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12-12-2022 | Original Paper

Mental Health of Canadian Military-Connected Children: A Qualitative Study Exploring the Perspectives of Service Providers

Auteurs: Shannon Hill, Ashley Williams, Sarosh Khalid-Khan, Pappu Reddy, Dianne Groll, Lucia Rühland, Heidi Cramm

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 11/2023

Abstract

The military lifestyle can be defined by a triad of unique stressors: frequent relocation, parental absence, and risk of injury, illness and/or death of a serving member. Research has suggested that this unique triad of stressors can impact the mental health of children and youth living in military families. However, research focusing on the mental health of children and youth living in military families overwhelmingly focuses on the American context. Due to key contextual differences, it is unclear to what extent the American findings are representative of military-connected children and youth living in other geographical contexts, such as Canada. A large qualitative study was conducted to explore the mental health of military-connected children in Canada from three perspectives: child, parent, and service provider. This paper reports on the service provider findings. Using individual semi-structured interviews, data were collected from 11 service providers. Data analysis was guided by qualitative content analysis. Two main themes emerged: (1) the mental health of children living in military families may be impacted by the military lifestyle stressors, and (2) the mental health of children living in military families can be impacted by the accessibility and availability of mental health services. While this qualitative study builds upon recent Canadian work that has considered the service provider perspective, additional research is needed to better understand the experiences of service providers who support military-connected children and youth.

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Aronson, K. R., Kyler, S. J., Moeller, J. D., & Perkins, D. F. (2016). Understanding military families who have dependents with special health care and/or educational needs. Disability and Health Journal, 9(3), 423–430. https://doi.org/10.1016/j.dhjo.2016.03.002.CrossRefPubMed

Barker, L. H., & Berry, K. D. (2009). Developmental issues impacting military families with young children during single and multiple deployments. Military Medicine, 174, 1033–1040. https://doi.org/10.7205/MILMED-D-04-1108.CrossRefPubMed

Bello-Utu, C. F., & DeSocio, J. E. (2015). Military deployment and reintegration: A systematic review of child coping. Journal of Child and Adolescent Psychiatric Nursing, 28, 23–34. https://doi.org/10.1111/jcap.12099.CrossRefPubMed

Bradshaw, C., Atkinson, S., & Doody, O. (2017). Employing a qualitative description approach in health care research. Global qualitative nursing research, 4, 1–8. https://doi.org/10.1177/2333393617742282.CrossRef

Bradshaw, C. P., Sudhinaraset, M., Mmari, K., & Blum, R. W. (2010). School transitions among military adolescents: a qualitative study of stress and coping. School Psychology Review, 39(1), 84 https://doi.org/10.1080/02796015.2010.12087792.CrossRef

Bullock, A., & Skomorovsky, A. (2016). Children’s positive experiences growing up in Canadian military households. Journal of Military, Veteran and Family Health, 2, 21–28. https://doi.org/10.3138/jmvfh.3837.CrossRef

Chandra, A., Lara-Cinisomo, S., Jaycox, L. H., Tanielian, T., Burns, R. M., Ruder, T., & Han, B. (2009). Children on the homefront: the experience of children from military families. Pediatrics, 125(1), 16–25. https://doi.org/10.1542/peds.2009-1180.CrossRefPubMed

Ćorić, M. K., Klarić, M., Petrov, B., & Mihić, N. (2016). Psychological and behavioral problems in children of war veterans with Post Traumatic Stress Disorder. The European Journal of Psychiatry, 30, 219–230.

Cramm, H., Mahar, A., MacLean, C., & Birtwhistle, R. (2019c). Caring for Canadian military families. Canadian Family Physician, 65(1), 9–11.

Cramm, H., Mahar, A., Tam-Seto, L., & Rowan-Legg, A. (2021). Caring for children and youth from Canada’s military families. Paediatrics & Child Health, 27(2), 88–92. https://doi.org/10.1093/pch/pxab053.

Cramm, H., McColl, M. A., Aiken, A. B., & Williams, A. (2019a). The mental health of military-connected children: A scoping review. Journal of Child and Family Studies, 28(7), 1725–1735. https://doi.org/10.1007/s10826-019-01402-y.

Cramm, H., Norris, D., Tam-Seto, L., Eichler, M., & Smith-Evans, K. (2015). Making military families in Canada a research priority. Journal of Military, Veteran and Family Health, 1(2), 8–12. https://doi.org/10.3138/jmvfh.3287.

