Dear Representative Lance,
My name is Deepa Oja and I reside in your district 7. I am writing to support your bill H.R. 1604, Veteran’s Mental Health Care access Act, which you cosponsor. The bill calls for veterans to be eligible for mental health care at non Veterans Affairs (VA) facilities, regardless of when they enrolled in the VA health care system or seek care at a VA facility, or the location of the veteran 's residence.
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).
Scope of a Problem
Between the year 2002 and 2010, 27.9 % of the veterans returning from Iraq and Afghanistan were diagnosed with mental illness such as PTSD and depression (National Alliance on Mental Illness, 2014) Department of Veterans Affairs (2015)
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
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. According to Sareen (2014), Post-traumatic stress disorder is defined in the Diagnostic and Statistical Manual of Mental Disorders, or DSM-5 as having 4 core features that are as follows. First, the person must witness or experience a stressful event. Secondly, the person or persons would re-experience symptoms of the event that include nightmares and/or flashbacks. The person or persons would also have hyper arousal symptoms, such as concentrations problems, irritability, and sleep disturbance. The final core feature dictates
There are so many history stories in history books and on the internet, but the source from people who were actually there is so much better than reading the nonsense. It’s better to hear stories from people who have actually lived and witnessed it rather than just read stories about it. Most students listen better than they read. When you listen to stuff, it sticks in our mind way longer than looking at a book trying to figure out what’s going on. Veterans are an example of this. They tell us stories about the times they were in the training and when they battled, if they did or have already. They have always been an important part of our nation’s history, present, and future. Everyone who went into the military or is currently planning to join has or will have a story to tell. It will be a part of them that they will always remember, the good times and the bad times. So many veterans love telling all the experiences they have witnessed. Thinking of it, it’s not a bad thing; it’s a great thing to be able to say they were actually there. Many students ask what the training is like when they first join the military, although it’s really tough, many still consider going, some even make the commitment to join right after they graduate. Those who do make it, the commitment, are the reason our nation’s history and future is how it is and how
Veterans face many challenges when transitioning from the service. Those that have served shift from a fairly structured and ridged way of life to the less structured and more chaotic civilian life. Many veterans, especially those that have been in combat or have had to personally deal with catastrophic situations, have a very hard time adjusting and often require significant levels of assistance. Sadly many veterans fail to get help, either because they do not wish to appear weak or they are simply turned away.
There is concern about military service members receiving stigma about getting or needing treatment in the area of mental health. Stigma occurs when individuals view others negatively because they have been labeled or identified as having a deviant behavior against societal norms; deviant behaviors such as mental illnesses or diagnoses uncommon or harmful to others. How does that impact the military? Military men and women alike are termed heroes, warriors, and survivors; this is quite the reputation to keep up. Military members go to war or deploy to hostile combat environments, which many come back with severe mental illnesses and diagnosis that need immediate care. At this point they may not feel like a hero. The terms psychological, mentally ill, PTSD, and behavioral health has gained a reputation as having or being a problem. Being labeled a problem is not what service members want. Many studies are trying to pinpoint the problem and resolve the stereotypes associated with getting treatment. Consequently, an individual’s attitude toward mental health treatment is thought to be affected by other people’s views on mental health care (Held & Owens, 2012).
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.
The U.S Department Veteran’s Affairs (VA) provides a wide range of benefits for our service members, veterans and their families. Some of these benefits include but are not limited to include compensation, disability, education, and home loans. Throughout this paper I will discuss these benefits and the eligibility required to receive them. Eligibility for most VA benefits is based on type of discharge received through the military which is normally all discharges under other than dishonorable conditions.
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.
Returning service members had issues such as “getting along with one’s spouse and children, taking care of one’s health and belonging in civilian society”. These matters create crucial tension in the service member’s and the family member’s life in addition to daily life as a civilian. (Kovatch, 2013) A study was done for both Army and Marines returning from combat in Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF). It was reported that 18% of active service members and 21% of Reserves and National Guard members had a “positive screen for mental health concerns on the Post-Deployment Health Assessment (PDHA).”
In 2004, a study in "The New England Journal of Medicine" explored the mental health issues of soldiers before they were sent to Iraq or Afghanistan and within three to four months of their return. The study found that 17% of soldiers met the criteria for mental health disorders and were in need of treatment,
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.
Given the need for highly trained personnel in Afghanistan and Iraq region's, military personnel are being asked to do multiple tours in the region and to stay for extended periods of time while on tours. While this approach has produced a highly trained fighting force it has also exposed military personnel to increased traumatic exposure and exposure at a much higher rate than previous Veteran populations. With multiple deployments becoming a normal part of one's military experience it's important for clinicians to be aware and trained on the mental health implications associated with multiple and longer deployments.
Other issues can affect how a veteran re-adjusts back to normal life such as combat stress, post-traumatic stress disorder (PTSD), and traumatic brain injury (TBI). The Wounded Warrior project provides these descriptions for each issue, including symptoms: “Combat stress is a normal reaction to the abnormal conditions of a combat environment. Symptoms can be, but are not limited to, fatigue, loss of concentration, and decreased reaction time.”(WWP), “Post-traumatic stress disorder (PTSD) is a diagnosed condition that can develop after a person is exposed to a traumatic event. Symptoms can include disturbing thoughts, feelings, or dreams related to the events, mental or physical distress, difficulty sleeping, and changes in how a person thinks
Many veterans have trouble adjusting to regular life; even serving on just a military base feels unreal at times after dealing with major combat operations. Combat soldiers may be brutally injured, or witness the death of their closest friend or maybe an entire group of friends. Soldiers may be responsible for trying to save the life of a wounded soldier and are likely to experience a fellow soldier die in their arms. After putting their life at risk to protect their country, and their freedom as well as the freedom of others, returning home after a war is difficult. “About six out of every ten (or 60 percent) of men military veterans and five out of every ten (or 50 percent) of women military veterans develop Post Traumatic Stress Disorder (PTSD) after encountering a traumatic event or multiple events while in military services”, United States Department of Affairs, How Common is Post Traumatic Stress Disorder, PTSD.va.gov,. It is very hard to believe that the brave men and women who are fighting for our freedom and safety are actually fighting an emotionally crippling mental battle as well, but this mind boggling statistic is true. “About 53 percent of the veterans whose primary diagnosis is/was Post Traumatic Stress Disorder (PTSD) do not