Flashcards in Caring for children and youth from Canadian military families: Special considerations Deck (24):
What do the Canadian forces consist of?
1. Regular Force (enrolled full time)
2. Reserve Force
What are the medical and dental benefits for Canadian forces?
1. Continuous for regular forces from enrollment to date of release
2. Only during eligible periods for reserve force
What is a deployment?
A short-term assignment (1-15m) to a combat or noncombat zone and can be routine training, planned or unexpected
What percentage of Canadian military spouses have experienced the deployment of their partner?
What percentage of military members are either married or living common-law?
What percentage of military couples have children?
What percentage of Regular Force families live in civilian communities?
What factors distinguish military families from civilian families?
What does relocations impact?
1. Access to and continuity of health care
2. Quality child care or schooling
3. Establishment of social circles
4. Access to immediate and extended families
What is health insurance coverage for military families?
Public provincial/territorial health care system
Supplemental insurance and benefits provided through the Public Service Health Care Plan and the Canadian Forces Dental Care Plan
What changes occur to health care visits in children when a military parent is deployed?
1. increased mental health visits
2. increased behavioral visits
3. increased injury related visits
4. increased child maltreatment visits in children 3-8yo
5. increased suicide attempts in teens
6. decreased health visits for other diagnoses
What are the mental health and behavioral concerns in children of deployed military personnel?
1. increased behavioral concerns
2. decreased school performance
3. higher levels of sadness and worry
4. increased depression
5. increased acute stress disorder and adjustment disorder
6. increased sleep difficulties
7. increased emotional difficulties
What is the incidence of child abuse in families with one parent deployed compared to non-deployed military families?
What is the effect of parental deployment on child development?
Three times more likely to fail the age-appropriate Ages and Stages Questionnaire 3
What is the effect of spousal deployment on the at home parent?
1. increased depression
2. increased anxiety
3. spousal underemployment or unemployment
What are risk factors for coping difficulties in families during deployment?
1. younger parental age
2. young childrn
3. having a family member with a prior psychopathology
4. having children with special needs
5. having a child with pre-existing emotional or behavioral difficulties
6. pre-deployment marital or financial problems
7. spouse for whom English is a second language
8. recent relocation
9. no firm return date for deployment
10. assignment to higher threat locations
11. Army service
12. lower rank
What percentage of soldiers have symptoms of PTSD in the first six months following deployment?
What percentage of Canadian Forces members report either depression, PTSD, GAD, panic disorder or alcohol use or dependence?
What is PTSD in parents linked to in children?
1. increased rates of internalizing and externalizing behaviors
2. impaired parent-child bonding
3. general behavior problems
4. increased child neglect
How much less likely are Canadian military families to have a family physician than civilian families?
Four times less likely
What populations are at especially high risk due to relocations resulting in disrupted continuity of care?
1. Chronic illness
2. Developmental disorders
3. Learning problems
4. Complex medical need
What percentage of Canadian Regular Forces families have a child with special needs?
What are recommendations for health care professionals providing care for military children and youth?
1. identify military families in the community or practice setting and acknowledge their unique needs
2. build awareness around mental health
3. screen for anxiety, depression, behavioral problems, academic difficulties, peer relational problems, or high risk behaviors
4. Respond to treatment needs for mental health in a timely and sensitive manner
5. anticipate common age-specific issues and reactions during deployment and counsel parents accordingly
6. ensure continuity of care
7. carefully review and ensure primary care surveillance (growth, immunizations, development)
8. be aware of supportive resources