Cramm, H., Smith, G., Samdup, D., Williams, A., & Rühland, L. (2019b). Navigating health care systems for military-connected children with autism spectrum disorder: A qualitative study of military families experiencing mandatory relocation. Paediatrics & Child Health, 24(7), 478–484. https://doi.org/10.1093/pch/pxy179.

Creech, S. K., Hadley, W., & Borsari, B. (2014). The impact of military deployment and reintegration on children and parenting: a systematic review. Professional Psychology: Research and Practice, 45, 452–464. https://doi.org/10.1037/a0035055.CrossRefPubMed

Daigle, P. (2013). On the homefront: Assessing the well-being of Canada’s military families in the new millennium. National Defence and Canadian Forces Ombudsman. Ottawa, ON, CA.

Darr, W., & Doan, B. (2011). An examination of Canadian Forces spouses’ access to a family physician. Ottawa, ON, CA.

Davila, I. G., Cramm, H., Chen, S., Aiken, A. B., Ouellette, B., Manser, L., Kurdyak, P., & Mahar, A. (2020). Intra-Provincial Variation in Publicly Funded Mental Health and Addictions “Services” Use Among Canadian Armed Forces Families Posted Across Ontario. Canadian Studies in Population, 47, 27–39. https://doi.org/10.1007/s42650-020-00027-7.

Davis, J. M., & Finke, E. H. (2015). The experience of military families with children with Autism Spectrum Disorders during relocation and separation. Journal of Autism and Developmental Disorders, 45(7), 2019–2034. https://doi.org/10.1007/s10803-015-2364-2.CrossRefPubMed

Davis, J. M., Finke, E., & Hickerson, B. (2016). Service delivery experiences and intervention needs of military families with children with ASD. Journal of Autism and Developmental Disorders, 46(5), 1748 https://doi.org/10.1007/s10803-016-2706-8.CrossRefPubMed

Glenn, D. M., Beckham, J. C., Feldman, M. E., Kirby, A. C., Hertzberg, M. A., & Moore, S. D. (2002). Violence and hostility among families of Vietnam Veterans with combat-related Posttraumatic Stress Disorder. Violence and Victims, 17, 473–489. https://doi.org/10.1891/vivi.17.4.473.33685.CrossRefPubMed

Government of Ontario. (2007). Fairness for Military Families Act (Employment Standards and Health Insurance). Toronto, ON, CA: Government of Ontario.

Harrison, D., & Albanese, P. (2012). The “parentification” phenomenon as applied to adolescents living through parental military deployments. Canadian Journal of Family and Youth, 4, 1–27. https://doi.org/10.29173/cjfy16516.CrossRef

Herzog, J. R., Everson, R. B., & Whitworth, J. D. (2011). Do secondary trauma symptoms in spouses of combat-exposed National Guard soldiers mediate impacts of soldiers’ trauma exposure on their children? Child and Adolescent Social Work Journal, 28, 459–473. https://doi.org/10.1007/s10560-011-0243-z.CrossRef

King, N., & Smith, A. (2016). Exploring the impact of parental posttraumatic stress disorder on military family children: a review of the literature. Nurse Education Today, 47, 29–36. https://doi.org/10.1016/j.nedt.2016.04.018.CrossRefPubMed

Kwan-Lafond, D., Harrison, D., & Albanese, P. (2011). Parental military deployments and adolescents’ household work. Studies in Political Economy, 88, 163–189. https://doi.org/10.1080/19187033.2011.11675013.CrossRef

Lester, P., Peterson, K., Reeves, J., Knauss, L., Glover, D., Mogil, C., Duan, N., Saltzman, W., Pynoos, R., Wilt, K., & Beardslee, W. (2010). The long war and parental combat deployment: Effects on military children and at-home spouses. Journal of the American Academy of Child and Adolescent Psychiatry, 49(4), 310–320. https://doi.org/10.1097/00004583-201004000-00006.CrossRefPubMedPubMedCentral

Lester, P., Stein, J. A., Saltzman, W., Woodward, K., MacDermid, S. W., Milburn, N., Mogil, C., & Beardslee, W. (2013). Psychological health of military children: longitudinal evaluation of a family-centered prevention program to enhance family resilience. Military Medicine, 178(8), 838–845. https://doi.org/10.7205/MILMED-D-12-00502.CrossRefPubMed

Mahar, A., Aiken, A. B., Cramm, H., Whitehead, M., Groome, P., & Kurdyak, P. (2018). Access to health care and medical health services use for Canadian military families posted to Ontario: a retrospective cohort study. Journal of Military, Veteran and Family Health, 4(2), 61–70. https://doi.org/10.3138/jmvfh.2018-0014.

