This article was originally published on MFed and written by Tristen Wendland, MS, LPC.

When you hear the acronym PTSD (post traumatic stress disorder) most think of combat war veterans.  Post Traumatic Stress Disorder is a fairly new term.  In WWI and WWII it was referred to as shell shock or combat fatigue.  The term was developed in the 1970s after the Vietnam war when servicemembers returned with similar symptoms.  It wasn’t until 1980 that the American Psychiatric Association officially recognized it as a disorder.

According to the National Institute for Mental Health, it is estimated that around 6-7% of the US population will deal with some PTSD in their lifetime.  According to Department of Veterans Affairs, Woman are at higher risk at 8% compared to Men at 4%.   PTSD can be related to natural disaster, a serious accident, terrorist attacks, mass shootings, combat, sexual assault, or other types of violent assault.

While working for Department of Veterans affairs I had the opportunity to work with many combat veterans over my career.  One comes to mind.  He was a young Army veteran who worked in EOD (Explosive Ordnance Disposal).  During his time in the US Army, he was deployed 3 times.  During his last deployment he was injured during a mission when a bomb he was defusing exploded leaving him permanently disfigured and without the use his dominate arm.  After 8 years of skin grafts, multiple surgeries, and ongoing therapy he was ready to discuss returning to school and work.  He applied for Vocational Readiness and Employment through Department of Veterans Affairs CH31 program, and I was assigned his case.  We started off slowly with him only taking 1 class at a time.  Working up to part time school in person was a challenge.  The physical scars on his face and mangled arm were hard to miss.  Over the 5 years that I worked with him I saw him succeed and fail and celebrated his achievements and milestones and encouraged him when he stumbled.  Often having to take breaks when he stubbled back.  What I learned from him is that the will and want to work and succeed is 90% of the battle for people with emotional scars.  His goal was never to be who he was previously but to be who he is today.  A better version of himself who can feel satisfaction from employment even at a part time level.  Success was self-determined, and not dictated by a 40-hour work week or paycheck.

So, when it comes to employment what is the impact on your workforce?  According to the American Psychologic Society, the symptoms of PTSD sometimes cause significant distress for many individuals.  It impacts their social and occupational participation to a degree that is significant.  It can impact their ability to engage in selfcare and home care activities, education, and work roles as well as social and leisure activities.

What can you as an employer do to minimize or accommodate an employee suffering with PTSD? According to US Department of Labor Workers Compensation, Employees may benefit from returning to work on a part‑time basis.  Modified work schedules or shared employment can be beneficial. In terms of workplace accommodations, each person will have specific needs, and you really have to look at accommodations based on that individual. Here are some options:

• Providing instructions or job-related responsibilities in writing as well as verbal instructions.
• Offering additional training or refreshers to assist that individual with some of the memory difficulties.
• Allowing workers to maintain more flexible schedules and being able to take time off for any treatment or appointments that they have to attend.
• Permitting extra time to complete non-urgent tasks.
• Letting employees wear noise canceling headphones to reduce distractions while they’re working.
• Increasing the amount of light in the work environment to help maintain alertness and help them improve concentration.
• Removing any emotional triggers that remind the employee of the trauma that are upsetting (when possible).
• Making sure parking areas are well lit or that security personnel is available to accompany them when walking to a car or unsafe locations in the dark.

According to the Recovery Village, with treatment the prognosis is positive that PTSD symptoms can be managed.  While approximately one-third of people do not achieve full symptom elimination with treatment, most individuals experience a significant reduction in the intensity of their symptoms. It is important to understand when an employee is struggling, and performance is low there maybe underlying issues that can be accommodated or addressed by managers.

Sources:

National Institute of Mental Health. “Post-Traumatic Stress Disorder (PTSD)“ https://www.nimh.nih.gov/health/statistics/post-traumatic-stress-disorder-ptsd .” November 2017. Accessed May 9, 2023.

U.S. Department of Veterans Affairs. “How Common Is PTSD in Adults?”  https://www.ptsd.va.gov/understand/common/common_adults.asp  February 3, 2023. Accessed May 9, 2023.

