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Robert David Jaffee

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Improve Mental-Health Care for Our Troops

Posted: 11/08/11 06:50 PM ET

"The willingness with which our young people are likely to serve in any war, no matter how justified, shall be directly proportional to how they perceive the Veterans of earlier wars were treated and appreciated by their nation." That quote from George Washington concludes a new study by the Center for a New American Security (CNAS) on the links between suicide and service in the U.S. Armed Forces.

There is no question that veterans are treated better now than they were following the Vietnam War, but the CNAS study reveals that veterans and service members are committing suicide at alarming numbers -- one every 36 hours for service members, one every 80 minutes for veterans.

The study provides many recommendations, among them the need to maintain unit cohesion for 90 days following a return from deployment, a policy that has been used by the Marines for some time but not by the Army. This is a critical policy recommendation because it is precisely during times of non-deployment, when soldiers are living on a base away from combat, or are seeking a job in civilian life, that they are most at risk of suicide.

Why? Because during periods of non-deployment, soldiers, who have developed a camaraderie within the ranks and who typically feel a strong sense of purpose while in combat, can lose that sense of what the study's authors term "belongingness and usefulness." Those are two of the "protective" factors that have historically insulated soldiers from suicide. But when troops return to a garrison environment or to civilian life, where the roughly 12 percent unemployment rate for soldiers remains higher than that for the general population, they, in particular Guardsmen, Reservists and veterans, are at a higher risk of suicide than before.

The report recommends de-stigmatizing mental illness within the military by having commanders encourage troops when they come home to fill out a post-deployment health assessment (PDHA) honestly. An anonymous survey of service members, conducted in 2008, revealed that "rates of depression, PTSD, suicidal thoughts and interest in receiving care were two to four times higher as compared to the PDHA."

The Department of Defense has made strides in requiring that the PDHAs be conducted face to face and by trained medical or behavioral health professionals, two conditions that were often absent in the past. Those requirements, mandated by the 2010 National Defense Authorization Act, have spurred more troops to come forward when they are depressed or suicidal.

The CNAS report indicates that more and more service members are seeking help than before; 57 percent of military suicides sought help in 2010 compared to 36 percent in 2009. Sadly, that still leaves 43 percent who did not seek help, a failing that is no doubt due to the stigma of admitting to being mentally ill.

As I have written before, only one person can truly change the way our troops and veterans view mental illness, and that is President Obama, our commander-in-chief.

Obama should use the bully pulpit to urge troops and veterans to seek help if they are depressed, suffering from PTSD or suicidal. He should also trumpet legislation to fund more mental-health counselors for the armed forces and for veterans. Finally, he needs to overhaul the policy on condolence letters.

Following Memorial Day this year, I wrote a piece calling on Obama to write such letters to the families of all troops who commit suicide. A month later, the president did change the policy, but only partly. Rather than writing letters to all the families of military suicides, he decided to write such letters only when the suicide occurred in combat.

I praised Obama for improving the policy but criticized him for not changing it all the way. As I wrote in July, the vast majority of military suicides occur outside of a battlefield, so the policy is not only inadequate, it is "asinine" and "demeaning" to the families whose loved ones took their lives outside of combat.

Why should we value the life of a suicidal service member more if he took his life in combat in Iraq or Afghanistan than if he took his life back in the United States after serving in one of those theaters?

The answer is that we should not. All of those lives should be valued and memorialized.

With Veterans Day approaching, I urge President Obama to consider changing the policy once more. By writing condolence letters to the families of all troops who commit suicide, he will help to end the stigma against mental illness in the U.S. Armed Forces and in this country.

 
"The willingness with which our young people are likely to serve in any war, no matter how justified, shall be directly proportional to how they perceive the Veterans of earlier wars were treated and ...
"The willingness with which our young people are likely to serve in any war, no matter how justified, shall be directly proportional to how they perceive the Veterans of earlier wars were treated and ...
 
 
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HUFFPOST SUPER USER
Vajara
vajara
08:57 AM on 11/13/2011
The mental health industry creates the stigma by identifying this horrific injury as a DISORDER, gives the warrior a label and drugs for life with little if any support, aftercare and continuing care once they return to their communities. There are many evidence based Integrative Health Approaches that help the warrior and their family transcend and transform these whole body-mind-spirit injuries into restoration and resilience.

