Showing posts with label RAND Corp. Show all posts
Showing posts with label RAND Corp. Show all posts

Thursday, May 5, 2016

Pentagon Perpetuates Stigma of Needing Help for PTSD

This is what Wounded Times has been screaming about for the last decade! 


Pentagon perpetuates stigma of mental health counseling, study says 
USA TODAY
Gregg Zoroyav May 5, 2016

Even as troop suicides remain at record levels, the Pentagon has failed to persuade servicemembers to seek counseling without fears that they'll damage their careers, a stinging government review concludes.

Despite six major Pentagon or independent studies from 2007 through 2014 that urged action to end the persistent stigma linked to mental health counseling, little has changed, analysts said in the April report by the Government Accountability Office.

"The potential for inconsistent decision making by commanders and leaders in suspending clearances or removing individuals from sensitive positions may further impede the department's efforts to address stigma," the report said.One key problem is that many Defense Department policies covering job assignments and security clearances still discriminate against anyone who receives mental health care, the report said.

The Pentagon largely agreed with all the conclusions and recommendations. Air Force Maj. Benjamin Sakrisson acknowledged that the problems described in the report can cause servicemembers to pay for their own counseling to keep it "off the books."

Among other findings:
A 2014 RAND study identified 203 Pentagon policies that may contribute to stigma and need to be reviewed, but nothing has been done about them, in part, because they are not a big enough priority for the Pentagon.
Despite a 2012 directive from the secretary of Defense that seeking mental health care should not adversely impact security clearances, this practice continues. Analysts found that people who see a therapist are at least temporarily losing their access to classified information.
Department of Defense civilians who deploy overseas are not asked about whether stigma is a problem, so it is impossible to gauge whether they are also avoiding mental health care because of it.
read more here

Thursday, February 18, 2016

Military Lacks Ability to Treat PTSD? Dah

Study: Military falls short in treating new cases of war-related stress 
USA TODAY 
Gregg Zoroya 
February 18, 2016
About 70% of those studied were in the Army, more than 90% of those who had PTSD had been deployed and the average deployment was 20 months. The average profile of a patient in the military with PTSD or depression was a soldier 34 years old or younger, white and married.
The U.S. military is struggling to provide adequate therapy sessions for thousands of active-duty troops suffering from post-traumatic stress disorder and depression, a massive study released Thursday concludes. 

The RAND Corp. study of 40,000 cases, the largest ever, found that only a third of troops with PTSD and less than a quarter who are clinically depressed receive the minimum number of therapy sessions after being diagnosed. 

A RAND review of U.S. military and Department of Veterans Affairs treatment guidelines concluded that troops diagnosed with PTSD should receive at least four therapy sessions within eight weeks or at least two sessions to manage newly prescribed medications. read more here

Sunday, April 26, 2015

Congress: Veterans Committing Suicide "National Embarrassment"

Wounded Times
Kathie Costos
April 26, 2015

We should file this under Veterans suicide awareness, too much too little, too late for far too many. If we continue to just slam the VA then we will never be truly aware of the origins. Leaving our veterans lacking care is a "national embarrassment" because of how long Congress has been trying to prevent them, or so they said they would.

Why haven't members of Congress managed to look at what the DOD did in the first place to these veterans? After all, their PTSD issues started in the military.

The military has managed to tell servicemembers PTSD is their fault and then they seemed shocked suicides went up. The VA has had issues with getting veterans the proper care to heal PTSD, or at least that is who Congress wants blamed. So why is everyone blaming everyone else leaving little room for real change?
KD Investigation: Congressman Wants Answers In Vet Suicides
KDKA News
Andy Sheehan
April 24, 2015

PITTSBURGH (KDKA) — After fighting in Afghanistan and Iraq — returning U.S. veterans are committing suicide in astounding numbers. Just last month, veteran Michelle Langhorst of Plum shot herself in the parking lot of the VA in O’Hara and Iraq war veteran David Cranmer hung himself on a job site, where he was working in the North Hills.

An average of 22 veterans commit suicide in this country every day — and following our report — one congressman is demanding answers on whether we’re doing enough to help them. “This is a national tragedy,” said Rep. Tim Murphy. “This is a national embarrassment.”
Tim Murphy wants to know if veterans with PTSD — post-traumatic stress disorder — are getting the care they need and deserve.

David Cranmer’s father — former Allegheny County Commissioner Bob Cranmer — says they are not. “This casualty rate is unacceptable for people who aren’t actually at war,” said Cranmer.
“These young people have come home, They’re trying to reintegrate back into society and they’re killing themselves.”

Cranmer says his son was diagnosed with PTSD after just one therapy session and his doctor prescribed the psychotropic drug Zoloft — a drug with an FDA warning that it can lead to suicidal thoughts and actions. Cranmer says his son received no other treatment and hung himself a month later.
read more here

Ok, so why didn't Murphy mention the other thing RAND Corp reported on in 2009?
RAND researchers extrapolated from a survey they conducted of 1,965 vets to conclude that nearly 300,000 service members and vets of Iraq and Afghanistan were suffering from post-traumatic stress disorder — PTSD — or major depression. Filner told the pair of researchers, who summarized their findings for his committee, that their work probably understated the problem.

Or the other RAND Corp study on the much touted "resiliency" training the DOD had been doing
Most programs have been implemented before evidence of their effectiveness has been established.
Topped off with the fact that this did not fit with military culture in the first place among many other issues.
"The military has nearly 900 suicide prevention programs across 400 military installations worldwide, but in a report released Tuesday, the task force describes the Defense Department's approach as a safety net riddled with holes."
Task force calls military suicide prevention efforts inadequate, By BARBARA BARRETT McClatchy Newspapers

Or the other thing RAND Corp reported on about the other thing happening to veterans?

A Rand Corp. survey of 522 psychiatrists, psychologists and licensed clinical social workers found that just 13 percent met the study's criteria for "cultural competency," meaning they understood military mores, language and background, and delivered appropriate care for illnesses unique to the military, such as combat-related post-traumatic stress disorder and depression.

The results are important, Rand researcher Terri Tanielian said, because insensitivity and unfamiliarity with proven treatments may keep troops and veterans from getting quality psychiatric care.

"These findings suggest that when service members, veterans or family members seek care from providers not affiliated with the Defense Department or Veterans Affairs, they may encounter providers who are not as well prepared to deliver culturally sensitive care," Tanielian and the other authors wrote.
Army Times Rand: Civilian mental health providers don't 'get' the military
But then again, why even mention the fact that in 2012 the DOD had not spent all the money Congress had allocated for suicide prevention.
Congressman Jim McDermott (WA-7) and Congressman Leonard Boswell (IA-3) urged leaders of the U.S. House Defense Appropriations Subcommittee this week, to work with them in getting the Pentagon to use all of its unspent suicide prevention funds to reach more service members as soon as possible, and to go even further with higher funding next year.