U.S. Department of Labor Workers Compensation. “How PTSD is Affecting Return to Work” https://www.genexservices.com/insights/workers-comp/blog/how-ptsd-affecting-return-work  August 2019. Accessed May 9, 2023

The Recovery Village. “PTSD Statistics and Facts” https://www.therecoveryvillage.com/mental-health/ptsd/ptsd-statistics/#:~:text=70%25%20of%20adults%20experience%20at,some%20point%20in%20their%20life  May 2023. Accessed May 9, 2023.

What do counselors, psychologists, and social workers all have in common? Each are a part of the large community of helping professions. A helping profession is a job focused on providing timely care, support, advocacy, and outreach to others in need with the intent to improve a part or the overall well-being of an individual. But what happens when there is a disproportionate group of people receiving and/or seeking help with mental illness and substance use?

The Problem

In 2019, just prior to the pandemic, more than 40 million Americans, aged 12 or older, had a substance use disorder (SUD). As noted by the CDC, the use of alcohol and other substances can lead to anxiety, depression, family problems, violence, and other health and societal outcomes. Moreover, we know that today, about 1 in 5 American adults and 1 in 5 children will experience a mental illness at some point in their lives.

When we review the latest report from the National Survey on Drug Use and Health (NSDUH), we see that Black, Hispanic or Latino, or Asian adults were less likely to receive mental health services in the past year than White or Multiracial adults. Moreover, according to NSDUH’s report, 94% of people aged 12 or older with a substance use disorder did not receive any treatment.

Why Representation Matters

This data is critical and highlights the need for representation on many fronts within helping professions. For example, research shows that negative stereotypes and stigma surrounding mental illness and substance abuse has led to the presence of self-stigma among those experiencing mental illness and substance use disorders. Self-stigma in turn has interfered with a person’s willingness to seek help and treatment.

Increasing representation among our workforce of counselors, social workers, and psychologists can be a critical step to improving strategic outreach to underrepresented and marginalized groups that do not typically seek treatment. Moreover, improving representation among these professions can also inform our communication strategies that effectively support individuals across a range of age brackets, with cultural and linguistic differences, and other important attributes that should inform our ability to provide targeted and effective care.

Our Commitment to a Diverse Workforce

At Magellan Federal, we are committed to diversifying our team of employees and provider network because we desire to reach and serve all who are in need. As such, we are committed to removing real and perceived barriers to care and we do this in part by practicing cultural humility within our organization and with those whom we serve in our communities.

As we continue to grow and diversify, we make intentional efforts to understand each person’s wholistic identity, commit ourselves to an ongoing process of compassionate self-awareness and inquiry, remain open and teachable, and we remember that society and culture is ever evolving, and we must as well.

If you possess these values, we invite you to join our team! Click the links below to learn more.

• To learn more about becoming an employee at Magellan Federal, visit our Careers page.
• To join our Network of EAP Providers, click here.
• To learn more about the services and solutions we provide to our customers, click here.

The Exceptional Family Member Program (EFMP) provides care and services for military families with special needs – whether that is an adult or child. The program has served over 55,000 Army EFMP family members across a total of 32 locations within and outside of the continental U.S. In this Q&A with Magellan Federal senior program analyst Brandon Greenwood, we learn more about the important work with special needs families.

How does EFMP work?

Greenwood: There are three components to EFMP: Medical, Human Resource Command HRC(Assignments), and Family Support. Magellan System Navigators fall under the Family Support umbrella where we offer non-clinical case management to our clients. We provide support to soldiers and their dependents to make their transition to and from their duty stations as seamless as possible all the while providing support groups, educational workshops, Individualized Education Plans (IEP) assistance, and bringing exciting and inclusive special events to our population.

What are System Navigators?

Greenwood: System Navigators take the guesswork out of locating services in a brand-new environment for our clients, by forming relationships with community partners and service providers and connecting them to our service members and their families.

Clients are encouraged to collaborate with their Systems Navigator (SN) to create a service plan so that their individual goals are taken into account. A goal for our SNs is for them to empower our families to be the best advocate for their Exceptional Family Members as they can. We want to equip them with as many tools and as much knowledge about EFMP as possible so when they relocate, they are better prepared and informed for what may come.

How does this help families with children?

