Now You Lot Know Cultural Considerations Inwards Military Machine Social Work: Interview Amongst Dr. Anthony Hassan

The Training together with Education of Military Social Workers.

Any give-and-take of civilization together with culturally relevant do begins alongside the thought that nosotros are all cultural beings. We encounter the globe differently depending on which culturally-informed lenses nosotros have got on. In the United States, where armed forces service is non a requirement, beingness inwards the armed forces offers a unique laid of lenses.  I got a glimpse of the real practical, day-to-day implications of seeing the globe through armed forces lenses when I asked today's invitee what I thought was a real straightforward inquiry – a inquiry I inquire all my guests earlier the interview starts – "what do yous wishing me to telephone telephone you?"

Jonathan Singer:
I didn't genuinely inquire yous – what do yous wishing me to telephone telephone you? Do yous wishing me to telephone telephone yous Anthony? Dr. Hassan?... 
Anthony Hassan: Oh, please, Anthony. Surely non Major Hassan. You know I'm nevertheless inwards my ain transition. It is interesting. It has been a yr together with a one-half now. I nevertheless accomplish to position on my hat. If my pilus is blowing inwards the wind, it is like, "why is that happening? Oh – yous don't have got your chapeau on." So I become to accomplish for a hat. Or, merely the other twenty-four hours I was like, "my goodness my left arm is tired from carrying this brief case." But I wouldn't position it inwards my correct hand. I'm thinking, "why aren't yous putting it inwards your correct hand, Anthony?" Well, because I've ever had to maintain my correct manus gratuitous to salute.  
Jonathan Singer: Oh... 
Anthony Hassan: And yous know, believe it or not, this forenoon I walked out of my house, it was a piffling breezy – I experience it inwards my hair, together with I thought instantly, "where is your cover? where is your hat?" It is nevertheless a transition that nosotros all have got to make. And hence when I jokingly said, "don't telephone telephone me Major Hassan" it is because, yous know, sometime I nevertheless verbalize every bit if I'm nevertheless inwards the service. And I verbalize near people I verbalize alongside every twenty-four hours every bit "civilians." It is a transition. And hither I am, yous know moving from 1 career to the next, pretty seamless, everything is going ok. Just imagine what it must live on similar to move out service, young, without a job, without whatever skills, having been to state of war twice, together with perchance having a married adult woman together with a 3 yr one-time daughter. You're all of the precipitous inwards Los Angeles over again where yous grew up. What is that going to live on like? That's all I wishing social workers to endeavor to understand. How tin nosotros assist this family, this individual, navigate this transition?
So, how tin nosotros help? The Council on Social Work Education's Military Social Work labor force, chaired yesteryear Anthony Hassan, provides some guidance on the knowledge, values together with skills that all armed forces social workers should have. Here's their contention on educational policy 2.1.4 - engaging diverseness together with divergence inwards practice
"Advanced practitioners inwards armed forces social run empathise at that spot are many subgroups together with subcultures inwards the armed forces together with veterans' communities. Interventions together with personal reactions differ over fourth dimension alongside changes inwards social policy together with diverseness amid individuals. Advanced practitioners inwards armed forces social run empathise the powerfulness together with say-so construction inside the armed forces (as component of the culture) together with the impact this construction tin have got on the lives of service members together with their families. They recognize the impact of intersectionality of various diverseness factors (e.g., in-rank construction [hierarchy]; armed forces occupational specialty statuses; racial status; gender; service cultures together with practices; "family" composition together with definition; sexual orientation; age; disability; life stage; civilization together with ethnicity; spirituality; together with citizenship status) on direct practice. They empathise the differences inwards factors that motivate people to enter, serve, dissever from, together with transition into the VA scheme of care.
CSWE identified the next do behaviors:
  • Advanced practitioners inwards armed forces social run grapple potential conflicts betwixt various identities inside together with amid individuals together with the armed forces together with veterans' organizations;
  • manage potential conflicts betwixt personal feelings/expression together with collective/ institutional responsibility;
  • recognize the potential adventure together with protective factors amid various populations together with communities that may live on the resultant of armed forces service; and
  • communicate alongside a culturally responsive approach that includes service members alongside varying statuses such every bit active duty/retired, guard/ reserves, together with combat/garrison." (CSWE, 2010, pp. vii -8). 

