THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF SOCIAL WORK COURSE NUMBER: COURSE TITLE: SEMESTER AND YEAR: TIMES: INSTRUCTOR: OFFICE HOURS: SOWO 838 Policy Analysis, Development, and Change: Examining Military Families Spring Semester, 2010 Tuesdays, 9:00 – 10:20 a.m. Laurie Selz Campbell, MS, CPRP TTK Building, Room 356 Phone: 919-843-6394 lauriesc@unc.edu Monday 12 – 1:30 and by appointment COURSE DESCRIPTION: This course will provide students with a framework for advanced policy analysis and strategies for policy change, with a focus on military families. COURSE OBJECTIVES: At the conclusion of this class students will be able to: 1. Identify the principles, foundation and provisions of the primary social welfare programs that affect military families. 2. Demonstrate the analytic, theoretical and value assessment skills that enable social workers to evaluate policies and apply change strategies. 3. Apply concepts and principles of human rights, social justice, and social work ethics to policy analysis, development and change strategies. 4. Identify the primary systems that form the safety net for military personnel and their families, including (a) health, mental health and substance abuse, (b) housing, (c) education and employment training, (d) income support, and (e) family services. 5. Analyze ways in which policies affecting military families have evolved from and are rooted in military culture. 6. Describe policies related to confidentiality and consent to treatment within the context of military health and mental health care. Identify potential ethical dilemmas for military social workers. 7. Describe policies related to supporting military families experiencing spousal or child abuse. 8. Analyze policies that affect service men and women of varying races and ethnicities, sexual orientations, and family structures. 9. Describe avenues for leadership, advocacy, and policy change related to social work intervention with military families. EXPANDED DESCRIPTION: This course builds on the foundational content presented in SOWO 530, Social Welfare Policy. Students will have the opportunity to explore social policies that impact military families and that provide the structure and framework within which social work interventions are implemented. Potential ethical challenges for the military social worker related to implementing policy will be continuously explored. 1 REQUIRED TEXTS: Hall, L.K. (2008). Counseling military families: What mental health professionals need to know. New York, NY: Routledge Publishing. Korb, L. J., Duggan, S., Juul, P., & Bergmann, M. (2009). Serving America's veterans: A reference handbook. Santa Barbara, CA: Praeger Publishing. Additional assigned articles will be posted on Blackboard. TEACHING METHODS AND EXPECTATIONS: Teaching methods will include lecture and class discussion, as well as multimedia presentations, guest speakers, and small group activities. My perspective is that we all have much to learn AND much to teach. Full participation is essential to your learning process in the class, and will allow you to successfully apply the course material in a way that is personally and professionally meaningful. All students are expected to attend all classes and to complete the readings before class begins. Students are expected to participate in discussions by sharing information from their reading and/or field experiences. I ask that you contact me, in advance, if you will miss a class. Any student with significant difficulty with class participation requirements should speak with me at the beginning of the semester so that alternative forms of contribution can be identified. POLICIES ON THE USE OF ELECTRONIC DEVICES IN THE CLASSROOM: I expect that we will all be invested in creating a learning environment of respect and engagement. I welcome the use of laptops in class for taking notes or completing small group tasks. However, I ask that you use them only for relevant activities – not for checking email or surfing the Web. During class, cell phones and other devices should be silenced. ACCOMMODATIONS FOR STUDENTS WITH DISABILITIES: Students with disabilities which affect their participation in the course should notify the instructor if they wish to have special accommodations in instructional format, examination format, etc., considered. Accommodations and services are provided by Disability Services (Voice/TDD 962-8300; 966-4041). Learning Disability Services (9627227) provides supportive services for students with learning disabilities and attentiondeficit/hyperactivity disorders. POLICY ON ACADEMIC DISHONESTY: Academic dishonesty is contrary to the ethics of the social work profession, unfair to other students, and will not be tolerated in any form. All written assignments should include the following signed pledge: “I have neither given nor received unauthorized aid in preparing this written work.” In keeping with the UNC Honor Code, if reason exists to believe that academic dishonesty has occurred, a referral will be made to the Office of the Student Attorney General for investigation and further action as required. Please refer to the APA Style Guide for information on attribution of quotes, plagiarism, and appropriate citation. 