Source: TEXAS COOPERATIVE EXTENSION submitted to NRP
WOUNDED WARRIORS SUPPORT PROGRAM
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
0220322
Grant No.
2009-48702-06080
Cumulative Award Amt.
$2,895,000.00
Proposal No.
2009-05855
Multistate No.
(N/A)
Project Start Date
Sep 1, 2009
Project End Date
Aug 31, 2014
Grant Year
2009
Program Code
[MI.1]- F4HN-Admin. Discretionary & Reim.-Extension
Recipient Organization
TEXAS COOPERATIVE EXTENSION
(N/A)
COLLEGE STATION,TX 77843
Performing Department
Extension Military Program
Non Technical Summary
Due to advances in military medicine and protective equipment increased numbers of service members are surviving the injuries they sustain on the battlefield. However, the changing combat landscape has meant that surviving service members return with an array of special needs, such as Traumatic Brain Injury (TBI) and Post Traumatic Stress Syndrome (PTSD) which are increasingly recognized as leading non visible injuries of Operation Enduring Freedom and Operation Iraqi Freedom. There are also an extensive number of service members with Very Seriously Injured (VSI) or Seriously Injured (SI) category wounds. These may include loss of limbs and/or extensive burns. Other service members have some type of accident or illness which involves formal medical attention and evaluation. The brave men and women affected will be coping with the challenges of their injuries, as they transition back to duty or reenter civilian life. The service members with TBI or PTSD face difficulties that may include headaches, vertigo, balance problems, anxiety and sleep disturbances. They may also have cognitive symptoms including short-term memory deficits, poor concentration and decision making difficulties. Those service members with burns or limb loss experience a wide variety of self-worth and re-entry concerns. While any and all of these can interfere with everyday activities, the formal transition back to duty or from military service provides a more substantial life changing situation. Additionally, many support personnel and Family members lack the specialized training that can help better assess and treat these war related conditions. Texas AgriLife Extension Service will in a three year period research existing materials and resources to include web sites developed by research based, accurate information sources that have been developed to meet the educational goals of the program focusing on enhancing the staff awareness of the needs of Very Seriously Injured (VSI) and Seriously Injured (SI) in dealing with the day to day issues that face the injured as well as the individuals who work with them and the care givers that take care of them. Upon selection of appropriate curriculum and development of a training program Extension will provide educational programs to all SFAC Warrior in Transition Cadre and care givers at military installations and at Guard and Reserve Centers as appropriate. Educational programs will be on-going to meet the continuous change in individuals who work and care for the injured. Extension will create and maintain a web site for the program with resources and educational materials available to assist staff and care givers on a 24/7 basis. Fact Sheets with research based information will be developed, printed and made available to staff and care givers. Distribution will be to military installations and Guard and Reserve Centers. Extension resources where available will be used to print materials. If needed, printing will be secured through a contract. Training will provided on military installations and at Guard and Reserve Centers by Extension professionals trained in the curriculum and are members of the Extension Military Program.
Animal Health Component
100%
Research Effort Categories
Basic
(N/A)
Applied
100%
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
80260203020100%
Keywords
Goals / Objectives
Texas AgriLife Extension Service will in a three year period research existing materials and resources to include web sites developed by research based, accurate information sources that have been developed to meet the educational goals of the program focusing on enhancing the staff awareness of the needs of Very Seriously Injured (VSI) and Seriously Injured (SI) in dealing with the day to day issues that face the injured as well as the individuals who work with them and the care givers that take care of them. Upon selection of appropriate curriculum and development of a training program, Extension will provide educational programs to all SFAC, Warrior in Transition, Cadre, and care givers at military installations and at Guard and Reserve Centers as appropriate. Educational programs will be on-going to meet the continuous change in individuals who work and care for the injured.
Project Methods
Extension will create and maintain a web site for the program with resources and educational materials available to assist staff and care givers on a 24/7 basis. Fact Sheets with research based information will be developed, printed and made available to staff and care givers. Distribution will be to military installations and Guard and Reserve Centers. Extension resources where available will be used to print materials. If needed, printing will be secured through a contract. Training will provided on military installations and at Guard and Reserve Centers by Extension professionals trained in the curriculum and are members of the Extension Military Program.

