More

Featuring fresh takes and real-time analysis from HuffPost's signature lineup of contributors
GET UPDATES FROM Dr. Anthony Hassan
 
GET UPDATES FROM Marilyn S. Flynn, Ph.D.
 

PBS's 'This Emotional Life': Who Will Provide Mental Health Care to Our Veterans and Their Families

Posted: 05/30/10 09:00 AM ET

This Emotional Life is proud to support military families through a special campaign and toolkit to help families manage the emotional challenges of deployment. Find out more by signing up to receive news on our campaign.

By now, you have read newspaper articles, listened to radio talk shows, watched television documentaries and maybe even had a conversation over dinner about the challenges confronting our veterans and their families. You can now define the acronym PTSD (Post-Traumatic Stress Disorder) and explain a "surge." It is hard to ignore or deny the impact this war is having on servicemembers, veterans, families, communities and society. The evidence is irrefutable. The number and type of injuries, the frequency of deployments, the nature of our military force, the consequences for family life and children, and the conduct of the war itself have combined to create a crisis for our society.

It is staggering. The number of surviving service members with permanent disabling injuries surpasses that of any previous modern conflict. The invisible wounds of war are even more prevalent. Of the estimated 1.9 million servicemembers sent to battle since 2003, some researchers estimate that more than 500,000 will develop combat stress disorders ranging from severe anxiety to depression. Untreated, these reactions may last a lifetime. Not surprisingly, families and children are profoundly impacted. You have heard the story about the soldier who cannot sleep, turns day into night, reacts with unpredictable irritability, fails to maintain employment, and is unable to concentrate, every family member is thrown out of normal balance. The soldier's children may react with poor school performance, strained family relationships and peer related difficulties, bullying behavior and depression. It should come as no surprise that combat deployment can have a cumulative negative effect on marriages and family stability that remains even after the deployed servicemember returns home. The fact is, the devastating effects of frequent redeployment -- a hallmark of this war -- are now well-documented.

A Broken System: The problem of combat stress and reintegration is an old one extending back veterans of the Civil War who we labeled as having "soldier's heart" -- a crushed state of mind that led to withdrawal and dispiritedness. Soldiers from World War I were thought to be "shell shocked." World War II combatants suffered from "combat neurosis." Interventions have included punishment, shaming, and a variety of largely untested treatment methods.

Unfortunately, reports indicate that treatment methods in some community mental health centers, Veteran Centers, Veteran Administration Hospitals, schools, public health clinics, and other venues appear not to reflect state-of-the-art standard of care. The National Institute of Mental Health (NIMH) estimates that the present state of practice in mental health lags about two decades behind the treatment models supported by recent research. Anecdotal evidence based on conversations with military medical commanders and mental health providers suggest that new approaches to treating post-traumatic stress have often been met with resistance from older staff in established military and community mental health clinic settings.

As a consequence, when service members rejoin their communities, they encounter a civilian environment ill-prepared to accommodate them appropriately with mental health and health care, employment readjustment support, or other needed services. In many parts of the country, community mental health care providers for veterans have insufficient capacity and frequently fall short of recommended standards of care.

Bridging the Gap: So, who will provide mental health care to our veterans and their families? This dilemma is well-researched and the results strongly argue that a fundamental problem in meeting servicemembers' needs, beyond the stigma of seeking mental health care, is the shortfall in the sheer number of mental health specialty providers with sufficient training in military culture and the most effective treatments. This perspective has been further confirmed by military health care leaders who acknowledge that servicemembers who seek mental health care face a shortage of healthcare providers with a connection to the military and expertise in war-related problems.

This challenge of capacity and competency applies not only to mental health support services within the military, but to civilian programs and agencies as well, including community mental health clinics, universities and colleges, hospitals and other facilities where veterans and their families may seek help. It is not surprising that mental health professionals in community settings have little understanding of the military, the impact of combat, or problems of reintegration. They have been educated in civilian universities to deal with civilian populations. However, these civilian agencies are now much more engaged with patients with combat stress disorders and family members with deployment cycle challenges. For example, Reservists and National Guard members have been deployed more than ever, with almost 40 percent of those in combat coming from our nation's citizen soldiers' ranks. Consequently, community mental health clinics and primary health care programs are absorbing a large portion of care for veterans who, for various reasons, do not utilize the Veteran Administration programs.

The alarm has been sounded. Rapid preparation of appropriately trained mental health professionals is needed and will require a transformation of education and training programs. Moreover, a medical standard of care that ensures our countries mental health workforce is soundly trained to address the needs of wounded service members and their families is urgently needed. Perhaps, a certificate that can be implemented and utilized across training centers and universities nationally, to ensure both consistency and increased fidelity in treatment delivery to our veterans and their families. This certificate can provide the linkage needed to ensure that providers not only receive the required training, but also are supervised and monitored to verify that quality standards are met and maintained over time. Our servicemembers, veterans and their families deserve the highest quality of care available.

This is a moment in history when appropriate training and a vigorous research is needed within the mental health profession as a critical healing agent in the midst of conflict and the aftermath of trauma. This opportunity should not be lost! We may not get a second chance.