2 POLICY ON INCOMPLETES AND LATE ASSIGNMENTS: Late assignments are strongly discouraged, but may be accepted in some cases. All assignments are due at the beginning of class on the day noted. You must contact me prior to a due date if you would like to request an extension, or you will lose 10% of the assignment’s points per day (including weekends and the date on which the assignment was due, if submitted after the beginning of class). Incompletes may be granted if (a) there are extreme and unforeseeable circumstances that affect your ability to complete the semester’s work, and (b) you meet with me in advance to develop a plan and timeline for completing your work. ASSIGNMENT GUIDELINES: All written assignments must be typed and follow APA format. Several writing resources are posted on the SSW website. You can also refer to the APA Publication Manual (6th edition), and to a tutorial on APA style at http://www.lib.unc.edu/instruct/citations/apa/index.html. ASSIGNMENT DESCRIPTIONS: Descriptions of the course assignments are below. As needed, we will discuss further guidelines and resources as we move through the semester. Assignment 1: Class Discussion Facilitation Due As Assigned You will work with a partner to kick off the class discussion on a day/topic of your choice. We will sign up for these facilitations shortly. You should be prepared to facilitate a discussion lasting about 15-20 minutes, including a brief reflection on the assigned readings for the week and 2-3 questions to get the discussion going. Assignment 2: Advocacy Exercise Due February 16th For this assignment, you will develop a 500-word (1 to 1½ pages, single spaced) advocacy statement addressing a program or policy issue relevant to military service personnel and/or their families. You can format your statement as a letter to a legislator or policy maker, or as an editorial submission to a newspaper. In either case, you should clearly describe the issue of concern, cite relevant data (e.g. demographic, economic), identify issues of discrimination or social injustice, and propose a viable and ethical solution. You can focus on the local, state, or national level, as desired. Assignment 3: Military Family Policy or Program Analysis Due April 20th This assignment asks you to complete a comprehensive analysis of a program or policy related to military service personnel and/or their families. Your paper should be about 8 double-spaced pages long. Examples of topics include policies or programs related to: - Intimate partner violence Child abuse Substance abuse treatment Mental health treatment Housing and homelessness Education or job training Income support or economic self sufficiency 3 - Child disability (physical or mental health) Family functioning during times of deployment and transition Your analysis will incorporate (a) scholarly research using a minimum of 10 sources, to include peer-reviewed research articles or reports from government websites or “think tanks,” and (b) first-person reflections and insights from a service provider and a service recipient (these can come from in-person interviews or from online sources, depending on feasibility and logistics). More specifically, your analysis will address the following: 1. Overview - Policy or program name and description - History: Social, political, or economic conditions - Rationale for why this policy or program merits study 2. Discussion of the political dimension of the policy or program: - Who might see this policy/program as desirable or undesirable? Are any particular agendas favored or disfavored? 3. Discussion of the economic dimension of the policy or program - What are the short- & long-term costs & benefits of the policy or program? What might be some less obvious costs or benefits? Have there been any unintended or unexpected costs or benefits? 4. Discussion of evidence in support of or opposition to the policy or program - What (if any) research has been conducted examining the effectiveness of the policy or program? Is the evidence consistent? - What is the quality of the research? Are findings generalizable to relevant populations? 5. Discussion of the ethical dimensions of the policy or program - What specific ethical principles (e.g. autonomy, individual rights, safety & well-being, equality) are promoted or thwarted by the policy or program? Are there any inherent dilemmas (competing/contradictory ethical principles)? - Does the policy or program operate in a way that promotes social justice, or does it contribute to oppression and/or discrimination? What groups experience such discrimination? 