Progress 09/01/09 to 08/31/14

Outputs
Target Audience: In 2009, the Wounded Warrior Support Program was developed as an educational collaboration between the United States Department of Agriculture–National Institute of Food and Agriculture (USDA-NIFA), the U.S. Army, Family Morale, Welfare and Recreation Command (FMWRC) and Texas A&M AgriLife Extension Service. The program was established under the Military Program within Texas A&M AgriLife Extension Service to focus on family caregivers and their wounded soldiers within the U.S. Army, Soldier and Family Assistance Center (SFAC). The SFAC consists of 31 centers located on U.S. Army installations across the nation to provide services that are responsive to the needs of wounded, ill, and injured military personnel assigned to the Warrior Transition Brigade (WTB) and their families. What makes this project so unique is that it is the first program established to focus solely on the needs of military family caregivers and their wounded soldiers through educational outreach and research analysis. Under Award No. 2009-48702-06080, the five year project ends August 31, 2014. Changes/Problems: Implementation of research study and caregiver outcomes from the pilot study under the Tailored Caregiver Assessment and Referal (TCARE®) protocol identified major challenges or "lessons learned" during work with SFAC locations. Ten SFACs (5 treatment sites and 5 control sites) participated in a 22 month longitudinal comparison group study. Two TCARE® Assessor Trainings were conducted for SFAC staff who participated in the pilot project. The initial study design anticipated enrollment by each SFAC of 30 caregivers over a six month period (total = 300), but the final study sample included only 70 caregivers. Participation of caregivers varied substantially across the participating SFACs reflecting a variety of barriers to enrollment. Data pertaining to outcomes were collected from each caregiver at baseline, three months and six months after enrollment when possible. The majority of caregivers were female (94.3%), married (94.3%), and caring for their spouses or partners (95.7%). Scores on a standardized depression measure (CESD) for the vast majority (85%) was above the cut-off point predicting clinical depression. Although the small sample size severely limited the power of the study to detect statistically significant findings, analyses did reveal trends that are consistent with statistically significant results from other larger randomized controlled trials of the TCARE® protocol conducted with family caregivers of adults with physical and/or cognitive disabilities. Of note is the observed overall improvement of depression for caregivers served with the TCARE® protocol in contrast to the worsening of depression scores for the control group. Interviews with SFAC staff indicated that once they were trained and had experience using the protocol, they found the protocol to be very useful for them and for family caregivers. What opportunities for training and professional development has the project provided? The project has provided professional development and training through eXtension publications, professional development webinars and print materials. All of which are described under the accomlishments section. Conferences attended by professionals include: 2013 Rosalynn Carter Institue for Caregiver Conference 2014 Texas A&M AgriLife Extension Conference - Superior Services 2014 National Association for Rural Mental Health 2014 eXtension National Conference How have the results been disseminated to communities of interest? Many of the educational programming developed under the grant was designed for online access but special attention was given to the SFACs for the use of the referral guides used on the installations. To determine the number of referral guides to send to each SFAC, the installations were categorized as small, medium, or large depending on the population of the Warrior Transition Command (WTC). The larger installations usually had a larger wounded warrior population size, which meant more resources sent to that particular SFAC. Dissemination of print materials has been approved by SFAC leaders and IMCOM G-9. Materials were distributed to 31 SFAC locations across globe between November 2012 and August 2014. Quantities varied at each installation depending on the population size of the WTC. Refer to previous ‘Sampling Sizes of Sites’ for more information. All location’s educational materials are utilized how each center sees fit. Each center was provided samples of each referral guide and display racks in November 2012. After the general order was dispersed, SFACs were then responsible for ordering additional items when needed or that was specific for their location. AgriLife Bookstore In order to distribute all referral guides and educational courses and materials, the Wounded Warrior Support Program developed a presence within the Texas A&M AgriLife Extension Bookstore. The Extension Bookstore makes ordering materials easy and less time consuming, it also provides a sustainable solution for continually providing SFACs available items even after the contract ends. These ready-made items were available to SFACs during the project to order as many items as the center needed. Before the close of the contract, SFACs were able to order items without any cost associated to the center. Because of educational materials that are still available under the contract, SFACs can continue to utilize the Extension Bookstore for ordering caregiving referral guides until there are no more, at no-cost. However, the centers will have to pay for shipping fees. *Fees can range from $17.00 - $400.00 depending on the quantity ordered and location of shipment. To access the Extension Bookstore go to: http://www.agrilifebookstore.org/category-s/1995.htm What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? Per contract, Extension is responsible for providing educational materials and support services for caregivers and their wounded service members. Within the Texas A&M AgriLife Extension Service the project utilized its academic experts and specialists in subject-matter areas in order to provide quality, credible materials for military caregivers. All materials produced were vetted through extensive analysis of the content criteria, sources of reference and scholarly experts. Educational programming was developed in three forms: (1) hard copy referral guides; (2) online learning modules; and (3) caregiver coursework. 