Evaluation Of A Program Evaluation

Today, hundreds of thousands of service men and women and recent military veterans have seen combat. Many have been shot at, seen their buddies killed, or witnessed death up close. These are types of events that can lead to Post- Traumatic Stress Disorder ("Post Traumatic Stress Disorder PTSD: A Growing Epidemic. “) Anyone that has gone through a traumatic event can be diagnosed with PTSD but research shows, military men and women are more susceptible to having PTSD (PTSD: A Growing Epidemic.) And, with little help from the US, many Veterans do not get the help they need or get treated for PTSD. Military men and women begin to

The freedoms Americans enjoy come at a price; brave military men and women often foot the bill. Many men and women pay with their lives; others relive the sights, sounds, and terror of combat in the form of PTSD. Several causes and risk factors contribute to the development of PTSD. Combat-related PTSD appears slightly different than traditional PTSD. History tells of times when soldiers diagnosed with PTSD were viewed as “weak.” Resources have not always been available to struggling soldiers. The adverse symptoms of PTSD on soldiers and their families can be crippling.

According to Connor, Jones, Watts, Shiner, and Stecker (2013), “[o]nly about one quarter of active duty troops with psychiatric disorders actually receive treatment services” (p. 280).These researchers conducted a study using a qualitative analysis method by means of an intensive cognitive-behavioral telephone interview lasting approximately forty-five to fifty minutes. The participants consisted of approximately 300 service members who were recruited within a three year time frame, beginning in November 2009 and ending in January 2012.  The makeup of the participants included: 84% percent male, 67% Caucasian, 13% African Americans, and 9% Latinos. The sample identified participants from forty-eight to fifty states including veterans from all branches of military service. Research findings revealed four primary reasons veterans do not seek treatment for PTSD symptoms: concerns about treatment (40%), emotional readiness for treatment (35%), stigma (16%), and logical issues (8%) (p. 282-283). Overall, the research concludes that if there is an increase in veterans seeking treatment for PTSD after serving military time then the primary care physician should emphasize to the veterans upfront certain expectations. These expectations include

Memories of war are like poison in the minds of the broken soldiers calling for help, only to find out that their voices have become a distant echo. Their words lost in the society of the land they've slaved to protect, robbed of the aid, and crippled by their illness. Post Traumatic Stress Disorder (PTSD), became a documented mental disorder in 1980, when the American Psychiatric Association (APA) added PTSD to the third edition of its Diagnostic and Statistical Manual of Mental Disorders. For about 30+ years, since the Vietnam war began, veterans have experienced the pain of this ailment. Human beings experience PTSD in varying degree, but often we associate it with war. Since the recognition of PTSD as an illness, the government has failed

I will be collaborating with The National Institute of Mental Health for the funding of the research project. The research will attempt to identify what factors determine whether someone with PTSD will respond well to Cognitive Behavioral Therapy (CBT) intervention, aiming to develop more personalized, effective and efficient treatments. The mission of this project is to transform the understanding and treatment of mental illnesses through basic and clinical research, paving the way for prevention, recovery, and cure (National Institutes of Health, 2013).

Although American service members have felt the lasting effects of combat throughout the history of the nation, it was not until 1980 that Post-Traumatic Stress Disorder was formally added to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders. Once referred to as “irritable heart” or “shell-shock,” PTSD made its way into the national spotlight in the years following the wars in both Iraq and Afghanistan due to U.S. military members having difficulty reintegrating into civilian life. High rates of suicide, depression, and elevated levels of violent crime within the veteran community made the need to find an effective treatment of this disorder a top priority for the Veterans Health Administration. While it is widely accepted by medical professionals that there is no single, definitive cure for PTSD, many different methods have been cultivated within the past 15 years that make coping with it an easier process; some to a greater extent than others. While medications, namely antidepressants and benzodiazepines, usually find themselves at the forefront of any discussion regarding mental debilitation, they are not a one-size-fits-all solution to the problems that combat veterans face. As this particular disorder is attached to a certain memory or traumatic occurrence, alternative methods of rehabilitation such as Cognitive Behavioral Therapy (CBT) and Prolonged Exposure (PE) have also shown promise in

