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More than two million American children have had a parent deploy to Iraq or Afghanistan. At least 19, children have had a parent wounded in action. Over 2, children have lost a parent in Iraq or Afghanistan. Military life can be a source of psychological stress for children.

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See Endnote 4. Mental Health of Remaining, At-home Parent or Caregiver The mental health status of the at-home parent or caregiver during a deployment impacts the mental health of children under their care.

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Social supports for military spouses and their families were associated with reduced stress, and increased ability sewking manage deployment-related challenges; augment the capacity of community-based providers to work effectively with children and youth from military families; ensure equity in access to family support to active duty and reserve component mmilitary and address the differential need for services and supports experienced by families from reserve components of the military; and attend to the need to build resilience among children and youth in military families.

A report by American Psychological Association APA estimated that approximately 40 percent of active duty d clinical psychologists positions are vacant. Child-related behaviors included depression, and other emotional and behavioral problems and a seekinb of feeling ineffective. However, children do not always experience PTSD as a result of a parental deployment.

There is currently no consistent, system-wide policy on whether the reserve component personnel and their families can receive services on active-duty installations. Children whose at-home parents or caregivers had better self-reported mental health were better able formmer cope with the deployment experience during and after the deployment.

In fact, the fogmer of child maltreatment in families of enlisted Army soldiers was 42 percent higher during combat deployment than during non-deployment. Caregivers with poorer mental health reported more child-related difficulties during deployment. Multiple deployments, frequent moves and having a parent injured or die is a reality for many children in military families.

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An estimatedservice members may have experienced a TBI. Endnotes 1.

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The Department of Defense, the Veterans Administration and other agencies have made considerable efforts to improve the mental healthcare systems for military families and children. There is also a shortage of other specialties including social work and psychiatry. Research shows that living on base is linked to reduced difficulties both during and after deployment.

Reserve component soldiers were nearly one and a half times more likely to report mental health problems and over three times more likely to be referred for services than active duty personnel three to six months after their return. High parent stress is associated with high child risk for poor functioning.

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Implementing these programs formally and more broadly would enable school personnel to identify children having difficulties and thus serve as a powerful first-line of prevention and early detection; enhance research opportunities that focus on implementation of evidence-based and empirically-supported practice, specifically for children and youth including their families in the military.

Currently military and community mental health providers available to military families face high burn-out and attrition rates.

Overall, research indicates that families who get or feel supported by their communities, the military or religious organizations experience less deployment-related stress. However, published data indicate that participation in alternative medicine self-care training in sustained behavioral changes and improved psychological outcomes among healthcare workers; provide training to the range of non-clinical personnel who currently work with children, youth and their families in the military; develop and provide funding for support programs for parents and youth deed to ensure they know what to expect as a result of deployment and deployment-related stress, that connects them with their peers, and, that helps parents identify the s of deployment-related stress and link their children to necessary services and supports.

However, depression is a leading psychiatric diagnosis associated with TBI and research on parental depression.

Experts explain mental state of military children | Article | The United States Army

Factors associated with the negative impact of deployment on children and youth include age, the mental health of the remaining parent, re-integration, and employment status. The research is mixed: but the stress of war affects children even prior to brah birth. Many of the nearly 1. There is currently no data related to the attrition rate of community mental health providers who work with military populations.

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Caregiver mental health is also linked to child well-being, emotional difficulties, peer and family function and academic engagement. Non-profit organizations such as the Military Child Education Coalition and the Military Child Coalition have developed such initiatives. However, some areas remain in need of consideration and action. Depression was seen in about one in four children. Partners of PTSD-diagnosed veterans experience more caregiver burden and had poorer psychological adjustment than did partners of veterans without PTSD.

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Problems with parent-child relationships posed ificant challenges. Parents reported that one in five children coped poorly or very poorly to deployment separation. Current Population Survey. Interventions tailored to the unique needs of certain populations enhance the likelihood that these practices will be adopted and supported.

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At least 19, children have had a parent wounded in action. Total days of inpatient psychiatric care for children of active duty personnel 14 and under increased from 35, in to 55, in Reserve and Guard troops represent a ificant sub-population within the military, and face specific challenges that impact their families. Rates of maltreatment in military families far outpaced the rates among non-military families after the U. Currently, data measuring formre of community mental health providers who work with the military population does not exist.

Eighty-five percent of veterans with TBI also had at least one psychiatric diagnosis. Spouses of active duty and reserve component personnel show increases in marital problems 44 percent and 39 percent respectively due to deployment related stress.

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A range of administrative hurdles further intensifies the gap in mental health services. Department of Defense. To address poor provider capacity and retain providers with expertise in working with military personnel and their families, the federal government, the DOD, state, and local mental health officials should: increase the pool and range of providers, especially in child and adolescent mental health, by providing more funding for pre-service and in-service training; train military and community mental health providers in self-care to reduce burn-out and attrition.

Train key personnel such as teachers, nurses, school social workers, administrators and other school personnel to be aware of and identify children of military personnel who at risk of, or having, difficulties. Seventeen percent reported no support.