Greenwood: Our Systems Navigators also assist families with a dependent who has a special educational need with their Individualized Education Plans. SNs are trained in Wrightslaw Special Education and are able to educate parents and caregivers about their child’s IEP, point out inconsistencies, correct language that may not be beneficial to the child, and also attend the meeting with the family in a support role.

Wrightslaw is a training course that provides the knowledge build-up for Special Education Law and Advocacy.  It helps the System Navigator to better understand the challenges our EFMP families experience each day in the school system.

Our SNs play a large role in the planning and execution of special events. There are several events across all our military bases, however, most of those events aren’t inclusive for those with special needs. The EFMP family support program, along with the help of our SNs, create themed special events that are sensory-friendly and created with our EFMP families in mind. These events have become so popular that many sites have made them open to the entire base.

How can someone get connected to the EFMP?

Greenwood: To learn more about EFMP and the support available to your family, reach out to your local EFMP Family Support office. EFMP Family Support providers play a critical role in providing information, referral, family needs assessments, and family service plans to help you achieve the goals that are unique to your family.

Source: MilitaryOneSource

Within the fascinating experience that is life, change is a continual occurrence, and an example of ongoing change is that which is experienced through loss. Humans experience loss in many ways, commonly through the death of a loved one or the end of a relationship. A key component of loss is grief.

Grief is a personal process connecting the emotional, social, and physiological realms and is closely tied to overcoming the crisis that comes with loss. For some, grief may be a time involving self-acceptance and self-discovery, while for others, it may be a time of isolation and denial of reality. No matter how it is experienced, it is a journey of mental, emotional, and relational readjustment that may substantially alter a person’s daily life.

Professional counseling can help those experiencing loss and grief identify internal and external resources available to them promotes empowerment, a sense of community, and encourages grieving in healthful ways. Below are tips to support those struggling with loss while also incorporating self-care practices.

Grief Guidance

• Acknowledge grief is a personal experience and listen to the person without an agenda.
• Honor the grief someone is experiencing while being prepared to give the person space.
• Learn what spiritual practice or creative outlet allows the person to connect with their sense of meaning and purpose, then make recommendations accordingly. Not everyone will feel comfortable drawing or journaling.
• Observe how the person is moving through the grieving process and refer as needed. Some may seek a spiritual approach, while others may benefit from a grief counselor if they require more specialized care.
• Maintain self-awareness. Ask yourself, “How does dealing with someone grieving make me feel?” “Does it trigger any personal memories?” “To what extent can personal issues be distracting?”
• Be respectful of the person’s grieving and don’t turn encounters into interrogation sessions. Through self-awareness one may realize addressing someone’s grief can be anxiety provoking.
• It is okay to respond with, “I don’t know”.
• Grief counseling can trigger emotional reactions that may be new and uncomfortable. If this occurs, don’t hesitate to seek support from a trusted person.

Grief Resources for Military Families

One very important component when addressing the process of loss with someone is that, similar to a crisis, the grieving individual may not have the frame of mind, the peace, or the support to address even the most essential basic needs. It may feel as if with the loss comes a loss of connection and where to look for help. Having an advocate who is attuned with the resources available within the military community can be a game changer. The Military & Family Life Counseling (MFLC) program is available to all service members and families for on-installation support with a number of life’s challenges through free, short-term, confidential non-medical counseling. MFLC counselors can help bridge the gap between the grieving person or family and the different agencies that can provide resources to aid during times of despair. Start by contacting your installation’s Military and Family Support Center for more information on the MFLC program. Reaching out for help and resources is an essential element in the process of healing and recovery from loss.

Tonie Powell doesn’t think of herself as the average operations office manager, but rather thinks of her position as the heartbeat of the company. Powell is based at the headquarters of Magellan’s federal office in Arlington, Virginia, where she manages all office operations. From supporting the leadership team, assisting with facility renovations, sending cards for employees’ birthdays, and supporting employee morale. As the spouse of a disabled retired military veteran, Powell faces a unique set of challenges with balancing her job and being a military spouse. For Military Spouse Appreciation Month, Powell shares her experience and how Magellan’s culture supports working military spouses.

What sort of projects are you currently working on?

