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Military Perspectives Joshua Morganstein, M.D. Commander, United States Public Health Service Scientist, Center for the Study of Traumatic Stress Assistant Professor, Department of Psychiatry School of Medicine Uniformed Services University of the Health Sciences. Disclaimer.

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Military Perspectives

Joshua Morganstein, M.D.

Commander, United States Public Health Service

Scientist, Center for the Study of Traumatic Stress

Assistant Professor, Department of Psychiatry

School of Medicine

Uniformed Services University of the Health Sciences


Disclaimer
Disclaimer

Ideas, attitudes, and opinions expressed herein are my own and do not necessarily reflect those of the US Public Health Service, the Department of Defense, or other branches of the US government.


America’s

Medical School


Center for the study of traumatic stress
Center for the Study of Traumatic Stress

DIRECTORS

Robert J. Ursano, M.D.

Carol S. Fullerton, Ph.D.

Brian W. Flynn, Ed.D.

David M. Benedek, M.D.

Stephen J. Cozza, M.D.

SCIENTISTS

Harry C. Holloway, M.D. Gary Wynn, M.D. James McCarroll, Ph.D.

Daniel Balog, M.D. Joshua Morganstein, M.D. Connie Duncan, Ph.D

Curt West, M.D. Robert Gifford, Ph.D. John Stuart, Ph.D.

Lei Zhang, M.D.

www.cstsonline.org


Center for the study of traumatic stress1
Center for the Study of Traumatic Stress

WE DO:

Research

Education

Training

Consultation

Disaster

Trauma

Terrorism

Combat &

Deployment

  • ON…


Research
Research

  • Army Study To Assess Risk Resilience & Suicide (STARRS)

    • Largest, most comprehensive study of military mental health ever conducted

    • 6 years of monthly data; wide range of data elements; >100k Army soldiers

    • First findings published in a series of 3 articles in JAMA Psychiatry (Mar 2014)


Training
Training

  • Personal Firearm Safety Training Program

    • Firearm safety & risk reduction

    • “Product, Person, Practice”


Education
Education

  • Fact Sheets for Disaster Response

    • Event-driven

    • Customized

    • Just-in-time

    • Readable

    • Actionable


Consultation
Consultation

  • Formal & In-Formal

    • Hurricane Katrina

    • Newtown Shootings

    • WNY Shootings


My background
My Background

  • 1997-2001 – USUHS, AF Officer

  • 2001-2006 – Psychiatry & Family Med

  • 2006-2008 – Misawa, Japan

  • 2008-2009 – Afghanistan

  • 2009-2011 – AF Level II.5 co-occurring pgm

  • 2011-2013 – BH advisor to Commander JTF

  • 2013 – AF -> USPHS, faculty at USUHS!


Military cultural competence
Military Cultural Competence

“The military is a part of and apart from American society.”

- Robert J. Ursano


Military cultural competence1
Military Cultural Competence

  • Military Culture = Values, Beliefs & Practices

    • ‘Core Values’ for each branch of Service

    • “Taking care of our own” as a military ethos

    • Capability and expectation to react and respond

    • Vital role of building partnerships in advance


Military cultural competence2
Military Cultural Competence

  • Collective Efficacy & Military Bases

    • Relationship w/ surrounding community

    • Conciseness vs diffuseness of mission/purpose

    • Composition of Service branches & personnel


Military cultural competence3
Military Cultural Competence

  • Practical Suggestions

    • State Office of Emergency Management

    • A little homework can go a long way!

    • Leverage any prior military staff

    • Relevant military base partnerships

      • Servicemember & Family Services

      • Base Commander & Mental Health…


Military cultural competence4
Military Cultural Competence

Understanding

Authority

Mental

Health

Base

Commander


Summary
Summary

  • Military Cultural Competence

    • Building partnerships in advance

    • http://www.deploymentpsych.org/content/online-courses

  • USUHS Dept of Psychiatry & CSTS, think of us for…

    • Disaster Education information

    • Consultation (formal, informal)

    • We are here to help!


Contact information
Contact Information

Brian Flynn, Ed.D.

[email protected]

410-353-4768

Joshua Morganstein, M.D.

[email protected]

240-381-1192


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