post traumatic stress disorder at fort benning beth baker, emily dawson, mary katherine kelley, kim...

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Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

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Page 1: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

Post Traumatic Stress Disorder at Fort Benning

Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim

Parent, and Randi Rudd

Page 2: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

Background

• Mental disorders, especially Post-Traumatic Stress Disorder (PTSD), are highly prevalent in the United States (U.S.) military.

• The U.S. Army base at Fort Benning, Georgia works with many service members who have returned from combat and are are suffering from PTSD.

Page 3: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

Purpose

• The purpose of this intervention is to provide education to the community of Fort Benning about the symptoms PTSD and resources available.

• Social media is utilized as the method of capturing the population’s attention.

Page 4: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

Objectives

• As social media was used as the method of intervention for the community, multiple learning objectives for the participants were formulated.1. The participants will be able to recognize the signs

and symptoms of PTSD.2. The participants will be able to identify resources

available in the community and online for assistance with PTSD.

3. The participants will be able to identify locations where assistance is available.

Page 5: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

Healthy People 2020 Objective

• The primary Healthy People 2020 goal this project focuses on is related to mental health and mental disorders.

• This goal aims to “improve mental health through prevention and by ensuring access to appropriate, quality mental services” (U.S. Department of Health and Human Services, 2013).

• Another major Healthy People 2020 objective applicable to this intervention focuses on reducing the suicide rate.

Page 6: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

Target Community, Population, and Health Conditions

• Target Community: Fort Benning• Target Population: Service members stationed

at Fort Benning who have been deployed to a combat zone.

• Target Health Condition: Post-Traumatic Stress Disorder (PTSD)

Page 7: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

Community Assessment

• Overview of Community’s Origin and Structure– Fort Benning serves as a military base designed to

train and support the Army Maneuver Force. – There are approximately 107, 627 individuals

served daily on base. Of this population, 27,436 are active duty military personnel.

Page 8: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

Community Assessment: Key Findings

• Population information– In service members

returning from a tour of duty in Operation Enduring Freedom/Operation Iraqi Freedom, 13.8% of troops are reported to be suffering from PTSD

Page 9: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

Community Assessment: Key Findings

• Mental Health Care Resources– Department of Behavioral Health at Martin Army

Community Hospital– The Fort Benning Warrior Transition Battalion– The U.S. Department of Veteran Affairs– The Department of Ministry and Pastoral Care at

Martin Army Community Hospital – The Fort Benning Chaplain Family Life Ministries

Center

Page 10: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

Some Signs/Symptoms of PTSD• Intrusion: reliving the traumatic event->– Recurring and disturbing memories of the event– Experiencing distressing dreams about the event– Feeling of re-experiencing the event itself, such as

illusions, hallucinations and flashbacks– An intense fear during exposure to events that

may resemble the previous traumatic event

*Avoidance – This is an EXTREMELY common mechanism in which the individual will attempt to avoid ANY situations associated with the trauma, including physical places and emotional barriers.

Page 11: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

Common S/S of PTSD, cont.

• Hyper-Arousal: Feelings of increased arousal or vigilance that were not present before the trauma:– Has difficulty sleeping due to constant fear– Intense irritability / unexpected angry outbursts– May have difficulty maintaining concentration– Hyper vigilance (unable to find the “off” button)– Over-exaggerated startle response if surprised

Page 12: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

• Community-Health Oriented Nursing Diagnosis (Priority Health Issues)->– (1)Knowledge deficit among recently deployed

servicemen & service women r/t an inability to recognize several of the most common signs & symptoms of PTSD within themselves & family members, and among their fellow service men.

– (2)Risk for violence, self-directed, among those suffering from PTSD [suicide rate is 2x the avg.]

– (3)Potential for altered family processes among war veterans suffering from PTSD, including but not limited to: alcoholism/gen.substance abuse, physical and emotional abuse, anxiety, divorce.

Page 13: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

Community Intervention: Plan• Place and Topic– A Facebook page was to be developed as an

educational intervention promoting the resources available to provide support for PTSD

– Also, flyers were to be posted in highly visible, high traffic locations advertising the new Facebook page and identifying symptoms of PTSD.

• Target Population– The intervention implemented at Fort Benning

targeted service members and their families who had been affected by PTSD

Page 14: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

Community Intervention

• Development– Supportive Literature• Multiple studies indicated that social media is a

valuable resource for promoting healthcare in the community

– Method of Delivery• These studies were the basis for selecting social

networking as the intervention method for raising awareness of PTSD signs and symptoms and available resources at Fort Benning.

Page 15: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

Community Intervention

• Evaluation– The success of the intervention is not able to be

fully and accurately measured, as there is no way to tell how many people have been assisted by the newly developed resource or the flyers posted within the community.

– However evaluation can continue as the Facebook page continues to be promoted, gains followers, and receives feedback.

Page 16: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

Summary and Future Recommendations

Because PTSD continues to aggressively affect service members, it is important to continue to raise awareness of this condition. This awareness should include information about the symptoms associated with PTSD and resources available. Spreading awareness about PTSD can promote early detection and intervention.