1. Referral Guides Referral guides or pamphlets were designed to be used at SFAC locations to provide a basic educational understanding of specific wounded warrior medical conditions and resources for caregivers. Initially grant leadership identified specific conditions when the original contract was drawn. However after meeting with the Advisory Committee, members identified additional topics for separate referral guides. Keeping in mind that SFACs provide ‘non-medical’ guidance and services, educational guides were created with a non-medical stance. For instance, the referral guides are not considered to be used for diagnosis of any particular injury. All guides provide a brief background of an injury or illness, tips and strategies for someone who may be experiencing the medial condition and resources for more information. The following referral guides were developed and are currently being utilized by SFACs. · Once You Get the Call! · Caregiving 101 · Caregiving Leaving You Feeling Blue? · Caring for Those with Traumatic Brain Injury · Caring for Those with Spinal Cord Injury · Caring for Those with Posttraumatic Stress Disorder · Caring for Those with Severe Burns · Caring for Those with Vision Loss · Caregivers of Military Amputees · Caregivers’ Guide to Battling Suicide on the Home Front · Caring for those with Chronic Pain · Wounded Warriors and Intimacy · Children of Wounded Warriors: Guidance for Caregivers · Caregiving Handbook · The Caregiver Bill of Rights 2. eXtension Online Learning Modules Innovative technology such as online learning through web portals and social media channels is ever evolving and used by all ages in today’s society. In order to adapt to a technology enhanced society, the Wounded Warrior Support Program collaborated with eXtension to reach wounded service members and their families not only on the installation but those that are housed within urban and rural communities through online learning. eXtension is an interactive learning environment that provides educational and information resources on wide-ranging topics from land-grant universities across the nation. The Wounded Warrior Support Program partnered with eXtension to include information on military family caregiving. Over the course of the grant the program has worked with specialists within the family caregiving community of practice and military families learning network to develop an online presence. To date the eXtension Military Family Caregiving site (http://www.extension.org/pages/60576/) contains: · Professional Development Webinars · Caregiver Learning Lessons · Caregiving Video Series · Caregiver Research Articles by specific topics: o Caregiving 101 o Specific Wounded Warrior Medical Conditions o Family and Child Care Needs · Caregiving Resources o Military Acronyms o Hero Handbook o National Resource Directory o Resource by Categories o Link to SFAC locations Unlike the caregiver referral guides, the eXtension Military Caregiving site offers more, in-depth content and resources. The website was designed intentionally to include more information than the referral guides due to cost savings of print materials and easily updatable content via the web. As the Wounded Warrior Support Program got more involved within eXtension, it partnered with the Military Families Learning Network (MFLN) to create a presence within their social media outlets. Information regarding wounded warriors and/or caregiving has been added to the following social media sites throughout the project. Social media messages were strategically developed depending on the type of social media outlet. FACEBOOK: eXtension Military Caregiving · Facebooks is aimed at reaching more of the families and soldiers through conversational messages and feature stories. · Site: https://www.facebook.com/eXmilcaregiving TWITTER: #eXmilcaregiving · Twitter focused on messages geared to professional associations, organizations and institutions; however, there is still some personal use by others. Twitter includes short messages introducing a topic area or link to networks or news related pages. · Site: https://twitter.com/eXmilcaregiving BLOG: Military Families Learning Network (MFLN) · MFLN blog provides brief posts on family development, personal finance and caregiving issues for Department of Defense service professionals and military families. · Site: http://blogs.extension.org/militaryfamilies/ YOUTUBE: AgriLife Extension – Wounded Warrior Series · Extension transformed ‘referral guides’ into short video segments. Videos were designed with the idea that engagement is increased through video rather than print or the written word. · Number of videos produced: 11 · Site: http://www.extension.org/pages/71025 3. Caregiver Coursework Final educational programming came in the form of online and installation ready courses for caregivers and professionals. The two courses developed under the contract are available online and in CD format for training use within the SFACs. With the help of the grants subawardee, staff at UWM developed the content for The Many Faces of Stress for Military Family Caregivers. The second course, The Unique Challenges of Military Caregivers, was developed with the help of Mary Brintnall-Peterson of MBP Consulting, LLC. MPB Consulting, LLC is a consulting firm that focuses on caregiver education for both military caregivers and caregivers of aging adults. Both courses were designed by Extension and were introduced for ‘live’ audiences to use in 2014. All SFACs received CD versions to use within training sessions and new soldier and family intake briefings.