In today's interview, Anthony together with I talked near the similarities together with differences betwixt armed forces together with non-military social work; is it necessary for social workers to have got armed forces experience inwards monastic enjoin to live on effective doing armed forces social work?;  what are some mistakes that civilians brand when working alongside people inwards the military?; What are the handling needs of community identify veterans? How the wars inwards Republic of Iraq together with Transitional Islamic State of Afghanistan have got advanced our agreement of together with treatments for PTSD together with other disorders. Anthony ended our conversation emphasizing that when nosotros think of community identify veterans nosotros should hollo back their strengths every bit good every bit their needs.


H5N1 twain of notes near this interview. I invited fans of the Social Work Podcast Facebook page to submit questions for Anthony. The response was fantastic. There were over 20 questions, most of which I couldn't ask. But those that were suggested on Facebook I identified every bit such. So, give cheers yous to everyone who posted questions – you'll recognize your contribution. And I'll definitely live on bespeak folks to submit questions for futurity podcasts. Finally, every bit alongside all my remote interviews, this 1 was done using Skype. Anthony was inwards Los Angeles together with I was 3,000 miles away inwards Philadelphia. And now, without farther ado, on to Episode 69 of the Social Work Podcast: Cultural Considerations inwards Military Social Work: And Interview alongside Dr. Anthony Hassan.

Cultural Considerations inwards Military Social Work Now You Know Cultural Considerations inwards Military Social Work: Interview alongside Dr. Anthony HassanDownload MP3 [31:35]





Bio

Anthony Hassan, is a retired Air Force officeholder alongside 25 years of experience inwards armed forces social work. He served during Operation Iraqi Freedom inwards 2004 on the first-ever Air Force scrap stress command together with prevention squad embedded alongside an Army unit. He led the largest armed forces marrow abuse together with household unit of measurement advocacy programs inwards the Pacific which were recognized every bit benchmark programs together with preparation sites for all other Pacific bases. He chaired the commission responsible for creating the Council on Social Work Education's model for advanced social run do inwards armed forces social run (CSWE, 2010) which I quoted a few minutes ago. And, if those bona fides aren't enough, he is currently the manager of the Center for Innovation together with Research on Veterans together with Military Families at the University of Southern California's School of Social Work.


TRANSCRIPT

Jonathan Singer:  You know based on your experience, what's 1 of the differences betwixt your non-military social run together with the armed forces social run that you’ve done?

Anthony Hassan:  Yeah.  For me genuinely at that spot is no divergence inwards the social run that I’m doing.  It's merely alongside a dissimilar population together with I think that’s how I endeavor to encounter this work.  It's non that nosotros demand to alter everything near us.  I think social workers have got the perfect science laid period.  I fifty-fifty experience that means for social run together with leadership.  I believe nosotros have got the correct skills laid to live on smashing leaders inwards organizations every bit good but my indicate I justice is that social run is perfectly situated together with suited to run alongside the veteran population, service fellow member together with their household unit of measurement population.  But I think similar whatever civilization inwards monastic enjoin to live on culturally responsive, yous demand to live on fully aware of the challenges together with the values the means of doing things, rituals, traditions together with this civilization merely similar inwards whatever other culture, this civilization beingness the armed forces culture.

Jonathan Singer:  So, what are some of the values together with rituals together with traditions that yous think are sort of essential for people to know about?

