Wednesday, May 29, 2019

The Future of Universal Basic Income from a Social Work Perspective


Researching the future of work is becoming my second career. I am disturbed, hopeful, anxious, and excited about the prospects innovation holds for us as disruptive technology barrels forward. Automation and technology will make millions of careers obsolete in as early as 5-10 years (Muro, Maxim, & Whiton, 2019). If this doesn’t wake us up to needed changes, it should. Economic forums, books, TedTalks, policy websites, articles, social media; the world seems abound with discussion about Universal Basic Income (UBI) as the answer to automation. Over 40% of the public in the United States support such measures. UBI, as described by many business leaders, economists, and thought leaders, will not work, unless the lessons learned from social work become part of the priority.

This series of posts will address UBI from a social work perspective. We first start with fundamental questions: What is work? What will be the nature of work in the future as automation replaces careers?
Then more specific questions: What are the goals of UBI? What would UBI add to society? What happens without UBI? Moving to the next blog post, a UBI+ alternative will be explored.  What would a potential “New Deal” look like in the 21st Century? The last post discusses funding potential and financial implications over different systems supporting the UBI+ plan.

Contrary to belief, American’s work longer hours than any other country. On my work trips to California I often use Uber. Each driver has a different story, but they all work full time in professional position. A dentist, a businessman, an engineer, if these professions need a second income, how many jobs would it take someone in a service profession to live? Most of my life as a social worker I held at least two jobs, and at times up to four. I often ask myself “where is this work ethic getting me? Or us?”



What is Work? Basic Tenants of Work in the United States

Before portions of work became automated, work folded into a life led to survive. The ideal goal of work in the 21st century is fulfillment, but fulfillment in work is a privilege for most. The Puritan work ethic combined with the entrepreneur spirit seeking the opportunities in capitalism and democracy ground our values of what is work.

·       Work is perfunctory
·       Having a career is privilege
·       Working long hours is an expectation
·       Hard work will bring you success and advancement
·       Work includes some type of ability
o   Ability may or may not be transferable
o   Abilities are not equal
·       Work in the United States is seen as an individualistic endeavor, not collectivistic
·       Work creates a value for one’s own life

Most Americans cannot work on the premise of “fulfillment” as a goal for employment. According the Bureau of Labor Statistics (2018) the service industry is the largest segment of our workforce, employing almost 19.5 million Americans. These positions include retail, restaurants, cashiers, customer service, wait staff, and personal care aids. The average monthly income for these jobs can range anywhere from our minimum wage of $7.25 to an average of $23.34 per hour.  Hard work doesn’t always lead to advancement. Just ask the people working 2-3 jobs just to make ends meet or the people in retirement who worked their whole lives and still need part time employment with their social security check. 

Will automation replace most careers?

Automation will almost completely eradicate monotonous and/or assembly line type of work (Muro, Maxim, & Whiton, 2019). Professions will become streamlined. Blue-collar and white-collar jobs will encapsulate. Unfortunately, condensing professions will lead to skilled workers needing alternatives for their careers. Automation will reduce the need for truck drivers, artificial intelligence diagnosing will replace the need for many radiological physicians, and lawyer bots will perform the basic requirements for simple law proceedings. Professions we never thought replaceable by technology will be replaced by Artificially Intelligent machines.

Those who survive within these and other professions will be specialists or innovators. These specialists will be free to explore the complexities of their professions. Their job fulfillment will increase as will the impact on their professions. What will happen to those who do not make the cut in their field or whose jobs are eliminated from automation? The dire predictions of automation and joblessness may not reach cataclysmic levels. Some employment will be mitigated by entrepreneurial pursuits or the employment disruptive technology creates, but there will not be enough opportunities to address the disruption.

UBI as it exists in the present

UBI is not a new concept. In the 1700’s Thomas Paine proposed an equal share of profits for all citizens. Martin Luther King Jr. espoused guaranteed income as a means to alleviate poverty and balance the scales of inequity for all POC. Even the next round of Democratic Presidential hopefuls’ flirt with the notion of developing a system of UBI for Americans. Up to 50% of people under fifty years of age support some form of UBI, but what do we know about it?

