Abstract
Approximately 40% of United States military personnel are parents to dependent children, and nearly five million people in the United States are considered to be part of a military family (Department of Defense 2017). Military families face unique stressors, including possible deployments, separations, moves, disruption of routines, physical and/or mental wounds in the service member, and new demands on the nonmilitary caretaker. Such stressors have the potential to impair parenting practices and disrupt family functioning. Although the prevalence of child maltreatment in military families historically has been lower than that of civilian families, factors specific to military involvement – including the post-9/11 rise in lengthy deployments – place military children at elevated risk for maltreatment. Child maltreatment has significant adverse physical, psychological, behavioral, intergenerational, and societal consequences. However, long-term consequences can be mitigated through the use of preventive measures and trauma-informed care. Despite the increase in reported child maltreatment in military families over the past 18 years, protective factors embedded into military culture – including the military values of strength, integrity, and community – support family recovery and resilience. This chapter will highlight the literature on child maltreatment in military families, including its prevalence and associated risk and protective factors. It will then describe evidence-informed psychological interventions designed specifically to support adaptive functioning and/or parenting in military families. Finally, it will summarize additional evidence-based treatments that have been adapted for use with military families.
This chapter was initially published with an incorrect copyright holder name. It has been corrected to © Springer Nature Switzerland AG.
References
Adirim, T., & Johnston, A. (2019). Supporting strong communities with the healthy steps program. Zero to Three, 52–54.
American Professional Society on the Abuse of Children. (2019). APSAC announces revisions to its definitions of psychological maltreatment and adds a cautionary statement regarding use to support parental alienation claims. Retrieved from: https://www.apsac.org/single-post/2019/08/16/APSAC-ANNOUNCES-REVISIONS-TO-ITS-DEFINITIONS-OF-PSYCHOLOGICAL-MALTREATMENT-AND-ADDS-A-CAUTIONARY-STATEMENT-REGARDING-USE-TO-SUPPORT-PARENTAL-ALIENATION-CLAIMS.
Beardslee, W. R., Klonski, L. E., Saltzman, W., Mogil, C., Pangelinan, S., McKnight, C. P., & Lester. (2013). Dissemination of family-centered prevention for military and veteran families, adaptations, and adoption within community and military systems of care. Clinical Child and Family Psychology Review, 16, 394–409.
Campise, M. (2011). Family advocacy and new parent support: Responding to child abuse or neglect and domestic abuse in the military [Video webinar]. Retrieved from https://learn.nctsn.org/course/view.php?id=407.
Center for the Study of Social Policy (2015). Core meanings of the strengthening families protective factors. Retrieved from https://cssp.org/wp-content/uploads/2018/10/Core-Meanings-of-the-SF-Protective-Factors-2015.pdf.
Chandra, A., Lara-Cinisomo, S., Jaycox, L. H., Tanielian, T., Burns, R. M., Ruder, T., & Han, B. (2010). Children on the homefront: The experience of children from military families. Pediatrics, 125(1), 16–25.
Cohen, J., Mannarino, A., & Cozza, S. (2014). Trauma-focused cognitive behavioral therapy for military families: An implementation manual. Retrieved from https://tfcbt.org/wp-content/uploads/2018/05/Military-implementation-manual.pdf.
Cohen, J., Mannarino, A., & Deblinger, E. (2006). Treating trauma and traumatic grief in children and adolescents. New York: The Guilford Press.
Cozza, S. J. (2016). Parenting in military families faced with combat-related injury, illness, or death. In A. Gewirtz & A. Youssef (Eds.), Parenting and children’s resilience in military families. Risk and resilience in military and veteran families. Cham: Springer.
Cozza, S. J., Guimond, J. M., McKibben, J. B. A., Chun, R. S., Arata-Maiers, T. L., Schneider, B., Maier, A., Fullerton, C. S., & Ursano, R. J. (2010). Combat injured service members and their families: The relationship of child distress and spouse-perceived family distress and disruption. Journal of Traumatic Stress, 23(1), 112–115.
Cozza, S. J., Holmes, A. K., & Van Ost, S. L. (2013). Family-centered care for military and veteran families affected by combat injury. Clinical Child and Family Psychology Review, 16(3), 311–321.
Cunitz, K., Dölitzsch, C., Kösters, M., Willmund, G. D., Zimmermann, P., Bühler, A. H., et al. (2019). Parental military deployment as risk factor for children’s mental health: A meta-analytical review. Child and Adolescent Psychiatry and Mental Health, 13(1), 26.
Defense Health Board (2019). Healthy military family systems: Examining child abuse and neglect. Retrieved from https://health.mil/Reference-Center/Presentations/2019/08/06/Healthy-Military-Family-Systems-Examining-Child-Abuse-and-Neglect.
DeVoe, E., Cohen, J., Gerwitz, A. & Gurwitch, R. (2014). Evidence-Based Treatments: Elements or Adaptations for Military Family-Informed Care [Video webinar]. Retrieved from https://learn.nctsn.org/course/view.php?id=190.