 
This Emotional Life is proud to support military families through a special campaign and toolkit to help families manage the emotional challenges of deployment. Find out more by signing up to receive...
This Emotional Life is proud to support military families through a special campaign and toolkit to help families manage the emotional challenges of deployment. Find out more by signing up to receive...
 
 
  • Comments
  • 27
  • Pending Comments
  • 0
  • View FAQ
Comments are closed for this entry
View All
Favorites
Recency  | 
Popularity
11:41 PM on 05/30/2010
ALL is well (Al is fine too :)
11:39 PM on 05/30/2010
This article is much appreciated, especially in an enviroment that forbids such diagnosis.

Al ls well. Post Traumatic Stress Disorder (PTSD) can be relieved and treated, for example, with craniosacral therapy.

As a therapeutic facilitator, I have regularly relieved and treated PTSD, as a matter of course for many years. I write rather lyrically about a PTSD case in the most recent book, "Journeys: Stories Our Bodies Can Tell." Here, the condition reversed itself in two sessions, never to reoccur.

Although not to be mistaken for a "cure all," craniosacral therapy is proven to relieve and treat a full spectrum of conditions. Anyone is welcome to visit the site, http://craniocean.com, to learn more.

The Vietnam Veterans program, founded by Susan Trider of the Upledger Institute proved this. Feel free to inquire there.

Respectfully, once you understand what is going on, it's elementary to treat and relieve. We err when we overlook integrative medicine and complementary modalities in favor of expensive and invasive medications and surgical procedures first. Think about it for a while. This is also examined in "Journeys."

I and others have blogged about this for years. You can google craniosacral therapy and PTSD. I and others have tried to offer our services to the VA Hospital here in the Palm Beaches, but have been routinely refused an interview over years. Therefore, we pretty much mind our own business now. When someone finds us, it is a grace. Why? This stuff works.

Check it out.
photo
HUFFPOST SUPER USER
Glassylady
07:08 PM on 05/30/2010
Having PTSD is akin to being in a warzone at all times. The rockets only go off occasionally, but the war never stops. The attacks can come in your sleep, at the store , in the shower, and when you least expect it. The constant hyper-vigilance is so draining. No where is safe, no one is safe, its like being mad, scared, and on guard 24/7. Therapy helps, but my mind will just not heal! I do yoga and meditate and have tried every herb and drug know to man to help. I can only hope that someday there is a pill that will wipe memories clean, I think it is the only way I will be whole again. In the mean time, all who have PTSD need treatment and support. I hope the VA can encourage mental health workers to join the team to assist those who have given so much.
05:20 PM on 05/30/2010
Actually, there is a certificate program online at "Alliant University" it's called "Post Combat Mental Health" it's offered free to clinicians with "Give an Hour" an agency that offers free mental health services to Veterans, Reservists and their Families. Susan Grove, LCSW (with Giveanhour.org)

QUOTE: "Perhaps, a certificate that can be implemented and utilized across training centers and universities nationally, to ensure both consistency and increased fidelity in treatment delivery to our veterans and their families. This certificate can provide the linkage needed to ensure that providers not only receive the required training, but also are supervised and monitored to verify that quality standards are met and maintained over time. Our servicemembers, veterans and their families deserve the highest quality of care available."
08:24 PM on 05/30/2010
Thank you for this information. Im almost done with my Masters, and plan on getting my Phd in counseling in the future,and this is a great certificate to have under my belt. Thanks!
05:14 PM on 05/30/2010
I have been wondering about this, I have had the feeling that this statistic has been quite high, but I am wondering where this stat comes from?

"40 percent of those in combat coming from our nation's citizen soldiers' ranks. Consequently, community mental health clinics and primary health care programs are absorbing a large portion of care for veterans who, for various reasons, do not utilize the Veteran Administration programs."
photo
HUFFPOST SUPER USER
amaycatbaker
04:45 PM on 05/30/2010
This is a long term problem with no real solution yet. I hope there is one someday, so children can grow up without war interfering with the parents ability to work, parent and connect.
photo
PatA
Pink is a 4 letter word
11:32 PM on 05/31/2010
here in Texas, care is scarce. my SIL did two Iraq tours and recently attempted suicide. he reached out for help but there aren't enough clinicians to help the soldiers. he fell through the cracks.
photo
HUFFPOST SUPER USER
amaycatbaker
06:48 AM on 06/01/2010
Someone has to lobby government to help those that serve.
HUFFPOST SUPER USER
booki
03:51 PM on 05/30/2010
whenever i go to the nearest Walmart,
i sometimes see this man in a wheelchair. he has no legs, he lost them in Vietnam..
i have sat on the side walk and talked to him.......that is why he is there.......
he wants company.
he told me , when he returned from Vietnam....it was so difficult.
he was married, his mother was alive...........
in the hospital for a long time, the legs they gave him, hurt him.....
he opted for a wheelchair. and his mother took care of him.
his wife left him, and his mother eventually died..
so he hangs out at Walmart.......he has nothing and nobody.
he lost his legs.....for you and me...
he was just a young boy who got drafted.....

the last time i saw him. he had a cardboard sign ...by his wheelchair.
i was too weak to read what it said.
photo
HUFFPOST SUPER USER
lost souls rembrd
06:26 PM on 05/30/2010
we're all angels booki. Every single one of us. be safe and happy
photo
HUFFPOST SUPER USER
lost souls rembrd
02:47 PM on 05/30/2010
Oh, I wouldn't wish PTSD on anyone.....you don't know reality....as others know it.

