latino military families power point march 5, 2015
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Latino Military Families: Current Issues &
Implications for Clinical Work
https://learn.extension.org/events/1845#.VPRoAPnF9Bl
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CE Credit Information• Webinar participants who want to receive 2.0 NASW CE Credits and/or 2.0 Georgia
Marriage and Family Therapy CE Credits (or just want proof participation in the training)
need to take the post-test provided at the end of the webinar.
• CE Certificates of completion will be automatically emailed to participants upon completion of
the evaluation & post-test.
Questions/concerns surrounding the National Association of Social Workers (NASW) CE
credit certificates can be emailed to this address:
MFLNfamilydevelopment@gmail.com
Sometimes state/professional licensure boards for fields other than social work
recognize NASW CE credits, however, you would have to check with your state and/or
professional boards if you need CE Credits for your field.
• To learn more about obtaining CE Credits, please visit this website: http://blogs.extension.org/militaryfamiles/family-development/professionaldevelopment/nasw-ce-
credits/
Today’s Presenters:
Andrew Behnke, Ph.D., CFLEIs an Associate Professor of human development at North Carolina State University in
Raleigh, NC., and has focused on serving the Latino community since 1996. In 2007 Dr.
Behnke co-developed the “Juntos” program which now serves Latino families across the U.S.
Xiomara A. SosaIs a United States military veteran, clinical mental health-forensic counselor
and social change advocate. Xiomara is a the Executive Creator and Co-
partner of the National Hispanic Veterans Advocacy Network (NHVAN),
whose mission is to provide culturally competent advocacy for the health and
human service needs of U.S. Hispanic military.
Graciela Tiscareno-SatoIs a decorated U.S. Air Force veteran. She is the author of several award
winning books which are inspired by her aviation service. Graciela is a sought-
after speaker for her thoughts on Entrepreneurship, Leadership in global
corporate organizations and Personal Branding for Military Veterans.
Latino Military Families
Current Issues & Implications for Clinical Work
The following presentation is not endorsed by the Department of Defense and the information, as well as any opinions or views,
contained herein are solely that of the presenter.
What made you decide to attend this webinar?1.It sounded interesting to me2. I’m mostly concerned about working effectively
with Latino youth3. I’m mostly concerned about working effectively
with Latino adults4. I think I’m in the wrong place!!!5.My boss told me to come!
Poll
How long have you worked with youth and families?
Poll
Archival data shows that Latinos have served in the military at least since the Battle of 1812More than 500,000 Latinos served in World War II
A little history
Info thanks to Amy Lutz
Latino military members were overrepresented among those who servedand those who gave their lives in the Vietnam War
Cesar Chavez
Racial-Ethnic Composition of US Military and Military-age population
in 2000
Military Military-age Population
White
Black
Hispanic
Asian
American Indian
Other
2 or more races
Latino Service in the Military by Ethnicity
Mexican, 49.2
Cuban, 7.7
Puerto Rican, 9.2
Other Hispanic, 31.8
Generation among Latinos who have ever served
1st Generation
2nd Generation
3rd and Later Generations
Unknown Generation
Of all Active Duty Service Members were Latino in 2013
11.6%
Why are Latinosunderrepresented?
A new wavehas just hit
Of all new military recruits in 2011 were Latino
17%
Immigrants in the Military
• By 2009, 8% of active duty were immigrants
• Majority are naturalized citizens
• President Bush, 2002, Presidential Order expedites citizenship of noncitizens serving honorably since 9/11
• The National Defense Authorization Act allows naturalizations to occur outside US
• 2009, Military Accessions Vital to the National Interest (MAVNI) Program, authorizes some non-green-card holders to enlist
Immigrants in the Military
Amy Lutz’ study showed that:
1) Latinos with lower family income were more likely to join the military than those with higher family income
2) that a large percentage of Latino military members are children of immigrants
What are some of your challenges to supporting Latino youth and families?
Type your response in the chat box
uncertainty
What would really
engage you?
ASK YOURSELF:
Who are they?
ASK YOURSELF:
Why should they care about your services?
ASK YOURSELF:
What do they care about?
ASK YOURSELF:
How can I speak to them?
Culturally appropriate family support
cross-cultural competence is knowledge, attitudes, and behaviors that help one effectively serve diverse populations
What cultural factors
really matter?
