External Support Organizations

In the past, veterans who disclosed suffering from signs of PTSD encountered a great deal of ignorance and bias. According to the U.S. Department of Health & Human Services (n.d.), veterans who had the illness were often considered weak, were rejected by comrades, and even faced discharge from military service. In fact, even physicians and mental health specialists often questioned the existence of the disease, which of course led to society’s misconception of PTSD in general. Sadly because of this existing prejudice it appears even today soldiers are still worried to admit having PTSD symptoms, and therefore they do not receive the proper support they need. While individuals are assured that their careers will not be affected, and seeking help is encouraged, most soldiers see it as a failure to admit having a mental health illness (Zoroya, 2013). Educating military personal of this illness, and making sure no blame is put on the veterans who encounter this disease is therefore vital.

Another key issue from personnel at war besides physical injuries would be the mental damage they suffer. Statistics from the MOD show that between April and June 2013 there was 1367 new cases of personnel suffering with a mental disorder in the Armed Forces, putting them at the highest amount of mental disorder sufferers than any of the other services. That’s just within a three month period, and with Afghanistan tours running every six or ninth months it just seems that number will rapidly heighten.

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 problems are burdensome for the soldiers, since these burdens cannot be extinguished. When soldiers are at war they are surrounded by responsibility, death and destruction. Adding to all this

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.

The suicide prevention program is driven and maintained by military leaders (i.e. officers and non-commissioned officers) and military social workers who actively support/contribute to the entire program and the initiatives within the community. Military leaders ensure that every service member receives annual suicide prevention training through PME conducted by military leaders. Additionally, the military has issued “guidelines” (which are military policies) for how commanders can reduce the stigma of mental health services by creating a positive culture climate. Commanders use the Commanders Consultation Assessment Tool, to gain insight into unit strengths and areas of vulnerability, as well as, creating a positive climate culture. This tool also teaches service members to recognize the signs and symptoms of distress in themselves and others and to take protective action and encourage others to do the same. The goal he is to foster a culture of early help-seeking, without judgment.

Psychological support for troops has emerged as a necessity because this kind of work can deal, to a considerable extent, with a set of specific psychological problems arising within disciplinary systems at all levels, not the lower echelons alone, as is often believed. Occasionally it is just the matter of an enlistee being unprepared for discipline-abiding lifestyle (ignorance of army regulations, orders and regulatory documents). Sometimes, however, psychological problems stem from clearly expressed anti-disciplinary attitudes in some or other serviceman, which attitudes tend to disorganize military activities, mixing, and off-duty routine.

“The Veterans Health Administration (VHA) is home to the United States’ largest integrated health care system” (Mason e.t. al 2016). Because of technological and medical advancement, surviving injuries from war has lead to a greater need for post deployment and discharge care. I often hear the phrase “Freedom is not free”; the mental health of our active duty soldiers and veterans is one area that ends up costing America. Some lose time with their families, some are injured physically and mentally, and some lose their lives.

Both articles identify the issue of providing mental health services for veterans with an extra emphasis on those that served in Afghanistan and Iraq (OEF/OIF veterans). It is no surprise that returning veterans suffer from both visible/invisible (physical and mental) wounds. Most veterans have this “high” expectation that they are going to receive quality care from both the DoD and VA. Unfortunately reality steps in where veterans are slapped in the face because they are receiving a lack of poor quality care all while jumping through Beuracractic hoops. The challenges faced to access these services include resistance, stigma, lack of professionalism, and geographic and/or regional disparities in the distribution of services resources and/or benefits, and the system simply refusing to change.

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.

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 social issues surrounding mental health; the causes; and the treatments of disorders; have always intrigued me, especially regarding our veteran service members. Being a veteran myself, I identify with the struggles and hardships that our veterans face every day. Our servicemen and women are exposed to a variety of traumas (e.g. combat, family separation, and being in a constant state of arousal) that contribute to mental illness. However, not all servicemen and women suffer from mental illness. Therefore, I am interested in identifying why these men and women who share similar exposures of combat related traumas, do not suffer from or show signs of any mental illness. Additionally,

Hundreds of thousands of United States veterans are not able to leave the horrors of war on the battlefield (“Forever at War: Veterans Everyday Battles with PTSD” 1). Post-traumatic stress disorder (PTSD) is the reason why these courageous military service members cannot live a normal life when they are discharged. One out of every five military service members on combat tours—about 300,000 so far—return home with symptoms of PTSD or major depression. According to the Rand Study, almost half of these cases go untreated because of the disgrace that the military and civil society attach to mental disorders (McGirk 1). The general population of the world has to admit that they have had a nightmare before. Imagine not being able to sleep one

As we learn more about the cause and effect of PTSD we can better equip ourselves to help those in need. It is a process that has a clear beginning but an unclear ending. A person who can function normally for many years after seeing combat may find it increasingly difficult to sit in a classroom day after day. With raising awareness on not only the severity but the scope of impact of mental health disorders it can eliminate the stigma of weakness and get these men and women who have put themselves second much of their lives the help they

This organization puts lots of energy into advancing research to improve the techniques of identifying mental health issues (American Psychiatric Nurses Association, 2015). With earlier detection, psychiatric nurse clinicians will be able to promote the proper health and wellness to those on the