Military Culture One Officer’s Perspective MICHAEL D CARTNEY Colonel (USAF, Retired) 14 Aug 2012 Agenda • Purpose • Differences between the services • Cartney’s military life • Coming home • Accessing Healthcare • Helpful tips and thoughts Are you ready for some ACRONYMS? 2 Basic Training – Military Culture Understanding the nature of the military culture, combat and the stresses of living and working in a war zone are critical to establishing credibility with your clients. 3 Basic Training – Military Culture • Army – Army National Guard • Navy • Marine Corps • Air Force – Air National Guard • Coast Guard* 4 Basic Training – Military Culture • Another view… • • • • Active Guard Reserve Veteran..? 5 Basic Training – Military Culture What do you call them? o o o o o o o Marine = Marine Navy = Sailors Army = Soldiers Air Force = Airmen/Airwomen Coast Guard = Coast Guard - “Coasties” or Guardians National Guard = The Guard Reserve = Reservist When is doubt – Sir or Ma’am will do just fine. 6 Basic Training – Military Culture • Army – active component and two reserve components – Army National Guard – US Army Reserve • Oldest and largest ground force • Fairly rigid separation of officers and enlisted 7 Basic Training – Military Culture • Navy – 2nd largest force - One reserve component (No Nat’l Guard) • Two primary types of duty – shore duty and fleet time • Junior and Senior enlisted are rigidly separated, as are officers and enlisted. 8 Basic Training – Military Culture • Marine Corps – active and reserve component • Primary mission is to seizure/defense of naval bases. • Highly competent land force • Officers and enlisted rigidly separated for discipline and “C2” purposes 9 Basic Training – Military Culture • Air Force – Air National Guard and AF Reserve • Youngest branch of the military • In general, a more highly educated force • Separation of officers and enlisted can be less rigid than other branches 10 Basic Training – Military Culture • Coast Guard - During peacetime, part of DHS charged with protecting public and the environment - Has maritime and customs responsibilities during wartime 11 Cartney’s Military Experience • 30 Year’s Active Duty • USAF Academy Grad, Purdue, International Command and Staff College, Air War College, Harvard University • War on Drugs, Cold War, Bosnia, Kosovo, Desert Storm, OIF, OEF, Afghanistan 14 Understanding Time and Space Military Timelines Life Events Significance Entered Air Force Academy 1977 Grandfather passed away the day As a health care I entered provider serving Veterans, your ability Graduated in 1981 – sent to Married 1983 (Anniversary in to understand the Pentagon first assignment May, Wife’s DOB May). Two significance of time Children and space with Moved 19 times in 30 years Towards middle of career respect to life events military changed policy to avoid will serve you well in moving members during school understanding the year. Son went to MULTIPLE stresses faced by Schools today’s veterans “DRUG” Deployment Almost missed Daughter’s Wedding/Missed Granddaughter’s birth Deployments and Battle Staff Missed births of all my grandchildren. Missed Christmases/B-days/etc 15 Coming Home Despite the excitement and relief of coming home, many (most?) service members have some difficulties returning home from a combat deployment. My personal experiences: 1. Many keys events were missed and can never be recreated. 2. Injuries 3. Wife’s reaction 4. Sleep patterns are permanently disrupted 5. Spouse and children impacts similar 6. Long term security clearances Coming Home WAR HAS CHANGED!!! • The blurring of battlefield and home… • The changes in war and combatants • Kill or be killed combat… • The changes in technology – “home” anytime • Injuries versus casualties • Operation Clean Exit Accessing Health Care • On Active Duty, accessing health care is easy and no cost concerns. • So good I had basic questions on prescriptions when I retired • For Guard and Reserve: • during deployments, accessing health care is easy. Troop Medical Clinics (TMCs) are readily available. Most TMCs offer a full range of outpatient services. • On Reserve duty and post-mobilization (deployment), accessing health care can be *extremely* difficult and frustrating. Accessing Health Care Things YOU can do: 1. Understand TRI-CARE and how a Guard/Reservist/Retiree accesses it. 2. Be conversant (if not fluent) on what a Line-of-Duty (LOD) medical event is. • What paperwork is needed to get treatment and payment? • Who fills out the paper work? • Where is the paperwork sent? 3. Get to know the VA and TRI-CARE reps in your area. A Thought To Remember “The soldier, above all other people, prays for peace, for he must suffer and bear the deepest wounds and scars of war.” -- General Douglas MacAurthur 20 5 Words You Should Never Say “Did you ever kill anyone?” 5 Words You Should Always Say “Thank you for your service.” Other Tips • Acronyms – For the military they are a second language – Stop and ask them what it is – Do not ask what it stands for… • You may not understand that either!! 23 Resources 1. Your local Reserve or Nat’l Guard Unit – meet them, visit with them, get to know the commander and the full-time administrative staff 2. On-line Training Module by: Patricia J. Watson, PhD Executive Division, National Center for PTSD http://www.ptsd.va.gov/professional/ptsd101/flash-files/Military_Culture/player.html