The Impact of Deployment and Combat Stress on Families and Children, Part I: Families and Deployment


Welcome to Part I of The Impact of Deployment and Combat Stress on Families and Children. Since 2001, there have been over 2.4 million deployments in support of Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF). The need for continued presence in Iraq, Afghanistan, and other areas of conflict required Service members and their families to endure unprecedented multiple deployments. To date, approximately 2 million children have experienced a parental deployment in support of OEF and OIF. The goal of this course is to introduce you to some general information regarding the deployment cycle, as well as how it impacts the Service member and family unit. Having a clear understanding of deployment and reintegration-related stressors, as well as common reactions to war and readjustment will better equip you to engage in treatment with this important client group. If you are not familiar with the military, it is highly recommended that you take the course “Military Cultural Competence” prior to taking this course.


Hours: 2.75


Certificates provided by accrediting body (1 Match)

Georgia Paraprofessionals

2.75 HOURS

Course Details

Hours: 2.75
Type: Online Course
Content Expiration Date: 3/31/2018
Learning Objectives:
Discuss demographic and risk characteristics of military families.

Describe general and deployment-related stressors for military families, along with the stages of the deployment cycle.
Summarize the research on risk and resiliency factors for military families, the effects of PTSD (posttraumatic stress disorder) on families, and issues for families coping with the injury or death of a Service member.

I. Section 1: Introduction A. Course Contributors B. About This Course C. Learning Objectives II. Section 2: Impact of Deployment on Families A. Rationale For Taking This Course B. Initial Questions C. Meet The Clark Family D. Strengths and Challenges III. Section 3: Demographic Characteristics A. Service Members and Families B. Service Members and Families: Demographics C. Dual-Military Marriages D. Single Parents E. More about Single Parents F. Age of Active Component (AC) Spouses G. Age of Children H. Reserve Component vs. Active Duty I. Implications for RC Families J. Demographics of Service Members Who Recently Deployed K. Let’s Review IV. Section 4: Stressors A. Stressors and Challenges for Military Families B. Stressor: Moving C. Additional Stressors and Challenges for Military Families D. Marital Satisfaction E. Questions to Consider V. Section 5: Research Findings A. Risk and Resiliency for Military Families throughout Deployment B. What Do We Know About Children and Deployment? C. Populations at Risk D. Can Previous Findings Generalize? E. The Impact of the Global War on Terror on Children F. The Clark Family: Demographics, Risk, and Resiliency Factors G. Let’s Review H. Let’s Practice VI. Section 6: Deployment Cycle A. The Deployment Cycle B. Pre-deployment Phase: Notification, Preparation, and Training C. Imagine... D. Pre-deployment Stressors E. Emotional Experiences of Family Members Pre-deployment F. The Clark Family: Pre-deployment G. Deployment Phase: Departure, Sustainment, Combat, and Conflict H. Deployment Phase: Service Member I. Deployment Experiences that Defy Beliefs J. Combat Experiences and Family Separation K. Deployment Stressors for Spouse L. Deployment Stressors for Spouse: Loneliness M. Deployment Stressors: Spouse N. Deployment Stressors for Children and Adolescents O. Warning Signs Children and Adolescents May Show When Parent is Deployed P. Other Issues During Deployment: Financial Q. Communication during Deployment R. Length of Deployment S. Distress and Deployment Length T. Mrs. Clark’s Progress U. Post-Deployment Phase: Redeployment, Reunion, Reintegration V. Post-Deployment: Redeployment W. Post-Deployment: Homecoming and Reunion X. Post-Deployment Stressors Y. Post-Deployment: Common Stressors for Service Members Z. Service Members: Common Reactions Post-Deployment AA. Change in Mindset Post-Deployment BB. Post-Deployment Stressors: RC Service Members CC. Changes for Family DD. Post-Deployment: Spouse’s Reactions EE. Post-Deployment: Realities for Children/Adolescents FF. Post-Deployment Responses: Infants, Children, and Adolescents GG. Child Maltreatment and Deployment HH. Domestic Violence (DV) and Deployment II. Reintegration: The Clark Family JJ. The Clark’s Post-Deployment KK. Risk Factors for the Clark Family VII. Section 7: Reintegration with Wounded Warriors A. Reintegration Complicated B. Severely Combat-Injured Service Member C. Reintegration: Injured Service Member D. Service Member’s Reactions E. Spouse’s Reactions F. Impact of Parental Injury on Children G. Injury Communication to Children H. Helping the Injured Family I. Reintegration: Psychiatric Injury J. Percent of Service Members Screening Positive for Mental Health Problems K. Family Problems and OIF/OEF Veterans with Psychiatric Symptoms L. PTSD and the Family M. Parenting and PTSD N. PTSD and Anger O. Assessing and Treating Families P. Death of a Service Member Q. Death of a Spouse R. Death of a Parent S. Death of a Parent in a Warzone T. Reintegration Complicated: Final Thoughts U. Let’s Review! VIII. Section 8: Conclusion A. Summary B. Course Review C. References and Resources D. Congratulations