Manser, L. (2018). State of military families in Canada: Issues facing Regular Force Members and their families. Ottawa, ON, CA.

Mansfield, A. J., Kaufman, J. S., Engel, C. C., & Gaynes, B. N. (2011). Deployment and mental health diagnoses among children of US Army personnel. Archives of Pediatrics & Adolescent Medicine, 165, 999–1005. https://doi.org/10.1001/archpediatrics.2011.123.CrossRef

McCormack, L., & Sly, R. (2013). Distress and growth: The subjective “lived” experiences of being the child of a Vietnam veteran. Traumatology, 19, 303–312. https://doi.org/10.1177/1534765613481855.CrossRef

McGuire, A. C. L., Kanesarajah, J., Runge, C. E., Ireland, R., Waller, M., & Dobson, A. J. (2016). Effect of multiple deployments on military families: a cross-sectional study of health and well-Being of partners and children. Military Medicine, 181, 319–327. https://doi.org/10.7205/MILMED-D-14-00310.CrossRefPubMed

Millegan, J., McLay, R., & Engel, C. (2014). The effect of geographic moves on mental healthcare utilization in children. Journal of Adolescent Health, 55(2), 276–280. https://doi.org/10.1016/j.jadohealth.2014.01.009.CrossRef

Millegan, J., Engel, C., Liu, X., & Dinneen, M. (2013). Parental Iraq/Afghanistan deployment and child psychiatric hospitalization in the US military. General Hospital Psychiatry, 35, 556–560. https://doi.org/10.1016/j.genhosppsych.2013.04.015.CrossRefPubMed

Morgan, D. L. (1993). Qualitative content analysis: a guide to paths not taken. Qualitative Health Research, 3(1), 112–121. https://doi.org/10.1177/104973239300300107.CrossRefPubMed

Mustillo, S., Wadsworth, S. M. D., & Lester, P. (2015). Parental deployment and well-being in children: Results from a new study of military families. Journal of Emotional and Behavioral Disorders, 24, 82–91. https://doi.org/10.1177/1063426615598766.CrossRef

Neergaard, M. A., Oleson, F., Anderson, R., & Sondergaard, J. (2009). Qualitative description—The poor cousin of health research? BMC Medical Research Methodology, 9(1), 52–52. https://doi.org/10.1186/1471-2288-9-52.CrossRefPubMedPubMedCentral

Ostler, K., Norris, D., & Cramm, H. (2018). Geographic mobility and special education services: Understanding the experiences of Canadian military families. Journal of Military, Veteran and Family Health, 4(2), 71–80. https://doi.org/10.3138/jmvfh.2017-0010.

Pittman, J. F., & Bowen, G. L. (1994). Adolescents on the move: adjustment to family relocation. Youth & Society, 26(1), 69–91. https://doi.org/10.1177/0044118X94026001004.CrossRef

Pressley, J. C., Dawson, P., & Carpenter, D. J. (2012). Injury-related hospital admissions of military dependents compared with similarly aged nonmilitary insured infants, children, and adolescents. The Journal of Trauma and Acute Care Surgery,, 73(4 Suppl 3), S236–S242. https://doi.org/10.1097/TA.0b013e31827035f2.CrossRefPubMed

Rowan-Legg, A. (2017). Caring for children and youth from Canadian military families: special considerations. Paediatrics & Child Health, 22, e1–e6. https://doi.org/10.1093/pch/pxx021.CrossRef

Sandelowski, M. (2010). What’s in a name? Qualitative description revisited. Research in Nursing and Health, 33(1), 77–84. https://doi.org/10.1002/nur.20362.CrossRefPubMed

Sandelowski, M. (2000). Whatever happened to qualitative description? Research in Nursing & Health, 23, 334–340. https://doi.org/10.1002/1098-240X(200008)23:43.0.CO;2-G.

