deaths in 2016, one-third (33.4%) were in the National Guard or Reserves (Department of Defense, 2018). Previous suicidal ideation or behavior (SIB) has been shown to increase risk of subsequent ideation or behavior in both active duty and veteran samples (Bryan, Rudd, & Wertenberger, 2016; Hazlett et al., 2016) but studies of SIB specific to National Guard service members were not found.

Access and Barriers to …

Military Sexual Trauma Survivors' Experiences And Perceptions Of Cognitive Processing Therapy, Sally A. Mead

Walden Dissertations and Doctoral Studies

Military sexual trauma (MST) has been associated with poor emotional and psychological well-being, less overall life satisfaction, and poorer health in general as well as higher rates of posttraumatic stress disorder (PTSD). The Department of Veterans Affairs provides treatment for veterans who experienced MST and recommends cognitive processing therapy (CPT) as a preferred treatment modality. Quantitative studies have shown that CPT can decrease symptoms of PTSD; however, a neglected area of study concerns the experiences of veterans who receive CPT for MST-related PTSD. In this generic qualitative study, the perceptions and experiences of female veterans who were survivors of MST …

Prevention Of Child Maltreatment In U.S. Air Force Families, Amber Ester Coody

Electronic Theses and Dissertations

The Department of Defense created the Family Advocacy Program (FAP) to provide primary and secondary intervention and prevention services to military families to decrease the risks of family maltreatment. This review synthesized literature to reveal how deployment, domestic abuse, mental health, and substance abuse relate to adult and child maltreatment in the armed forces. Systematic review procedures are used to evaluate nine studies meeting inclusion criteria to correlate factors significant in the increased risk of child maltreatment. Based on results, this paper discusses how FAP can effectively provide primary and secondary services by transitioning from a traditional medical model to …

The Impact Of Minnesota Warriors Hockey On Post-Military Service Reintegration: A Pilot Study, Andrew Qualy

Master of Social Work Clinical Research Papers

Introduction: The Minnesota Warriors Hockey Program is a 501c3 nonprofit organization that assists wounded, injured, or otherwise disabled veterans of the U.S. Military in their reintegration process by administering a recreational ice hockey program for its participants in the wake of significant issues facing transitioning veterans, such as high rates of PTSD, suicide, divorce, substance use, unemployment, and homelessness.

Methods: Data was collected from a survey that was sent out to all registered participants in the Minnesota Warriors Hockey Program (N = 65). Instruments used in the study include the M2C-Q, an empirically validated psychometric measuring tool which assesses post-deployment …

Effective Social Work Practice With Military, Veterans, And Their Families, Katherine Boyer

Master of Social Work Clinical Research Papers

This study explores if licensed practicing social workers in the state of Minnesota perceive themselves as competent to work effectively with military, veterans, and their families. A qualitative survey was emailed by Minnesota Social Services Association to their members. A total of eight participants responded to the survey. Each of these participants indicated that he or she worked directly with a military-connected client the military. Content analysis was conducted and two themes were found. The majority of participants described not feeling prepared to work with this population and indicated a desire for more education. One of the limitations of this …

Adult Maltreatment In The United States Military, Gordon E. Storey

Electronic Theses and Dissertations

ABSTRACT The scope of sustained military operations has placed incredible stressors on the men and women of our United States Armed Forces; consequently, this strain has encroached on and impeded their relationships at home and after their military service. Adult maltreatment in the United States military is a serious concern that negatively impacts military members, their partners, their families and subsequently can prove detrimental to the mission of the military. In order to effectively address this growing concern, it is imperative that mental health practitioners understand the military culture and utilize the best interventions in their treatment. This research conducted …

Warrior To Civilian: The Impact Of Social Identity And Emotional Well-Being On The Community Reintegration Of Us Service Members And Veterans, Mary E. Fortson-Harwell

Doctor of International Conflict Management Dissertations

In this dissertation, the author explores the relationship between the social identity and emotional well-being of military service members and veterans when transitioning to civilian roles following deployment(s) and/or the end of military service. This mixed-methods study uses participant observations, survey measures, and semi-structured interviews to answer the following questions: How does social identity impact the emotional well-being of military service members when transitioning to civilian roles following deployment(s) and/or end of military service? How does participation in formalized or ad hoc community reintegration “rituals” influence the service member’s felt sense of return? By combining Social Identity Theory with Maslow’s …

Cognitive Behavioral Therapy For Veterans Experiencing Insomnia: A Systematic Review, Dustin Cobb

Master of Social Work Clinical Research Papers

In this systematic literature review, research regarding veterans experiencing insomnia and the utilization of Cognitive Behavioral Therapy for Insomnia as an effective treatment modality were synthesized. Using the sociology research database SocINDEX; nine studies examining the effectiveness of Cognitive Behavioral Therapy as a treatment option for insomnia and insomnia related symptoms met criteria for the review. The Behavioral Model of Insomnia was used as the conceptual framework for this review. This framework was utilized to explore Cognitive Behavioral Therapy as an effective means of treating veterans experiencing insomnia. Studies included in this systematic review produced these findings: improvements in sleep …

