Houston prepares for flood of PTSD and TBI veterans

March 30, 2008, 11:30PM
A healthier homecoming
Houston needs to prepare for flood of veterans with mental and brain disabilities


Copyright 2008 Houston Chronicle


The converted Holiday Inn at 4640 Main Street is packed, but fulfilling its purpose. The nonprofit facility now houses 280 veterans with head injuries, mental illness or other combat-related wounds.

The only hitch: Most are Vietnam veterans. Houston so far has barely glimpsed the psychological harm suffered by thousands of soldiers soon to come home from Afghanistan and Iraq.

It's a certainty, though, that they will need services far beyond what Houston currently can give.

"We're basically busting at the seams, to tell you the truth, " said Tom Mitchell, director of the Main Street facility. "And it may be three, or four, or five years before (new) veterans start hitting the streets" because post-traumatic stress disorder or traumatic brain injuries unglued their lives.

In some ways, these newer veterans will benefit from lessons of the Vietnam War and, more recently, scandalous mistreatment at Walter Reed Army Medical Center.

Doctors today are more familiar with PTSD. Its symptoms include anxiety, insomnia, substance abuse and depression. And the Walter Reed revelations goaded Congress into studying veterans' physical and psychological needs and better coordinating the Veterans Administration and Defense Department so wounded veterans can get treatment more easily.

Even so, both national and local mental health experts say programs aren't in place to handle the flood of homecoming soldiers who will be suffering PTSD and traumatic brain injury. It's estimated that 17 percent to 30 percent of soldiers will come home with PTSD alone.

Harris County, with its gross deficit in mental health care services for civilians, could be particularly hard hit. Already, about 70 percent of Houston's 10,000 homeless people suffer serious mental illness. Some 30 percent of those homeless are veterans, mostly from Vietnam.

The returning soldiers from Iraq and Afghanistan could have even more severe problems. The new phenomenon of repeated, prolonged combat — two, three, even four tours of duty — intensifies traumatic stress disorders.

Houston will see a large number of these patients. One in 11 soldiers who are wounded in Iraq and Afghanistan is a Texan. And 25 percent of the state population is from the Houston-Galveston area.
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