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longitudinal study, and we hope to follow these families for 21 years,” Fairbank notes. “This project will allow us to look at the impact of PTSD and other signifi cant war- related health and mental health conditions and see how the children in the families are doing.” There is research in other areas


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whenever and wherever you are.


of trauma, Fairbank says, which sug- gests that when children are exposed to trauma at a younger age, the im- pact tends to be more complex. “It has a broader range of outcomes, the younger the person is at the time they are exposed to the trauma,” Fairbank says. “But what we don’t know at this point is how the age of the child relates to the parent’s war- related PTSD. We hope to fi nd that out through our research.” According to Dr. Ron Avi Astor, a


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psychologist and the Lenore Stein- Wood and William S. Wood Professor of School Behavioral Health at the University of Southern California in Los Angeles, two of the most impor- tant factors that can infl uence how a parent’s trauma will aff ect the rest of the family are family communication skills and outside support systems. “From our work, we see it’s not the PTSD alone or even the experi- ence of war alone that determines the outcome of a child or family,” Astor explains. “While the military parent is away, the other parent may struggle with the organization of the house- hold. If they have good support, it’s a nonissue. If they have bad support, it can be disastrous. If you add PTSD on top of that, without a lot of strong so- cial support, I think that makes things even more diffi cult.” Being a parent with PTS can be


extremely diffi cult. But help is avail- able for those who seek it. “If you believe you have a prob-


lem, reach out,” advises Miller. “When you fi gure out that you have dug yourself into a hole, you have to climb out of it and live in the real


78 MILITARY OFFICER APRIL 2016


world. Essentially, what I was doing was hiding from the reality that I had PTSD for a long time. You have to face it and not let it defi ne you. You have to make sure you are in control of it.” Fairbank recommends a resilien-


cy-based resource known as Project FOCUS. (See “Related Resources.”) “It is really focused on talking about deployments before they happen and upon return, as well as all of the is- sues that aff ect children, spouses, and servicemembers,” Fairbank says. “It does it in a very family-focused way.”


Early prep is helpful Advanced preparation for a military parent’s deployment and return, and the issues that might pop up afterward, also can be benefi cial, says Astor. “The more the family can prepare psychologically, socially, and emotionally and speak openly about it, the better, depending on the age of the child,” he explains. “Families also need to situate themselves in a strong, caring and supportive family and community setting.” The VA is there to help, says


Schnurr. It provides a variety of family services, including educa- tion, consultation, and marriage and family counseling, for immediate family and caregivers. Additionally, many support programs are in place, including a parenting self-help Web-based course (see “Related Resources”) tailored to the needs of veterans and active duty service- members facing mental health and reintegration challenges. The VA also has partnered with


the UCLA Welcome Back Veterans Family Resilience Center and the Military Child Education Coalition on pilots of clinic-based parenting education initiatives.


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— Don Vaughan is a freelance writer from North Carolina. His last article for Military Offi cer was “TBI Prognosis,” March 2016.


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