In July, the McDermott-Boswell amendment that would increase critical funding for suicide prevention for active duty military by $10 million passed with strong support in the House Defense Appropriations bill for Fiscal Year 2013.
Shaun Knittel, Online News Editor, Out Serve Magazine, 20 September 2012

But naturally the biggest whopper of all is that members of Congress keep asking the same questions over and over again,
House Committee Reviews Effectiveness of VA’s Outreach Efforts on Suicide Prevention
Committee Reviews Effectiveness of VA’s Outreach Efforts on Suicide Prevention FOR IMMEDIATE RELEASE
July 14, 2010

Washington, D.C. – On Wednesday, July 14, 2010, Chairman Harry Mitchell (D-AZ) conducted a hearing of the Oversight and Investigations Subcommittee to examine the progress of suicide prevention outreach efforts at the Department of Veterans Affairs (VA). The Subcommittee evaluated the current state of VA’s ability to educate the public of VA services concerning suicide prevention and discussed the effectiveness of the media campaign to encourage veterans to seek help at the VA.

Public Law 110-110, The Joshua Omvig Veterans Suicide Prevention Act, required VA to develop a pilot program encouraging veterans battling suicide to seek help at the VA. As a result, VA advertised its suicide hotline using Washington, D.C. metro area buses and metro subway trains, in addition to creating a Public Service Announcement for network television use.

“As you know, many of our newest generation of veterans, as well as those who served previously, bear wounds that cannot be seen and are hard to diagnose,” said Chairman Mitchell. “Proactively bringing the VA to them, as opposed to waiting for veterans to find the VA, is a critical part of delivering the care they have earned in exchange for their brave service. No veteran should feel they are alone,” said Chairman Mitchell.

The two witnesses of the hearing’s first panel were Warrant Officer Melvin Cintron, USA (Ret.) who has served multiple tours in Iraq, and also Ms. Linda Bean, who tragically lost her son to suicide after he returned from his second tour in Iraq. Mr. Cintron observed that while the VA’s suicide hotline is a valuable and much needed service, there should be other equally accessible resources offered by the VA that service intermediate levels of urgency prior to the final resort of calling the suicide hotline. Ms. Bean stated that to improve suicide prevention and outreach, the VA must publicize civilian mental health counseling alternatives that might better suit some veterans who are either not located near a VA facility, or who may otherwise choose not to approach the VA for help.

Back to the report from above, it is vital to be aware of the fact that most of these veterans committing suicide are over the age of 50,,
"Veterans over the age of 50 who had entered the VA healthcare system made up about 78 percent of the total number of veterans who committed suicide"
but Congress doesn't want us to remember that fact. After all, that would then translate into how long they have had to take care of other veterans and failed. And then when the subject is the younger generations, their numbers show that what Congress has let the DOD get away with has caused most of their problems.
The rate of veterans committing suicide is double the civilian population with the majority of them being over 50. Then there is the other figure of young veterans committing suicide at triple the rate of their civilian peers.


When you have results like this, it seems as if all these years have been a waste of time, yet members of Congress fail to admit it is their job to write the rules for the Department of Defense and the Department of Veterans Affairs, fund them to meet the need and when they don't, hold them accountable.

No one seems to understand that we are supposed to hold members of Congress accountable for not doing their jobs in the first place. We let all of them get away with repeating the same worn out pretentious grandstanding as if they didn't have anything to do with this tragic outcome.

Saturday, January 24, 2015

Marines, Left Behind By Psychological Mumbo Jumbo

"New top Marine Corps general releases plan to shake up the service" in the Washington Times report by Dan Lamorthe had this piece of information in it from Marine Corps Commandant General Joseph F. Dunford Jr.
Dunford also calls for changes at home. While attending boot camp “changes a person forever,” he said, the service should explore adopting new psychological testing for recruits to make sure they are capable of not only becoming a Marine, but successfully completing their time in service. “We will quickly assess the efficacy of available psychological screening tools currently used by special operations forces, law enforcement organizations, and industry,” the general said.

“The end state is to enhance the quality and resilience of the force – thereby making us more combat ready.”
There is a PDF of what the General thinks.

"The term Marine is synonymous with young men and women who are disciplined, smart, physically and mentally tough, and who remain always faithful to each other and to our Corps."
RAND Corp did research on this resilience theory and the difference between what the leadership was told would work up against what actually happened.
"An important distinction between approaches to promote resilience, as compared with traditional medical interventions,is the emphasis on prevention as opposed to treatment.

The research on psychological resilience has not been in a form that can be used easily by the military to identify which factors are informed by scientific evidence.

Prior to Department of Defense budget cut talks, the Marine Corps planned to reduce troops from 202,000 to 186,800 to accommodate a post-war Marine Corps. Due to budget changes and the planned withdrawal from Afghanistan, however, that number has been cut to 182,100 Marines, reducing the ranks by 19,900 men and women.

The force reduction will take place over the next four years. The Marine Corps will reduce its active-duty strength by about 5,000 Marines per year from across the Marine Air-Ground Task Force.

Commandant of the Marine Corps Gen. James F. Amos has stressed that the resulting force of 182,100 Marines will retain the capacity and capability to support current and possible crisis response operations through rotational deployments.


Less serving but suicide numbers not down enough to account for the reduction. This came out in June of 2014 on Marine Corps Times
According to the 2014 data, there have been 70 confirmed and suspected suicides by Army soldiers; 34 by airmen, 21 by Marines and 36 by sailors. In the same time frame last year, there were 81 suicides by soldiers, 24 by airmen, 25 by Marines and 24 by sailors.

The total number for 2014 so far — 161 — is still sharply lower than the 200 reported by this time in 2012.

Enough said about "resilience" training? Hardly, because this does not include the veterans who were discharged and no longer counted by the military.

The latest release of information on Iraq and Afghanistan veterans is that the rate of them committing suicide is triple their civilian peer rate.

This is nothing more than psychological mumbo jumbo!

Saturday, November 22, 2014

Only 13% of Civilian Therapist Trearing PTSD Understand Military Culture

Rand: Civilian mental health providers don't 'get' the military
Army Times
By Patricia Kime, Staff writer
November 21, 2014
An Army psychiatrist listens as a soldier explains a problem. A new study of civilian mental health care providers suggests many of them lack the awareness of military culture necessary to help patients in uniform and their families.
(Photo: Army)

A new survey by an influential think tank finds that civilian mental health care specialists sorely lack an understanding of military culture and appropriate treatments for service-related health care needs.

A Rand Corp. survey of 522 psychiatrists, psychologists and licensed clinical social workers found that just 13 percent met the study's criteria for "cultural competency," meaning they understood military mores, language and background, and delivered appropriate care for illnesses unique to the military, such as combat-related post-traumatic stress disorder and depression.

The results are important, Rand researcher Terri Tanielian said, because insensitivity and unfamiliarity with proven treatments may keep troops and veterans from getting quality psychiatric care.

"These findings suggest that when service members, veterans or family members seek care from providers not affiliated with the Defense Department or Veterans Affairs, they may encounter providers who are not as well prepared to deliver culturally sensitive care," Tanielian and the other authors wrote.
read more here

Saturday, November 1, 2014

Shocked and offended by explicit questions on military sexual assault survey

Military sex-assault survey asking explicit questions draws complaints
The Associated Press
By LOLITA C. BALDOR
Published: October 31, 2014

WASHINGTON — Shocked and offended by explicit questions, some U.S. servicemen and women are complaining about a new sexual-assault survey that hundreds of thousands have been asked to complete.