A major project right now is assisting with organizing a leadership summit that will take place later this year. I am responsible for leading the extremely detailed location logistics that go into planning and executing events of this scale. We are anticipating more than 100 of the top leaders of Magellan to be in attendance and there are a lot of moving parts to ensure its success. A large part of my job is making sure all the details of projects big and small are planned for so that leadership can stay focused on the task of delivering quality service and growing our business to help the service members, veterans, federal workers, and family members we serve.

How do you balance work and being a military spouse? How is Magellan supportive of your life as a military spouse?

My husband is retired military, so I do not have the same challenges I did as an active-duty spouse with childcare drama, long deployments, and frequent moves. One of the main challenges I faced as a working military spouse was that I could never take a day off for me. I needed to save my sick days for those times when my children would inevitably get sick. My husband’s schedule as an infantry officer was very unpredictable. He did not have the luxury of calling his boss to say he was staying home for a child with a sore throat. Now that my children are grown adults living on their own, the challenge is balancing my work schedule with caring for my husband. I help him manage medical appointments, get him to physical therapy and help him with other things he might require. My husband is alert and capable, but as a caregiver, it can be emotionally draining and physically demanding, and I’m lucky that my supervisors are extremely understanding by allowing me to be off when I need to be. Also, being able to work remotely at Magellan has been one of the positive things to come out of the COVID-19 pandemic. While I am frequently onsite now, I still manage to accomplish more than I did in the office full time and without the commuter headaches and expense that it takes to work near our nation’s capital.

What are your thoughts on the culture at Magellan?

Our mission is to empower federal employees and military personnel to live healthier, more productive lives includes those who work here as well. We have excellent resources for the people who support our customers. The flow of information is consistent and inclusive of all employees. I feel respected and that my contribution is valued. It is a great place to work!

On May 17^th, we celebrate National Employee Health and Fitness Day! By sharing tips on how to stay active even during busy workdays, National Employee Health and Fitness Day is a day to raise awareness of the health benefits of physical activity and remind employees about the necessity and advantages of regular physical activity. Physical activity provides a much-needed break from the stress of everyday tasks and duties and gives us energy, boosts mental ability, and prevents fatigue throughout the rest of the day. Magellan Health’s Evergrace Davis, associate information security compliance analysist, is also an AFAA Certified Group Fitness Instructor. In 2020, Davis launched “KeepItMovin with Grace,” a workout program that provides individuals of all ages and fitness levels with fitness classes and step challenges. Davis began her fitness journey over 12 years ago as a workout class instructor and lives by the motto, “keep it moving” with the goal of living life to the fullest. Continue reading to learn Davis’ tips on how employees can find ways to include physical fitness throughout even the busiest workdays.

How can employees who work from home find ways to prioritize health and fitness throughout their workday?

I know that working from home can be challenging but we must find ways to prioritize fitness by keeping our bodies moving. Fitness is so beneficial to your health and can improve your work mood and overall health.  I suggest trying the STOP method which means “Stop Typing on PC.” Practice this by blocking off time on your calendar for fitness breaks. Scheduling time is making fitness a priority because we sit for hours in one place and many only get up for coffee, lunch, and bathroom breaks. Here are some suggestions below:

• Put on your gym shoes and go for a walk around the block.
• Step away from your computer for five minutes of stretching.
• Getting some direct sunlight improves your health making you feel recharged and refreshed to continue with the workday.

How can employees who work in an office find ways to prioritize health and fitness throughout their workday?

There are ways for employees to prioritize their health and fitness while working in the office throughout the workday both indoors and outdoors. The STOP method still applies while in the office!  Block off time and schedule your fitness breaks. Always be prepared for working out by having a change of clothes, towel, water bottle, and gym shoes in the car. Here are some more suggestions employees can do while working in an office:

• Indoors: Walk up and down the hallways, up and down stairs, go the fitness center if your company provides one and get on the treadmill, stretch, or lift some weights.
• Outdoors: Go outside to stretch or take a walk around the building, or a quick jog.

By doing this, employees can improve their mood and health by making sure they keep moving even during the workday!

What are the benefits of regular physical activity? What are some easy ways for employees to add physical activity into a busy workday?

There are so many benefits to maintaining regular physical activity. By prioritizing physical activity consistently, your body learns to look forward to daily movement and exercise. Another benefit are the results that you will see from consistently staying active. You may find yourself feeling better, less stressed, and possibly experiencing more energy, and better sleep.

