Veterans Suffering Decades "But Why"

This is what the Senate was "focused on" in 2007.

"The Army report indicates that suicides among soldiers has reached a 26-year high, with as many as 101 suicides during 2006, compared with 88 during 2005, 67 in 2004 and 79 in 2003."

Why would anyone be surprised considering at the same time this came out?

Department of Defense to Armed Forces:It's your fault "The military, however, has changed the terms and given many thousands of enlisted men and women a new diagnosis: "personality disorder." While the government would be obliged to care for veterans suffering from combat-related trauma, a personality disorder – defined as an ingrained, maladaptive way of orienting oneself to the world – predates a soldier's tour of duty (read: preexisting condition). This absolves Uncle Sam of any responsibility for the person's mental suffering."

But as you can see, they were not even close to being ready for any of them.

"The real problem is that the Veterans Administration is unable to handle the growing number of current and former service members needing assistance. Hancock learned that when he tried to get help for his illness from the VA. Amazingly, he was put on a waiting list for the post-traumatic stress disorder program at the Temple Veterans Administration Hospital. The VA says between 12 percent and 20 percent of Iraq war veterans suffer from the disorder, although a study cited by a Department of Defense task force puts that number at 38 percent for Army soldiers and 31 percent for Marines. Alarmingly, the study found that 49 percent of its respondents in the National Guard reported problems."

But veterans were fighting back. Not just for themselves, but all veterans.

FORT WAYNE-More than a decade ago, U.S. Army veteran John Evans was trying to alert the nation to a serious healthcare crisis when it came to treating military men who had served their nation admirably in times of war. He largely was ignored. Now with recent startling and embarrassing revelations about conditions and treatment at once-highly regarded military healthcare facilities such as Walter Reed Hospital in Washington, D.C., Evans finally is being vindicated by many who once tried to ignore him-including some politicians. But, rather than retiring from the fight, Evans is planning to step up his battle to find justice for veterans. That includes organizing a public protest for Sept. 5 through Sept. 7 in front of the Federal Building, 1300 S. Harrison St.-right here in Fort Wayne, where it all began.

In 1994, Evans, a decorated Vietnam War veteran who said he had been declared 100 percent disabled due to Post Traumatic Stress Syndrome, woke up to find his world had collapsed around him. His veteran's benefits mysteriously had disappeared leaving him unable to pay his bills and his bank account had been closed. After frantically calling the Veterans Administration and the bank, Evans discovered that he mistakenly had been declared dead by the Social Security Administration, which had confused him with his son, John Patrick Logan, who had passed away. According to Evans, it was two months before he received a letter informing him that he had been-mistakenly-declared dead. During that time, stress began to mount until he suffered a severe heart attack.

And more money got spent as if there were no other studies after Vietnam veterans came home and pushed for all of them.

The Department of Veterans Affairs awarded a $6.5 million contract to evaluate its mental health services to Altarum Institute and The Rand/University of Pittsburgh Health Institute. The two institutes will look at Veterans Health Administration services throughout the country, concentrating on services to veterans with schizophrenia, bipolar disorder, major-depressive disorder, post-traumatic stress disorder and substance-abuse issues. The group will conduct surveys, review medical charts and interview patients to determine what works well and what could be done better — including making sure veterans have timely access to care. VHA officials say 36 percent of the 1.5 million veterans enrolled in the VA health system have at least one mental health issue. Demands upon the mental health care system have increased greatly as troops have returned from Iraq and Afghanistan, overwhelming the administrative system used to process claims as well as the medical staff that provides care.,,,,,,,,,,,,,,,

And then there was this too

In fiscal year 2006, the reports show, some of the VA's specialized PTSD units spent a fraction of what the average unit did. Five medical centers — in California, Iowa, Louisiana, Tennessee and Wisconsin — spent about $100,000 on their PTSD clinical teams, less than one-fifth the national average.

The documents also show that while the VA's treatment for PTSD is generally effective, nearly a third of the agency's inpatient and other intensive PTSD units failed to meet at least one of the quality goals monitored by a VA health-research organization. The VA medical center in Lexington, Ky., failed to meet four of six quality goals, according to the internal reports.