The survey is conducted every two years. But this year's version, developed by the Rand Corp., is unusually detailed, including graphically personal questions on sexual acts.

Some military members told The Associated Press that they were surprised and upset by the questions, and some even said they felt re-victimized by the blunt language. None of them would speak publicly by name, but Pentagon officials confirmed they had received complaints that the questions were "intrusive" and "invasive."

The Defense Department said it made the survey much more explicit and detailed this year in order to get more accurate results as the military struggles to reduce its sexual assaults while also encouraging victims to come forward to get help.

The survey questions, which were obtained by The Associated Press, ask about any unwanted sexual experiences or contact, and include very specific wording about men's and women's body parts or other objects, and kinds of contact or penetration.
read more here

Monday, August 18, 2014

More forgotten news on Combat PTSD

Keeping with the theme of the night, here is one more piece of forgotten news on our veterans.
A study finds a high rate of depression and stress disorders, and many are not getting proper treatment.

WASHINGTON — The latest and most comprehensive study of veterans of the Iraq and Afghanistan wars has concluded that nearly 1 in every 5 veterans is suffering from depression or stress disorders and that many are not getting adequate care.

The study shows that mental disorders are more prevalent and lasting than previously known, surfacing belatedly and lingering after troops have been discharged.

An estimated 300,000 veterans among the nearly 1.7 million who have served in Iraq and Afghanistan are battling depression or post-traumatic stress disorder. More than half of these people, according to the study conducted by the Rand Corp., are slipping through the cracks in the bureaucratic system, going without necessary treatment.

The Rand study underscores one of the lessons of modern counterinsurgency conflicts: Such wars may kill fewer troops than traditional fighting but can leave deeper psychological scars.

Screening techniques for stress disorders are vastly improved from previous wars, making comparisons with Vietnam, Korea or World War II difficult. But a chief difference is that in Iraq and Afghanistan all service members, not just combat infantry, are exposed to roadside bombs and civilian deaths. That distinction subjects a much wider swath of military personnel to the stresses of war.
Stop right there. Was this supposed to be serious? Bombs were planted all over Vietnam and they had seen a lot of civilian deaths too.

"We call it '360-365' combat," said Paul Sullivan, executive director of Veterans for Common Sense. "What that means is veterans are completely surrounded by combat for one year. Nearly all of our soldiers are under fire, or being subjected to mortar rounds or roadside bombs, or witnessing the deaths of civilians or fellow soldiers."

Military officials praised the Rand study, saying that its findings were consistent with their own studies, and said it would reinforce efforts to try to improve mental health care. Veterans Affairs officials, while questioning the study's methodology, said their department had intensified efforts to find discharged service members suffering from mental disorders.

The Rand Study was undertaken for the California Community Foundation, which also has funded other programs for returning veterans. Lt. Gen. Eric Schoomaker, the Army surgeon general, said the study would help draw the nation's attention.

"They are making this a national debate," Schoomaker said.

The Army previously has said that an estimated 1 in 6 service members suffered from a form of post-traumatic stress disorder, or PTSD, a slightly lower rate than the Rand study found. In addition to current PTSD rates, the Rand study found that 19.5% of people who had served in Iraq or Afghanistan suffered a concussion or other traumatic brain injury during their combat tour, a number similar to Army estimates.

Taken together, the study shows that 31% of those who have served in combat have suffered from brain injury, stress disorder, or both.

Combat-related mental ailments and stress can lead to suicide, homelessness and physical health problems. But more mundane disorders can have long-term social consequences.

"These conditions can impair relationships, disrupt marriages, aggravate the difficulties of parenting, and cause problems in children that may extend the consequences of combat trauma across generations," the study said.

It wasn't written last week, last month or even last year. It was from 2008!

Veterans struggle with war trauma by Julian E. Barnes Times Staff Writer April 18, 2008

Sunday, August 10, 2014

Seven years of troops being told PTSD and Suicides is your fault

Wounded Times
Kathie Costos
August 10, 2014

Last year David Wood of Huffington Post interviewed General Ray Odierno on military suicides. The interview told more about why they were committing suicide and it had more to do with his attitude than anything else. Odierno blamed the troops for being mentally weak and not having supportive families.
"First, inherently what we do is stressful. Why do I think some people are able to deal with stress differently than others? There are a lot of different factors. Some of it is just personal make-up. Intestinal fortitude. Mental toughness that ensures that people are able to deal with stressful situations.

But it also has to do with where you come from. I came from a loving family, one who gave lots of positive reinforcement, who built up psychologically who I was, who I am, what I might want to do. It built confidence in myself, and I believe that enables you to better deal with stress. It enables you to cope more easily than maybe some other people.

Where did he get such an irrational idea? Same place most military leaders did.

Seven years ago today I started Wounded Times keeping a promise to a Marine serving in Iraq. He liked reading my other site because of PTSD but didn't like political posts. Most people don't like politics and I have kept my promise to him ever since then. I don't like politicians. Easy to see if you read Wounded Times with any regularity. None of them live up to what they promise they will do if they get elected. I told the Marine the only time he'd read about a politician was when they did something for or to veterans.

I've been thinking a lot about the day this started. After the post about the new site, it was followed by a post on a Veterans Center healing invisible wounds. East Valley Tribune reported it out of Arizona.

For Mike Saye and Daryl Cox, it was the Iraq War that unearthed the horrors of combat. The Vietnam veterans struggled for nearly 30 years with symptoms of post-traumatic stress disorder, but never sought help until young Americans started fighting, and dying, in the Middle East.

They were gathered Thursday at a new Veterans Readjustment Center near Fiesta Mall in Mesa, getting help for their own demons and hoping to give younger veterans the benefit of their experience.

“It triggered everything in me. I started dreaming about it again,” Saye, of Mesa, said of the Iraq War.

“I was a candidate for PTSD for years and years, but I thought I could handle it,” he said, even as he struggled through four marriages and some 30 jobs.

“But I can’t, and they can’t either. I don’t want them to wait as long as I did to get help.”

Though a trickle of Iraq and Afghanistan veterans are finding their way to the new center, team leader Patrick Ryan knows many more are out there.

“We’re certainly trying to do outreach, but we’d like to see more of them,” Ryan said. “The stigma is not what it used to be, but it’s still there.”

Over the years far too many veterans did not get the care they needed to heal. They committed suicide. The number of suicides among veterans increased dramatically by 2007. A few days after Wounded Times began, I released a post I had done on my older blog Why isn't the press on suicide watch? The press counted, as well as they could, the number of suicides within the military however, never seemed to link veterans committing suicide to those numbers. After all, veterans were in fact created by the military but they were no longer Department of Defense's problem.

Tracking news reports across the country has been heartbreaking. Major national news sources ignored most of these suicides just as much as they ignored veterans facing off with police and SWAT Teams after families called for to get the veteran help. The vast majority ended with the veteran being killed instead of helped.

The other thing the national news reporters ignored was as funds to prevent suicides increased to billions a year, suicides increased as well. The reason became clear in 2009 as the Army announced they would be using a program called "Comprehensive Soldier Fitness."