6. Discussion of the practice dimension of the policy or program - How is the policy implemented in practice? Is it implemented as intended? If not, why might this be? 7. Your position on the policy or program: Recommendations for change and rationale for your recommendations Assignment 4: Professional presentation April 20th or 27th This will be a brief (~15-minute) presentation on the policy or program about which you wrote. Format and details will be discussed further. 4 SUMMARY OF COURSE EVALUATION COMPONENTS AND GRADING SCALE: Grades will be assigned based on the following components and weights: Active Participation Discussion Facilitation Advocacy Statement Policy Analysis Presentation Total 94 - 100 80 - 93 70 - 79 <70 10 10 20 40 20 100 H P L 5 COURSE OUTLINE Date Topic & Readings Jan 12 Introduction to Course Jan 19 A Framework for Policy Analysis: Overview & Practice Due Readings: Posted on Blackboard Optional Readings: Dickson-Gomez, J., Convey, M., Hilario, H., Corbett, A. M., & Weeks, M. (2007). Unofficial policy: Access to housing, housing information & social services among homeless drug users in Hartford, Connecticut. Substance Abuse Treatment, Prevention, & Policy, 2(8), 1-14. Morone, J. (1997). Enemies of the people: The moral dimension to public health. Journal of Health Politics, Policy & Law, 22(4), 993-1021. Jan 26 The Present-Day Military: Demographics & Context Readings: Hall: Ch. 1: Rationale & Purpose (skim) Ch. 2: Military Service Members Ch. 3: The Unique Culture of the Military Korb: Ch. 1: Introduction Ch. 4: Veteran Demographics Collins, J. (1998). The complex context of American military culture: A practitioner's view. Washington Quarterly, 21(16), 213-229. Selections from the National Center for Veterans Analysis & Statistics (available at http://www1.va.gov/vetdata/) Feb 2 Military Families: Context, Challenges, Supports Kickoff #1 Readings: Hall: Ch. 4: The Military Family Ch. 5: The Children (skim) Ch. 6: Other Military Families to Consider Ch. 7: Major Challenges of Military Families Review Appendices for familiarity with resources Feb 9 Policies Related to Deployment & Reintegration Kickoff #2 Readings: Eaton, K. M., Hoge, C. W., Messer, S. C., Whitt, A. A., Cabrera, O. A., McGurk, D., et al. (2008). Prevalence of mental health problems, treatment need, and barriers to care among primary care-seeking spouses of military service members involved in Iraq and Afghanistan deployments. Military Medicine, 173(11), 1051-1056. 6 Date Topic & Readings Due Lemos, G. (2005). Military history: The experiences of people who become homeless after leaving military service. Housing, Care & Support, 8(3), 4-8. Manderscheid, R. W. (2007). Helping veterans return: Community, family, and job. Archives of Psychiatric Nursing, 21(2), 122-124. Milliken, C. S. (2007). Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war. JAMA: Journal of the American Medical Association, 298(18), 2141-2148. Sayers, S. L., Farrow, V. A., Ross, J., & Oslin, D. W. (2009). Family problems among recently returned military veterans referred for a mental health evaluation. Journal of Clinical Psychiatry, 70(2), 163-170. Additional material on specific deployment & reintegration supports to be posted on Blackboard Feb 16 The Health & Mental Health Safety Net for Military Families: VA & Tricare Kickoff #3 Readings: Korb: Ch. 2: History of Veterans Affairs Ch. 5: Barriers to Accessing VA Health Care & Benefits Ch. 6: Multiple Epidemics in Veteran Mental Health Selections from Department of Veterans Affairs (2008). Federal benefits for veterans & dependents. Washington, DC: Department of Veterans Affairs. Choose one of the following: Engel, C. C., Oxman, T., Yamamoto, C., Gould, D., Barry, S., Stewart, P., et al. (2008). Respect-MIL: Feasibility of a systems-level collaborative care approach to depression and post-traumatic stress disorder in military primary care. Military Medicine, 173(10), 935-940. Jackonis, M., Deyton, L., & Hess, W. (2008). War, its aftermath, & U.S. health policy: Toward a comprehensive health program for America’s military personnel, veterans, & their families. Journal of Law, Medicine & Ethics, 36(4), 677-689. Magnezi, R., Dankner, R., Shani, M., Levy, Y., Ashkenazi, I., & Reuveni, H. (2005). Comparison of health care services for career soldiers throughout the world. Military medicine, 170(12), 995-998. Schafer, J. (2008). Reaching a better management model for military medicine. Hospital Topics, 86(4), 18-32. Feb 23 The Social Services Safety Net for Military Families: Housing, Developmental, Educational, & Employment Supports Kickoff #4 Advocacy Exercise Due Readings: Bowen, G. L., Mancini, J. A., Martin, J. A., Ware, W. B., & Nelson, J. P. (2003). Promoting the adaptation of military families: An empirical test of a community practice model. Family Relations, 52(1), 33-44. 