Being culturally competent in two cultures:
military & Latino
Culturally Competent Services for Hispanic Military Members
Unique Considerations • Not an individualistic culture
• Family first, self second
• Multigenerational households
• Includes immediate and extended family
• Interdependent not codependent
Cultural Competency in Providing Services
• Many different subgroups• Language issues vary• Various documentation and citizenship issues
vary• Expected and assumed roles of family
members are strong• What works well with some subgroups does
not with others
Caregivers
Family caregiving is a very big expectation and role in the majority of Hispanic families.
Mental Health • Mental health is not openly discussed• Community leaders such as church leaders
and neighborhood pharmacists are first point of contact and source of information for many
• Folklore has significant impact on perception of mental health issues
Barriers to Care• Many are underinsured, uninsured, or
newly insured• Entire family unit must be included• Lack of awareness• Stigma
Not all family members will be fluent in English
Myths about Latino military members:• They speak Spanish• They all find family to be important• They have big families • They are mostly immigrants• They share the same cultures• They are religious• They identify with Latin Culture
Strategies and Responses
• Increase awareness of mental health • Stigma awareness training with
gatekeepers• Improve provider cultural competence• Improve language accessibility• Prevention and intervention focus
Resource List• Create appropriate resource lists in your
community• Collaborate with other providers who are
Hispanic• Ask culturally competent providers to join
your efforts• Don’t reinvent the wheel
silos
community
everyone brings something
nuture one relationship
spread out and let the ripples spread
Identify potential partners: school counselors, teachers, administrators, parent-teacher liaisons, coaches, church leaders, local non-profit leaders, business leaders, latino veterans in your community etc.
What partners in your community could you involve as you serve Latino audiences?
Let’s list a few in the chat box
Find some willing folks to practice with to give you feedback
practice practice practice
Best ApproachesFor Providers
– Family Systems Therapy
– Cognitive Behavioral Therapy
– Short Term Solution Focused Therapy
– Provide specific instructions
– Involve family unit, whatever that may look like
– Keep it personable, not so clinical or impersonal as much as possible
cultural terms you probably know, but how do they apply to your work with military families?4
confianzaTrust is the core..
•starts with listening• it takes time•going to where they are•putting yourself on the line •gifts and favors
Confianza=
Trust
resonance
personalismo• Touch• Firm handshake -> hug - besito• Use of titles of respect before first names • More relaxed and flexible about time• Less stress placed on planning
familismo
• Family: most important social unit• Family roles (Padrino, etc)• Velar = Moral responsibility to help other
members of the family
make time for individualized services and…
time for the whole family
get out of the office
provide experiential activities
machismo• Negative and positive implications• Protection, providing, courage, service• Force, dominance, demanding respect,
family violence • The military can bring out the best and the
worst in this cultural term
know you got their back
empowering Latina military members
Unique Considerations: Latinas who Join Military
• Wants own life/identity (lose family role)
• Considered Rebelde by family?
• Feeling rejected? Torn apart?
• Is family proud? Embarrassed?
• Typically highly motivated & ambitious
• Imposter syndrome? Isolation?
KEY: bonding w/women, Latinas elsewhere
Profile 1 –Escaping• 18 Year-Old Girl, Fresno, CA
• Dad - Army vet, depressed then deceased
• Native-American Mom “totally messed up”
• Worked 3 jobs, commcollege to “make it on my own” – fail
• Exasperation! Armed Forces center: “First one to get me out of here…” – U.S. Navy
NOTE: featured in Latinnovating vol. 2
Profile 2 – Ambitious, Misunderstood
Hugging & In Tears: “Thank God I met you today. My mother called again this morning and said, ‘Now that you’re done with the Army, when are you getting married and giving me nietos?’ She’ll never get it. I want to be ME, not her.”- Latina Army veteran university student in MD, at Personal Branding
workshop I do for transitioning military personnel
Profile 3 - Military as Higher Ed Opportunity
• Rebelde!–against low cultural expectations for young ladies, oldest of FIVE
• So now, I must prove how tough I am…failure/weakness not an option…ever.
U.C. Berkeley
AFROTC scholarship
Becoming a 2nd Lieutenant
Graduation from UNT on the
flightline
Unique considerations
Wants her own life/identity (lose
family role/obligations)
Considered Rebelde by family
Typically highly motivated
Imposter syndrome? Isolation?