By 2009, it was clear that if they pushed this program suicides would go up.
If you promote this program the way Battlemind was promoted, count on the numbers of suicides and attempted suicides to go up instead of down. It's just one more deadly mistake after another and just as dangerous as sending them into Iraq without the armor needed to protect them.
It was not a guess on my part. It was already proven when numbers increased after the other failed attempt called "Battlemind" leaving the troops blaming themselves for being mentally weak and not training right. All the military had to do was actually talk to these men and women to discover these attempts were making it worse than it had to be for them.

Comprehensive Soldier Fitness was a research project to give school aged kids a better sense of self worth. It was still in the research stage when it was sold to the Department of Defense as training to prevent PTSD and then decrease suicides. It was pushed throughout the military afterwards with absolutely no proof of the validity of the claims made by the creator, Martin Seligman.

Army Times reported on a publication from Coalition for Ethical Psychology titled "Dark Side of Comprehensive Soldier Fitness"
Worse, say members of the Coalition for an Ethical Psychology, these programs could undermine coping mechanisms developed by troops who already successfully handle stress.

Created in 2008 to address alarming trends in soldier behavior, such as rising suicides, alcohol and drug abuse, and behavioral health problems, CSF is based on the teachings of Martin Seligman, a University of Pennsylvania professor and proponent of positive psychology. He says an optimistic outlook can affect all aspects of life and ward off anxiety and depression.

The training, and the program's annual measurement test, the Global Assessment Tool, is mandatory for all soldiers. Since 2009, 8,000 officers and enlisted personnel have attended master resilience courses. They in turn teach CSF at the unit level.
Eidelson and psychologist Stephen Soldz said they believe the Army's conclusions of success are "deeply flawed" because they are based solely on self-assessment and do not include validated measures of the program's effects on post-traumatic stress disorder, depression, suicides or psychological disorders.

The Army said its next report, due later this year, will examine the impact of CSF on these behaviors.

"I can understand the desire for a primary prevention program, but the fact that the suicide rate is up this year, after this program has been in place for a while, does suggest it's not producing any miracles," Soldz said.

We were all proven right years later when RAND Corp took a look at these "programs" discovering they did not fit with military culture and people cannot be taught to be resilient.

Most programs have been implemented before evidence of their effectiveness has been established. Programs often are modified for each client or context, making it difficult to design studies that will provide evidence of effectiveness for all military populations and situations. New scientific studies have recently been funded and are in the planning or initial data collection stages, but, as with most quasi-experimental or controlled studies, it will be a number of years before evidence of their effectiveness is fully established. As these studies with evaluative data progress, they should be encouraged to publish their results.

Conduct More Rigorous Program Evaluation
Although there are many programs available to the military and civilian communities, there is very little empirical evidence that these programs effectively build resilience.

Similarly, there are a number of factors related to resilience, but there is almost no evidence that resilience can be taught or produced. Results from both the literature review and the program review echo the need for more program evaluation, as identified as one of the missions of the DCoE. As noted, only 11 documents in the literature review are based on RCT evaluation design, and only five of the programs reviewed have formally evaluated program success, yet programs are often rolled out before evidence of their effectiveness has been established and are modified for each client or context, making it difficult to provide evidence for effectiveness across populations and situations.

Other evidence has proven RAND Corp and other experts right but what we just ended up with is the American Psychological Association releasing another report that blames the troops for having "pre-existing mental health problems.
Suicide risk among soldiers may be rooted in their past
USA TODAY
Sharon Jayson
August 9, 2014

Experiencing child abuse, being sexually victimized and exhibiting suicidal behavior before enlisting are significant risk factors for suicide, according to recent studies from the National Center for Veterans Studies at the University of Utah.

WASHINGTON — The high suicide rates among military veterans and current servicemembers may be more likely a result of past traumatic experiences rather than combat and multiple deployments, suggest new findings presented Saturday at the American Psychological Association's annual convention.

Experiencing child abuse, being sexually victimized and exhibiting suicidal behavior before enlisting are significant risk factors for suicide, according to recent studies from the National Center for Veterans Studies at the University of Utah.

Findings show that traumatic experiences before military service make current and former military personnel more vulnerable to suicidal behavior.

"Combat exposure and deployment at times may be a risk factor, but it's relatively low in comparison to these other demographic characteristics. That war causes an extreme amount of distress, which leads to suicide -- I believe that's questionable, given some of the results that we have," Griffith says.
read more here

They want to blame the troops still no matter how much evidence has come out over the years. While blaming the troops, they ignore all they have done to "prevent" military suicides has failed. They ignore the fact that their mental health evaluations prior to enlistments must have failed if they did not discover mental health issues they now claim to be factors.

If their testing and training have failed, there are no excuses left and blaming the troops feeds the stigma preventing them from seeking help to heal.

Seven years of posting their stories has proven beyond a doubt the military refuses to accept responsibility for what they have done to the men and women they command.

Saturday, June 21, 2014

Empty chairs at Veterans Affairs Committee Hearings

Take a look at all the empty chairs at this hearing.
JULY 27, 2011
Health Costs for Veterans The Senate Veterans Affairs Committee held a hearing to assess the long-term financial costs of caring for Iraq and Afghanistan veterans and wounded warriors. Witnesses said that while estimates are unclear, some projections ranged from $600 billion to $1 trillion. Several witnesses and members also talked about the ongoing federal debt limit debate and the potential impact on veterans of a credit default.

This was 3 years ago. They heard, or at least the few members of the Senate bothering to show up, the troubles veterans were facing. They had heard it all before. Nothing was new in this hearing. Senator Patty Murray talked about "new challenges these veterans were facing" however, the same thing has been said year, after year, war after war. We must do this followed by we must do that but the "smart decisions" were usually pretty stupid.

They talked about the needs of the "current" veterans but failed to mention veterans of the past had not been taken care of. They talked about the wounded, with scars you can see and most you cannot see with your eyes. Older veterans waited longer, fought harder and suffered more but that isn't the thing that pisses them off the most. It is the fact it was not fixed when congress claimed they were doing something when they came home and now, now it is worse for them as well as the newer veterans.

"With our country's financial crisis we need to make sure money is well spent." Yet no one seemed to mention the fact of how much was wasted on funding billions into programs that failed.

None of the problems they heard during this were new. So why did they do it?

It was a show no one wanted to go to. Watching these videos on CSPAN with so few showing up, it makes me wonder how those testifying felt. They traveled to Washington to sit in that hearing room with people elected to take care of veterans knowing those same people failed them. They knew there were others in those chairs telling the same stories far too many times before.

RAND Corp addressed the issues back in 2011.


Wednesday, March 20, 2013

List of Resilience Programs Reviewed by RAND

Today has been one more eye opener while researching my book, The Warrior SAW, Suicide After War and I am sick to my stomach over what I discovered today. The following cannot wait until the book is done.

Rand has a fascinating report that must have just missed every reporter in the country because it addresses the problems with the military approach of reducing military suicides by making them "resilient" and actually showed the results from this huge study.

If you want to know why hundreds of millions of dollars have been spent over all these years producing the record high suicide rates across the military branches, this is it.

