VA Social Worker Mission Statement Analysis

One of the key factors that contribute to homelessness among veterans is Post Traumatic Stress Disorder (PTSD). PTSD affects a large number of military veterans from every war, though the rates differ depending on which war they served in, PTSD affected 30% of Vietnam veterans, 11% of Afghanistan veterans, 20% of Iraq veterans, and 10% of veterans who served in the Gulf War (How Common is PTSD). Half of veterans with PTSD do not receive the treatment they require and 20% - 50% of those who do receive treatment do not finish it (Robson). The lack of treatment is important considering that 45% of homeless veterans have some kind of mental illness (Paquette). The homecoming of a veteran has been related to that veteran’s degree of PTSD. Veterans with a negative reception upon their arrival tend to have harsher PTSD (Tull). It is no wonder then that, those who had the hardest time re-entering society, Vietnam veterans, among whom 30% have had PTSD, make up 47% of homeless veterans (coalition for the Homeless). These veterans had the hardest time out of any, when they returned public opinion was against them, and many were unjustly called “Baby Killers”. This critical rejection made it harder for Vietnam veterans to deal with their PTSD, because it held them back from discussing their experiences in war (Tull). Having

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.

Combat veterans are among the highest at risk for issues in transitioning form military life to civilian. Many potentially suffer from both physical and/or mental traumas. Many veterans and even active duty services members have allowed the unofficial culture of if you need mental or medical help you are weak. Many military families are also afraid of utilizing family support mechanisms out of fear of

Health ←and→ mental health troubles reflected an extensive range of concerns centered on chronic health problems, substance abuse, psychosocial, clinically diagnosed problems, self-esteem problems. Substance abuse was noticed as a major obstacle to conquering homelessness addictive behaviors in the same way as alcoholism, drug abuse were frequently identified in

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

The homeless veteran seem to be an extensive risk of a poor quality life because of stress, depression , nervous social relationships, poor accessibility to health care coupled with transient living situations. Almost half of homeless veterans' population experiences mental illness with a large percentage addicted to alcohol and drugs. Half of homeless veterans were in the Vietnam War, which is a pointer to the ages of the chronic veterans who are homeless to be 55 and 70 (Sweet, 2007). The group faces typical mental, physical ailments and malnutrition associated with insufficient self-care and basic needs fulfillment. The chronic diseases and infections among the homeless veterans are also linked to aging.

In the United States, there is an issue concerning homelessness. There are thousands of individuals in America do not have permanent employment nor stable housing. The homeless people live on the streets while suffering from diseases, such as PTSD, and sleep deprivation. Per statics, a high number of homeless individuals involve veterans whom have served the country in some form or fashion. The U.S Department of Veteran Affairs states that the homeless veterans’ population is mostly consisted of males, while only 5 percent is female. This survey conducted by veteran affairs shows most of them are single individuals that came from rural areas, but also suffered from mental diseases, substance/alcohol abuse and even co-occurring disorders; in

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.

Homeless veterans population has been a problem over the decades but over the passed few years the population of homeless veterans has increased. This is a concerning problem that needs to be attended to and human services is one of the ways to seek help. Many veterans that are homeless is due to mental illnesses such post traumatic stress disorder (PSTD), substance abuse (alcoholism and addiction), and depression. Veterans that are homeless usually have one or more issue that they are facing that is causing them to be homeless. Some veterans can be facing psychiatric, physical, and medical disorders at the same time, which is very common today (Goldstein, Luther, Haas, Appelt, & Gordon, 2010, p.312). Veterans that were deployed and fought

Thirteen percent of all of the homeless in the United States are reported to be veterans (Hoffler, Dekle & Sheets, 2014). Because of this issue veteran suicide rates are much higher than the general population as are the rates for veterans substance abuse (McCarl 2103). Behavioral health needs and housing are currently the two of the largest needs that are facing veterans at this time. The VA has housing programs and a large funding source though each VA may have differing program structures the VA itself is lacing in outreach programs and psychoeducational programs for homeless veterans. Also Homeless veterans themselves underutilize the services available to them. (Gabrielian, Yuan, Rubestein, Anderson, Gelberg 2013) This homeless veterans

Many veterans are unable to leave behind the trauma of Vietnam and psychologically return home. They struggle with a variety of extremely severe problems that neither they nor their families, friends, or communities knew how to understand

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.

Homelessness can be caused by drug abuse and drug abuse can also be an implication of homelessness. According to the National Alliance to End Homelessness, “A survey by the United States Conference of Mayors found that 68 percent of cities reported that substance abuse was the largest cause of homelessness for single adults. Substance abuse was also reported as one of the top three causes of family homelessness by 12 percent of cities” (Opioid Abuse). One study showed that drug addiction and overdose put veterans at the highest risk for homelessness and another study showed that twenty five percent of the homeless people surveyed said that using and abusing drugs was the main reason they were homeless (Opioid Abuse).