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The wars in Afghanistan and Iraq have been challenging for US uniformed service families and their children. Almost 60% of US service members have family responsibilities. Approximately 2.3 million active duty, National Guard, and Reserve service members have been deployed since the beginning of the wars in Afghanistan and Iraq (2001 and 2003, respectively), and almost half have deployed more than once, some for up to 18 months' duration. Up to 2 million US children have been exposed to a wartime deployment of a loved one in the past 10 years. Many service members have returned from combat deployments with symptoms of posttraumatic stress disorder, depression, anxiety, substance abuse, and traumatic brain injury. The mental health and well-being of spouses, significant others, children (and their friends), and extended family members of deployed service members continues to be significantly challenged by the experiences of wartime deployment as well as by combat mortality and morbidity. The medical system of the Department of Defense provides health and mental health services for active duty service members and their families as well as activated National Guard and Reserve service members and their families. In addition to military pediatricians and civilian pediatricians employed by military treatment facilities, nonmilitary general pediatricians care for >50% of children and family members before, during, and after wartime deployments. This clinical report is for all pediatricians, both active duty and civilian, to aid in caring for children whose loved ones have been, are, or will be deployed.

"The 1915(c) waivers are one of many options available to states to allow the provision of long term care services in home and community based settings under the Medicaid Program. States can offer a variety of services under an HCBS Waiver program. Programs can provide a combination of standard medical services and non-medical services. Standard services include but are not limited to: case management (i.e. supports and service coordination), homemaker, home health aide, personal care, adult day health services, habilitation (both day and residential), and respite care. States can also propose "other" types of services that may assist in diverting and/or transitioning individuals from institutional settings into their homes and community."

The Department on Disability Services (DDS) provides the residents of the District of Columbia with information, oversight and coordination of services for people with disabilities and those who support them, such as service providers and employers. DDS supports the District's Disability Determination Division where Social Security Disability Insurance claims determinations are processed.

"A statewide support service for families with children who are Deaf or Hard of Hearing In conjunction with a statewide support service, MSD houses this MSDE resource center on Frederick and Columbia Campus. The goal of the program is to help any Maryland family (including MSD families), professional, or service agency that needs help raising a deaf child. The center offers information resources and special events, hosts monthly workshops, and coordinates with service agencies statewide."

"The Individuals with Disabilities Education Act (IDEA) is a law ensuring services to children with disabilities throughout the nation. IDEA governs how states and public agencies provide early intervention, special education and related services to more than 6.5 million eligible infants, toddlers, children and youth with disabilities. Infants and toddlers with disabilities (birth-2) and their families receive early intervention services under IDEA Part C. Children and youth (ages 3-21) receive special education and related services under IDEA Part B."

Division of Special Education/ Early Intervention Services The Division of Special Education/Early Intervention Services provides leadership, support and accountability for results to local school systems, public agencies and stakeholders through a seamless, comprehensive system of coordinated services to children and students with disabilities, birth through 21, and their families.

"The Education Directory for Children With Special Needs The Education Directory for Children With Special Needs provides military families with children with special needs the information they need to make informed assignment decisions and easier transitions. The directory consists of two components: The Early Intervention Directory focusing on early intervention services for children birth through 3 years old The School-Age Directory focusing on education services for children with special needs, 3 through 21 years old Both provide tools and resources to help with the transition to a new location. The Early Intervention Directory summarizes national and state level early intervention trends and includes descriptions of local early intervention service providers. The School-Age Directory summarizes national and state level trends for special education and includes descriptions of individual school districts"

"The Education Directory for Children with Special Needs provides military families with children with special needs the information they need to make informed assignment decisions and easier transitions. The directory consists of two components: The Early Intervention Directory focusing on early intervention services for children birth through 3 years old The School-Age Directory focusing on education services for children with special needs, 3 through 21 years old Both provide tools and resources to help with the transition to a new location. The Early Intervention Directory summarizes national and state level early intervention trends and includes descriptions of local early intervention service providers. The School-Age Directory summarizes national and state level trends for special education and includes descriptions of individual school districts. "

"Woodrow Wilson Rehabilitation Center offers state-of-the-art evaluation, consultation, and treatment programs for clients who require assistive technology to live, work and/or go to school as independently as possible. The WWRC Assistive Technology (AT) Program is part of the statewide Virginia Assistive Technology System, which provides services to individuals with disabilities across the Commonwealth of Virginia. Services are available to adolescents and adults, with an emphasis on work and independent living. In partnership with persons with disabilities and rehabilitation professionals, interdisciplinary Assistive Technology Teams provides comprehensive interdisciplinary technology assessments and customized technology services to improve a client's employment potential, foster independence, and promote full inclusion in society through the use of assistive technology."

"who we are Northern Virginia Family Service (NVFS) is a private, nonprofit community service organization dedicated to helping individuals and families find new paths to self-reliance and brighter futures. what we do NVFS works to improve the lives of our clients through a variety of programs in five mission initiatives: safe & stable housing, child & family enrichment, health access, emergency assistance and workforce development. NVFS is an innovator of efficient and comprehensive service methods, and has been recognized nationally for its effectiveness in creating sustained financial and social independence for its clients."

Helps transition service members to a new behavioral health care provider when they experience a transition such as a PCS move or transitioning out of the service.

"May Institute's Centers for Autism Spectrum Disorders is dedicated to meeting the immediate and pressing need for services for children with autism spectrum disorder (ASD) in military and civilian families. We serve all branches of the military - Army, Marines, Navy, Air Force, and Coast Guard - at installations across the country."

American Red Cross Military Family Services: Emergency Communications; Financial Assistance; Information and Referral; and Deployment Services

Virginia Department of Behavioral Health and Developmental Services

The Maryland Division of Rehabilitation Services (DORS) offers programs and services that help people with disabilities go to work or stay independent in their homes and communities

The National Respite Locator Service helps parents, family caregivers, and professionals find respite services in their state and local area to match their specific needs.

Service areas: Allegany County, Anne Arundel County, Baltimore County, Baltimore City, Calvert County, Carroll County, Cecil County, Charles County, Frederick County, Garrett County, Harford County, Howard County, Montgomery County, Prince George's County and Washington County. If your county is not listed, please call (410) 744-8200 for inquiries.

"The Disability Determination Services (DDS), a division within DARS, processes disability claims for benefits under the Social Security Disability Insurance and Supplemental Security Income Disability Programs. Following federal regulations, DDS commits to making accurate and prompt decisions on disability based on the following: Medical Criteria Medical and Psychological Evidence Vocational Criteria Consultative Evaluation Continuing Disability Review"

"The Society provides financial assistance and education, as well as other programs and services, to members of the United States Navy and Marine Corps, their eligible family members, widows, and survivors. The Society also receives and manages donated funds to administer these programs and services."

Easter Seals' Military Family Respite Program provides a critically important service for military families whose children have severe disabilities.  Juggling the special care of their children with the demands of service to our nation places these families at the risk of burnout and other domestic challenges.  Our intervention provides families with "time off" from parenting and specialized support for their children, creating a healthy and stable home."