Active Duty Case Study

Over the last decade, the wars in Afghanistan and Iraq have drastically increased the need for effective mental health services and treatment for U.S. veterans and service members, especially those suffering from Posttraumatic Stress Disorder (PTSD). Nearly 1.5 million American service members have been deployed in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) since the attack on the Twin Towers in September 2001 (Price, Gros, Strachan, Ruggiero, & Acierno, 2013). Approximately 25% of soldiers and wounded warriors returning home from OEF/OIF present with mental illness due to combat-related violence and other trauma exposure (Steinberg & Eisner, 2015). According to Price and colleagues (2013), OEF/OIF soldiers and veterans are at greater risk for developing mental illness compared to others who served in past military operations.

This paper explores post-traumatic stress and how it is seen as a disorder. Post-traumatic stress can manifest into post-traumatic stress disorder. The evaluation and review books and articles seem to reveal a relation to these symptoms and military member, either active or non-active veterans. These symptoms do not manifest strictly into the full-extent of the disorder in all cases of military, however, things such as depression and other physical symptoms are discussed through the readings. The end result is that we discovered that through the readings PTSD will in fact lead to suicide if left untreated.

The main problem discovered is military members are experiencing psychological problems from stressors due to deployments and not seeking help for their discomforts. Many of the military members returning

The Air Force lost 38 airmen to suicide in 2008, a rate of 11.5 suicides per 100,000 airmen. The average over the past five years — since the start of Operation Iraqi Freedom — was 11 deaths per 100,000 annually. Of the airmen lost in 2008, 95 percent were men and 89 percent were enlisted. Young enlisted men with a rank of E1 to E4 and between the ages of 21 and 25 have the highest risk of suicide. Recently released data indicates that active duty males carry, for the first time in known history, a suicide risk greater than that of comparable males in the general population (Psychotherapy Brown Bag, 2009). This is particularly noteworthy considering that the military entrance process screens out serious mental illness prior to entry onto active duty, and that the rate of suicide in military males has historically been significantly lower than comparable civilian populations. To help

Rates of trauma and mental illness are reported to be disproportionately higher among American veterans, especially those of the recent wars in Iraq and Afghanistan. The barriers to care after civilian reentry further disadvantage this already vulnerable population. The wars in Iraq and Afghanistan have been the longest sustained US military operations since the Vietnam era, sending more than 2.2 million troops into battle and resulting in more than 6,600 deaths and 48,000 injuries. Veterans are at risk mental health challenges, as well as family instability, elevated rates of homelessness, and joblessness. Veterans have disproportionate rates of mental illness, particularly posttraumatic stress disorder (PTSD), substance abuse disorders, depression, anxiety, and military sexual trauma.

Military service members who are and have been deployed to the middle east show high levels of emotional distress and post traumatic stress disorder (PTSD). Both active duty and reserve component soldiers who have experienced combat have been exposed to high levels of traumatic stress. As a consequence, many have gone on to develop a wide range of mental health problems such as PTSD. “According to researchers, PTSD is a long-term reaction to war-zone exposure that can last up to a few minutes, hours, several weeks, and for some a lifetime.” Common symptoms include: emotional numbing, anxiety, feelings of guilt, and depression. If the disorder turns chronic veterans may experience functional impairment (Friedman, M. J. et al., 1994, p.