Page 17: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

ReferencesAmerican Psychiatric Association (APA). (2000). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) (4th ed.,

text rev.). Washington, DC: Author.

Anonymous. (October 3, 2013). Personal Interview.

Armed Forces Health Surveillance Center. (2012, April). Absolute and Relative Morbidity Burdens Attributable to Various Illnesses and

Injuries, U.S. Armed Forces, 2011. Medical Surveillance Monthly Report. 19(4). 4-9. Retreived from

http://www.afhsc.mil/viewMSMR?file=2012/v19_n04.pdf

Army Community Service. (2011). Fort Benning Digital Welcome Packet. Retrieved from

http://www.benning.army.mil/mcoe/newcomers/pdf/acs%20welcome%20guide%20v.4.0..pdf

Center for Disease Control (CDC)/National Center for Health Statistics. (2010). Mortality Fast Stats. Retrieved from

http://www.cdc.gov/nchs/fastats/deaths.html

Center for Disease Control (2008). Georgia Burden of Chronic Diseases. Retrived from

http://www.cdc.gov/chronicdisease/states/pdf/georgia.pdf

City-Data.com. (2013). Fort Benning, Georgia. Retrieved from http://www.city-data.com/city/Fort-Benning-Georgia.html

Page 18: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

ReferencesGradus, Jaimie. (01/31/2007). Epidemiology of PTSD. National Center for PTSD. Retrieved from http://

www.ptsd.va.gov/professional/pages/epidemiological-facts-ptsd.asp

Hudenko, W., Homaifar, B. & Wortzel, H. (2013, September 12). The relationship between PTSD and suicide. The National

Center for PTSD. Retrieved October 2013 from http://www.ptsd.va.gov/professional/pages/ptsd-suicide.asp.

NANDA International. (2011). NANDA nursing diagnoses: Definitions and classifications, 2009–2011. Philadelphia: NANDA

International.

National Center for Biotechnology Information (NCBI), National Library of Medicine at the National Institutes of Health. (2013).

Post-traumatic stress disorder. Retrieved October 2013 from http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001923/.

National Institute of Mental Health (NIMH). (2013). Post-traumatic stress disorder. Retrieved September 2013 from http://

www.nimh.nih.gov/health/publications/post-traumatic-stress-disorder-ptsd/complete-index.shtml#pub6.

Oh, H.J., Lauckner, C., Boehmer, J., Fewins- Bliss, R., Li, K. (2013, 8 May). Facebooking for

health: An examination into the solicitation and effects of health- related social support on social networking sites .

Phillips, M. M. (2004, May). Chronic Disease in Alabama: Past, Present, and Future Trends. Retrieved from Alabama Department of

Public Health website: http://www.adph.org/ADMINISTRATION/chronicdisease.pdf.

Page 19: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

ReferencesU. S. Army. (2012, December 20). Who We Are. Retrieved from http://www.benning.army.mil/WhoWeAreFull.html

U.S. Army Maneuver Center of Excellence. (2012, December 13). Fort Benning Garrison Chaplain’s Office. Family Life Ministry Center.

Retrieved from http://www.benning.army.mil/garrison/chaplains/FamilyLife.html

U.S. Army Medical Department (2013, September 24). Department of Behavioral Health. Retrieved from http://

www.martin.amedd.army.mil/meddepts/dbh.html

U.S. Army Medical Department (2013, September 24) Department of Ministry and Pastoral Care. Retrieved from http://

www.martin.amedd.army.mil/meddepts/dmpc.html

U.S. Department of Health and Human Services. (2013, April 10). Access to Health Services. HealthyPeople.gov. Retrieved from http://

www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=1

U.S. Department of Health and Human Services. (2013, April 10). Mental Health and Mental Disorders. HealthyPeople.gov. Retrieved

from http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=28

U.S. Department of Veterans Affairs (2013, July 26). Central Alabama Veteran Health Care System (CAVHC). Columbus, Georgia CBOC.

Retrieved from http://www.centralalabama.va.gov/locations/columbus.asp

Warrior Transition Battalion. (October 3, 2013). Warrior Transition Battalion [Brochure]. N.P. n. p.

Page 20: Post Traumatic Stress Disorder at Fort Benning Beth Baker, Emily Dawson, Mary Katherine Kelley, Kim Parent, and Randi Rudd

ReferencesWitkiewitz, K., & Estrada, A. X. (2011). Substance Abuse and Mental Health Treatment in the Military: Lessons Learned and a

Way Forward. Military Psychology (Taylor & Francis Ltd), 23(1), 112-123. doi:10.1080/08995605.2011.548651

Young, S.D., Cumberland, W.G., Lee, S.J., Jaganath, D., Szekeres, G. (2013). Social Networking

Technologies as an Emerging Tool for HIV Prevention.

Zoroya, G. (2012, June 14). Suicides No. 2 cause of death in military. USA Today. Retrieved from http://usatoday30.usatoday.com/

news/military/story/2012-06-13/military-suicides/55585182/1