Rare, unMANned flight
Bonding with women, in jet
My Brother, My Need
• Parents moving CO to WA
• Leave denied; deploy to Riyadh
• Brother Jr. gives up, age 22
• I need mental health services, helping parents, but….
• Culture + Command = disaster
Takeway: just understand where we’re coming from…
• Latinas in today’s military are:– Bicultural –multiple identities
– Trying to respect parents’ values, but…
– Ambitious – freedom from family baggage, different, success, adventure
– Expecting much, projecting self-sufficiency, being FIRST to…
– Struggling with femininity balance
– Bilingual –some
My Wish, because Latinas are veterans too
• Please read “Saluting my Hermanas in Arms this Memorial Day” on my blog, or “A Salute to the Latinas Who Served and Sacrificed” on the Huffington Post
• Use me to reach out to Latina servicewomen/ veterans who need your services but are reluctant to admit it
Q: Serving stressed out parents with Exceptional Family Members?
• 1st child = 1 pound preemie, 25 weeks• Daughter Milagro is dual-sensory
impaired (blind & hearing impaired)• Hubby & I special ed advocates • She’s Braille Bee competitor, literate,
bilingual, scientific, happy, sporty teen• Speak on demanding high expectations
for our kids with disabilities, coping Our Family Journey as Resources for Families: • Letting Your Child's Literate Side Out• Letting Your Child's Wild Side Out
Latino veterans, men and women, in your community are a well of knowledge and support
Xiomara, Graciela, & so many others
….are just a Skype session away.
Mental Health with Latino military
audiences
Latinos are less likely to be appropriately diagnosed and treated for mental health issues.
Support military PTSD patients by avoiding stereotypical assumptions and racial biases
going unnoticed
PTSD and psychological trauma
affect individuals and communities of all ethnic and
cultural backgrounds
take some risks
other times you have to wade in slowly
We have to turn off our personal soundtracks and listen to clients
People aren’t scared of failing, they are afraid of blame or what others will say
What do you notice?
kindness goes a long way
follow their lead
stealth education
- does not feel like intervention
- creates fun and experiential ways to cover a topic that engages the learner
- holding events and activities that teach something
consistency
20 mile march
Roald Amundsen - Dogs & Training
Robert Scott - Motor Sledges, Horses, Dogs
the five s of
personalismo
Problem: what do they feel the problem is?
Praise: be genuine and focused
pay attention to details
Past Experiences: identify what experiences they have had with folks like you before
Problem Solve: resolve the concerns they have and figure out the logistics
Prepare: them for what to expect
clarity
What will you do?
Key Take-Away Applications
• Recognize demographic disparities among Latinos
and other military personnel.
• Identify barriers to care that clients of different
ethnicities may face.
• Understand the importance of cultural competency
and the impact of becoming better informed as
clinicians.
• Discover tips for clinicians and advocates to
implement when working with families.
CE Credit Information
• Webinar participants who want to receive 2.0 NASW CE Credits and/or 2.0 Georgia
Marriage and Family Therapy CE Credits (or just want proof participation in the
training) need to take this post-test AND evaluation:
https://vte.co1.qualtrics.com/SE/?SID=SV_4UfATwsgeaXkUgR
• CE Certificates of completion will be automatically emailed to participants upon
completion of the evaluation & post-test.
Questions/concerns surrounding the National Association of Social Workers
(NASW) CE credit certificates can be emailed to this address:
MFLNfamilydevelopment@gmail.com
Sometimes state/professional licensure boards for fields other than social work
recognize NASW CE credits, however, you would have to check with your state
and/or professional boards if you need CE Credits for your field.
• To learn more about obtaining CE Credits, please visit this website: http://blogs.extension.org/militaryfamilies/family-development/professional-
development/nasw-ce-credits/
Upcoming Webinars:
Wellness Strategies, Burnout Prevention, & Mindfulness-Part 1
Thursday April 2nd @ 11 a.m. Eastern
http://bit.ly/MFLN_FD_02April_WSBPM_P1
Wellness Strategies, Burnout Prevention, & Mindfulness-Part 2
Thursday April 23rd @ 11 a.m. Eastern
http://bit.ly/MFLN_FD_23April_WSBPM_P2
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