Instructor: Jenna Ermold, Ph.D.
Jenna Ermold, Ph.D. is a clinical psychologist working as the Assistant Director of Online Programs for the Center for Deployment Psychology at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. In this capacity, she oversees the development and dissemination of online training programs for behavioral health clinicians to improve competency in working with military members and their families. Additionally, she develops and presents workshops across the country to military and civilian audiences on topics in deployment behavioral health and evidence-based therapies for PTSD. She is a graduate of the Malcolm Grow (USAF) Medical Center Psychology Residency Program and served on active duty as a psychology in the United States Air Force from 2002 to 2006. Dr. Ermold graduated from Middlebury College with a degree in psychology and English and received her doctorate in clinical psychology from the University of Vermont. She specializes in health psychology, behavioral health integration into primary care, women's reproductive behavioral health, post-traumatic stress disorder, and military psychology.  Disclosure: Jenna Ermold, Ph.D. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Instructor: William Brim, Psy.D.
William Brim, Psy.D., is a clinical psychologist and Associate Professor at the Uniformed Services University of the Health Sciences. He has been with the Center for Deployment Psychology since 2007, initially as a Deployment Behavioral Health Psychologist at Malcolm Grow (USAF) Medical Center and serving as the Deputy Director since 2008. He is a graduate of the University of Tennessee (Psychology) and has his Master's and Doctorate in Clinical Psychology from Nova Southeastern University in Fort Lauderdale, FL (1998). He is a graduate of the Wilford Hall (USAF) Medical Center Psychology Residency Program (1998) and the Wilford Hall Clinical Health Psychology Post-doctoral Fellowship Program (2001). Dr. Brim served on Active Duty as a psychologist in the United States Air Force from 1997 to 2007.  Disclosure: William Brim, Psy.D. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Staff Writer: Naju Madra, M.A.

Naju Madra, M.A. is an internal subject matter expert and clinical content writer for Relias' Health & Human Services library. She earned her Master's degree in Psychology with specific study in neuropsychological assessment for children with Fetal Alcohol Spectrum Disorders. She brings with her a wealth of experience in clinical assessment, along with expertise in large-scale clinical research project management, recruitment, training, as well as in-person and web-based curriculum development. In addition to scholarly activities such as writing manuals and preparing manuscripts for peer-reviewed journals, Ms. Madra has over 15 years of behavioral healthcare experience ranging from crisis counseling and job coaching for individuals with severe mental illness, to community college instruction and trauma specialist at the Veterans Health Administration. In her current role, Ms. Madra has contributed authorship to over 100 behavioral health course offerings for both licensed and non-licensed professionals in the Health & Human Services market.

 Disclosure: Naju Madra, M.A. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: entry and intermediate level Alcohol and Drug Counselors; entry and intermediate level Professional Counselors; entry and intermediate level Psychologists; entry and intermediate level Social Workers; intermediate and advanced level Nurses; in the following settings: Health and Human Services, Hospital, Long Term Care; and the following practice categories: Addictions, General Nursing, Gerontology, Home Health, Mental Health, Pain.
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Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.
If you require special accommodations to complete this module, please contact Relias Learning Customer Support by calling (800) 381-2321 or emailing