PTSD having been on the rise following various deployments necessitated by the various wars against terror, where the soldiers encounter traumatic experiences like harsh training conditions, unfavorable living standards, enemy attacks, extreme working environment, explosions, torture by enemies, loss of colleagues as well as long term separation from family back at home (Melinda S & Jeanne S., 2012). This therefore calls for a concerted effort in handling the pandemic of PTSD since it has been constantly on the increase and as a

Posttraumatic stress disorder (PTSD) is a commonly recognized stress disorder found in many combat soldiers after exposure to life-threatening and traumatic experiences. Since 2001, the prevalence of PTSD has increased with over 2.4 million troops deployed to warzones in Afghanistan and Iraq (U.S. Department of Veterans Affairs, 2012). Although researchers and civilians commonly understand symptoms of PTSD, they often fail to recognize the difficulties veterans’ face- reintegration into civilian society, alienation, and identity crises (Demers, 2011). Currently there exist two major sources for best practice guidelines in the management of PTSD. They include the VA/DoD Clinical Practice Guidelines for Management of Post-traumatic

Participants will be collected different PTSD clinics to avoid biases. Patients will be collected in groups each at a time.

To conclude, Kristen Walter neither confirmed nor denied if one treatment program was better than the other. She stated that both outpatient and residential programs can be beneficial to veterans with PTSD, but the treatment program that works best may depend on the severity of their symptoms. In the article “Cognitive Processing Therapy for Veterans with Posttraumatic Stress Disorder: A Comparison Between Outpatient and Residential Treatment”, Kristen Walter evaluates the treatment success in outpatient and inpatient programs for veterans with

With the advances in technology and military medicine, improved amounts of armed veterans are surviving the injuries they endure at war. These brave men and woman are faced to enter the civilian life after enduring the things that they cannot remove form their memories. Posttraumatic stress disorder is a common psychological and physiological consequence of deployment for combat in military veterans. For an individual to be diagnosed of PTSD, the person had to have been exposed to an intense traumatic situation, which resulted in terror or helplessness and continue to re-experience the event for at least a month (World Health Organization). It can be very difficult for a military personal to return from active duty with the mindset that

(1) “Post Traumatic Stress Disorder is an anxiety disorder than can develop after a person witnesses a traumatic event. A traumatic event can take many forms; a natural disaster, sexual abuse or a terrorist attack such as 9/11, but for veterans, PTSD is most often related to combat or military exposure. In wars prior to Vietnam, the disorder was referred to as “shell shock” or “battle fatigue” and was not very well understood beyond the fact that it limited the soldier’s performance on the battlefield. Today, the disorder is more widely studied. We know that Post Traumatic Stress Disorder can lead to other mental health problems such as depression, social withdrawal, and substance abuse.” This disorder is such a heavy price to pay for our soldiers. Many come home and can not function in normal society and never really get the help they need to cope with their problems. Many more soldiers suffer in silence and never even tell anyone that they may have these issues because so many of them feel they are ‘macho’ and can handle it alone, but the truth is that they simply can

Post-traumatic stress disorder has always been an important issue to me. PTSD became an interest of mine when I saw the effects that it has on my husband and other Veterans suffering from the same issue. I wanted to pursue this research topic to further education myself, and inform others. PTSD not only effects the Veterans mentally, but it also has an effect on their family members as well, living with someone who is easily startled, has nightmares, or avoids social situations can take a toll on everybody. In this particular topic, I will focus on inquiring information about combat Veterans, families of combat Veterans, and others interested in learning or gaining more information about post-traumatic stress disorder. I will inform my audience about this topic through various reports from past century wars and convince my audience on how post- traumatic stress disorder effects combat Veterans later in life. I am conducting this project with combat Veterans, and their families in mind as my audience. Family members of a combat Veteran may not know the signs and symptoms of PTSD.

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

Each of the models discussed includes emphases that are valid aspects of program evaluation. “One value of thinking about models lies in developing an appreciation of the range of questions evaluators can consider. The specific questions being addressed by an evaluation or the specific aspects of the program setting often make one or another of the models especially useful” (Posavac & Carey, 2007, p.23-25). The models: The traditional model, Social Science model, Industrial Inspection model, Black Box Evaluation, and Objectives-Based Evaluation model, are very common and helpful in different types of organizations and environment. The model that is very interesting to use and describe is the Objective-Based Evaluation model.