Treatment Of Veterans With Suds And Co Occurring Psychiatric Disorders Essay

This week’s class content emphasized the importance of having well trained clinicians working with Veterans. Although PTSD, TBI, and SUD are not isolated to just Veterans an estimated 30 percent of Veterans are diagnosed with of one of the three conditions. With the diagnosis rate so high amongst Veterans the like likelihood that a clinician will encounter a Veteran suffering from one of these conditions is high. As a clinician that has experience working with Veterans with such diagnosis, I know that staying vigilant and aware is of the utmost importance to

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

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

Bennett, PhD; Hilary J. Liberty, Ph 2013 107). Prior research has evaluated the prevalence of MH concerns and opportunities for treatment at various points in the military/veteran career including post deployment, among those being treated at Veterans Affairs (VA) facilities, and in the general population) (Andrew Golub, PhD; Peter Vazan, PhD; Alexander S. Bennett, PhD; Hilary J. Liberty, Ph 2013 107). The National Survey on Drug Use and Health (NSDUH) data indicate that a substantial portion of young veterans in the general population have substance use disorder (18%) or Serious Psychological Distress (SPD) (14%) (Andrew Golub, PhD; Peter Vazan, PhD; Alexander S. Bennett, PhD; Hilary J. Liberty, Ph 2013 111). All in all, the NSDUH proved to be an extremely valuable resource for this study, and indeed, the results of this analysis for unmet treatment needs have identified important directions for further research into reasons for not getting treatment, especially for SPD (Andrew Golub, PhD; Peter Vazan, PhD; Alexander S. Bennett, PhD; Hilary J. Liberty, Ph 2013 113). The Veterans Administration and National Survey on Drug Use and Health (NSDUH) are taking steps in the right direction to help our veterans with their unmet needs with substance abuse and PTSD. Some examples of improvements are, better mental health evaluations before leaving active duty, more information about military service, and tracking trends among veterans in the general population, who are not necessarily in contact with the

However, the veterans understand that it’s a day-to-day process and their willingness to change brings them closer to their sanity. According to Haluk and Lawrence (2014), efforts to introducing evidence-based practices (EBP) in treatment settings are more successful when members of an organization are “ready to change”(p.73). This is to be true, members of the PTSD group understand that their mental illness has affected them in some shape or form. Therefore, their motivation to attend group and seek help promotes a positive implementation of EBPs. In addition, staff training is a paramount requirement for successful EBP implementation and sustainment (Haluk & Lawrence, 2014). The VA has highly qualified, licensed practitioners that are capable to implement EBPs. VA staff undergoes supervision, monitoring of performance, and booster trainings sessions to better prepare and successfully operate an

According to estimates from 2010, approximately 22 veterans died as a result of suicide each day in that calendar year.

The SMVTA Center works with states to bolster and support the behavioral health systems for active duty military service member, reservists, veterans and their families. They act as a liaison between agencies and the service members, specifically federal, state, territorial, tribe, local community, public, and private agencies. This organization monitors trends in behavioral health issues in relation to prevention, treatment and recovery support, and provides consultation, training and technical assistance to these agencies to provide the latest and best treatment

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.

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.

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

There has been controversy about whether the U.S. Department of Veteran Affairs is taking care of their veterans or are resisting in recognizing Post-Traumatic Stress Disorder. The Union of Concerned Scientist found that the Department of Defense stated that, “The U.S. Army allegedly pressured psychologists not to diagnose Post-Traumatic Stress Disorder (PTSD) to free the Army from providing long-term, expensive care for soldiers. The Department of Veteran Affairs (VA) has also been implicated in pressuring staff to misdiagnose veterans with the aim of cutting costs” (UCS). In result of not properly diagnosing the veterans, they are left unsure why treatment

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

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.

Lunney, Schnurr and Cook, (2014) compared the severity of PTSD symptoms in treatment-seeking older and younger U.S. veterans with PTSD. The study uses a wide number of participants, which provides credibility to the research and can be relied upon on information regarding the effective treatment of PTSD. The researchers

If veterans do struggle with PTSD after they return from combat the Department of Veterans Affairs, a governmental agency that helps struggling veterans recover, offers two treatments. Studies have been done to see if one of the therapies is more effective than the other. There is not yet evidence that one therapy is better than the other. Cognitive processing therapy, CPT, helps by giving the vet a new way to deal with the maladaptive thoughts that come with PTSD. It also comforts them in gaining a new understanding of the traumatic events that happened to them. One of the other benefits of CPT is that it assists the person in learning how these disturbing events change the way they look at everything in life and helps them cope with that (“PTSD: National”). The second newer option of the two is prolonged exposure therapy, which is repeated exposure to these thoughts, feelings, and situations (“Most PTSD”). This type of therapy is now a central piece in the VA’s war on PTSD. “The problem with prolonged exposure is that it also has made a number of veterans violent, suicidal, and depressed, and it has a dropout rate that some researchers put at more than 50 percent, the highest dropout rate of any PTSD therapy that has been widely studied so far,”(“Trauma Post”). Both of the therapies are proven to reduce the symptoms but both have extremely high drop out rates and low follow through. It