One moment your find, laughing and all and the next? Your fighting demons that no one else sees.
HUFFPOST SUPER USER
booki
04:15 PM on 05/30/2010
i am so sorry......
you are not lost, you are found ..... you are brave.
we wish we could take it all away....
take care of yourself .......now.
photo
HUFFPOST SUPER USER
lost souls rembrd
06:24 PM on 05/30/2010
Booki~Such tenderness and understanding from a stranger. I embrace you, your thoughts and am so deeply touched.

The positive side, if you are blessed to have a good doc? An ability to embrace most circumstances, certainly a full bank of empathy (this ones a treasure in and of itself) and appreciation for the love of the Creator. I pay forward
photo
HUFFPOST SUPER USER
amaycatbaker
04:47 PM on 05/30/2010
I watched my father be consumed by PTSD, and as a child never knowing when those demons would happen. I have failed my father, by walking away. I am not a good daughter for not trying to continue to reach out to him. That says more about me, than him.
photo
HUFFPOST SUPER USER
lost souls rembrd
06:21 PM on 05/30/2010
Oh amaycatbaker. My heart ached when I read your reply. PTSD is a solitary illness. There isn't much room for others unless they have the strength and knowledge on how to seperate 'him from me'. It takes strength I couldn't comprehend.

I've even worn out my doc! lol. Talk to your dad. Tell him you love him and ask HIM if you could do anything different. I guarantee that he'll feel your love. I also can assure you that he loves you will all his heart. Just the fact your questioning and reflecting......he'll know. Tell him.
HUFFPOST SUPER USER
booki
06:49 PM on 05/30/2010
go to your dad tomorrow, and be the good daughter.
put your arms around him, and tell him you understand, or trying to.
most of all
tell him you love him forever....and thank him.
wipe away his tears... peace and love to you
photo
HUFFPOST SUPER USER
HudsonGal
01:09 PM on 05/30/2010
It is truly sad when you think about this especially after what we learned with our Vietnam vets. My Dad was a drug and alcohol counselor. I asked him once about his coming home after WWII did he have PTSD and how as a counselor does he deal with the vets that were alcoholics and addicts? He said when he got out there was no help at all you were a man and dealt with it, rightly or wrongly. He could help the addict with their substance abuse but the PTSD was not within his range of expertise. He could not relate to that trauma the way he could substance abuse, it was very different then his experiences. Yet the substance abuse was brought on many times by the PTSD. He tried many times to work on the behalf of a vet with the VA and many times the door was shut to him. He was fortunate enough to get to know may mental health professionals that would help pro bono since most of the vets had little to nothing on health care or money.

Our military takes these young men and women, molds them to be soldiers. I thank all for their service, but as I have learned from some Iraq vets through my son, we have not come much farther for when they come home.
12:42 PM on 05/30/2010
I work in mental health in a large VA and please know that there are many staff like me who are committed to providing good service and feel honored to do so. But, there are not enough of us to keep up, we are still treating Vietnam vets. The ultimate answer; When do we stop this endless cycle of war that does so much harm ?
11:59 AM on 05/30/2010
The VA will cover a little of it. The 100,000+ contracted employees and their families will be most likely treated at state mental hospitals. In Texas they are cutting the budgets of social services as we race to the bottom of state funding instead of being 48th. But we are really big on giving breaks to businessmen!
11:58 AM on 05/30/2010
I have had PTSD for almost 50 years now, since the age of 9 and I know full well how little help is available, we are expendable, disposable, a waste product of the machine of consumerism...vet's have at least the v.a. but without funding, they like me, will have nothing but themselves to pull them through moment by moment...a lot of them won't make it...heart breaking...
12:21 PM on 05/30/2010
There might be something of value to you on this website
www.mysecondchance.ca (no ads)
Give it a chance and you may recover some peace of mind.
Often the key is to learn to control where in time your mind
is focussed. Learning to focus on the present moment
is a way to escape painful memories and worries about the
future. Good luck!
photo
HUFFPOST SUPER USER
lost souls rembrd
02:52 PM on 05/30/2010
you do NOT have PTSD. I'm sure your heart is in a good place but trust me.......it has NOTHING to do with lack of will power or ignorance.

I was at a local farmers market. I went early to avoid crowds which I can not handle. I was visiting w/the produce peeps w/tons of people came and surrounded me. I lost it and thank the good Lord I have a voice that carries miles....they parted like the red sea, lol. I've learned to embrace it, I've gone weekly to therapy since 82 and am finally seeing fruits of my labor.