Anthony Hassan:  It starts merely yesteryear knowing who they are together with a piffling fleck near that at that spot are cultures inside together with at that spot are cultures amid the military. And to brand an supposition that all armed forces are the same or stereotyping for certain isn't what nosotros would wishing or demand to run alongside this population. You need, yous know, to live on aware of ethical issues that, yous know, come upwards up inwards damage of: their demand to come upwards to acquire assist or wishing for help; how that mightiness conflict alongside your ain issues of confidentiality; the legal parameters of working a alongside a service fellow member who is nether a dissimilar laid of laws together with regulations; the policies that affect, yous know, delivering service to service men together with women; advocating for them together with knowing who they advocate to or with; agreement some of their issues every bit it relates to going to acquire mental health; realizing that they value things that perchance aren't valued yesteryear civilians if yous would - the thought of cohesion together with teamwork together with duty together with accolade together with loyalty together with abide by together with courage, self-sacrifice.

I mean, these things volition become far the means of an private seeking assist for sure. But to empathise that, together with to live on able to engage them inwards a conversation, together with to acquire to know them together with to part alongside them your agreement or lack thereof is important. To recognize “should I telephone telephone them a sergeant or should I telephone telephone them John?”  You know, how do I fifty-fifty interact alongside someone who wears the uniform? So merely agreement the powerfulness together with say-so together with construction inside the military. 

There's a number of things, I mean, I – yous know, I could sit down hither together with listing off I hateful merely the fact that fifty-fifty though on a divergence betwixt regular army together with navy, air strength together with marines.  Calling a marine a soldier is non something yous likely wishing to do together with calling a soldier a marine - merely uncomplicated things similar that that - tin derail the interaction. And the therapeutic human relationship is likely the most of import affair together with nosotros demand to found that correct away.

I ever tell folks, “if yous don’t found a human relationship alongside whatever of your clients, they're non coming back.”  But fifty-fifty to a greater extent than hence I think alongside armed forces who already are concerned near going to seek help, have got issues inwards their ain heed near what this tin do to their career if they acquire help. Just learning or having lived to live on stoic together with courageous to become acquire assist may live on seen every bit a weakness.  So, how do yous run alongside that?  How do yous at to the lowest degree part alongside the service fellow member that yous genuinely do empathise their concerns together with their challenges and, yous know… H5N1 host of other things, similar your rank.  I mean, do yous know the rank?  Do yous know the divergence betwixt an officeholder together with a non-commissioned officer?  Do yous understand, yous know, a senior NCO versus a junior NCO, gender together with issues of civilization inwards the armed forces itself?  What is family?  Sexual orientation?  Don’t ask, don’t tell?  I mean, I could become on together with on together with on.

Jonathan Singer:  You know, 1 of the questions that was posted on Facebook for this interview that I think fits our conversation correct at nowadays is, “is it necessary for social workers to have got armed forces experience inwards monastic enjoin to live on effective doing armed forces social work?”

Anthony Hassan:  That’s a smashing question.  No, yous don’t demand armed forces experience to live on an effective social worker working alongside service members, veterans together with their families.  I don’t believe that yous demand armed forces experience.  I think what makes a uniformed social worker, what makes it easier for them to do is that they have got instant credibility because they apparel the uniform together with because they alive the lifestyle. But when I think of the run we're doing hither together with the run that nosotros demand to move along to do is to growth the workforce capacity is to genuinely run alongside those inwards the community - those social workers together with behavioral wellness providers inwards the community who do non have got experience working alongside this population, have got never worn the uniform together with that is where the bulk of folks are going to acquire their care. We know near 70% of the servicemen together with women who render volition acquire aid inwards our community.  So, if nosotros had to depend on someone who had worn the uniform together with then I think nosotros volition live on inwards trouble.  So, no, yous do non have got to have got it. 

Now, for certain for me, yous know, there's an instant bond.  There's an instant agreement betwixt me together with whatever service fellow member who’s ever wore the uniform or is wearing it.  They know I've been deployed to the war.  They know I have got served inwards uniform.  They know I’m a retired officer.  There's an instant bond.  There's a brotherhood or sisterhood that makes my life tardily if I wanted to become dorsum to clinical run together with run merely alongside this population volition live on real easy.  I verbalize similar them.  I walk similar them.  I think similar them.  I role acronyms together with that makes my life or would brand my labor much easier. But no, it's non necessary.

