This FREE, 4-week on-demand course offers 11.5 CME/CE credits. The goal of the course is to educate primary care and community mental health providers about the mental health care and support of family members of Post 9/11 Veterans who may be experiencing the Invisible Wounds of War. Community clinicians often are unaware that they are treating family members of veterans; and few community providers receive any guidance in addressing the challenges these military families face. The course addresses care through an intergenerational understanding of the impact of the Veteran's Invisible Wounds of War, including post-traumatic stress, mild traumatic brain injury and co-morbid substance use disorders on family members including parents of Veterans, their romantic partners and their dependent children. In addition to illustrating how these challenges are experienced by three generations of family members, the course offers practical guidance in how to mobilize family members in the treatment and recovery from these conditions.

The objective of the course is to help primary care and community mental health providers translate knowledge into enhanced clinical practice that provides better outcomes for Veterans and Military Family Members. The course includes 12 video role plays to illustrate teaching points and a discussion board. Course content is 100% mobile-friendly and completely on-demand, so you can participate whenever your schedule allows.

Learning Objectives

At the end of this activity, participants should be able to:

  • Identify one example each of the impact of a Veteran's PTSD on his or her parent, romantic partner and child
  • Identify two goals of couples therapy when one partner has combat-related PTSD
  • Describe three features of the CRAFT model for engaging a Veteran in substance use treatment


Subject to change without notice.

Session 1

Three Generational Model of Care

Faculty: Bonnie Ohye, PhD
Moderator: Paula K. Rauch, MD

Key Points:

  • Describe a Family Systems model for assessing and treating Veterans with PTSD.
  • List 3 symptoms of PTSD that might affect a Veteran's relationship with a family member.
  • Identify 3 examples of therapeutic interventions with a family member that might positively affect a Veteran with PTSD.
Session 2

Couples Therapy: Addressing the Challenges Faced by Post 9/11 Veterans and their Partners

Faculty: Shiri Cohen, PhD
Moderator: Paula K. Rauch, MD

Key Points:

  • Review the impact of PTSD on relationships and the clinical issues military couples face when a Service Member/Veteran has PTSD.
  • Describe the key components of cognitive-behavioral couple therapy as a treatment for combat-related PTSD.
  • Differentiate between cognitive-behavioral couple therapy and emotionally focused therapy and the indicators for using one therapy over another.

Session 3

Substance Use and Post 9/11 Veterans and their Families

Faculty: John Rodolico, PhD
Moderator: Paula K. Rauch, MD

Key Points:

  • Identify the 11 criteria for a DSM-5 diagnosis of a substance use disorder.
  • Review the options family members have when confronted with a Service Member who has a substance use disorder.
  • List the 5 guidelines for positive communication skills with the CRAFT model.

Session 4

Complex Case Discussion

Shiri Cohen, PhD; Bonnie Ohye, PhD; Paula K. Rauch, MD; John Rodolico, PhD

Key Points:

  • Illustrate how a Veteran's PTSD and TBI can negatively affect relationships with his or her romantic partner, dependent children and parents.
  • Describe how co-morbid conditions associated with PTSD can be addressed simultaneously in the care of the Veteran and Family Member.
  • Identify symptoms or behaviors associated with PTSD that require a higher than outpatient level of care.


  • Psychologist, Red Sox Foundation and Massachusetts General Hospital Home Base Program
    Instructor in Psychiatry, Harvard Medical School
  • Assistant Professor, Harvard Medical School
    Director, Veteran and Family Clinic, Red Sox Foundation and Massachusetts General Hospital Home Base Program
    Clinical Director, Family Program, Red Sox Foundation and Massachusetts General Hospital Home Base Program
  • Director, Family Program, Red Sox Foundation and Massachusetts General Hospital Home Base Program
    Founding Director, Majorie E. Korff PACT (Parenting At a Challenging Time) Program Cancer Center, Massachusetts General Hospital
    Associate Professor of Psychiatry, Harvard Medical School
  • Senior Clinical Director
    Red Sox Foundation and Home Base Program
    Massachusetts General Hospital
    Chief of Behavioral Health, Massachusetts National Guard, Medical Command

Target Audience

Our primary audience is:

  • Psychiatrists
  • Psychologists
  • Nurses
  • Social Workers
  • Licensed Mental Health Counselors
  • Primary Care and Community Mental Health Providers
  • Pediatricians
  • School Health Professionals
  • Law Enforcement
  • Employee Assistance Programs
  • Clergy
  • Other First Responders

Educational Support

Defense Suicide Prevention OfficeWelcome Back Veterans







AMA PRA Category 1 CreditTM

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of McLean Hospital and Massachusetts General Hospital. McLean Hospital is accredited by the ACCME to provide continuing medical education for physicians.

