A Student-Driven Applied Analysis of Medical Anthropology

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A Student-Driven Applied Analysis of Medical Anthropology

Anthropology Summer Ethnographic Field School 2011

WGVU Studio, Grand Valley State University

June 22, 2011

Objectives

 Learn and use anthropological methods

 Assess healthcare status of veterans in West Michigan

 Intervention to improve veterans health & well-being

 Share findings with concerned parties

Why is this study important?

 22.7 million veterans in US, over 700, 000 in MI

 Veterans not well represented in healthcare literature

 Veterans may not be receiving adequate healthcare

 Veterans’ healthcare status needs assessment

Why is this study important? Continued.

 Veterans rate of suicide is twice as high compared to the general population

 20% of returning veterans have PTSD or major depression

 12.7% of the U.S. population are veterans, yet 23% of the homeless population are veterans

Demographics

 Michigan ranks 11 th in veteran population

 MI spends the least per capita on veterans of any state

 Only 7% of veterans are females

Demographics: Continued

 The U.S. Department of Veteran Affairs (VA)

 Over 800 primary care clinics

 The largest healthcare service in the U.S. for veterans

 About 30% of veterans use the VA

 In MI, around 17% of veterans use the VA

Methods of the Study

 Veterans were contacted using convenience sampling

 Students were sent in groups to interview these veterans

 Video and Audio recorded

 Ethnographic reports

 Questionnaires

 Life histories, participant observation and

 Focus group discussions

Methods: Interviews

 5 groups of students conducted interviews

 53 veterans were interviewed over a 5 week period of time

 Each interview lasted from 30 to 120 minutes

 Each group kept a field diary and wrote an ethnographic report

 These findings were compiled into a final report

Qualitative Findings

Most veterans do not use VA healthcare

 Unaware of available benefits

 Don’t feel deserving of benefits if healthy

 Difficulty with paperwork and policies

 Inefficiency in receiving benefits

 Lack of contact with VA post-service

Qualitative Findings

Those who have utilized VA services are often dissatisfied with their experience

 Disparities in quality of facilities across Michigan

 West Michigan facilities outdated and unable to meet demand

 Inconvenient VA hospital and clinic locations

 Lack of continuity with primary healthcare provider

 Presence of foreign-born medical professionals within VA facilities may limit communication

Findings: Combat Vs. Marital Status

According to the study, veterans that saw combat had significantly higher divorce rates and lower marriage rates than veterans that did not see combat.

Findings: Age Vs. Transitioning Home

N=98

According to this study, the youngest group of veterans, aged 44 or below, are having a harder transitioning home than older veterans did.

Findings: Age Vs. Health Problems

According to the study, the youngest veterans had a higher rate of having health problems then the older veterans.

Findings: VA Benefits Vs. Job Satisfaction

According to this study, veterans that use VA benefits had a higher rate of dissatisfaction with their jobs than veterans that do not use VA benefits.

Field Experience

• Gaining a greater appreciation of veterans

• Becoming personally invested in veteran well-being

• Overcoming the obstacles of participant observations

Recommendations

 Continue flexible and adaptive GI Bill

 Improve advertisement according to region’s needs

 Encourage doctors to work with VA

 Provide adequate debriefing for returning veterans

Recommendations

 Include marriage and family counseling benefits

 Make VFW and American Legion posts more attractive

 Increase community and employment support

Conclusions

 Marital counseling for combat veterans is needed.

 Thorough debriefing for veterans coming home

 Needs a comprehensive follow-up

 Mental health awareness should be improved.

 Consistent PTSD screening

 All veterans need to be acknowledged and appreciated for their service and their sacrifices.

What We Learned

 Encouraged to learn more about veterans

 Gained an increased respect for veterans

 The military shapes the lives of veterans

 Most veterans take pride in their time in the military

 Their healthcare can be inadequate for their specific needs

Thank You!

 The Field School like to show its gratitude to the following:

Veterans

Goodwill organization

Grand Rapids Home for Veterans: Tiffany Carr

WGVU: Timothy Eernisse

CLAS Dean: Frederick Antczak

Human Research Protection Committee - HRPC

Center for Scholarly Creative Excellence - CSCE

Dean of Students Office: Steven Lipnicki

Director of Institutional Analysis: Phillip Batty

Voiceover: John Howard

Department of Anthropology

Discussion

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