According to Stanford’s Basic Income Lab, their UBI’s definition is “give every individual cash on a reoccurring basis, no string’s attached” (I address this will not work in my next blog). UBI is a bare bones approach to solving system inequities, but does it work? Researchers at Stanford’s Basic Income Lab are tracking ten projects in the US to evaluate UBI’s efficacy. The following list includes the ten projects being monitored by Stanford’s Basic Income Lab.

Current U.S. Basic Income Pilots
Project
Location
Implementing organization
Dates  
Recipients
Amount and frequency
Design of program
Alaska
Alaska Permanent Fund Corporation (state-owned)
Ongoing since 1982
All Alaska residents including children
Approx. $1,000-$2,000 / year
Universal base income
North Carolina
Eastern Band of Cherokee Indians
Ongoing since 1996
All enrolled members of Eastern Band of Cherokee Indians
Approx. $3,500-6,000 / 6 months
Universal base income
New York City, NY
New Orleans metropolitan area, LA
Omaha metropolitan area, NE
Twin Cities, MN
University of California, Irvine
Columbia University
New York University
University of Wisconsin-Madison
2017 - 2022
1,000 low-income mothers with newborns
$333 / month for 40 months for treatment mothers
Control group: $20 / month for 40 months
Base income
Santa Monica, CA
City of Santa Monica Housing and Economic Development
Nov 2017 - ongoing
21 low-income elderly, rent-burdened renters (proposed expansion to 300)
Calculated by household using the Basic Needs Subsidy Method, average of $500 / month
Base income
Chicago, IL
Direct Giving Lab
Ongoing since 2017
70 low-income families (proposed expansion to 200)
$100 / month
Base income
Jackson, MS
Springboard To Opportunities
2018 - 2019
16 low-income African-American mothers
$1,000 / month
Basic income
Stockton, CA
Office of Mayor Michael Tubbs, Reinvent South Stockton Coalition, Reinvent Stockton Foundation
Feb 2019 - Jul 2020
100 residents of low-to middle-income neighborhoods
$500 / month
Control group: compensated for participation in study
Universal base income
TBD in 2019
Y Combinator Research
TBD (3-5 yrs)
1,000 residents of low- to middle-income neighborhoods
$1,000 / month
Control group: $50 / month
Universal basic income
Chicago, IL
Chicago Resilient Families Initiative Task Force
TBD
Proposed: 1000 families
Proposed: $500 / month
Universal base income
Newark, NJ
Newark Mayor’s Office Exploratory Task Force
TBD
TBD
TBD
TBD
Definitions
Universal: everyone in a given geography is eligible (for pilots, this may be a random selection of residents of low and middle income neighborhoods)
Not universal: targeted to specific groups
Basic income: the amount is approximately sufficient to meet basic needs
Base income: the amount is intended to be a supplement, but not to ensure basic needs
Cash transfers: one-time transfer of cash, rather than regular installments


As yet, completed UBI trials failed to produce positive results increasing work. Finland, Ontario, and even the negative income tax the US used from 1968-1980 did not incentivize work. I propose part of the problem is our definition of work. As we move forward, with automation replacement on our heels, the culture of work needs an overhaul.

Transforming what we tell ourselves about work

Our culture presses work values on children at a young age. “what do you want to be when you grow up?” is a common question encountered by kids throughout childhood. If the answer is not one which will financially support them, an artist, a mom, a social worker, then displeased parents frown upon their child.  “You can’t make a living at that dear, how about something different? Maybe a firefighter? Computer Programmer? Electrician? Lawyer?” Feeling the need to please their parents/community/society, children can base their whole careers on the messages they received about work when growing up. The big message here…Your worth is based upon your work, provide for your family, and your earning capacity.

Automation will continue to replace the tediousness of certain professions, but will also open the door to more fulfilling prospects. People will not stop working to get a stipend of $1000 a month. The middle class will have more time to spend with their children instead of working a second job. The lower the income level, the more services need expansion to support equity in quality of life pursuits. UBI will not work unless we create social supports for people slightly above or below the poverty line.