DeVoe, E. R., Paris, R., Emmert-Aronson, B., Ross, A., & Acker, M. (2017). A randomized clinical trial of a postdeployment parenting intervention for service members and their families with very young children. Psychological Trauma: Theory, Research, Practice, and Policy, 9(S1), 25–34.
Department of Defense. (2010). Report on the impact of deployment of members of the armed forces on their dependent children. Retrieved from https://download.militaryonesource.mil/12038/MOS/Reports/Report-to-Congress-on-Impact-of-Deployment-on-Military-Children.pdf.
Department of Defense. (2017). 2017 demographics: Profile of the military community. Retrieved from https://download.militaryonesource.mil/12038/MOS/Reports/2017-demographics-report.pdf.
Dursa, E. K., Reinhard, M. J., Barth, S. K., & Schneiderman, A. I. (2014). Prevalence of a positive screen for PTSD among OEF/OIF and OEF/OIF-era veterans in a large population-based cohort. Journal of Traumatic Stress, 27(5), 542–549.
Eyberg, S. (1988). Parent-child interaction therapy: Integration of traditional and behavioral concerns. Child & Family Behavior Therapy, 10(1), 33–46.
Fischer, H. (2015). A guide to US military casualty statistics: Operation freedom’s sentinel, operation inherent resolve, operation new dawn, operation Iraqi freedom, and operation enduring freedom. Congressional Research Service, 7, 5700.
Forgatch, M. S., & Patterson, G. R. (2010). Parent management training – Oregon model: An intervention for antisocial behavior in children. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents. New York: Guilford.
Gewirtz, A., DeGamo, D. S., & Zamir, O. (2018). After deployment, adaptive parenting tools: 1 year outcomes of an evidence-based parenting program for military families following deployment. Prevention Science, 19, 589–599.
Gewirtz, A. H., Pinna, K. L., Hanson, S. K., & Brockberg, D. (2014). Promoting parenting to support reintegrating military families after deployment, adaptive parenting tools. Psychological Services, 11, 31–40.
Gibbs, D. A., Martin, S. L., Kupper, L. L., & Johnson, R. E. (2007). Child maltreatment in enlisted soldiers' families during combat-related deployments. JAMA, 298(5), 528–535.
Gumbs, G. R., Keenan, H. T., Sevick, C. J., Conlin, A. M. S., Lloyd, D. W., Runyan, D. K., et al. (2013). Infant abusive head trauma in a military cohort. Pediatrics, 132(4), 668–676.
Gurwitch, R. H., & Messer, E. P. (2018). Parent–child interaction therapy for military families: Improving relationships. In Handbook of parent-child interaction therapy (pp. 71–84). Cham: Springer.
Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 617–627.
Kudler, H., & Porter, C. R. I. (2013). Building communities of care for military children and families. The Future of Children, 23(2), 163–185.
Lester, P., Aralis, H., Sinclair, M., Kiff, C., Lee, K. H., Mustillo, S., & Wadsworth, S. M. (2016a). The impact of deployment on parental, family and child adjustment in military families. Child Psychiatry & Human Development, 47(6), 938–949.
Lester, P., Liang, L., Milburn, N., Mogil, C., Woodward, K., Nash, W., Aralis, H., Sinclair, M., Semaan, A., Klonski, L., Beardslee, W., & Saltzman, W. (2016b). Evaluation of a family centered prevention intervention for military families: Parent and child longitudinal outcomes. Journal of the American Academy of Child and Adolescent Psychiatry, 55, 14–24.
Lester, P., Mogil, C., Saltzman, W., Woodward, K., Nash, W., Leskin, G., et al. (2011). Families overcoming under stress: Implementing family-centered prevention for military families facing wartime deployments and combat operational stress. Military Medicine, 176(1), 19–25.
Lipari, R. N., Forsyth, B., Bose, J., Kroutil, L. A., & Lane, M. E. (2016). Spouses and children of US military personnel: Substance use and mental health profile from the 2015 National Survey on drug use and health. Substance abuse and mental health administration. Retrieved from https://www.samhsa.gov/data/sites/default/files/NSDUH-MilitaryFamily-2015/NSDUH-MilitaryFamily-2015.htm.
Mansfield, A. J., Kaufman, J. S., Marshall, S. W., Gaynes, B. N., Morrissey, J. P., & Engel, C. C. (2010). Deployment and the use of mental health services among US Army wives. New England Journal of Medicine, 362(2), 101–109.
McCarroll, J. E., Fan, Z., Newby, J. H., & Ursano, R. J. (2008). Trends in US Army child maltreatment reports: 1990–2004. Child Abuse Review: Journal of the British Association for the Study and Prevention of Child Abuse and Neglect, 17(2), 108–118.
McCarthy, R. J., Rabenhorst, M. M., Thomsen, C. J., Milner, J. S., Travis, W. J., Copeland, C. W., & Foster, R. E. (2015). Child maltreatment among civilian parents before, during, and after deployment in United States air Force families. Psychology of Violence, 5(1), 26.