Schvey, N. A., Sbrocco, T., Stephens, M., Bryant, E. J., Ress, R., Spieker, E. A., Conforte, A., Bakalar, J. L., Pickworth, C. K., Barmine, M., Klein, D., Brady, S. M., Yanovski, J. A., & Tanofsky-Kraff, M. (2015). Comparison of overweight and obese military-dependent and civilian adolescent girls with loss-of-control eating. The International Journal of Eating Disorders, 48(6), 790–794. https://doi.org/10.1002/eat.22424.CrossRefPubMedPubMedCentral

Sheppard, S. C., Malatras, J. W., & Israel, A. C. (2010). The impact of deployment on U.S. military families. American Psychologist, 65, 599–609. https://doi.org/10.1037/a0020332.CrossRefPubMed

Sherman, M. D., Gress Smith, J. L., Straits-Troster, K., Larsen, J. L., & Gewirtz, A. (2016). Veterans’ perceptions of the impact of PTSD on their parenting and children. Psychological Services, 13, 401–410. https://doi.org/10.1037/ser0000101.CrossRefPubMed

Skomorovsky, A., & Bullock, A. (2017). The impact of deployment on children from Canadian military families. Armed Forces & Society, 43, 654–673. https://doi.org/10.1177/0095327X16670691.CrossRef

Snyder, J., Gewirtz, A., Schrepferman, L., Gird, S. R., Quattlebaum, J., Pauldine, M. R., Elish, K., Zamir, O., & Hayes, C. (2016). Parent–child relationship quality and family transmission of parent posttraumatic stress disorder symptoms and child externalizing and internalizing symptoms following fathers’ exposure to combat trauma. Development and Psychopathology, 28, 947–969. https://doi.org/10.1017/S095457941600064X.CrossRefPubMedPubMedCentral

Tam-Seto, L., Krupa, T., Stuart, H., Aiken, A. B., Lingley-Pottie, P., & Cramm, H. (2018). Identifying military family cultural competencies: experiences of military and Veteran families in Canadian health care. Journal of Military, Veteran and Family Health, 4(2), 48–60. https://doi.org/10.3138/jmvfh.2017-0030.

Tam-Seto, L., Krupa, T., Stuart, H., Lingley-Pottie, P., Aiken, A. B., & Cramm, H. (2019). “Stepping up to the plate”: Identifying cultural competencies when providing health care to Canada’s military and Veteran families. Journal of Military, Veteran and Family Health, 5(2), 136–146. https://doi.org/10.3138/jmvfh.2018-0049.

The College of Family Physicians of Canada & Canadian Military and Veteran Families Leadership Circle. (2016). Family physicians working with military families. https://doi.org/10.1111/j.1467-9736.2006.00207.x.

Vogel, L. (2014). Military urges provinces to improve access to health care for soldiers’ families. CMAJ: Canadian Medical Association Journal, 186, 15–16. https://doi.org/10.1503/cmaj.109-4670.CrossRef

VERBI Software. (2016). MAXQDA Analytics Pro. Berlin, Germany: VERBI Software.

Waasdorp, C. E., Caboot, J. B., Robinson, C. A., Abraham, A. A., & Adelman, W. P. (2007). Screening military dependent adolescent females for disordered eating. Military Medicine, 172(9), 962–967. https://doi.org/10.7205/MILMED.172.9.962.CrossRefPubMed

Wickman, M. R. N. P., Greenberg, C. D. R. N. C., & Boren, D. P. R. N. (2010). The relationship of perception of invincibility, demographics, and risk behaviors in adolescents of military parents. Journal of Pediatric Health Care, 24(1), 25–33. https://doi.org/10.1016/j.pedhc.2008.11.005.CrossRefPubMed

Williams, T. V., Schone, E. M., Archibald, N. D., & Thompson, J. W. (2004). A national assessment of children with special health care needs: prevalence of special needs and use of health care services among children in the military health system. Pediatrics, 114(2), 384–393. https://doi.org/10.1542/peds.114.2.384.CrossRefPubMed

Williams, A., Cramm, H., Khalid-Khan, S., Groll, D., Reddy, P., Ruhland, L., & Hill, S. (2022a). Mental health of Canadian children growing up in military families: The child perspective. Armed Forces and Society. Accepted.

Williams, A., Cramm, H., Richmond, R., Khalid-Khan, S., Groll, D., Reddy, P., Ruhland, L., & Hill, S. (2022b). Mental health of Canadian children growing up in military families: The parent perspective. Submitted.

Titel: Mental Health of Canadian Military-Connected Children: A Qualitative Study Exploring the Perspectives of Service Providers
Auteurs: Shannon Hill
Ashley Williams
Sarosh Khalid-Khan
Pappu Reddy
Dianne Groll
Lucia Rühland
Heidi Cramm
Publicatiedatum: 12-12-2022
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 11/2023
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-022-02450-7

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