Publications

  • Type: Websites Status: Published Year Published: 2014 Citation: Scherer, Marcia. 2014. Matching Wounded Warriors with Assistive Technology. eXtension. http://www.extension.org/pages/70238
  • Type: Websites Status: Published Year Published: 2014 Citation: Brintnall-Peterson, Mary. 2014. Helping Military Family Caregivers, Part I: Recognizing Their Similarities and Differences. eXtension. http://www.extension.org/pages/70323
  • Type: Websites Status: Published Year Published: 2014 Citation: Brintnall-Peterson, Mary. 2014. Helping Military Family Caregivers, Part II: Recognizing Their Challenges. eXtension. http://www.extension.org/pages/70325
  • Type: Websites Status: Published Year Published: 2014 Citation: Elliott, Timothy. 2014. Be an Expert Problem Solver! Caregiving for and Coping with Traumatic Brain Injury. eXtension. http://www.extension.org/pages/70239


Progress 09/01/12 to 08/31/13

Outputs
Target Audience: Target audience is the care givers of wounded, ill and injured service members. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? Formulated plans for project control site visits (Fort Campbell, KY; Fort Gordon, GA; Fort Knox, KY; Fort Riley, KS; and Schofield Barracks, HI). Coordinated with UWM on efforts to input installation resources from project control sites into the TCARE® database. Distributed Wounded Warrior Program’s, Military Family Caregiving DVD. DVD consists of 11 caregiving videos developed by the program and the Extension agencies communications department. Coordinated distribution efforts of all printed materials with Tops Printing, all 32 SFAC installations and Texas A&M AgriLife Extension Service. Coordinated with UWM on TCARE® trainings for pilot sites. Hosted webinars with SFAC directors and staff concerning project deliverables and online educational resources. Collaborated with Texas A&M AgriLife Communications in efforts to develop additional military family caregiving videos. Updated Military Family Caregiving site with the latest military caregiving articles, news, resources and educational materials. Contributed weekly caregiving blog articles to the Military Families Learning Network’s blog. Improved social media efforts within eXtension Military Family Facebook and Twitter accounts, as well as the eXtension Family Caregiving Facebook page. Met with eXtension Military Families Community of Practice to discuss latest military family issues in areas of caregiving, finance and parenting. Worked with MBP Consulting to develop an eXtension professional development webinar (Caregiving Communication Skills: A Voice for Change). Distributed all current educational items to Soldier and Family Assistance Centers (SFAC) in Europe that will be receiving printed educational materials. Completed main data entry on installation resources for TCARE® that included: Fort Campbell, Fort Knox, Fort Riley, Fort Gordon and Schofield Barracks sites. Completed community resource guides for the final states of Hawaii, Kansas and Kentucky. Hosted TCARE® Master and Assessor Training at Fort Hood, TX. Hosted TCARE® Assessor Training at Fort Riley, KS. Hosted TCARE® Assessor Training at Fort Knox, KY that included individuals from Fort Campbell, KY. Hosted TCARE® Master and Assessor Training at Joint Base Lewis-McChord, WA. Attended Fort Hood SFAC Caregiver Conference as a Program Observer. Attended 2013 USO Caregiver Conference held at Camp Pendleton. Briefed SFAC leadership on program deliverables and gathered installation resources for the following locations: Fort Gordon, Fort Knox and Fort Riley. Linked the eXtension Military Family Caregiving site to the following SFAC websites: Fort Bragg, Joint Base Lewis-McChord, Fort Hood, Fort Bliss, Fort Campbell and Fort Stewart. Hosted eXtension Professional Development Webinar for caregivers and professionals on TBIoptions: Promoting Knowledge (presented by Deb Sellers). Hosted eXtension Professional Development Webinar for caregivers and professionals on TBI: What families need to know (presented by Timothy Elliott). Hosted eXtension Professional Development Webinar for caregivers and professionals on Be an Expert Problem Solver! Caregiving and Coping with TBI (presented by Timothy Elliott). Briefed all SFAC directors on the two new educational materials (Caregivers’ Guide to Battling Suicide on the Home Front and Caring for Those with Chronic Pain). Distributed fact sheets (Caregivers’ Guide to Battling Suicide on the Home Front and Caring for Those with Chronic Pain) to 37 SFAC locations. Distributed state community resource guides to the 10 SFAC sites under contract. Coordinated with TCARE® team to gather database Excel files for the National Resource Directory (NRD). Provided NRD with installation resources to be input into their system for locations including: Fort Campbell, Fort Knox, Fort Gordon, Fort Riley and Schofield Barracks. Hosted TCARE® Assessor Training at Fort Campbell on May 20-24, 2013. Collaborated with MBP Consulting to produce two new online educational articles: (1) Understanding Respite Care for Military Family Caregivers and (2) Where do Military Caregivers Start in Understanding Assistive Technologies? Hosted final WWP Advisory Council on July 30, 2013. Linked the eXtension Military Family Caregiving site to the SFAC (10 installations within contract) websites that have not already made the connection. Hosted TCARE® Assessor Training at Fort Stewart on June 3-7, 2013. Finalized video production on two new videos (Suicide and Chronic Pain) developed by Extension Communications Department. Finalized Caregiving DVD with all 13 videos developed throughout the project. Developed and provided final grant report for IMCOM G-9 leadership. Developed and provided final grant report for USDA-NIFA agency. How have the results been disseminated to communities of interest? Information has been shared through briefings with IMCOM SFAC leadership and Army Community Service IMCOM leadership and sharing of materials. What do you plan to do during the next reporting period to accomplish the goals? Complete UWM caregiver educational course: Navigating Your “New Normal” as a Caregiver and evaluate the effectiveness of the program through caregiver focus groups. Print and distribute a final order of all print materials to 10 contracted sites. Evaluate effectiveness of educational materials within pilot sites over three quarterly reporting periods. Provide funding for TCARE trainees that fulfills their one-year licensing fee to continue conducting TCARE screenings. Provide additional briefings to SFACs on the available educational resources eXtension: Military Family Caregiving learning site that is available to the public. Host professional development webinars for military professionals and families working with wounded service members. Develop an educational course on caregiver communication and problem-solving strategies. Maintain eXtension Military Family Caregiving website. Develop additional online articles for eXtension. Incorporate social media efforts for the Military Families Learning Network (MFLN) in areas of Facebook, Twitter, WordPress Blog, YouTube and Pinterest. Introduce educational programming from all educational development projects to contracted installations. (This would look something similar to an installation caregiver conference, like that of Fort Hood) Update installation and community resources from pilot sites within the TCARE® e database system. Input installation resources into the National Resource Directory (NRD) database. Consult with SFAC personnel on identifying a succinct branding mechanism for their installation’s website that will include information relating to the grant and TCARE®. Continually update TCARE® database system. Finalize all grant deliverables and conclude grant contracts during the final reporting period. Print and distribute a final order of all print materials to 10 contracted sites. Evaluate effectiveness of educational materials within pilot sites over three quarterly reporting periods. Provide funding for TCARE trainees that fulfills their one-year licensing fee to continue conducting TCARE screenings. Provide additional briefings to SFACs on the available educational resources eXtension: Military Family Caregiving learning site that is available to the public. Host professional development webinars for military professionals and families working with wounded service members. Develop an educational course on caregiver communication and problem-solving strategies. Maintain eXtension Military Family Caregiving website. Develop additional online articles for eXtension. Incorporate social media efforts for the Military Families Learning Network (MFLN) in areas of Facebook, Twitter, WordPress Blog, YouTube and Pinterest. Introduce educational programming from all educational development projects to contracted installations. (This would look something similar to an installation caregiver conference, like that of Fort Hood) Update installation and community resources from pilot sites within the TCARE® e database system. Input installation resources into the National Resource Directory (NRD) database. Consult with SFAC personnel on identifying a succinct branding mechanism for their installation’s website that will include information relating to the grant and TCARE®. Continually update TCARE® database system. Finalize all grant deliverables and conclude grant contracts during the final reporting period.

