They’re crying out for help. But will anyone listen?

He Cries Alone: Black Men and PTSD
The Root
BY: ERICKA BLOUNT DANOIS
Posted: May 24 2015

Whether they are veterans or victims of violence, black men are less likely to seek the help they need when they have post-traumatic stress disorder.

They’re crying out for help. But will anyone listen?

They are African-American men, struggling with mental illness and post-traumatic stress disorder—many are veterans, but many more are civilians struggling in secret, ashamed.

These are men like 26-year-old James Brown. Brown served two tours in Iraq. When he returned home he was diagnosed with PTSD. He ended up going to jail for a court-appointed sentence in 2012 in El Paso, Texas. That’s where several guards reportedly detained him in riot gear and forced him to the ground. He began bleeding through the ears, nose and mouth and his kidneys shut down. According to media reports, the guards did not order medical attention for him. He went into the jail on a Friday. By Sunday, he was dead.

Brown’s case, which is still pending investigation, points to many issues surrounding PTSD, the criminalization of mental health as it relates to black communities and disparities in treatment. PTSD severely affects people’s chances of gaining and maintaining steady employment. According to the National Coalition of Homeless Veterans, on any given night, nearly 50,000 veterans are homeless and roughly 40 percent of those homeless veterans are African American or Hispanic.

“It wasn’t until 1979, that PTSD became a legitimate mental health diagnosis,” Ron Armstead tells The Root. Armstead works with the Black Caucus Veterans Brain Trust to level disparities for black veterans. “Prior to 1979, there were problems targeting PTSD as a legitimate diagnosis. There still isn’t a silver bullet treatment for it. But there are a variety of treatment modalities that people are using.”

The issues surrounding PTSD and diagnosis are compounded by health disparities in African-American communities. Many African-American men are reluctant to go to the doctor because of misdiagnosis or mistreatment. There is also the perceived weakness surrounding asking for help for men. Armstead says many men may not see PTSD as something for which one even go to the doctor.
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Here is the story of Sgt. James Brown and as you just read, he did seek help for PTSD.

As for the claim of 1979 and the "legitimate mental health diagnosis" that is wrong. It happened before that year and there were already established efforts to address it.

The Etiology of Combat-Related Post-Traumatic Stress Disorders
In its efforts to help these veterans, the 700,000-member Disabled American Veterans (DAV) funded the FORGOTTEN WARRIOR PROJECT research on Vietnam veterans by John P. Wilson, Ph.D. at Cleveland State University. That research resulted in formation of the DAV Vietnam Veterans Outreach Program to provide counseling to these veterans in 1978. With 70 outreach offices across the United States, this DAV program served as a model for the Veterans Administration (VA) Operation Outreach program for Vietnam era veterans, which was established approximately a year later.

Clinically, the readjustment problems these veterans suffer were designated as Post Traumatic Stress Disorders in the American Psychiatric Association's DIAGNOSTIC and STATISTICAL MANUAL III (DSM III).

Counseling psychologists working with Vietnam veterans in the DAV and VA outreach programs emphasize that these disorders are not mental illnesses. Rather, they are delayed reactions to the stress these veterans--particularly combat veterans--underwent during the war in Southeast Asia.

The nature of post-traumatic stress disorders among Vietnam veterans is described in this paper by Jim Goodwin, Psy.D. Himself a Marine Corps veteran of Vietnam combat, Dr. Goodwin worked as a volunteer counselor in the DAV Vietnam Veterans Outreach Program while doing graduate work at the University of Denver's School of Professional Psychology. Following these studies, Dr. Goodwin rejoined the Armed Forces and is now a captain on active duty with the U.S. Army.

I have a copy of this hanging on my wall.

With all these years passing between what they knew and when they knew it, no one seems to care even more are suffering instead of healing. Here's a link to the book Forgotten Warrior Project: Identity, Ideology and Crisis - The Vietnam Veteran in Transition Paperback – 1977 by John P. Ph.D. Wilson