DOD Problems "tip of ugly iceberg" with PTSD and TBI

Joint VA-DoD Pilot Program May Overhaul Treatment of Veterans
Sydney J. Freedberg Jr.


Government Executive

Jul 19, 2008

July 18, 2008 - The influx of wounded troops from Afghanistan and Iraq has burst the seams of the military health care system. The much-publicized scandal in 2007 at Walter Reed Army Medical Center, which kick-started reforms, has proved to be only the tip of a large and ugly iceberg.

The problem is not just about organizations and processes, but about mind-sets.

Although most people in the Defense Department go above and beyond to take care of their wounded, others can still lapse into an attitude of "shut up, shape up, and soldier on"--especially toward those troops who suffer subtle but deeply disabling mental problems rather than obvious physical wounds. Yet it is precisely the hard-to-diagnosis cases of post-traumatic stress disorder and "mild" traumatic brain injury that have become the distinctive injuries of this war.

This fall, however, the departments of Defense and Veterans Affairs will decide whether to expand a pilot program that has the potential to dramatically change the treatment of those disabled in the line of duty. Started in November and currently limited to the Washington metropolitan area, the program takes aim at a bureaucratic redundancy that has long bedeviled injured troops leaving the armed forces. This is the double take in which--before discharge--the Army, Navy, or Air Force first conducts an exit exam of a departing service member to assess any conditions that might trigger military disability benefits, and then--after discharge--the VA conducts its own entry exam of the same individual for the same conditions to determine eligibility for VA benefits.
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http://www.veteransforcommonsense.org/ArticleID/10694