Impacts
What was accomplished under these goals? The project has been extended for a fifth and final year. At this time the Wounded Warrior Program will continue to provide research and education. Online education and professional development opportunities will continue until August 31, 2014. Final print materials will be distributed to all SFACs. Any research and trainings will be provided by UWM and the TCARE team in the final year. Currently, 66 military personnel have been involved in the TCARE process, 15 are Certified TCARE Assessor Trainers, and 5 are TCARE Master Trainer Certified. Educational materials and online media include the following outcomes as of August 2013: 271,425 total educational pieces were delivered to 32 SFAC locations 4 Professional Development Webinars 22 Wounded Warrior / Caregiver Articles 32 Links to each SFAC’s website or installation 61 Links to news articles relating to WW / Caregiver 51 Military Resources by Categories 2 Online Caregiver Courses 40 Posts to Military Families Learning Network 13 Online Videos

Publications

  • Type: Other Status: Published Year Published: 2012 Citation: Brauner, R. (2012) Caring for Those with Chronic Pain, AgriLife Extension, eXtension, Military Family Caregiving, College Station, TX
  • Type: Other Status: Published Year Published: 2012 Citation: Brauner, R, (2012) Caregiver Bill of Rights, AgriLife Extension, eXtension, Military Family Caregiving, College Station, TX
  • Type: Other Status: Published Year Published: 2013 Citation: Brauner, R (2013) Caregivers' Guide to Battling Suicide on the Home Front, AgriLife Extension, eXtension, Military Family Caregiving, College Station, TX
  • Type: Other Status: Published Year Published: 2013 Citation: Brauner, R. (2013) Caregiving 101, AgriLife Extension, eXtension, Military Family Caregiving, College Station, TX
  • Type: Other Status: Published Year Published: 2013 Citation: Brintnall-Peterson, M. (2013) Understanding Respite Care for Military Family Caregivers, eXtension, Military Family Caregiving, College Station, TX
  • Type: Other Status: Published Year Published: 2013 Citation: Brintnall-Peterson, M. (2013) What Military Caregivers Need to Know about Assistive Technologies, eXtension, Military Family Caregiving, College Station, TX
  • Type: Other Status: Published Year Published: 2013 Citation: Blow, A. (2013) Effects of Visible and Invisible Parent Combat Injuries on Children, eXtension, Military Family Caregiving, College Station, TX