But I do would believe what's necessary merely similar alongside whatever population that nosotros run alongside is nosotros demand to empathise them.  We demand non to stereotype them together with nosotros demand to dispel myths together with nosotros genuinely demand to empathise the social cultural factors involved inwards providing care.  We demand to know how to advocate for them, agreement what their service needs are, where they tin acquire help, who tin assist them.  So, again, beingness a goodness broker of service every bit a goodness advocate is cardinal inwards providing this care. But, I think someone who takes the fourth dimension out to empathise the culture, to acquire near the culture, to empathise what it takes to engage together with connect volition live on real effective.

It's unfortunate, though, that inwards my fourth dimension that I have got sent service members downtown,  meaning off-post or to an off-base to a civilian provider, unfortunately, my experience shows me 8 out of 10 times - together with I’m non exaggerating - the service fellow member would come upwards dorsum together with say, “you know, I would rather hold off inwards your long describe inwards your hospital on base of operations than to become dorsum to the civilian provider because they merely don’t empathise me.” What does it hateful when they tell “they merely don’t empathise me”?  Maybe it is that they don’t together with they said some things that offended this private or perchance it's merely that private doesn’t experience comfortable alongside them.  But we're trying to brand certain that that outset twenty-four hours of the month is a goodness one.

Jonathan Singer:  I wishing to follow upwards on what yous merely said about, yous know, perchance that civilian doesn’t empathise you.  What are some other classic mistakes that a civilian social worker mightiness brand when working alongside somebody inwards the military?

Anthony Hassan:  And, again, I don’t know all those ins together with outs but I have got had many, yous know, exchanges alongside servicemen together with women together with I think a lot of it has to do alongside this mortal didn’t demonstrate much involvement inwards them inwards what they do, Like well, “what do yous do inwards the military?  Have yous been deployed?  What was that like?  How long were yous gone?  What's your job?  What do yous do?”  And sometimes I think when nosotros encounter patients, together with this is from my ain clinical experience, nosotros read the demographics sheet, nosotros do the – expect at the intake sail together with nosotros merely become correct into concern together with because nosotros sort of think nosotros empathise the context because they're, yous know, coming inwards alongside a job that appears to be, yous know, typical job or whatever, perchance nosotros merely sort of cutting corners together with I think that mightiness live on the divergence hither is that yous genuinely have got to demonstrate some involvement together with some awareness or fifty-fifty lack of noesis near military.

Jonathan Singer:  I think that’s a smashing indicate merely inwards damage of beingness culturally sensitive or culturally, yous know, relevant alongside whatever client.  I tin encounter how bespeak questions near “what your experience was like? Provide me a context for your problems” would live on essential inwards establishing that rapport together with developing that therapeutic alliance or twenty-four hours of the month alongside somebody inwards the armed forces particularly if yous don’t have got armed forces experience.

Anthony Hassan:  Absolutely yous know together with I’m thinking every bit yous were talking near the community-dwelling veteran, that’s the term that I've taken out of the novel study from the RAND – the novel RAND Report on the New York State Veterans - together with that’s just the focus that I have got is on the community-dwelling veterans.  So, yous have got a veteran who is at nowadays coming to your community mental wellness oculus or your private do office, yous may wishing to know near their status.  Are they inwards the reserves?  Are they inwards the national guard?  Are they merely separated from military?  Have they been separated for 6 years already?  Have they been separated from armed forces because of medical condition? And, I know, a lot of providers that I know, a lot of civilian social workers are saying, “Anthony, nosotros do that alongside all of our patients together with nosotros demand empathise context together with nosotros inquire all of those questions.” And I concord alongside you.

