x

Sunday, April 29, 2007

Details on Moving a Nation to Care's May Launch

Much writing going on over here every day (none I can share with you right now, but will at a later date) while (im)patiently waiting for Moving a Nation to Care's May 1 publication date!

We are steady approaching it now.

My publisher tells me that the books have been printed. They are shipping as we speak from the distribution warehouse to stores that have ordered copies. Unfortunately, Amazon.com and brick and mortar stores will get their stock about a week late (a ship date scheduling error), but everything will be in place by mid-May.

Interestingly, a few upcoming events have moved around independent of the shipping error. So the fates have stepped in to create a mid-May book launch it seems (see below). So, we will come in like kittens this month, but plan to go out roaring like lions by the end of May. That's the plan. Everyone on board!?

A few of the events to watch for next month. More coming...

May 10, 2007: Back Pages Books - 7:30 p.m.
Waltham, MA
My first bookstore appearance takes place three days after my NIU finals. It's going to be a thrill to be able to visit with you guys out in the great state of Massachusetts!

May 14, 2007: Clark Community Network - published in morning
Online
Second installment of the CCN Troops & Vets PTSD series is slated to publish. Register with General Wesley Clark's blog so you can interact and leave a comment.

May 16, 2007: Robin's Bookstore - 6 p.m.
Philadelphia, PA
My second appearance in the New England area will be at Robin's Bookstore, the oldest independent bookseller in a city steeped in a long tradition of fine print and press.

May 18, 2007: Barnes & Noble - Greenwich Village - Evening
New York, NY
Planning to have some interesting guests at this event, which Iraq and Afghanistan Veterans of America (IAVA) has offered to sponsor. Stay tuned.

May 20, 2007: Firedoglake - 5 p.m. ET :: 4 p.m. CT :: 2 p.m. PT
Online
Featured author on Firedoglake's Sunday Book Salon -- what a nice treat. I'll be available online to answer your questions. Register your username and leave a comment.

Check out the full book tour schedule.

I'll appear on Air America Radio's About Face program, hosted by Dennis Stout, Mark Fleming, and John Henry and broadcasting Sunday mornings from balmy Phoenix, Ariz., on June 3, 2007. Later that week, June 6, I've got a book signing in Tempe, Arizona. (Thanks, Mark!)

Latest addition to the book tour?

Another California stop, a special bookstore event hosted by the Barnes & Noble in Oceanside, CA -- near Camp Pendleton. I've been invited to appear from noon to 3 p.m. on Saturday, June 9, 2007. Still getting more event details, and will pass them on when I have them. I know some have asked for a stop out in Oceanside, so I'm really glad we were able to add this to the list.

Updates will be more frequent after early next week (May 7).

Hang in there with me, guys!

Labels: , ,

Wednesday, April 25, 2007

Opinion: Proactive Community Needed to Help Troops Reconnect, Reintegrate

From the Spring Grove [MN] Herald:

I am watching the growing furor over the shortcomings in the Veterans Administration system and the fallout from Walter Reed Army Hospital with growing alarm. I am concerned that we are going to fix the crisis and forget the problem.

The problem is how to help warriors, and their families, successfully reintegrate back into our communities, and their homes, after combat. A portion of that problem is health care related. For a majority of combat vets, however, only a small part of their reintegration challenge has to do with health care for physical injuries. Behavioral and mental health are bigger issues. And for most, the biggest challenge is relational: rebuilding marriages, reconnecting with children, rejoining friends, rejoining the global economy, getting back to the communities of faith we left, etc.

The problem with focusing on the VA is we may well fix the VA only to convince ourselves that the reintegration of our combat veterans is a government program, not a community process. If we expect the government to take care of everything, we will have failed our combat veterans and their families as well as ourselves.

We have sent our precious men and women to war. The VA can't bring them home. Only we can. We have a moral obligation to ensure that all of our combat veterans come all the way home to their families, their jobs, their schools and their communities.

A government program can't do that. A community can.


Click on 'Article Link' below tags for suggestions...

Opinion piece included in full in the interest of education.

each of us needs to roll up our sleeves and do more than castigate the VA. It means the following:

If you are a health care provider in Minnesota, do the right thing: Become a Tricare provider. Tricare is the insurance the government issues to mobilized reservists and guardsmen.

Two-thirds of Minnesota health care providers are not Tricare providers. The result: We do not have an in-patient chemical dependency treatment center in Minnesota that is a Tricare provider. We have a dire shortage of behavioral mental health providers who are Tricare providers. The VA can't fix this ... we can.