For National Nurses Week, we are honoring the contributions and sacrifices made by all nurses in the medical community who are instrumental in enhancing the health of their patients. Nurses are the healthcare professionals who perform some of the most challenging and essential healthcare tasks and serve as the first and last point of contact for most patients as well as being a crucial link between patients and doctors. Nurses have a versatile career with dozens of specialties that require extreme focus and dedication. We’re spotlighting two of Magellan Health’s nurses who each explain why they chose to become nurses, and who describe what are some of the most rewarding and challenging aspects of working in this field:

• Tracy McClain, RN, BSN, Care Coordinator, Employer Center of Excellence
• Jacqueline Rigby Siomos, RN, senior care manager, Cambria County Clinical

Continue reading to learn more from Jacqueline and Tracy on their experience as nurses:

Why did you become a nurse and what are the most rewarding aspects of working in this field?

Jacqueline: I really wanted to help people and becoming a nurse was the best fit for me. I knew nursing had a lot of different opportunities available and I would always be guaranteed to have a fulfilling career. I enjoy that I learn something new each day, whether it’s a new medication, a new treatment modality, or a new data system.

Tracy: I always knew since a very young age that I wanted to work in a career that allows me to help people. Helping and supporting people in their time of need by bringing them care, comfort, and compassion does as much for me as it does the people I help.

What are some challenges you face being a nurse? How do you overcome those challenges?

Jacqueline: One of the biggest challenges is stress and burnout. It is very important to have healthy self-care rituals to be refreshed and rejuvenated for the next workday. You must commit to be a lifelong learner if you want to be a nurse since healthcare is an ever-changing field. 

Tracy: Not being able to help or make a positive difference in someone’s life, but I just always remind myself that I can’t save the whole world, so I stay focused on the people I can impact and never give up on anyone.

Is there anything you’d like to highlight about working in this field and National Nurses Week?

Jacqueline: Nursing is a challenging field, but the rewards of helping others outweigh all the challenges. I have always been blessed to work with a wonderful group of nurses and other professionals who always make the workday go smoothly. The nursing profession offers tremendous amounts of flexibility in scheduling, clinical specialties, and employment locations. Celebrating National Nurses Week is a great way to recognize the hard work and dedication of all my colleagues in the field. We are all in this together.

Tracy: Working in this field and with my team at Magellan has helped me gain knowledge and grow as a person. I have worked here for 25 years and can honestly say I am a more patient, compassionate, and educated nurse. It’s nice to know that nurses are being recognized for what they do and made to feel proud of being a nurse, especially when burn out tends to be high in this field.

Hard work, dedication, love, and resilience weave together an extraordinary tapestry that is the military spouse. We are strong, independent women and men fiercely supportive of each other. We care wholeheartedly about all associated with the military and work tirelessly to support those who support us through serving our country.

Military Spouse Appreciation Month recognizes the spouse’s contributions to the military and the community. Those in the military took an oath to serve our country and receive medals, salutes, and commendations for their commitment. The sacrifices of the families, while not as evident, should also be applauded and recognized for their commitment to the service of our country through their support of the service member. Often these sacrifices go unnoticed and can create challenges, such as maintaining a job or career.

The Struggle of Finding Employment as a Military Spouse

On many military installations, spouses volunteer thousands of hours for the cause of the community and the military services. One can find a spouse volunteering at thrift stores, schools, Community Action Centers, Military Spouse Clubs, and the American Red Cross, to name a few. The spouse’s work is visible and needed. When the service member knows that the family is stable and receiving the required support within the community, they can focus on serving their mission without hesitation.

Along with the usual marital stresses, most non-military spouses are near support systems of family, lifelong friends, and resources known to them. We learn to make friends quickly, and those people become our family. The resentment and loneliness this lifestyle brings can be hard to understand. The sacrifice, commitment, and the stress of many domestic roles can be lonely and isolating at times. We can sometimes lose our identity – known only as someone’s spouse or someone’s parent. Many opportunities present themselves, such as worldwide travel, educational benefits, and excellent schools, but with these opportunities there can be just as many, if not more, sacrifices.