As automation begins to displace workers, our societal definitions of worth need to adjust if we don’t want to experience an increase in mental illness, specifically depression and anxiety. The shifts occurring in employment will necessitate a redefinition of work. People’s identity and ego strength is wrapped up in their employment (Kozan, Blustein, Paciorek, Kilbury, & Işık, 2019). UBI’s current goal is to stabilize individuals and families to be more productive in their work. The definition of worth can be broadened with inclusion of alternative routes to value in society. A significant part of our population will not be able to retrain, reskill, nor participate in work as it is currently defined.

A change in definition and value of work within the next ten or twenty years seems unattainable. People still argue about aspects of the New Deal from the early 1930’s! Values change can happen if enough systems support change. Examples of rapid cultural change in our recent history are everywhere. Besides the miracle of any information in the world available on your phone, other paradigm shifts continue to occur. We can shop from our couches with food delivery in a day. Computers identify lung tumors in patients more accurately than doctors.  A watch gives people warnings of potential heart attacks.  Cars drive themselves!  

All of these disruptive technologies, altering our culture, accelerated in developed over the past five to ten years. Can you imagine yourself without a smart phone? What would your life be without email? When was the last time you called an airline for a plane ticket? Twenty to twenty-five years ago could you have imagined technology would be such an integral part of your life? The swift change of culture occurred due to the influence of business, marketing, and government, on promoting, consciously and unconsciously, a shift towards a digital future. The reasons may include high profit margins or a drive to innovate, but because of the power behind the effort, technology innovations are accepted by most people as inevitable. The more systems fostering the change, the more individuals will accept the change, as long there is a perception of improvement in their quality of life.

Shifting Cultural Norms - Individualism balanced with collectivistic principles

The future of work is shifting from assembly lines and intellectual positions to responsibilities requiring high level critical thinking, creative solutions, and innovation or the other end of the spectrum, service care positions and personable tasks for which technology cannot replace (Muro, Maxim, & Whiton, 2019). Change in values and norms can progress relatively quickly if there is a consensus of opinion and collaboration towards an objective.

Carew and Stapleton (2013) proposed a systems paradigm shift in technology innovation away from a functionalism approach to an empathic human-centered approach. Sometimes we need to take a step backward to move forward. Innovations in technology, to this point, are void of inclusionary practices. If inventions of disruptive technologies take away large segments of potential employment then plans to rectify this displacement need to be addressed. Innovation benefits the few where this proposal introduces an inclusivity of benefits to all Americans.

Disruptive technologies will impact work, but how successful our society’s transition occurs is dependent on societal buy in of the following ideals:

·       Systemically providing education and promotion for the adoption of the Universal Declaration of Human Rights (United Nations, 1948 & 2015)
·       Bipartisan support of efforts to improve quality of life for all Americans
·       Innovation structured to be inclusive vs. exclusive of all intersections
·       Needs assessment of automation replacement on Americans, including input from displaced workers
·       Develop a lifelong learning mindset throughout the lifespan
·       Integration of social and psychological intersectionality system mentors in government, businesses, and education for policy and program development
·       Shift work focus to a family focus supported by policy and funding
·       Look to other types of work options (job sharing, working from home, entrepreneurship, etc.)
·       An increase in workplace protections, benefits, and displacement services
·       Broaden definition of work to life work (work which enhances the quality of life for an individual)
·       The cost of basic living expense increases needs to be minimal or frozen for financial equity to build. Rent, utilities, food etc. prices cannot go up to increase capitalistic profit. Our society needs to agree to let people succeed, not continuing the cycle of wealthy increasing their wealth at the cost of the lower classes
·       Equality across states, more government funding depending upon state resources
                          
What happens without UBI?

The Metropolitan Policy Program (2019) published a brief entitled “Automation and Artificial Intelligence: How machines are affecting people and places.” This briefing details where the US is heading in our not too distant future through easy to understand concepts and graphics. I encourage you to read this and contemplate the implications of automation. Most significant, the results provide the automation potential of many industry categories. The statistics are not heartening.

As automation replaces whole segments of job categories, not everyone will be able to be re-skilled. Certain vulnerable populations will be more at risk for poverty and homelessness. The stratification of income levels will increasingly polarize inequities. If our nation lets this continue, we will have consequences. History’s cyclical nature provides a blueprint for what will occur next. Social order is already being disrupted by the instability of political and economic structures governing the “have nots.”