If you are an educator, sign up for an Operation Military Kids workshop and learn about the daunting challenges our 7,000 Minnesota military kids face when their parent marches off to war, and when they return. Help our children while we are at war. Parent educators, we need you to offer classes in every school district in Minnesota, for military families. We need your help in learning how to parent our children again.

If you are a member of the clergy, learn all you can about the toll combat takes on marriages, families, mothers and fathers of military personnel. You don't have to support the foreign policy to pray for us while we are in harm's way and to visit our parents, our spouses and our children while we are gone. When we come home, we need your help in putting our marriages, families and lives back together.

If you are an employer, please give my spouse some grace. She or he is juggling a job, a family, a home and a huge heartache. There are no laws to protect them while we are at war, as there are to protect my job when I come back. They struggle mightily and may need some special attention and some extra time off. Do the right thing - help them.

If you are a social service provider, learn all you can about combat operational stress, the challenges of reintegration for combat veterans and the impact of war on the family system. You are our "first call for help;" don't fail us because you choose not to invest in your professional development.

If you are a politician, don't politicize the shortfalls in the VA or the military medical system. We aren't pawns in an election cycle; we are your constituents, and we are counting on you to fix the problems. Energize the community on our behalf to do right by us. We're not asking for showy programs. We are asking for tangible signs of support in terms of services offered.

If you are our neighbors, and you are, don't "victimize" us. Most combat veterans come home without PTSD, mental disorders, physical wounds or destroyed lives. We generally readjust well and go on to live productive lives. Expect great contributions to society from us. We won't disappoint you. Challenge us to greatness; we know how to serve.

Watch over our families while we are gone. Extend a warm welcome home when we return. Walk with us through the months of readjustment, and make a place for us in the community. If we are among the tragic few who come home physically or mentally wounded, help us by connecting us to local, county, state and federal resources.

Certainly, address the problems with the VA, the military medical system and other systemic issues that face us. But, above all ... bring us all the way home.

A program can't do that. You can.

Major John Morris is a chaplain in the Minnesota Army National Guard. For more information about his and others' ground-breaking work on reintegrating returning soldiers, go to www.minnesotanationalguard.org and look for the "Beyond the Yellow Ribbon" link.

This is great advice for us all.


 Related Posts

Labels: , , , , ,

Wednesday: Senate Hearing Explores Mental Health Issues of Returning Troops

Following the stunning testimony yesterday by Pat Tillman's family and Army Private Jessica Lynch, more families are coming forward today. Streaming live (beginning 2pm ET) and archived here.

From IAVA:

On Wednesday at 2:00pm ET, the Senate Committee on Veterans Affairs will be holding a hearing on the mental health issues faced by returning combat veterans. IAVA Legislative Director Patrick Campbell will be talking about recent efforts by the VA to address these issues, and about his own experiences in Iraq. Ellen and Randy Omvig, whose son Joshua committed suicide just a few months after returning from a tour of duty in Iraq, will be speaking on the panel with him.

Watch the hearing live or afterwards here.

Wishing my best to the Omvigs.

Click on 'Article Link' below tags for full witness list...

Witness List:

Panel 1

Tony Bailey, father of Justin Bailey

Randall Omvig, father of Joshua Omvig

Accompanied by:
Ellen Omvig, mother of Joshua Omvig

Patrick Campbell, Congressional Liaison, Iraq and Afghanistan Veterans of America

Connie L. Best, PhD, Senior Faculty Member, National Crime Victims Research and Treatment Center, Medical University of South Carolina



Panel 2

David Oslin, MD, Director, VISN 4, Mental Illness Research Education and Clinical Center, Department of Veterans Affairs

Jan Kemp, RN, PhD, Associate Director for Education, VISN 19, Mental Illness Research Education and Clinical Center, Department of Veterans Affairs

Patricia Resick, PhD, Director, Women’s Division, National Center for Post Traumatic Stress Disorder, Department of Veterans Affairs

Accompanied by:
Ira Katz, MD, PhD, Deputy Chief Patient Care Services Officer for Mental Health, Department of Veterans Affairs

Ralph Ibson, JD, Vice President for Government Relations, Mental Health America

From yesterday's hearings, Kevin (brother of Pat) Tillman's opening statement:



Jessica Lynch opening statement, very powerful:




Related Posts

Labels: , , , , ,

Sunday, April 22, 2007

WV Vet? Military Families Invited to 31st Annual 20K Classic Run and Walk Inaugural Event

From the Wheeling [WV] News Register:

Organizers of the Ogden Newspapers 20K Classic Run and Walk are reminding local veterans that they can be a part of the Classic’s inaugural torch run Friday, May 25.

