Introduction to Social Work: An Advocacy-based Profession
SAGE Journal Articles
Explore full-text SAGE journal articles that have been carefully selected to support and expand on the concepts presented in the chapter.
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Summary:
Despite an urgent need for mental health care among U.S. service members returning from deployments to Iraq and Afghanistan, many veterans do not receive timely or adequate treatment. We used photovoice methods to engage veterans in identifying barriers to utilizing mental health services. Veterans described how key aspects of military culture and identity, highly adaptive during deployment, can deter help-seeking behavior and hinder recovery. Veterans’ photographs highlighted how mental health symptoms and self-coping strategies operated as barriers to care. Many veterans’ photos and stories revealed how negative health care encounters contributed to avoidance and abandonment of treatment; some veterans described these experiences as re-traumatizing. Visual methods can be a powerful tool for engaging recent war veterans in research. In particular, community-based participatory research approaches, which have rarely been used with veterans, hold great promise for informing effective interventions to improve access and enhance provision of patient-centered care for veterans.
Summary:
In recent decades, it has become evident among mental health practitioners that the military is a unique culture that is comprised of distinct ethics, core values, codes of conduct, and strict hierarchical roles. In light of the war in Afghanistan and the war in Iraq, veterans and their families are seeking mental health services due to a variety of psychosocial issues; however, mental health practitioners are lacking military-specific knowledge in understanding individuals within the military subculture. In addition, they are ill-equipped with interventions aimed at supporting the military family. Historically, the genogram has been an effective tool in delineating intergenerational family patterns that influence the functioning of the presenting client and his or her family. Therefore, this article proposes a military-specific genogram as an assessment and treatment instrument for the social worker to use with the client and his or her family to provide a comprehensive understanding of the military service member and his or her family. The application of the military genogram will be conducted in this article to demonstrate its utility and value. Furthermore, the genogram will encompass a solution-focused approach that promotes a strengths-based and resiliency perspective to be used with service members and their families.