We see the impact of wide spread ignorance in reversal of civil rights decisions through legislation in our poorest, least educated states. When economic growth does not include an equitable distribution of resources, over time, revolutions erupt. The blame game this lack of reasoning creates, is a schism targeting a perceived threat to primarily white Americans living in scarcity of resources. If divisions in social issues continue to ignite and distract the general populous, then we will fail together. False logic with racial overtones will continue to collapse the very foundation of principles America was built upon. Automation without solution is a very real threat to the stability of our democracy.

What now?

If no UBI is not a solution, and the present structure of UBI is not a solution, what is the answer? The next blog, “UBI+ or The New Deal – for the 21st Century from a Social Work Perspective” will provide details to increase the success of a UBI system. I hope you come along for the journey to the future and add your solutions to the mix. 

References
Bidadanure, J., Kline, S., Moore., Rainwater, B., & Thomas, C. (2018). Basic income in cities: A guide to city experiments and pilot projects. National League of Cities & Stanford Basic Income Lab, Retrieved from https://basicincome.stanford.edu/sites/g/files/sbiybj7921/f/basic_income_in_cities_toolkit_shareable_11-2-18.pdf

Bureau of Labor Statistics. (2018). Service providing industries. Retrieved from https://www.bls.gov/iag/tgs/iag07.htm

Carew, P., & Stapleton, L. (2014). Towards empathy: a human-centered analysis of rationality, ethics and praxis in systems development. AI & Society, 29(2), 149. Retrieved from http://search.ebscohost.com.libproxy.chapman.edu/login.aspx?direct=true&AuthType=ip,uid&db=edb&AN=95431143&site=eds-live

Kozan, S., Blustein, D. L., Paciorek, R., Kilbury, E., & Işık, E. (2019). A qualitative investigation of beliefs about work-related crises in the United States. Journal of Counseling Psychology. https://doi-org.libproxy.chapman.edu/10.1037/cou0000343

Muro, M., Maxim, R., & Whiton, J. (2019). Automation and artificial intelligence: How machines are affecting people and places. Metropolitan Policy Program at Brookings. Retrieved from https://www.brookings.edu/wp-content/uploads/2019/01/2019.01_BrookingsMetro_Automation-AI_Report_Muro-Maxim-Whiton-FINAL-version.pdf

Piero Dominici. (2018). For an inclusive innovation. Healing the fracture between the human and the technological in the hypercomplex society. European Journal of Futures Research, (1), 1. https://doi-org.libproxy.chapman.edu/10.1007/s40309-017-0126-4

Thursday, April 18, 2019

Social Work Education: How are we keeping up with disruptive technology shaping our future?

Disruptive technologies, political discourse, climate change, the list goes on with the forces shaping the future of our society with each passing day. Businesses, let alone educational institutions struggle with how to meet these rapid challenges. I am not alone with feeling overwhelmed at times when met with a new technology, app or program I must learn. But as social work educators, how do we address the onslaught of change occurring in our world and yet be innovative?

Below you see a 1971 VW bug, personally one of my favorite cars...I wish I could own one. At the time it drove at a top speed of a whopping 62 mph with 20 mpg. What does my fantasy car have to do with social work?


Let's start with Moore's Law. In 1965, Gordon Moore predicted, in layman's terms, processing speeds of computers would double every 18 months. This is why technology rapidly accelerates our culture. If we apply this to the 1971 Volkswagen bug, as Andrew Yang described, my fantasy car would now garner a top speed of 300,000 miles per hour and get 2 million miles per gallon of gas. Now that is the car I want! But I digress. 

Let's apply a similar framework of innovative change to Social Work Education. Social Work Education focuses on a foundation of skill building as a generalist with advanced practice in either; methods, fields of practice, special populations, or special problems. Find the list of common social work curriculum with concentrations or specializations below. Do they sound familiar? Are your social work programs structured similarly? 