Table 3.2 List of Resilience Programs Reviewed
Assessment of the Army Center for enhanced Performance (ACeP)
Battlemind
Operational Stress Control and Readiness (OSCAR)
Employee engagement Program (nSA)/Corporate Athlete
Energy Project
Gallup Consulting
HeartMath
Joint Speakers Bureau (JSB)
Landing Gear
Marine Resiliency Study (MRS)
Mindfulness-Based Mind Fitness training (MMFt)
National Guard Resiliency Program
Operational Stress Injury Social Support (OSISS)
Passport toward Success
Penn Resiliency Project (PRP)
Preventive Psychological health Demonstration Project (PPhDP)
Promoting Alternative thinking Strategies (PAthS)
School Mental health team (SMht)
Senior Leader wellness enhancement Seminar (SLweS)
Soldier evaluation for Life Fitness (SeLF)
Spiritual warrior training Program (SwtP)
Warrior Resiliency Program (wRP)
Warrior Resilience and thriving (wRt)
Most programs have been implemented before evidence of their effectiveness has been established. Programs often are modified for each client or context, making it difficult to design studies that will provide evidence of effectiveness for all military populations and situations. New scientific studies have recently been funded and are in the planning or initial data collection stages, but, as with most quasi-experimental or controlled studies, it will be a number of years before evidence of their effectiveness is fully established. As these studies with evaluative data progress, they should be encouraged to publish their results.
Conduct More Rigorous Program Evaluation
Although there are many programs available to the military and civilian communities, there is very little empirical evidence that these programs effectively build resilience.

Similarly, there are a number of factors related to resilience, but there is almost no evidence that resilience can be taught or produced. Results from both the literature review and the program review echo the need for more program evaluation, as identified as one of the missions of the DCoE. As noted, only 11 documents in the literature review are based on RCT evaluation design, and only five of the programs reviewed have formally evaluated program success, yet programs are often rolled out before evidence of their effectiveness has been established and are modified for each client or context, making it difficult to provide evidence for effectiveness across populations and situations.

In general, studies of resilience in the military should enhance scientific rigor by conducting more RCTs and longitudinal studies that span the phases of deployment. This is particularly true for military families, since little research has been published in this area (MacDermid et al., 2008). In addition, studies with existing evaluative data need to be encouraged to publish their results.


Conclusion
Promoting resilience in the military is an increasingly important objective of DoD.
Effective programs that improve service members and their families’ resilience directly assist the military in keeping its personnel better prepared for combat. Our study reached the following conclusions:
• There is evidence in the literature supporting many factors that can help to promote resilience at the individual, family, unit, and community levels.
– Scientific evidence is especially strong for positive thinking, positive affect, positive coping, realism, and behavioral control, as well as for positive command climate and belongingness.
• Many of the programs that were reviewed as part of this study incorporate these evidence-based factors into their core missions.
• However, interviews with program representatives identified five types of challenges to program implementation, which suggest opportunities to improve program capabilities:
– lack of leadership support by the military
– problems with logistics
– limited funding to sustain programs
– poor fit within the military culture
– mental health stigma.
Building resilience in the military can be strengthened in several ways. Clear policy to define roles, responsibilities, and broad guidance for implementation would be extremely helpful. Using evidence-based resilience factors in a flexible, culturally sensitive context is also important. Resilience policies should also direct more rigorous program evaluation, using standardized measures and comparing across different programs.

Such evaluations could help guide military members and their families to make informed decisions about program selection. Ultimately, strong command leadership will enable the success of resilience programming and will enhance the overall strength and resilience of service members and their families.
I knew this was bad but I didn't know how much proof there was the DOD has pushing something they didn't even know would work and then refused to end it when it was proven to leave more dead by suicide, 43% still refusing to get care and 57% committing suicide even after they got it.
UPDATE MARCH 21, 2013
Findings from 2011 also by RAND RAND Study Promoting Psychological Resilience in the U.S. Military 2011 Summary of Reported Barriers to Program Implementation
Lack of leadership support
13 “Supportive leadership . . . can model change in their own behavior and also serve as a ‘strong internal champion’ for the program.” “when communication from the top down is not as clear, families may not get relevant information or feel particularly encouraged to attend. there is higher participation when commanders’ families participate in the program.”
Problems with logistics
12 “Identifying appropriate periods of measurement within the military is an ongoing challenge.” “there are many demands on training time . . . sometimes training time is cut short in order to continue the mission.”
Limited funding to sustain program
8 “the business process [of] traditional systems works against efforts to provide a prevention oriented system. Currently, they are tied to a system that rewards for patient encounters.” “we started with some seed money to develop the program and got additional support from local representatives. It will be important to get ongoing support to further develop and expand the program.”
Poor fit within the military
8 “It is a challenge to figure out how to present the material in an effective way, e.g., self-care and self regulation can be presented as part of self-sustainment.”
Mental health stigma
5 “Soldier’s reaction is ‘why do we need this touchy-feely course?’ It is sometimes hard to get through to senior leadership the importance of addressing these issues prior to deployment.”

Tuesday, August 14, 2012

'Socialized' or Not, We Can Learn from the VA

So why then did Republicans vote for Paul Ryan's budget when it cut the VA by $11 billion dollars when wounded veterans need it to be increased?

House Speaker John Boehner (R-Ohio) seemed to address that frustration indirectly on Thursday as he praised Ryan for putting forward a budget that represents a "real vision of what we were to do if we get more control here in this town."


This group along with Democrats voted against Paul Ryan's budget that cuts the VA

Republicans voting against the Ryan budget were Reps. Justin Amash (Mich.), Joe Barton (Texas), John Duncan Jr. (Tenn.), Chris Gibson (N.Y.), Tim Huelskamp (Kan.), Walter Jones (N.C.), David McKinley (W.Va.), Todd Platts (Pa.), Denny Rehberg (Mont.) and Ed Whitfield (Ky.).


'Socialized' or Not, We Can Learn from the VA
by Arthur L. Kellermann
The Rand Blog
August 8, 2012

In a recent post on the New York Times' Economix blog, Princeton economics professor Uwe E. Reinhardt addresses the common characterization of the British health care system as "socialized medicine." The label is most often used pejoratively in the United States to suggest that if anything resembling Great Britain's National Health System (NHS) were adopted in the U.S., it would invariably deliver low-quality health care and produce poor health outcomes.

Ironically, Reinhardt notes, the U.S. already has a close cousin to the NHS within our borders. It's the national network of VA Hospitals, clinics and skilled nursing facilities operated by our Veterans Healthcare Administration, part of the Department of Veterans Affairs. By almost every measure, the VA is recognized as delivering consistently high-quality care to its patients.

Among the evidence Reinhardt cites is an "eye-opening" (his words) 2004 RAND study from in the Annals of Internal Medicine that examined the quality of VA care, comparing the medical records of VA patients with a national sample and evaluating how effectively health care is delivered to each group (see a summary of that study).