Progress 09/01/11 to 08/31/12

Outputs
OUTPUTS: This grant has received a one year no cost extension. Developed 11 educational fact sheets that provide tips and strategies for caregivers depending on their Wounded Warriors's condition. 1. Caregiving 101, 2.Caregiving Leaving you Feeling Blue, 3.Wounded Warriors and Intimacy, 4.Once you get the Call!, 5.Children of Wounded Warriors: Guidance for Caregivers, 6.Caring for Those with Posttraumatic Stress Disorder, 7.Caring for Those with Severe Burns, 8.Caring for Those with Traumatic Brain Injury, 9.Caring for Those with Spinal Cord Injury, 10.Caregivers of Military Amputees, 11.Caring for Those with Vision Loss. An 84 page, Caregiving 101 handbook that includes information for military caregivers on coping strategies, resiliency, additional resources and working with seriously wounded. Partnered with eXtension.org to develop an online portal for military family caregivers. Incorporated educational articles for web format for the eXtension Military Family Caregiving site Updated eXtension Military Family Caregiving site with latest military caregiving articles, news, resources and educational materials. Contributed weekly caregiving blog articles to the site. Produced a Military Family Caregiving DVD that contains a series of 11 three to five minute videos that pertain to Wounded Warrior medical issues and injuries. Incorporated Military Family Caregiving video series into YouTube. Developed TCARE assessment tool and screening tool for military through sub-award to University of Wisconsin-Milwaukee Implemented at 5 test sites and control sites. Trained staff at test sites to administer. Resource directory was developed for installations and also partnered with National Resource Directory. PARTICIPANTS: Partners are University of Wisconsin-Milwaukee TCARE project, Dr. Rhonda Montgomery, Dr. Mary Brintnaill-Peterson, Vernon Texas A&M AgriLife Extension Service Wounded Warrior Program Coordinator, Rachel Brauner, Extension Associate, Lynne Piippo, Program Assistant, Donna Martin, Military Program Director, Soldier and Family Assistance Centers at Ft. Bliss, Ft. Hood, Ft. Stewart, Ft. Bragg, and Joint Base Lewis-McCord TCARE Assessment training was provided to staff from the test sites and staff that successfully completed assessment training were evaluated by the team and 5 were selected to attend Master training. This training will help to make the program sustainable for the military sites. More training is scheduled to be taught by the Master Trainers with oversight from the project team and then to have another Master Trainer course. TARGET AUDIENCES: The target audience continues to be the caregivers of Wounded Warriors. By training the staff members of facilities that they come into for services we are able to reach them. By placing information on the web we are also able to extend our reach to caregivers that need assistance and learning resources. PROJECT MODIFICATIONS: The project has been granted a one year no cost extension.

Impacts
Because the project has been extended for another year there are no final outcomes at this time. We will distribute all the printed materials to the military sites for distribution to military caregivers through their programming. The YouTube videos have received over 2500 views since May 2012 with no advertising. Staff have been trained on the TCARE assessor and screening tools and 5 SFAC staff have been trained as Master Trainers for the sustainability of the program. The have completed 22 month TCARE study within the Test and Control sites to determine the effectiveness of the caregiver screen and assessment.