Appreciation And Respect: Understanding The Decision To Join The Caf After Black Bear Program Using Four Directions And Mixed Methods, Anna Harpe

Theses and Dissertations (Comprehensive)

The purpose of this study is to better understand the wholistic meaning that the Canadian Armed Forces embody for graduates of Black Bear Aboriginal Summer Training Program and the factors involved in the graduates’ decision to join the CAF after graduating Black Bear. This was done using an Indigenous Four Directions framework supported by a mixed methods cross-sectional online survey. Out of respect for the cultures involved, Elders and Cultural Advisors were consulted throughout all stages of the process. The findings suggest that perceptions formed within the Spiritual Direction are important indicators of CAF membership. Wholistically, the CAF maintains a …

Assessing Moral Injury And Existential Well-Being In Returning Servicemembers Using The Spiritual Attitudes Inventory - Revised (2010)., Leann E. Armes-Bruce

Electronic Theses and Dissertations

Military personnel returning from deployment often report a variety of distressing symptoms stemming from exposure to prolonged, extreme deployment stress, and traumatic experiences. In addition to reporting symptoms consistent with the diagnosis of Post-Traumatic Stress Disorder, they are also known to report struggling with existential angst often leading to great despair and a sense of profound changes in the core of their being. While this phenomenon, referred to herein as Moral Injury, has traditionally received little attention, it is beginning to emerge as a potentially viable construct in practice and research and may assist in explaining the effects of war …

Treating Posttraumatic Stress Disorder Among Aging Veterans: What Works?, Heather Renee O'Dell Lewis

Electronic Theses, Projects, and Dissertations

Posttraumatic stress disorder (PTSD) is a serious condition with debilitating symptoms which affects military veterans and has been understudied in the older population. Aside from treating the veterans of the Vietnam War and World War II, as service members from more recent conflicts age, the mental healthcare system needs to be able to treat them with empathy and effective therapies. As there is a need for future research focusing on this population, this paper reviews the current literature and utilizes Grounded theory to further the research related to PTSD in aging veterans. A selection of mental health clinicians with experience …

Professionals Perspectives And Influence: Exploring Attitudes Towards Military Veterans Who Commit Crimes, Katherine A.S. Morsch

Master of Social Work Clinical Research Papers

This research aims to explore the intersection of two factors, the positively regarded veteran and negatively viewed criminal. Through that exploration this research will look more deeply into the attitudes of professionals working with veterans that commit crimes and whether a criminal background affects VTC providers’ perspectives of the veteran clients with whom they work. Utilizing a 22-question survey consisting of quantitative and qualitative items, respondents were asked questions focused on attitudes towards veterans, crime, veterans that commit crimes and punishment. In addition, this research examined the level of control each respondent felt in the admission and termination processes. Lastly, …

The Impact Of Clinical Social Workers' Conceptualizations Of Moral Injury On Their Treatment Actions In Work With Veterans, Zachary P. Wigham

Theses, Dissertations, and Projects

This exploratory study was designed to determine how clinical social workers’ conceptualizations of Moral Injury impacted their treatment actions in work with veterans. Additionally, this study allowed insights into the clinical social workers’ education and practice on Moral Injury.

Using semi-structured interviews with licensed clinical social workers who each held a Master of Social Work degree and held at least two years of experience working with veterans, this study gathered data from 7 participants. This study gathered data categorized under five major areas: demographics, conceptualizations and related data, sources of learning and frequency of contact, treatment actions, and perceived skill …

Differences In Hospice Care Between Veterans And Non-Veterans, Tonia Smith

Master of Social Work Clinical Research Papers

The differences in hospice care needs between United States veterans and non-veterans was explored using a systematic review research methodology that consisted of 18 articles. After a review of previous research studies, it was found that veterans tended to want their healthcare providers to be more open and to the point about their diagnosis than non-veterans did. Both non-veterans and veterans wanted to be in control of their end of life cares. Non-veterans were more likely to want their family and friends around compared to veterans who were less likely to want people around. Veterans who had post-traumatic stress disorder …

Key Factors Driving Personnel Downsizing In Multinational Military Organizations, Ilksen Gorkem

Engineering Management & Systems Engineering Theses & Dissertations

Although downsizing has long been a topic of research in traditional organizations, there are very few studies of this phenomenon in military contexts. As a result, we have little understanding of the key factors that drive personnel downsizing in military settings. This study contributes to our understanding of key factors that drive personnel downsizing in military organizations and whether those factors may differ across NATO nations' cultural clusters. The theoretical framework for this study was built from studies in non-military contexts and adapted to fit the military environment.