McLean Hospital designates this enduring material for a maximum of 11.5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.


Nursing Contact Hours

Massachusetts General Laws, Chapter 13, sections 13, 14, 14A, 15 and 15D and Chapter 112, sections 74 through 81C authorize the Board of Registration in Nursing to regulate nursing practice and education.

This program meets the requirements of the Massachusetts Board of Registration in Nursing at (244 CMR 5.00) for 11.5 contact hours of nursing continuing education credit.


Psychologists CE Credit

The Massachusetts General Hospital Department of Psychiatry is approved by the American Psychological Association to sponsor continuing education for psychologists. The Massachusetts General Hospital Department of Psychiatry maintains responsibility for this program and its content.

This offering meets the criteria for 11.5 continuing education credits for psychologists.


Social Work CE Credit

The Collaborative of NASW, Boston College, and Simmons College Schools of Social Work authorizes social work continuing education credits for courses, workshops, and educational programs that meet the criteria outlined in 258 CMR of the Massachusetts Board of Registration of Social Workers.

This program has been approved for 11.5 Social Work Continuing Education hours for
relicensure, in accordance with 258 CMR. Collaborative of NASW and the Boston College
and Simmons Schools of Social Work Authorization Number D71071.



Other Professions

Other Providers can claim a Participation Certificate upon successful completion of this course.

Participation Certificates will specify the title, location, type of activity, date of activity, and number of AMA PRA Category 1 CreditsTM associated with the activity. Providers should check with their regulatory agencies to determine ways in which AMA PRA Category 1 CreditsTM may or may not fulfill continuing education requirements. Providers should also consider saving copies of brochures, agenda, and other supporting documents.

Resolution of Conflicts of Interest (COI)

McLean Hospital has implemented a process to resolve COI for each CME activity. In order to help ensure content objectivity, independence, fair balance and ensure that the content is aligned with the interest of the public, McLean Hospital has resolved the conflict by External Content Review.

Disclosure Information

In accord with the disclosure policy of McLean Hospital as well as guidelines set forth by the Accreditation Council on Continuing Medical Education, all people in control of educational content, including speakers, course directors, planners, and reviewers, have been asked to disclose all relevant financial relationships with commercial interests of both themselves and their spouses/partners over the past 12 months, as defined below:

Commercial Interest

The ACCME defines a "commercial interest" as any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients. The ACCME does not consider providers of clinical service directly to patients to be commercial interests. For more information, visit

Financial relationships

Financial relationships are those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.

Relevant financial relationships

ACCME focuses on financial relationships with commercial interests in the 12-month period preceding the time that the individual is being asked to assume a role controlling content of the CME activity. ACCME has not set a minimal dollar amount for relationships to be significant. Inherent in any amount is the incentive to maintain or increase the value of the relationship. The ACCME defines "'relevant' financial relationships" as financial relationships in any amount occurring within the past 12 months that create a conflict of interest.

Conflict of Interest

Circumstances create a conflict of interest when an individual has an opportunity to affect CME content about products or services of a commercial interest with which he/she has a financial relationship.

The following planners, speakers, and content reviewers, on behalf of themselves and their spouse or partner, have reported financial relationships with an entity producing, marketing, re-selling, or distributing health care goods or services (relevant to the content of this activity) consumed by, or used on, patients:

Paula K. Rauch, MD,Course Director
Royalties:McGraw Hill Publishing

Susan E. Sprich, PhD
Royalties:Oxford University Press (co-authoring treatment manual and client workbook), Springer (co-editing handbook)

All other individuals including course directors, planners, reviewers, faculty, staff, etc., who are in a position to control the content of this educational activity have, on behalf of themselves and their spouse or partner, reported no financial relationships related to the content of this activity.

Hardware/Software Specifications

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration

Flash Player: Adobe Flash Player 10.1+
Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+
Operating System: Windows XP+ or Mac OS X 10.4+
Internet Connection: 1 Mbps or higher

Minimum Requirements

Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit

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