RAND's study, led by Dr. Steven Asch, found that the VA system delivered higher-quality care than the national sample of private hospitals on all measures except acute care (on which the two samples performed comparably). In nearly every other respect, VA patients received consistently better care across the board, including screening, diagnosis, treatment, and access to follow-up.
read more here

Friday, October 28, 2011

Mental health care not meeting VA standards

Mental health care not meeting VA standards

Friday - 10/28/2011, 1:30pm ET

Mental health care at the Department of Veterans Affairs "is as good as or better" than the care the private sector provides civilians with comparable conditions. However, a new report from the RAND Corporation said the care still doesn't meet standards set by the VA.
read more here

Tuesday, June 30, 2009

Sgt. Ben Driftmyer "spent 8 years serving" now feels betrayed

The good news is that Congress is trying to make it easier to file and have a PTSD claim approved now, but it comes too late for people like Sgt. Driftmyer. Why? Because they ended up suffering. To this day I still wonder what happened to the over 22,000 given discharges under "personality disorder" allowing them nothing for their service and no help for PTSD.


'The military didn't want to pay for me for the rest of my life'

By Kim Quintero KVAL News
COTTAGE GROVE, Ore. - A turning point in the Iraq war: Tuesday is the deadline for US combat troops to withdraw from Baghdad and other Iraqi cities after a six year occupation. This is the first phase of a full withdrawal by the end of 2011.

Those returning are facing serious combat related mental health issues. According to a study conducted by RAND Corp. last year, one in three combat veterans will return home with PTSD, traumatic brain injury or major depression requiring treatment.

"I had spent eight years serving the military. I never got in trouble. Never did anything bad. And I got treated like I was a piece of crap because of it," said Ben Driftmyer, discharged U.S. Army Sergeant and Cottage Grove resident.

Driftmyer was diagnosed with post traumatic stress disorder by Eugene doctors after he was chaptered out from the special forces unit in Baghdad. He suffered several mental breakdowns during his service, but his discharge was classified as "other than medical."

"Because the military didn't want to pay for me for the rest of my life," said Driftmyer.
go here for more
http://www.kval.com/news/local/49465117.html

Wednesday, June 24, 2009

Is this what we've been waiting for? Nope!

UPDATE.........then again, maybe not.

I took a look at the site and was not impressed by what I read.

This was there,

Folder 8 - THE Burris Life Coach for Warriors

THE Burris Life Coach for Warriors is considered the only legitimate fix for PTSD. The reason for this is the Program Process of THE Burris Life Coach is the only proven process for depression which is the primary symptom for PTSD.

I could not find where or who declared "THE Burris Life Coach is the only proven process for depression which is the primary symptom for PTSD" especially when considering according to the website, they have been doing this for 25 years. I never heard of them before this. Who considers it the only "fix" for PTSD? Any ideas? Do police departments use it? Do fire departments use it? Has any veteran's program used it?

Along with this piece of information I'm really scratching my head now.


July 6, 2009 and Jul 7 2009
by Kelly Burris PhD
Registration Deadline: June 29, 2009
Seat price: $3,997.00

The Definitive Standard for Every Life Coach and All Who Work in the Field of Mental Health
With 25 years of research, development and refinement the framework of the SR™ process will allow you to effectively help your clients with there Emotional - Spiritual - Relationship - Business and Personal objectives with an integral data collection process that will hold up under the most stringent scrutiny. THE Burris Life Coach is "The Only Proven Process for Subconscious Restructuring™." The SR™ process has set a clear standard in the mental health and life coaching disciplines by virtue of its data collection process and its ability to address human behavior at the very beginning of the process at the deepest level of the subconscious. This has allowed the SR™ process to be extraordinarily effective with all people and all behavioral issues. After becoming Certified your question is simply ..."Which demographic do I want to have the greatest impact on?"




22% Success rate?

From their site
The recent studies, conducted by a growing team of "Master SR Coaches," show the process having widespread and consistently dramatic results on depression symptoms. One such study, conducted by Master SR Coach Dr. Ron Clark, has delivered an average 22% reduction in depression symptoms in just 4 hours. While another study, conducted by Master SR Coach Dr. Janis Smith accomplished an average 68% reduction in depression symptoms over a five week period. Dr Burris's company, THE Burris Life Coach is challenging these numbers against results shown by medications and traditional therapy.



Looks like I have to take back my optimism on this now. This PR release plus almost $4,000 for a two day mail course and no outside studies published on the effectiveness of what they claim,,,,,,looks like more of the same claims we've read for a very long time and now, I'm completely depressed all over again.





It very well may be what we've been waiting for, simply because of this part,,...



all human behavior is emotionally driven and you cannot change an emotional state unless you fully understand how an emotional state comes about

I don't know but it sounds a lot better than some of the other things they've been talking about doing.



Rand Study Supports Evidence-Based Subconscious Restructuring Process for PTSD

The only evidence-based program process in mental health uniformly complies with an extensive Rand Study on PTSD in the Military

Henderson, NV (PRWEB) June 24, 2009 -- A Rand study from the Center for Military Health Policy Research titled "Invisible Wounds of War" supports an evidence-based plan for intervention and prevention of PTSD and Suicide in the military. Subconscious Restructuring or SR has 25 years of research, development and documented results with the primary symptom of PTSD and suicide. The Rand study just confirmed what we have been attempting to convey to the mental health system for almost 20 years states Kelly Burris, PhD, developer of the SR process.


The SR process is based on the reality that all human behavior is emotionally driven and you cannot change an emotional state unless you fully understand how an emotional state comes about.


The "Implementation of Evidence-Based SR Process into the Military" proposal covered every issue and beyond brought up by this extensive Rand study. Following are the four recommendations made by Rand after the study and how they would each be addressed by the implementation of the SR Process.

1. Increase the cadre of providers who are trained and certified to deliver proven (evidence-based) care, so that capacity is adequate for current and future needs.

Implementation and integration of the Burris SR process will begin with Burris SR certification of selected Military leadership, psychiatrists, psychologists, chaplains, and Family Support Center staff, then proceed to workshops involving PTSD and/or suicidology-identified warriors and their families, then the general unit population, and their families. Burris Master-level SR Certifiers would initially certify the leadership and intervention staff, then assist in the warrior/family workshops. Over time, each unit and base will reach a point of self-sustaining competence, and the Burris staff would then both monitor incoming data from completed units and their families, and begin to implement the Burris SR program for other units and commands world-wide.

2. Change policies to encourage active duty personnel and veterans to seek needed care.

The evidence-based SR process is not psychotherapy and therefore would remove the stigma of seeking help. Everyone from new recruits to returning Warriors would go through the SR Process as part of their entry and exit from the military. A simple Follow-up with the emotional checklist could be done all throughout the term of military service which would eliminate guessing who might need help.

3. Deliver proven, evidence-based care to service members and veterans whenever and wherever services are provided.

As an already proven evidence-based intervention program with most mental health problems over some 25 years, the infrastructure put in place by Master SR Coaches would allow all service members to become a self-perpetuating healing and wellness intervention unit over time. This would ensure everyone within the Military that needed help would get it.
go here for more
Rand Study Supports Evidence-Based Subconscious Restructuring Process for PTSD

Monday, June 22, 2009

Veteran rebuilds life after brain injury

Veteran rebuilds life after brain injury

By Lindsay Wise - Houston Chronicle
Posted : Monday Jun 22, 2009 9:53:03 EDT

HOUSTON — Mark DeJaico hit rock bottom late last year at a Houston nightclub.

He had just worked up the nerve to chat with a cute girl when her friend interrupted them.