This research relies on historical data from one of the largest multinational …

Exploring Dimensions Of Well-Being Among Spouses Of Active-Duty Service Members, Lisa A. Gray

Theses and Dissertations

During an era when the United States has been engaged in the longest waging wars in U.S. history, military families have been exposed to extraordinary amounts of stress and have had to learn to adapt in a culture where repeated deployments, recurrent family separations, and frequent relocations have become the norm. A surge in research in recent years on the families of Service members has brought increased attention to the unique challenges and demands of spouses, raising concerns about how to best meet their needs. Despite the increased attention, few studies have focused on spousal well-being. Acknowledging this lack of …

Mental Health Services For Military Veterans With Posttraumatic Stress Disorder, Crystal Lynn Toscano, Kanika Aisha Roberts

Electronic Theses, Projects, and Dissertations

Post-Traumatic Stress Disorder (PTSD) has affected millions of veterans who have served in the United States Military. PTSD causes severe impairments in one's mental health, and is correlated with homelessness, substance abuse, and unemployment. Recently, the United States Department Veterans Affairs has been funded more to improve services of mental health and other health care services. Specifically, this study was interested in exploring the perceptions that veterans have of the quality of services that have been provided for PTSD.

Results indicated that the participants who utilized services felt individual and family therapy services were most helpful in reducing PTSD symptoms. …

Risk And Protective Factors: Suicide In The Military, Nicole Gauer Patnode Fisher

Master of Social Work Clinical Research Papers

Suicide rates in the military are on the decline, yet on the rise in the National Guard and Reserve components. Training programs to educate and raise awareness about suicide have been implemented in all branches of the military. There is a lot of research about suicide risk and protective factors in the general population and Active Duty military population, but there is not research that identifies service members’ perceptions on what those risk and protective factors may be. Nor is there research that explores the perceptions of stigma in the military regarding suicide. Knowing how service members perceive suicide risk …

United States Women Marines’ Experiences And Perspectives About Coping With Service Life: A Phenomenological Study, Beth-Ann Vealey

Theses and Dissertations

Women are expanding their numbers and roles in the United States military. This new generation of military women is exposed to unique factors related to their gender that contribute to challenges for psychosocial well-being and optimal performance. In support of Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF), researchers have identified unique factors for military women, including increased combat exposure, continued military sexual trauma and harassment, and conflicting dual roles. These factors may create obstacles that inhibit help-seeking behaviors and support for military women, and remain an under-researched topic of study. Gender-specific research on military women is limited; current …

Childhood Predictors In The Severity Of Combat Related Posttraumatic Stress Disorder Among Veterans With Combat Related Exposure, Michael Bermes

Electronic Theses and Dissertations

Emerging research suggests that childhood adversities may increase both the risk and symptomology of posttraumatic stress disorder (PTSD) in our veteran population. Over 40% of our reintegrating military veterans return with significant mental health issues led by combatrelated PTSD. PTSD impacts veterans in numerous areas including unemployment, increased criminal justice involvement, increased treatment costs, divorce, co-morbid mental illness, greater levels of domestic violence, homelessness, high college dropout rates, suicide, and long term health problems. The purpose of this study is to investigate the impact of childhood adversities (abuse, neglect, and poverty) upon the severity of combat-related PTSD in veteran populations. …

Stress, Coping Strategies, And Marital Satisfaction In Spouses Of Military Service Members, Charlene Haapala

Master of Social Work Clinical Research Papers

The literature emphasizes that civilian spouses of military service members experience significant stress, utilize coping strategies, and experience marital issues. A survey of civilian spouses (N = 10) of military service members identified levels of perceived stress, common coping strategies, and marital satisfaction. The focus of this study was to examine the relationship between perceived stress, coping strategies, and marital satisfaction. There were not enough participants in this study to determine these relationships. Descriptive statistics show averages of low perceived stress, and high marital satisfaction. Coping strategies most often used by civilian spouses were active coping, positive reframing, planning, …

Gender And Posttraumatic Stress Disorder Screening In The Military: A Measurement Study, Mark Allan Oliver

Doctoral Dissertations

The Primary Care Posttraumatic Stress Disorder (PC-PTSD) screen (Prins et al., 2003) is used by the Department of Defense to identify military members who are at increased risk of PTSD. This screen has been offered to all returning deployers since 2005. However, validation studies of PC-PTSD scores from military samples have seldom employed a significant number of female subjects and no published studies have examined it for gender bias. Ruling out bias is important because routine under-identification of PTSD risk in any group could result in hindered access to needed assessment and/or care. With the current proportion of military females …

The Chasm Between Two Parallel Worlds, Brandi Harline

Undergraduate Honors Capstone Projects

In much of the research conducted on military issues, problems are identified years, sometimes decades, before the military publicly acknowledges these concerns; an example of this is sexual assault, which scholars discussed for over thirty years before the military acknowledged the issue. In this paper, I study the value differences between the military leadership and the scholars who study military topics and how these different values may hinder effective communication between the two groups. The method I use in identifying the standards by which the two groups identify problems is content analysis on articles published by the two communities, calculating …