You know this do of social run is no dissimilar alongside this population but, again, agreement the powerfulness of stigma inwards this population, agreement this culture, agreement where they're coming from, agreement that perchance they’ve been to state of war 2 together with 3 times, realizing that inwards the armed forces it’s a microcosm of guild but it's a real unopen scheme together with beingness inwards the armed forces things are taken aid of for you.  You know all the agencies on the postal service together with yous know just what they're at that spot for.  Coming out hither for instance inwards Los Angeles has a real intimidating adjustment or adding to that is you’ve been to state of war twice.  You’ve been away from your household unit of measurement or your community for 2 or 3 years.  All all of a precipitous you're out of the military, yous know, you're out hither together with yous expect left together with yous expect correct together with zip looks familiar together with zip sounds familiar, you're having a difficult fourth dimension finding employment. You’ve joined the armed forces from a civilian community where your instruction was marginal at best together with at nowadays you're dorsum into this community.  You don’t have got a job.  You genuinely – yous may non have got whatever novel skills other than perchance an infantry human being or artillery human being inwards some cases.  You likely aren't prepared to become to college but yous have got this GI neb that everybody says yous should use.  You mightiness have got a married adult woman together with 2 children yesteryear now. And wow!  So, I think that the provider genuinely merely needs to empathise this private nether novel together with unique needs together with perchance non brand assumptions that they're merely some other customer coming inwards for marital counseling or some other depressed client.  And I think every bit yous said, sometimes inwards the concern nosotros have got large caseloads together with nosotros acquire used to a routine together with all I’m maxim is if yous have got a veteran inwards your waiting room, think near how yous mightiness demand to interact alongside that individual, the things that yous may demand to engage them alongside initially inwards the conversation.

Jonathan Singer:  So, yeah, hence clearly, yous know, agreement the context, “who is this mortal together with where are they coming from?” Because their issues aren't coming out of nowhere.  They're coming from somewhere hence where is that together with what tin I do to empathise that.  And together with then there's the other side which is fifty-fifty if I empathise this person, that’s non going to assist them unless I know how to process the job unless I know how to live on effective inwards addressing their issues. I know the classic diagnosis that everybody talks near is PTSD. So 1 of the questions from Facebook was genuinely from a social worker inwards State of Israel who has armed forces experience together with he wrote, “Wars unremarkably advanced technology together with treatments, did the wars inwards both Republic of Iraq together with Transitional Islamic State of Afghanistan advanced the course of study of PTSD handling inwards the U.S. military?  What are the electrical flow guidelines for the handling of PTSD inwards the military?” I was wondering if yous could response that sort of is at that spot anything yous demand to know near PTSD every bit a diagnosis alongside folks inwards the armed forces that mightiness live on dissimilar from PTSD inwards non-military populations?

Anthony Hassan:  Yeah.  First I’d similar to say, yous know, I’m non an proficient inwards PTSD but every bit the mortal who asked the inquiry is genuinely correct on target when yous think near what has the advancements that nosotros have got at nowadays or an awareness that nosotros brought to the posttraumatic stress disorder.  We have got seen inwards a lot of the inquiry together with a lot of researches beingness conducted near what are those evidence-based interventions that have got shown to live on the most effective inwards working alongside this population together with the VA together with the Department of Defense have got adopted a few approaches inwards also inwards detail 1 is called Prolonged Exposure Therapy together with the other 1 is Cognitive Processing Therapy. Those 2 are the evidence-based interventions that have got at nowadays received a lot to a greater extent than attending together with study together with hence that those are the ones they recommended to run alongside veterans both inwards the VA together with inwards the Department of Defense.

So, I think that this state of war has brought a lot of awareness together with researchers have got paid a lot of attending to what is it that plant best together with what is it that plant best alongside this armed forces population.  Now, at that spot are a number of other therapies out there, yous know, cognitive behavioral therapy, job solving, EMDR. And there's genuinely some folks, a partner of ours inwards inquiry named Skip Rizzo, APA (6th ed) citation for this podcast:

Singer, J. B. (Host). (2011, July 7). Cultural Considerations inwards Military Social Work: Interview alongside Dr. Anthony Hassan [Episode 69]. Social Work Podcast. Podcast retrieved Month Day, Year, from  /search?q=training-and-education-of-military
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