Improve the treatment and resources for injured warriors and vets by creating community health programs that offer a host of health practices, including traditional methods such as Sweat Lodges, Reiki, Massage, Meditation, Acupuncture, Progressive Relaxation, Therapeutic Arts, Therapeutic Outings, Equine & Therapy Dogs, etc. Do visit our Nat'l Alliance in New Mexico to learn how we engage and support our Warriors and their families returning to our communities. http://jerryvestinjuredwarrior.com

Many commanders and units returning home are still shaming their soldiers for seeking health care.
04:38 PM on 11/11/2011
Th reason we have far more mentally ill vets than in previous wars is the widespread use of psychiatric drugs. These drugs make people much worse. I recently watched a sixty minutes episode in which a vet was talking about how he felt like he wanted to jump out of his skin . This odd symptom and most of the symptoms experienced by returnning vets are caused by psychiatric drugs.The drugs also exacerbate suicidal tendencies ,especially in the young.If we want to help the vets , we should give them counseling not pills and also help them get an education or job training
04:31 PM on 11/11/2011
Th reason why so many vets are having mental health problems is because of their use of psychiatric drugs, which make people worse, not better.
10:49 PM on 11/10/2011
{{{{ " Experts answer questions about Transcendental Meditation and post-traumatic stress in veterans
9 November 2011 - Col. Brian Rees, MD, Co-Chair of Operation Warrior Wellness, with 34 years of commissioned military service; and research investigator Sarina Grosswald, EdD, discuss research showing improvement in combat veterans suffering from post-traumatic stress (PTS) through the Transcendental Meditation Technique. 'Unlike medications or techniques that try to mask symptoms,' Col. Rees says, 'TM produces a deep state of rest in the body by allowing the mind to experience its own silent, inner nature. This experience is healing and rejuvenating; all aspects of mind and body are enlivened and supported.' "(more)......
http://www.globalgoodnews.com/global-news-success.html }}}}
02:22 PM on 11/09/2011
A case where congress could actually do something the Constitution authorizes it to do. In my opinion, any veteran who has served in combat should be given red carpet treatment for the rest of their lives.

No taxes of any kind, forever.

Free healthcare from the provider of their choice.

Free training in the field of their choice.

Interest free loans.

Generous pension.

ETC.

Instead, we have 20% of federal employees drawing over $100,000 per year in salary, who are more likely to die than be terminated.
07:56 PM on 11/09/2011
If anyone deserves this kind of consideration, it is our veterans.
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Gestas
Mountain Man
12:57 PM on 11/09/2011
Good Luck with this one....There is not such thing as Compassionate Capitalism....When it's over for you, it's over.
02:32 PM on 11/09/2011
Capitalism, being an economic system, is no more capable of compassion than a brick, or socialism.

Capitalists, being people are capable, and often demonstrate compassion. Republicans are typically more generous to charity than Democrats are, according to reasearch by Arthur C. Brooks.
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Saijanai
Micro bio? We don't need no stinkin' micro bio...
06:55 PM on 11/09/2011
TIthing directly to a church isn't the same as donating to the poor.
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steve11407
pending approval and won't be displayed until ...
11:47 AM on 11/10/2011
Fanned
12:49 PM on 11/09/2011
I find this statement particularly disturbing: 57 percent of military suicides sought help in 2010 compared to 36 percent in 2009. More are seeking help but apparently that assistance is ineffective....the percentage of soldiers who sought help committed suicide more frequently than those that did not.

A nation that sends its youth to fight in distant lands has an obligation to ensure that they are provided the best possible care, both on and off the battlefield. We are failing that obligation in the mental health arena, We can and must do better.
12:48 PM on 11/09/2011
The problem is not the lack of mental health providers or access - ------


the PROBLEM is the STIGMA of mental illness in the military is HUGE and very REAL and you can be UNEMPLOYED fast because of it.



Consider a professional Soldier who has been in 12 years........the second he gets treatment for mental illness the first thing that will happen is they will lose their security clearance and become non-deployable. Be non-deployable and you can't do you job. Can't do your job you will not be competitive with your peers. Can't be competitive with your peers - you get kicked to the curb out of the military and become unemployed.

Why do you think unemployment is so high for Veterans from the Active and Reserve component?

So what does everyone do? "Suck it up" the best they can and seek treatment when they retire or when they get out (if they are still alive), typically with the VA because they are separate from the military.


Until someone tells the military to stop this, nothing is going to happen. To put it in military terms - stigma is the critical vunerability to this line of effort.