“She said: ‘What are you doing, talking to him? He’s kinda slow,’ ” DeJaico remembered. “Like I couldn’t even hear her.”

The 30-year-old Army veteran had developed a severe stutter after being knocked unconscious during a mortar attack in Afghanistan in 2006. Doctors diagnosed him with traumatic brain injury and generalized anxiety disorder.

Just getting his own name out of his mouth could take DeJaico half a minute. Every time he tried to talk, his heart thudded in his chest and his hands shook as his throat closed tight around the words. Sometimes, he just gave up and wrote things down.

For a military communications specialist who describes himself as talkative and happy-go-lucky, the impediment was devastating. “That’s why I didn’t talk to anybody anymore,” DeJaico said. “Especially civilians.”

A Rand Corp. study published last year estimated that out of 1.6 million troops who served in Iraq and Afghanistan, about 320,000 may have suffered a brain injury during deployment. The Defense Department reported in March that the number with brain injuries could be as high as 360,000, based on health screening programs that show 10 percent to 20 percent of returning troops experienced at least a mild concussion, most often caused by roadside bombs. Of those, 45,000 to 90,000 veterans have persistent symptoms that require specialized care, according to the Pentagon.

Earlier this year, DeJaico graduated from Project Victory, a collaborative between Houston’s TIRR Foundation and TIRR Memorial Hermann, which helps service members recover from traumatic brain injury.
go here for more
http://www.armytimes.com/news/2009/06/ap_veteran_braininjury_061909w/

Friday, November 21, 2008

Post-Traumatic Stress Under-Treated: Local Soldiers Affected

Post-Traumatic Stress Under-Treated: Local Soldiers Affected
Target 11 Investigates Treatment Gaps
A recent study was highly critical of the care the soldiers are receiving when it comes to post-traumatic stress disorder.

Target 11 talked to a local soldier who said the military turned its back on him.

Robert Reeb spent the past 17 years in the military.

In the summer of 2006, he returned from Iraq and that's when his troubles began.

"I started using inhalants, and anything I could," said Reeb.

Diagnosed with post-traumatic stress disorder, he was sent to Walter Reed Army Hospital in Maryland.

But halfway through, the treatment program was cut off -- Reeb was ordered back to Pennsylvania and discharged under honorable conditions.

A spokesman for the Pennsylvania National Guard said Reeb was given numerous chances, but repeated problems eventually led to his discharge. But a recent survey by the RAND corporation uncovered troubling statistics about the treatment soldiers returning from battle receive.

While some 300,000 soldiers suffer from PTSD, the study revealed only half who need it are getting treated and of those, slightly more than half received care labeled "minimally adequate".

Terri Tanielian conducted the study and said the military can do better.

"There are a number of opportunities that exist within the Department of Defense and the VA where there are tools and settings where you would hope and expect that higher quality care would be delivered," said Tanielian.

Congressman Jason Altmire agrees it's a big problem.

"It's a problem with the quality of care they are getting," said Altmire.

Altmire believes the situation facing Reeb and other soldiers is preventable.

"Certainly he did not get the treatment on the front end that he should have. And unfortunately he took a downward spiral and his life went in a different direction," said Altmire.
go here for more
http://www.wpxi.com/news/18010844/detail.html

Monday, November 10, 2008

Seek treatment for post-traumatic stress disorder

Seek treatment for post-traumatic stress disorder
El Paso Times - El Paso,TX,USA


Seek treatment for post-traumatic stress disorder
Dr. Robert L. Anders / Special to the Times
Article Launched: 11/10/2008 12:00:00 AM MST


EL PASO -- Post-traumatic stress disorder (PTSD) has received a significant amount of attention as a result of recent reports outlining the increasing number of men and women returning from war zones with PTSD.

PTSD is an anxiety disorder associated with a dramatic event in which the person experiences the threat of death or serious injury.

In spring 2007, the RAND Center for Military Health Policy Research reported that of the 1.64 million military service members deployed to war zones, 14 percent have screened positive for PTSD and another 14 percent for major depression.

However, the disorder is not limited to soldiers in war zones. In the United States, the most common cause for PTSD exposure is automobile accidents. According to the National Highway Traffic Safety Administration, about 2.5 million people are injured in automobile accidents annually. It is estimated that about 20 percent of those in automobile accidents suffer from the disorder.

PTSD is a biological disorder which can be manifested from exposure to excessive levels of stress. Basically, the body's stress response system is overloaded.

Symptoms of PTSD include insomnia, nightmares, flashbacks of the traumatic event, startling easily, avoiding a situation that reminds the individual of the traumatic episode, difficulty in concentrating, emotional withdrawal, aggression and irritability.

According to a recent study by the Geisinger Health Systems, Vietnam veterans with a history of PTSD had a 50 percent chance of dying from heart disease in their 50s compared to those veterans without the disorder. Many individuals with PTSD delay treatment and thus may manage their symptoms with drugs and/or alcohol.
click post title for more

Thursday, August 28, 2008

Oregon soldiers engage new enemy: Depression

Oregon soldiers engage new enemy: Depression
For many, post-war life can be more deadly than combat as suicide rate among male
By Peter Korn

The West Linn Tidings, Aug 28, 2008


Nobody seems surprised. Not the physicians and therapists who treat returning veterans. Not the veterans themselves.

When told of recent data that appears to show that Oregon troops serving in Iraq and Afghanistan are more likely to die of suicide than in combat, they nod their heads, as if saying they’ve known all along.

And they have.

Joseph Holness, 48, of Gresham, served in the Iraq war and knows too well the hard reality of the war’s aftermath. A soldier he served with in the Air Force Reserves – a friend – shot himself in the head after his return.

“People just don’t know,” Holness says. “It can be hard coming home.”

He says he’s lucky he has a supportive family to help him deal with the anger and stress, but he wonders sometimes, “Could I have been one of those statistics?”

According to the VA, in July 2008 there were 250 calls a day to the suicide hot line. And veterans have made more than 22,000 calls since the hot line started in July 2007. Portland VA officials say 864 calls to the suicide hot line have come from Oregon veterans in the last year.

click post title for more

Tuesday, July 1, 2008

Veterans commission suggest PTSD cases higher than DOD thinks

If you take the data from Vietnam, add in the 50% increased risk of PTSD for redeployments and then factor in the stigma preventing too many from seeking help, it's easy to know that we will be facing at least a million diagnosed within the next 5 years. I'll be doing my end providing knowledge of what PTSD is and doing the outreach work to get them into treatment but will there be enough help for them waiting? This is my biggest concern. What good will it do to get them to understand what is wrong with them, get them over the notion there is anything to be ashamed of and talk them into going to be diagnosed if there is no one available to treat them?

Veterans commission suggest PTSD cases higher than DOD thinks
Monday, June 30, 2008, 10:01 PM
By Bob Priddy
The state veterans commission urges testing for post-traumatic stress disorder of every service member who comes back from battle zones, whether they stay in the military or leave it.

Sometimes post-traumatic stress disorder can take years or decades to manifest itself. A Rand Corporation study suggests 300-thousand American troops who've served in Afghanistan or Iraq suffer from PTSD or major depression.

