Russell E. Ritchie
Dr. Ware
HEA 401-0
13 February 2017
Alcohol and Drug Abuse Among U.S. Veterans: Comparing Association with Intimate Partner
Substance Abuse and Veteran Psychopathology
Miller, M. W., Reardon, A.F., Wolf, E. J., Prince, L.B., & Hine, C.L. (2013). Alcohol and Drug Abuse Among U.S. Veterans: Comparing Association with Intimate Partner Substance Abuse and Veteran Psychopathology. Journal of Traumatic Stress, 26(1), 71-76. doi: 10.1002/jts.21773
This is a summary of the article “Alcohol and Drug Abuse among U.S. Veterans: Comparing Associations with Intimate Partner Substance Abuse and Veteran Psychopathology” by Mark W. Miller, Annemarie F. Reardon, Lauren B. Prince, and Christina L. Hine written in the Journal of Traumatic Stress.
The article by the authors is about veterans with Post traumatic Stress Disorder (PTSD) and psychological disorders and the use of drug and substance abuse by them and their intimate partner. More than 75% of the veterans studied reported combat exposure. Veteran’s abuse of alcohol and drugs is in relation to self-medication for symptoms relief for PTSD in relation to issued medications for treatment. Veterans diagnosed with PTSD are more likely to abuse substances. The article further articulates that the use and abuse of
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PTSD is just a precursor to abuse of drugs and alcohol. The study further states that Viet Nam vets had the larger percentage of drug users than all the other war veterans of WWII, Korea, Desert Storm, Iraq, and Afghanistan, to date. The study presented evidence that spouses of veterans were diagnosed with PTSD more than civilians and that they were more likely to abuse substances. Research confirmed that those that exhibited symptoms of PTSD from dealing with the outbursts of the vets would self-medicate with the illicit use of drugs and alcohol to combat the stress that their partners put upon
Critical Evaluation: Fewer than half of veterans suffering with PTSD seek treatment, making them more likely to engage in destructive actions that may ultimately involve law enforcement and the judicial system. A common problem associated with untreated PTSD involves substance abuse, which can lead to drunk driving, fighting, domestic violence, and even murder. All of these offenses may result in arrest and place the veteran in the court system. Other long-term problems may also be experienced by veterans with PTSD which can make them more likely
The military has a zero tolerance policy for alcohol and drug abuse. However, drug and alcohol abuse is fairly common among returning veterans. Illicit drug use is lower among veterans than the general population, but prescription drug abuse is growing among veterans. It is estimated that 11 percent of veterans abused prescription drugs in 2008.
Substance abuse among our veterans is much greater than our civilian populations. This is largely caused by post-traumatic stress disorder, associated from combat, and who have endured multiple deployments. In most cases, veterans who have turned to alcohol or drugs have a dual diagnosis. They not only have a problem with alcohol or drugs, but they also suffer from a mental or mood disorder that has a major impact on these issues. In most cases the mood disorder is post-traumatic disorder(PTSD), which results from being in combat. According to
Alcohol use and abuse is prevalent among members of the United States military as well as among the veteran population. Binge and heavy drinking is commonplace among the military and veterans. Veterans and members of the active duty military face a unique set of challenges when compared to the civilian population. There is a trend of combat exposure leading to a higher risk to abuse alcohol. For over a decade the United States military was involved in combat operations in support of Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF). This has lead to a generation of service men and women as well as veterans with a host of physical and mental injuries as a result multiple combat deployments. There are many veterans and active duty personnel suffering from post-traumatic stress disorder (PTSD) as well as traumatic brain injuries (TBI) as a result of their deployment in support of OIF and OEF. There is a link between post-traumatic stress disorder (PTSD) and traumatic brain injuries (TBI) and a higher potential for the abuse of alcohol. Veterans and members of the armed forces deal with a host of psychological injuries related to the stresses of combat which can lead to the abuse of alcohol as a coping mechanism.
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.
The heroes that make up our armed forces often suffer from terrible experiences in battle, some of which severely impact their mental and physical health, including suffering from post traumatic stress disorder or PSTD. Unfortunately, this has caused many of them to turn to drugs, whether prescription or illicit, to treat these problems. In fact, recent statistics estimate that one in 10 soldiers returning from Afghanistan and Iraq suffer from a substance abuse problem.