Methods
Social work practice, generic, combined
macro-macro    
Administration, policy, planning, combination    
Community organization                          
Research-evaluation      
Direct practice, clinical practice
Group work      
Casework          
Family, marital treatment          
Other micro practice

Fields of Practice
Combined children and youth, child and
family, or family and children's services
Child welfare    
Mental health, community mental health           
Health, health care delivery       
School social work         
Criminal justice
Gerontology      
Rural social work           
Industrial social work    

Special Populations
Minorities         
Women

Special Problems
Substance abuse            
Poverty

If these look familiar, they should, most of Social Work Education can be reflected in the above options for students. The problem with this is this list comes from a study on Concentrations, Specializations, and Curriculum Design in MSW and BSW Programs by Ann Hartman from 1982. As you can see, Social Work Education has not developed as quickly as technology is pushing the development of our society. 

There are two prevalent disruptive shifts in higher education for students. Disruption in this sense means innovations which displace competitors. Those social work departments and universities who understand these disruptions will survive. The first is a shift of power from institutions to students. Students want to learn about IT, interact with personalized learning, and aim to co-create their learning through choice. The second is a move from job preparation to career centered jobs including technology and real world applications of foundation and theory on their career path. Social work has been at the forefront of real life applications as the signature pedagogy is field practicums, but needs more work on understanding the disruption of student choice in curriculum development. 

After seeing our outdated concentrations and specializations, I began to brainstorm electives for the future of social work education. Which electives would you develop? Which would you like to take? Social work may be a high demand field currently, but we should not rest on our laurels thinking we are safe. Competition is fierce, with online social work program options gaining speed over the traditional face to face degree programs. What processes do we need for future student attraction and retention?  How will social work departments make the leap to accommodate future student and societal needs? Which innovative social work programs and universities can we partner with for mentoring? 

I developed options for elective diversification according to a foresight framework by balancing projections of political discourse, social work strengths in systems, and the impact of disruptive technologies on vulnerable and marginalized populations. I hope these options start a conversation in social work departments about the future of our profession.

Elective Diversification
Social Work Integration: Businesses, Government, and IT
Niche Social Work: Small Business Development
Holistic Social Work
Congressional Social Work
              Co-creation of Policy within Congressional Offices
              Advocacy and Politics: Working within a Political System
Intersectionality Expert
              Immigration Rights Advocacy and Policy
              Business Intersectionality Expert
Mental Health Navigation
Technology and Social Work Practice
Impact Technology and Social Work
Big Data Implications
Disruptive Technologies Impact on Client Populations
IT Privacy Concerns for Vulnerable Populations
Gaming Escapes
Ethical Technology Practices
IT Application Research
Social Work Consultation in High Tech
Healthcare Information Technology
              Healthcare Apps: Research and Application
              AI and Healthcare: Concerns and
              Allopathic and Homeopathic care
              Healthcare with Special Populations: Immigrants
Resource Development Social Work
Work Displacement/Re-skilling
Weather/Climate Crisis Displacement
Justice System: Advocacy and Policy 
Alternatives to Incarceration
Immigration Displacement
Economic Solutions to Work Displacement
Quality of Life Social Work
Legal Facilitation Social Work
              Divorce Simplification
              Domestic Violence Protection Facilitator
              Parental Mediation
              Drug and Alcohol Abuse Crime Alternatives
              Immigration Translator/Advocacy
              Mental Illness Treatment Alternative Facilitator
Redefine Gerontology
Transitional Social Work
Breakdown of Developmental Stage Tasks, especially over 50
Goal Development after 50
Holistic Retirement
Grieving through the Lifespan

 Please add your suggestions about other types of needed electives in the comments and feel free to share the innovative electives or approaches you have already created at your universities. 


For more on the Future of Social Work please see...

Envisioning the Future of Social Work: Report of the CSWE Futures Task Force April 2018
Laura Nissen Social Work Futures
Social Work’s Grand Challenges




Monday, January 28, 2019

The Future of “Support our Troops” by a Civilian Workforce: A Plan for the Civilian Sector to Engage in Military Informed Practices for #MissionAct Success


“Thank you for your service” or donations to vet organizations are the extent of action for many civilians not personally or professionally engaged with military populations. Previously, the onus of responsibility for veteran care has been placed upon government agencies or veterans helping other veterans, formally or informally. Civilians may feel the government’s resources adequately provide for this population, but this is not the case.  Think about your workplace, courses you took in school, or visits with doctors or therapists. What focus of training, resources, or conversation has there been on cultural diversity, racial bias/harassment, or treatment differences by ethnicity? Now, think about how much training you received about military culture, mindset, and adaptations to those who led a military lifestyle, or the impact of war conflicts on behavior (to name a few).  The need for civilian cultural competence in the understanding and care of Service Members, Veterans and their Families (SMVF) may seem more evident upon our reflection of military specific education.  This post proposes a solution for SMVF populations inclusive of all Americans working towards the understanding and support of our Armed Forces, past, present and future.