Publications

  • No publications reported this period


Progress 09/01/10 to 08/31/11

Outputs
OUTPUTS: The Wounded Warrior Program has a number of accomplishments this year (9/1/2010-8/31/2011). WWP conducted six test site visits( Fort Lewis/Mc Cord, Fort Sam Houston, Fort Bliss, Fort Hood, Fort Stewart, and Fort Bragg) gathering data and resource materials on and off the installation. Installation key players and local civilian agencies were briefed as to WWP programs and services. A three-day T CARE certification training was conducted where two to three staff members from each of the six test sites attended. Three follow-up T CARE certification webinars were conducted. WWP continued staffing search for the website developer/researcher. "Screener" training via webinar was completed with Information and Referral staff at all the test sites. The T CARE certification final was administered to five test sites. The five control sites (Fort Gordon, Fort Campbell, Fort Knox, Fort Riley and Fort Carson)received webinar "screener" training to enable sites to provide control data on 150 caregivers. On Jan 3 WWP hired the new Extension Associate as a website developer/researcher. Web R/D staff person began the acquisition of materials and data for the website development and coordinated with "eXtension" on website development and infrastructure. TCare conducted makeup T CARE certification training for Fort Bragg staff in Milwaukee and additional staff members from Fort Hood and Fort Lewis/McChord. WWP R/D staff person met with AgriLife Communications and Public Affairs Office (PAO) at Fort Sam Houston and Ft Hood to implement steps to develop 10 Public Service Announcements (PSA). Program Staff met with TEXAS 2-1-1 to attempt coordination of inclusion in the data base. WWP Program coordinator attended and briefed at the American Society on Aging (ASA) Conference with T CARE staff in San Francisco, while the Military Program Coordinator briefed a national audience in Chicago on the program and services available through the Wounded Warrior Program.The WWP hosted the second Wounded Warrior Advisory Council workshop in San Antonio Texas with tours of Center For the Intrepid (CFI) and Warrior Family Service Center (WFSC) on Fort Sam Houston. The TCARE study kicked off 1 June at the five test sites: Fort Hood, Fort Bliss, Fort Stewart, Fort Lewis/McChord, Fort Bragg and five control sites: Fort Gordon, Fort Knox, Fort Campbell, Fort Riley, Fort Shafter. This will begin the six-month study of T CARE clients (approx. 150+ cases) and cases from the 5 control sites. We initiated contact with National Resource Directory for inclusion of installation resources.The WWP hosted a Caregiver Focus Group meeting at Fort Hood. WWP R/D staff developed 10 1-pagers and sent out for review to IMCOM. WWP R/D staff are continuing to move forward with the development of with 10 video segments w/Agrilife Communications. PARTICIPANTS: Partners are University of Wisconsin-Milwaukee TCARE project. Dr. Rhonda Montgomery, Dr. Mary Brintnall-Peterson, Vernon Davis, Program Coordinator, Texas AgriLife Extension Service, Donna Martin, Military Program Director, Texas AgriLife Extension Service, Lynn Piippo, Program Assistant, Texas AgriLife Extension Service, Rachel Brauner, Extension Associate. WWP R/D staff person met with AgriLife Communications and Public Affairs Office (PAO) at Fort Sam Houston and Fort Hood to implement steps to develop 10 Public Service Announcements (PSA). Program Staff met with TEXAS 2-1-1 to attempt coordination of inclusion in the state data base. WWP R/D staff person met with AgriLife Communications and Public Affairs Office (PAO) at Fort Sam Houston and Ft Hood to implement steps to develop 10 Public Service Announcements (PSA). Program Staff met with TEXAS 2-1-1 to attempt coordination of inclusion in the data base. WWP contacted the National Resource Directory for inclusion of the resources that were gathered at the test sites. AgriLife Extension Service Professional Development: WWP Program coordinator attended and briefed at the American Society on Aging (ASA) Conference with T CARE staff in San Francisco, while the Military Program Coordinator briefed a national audience in Chicago on the program and services available through the Wounded Warrior Program. The WWP hosted the second Wounded Warrior Advisory Council workshop in San Antonio, Texas with tours of Center For the Intrepid (CFI) and Warrior Family Service Center (WFSC) on Fort Sam Houston. 2 staff attended the annual AW2 conference in Orlando TARGET AUDIENCES: Target audience for the project is ultimately the caregivers of wounded warriors. To get to them we must first train the providers of services to the caregivers to identify and support the efforts of the caregivers. In doing so we have targeted the SFAC directors, social service representatives, and the information and referral staff members in these facilities. They are involved in the direct contact with the target audience and the project is in process of training and working with these staff members at the 5 test sites and 5 control sites to be expansion to all sites at the end of the pilot is to be considered. PROJECT MODIFICATIONS: Nothing significant to report during this reporting period.

Impacts
The three-day T CARE certification training was completed with staff members from each of the six test sites followed up by the T CARE certification final. 18 installation staff were certified. "Screener" training via webinar was conducted with 23 staff from the 5 test and 5 control sites. The WWP acquired a program email address,an URL,developed a program business card and program brochure.The TCARE study kicked off 1 June at the five test sites: Fort Hood, Fort Bliss, Fort Stewart, Fort Lewis/McChord, Fort Bragg and five control sites: Fort Gordon, Fort Knox, Fort Campbell, Fort Riley, Fort Shafter. This will begin the six-month study of T CARE clients (approx. 150+ cases) and cases from the 5 control sites.