The mean age for the participants in the study was 45. The study also took in account the time of service from the veterans, 60% served in the 1970's, 18% in the 1960's, and 18% in the 1980's (Carlson, Gavert, Macia, Ruzek, & Burling, 2013). The study includes veterans that suffer from personality disorders as well as alcohol abuse. Participants within the study are a mixture of races and come from various backgrounds. Included in demographic questions is if the veteran is divorced or married, which may also be a factor in this study. Additionally military branch information and associated was
Treatment for co-ocurring disorders fall under the outpatient spectrum for addiction rehabilitation, however, it is an essential and successful form of treatment specifically for veterans. For many civilians who have not been to combat it is difficult to comprehend the toxic combination of pride, anger, duty, anguish and anxiety many veterans feel after their time in the service. Consequently, adjusting back to civilian life is a difficult task to accomplish; while some veterans sustain only minor physical and psychological wounds from combat, others aren’t as lucky. As mentioned above, for veterans, PTSD is considered a mental health condition caused by the traumatic events experienced in wartime. Thus often causing veterans to drugs or alcohol to self-medicate. If left unaddressed, PTSD and substance abuse in veterans can be
Article Citation: Bernhardt, A. (2009). Rising to the challenge of treating OEF/OIF veterans with co‐occurring PTSD and substance abuse. Smith College Studies in Social Work, 79(3-4), 344-367.
All too often, the wellbeing of United States Veterans is overlooked. Alcohol abuse in veterans in a frequent problem and many feel like they have no way to seek help. To see the people who fought for our country feeling hopeless when fighting an addiction is We can solve alcohol abuse in veterans by offering PTSD counseling, alcohol rehabilitation, and having families work together to end the alcohol abuse.
The mission statement of the VA Social Workers is to eliminate significant barriers to clients in need and offer interventions for veterans and families. It is accomplished by developing and maintaining integrated, in-depth programs in patient care, research, and education (Hoffer, Elizabeth. F., Dekle, Judith. Ward., & Sheets, Carol., 2014). Its proposed 11 percent to 20 percent of Iraq, Afghanistan veterans as well as 30 percent of Vietnam vets encounter (PTSD) posttraumatic stress disorder traumatic incidents like combat can lead to PTSD, military sexual trauma of military service member, and veterans may possibly deal with depression, anxiety in addition to other mental health concerns. Vets distress from these mental health and cognitive
Both PTSD and substance abuse in Veterans not only affects themselves, but it also affects their families and communities (Substance Abuse and Mental Health Services Administration, 2017). The Substance Abuse and Mental Health Services Administration (2017) states that there are 3.1 million immediate family members to the veterans in the United States (Substance Abuse and Mental Health Services Administration, 2017). These family members can potentially suffer from second-hand trauma symptoms (Substance Abuse and Mental Health Services Administration, 2017). The U.S. Department of Defense and the U.S Department of Veteran’s Affairs both offer care that veterans and their families are eligible for, but a substantial number of veterans and their
Post-traumatic stress disorder (PTSD) among veterans has been prevalent in the United States ever since the diagnosis of shell shock after World War I. PTSD continues to be prevalent in veterans from the Vietnam War, to the Gulf War, to Operation Enduring Freedom and Operation Iraqi Freedom. The estimated lifetime prevalence of PTSD among veterans during the Vietnam era was 30.9% for men and 26.9% for women (U.S. Department of Government Affairs, 2015). Based on a population study the prevalence of PTSD among previously deployed Operation Enduring Freedom and Operation Iraqi Freedom was 13.8% (U.S. Department of Government Affairs, 2015). PTSD in combat veterans can be very difficult to understand. This is widely due to the lack of research
The wars’ violence has rippled through the nation, affecting families and the communities where they live. A 2010 report found that child abuse in Army families was been three times higher in homes from which a parent was deployed. From 2001 through 2011, alcohol use associated with physical domestic violence in Army families increased significantly. This phenomenon could be attributed to increased alcohol consumption among military veterans suffering from combat-related wounds, injuries and illnesses.
This disorder leads the veterans to substance abuse to calm their nerves and help them feel more at ease. The substance abuse, in turn, leads the veterans to be more hostile, aggressive, and violent to those people around them, especially their families. A study found in The American Journal of Psychiatry revealed, "Increases in alcohol and substance abuse closely paralleled the increase in PTSD symptoms seen in the period during and immediately after the war. Patients reported that alcohol, heroin, marijuana, opiates, and benzodiazepines (but not cocaine) were beneficial for their symptoms of