So much of our military lifestyle is beyond our control. Affordable childcare options are a major concern for military spouses. It is a primary family expense and the main reason many spouses choose not to work outside the home. At one point in my career, I worked 40 hours a week and cleared less than $600 monthly after childcare expenses, transportation, lunch, hair, nails, etc. I was exhausted and felt enormous guilt for allowing my children to be cared for by strangers while I earned a mere pittance.

Military spouses sometimes “Suffer in Silence,” fearing that speaking up may impact our service member’s career.

Qualities of a Military Spouse

We cover family milestones, holidays, and events alone, often finding ways to make up for the missing service member. In many cases, giving birth is a prime example. Thanks to my husband’s battalion chaplain (and his wife who made him do it), Gary was able to sneak away for a couple of hours (in full camouflage paint and an odor to match!) from field exercises to visit our newborn son and me in the neonatal intensive care unit in Fayetteville, NC.

Charlene Austin, the wife of Secretary of Defense General Lloyd Austin, has always been a working military spouse. She gave me this advice years ago when I became despondent during my job search. “This [military] experience is guaranteed to be like no other. Remain open to options and alternatives. Grow to be happy with yourself and work to realize your needs and goals.” That is good advice, but so much easier said than done.

Military spouses often sacrifice a stable career with their active-duty partner. The constant moving makes it hard to have career progression since you are not in any position long enough to have forward momentum. For example, my dear friend, Ivy, has multiple graduate degrees. Yet, she decided not to work for nearly twenty years because it was difficult to secure positions with growth and one that would work with her schedule of raising children and supporting her military service member.

Military spouses are adaptable, flexible, punctual finance managers, organizational managers, schedule managers, and residential physician assistants. They serve as Girl Scout leaders, Boy Scout leaders, piano teachers, sports coaches, and tutors. We are located in an area for 12-36 months. Within the first two weeks of arrival, the spouse has unpacked and arranged the house, registered students in new schools (who is my emergency contact when I don’t know anyone?!), obtained new doctors and a dentist, scheduled sporting activities and other extra-curriculum activities, and planned the summer vacation with fun activities.

Why Companies Should Hire Military Spouses

Securing positions and establishing a career have changed within the last 10 years for military spouses; however, it can sometimes still be difficult for a spouse to secure a position if they are not a teacher or working within the medical field. Many employers hesitate to hire a military spouse because they focused on the spouse leaving and not the skills the person was contributing to the overall mission.

An organization would benefit from having a military spouse who can work independently and collaboratively to complete tasks without supervision. A military spouse has likely managed a household and children and settled conflicts—from submitting damage claims to advocating for the best classes for their child. Military spouses are often highly educated and experienced; therefore, they meet the requirements for many positions. They should not be discounted simply because they may be at a temporary station. There are a lot of remote work options these days that may result in continuity beyond service location.

Carolyn Shelton, the spouse of General Hugh Shelton, former Chairman of the Joint Chiefs of Staff, shared an interesting story concerning her job search in the Washington, DC, area. She was submitting applications but had very little previous employment. She added her volunteer experience as a military spouse instead. A hiring manager reviewed her application and said, “Anyone who would volunteer this much at no pay has to be reliable. You’re hired!” Never discount the strength of your volunteer experience. You gain marketable skills needed in the business community.

When I met Carolyn, she had moved 24 times in 29 years. She humorously described her first experience as a military spouse (although I am sure humorously was not how she would have described it then).  They arrived at Ft. Benning, Georgia, where her husband was to attend Ranger School. He told her, “I’m going to sign in with the unit, then I’ll be back.” He didn’t make it back for two days! This happens more often than we care to admit.

It is past time that companies provide childcare assistance or subsidies. A flexible spending account should be one of many benefits companies offer employees. I hope the future holds affordable options for all companies that will foster a healthier work-life balance.

Companies like Magellan Federal have already taken giant steps in supporting military spouses in the workplace. Our Talent Acquisition team is superb at keeping the company recognized as a Military Friendly Top 10 Spouse Employer. Our President and CEO, Anna Sever, is the spouse of an active-duty military service member. I do not doubt that under her leadership, we will continue to build on the foundation the company was founded on – care for surviving spouses of the fallen. I applaud Magellan Federal for the emphasis placed on mental health and access to resources.

I encourage other corporations to provide more opportunities for military spouses. Hire them because they get the job done and allow them to manage at the highest positions!