Published February 13, 2014
Recognizing the need for a synergistic approach to the long-standing problem of gaps in care for veterans and their families, the School of Social Work and the School of Nursing have founded the UB Partnership for Excellence in Veteran Care (UBPEVC) to analyze the current state of care, develop a comprehensive veteran care educational program for nursing and social work students, and improve training and service delivery for health care providers who serve veterans and military families.
One of the best ways to achieve this objective, according to Lisa Butler, associate professor of social work and the project’s principal investigator, is to develop a competency of military culture so that students and practitioners can more effectively relate to the veteran population. “Though we’re not yet at the stage of analysis, we hope with our focus groups to gain more nuanced information to be able to highlight areas practitioners may not have considered emphasizing previously.”
Training students now will lead to more practitioners later who are sensitive to the culture of the military.
“Equipping graduate students with the knowledge and skills to work in a way that is reflective of the needs veterans are facing is one of our main goals. If the learning curve once they’re in their professional careers is not as great, they can make a difference in the quality of services veterans and their families experience,” notes Katie McClain-Meeder, UBPEVC project manager.
Developing this training is collaborative, and while there will be some overlap across the schools in terms of how the training is integrated, the specialization will be molded to fit the curricula and requirements of each program. The ultimate focus, though, is best practice in service delivery to veterans and their families, regardless of the particular military branch or conflict the individual served.
“Understanding on a more sophisticated level both military culture and individual experience — what veterans have faced and reactions and responses they may have having faced combat in addition to issues surrounding reintegration — is part of being trauma-informed when it comes to serving this population,” Butler explains. “Recognizing the impact of those life experiences allows us to better understand and address underlying needs.”
One of those too-often veiled needs is service delivery to families of veterans. That’s why project members aim to train students to identify and address the needs of veterans, while also keeping spouses, children and other family members in mind. “Anticipating the unthinkable is a powerful, painful state to live in,” Butler says. “Coping with this and adapting to the possible mental and physical changes of a loved one is tremendously important.”
The effects may be immediate or distant, and faced by close and extended family. “If a health care professional can recognize this ‘ripple effect,’ they can better identify issues and intervene,” says Susan Bruce, clinical associate professor of nursing and project co-PI. “It’s more than just adapting — every family member must lean a different approach to their role and their place in the fold.”
Politics aside, these individuals — whether veterans or their families — sacrifice tremendously and deserve complete, considerate, competent care. “The reality,” says McClain-Meeder, “is that men and women are putting their lives on the line. This is a tremendous opportunity to be a part of a project that could serve the needs of this population in a much broader and more comprehensive way.”