Military Child Education Coalition (2015). Serving the children of those who serve us all. Retrieved from https://capstone.ndu.edu/Portals/83/Documents/Spouse%20Info/Resources/MilitaryChildEducationCoalition.pdf?ver=2017-04-11-071703-450.
National Academies of Sciences, Engineering, and Medicine. (2019). Strengthening the military family readiness system for a changing American society. Washington, DC: National Academies Press.
Pemberton, J. R., Kramer, T. L., Borrego, J., Jr., & Owen, R. R. (2013). Kids at the VA? A call for evidence-based parenting interventions for returning veterans. Psychological Services, 10(2), 194.
Rentz, E. D., Marshall, S. W., Loomis, D., Casteel, C., Martin, S. L., & Gibbs, D. A. (2007). Effect of deployment on the occurrence of child maltreatment in military and nonmilitary families. American Journal of Epidemiology, 165(10), 1199–1206.
Ridings, L. E., Moreland, A. D., & Petty, K. H. (2019). Implementing trauma-focused CBT for children of veterans in the VA: Providing comprehensive services to veterans and their families. Psychological Services, 16(1), 75–84.
Ruscio, A. M., Weathers, F. W., King, L. A., & King, D. W. (2002). Predicting male war-zone veterans’ relationships with their children: The unique contribution of emotional numbing. Journal of Traumatic Stress, 15(5), 351–357.
Saltzman, W. R., Lester, P., Pynoos, R. S., Beardslee, W. R., Layne, C. M., Mogil, C. M., & Green, S. (2008). FOCUS family resilience enhancement program (2nd ed.).
Saltzman, W. R., Lester, P., Beardslee, W. R., Layne, C. M., Woodward, K., & Nash, W. P. (2011). Mechanisms of risk and resilience in military families: Theoretical and empirical basis of a family-focused resilience enhancement program. Clinical Child and Family Psychology Review, 14(3), 213–230.
Saltzman, W. R., Pynoos, R. S., Lester, P., Layne, C. M., & Beardslee, W. R. (2013). Enhancing family resilience through family narrative co-construction. Clinical Child and Family Psychology Review, 16, 294–310.
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.
Slep, A. & Heyman, R. (2012). Child maltreatment and domestic violence in military and civilian populations [Video webinar]. Retrieved from https://learn.nctsn.org/course/view.php?id=406.
Slep, A. M. S., & Heyman, R. E. (2016). Child maltreatment and intimate partner violence in military families. In A. Gewirtz & A. Youssef (Eds.), Parenting and children's resilience in military families. Risk and resilience in military and veteran families. Cham: Springer.
Strane, D., Lynch, K. G., Griffis, H. M., Taylor, C. M., Harb, G. C., Mi, L., et al. (2017). Family characteristics associated with child maltreatment across the deployment cycle of US Army soldiers. Military Medicine, 182(9–10), e1879–e1887.
Sullivan, K., Capp, G., Gilreath, T. D., Benbenishty, R., Roziner, I., & Astor, R. A. (2015). Substance abuse and other adverse outcomes for military-connected youth in California: Results from a large-scale normative population survey. JAMA Pediatrics, 169(10), 922–928.
Thomas, R., Abell, B., Webb, H. J., Avdagic, E., & Zimmer-Gembeck, M. J. (2017). Parent-child interaction therapy: A meta-analysis. Pediatrics, 140(3), e20170352.
Trautmann, J., Alhusen, J., & Gross, D. (2015). Impact of deployment on military families with young children: A systematic review. Nursing Outlook, 63(6), 656–679.
Wenger, J. W., O'Connell, C., & Cottrell, L. (2018). Examination of recent deployment experience across the services and components. RAND Corporation. Retrieved from https://www.rand.org/pubs/research_reports/RR1928.html.
Wood, J. N., Griffis, H. M., Taylor, C. M., Strane, D., Harb, G. C., Mi, L., et al. (2017). Under-ascertainment from healthcare settings of child abuse events among children of soldiers by the US Army Family Advocacy Program. Child Abuse & Neglect, 63, 202–210.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this entry
Cite this entry
Wolodiger, E.D., Goldner, J.S., Lofgreen, A.M., Saltzman, W.R., Lester, P.E., Karnik, N.S. (2022). Child Maltreatment in Military Families: Risk and Protective Factors, and Family-Systems Interventions. In: Geffner, R., White, J.W., Hamberger, L.K., Rosenbaum, A., Vaughan-Eden, V., Vieth, V.I. (eds) Handbook of Interpersonal Violence and Abuse Across the Lifespan. Springer, Cham. https://doi.org/10.1007/978-3-319-89999-2_263
Download citation
DOI: https://doi.org/10.1007/978-3-319-89999-2_263
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-89998-5
Online ISBN: 978-3-319-89999-2
eBook Packages: Behavioral Science and PsychologyReference Module Humanities and Social SciencesReference Module Business, Economics and Social Sciences