Ombudsman Pat Rowe Kerr with the state veterans commission thinks the number of cases is on the rise in Missouri although she does not have raw numbers.
go here for more

http://www.missourinet.com/gestalt/go.cfm?objectid=
DBD1074A-C33A-4690-8DFC40CCBA7B4645

Tuesday, June 17, 2008

When it comes to PTSD help heal it or get out of the way!

One more case of "but"

Military Update: Treating mental combat wounds
BY TOM PHILPOTT Daily Press
June 16, 2008

Rep. Bob Filner, chairman of the House Veterans Affairs Committee, alleged on Wednesday that Bush administration officials were continuing to downplay the mental trauma and brain injuries suffered by veterans of the wars in Iraq and Afghanistan.

Filner, D-Calif., said an April RAND Corp. study — "Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery" — justified a 10-fold jump in the U.S. casualty count, compared with the figure of 33,000 American dead and wounded used by the Pentagon.

RAND researchers extrapolated from a survey they conducted of 1,965 vets to conclude that nearly 300,000 service members and vets of Iraq and Afghanistan were suffering from post-traumatic stress disorder — PTSD — or major depression. Filner told the pair of researchers, who summarized their findings for his committee, that their work probably understated the problem.

"I personally think these are low estimates, just from my own studies," Filner said. "But if you take even the 300,000, (it's) 10 times the official casualty statistics from the Pentagon. Shouldn't this 300,000 be included?"

Lisa H. Jaycox, a senior behavioral scientist and clinical psychologist who co-directed the RAND study, embraced Filner's argument.

"Well, they are (suffering) an injury condition resulting from combat deployment, and so it's a different kind of casualty," Jaycox said, "but, yes, they are very important numbers."

The three-hour hearing also included testimony from retired Navy Rear Adm. Patrick W. Dunne, assistant secretary for policy and planning for the Veterans Benefits Administration.

At the same hearing, Michael L. Dominguez — principal deputy undersecretary of defense for personnel and readiness — said RAND gathered solid data from its survey but drew the wrong conclusions. The study, Dominguez said, "did not, and cannot, definitively say that there are 300,000 cases of clinically diagnosed cases" of PTSD or depression among vets who served in the two theaters.

Filner angrily interrupted him, telling Dominguez that RAND didn't say it showed 300,000 clinically diagnosed cases of PTSD or depression.

"It was an extrapolation to the possibility" of 300,000 cases, Filner said.

With more than 1.6 million U.S. service members having served in Iraq or Afghanistan, Dominguez said, a finding that 300,000 vets "have experienced some kind of mental health stress is very consistent with our data. And those people do need to be discovered (and) to get help."
go here for more
http://www.dailypress.com/news/local/military/dp-local_milupdatenew_0616jun16,0,6743686.story



Over 30 years ago, when people who got into this before I did, there was very little known about PTSD and it had just received that title because Vietnam Veterans fought for it. Five years later, I got into this because of my husband. By then a lot more was known. One of the things was that there were 500,000 with PTSD and this came from a study funded by the DAV. This study was published in 1978 before most of the people being quoted as "experts" today were even born. This is not a new illness. This is not a changing illness because humans are pretty much still made up of all the same parts of their original design.

At the NAMI convention in Orlando this weekend, we heard a lot about a lot of people suffering. A great deal of the people attending were consumers, otherwise known as patients and their families. They sat in the conference rooms right next to people who have working on helping them ranging from simple advocates like me all the way up to psychiatrists and psychologist. Why would people like us get together for 4 days of talking? Simply to provide understanding, knowledge and support to keep trying to fight for all of them. I heard a lot of heartbreak from some of the families dealing with PTSD in their own families.

Every time there was a denial of what is going on, people got up and walked out of the room. Frankly I was wondering why some of them were there are all at the head of the room instead of sitting in back and listening. No one is such an expert they have nothing to learn about this. This is why having conferences is so important for anyone living with or working in mental health needs to participate in events like this whenever and wherever possible.

Throughout the years I've come up on many articles trying to diminish the magnitude of the suffering. Whenever this happened the only question in my mind was focused on why anyone would try to do this instead of listening, learning and being quiet until they knew the answers.

While I post about medications taken totally out of the report I read, I never discuss medication when helping veterans other than to tell them they may need it, to stop self-medicating and to talk to their doctor if they feel like their medication is not working. I have very little to offer on this subject because I am not a doctor and I just don't have enough knowledge to know I am helping instead of harming with the limited knowledge I do have on this subject. In other words, a little knowledge can do a lot of harm so I keep my mouth shut on this and won't step over the line using guess work.

Why can't "experts" do the same when it comes to PTSD? If they are experts with other issues, then they should stay where they are, focus on what they know and stop pretending to be experts on what they know very little about. Why can't they except history for what it is and stop trying to stand in the way of new data drawn from history? The numbers from the Rand Study did not shock me or surprise me at all because all I had to do was pay attention in the first place to the data from Vietnam veterans to know the Rand Study is a lot closer to reality than the VA and DOD numbers are. One more thing jumping out from all of this is the fact the VA and the DAV are jumping around like their hair is on fire trying to cope with all of this. If the numbers are only about 30,000, they would be fully capable of dealing with them otherwise. They are not so inept that 30,000 would totally overwhelm them.

Just open your eyes and know what real is and what an illusion is. If you don't know what the hell you are talking about then go sit in the back of the room and open your ears as well as your mind. Otherwise, you are standing in the way of healing and that is not helping!

The following are in response to some of the things I heard during the conference which caused me to walk out of the room.

FACT: Dr. Katz did conceal the numbers of suicides and attempted suicides. The emails did not just suddenly show up on Senator Akaka's desk. The Katz emails were discovered because of the law suit brought about by Veterans for Common Sense and Veterans United for Truth. The emails were what he sent because he was trying to cover up the data CBS found with their own research work. The emails were about harmful conditions attempting to be covered up after we already saw too many suicides.

FACT: Norma Perez email about not doing a diagnosis of PTSD, was what it was. No it was not a poor choice of words because of what she followed up this with and mentioned cost cutting and how they "didn't have time" to do a thorough diagnosis. This email did not suddenly show up but was discovered because of a Freedom Of Information Act filed by CREW and VoteVets.

While we are reading horrible stories about suicides and suffering of our troops and veterans, we would not be reading them if they were not happening. This is obvious! How could any of the service organizations be taking on the VA and the DOD if there were not problems that enabled them to be taken on? The DOD and the VA heads will defend everything they are doing no matter what harm is being done as long as they can get away with it. It's all as simple as that. If they were just simply mistaken on what they did, then why were they not willing to correct the harm done and leave it at that instead of defending what they did and their right to keep doing it?

Folks, this is really simple. If there is damage being done and no one is addressing it, the damage will continue and nothing will be fixed. We will keep reading more and more stories about suffering instead of less and less. This blog alone has over 2,000 posts on it and I doubt there are two hundred good stories on it. That's really sad when you consider that PTSD has been known for over 30 years and reported in humans since King David's time.




You can read more about NAMI here.
NAMI: National Alliance on Mental Illness
The mission of the National Alliance for the Mentally Ill is "to eradicate mental illness and improve the quality of life