The Trump administration wants to expand the Mission Act by expanding civilian options for care to Veterans. This expansion could provide both an opportunity and a crisis for veterans needing health services in a timely manner. The VA continues to face significant backlash from the consequences to veterans of long wait lists. Even with the increase in VA employees from 250,000 employees in 2009 to 370,000 in 2018, all veterans could not possibly obtain service. The VA is not meant to be the end all/be all in helping veterans and their families. On the surface, the expansion offering more private healthcare options seems appropriate. This expansion will only work if an effort exists to systematically develop an education program of military cultural differences.

The last report available from the National Center for Veterans Analysis and Statistics (2016) stated “48% of all Veterans used at least one VA benefit or service in FY 2016… with 44% using multiple benefits.” A benefit encompasses not only health care, but pension, loans, life insurance, education, memorial benefits and vocational rehabilitation. This leaves the potential for 56% of veterans not using a VA benefit or service much higher if only looking towards health care utilization.  If over half of veterans seek care in the civilian community how many of these civilians are culturally competent in understanding military experiences and the impact of serving our country?

Rand Corporation’s (2014) report identified a significant gap in cultural competency of civilian mental health providers. 24% of the providers under the Tricare network of referrals met the guidelines for military cultural competency and worse, only 8% of the private civilian mental health providers surveyed were culturally competent. Many of the 24%, while culturally competent, were not aware of appropriate evidence-based best practices with military populations. As recently as 2018, Rand Corporation surveyed health care professionals in New York and found only 2% qualified as able to provide quality care to veterans. If this type of unawareness occurs in health and mental health settings, what about businesses and education?

A Solution

The needed civilian awareness of SMVF culture and requirements is evident. Businesses, educational institutions, healthcare and mental health providers are awaking to the basics of providing culturally competent services fostering better outcomes for SMVF populations and society. In the United States, 40% of our population is ethnically diverse. Using military culture as a category, SMVF populations have a significantly high rate in the general population accounting for almost 11% of citizens, meaning potentially 1 out of 11 people are SMVF affiliated. Even with these significant numbers, no formal measure has been enacted to address Military Informed Practices in civilian mainstream populations.

The motivation for change in the SMVF system of care has been spearheaded by informal systems of either veterans or family members of veterans. Those individuals committed to helping SMVF populations are developing numerous non-government options including mental health care, employment and education.  The next step to this process is involving non-SMVF populations to support and integrate understanding of this nation’s military workforce.

The formal development of cultural competencies into practice needs structure and government support. Military Informed Practice standards can be addressed through modification of the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (the National CLAS Standards) along with national standards for mental health, business and education. After these modifications, a process of education and certification can be initiated to provide SMVF populations an awareness of which organizations commit themselves to SMVF culturally competent certification.


Military Informed Practice through certification is one method of enhancing the general populations involvement in best practices. One model to examine is PACT training and certification. PACT addresses areas of Policy, Advocacy, Culture and Treatment specific to the purpose of serving our SMVF populations. Organizations earning PACT certifications would benefit from fully harnessing the resiliency and military mindset each SMVF person brings to their education or work. Health and mental healthcare providers benefit their military populations through more accurate assessment, interventions, and treatment impacting outcomes. The benefits of PACT may be similar to the benefits of organizations embracing and understanding strengths people from diverse populations offer.

                       
Military Informed Practice - PACT Certification Areas

Policy – Organizations/companies will learn to develop Military Informed Practice policies. Education of governmental policy and procedures affecting SMVF populations within the context of each type of provider relationship will enhance policies. Policies can be micro or macro oriented and dependent upon the type of certification being pursued.

