Presented by Terry Yeager MA CACD LPC With permission from Marinell Miller PhD Hampton VA PTSD Clinic Session Goals Overview of Who Is At Risk Battle MindPTSD Questions ID: 685184
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Slide1
Post Traumatic Stress Disorder: Implications for Law Enforcement/First Responders
Presented by: Terry Yeager, MA, CACD, LPC
With permission from:
Marinell
Miller, PhD
Hampton VA
PTSD Clinic
Slide2
Session Goals
Overview of
Who Is At Risk
“Battle Mind”/PTSD: Questions
To
Ask About Military Trauma To Make Your Job Easier
“War” Stories – Add Your Own, I’ll Tell Mine
Terms:
GWOT OEF OIFSlide3
What Is A Trauma?
Event That Involves Death or Threatened Death or Serious Injury
Feelings of Fear, Horror, Helplessness
Resilience Is Most Common Outcome
How Many Traumas Have You Seen?Slide4
How People Cope With PTSD—Clues For You
Drinking
Drugging
Driving Fast
Sleep Problems – Night Work – Peeping/Perimeter Watch
Startle Easily--Stimulants
Flashbacks/Hallucinations
Depression/CryingSlide5
Legal Problems & PTSD Veterans
Alcohol/Drug Related Driving Offenses
Larceny
Speeding/Reckless Driving
Assault Murder
Weapons Issues
“We Don’t Visit Jails, We Will Send The Police”
“PTSD Is Not A Legal Defense—It Didn’t Make You Do It”Slide6
Psychiatric Casualty Rates And War
WWI, WWII, and Korea Psychiatric Casualties Greater Number Than Those Killed (504,000 Psych Casualty)
Vietnam and Since Rates Reduced
VN 50%
chance
of
dying
vs.
psych casualty
Continuous
combat
For 60-90
days show
98%
psychiatric casualty rate
Expected PTSD rates are 13-30%
Higher
numbers have adjustment issuesSlide7
Post Deployment Stress Reactions
Combat Operational
Stress Reactions
Adjustment Disorders
Post Traumatic Stress Disorder
Acute Stress Disorder
Less Severe
Most SevereSlide8
Typical OEF/OIF Stressors
Ambushes (58-89%)
Incoming Rockets/Artillery (84-86%)
Small Arms (66-93%)
Shooting at Enemy (27-77%)
Killing Enemy (12-48%)
Killing Non-Combatants (1-14%)
Seeing Dead/Remains (39-93%)
Seeing Dead/Injured Americans (30-65%)Slide9
NO ONE IS IMMUNE TO OPERATIONAL STRESS –
“BATTLE MIND”
Improves Quickly With
Rest
Food
Reassurance
Reintegration With The Unit
Most COSR Resolve Quickly
50% of Those With PTSD Get Better In 3 Months (DoD Statistics)
What To Expect In A Returning War Fighter… Battle MindSlide10
Buddies VS Withdrawal
Battle Mindset
Look
o
ut
for
each other
Only
people
to
understand
y
ou
Cohesive in
battle
Questions
“Are
you a Veteran?”Slide11
Discipline & Ordering VS Conflict
In Combat
Survival
depends
on
discipline
and
obeying
o
rders
Home
Inflexible
ordering leads
to
conflict
with
family, friends and co-workers
You are a trigger: use it to your advantageBe a good authority figureBe in control but not an
***holeSlide12
Mission OPSEC VS Secretiveness
Battle Mindset
Only
talk
to
those who need
to
k
now
,
i.e., unit members
Home
Avoid sharing
ANY
information
about
your deploymentQuestions
Who did you serve with? Marines/AB/SFWhen were you in?What
was your MOS?What did you do?Were you wounded?Slide13
Targeted VS Inappropriate Aggression
Battle Mindset
Lethal
Split Second Decisions Keep
Y
ou
and
Your Buddies Alive
Anger
Keeps
Y
ou Alert
,
Awake
and
Alive
HomeSnap at wife/kids/co-workersOverreact to minor insultsQuestions --DON’T ASK TOO MANY!!
“At Ease”“Suck it Up Man”Slide14
Tactical Awareness VS Hypervigilance
Battle Mindset
Survival = awareness of surroundings at all times and reacting immediately
Home
Anxious in large groups
Anxious indoors
Easily startled
Questions… DON’T
ASK A LOT
ANALOGY: FEAR and Caged Animals
Get SpaceSlide15
Lethally Armed VS “Locked and Loaded” at Home
Battle Mindset
Weapon at all times is mandatory and necessary
Home
Feel “naked”
Weapons in car
At front door
At back door
Under pillow
CCP
Questions
Where Is Your Weapon?Slide16
Emotional Control VS Detachment
Battle Mindset
Controlling your emotions is critical to mission success
Home
You are detached
You are uncaring
You only show
anger
Questions –
What Were You Thinking?
Where Was Your Head?Slide17
Non-Defensive Driving VS Aggressive Driving
Battle Mindset
Unpredictable driving helps avoid IED’s and VBIED’s
Home
Aggressive driving leads to tickets and accidents
Questions
Did You Serve In
Iraq/
Afganistan
?
Were You Aware That…?Slide18
Treatment Interventions
Class A
Significant Benefit
Medications
Substance Abuse Treatment
Cognitive Therapy (Group and Individual)
Stress Inoculation Training
Exposure Therapy (PE/CPT)
Food Not Mentioned, Experience Shows OtherwiseSlide19
Questions/Comments
Send Us Referrals!!