Approximately 2.6 million service members have been deployed and 2 million children in the U.S. have lived through a parent's deployment in support of Post 9/11 conflicts. As service members begin their reintegration process, many are confronted with mental health issues. Approximately 20 percent or 300,000 of Iraq and Afghanistan veterans suffer from posttraumatic stress disorder (PTSD) and depression according to a recently released Rand Corporation study. (1)

Today it is estimated that some 40% of veterans will use community, non-VA settings for their health care (2). In a recent study, conducted by RAND, aimed to assess the readiness of those mental health providers working in community settings, it was found that only 13% of providers met the threshold to deliver cultural competence and evidence-based care to our returning veterans, service members and families (3). It is essential that clinicians be aware of the challenges facing those who are returning home and the re-integration issues that affect military families.

The post-deployment reintegration phase also brings disruption to the family re-organization and equilibrium achieved during the military parent's 8-12 month absence, raising the unique challenges of re-establishing the family unit, its routine and relationships following deployment. These challenges are magnified when the parent returns home with PTSD or TBI.

The impact of PTSD and/or TBI on military families and relationships is often overlooked. The invisible wounds of war can impair communication, increase family conflict and risk for divorce, impair parenting and decrease intimacy. It is imperative that clinicians not only treat veterans but address the needs of military family members as well.

The military family course will be an on line, multi-session course with the MGH Academy. All courses will be available on line, on-demand, and will be offered free of charge for CEs and CEUs.

This course is generously funded by the Cohen Veterans Network

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Learning Objectives

- Describe the Pediatric Symptom Checklist (PSC) and how it is being used in diverse child mental health, health, and educational settings
- Explain how to conduct behavioral health screening using the PSC
- Discuss how to respond to positive screens on the PSC
- Define internalizing disorders in children and adolescents and the prevalence.
- Describe the symptoms that comprise the internalizing disorders; mood disorders, anxiety disorders, and obsessive- compulsive disorder in children and adolescents.
- Describe the evidence-based treatments for the internalizing disorders
- Describe the types and subtypes of aggression
- Define the measurement of aggression
- Explain ODD measurement, epidemiology, and course
- Describe ODD treatment
- Discuss SUD Relations with aggression and antisocial behavior
- Describe SUD Risk factors in adolescence
- Recognize common school difficulties among youth with ADHD
- Describe the educational supports available for youth with ADHD via 504 plans and IEPs
- Read and utilize assessment reports for youth with ADHD
- Explain why traditional discipline doesn't work for many challenging kids
- Describe the types of thinking skills that challenging kids struggle with
- Recognize that there are three options for how to handle any problem with a child
- Demonstrate the process of solving problems collaboratively with children
- Describe the mission of parent guidance and how to form an alliance with parents of children and adolescents with the internalizing disorders _ depression and anxiety disorders
- List the key diagnostic features of and psychosocial and environmental factors associated with depression and anxiety disorders in children and adolescents
- Explain how to implement the principles of parent guidance with parents of children and adolescents with depression and anxiety disorders.

Target Audience

Our primary audience is: clinicians in mental health settings and pediatric practices

CE Information






AMA PRA Category 1 CreditsTM

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 live activity for a maximum of 8.50AMA PRA Category 1 creditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.


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 for8.50 Continuing Education (CE) credits for psychologists.

This offering meeting the criteria for8.50 Continuing Education (CE) credits per presentation for psychologists.


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 (244 CMR 5.00) for8.50 contact hours of nursing continuing education credit. Advance practice nurses, please note: Educational activities which meet the requirements of the ACCME (such as this activity) count towards 50% of the nursing requirement for ANCC accreditation.


Social Workers

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 for8.50 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 D80039-2.



Other Professions

This course allows other providers to 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 ofAMA PRACategory1 CreditsTMassociated with the activity. Providers should check with their regulatory agencies to determine ways in whichAMA PRACategory1 CreditsTMmay or may not fulfill continuing education requirements. Providers should also consider saving copies of brochures, agenda, and other supporting documents.


David H. Rubin, MD, reviewer
Susan E. Sprich, PhD psychologist reviwer
Jane Pimental, MPH

Planner Disclosures

The following planners and/or their spouse/partner have reported no relevant financial relationship with a commercial interest:

David H. Rubin,Reviewer
Jane Pimental, MPH

The following planners and/or their spouse/partner have reported a relevant financial relationship with a commercial interest:

Susan Sprich, PhD, Psychologist Reviewer

Royalties (Co-Author): Oxford University
Press Royalties (Co-Edited Book): Springer

Speaker Disclosures

The following speakers and/or their spouse/partner have reported no relevant financial relationship with a commercial interest:

Michael Jellinek, MD
Michael Murphy, EdD
Khadijah Booth Watkins, MD
Eugene Beresin MD
Stuart Ablon, PhD

The following speakers and/or their spouse/partner have reported a relevant financial relationship with a commercial interest:

Robert R. Althoff, MD, PhD

Investigator: NIMH, NIDA
Grand Funds (Medical Student Training Program Faculty Sponsor and PI) : Klingenstein Third Generation Foundation
Ownership Equity (Partner): WISER Systems, LLC

Aude Henin, PhD

Royalties (Book Authorship): Oxford University Press

Policy on Faculty and Provider Disclosure

It is the policy of McLean Hospital that faculty and providers disclose real or apparent conflicts of interest relating to the topics of this educational activity. McLean Hospital has established policies in place that identify and resolve all conflicts of interest prior to this educational activity.

Resolution of Conflict 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.

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