7 Date Topic & Readings Due Huebner, A. J., Mancini, J. A., Bowen, G. L., & Orthner, D. K. (2009). Shadowed by war: Building community capacity to support military families. Family Relations, 58(2), 216-228. Taylor, N. E., Wall, S. M., Liebow, H., Sabatino, C. A., Timberlake, E. M., & Farber, M. Z. (2005). Mother and soldier: Raising a child with a disability in a low-income military family. Exceptional children, 72(1), 83-99. Selections from Department of Veterans Affairs (2008). Federal benefits for veterans & dependents. Washington, DC: Department of Veterans Affairs. Optional: Twiss, P. C., & Martin, J. A. (1999). Conventional and military public housing for families. Social Service Review, 73(2), 240-260. Mar 2 Policy Challenges in Ensuring a Strong Safety Net: Access & Engagement Kickoff #5 Readings: Carroll, E., Robinson, L., Orthner, D., Matthews, W., & Smith-Rotabi, K. (2008). Essential life skills for military families: Mobilizing the cooperative extension service in NC. Journal of Family & Consumer Sciences, 100(1), 52-57. Robinson, R., Davis, J. D., Krueger, M., Gore, K., Freed, M. C., Kuesters, P., et al. (2008). Acceptability of adverse childhood experiences questions for health surveillance in U.S. Armed forces. Military Medicine, 173(9), 853-859. Sansone, R. A., Matheson, V. G., Gaither, G. A., & Logan, N. (2008). Concerns about career stigma by military parents of children with psychiatric illness. [Article]. Military Medicine, 173(2), 134-137. Mar 9 Happy Spring Break !!! Mar 16 Violence in Military Workplaces & Families: Sexual Violence in the Workplace, Partner Violence, & Child Abuse Readings: Erez, E., & Bach, S. (2003). Immigration, domestic violence and the military. Violence Against Women, 9(9), 1093-1117. Kickoff #6 Brief Description of Policy Analysis Topic Gustavsson, N. S. (1995). "Don't ask, don't tell" and child welfare. Social work, 40(6; 3), 815. Rentz, E., Martin, S., Gibbs, D., Clinton-Sherrod, M., Hardison, J., & Marshall, S. (2006). Family violence in the military: A review of the literature. Trauma, Violence & Abuse, 7(2), 93-106. Mar 23 Violence in Military Workplaces & Families: Sexual Violence in the Workplace, Partner Violence, & Child Abuse (continued) Kickoff #7 Readings: Chapin, M. G., & Mackie, C. F. (2007). Research evidence to update practice 8 Date Topic & Readings Due guidelines for domestic violence screening in military settings. Military Medicine, 172(7), ii-iv. Gielen, A. C., Campbell, J., Garza, M. A., O'Campo, P., Dienemann, J., Kub, J., et al. (2006). Domestic violence in the military: Women's policy preferences and beliefs concerning routine screening and mandatory reporting. Military medicine, 171, 729-735). Kanuha, V. K., Erwin, P., & Pence, E. (2004). Strange bedfellows: Feminist advocates and U.S. Marines working to end violence. Affilia: Journal of Women & Social Work, 19(4), 358-375. Stamm, S. (2009). Intimate partner violence in the military: Securing our country, starting with the home. Family Court Review, 47(2), 321-339. Mar 30 Confidentiality, Consent, & Ethical Challenges in Serving Military Service Persons & Families Kickoff #8 Readings: Kennedy, C., & Moore, B. (2008). Evolution of clinical military psychology ethics. Military Psychology, 20(1), 1-6. McCauley, M., Hughes, J. H., & Liebling-Kalifani, H. (2008). Ethical considerations for military clinical psychologists: A review of selected literature. Military Psychology, 20(1), 7-20. Simmons, C., & Rycraft, J. (2010). Ethical challenges of military social workers serving in a combat zone. Social Work, 55(1), 9-18. Apr 6 Policy Issues Related to Diversity in the Military: Sexual Orientation Kickoff #9 Readings: Estes, S. (2005). Ask and tell: Gay veterans, identity, and oral history on a civil rights frontier. Oral History Review, 32(2), 21-47. Johnson, W. B., & Buhrke, R. A. (2006). Service delivery in a "don't ask, don't tell" world: Ethical care of gay, lesbian, and bisexual military personnel. Professional Psychology: Research and Practice, 37(1), 91-98. Moradi, B. (2009). Sexual orientation disclosure, concealment, harassment, and military cohesion: perceptions of LGBT military veterans. Military Psychology, 21(4), 513-533. Apr 13 Policy Issues Related to Diversity in the Military: Racial Diversity & National Origin Kickoff #10 Readings: Lowe, T. B., Hopps, J. G., & See, L. A. (2006). Challenges and stressors of African American armed service personnel and their families. Journal of Ethnic & Cultural Diversity in Social Work, 15(3; 3), 51-81. 9 Date Topic & Readings Due Mariscal, J. J. M. (2007). Immigration and military enlistment: The pentagon's push for the DREAM Act heats up. Latino Studies, 5(3), 358-363. Apr 20 Presentations Policy Analysis Due Presentations Group 1 Apr 27 Presentations Presentations Group 2 10