Advocacy –A Military Informed Practice approach educates individuals working with SMVF populations on strengths-based advocacy options. Civilians can increase their ability to advocate for SMVF populations in accordance with their military mindset, DoD standards, taking into account political changes, or through the different channels /resources offered to these populations.

Culture – Develop competency in knowledge of military culture, mindset, resiliency factors, and experiences with SMVF populations as it applies to the corresponding setting. This area builds the foundation for a Military Informed Practice.

Treatment – The awareness of Military Informed Practice develops appropriate measures to assess, support, and intervene with SMVF populations.  Treatment may be formal, as with healthcare or mental health treatments, or informal with how SMVF populations resources are developed in education or the workplace.




Using the carrot and the stick approach, provisions of PACT certification can be created as incentives for adoption. Earning PACT certification could increase points in obtaining government contracts, earn higher reimbursement rates for Tricare, or be used as a reason for SMVF populations to choose a university, apply for a job, and pick their health providers. PACT Certification badges branding can be proudly displayed on websites, literature, letterhead, or on business fronts, allowing easy identification by SMVF populations and their supporters. Pact certification can be highlighted on a resume' or provided as continuing education credits. A convenient PACT app can direct users to providers or employers who support our SMVF populations through Military Informed Practice. Benefits can be created in any industry to incentivize certification.

Actions towards an educated public on military culture can impact our culture long term. Twenty-six countries mandate military service, maybe our alternative to a mandated military service is a population educated on Military Informed Practices. How would our country change with an added empathy to those willing to give up their lives for our freedom? Imagine a country dedicated to providing culturally competent interactions with SMVF populations. Would military related suicides go down? Could different populations previously not interested in military service be engaged? Would veterans who are homeless be offered different alternatives towards self-sufficiency? Indifference can give way to a new understanding and empowerment of SMVF populations.

SMVF populations fought for us, sacrificed for us, and continue to provide a freedom rarely experienced by most other countries. Military Informed Practice can benefit any organization. Utilizing the PACT framework for education on Military Informed Practices can allow civilians to take action, backing up the phrase “Thank you for your service.” A Military Informed Practice provides a reciprocation of, to place it in an Army values context, “loyalty, duty, respect, selfless service, honor, integrity, and personal courage” our SMVF populations so graciously give us.  





Office of Public and Intergovernmental Affairs (2018, April 18). Debunking the VA privatization myth Retrieved from https://www.va.gov/opa/pressrel/pressrelease.cfm?id=4034

Rand Corporation (2018, March 1). Few civilian health providers in New York ready to provide timely, quality care to veterans. Retrieved from https://www.rand.org/news/press/2018/03/01.html

Hepner, A., Roth C. P., Farris C., Sloss, E. M., Martsolf G. R., Pincus H. A., Watkins K. A., Batka C., Mandel D., Hosek S. D., and Farmer C. M. (2015) Measuring the quality of care for psychological health conditions in the military health system: Candidate quality measures for Posttraumatic Stress Disorder and Major Depressive Disorder, Santa Monica, Calif.: RAND Corporation, Retrieved from January 08, 2019: https://www.rand.org/pubs/research_reports/RR464.html

Tanielian, T., Farris C., Batka C., Farmer C.M., Robinson E., Engel C. C., Robbins M., and Jaycox L. H. (2014) Ready to serve: Community-based provider capacity to deliver culturally competent, quality mental health care to veterans and their families, Santa Monica, Calif.: RAND Corporation, As of January 27, 2019: https://www.rand.org/pubs/research_reports/RR806.html

United States Census Bureau (2017, July 1). Quick facts: United States. Retrieved from https://www.census.gov/quickfacts/fact/table/US/PST045217

United States Department of Veteran Affairs: National Center for Veterans Analysis and Statistics (2017, November). VA utilization profile FY 2016. Retrieved from https://www.va.gov/vetdata/docs/QuickFacts/VA_Utilization_Profile.PDF

Your Protest Safety Toolkit: What to Carry, Watch For, and Avoid When Protesting

  We are in unprecedented times for protesting. April 5 th has the potential to be the largest protest in America. In my 40-plus years of a...