Military Lesbian, Gay, Bisexual, and Transgender (LGBT) Awareness Training for Health Care Providers Within the Military Health System

2017 ◽  
Vol 23 (6) ◽  
pp. 385-392 ◽  
Author(s):  
Angela Shrader ◽  
Kellie Casero ◽  
Bethany Casper ◽  
Mary Kelley ◽  
Laura Lewis ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Department Of Defense ◽  
Health Care Needs ◽  
Care Providers ◽  
Military Health System ◽  
Care Needs ◽  
Military Health ◽  
Bisexual And Transgender ◽  
The Military

BACKGROUND AND SIGNIFICANCE: Lesbian, gay, bisexual, and transgender (LGBT) individuals serving within the U.S. military and their beneficiaries have unique health care requirements. Department of Defense Directive 1304.26 “Don’t Ask, Don’t Tell” created a barrier for service members to speak candidly with their health care providers, which left specific health care needs unaddressed. There are no standardized cultural education programs to assist Military Health System (MHS) health care providers in delivering care to LGBT patients and their beneficiaries. PURPOSE: The purpose of this project was to develop, implement, and evaluate the effectiveness of an LGBT educational program for health care providers within the MHS to increase cultural awareness in caring for this special population. METHOD: This multisite educational program was conducted at Travis Air Force Base and Joint Base Lewis-McChord from November 15, 2014, to January 30, 2015. A 15-question multiple-choice questionnaire was developed based on the education program and was administered before and after the education program. A total of 51 individuals completed the program. RESULTS: Overall posttest scores improved compared to pretest scores. CONCLUSION: This program was designed to begin the process of educating health care providers about the unique health care issues of military LGBT Service Members and their beneficiaries. This program was the first to address the disparities in LGBT health care needs within the Department of Defense. It also provided a platform for facilitating open communication among providers regarding LGBT population health needs in the military.

scholarly journals A Survey of Family Planning Training, Knowledge, and Practices Among Health Care Providers Within the Military Health System at Joint Base Lewis–McChord

2018 ◽  
Vol 184 (5-6) ◽  
pp. e394-e399 ◽  
Author(s):  
Elizabeth I Deans ◽  
Alison L Batig ◽  
Sarah Cordes ◽  
Alicia N Scribner ◽  
Peter E Nielsen ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Health System ◽  
Health Care Providers ◽  
Care Providers ◽  
Military Health System ◽  
Military Health ◽  
The Military

scholarly journals What Does the Epidemic of Childhood Obesity Mean for Children with Special Health Care Needs?

2007 ◽  
Vol 35 (1) ◽  
pp. 61-77 ◽  
Author(s):  
Paula M. Minihan ◽  
Sarah N. Fitch ◽  
Aviva Must
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Work Group ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Providers ◽  
Care Needs ◽  
Special Health Care ◽  
Special Health ◽  
The U.S

Although the obesity epidemic appears to have affected all segments of the U.S. population, its impact on children with special health care needs (SHCN) has received little attention. Children with special health care needs is a term used in the U.S. to describe children who come to the attention of health care providers and policy makers because they need different services and supports than other children. Government, at both the federal and state levels, has long felt a particular responsibility for safeguarding the health of children with special needs. The definition children with special health care needs, in fact, was developed by a work group established by the U.S. Maternal and Child Health Bureau (MCHB) to assist states in their efforts to develop community systems of services for children with complex medical and behavioral conditions.

“Operator syndrome”: A unique constellation of medical and behavioral health-care needs of military special operation forces

2020 ◽  
Vol 55 (4) ◽  
pp. 281-295
Author(s):  
B Christopher Frueh ◽  
Alok Madan ◽  
J Christopher Fowler ◽  
Sasha Stomberg ◽  
Major Bradshaw ◽  
...  
Keyword(s):  
Health Care ◽  
Behavioral Health ◽  
Health Care Providers ◽  
Allostatic Load ◽  
Behavioral Health Care ◽  
Health Care Needs ◽  
Care Providers ◽  
Functional Impairments ◽  
Care Needs ◽  
Obstructive Sleep

Objective U.S. military special operation forces represent the most elite units of the U.S. Armed Forces. Their selection is highly competitive, and over the course of their service careers, they experience intensive operational training and combat deployment cycles. Yet, little is known about the health-care needs of this unique population. Method Professional consultations with over 50 special operation forces operators (and many spouses or girlfriends) over the past 6 years created a naturalistic, observational base of knowledge that allowed our team to identify a unique pattern of interrelated medical and behavioral health-care needs. Results We identified a consistent pattern of health-care difficulties within the special operation forces community that we and other special operation forces health-care providers have termed “Operator Syndrome.” This includes interrelated health and functional impairments including traumatic brain injury effects; endocrine dysfunction; sleep disturbance; obstructive sleep apnea; chronic joint/back pain, orthopedic problems, and headaches; substance abuse; depression and suicide; anger; worry, rumination, and stress reactivity; marital, family, and community dysfunction; problems with sexual health and intimacy; being “on guard” or hypervigilant; memory, concentration, and cognitive impairments; vestibular and vision impairments; challenges of the transition from military to civilian life; and common existential issues. Conclusions “Operator Syndrome” may be understood as the natural consequences of an extraordinarily high allostatic load; the accumulation of physiological, neural, and neuroendocrine responses resulting from the prolonged chronic stress; and physical demands of a career with the military special forces. Clinical research and comprehensive, intensive immersion programs are needed to meet the unique needs of this community.

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