A top VA mental-health official dismissed the reports' significance, saying veterans receive adequate care, either in specialized PTSD units or from general mental-health providers. In addition, he said, some of the spending differences aren't as extreme as the documents indicate, and the department is working to increase its resources for mental health treatment.

But oh well, why should President Obama remember what has been going on all along?

WASHINGTON, D.C. – U.S. Senators Barack Obama (D-IL) and Christopher Bond (R-MO) sent the following letter to Secretary of Defense Robert Gates, requesting a full accounting of service members’ psychological injuries, including Post-Traumatic Stress Disorder (PTSD), since October 2001.

The senators also requested a detailed report on how the military monitors other psychological injuries. Recent media accounts indicate that the number of service members seeking care for PTSD from the Veterans Administration (VA) increased 70% over a 12-month period, or an increase of some 20,000 cases. In addition, reports of the total number of cases of PTSD treatment at the VA since 2001 – 50,000 cases – far exceed the number of wounded documented by the Pentagon.

In the letter, Obama and Bond request information including the total number of PTSD among active duty service members; the total number of other reported psychological injuries; the procedures and referral mechanisms for service members to seek counseling while in combat; the number of mental health staff deployed in Iraq and Afghanistan; the number of mental health staff for each major mobilization and demobilization site; the incentives in place to attract additional behavioral health specialists; and the total annual expenditure on mental health care for active duty service members.

In 2008 it was taking up to 4 years for a claim to be approved after appeals. but worse than that was my husband's claim took 6 years from 1993-1999. Not much changed but again, it is still bad.

But this very well may be what has veterans furious about today because nothing has changed after all these years.

GAO finding: No accountability for claims processors
GAO faults training for VA claims processors
By Kelly Kennedy - Staff writer
Posted : Wednesday May 28, 2008 6:18:36 EDT

Although the Veterans Affairs Department has added thousands of staff to help process disability claims, a new study finds those new employees face no consequences if they don’t attend mandatory training.

And because the caseload is so heavy, instructors aren’t always available to provide on-the-job training for new employees.

The Veterans Benefits Administration “is taking steps to strategically plan its training, but does not adequately evaluate its training and may be falling short in some areas of training design and implementation,” the Government Accountability Office said in a report released Tuesday.

Rep. Bob Filner, D-Calif., chairman of the House Committee on Veterans’ Affairs, asked GAO to find out what training is provided and whether it is uniform; how well it is implemented and evaluated; and how it compares with performance management practices in the private sector.

The questions came after veterans testified that the disability compensation system is Byzantine in complexity, and that it takes months — sometimes years — to make it through the process.

From September 2007 to May 2008, GAO looked at four VBA regional offices, in Atlanta; Baltimore; Milwaukee; and Portland, Ore.

VA officials said it takes at least two years to properly train disability claims employees, and they must complete 80 hours of training a year. New employees have three weeks of intense classroom training before they begin several months of on-the-job training at their home offices.

But “because the agency has no policy outlining consequences for individual staff who do not complete their 80 hours of training per year, individual staff are not held accountable for meeting their annual training requirement,” the GAO found. “And, at present, VBA central office lacks the ability to track training completed by individual staff members.”

In 2007, VBA conducted 67 centralized training sessions for 1,458 new claims processors, compared with 27 sessions for 678 new employees in 2006.

VBA’s online training tool, the Training and Performance Support System, was found to be out of date, too theoretical, and lacking in real-life examples. Employees at one office did not know what the system was.

GAO also found that more experienced staff members felt training was not helpful because it was redundant or was not specific to the work they do, and some said the training is adapted directly from training for new employees. They also said they did not have time to spend 80 hours a year in training because their caseloads are too heavy.

“A number of staff from one regional office noted that instructors were unable to spend time teaching because of their heavy workloads and because instructors’ training preparation hours do not count toward the 80-hour training requirement,” the GAO said. “Staff at another regional office told us that, due to workload pressures, staff may rush through training and may not get as much out of it as they should.”

Another crisis and another job lost but the truth is, far too many lives have been lost as well. Congress just keeps letting history repeat.