Veterans treating veterans; a growing niche
Now that the conflicts in Iraq and Afghanistan are winding down, this country can expect a tremendous influx of returning veterans. With this surge comes a greater need to treat the invisible wounds of war, namely posttraumatic stress disorder, anxiety, depression and a host of other psychological issues.
A mental health crisis is likely in the next five to 10 years if appropriate attention is not given to war veterans and their families, according to Nicholas Covino, Ph.D., president of the Massachusetts School of Professional Psychology. “The general idea that those with military trauma will be served by the VA (Veteran’s Administration) is not completely accurate. Some will, but only about 25 percent of the time,” he says. “Most of the military don’t go to the VA, especially those in the National Guard. They’ll continue to get health care from traditional sources, like hospitals and HMOs.”
To adequately serve the needs of these men and women, practitioners need to step outside their comfort zones and gain some understanding of the sequelae of combat, military culture and adjustment issues families face before, during and after deployment, Covino says. “We have to create responsibility among mental health professionals to do the right thing by the veterans.
A review of the literature suggests straightforward, common sense approaches that can and should be done by any mental health professional to address the problems of separation and reintegration,” he says, noting that families potentially face years of adjustment difficulties after a military parent returns from overseas.
“Our profession has a responsibility to revise and rework our practices to learn about military culture and equip ourselves with techniques to deal with veterans and families presenting with complaints. This matches what we’ve learned in graduate school,” Covino says. Unresponsiveness because of the perception of inadequate skill sets will create social problems such as homelessness, divorce and alcoholism, in the future, he says.
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