Publications

  • The Agilife Wounded Warrior programhas developed a number of articles fact sheets: Brauner,R.(2011)Once You Get the Call!, Agrilife Extension,eXtension, Military Family Caregiving, College Station,Texas.
  • Brauner,R.(2011)Caring for Those with Traumatic Brain Injury, Agrilife Extension,eXtension, Military Family Caregiving, College Station,Texas.
  • Brauner,R.(2011)Caring for Those with Spinal Cord Injury, Agrilife Extension,eXtension, Military Family Caregiving, College Station,Texas.
  • Brauner,R.(2011)Caring for Those with Posttraumatic Stress Disorder, Agrilife Extension,eXtension, Military Family Caregiving, College Station,Texas. Brauner,R.(2011)Caring for Those with Severe Burns, Agrilife Extension,eXtension, Military Family Caregiving, College Station,Texas.
  • Brauner,R.(2011)Caring for Those with Vision Loss, Agrilife Extension,eXtension, Military Family Caregiving, College Station,Texas.
  • Brauner,R.(2011)Caregivers of Military Amputees, Agrilife Extension,eXtension, Military Family Caregiving, College Station,Texas
  • Brauner,R.(2011)Caregiving-Leaving You Feeling Blue, Agrilife Extension,eXtension, Military Family Caregiving, College Station,Texas.
  • Brauner,R.(2011)Children of Wounded Warriors: Guidance for Caregivers,Agrilife Extension,eXtension, Military Family Caregiving, College Station,Texas.
  • Brauner,R.(2011)Wounded Warriors and Intimacy, Agrilife Extension,eXtension, Military Family Caregiving, College Station,Texas.


Progress 09/01/09 to 08/31/10

Outputs
OUTPUTS: The wounded Warrior Project was begun with a meeting in San Antonio on Nov. 5, 2010 to discuss the addition of the program Tailored Care for Caregivers (TCARE) as a major portion of the services to help care givers of wounded warriors. We met with Mr. Charles O'Leary in discussions and then in December did a two day workshop on TCARE. upon approval we developed a sub award with University of Wisconsin-Milwaukee do assist with the Wounded Warrior project. Extension hired a program coordinator for the program and a program assistant. It was decided with input from the military that TCARE would be implemented at 5 test sites and have 5 control sites. The installations selected for the test sites are Ft. Sam Houston, Ft. Bliss, Ft. Hood, Ft. Stewart and Joint Base Lewis-McCord. All test sites were visited and meetings were held with various stakeholder groups. Community resource meetings were held and resources have been reviewed for services necessary to provide families as the development of resources and web site for the program continues. As required a Advisory Committee was invited to review and meet to establish an ongoing review of the project. Members of the Advisory Committee come from the Soldier and Family Assistance Centers, medical professionals, family care givers, Extension, and Military. They have had one official site meeting this year in July and members have given input regularly by email and phone. There have been several teleconferences by members on input to ongoing committee work. The Program Coordinator has briefed the military involved in the program as well as met regularly with SFAC members at each installation. He has also been in constant communication with the University of Wisconsin-Milwaukee contingent and the TCARE training for the five test sites is set to be in October. Development of materials and a web site have been ongoing also. An Extension Associate was hired to continue to review and develop educational materials that will be placed on a web site for the project. The Extension Associate also traveled with the team to the test sites to gather appropriate information for the project. PARTICIPANTS: Partners are University of Wisconsin-Milwaukee TCARE project. Dr. Rhonda Montgomery Dr. Mary Brintnall-Peterson Vernon Davis, Program Coordinator, Texas AgriLife Extension Service Donna Martin, Military Program Director, Texas AgriLife Extension Service Lynn Piippo, Program Assistant, Texas AgriLife Extension Service Tammisha Farmer, Extension Associate, Texas AgriLife Extension Service Professional Development: SFAC staff-2 day overview of TCARE December 7-8, 2010 San Antonio, TX Advisory Committee Meeting--June 27-30,2010 San Antonio, TX TARGET AUDIENCES: Target audience for the project is ultimately the caregivers of wounded warriors. To get to them we must first train the providers of services to the caregivers to identify and support the efforts of the caregivers. In doing so we have targeted the SFAC directors, social service representatives, and the information and referral staff members in these facilities. They are involved in the direct contact with the target audience and the project is in process of training and working with these staff members at the 5 pilot sites to be expanded to all sites at the end of the pilot if agreeable to the military. PROJECT MODIFICATIONS: The major change on this project was the addition of the sub award to University of Wisconsin-Milwaukee TCARE program. The overall project will be working to implement TCARE at the 5 selected sites and upon positive test data will implement at further sites by the end of the 3 year project.

Impacts
Site visits have been done at the 5 installations that were chosen in conjunction with the military for the test sites for the TCARE process. Resources have been gathered and are under review. Community meetings were also held in the areas so the community would be aware of the process and that families would be referred to their resources also. Community resources were able to learn what was available to caregivers through the military also. The training for the pilot sites is scheduled for October, with webinars and work to be done with the sites in Nov, December and January to work out any issues. The pilot will be launched at the 5 installations on February 1, 2011.

Publications

  • No publications reported this period