Since the Post 9/11 Wars in Iraq and Afghanistan have ended, there has been a plethora of veterans, returning back home to the United States. Out of the thousands of veterans who were exposed to combat during their deployment, many of these soldiers experienced Acute Stress Disorder, which later turned into (PTSD) Post-Traumatic Stress Disorder, after one month of their condition not being treated (Yehuda & Wong, 2000). What makes matters worse is that many of these veterans, who endured PTSD, fail to receive treatment for their disorder, which later led to other detrimental issues, including other psychological disorders, child abuse, divorce, substance abuse, suicide and job loss. In fact a study

These forms are either filled out before leaving combat zones, or within the first two weeks of returning home (Hoge, et al., 2006:1024). As with the other study, these surveys were geared to understanding the mental health of returning soldiers. The combat veterans involved in this research were returning from either Iraq or Afghanistan (Hoge, et al., 2006:1023). However, unlike the above study this one requires a follow up conducted 12 months later. The reasoning for the second survey is that some veterans have difficulty adjusting to civilian (Hoge, et al., 2006:1025). Results show that there is a higher prevalence for Iraqi veterans to seek mental health help, over the Afghanistan veterans (Hoge, et al., 2006:1026-1027). Unfortunately, the majority of troops affected by PTSD are still not seeking

Military Pathway (2013) concluded “Military life, especially the stress of deployments or mobilizations, can present challenges to service members and their families that are both unique and difficult”. Hence, it is not surprising that soldiers returning from a stressful war environment often suffer from a psychological condition called Post-Traumatic Stress Disorder. This paper provides a historical perspective of PTSD affecting soldiers, and how this illness has often been ignored. In addition, the this paper examines the cause and diagnosis of the illness, the changes of functional strengths and limitations, the overall effects this disease may have on soldiers and their families, with a conclusion of

According to a study constructed by JAMA Psychiatry, a medical journal published by the American Medical Association, explained that one out of five soldiers, who have enlisted into the military have suffered from a mental disorder (Hastings). With this statistic, there are doubts regarding the military’s assessments of the enlisted. Matthew Nock, a Harvard University psychologist, led a study on mental disorders in the military, and concluded that

Mental illness is very common among men and women who serve in our military. According to American Psychiatric Association (2015), military men and women face unique challenges, including actively participating in war, being separated from their families and friends, and various other stressors that come with being deployed. These stresses can lead to anxiety, posttraumatic stress disorder (PTSD), depression and substance abuse following their return back home. Addition to mental health illnesses, military personnel during combat may also have encountered traumatic brain injury or multiple concussions. While few Veterans who experience traumatic brain injury do recover, others face long -term consequences that impair their physical and mental health (Department of Veterans Affairs, 2015).

Materials and methods included “a convenience sample of 130 participants from military installations in the mid-Atlantic region of the United States” All were female, age 18 and older with an active duty classification. The authors used a transactional system of analysis using a perceived stress scale, PSS-10. Further, a once only study interval, with no trials involved. Consequently, the authors sought a form survey and used a t-test in determination. The authors’ claimed construct validity was achieved by supporting material result with higher stress levels in deployed serviceman spouses (p < .001). Somatization also significantly higher in spouses of deployed

T. Stecker, J. Fortney, F. Hamilton, and I. Ajzen, 2007, address that mental health symptoms have the likelihood to increase within post deployment for military veterans, especially for the ones who have seen combat. An estimated quarter of recent war veterans who are currently receiving care in the Department of Veteran Affairs (VA) Health Care System have reported mental health problems. Soldiers who have served in Iraq come home suffering from depression, anxiety, and posttraumatic stress disorder (PTSD). The Statistics of Iraq soldiers meeting the criteria for depression, anxiety, and posttraumatic stress disorder (PTSD) is greater than the soldiers who served in Afghanistan. The mental health symptom rates for soldiers who served in Iraq were as high as 20% for PTSD, 18% for anxiety, and 15% for depression.

A service member’s emotional and psychological issues are not like malfunctions of a piece of equipment and must not be treated as a troubleshooting problem in a technical manual. And yet this seems to be the only way the military, as a whole, knows how to address the issue of a service members mental health. It requires a holistic approach that is not currently embraced by the military. Historically, the military has been ill-equipped to handle the shifting nature of the psychological issues created by introducing a service member to the battlefield.

Responsible for ammunition valued in excess of $13.3 million; property valued in excess of $61 million; managed maintenance operations valued at $ 28 million.