The event will begin at 4:30 p.m. at the Osiris Shrine parking lot at the corner of National Road and Kruger Street in Elm Grove. Wheeling Police Chief Kevin Gessler will be the first to carry the torch. Others involved in the event will be Wheeling Mayor Nick Sparachane, Wheeling City Manager Robert Herron and West Virginia Gov. Joe Manchin.

Four local veterans also will carry the flame—Lt. Col. Paul Hicks, Lt. Col Pat Plunkett, Tech Sgt. Jim Koonce and Gunnery Sgt. Dale Sigler.

Click on 'Article Link' below tags for more...

Veterans of all wars are invited to participate.

What: Inaugural Torch Run of Classic's 20K Race
Where: Wheeling, WV
When: Friday, May 25, 2007, 4:30p.m start time
Registration: No registration required for veterans. Please go to designated areas as listed below.
More: Visit the race website or
call R. “Scat” Scatterday, race director, at (304) 233-1312.

Ogden Newspapers 20K Classic Run and Walk Schedule

  • Veterans who served from 1991-present should join Hicks in the run at the bottom of Wheeling Hill (on the Fulton side).
  • Veterans who served from 1960-90 are invited to join Plunkett in the event when he is given the torch at the top of Wheeling Hill by the windmill.
  • Veterans who served from 1950-59 are asked to join in as Koonce is given the torch at the historical marker on Stone Boulevard.
  • Veterans who served from 1949 and before are asked to join in the passing of the torch to Sigler at the former Lincoln School.

View the course map to find your start location.

More on the rest of the weekend's events:

Ogden Newspapers 20K Classic

Race Start Times

FRIDAY, MAY 25th, 2007
6:45 p.m. - Ogden Tiny Tot Trot
7:00 p.m. - Ogden Fun Run
7:15 p.m. - Ogden Mile

SATURDAY, MAY 26th, 2007

7:30 a.m. - 20K Walk
8:00 a.m. - 20K Run
8:15 a.m - Ogden 5K Run & Walk

Updated race results posted online.

Labels: , , , ,

Wednesday, April 18, 2007

Colorado State Senate Supports Funding OEF/OIF Family Mental Healthcare

With far too many military families coping on their own with reintegration issues after their loved one has seen combat, some veterans even slipping through the cracks while families are left to pick up the pieces, the Colorado state senate has agreed to fund a pilot program aimed at providing mental healthcare access for those who literally provide support for our troops: military families.

From the Associated Press:

The proposal (Senate Bill 146 - pdf) would set up a three-year pilot program in Colorado Springs to provide mental health treatment and education to the families of veterans who cannot get services on their own. ...

Veterans are still eligible to receive mental health care through the military after they leave the service, but their families are not, said Sen. John Morse, D-Colorado Springs, the sponsor. He said if spouses and children get counseling, veterans might be encouraged to do the same.

Click on 'Article Link' below tags for more details...

From the Colorado Springs Gazette:

[The bill] would create a three-year program in the Pikes Peak region before expanding it to the rest of the state if it is successful. ... Freshman Sen. John Morse, D-Colorado Springs, proposed the mental health services program after a voter told him about the need to help veterans returning from combat.

The bill doesn’t address the actual veterans, who are covered by Veterans Administration services even after they leave the military, but seeks to help the spouses and children who might be dealing with men and women reluctant to go to counseling. About 100 families a year would be allowed to receive these services from Springs-area providers after paying $20.

“If the federal government was really stepping up to the plate and supporting our troops, we wouldn’t need this. But they’re not,” Morse said after the hearing. “The federal government, in my view — and this is just an opinion — is not as focused on the families of veterans as they ought to be.”

Morse said the program may be up and running as early as July 1, and has an annual cost of about $300,000. Funding would come from tobacco settlement monies.

Labels: , , , , ,

Important GAO Request Made By Senators Seeking Answers on PTSD-Deployed Troops

The issue of returning troops dealing with PTSD and other psychological burdens back into the combat zone has been a story that I've been following (and been angered by) for a long time. This latest move by Senators Obama, Boxer, McCaskill, Harkin, Lieberman, and Bond is a long-needed next step after a lot of energy and eyes have been directed at the problem (Sen. Boxer especially has been a key person on this one).

Follow the timeline of this issue by clicking on any of the links under 'Related Posts', and click on senator names above to send them your thanks for moving this oversight forward.

From the The Swamp, Chicago Tribune's Washington bureau blog:

A batch of senators led by Barack Obama (D-Ill.) is asking congressional investigators to probe the Defense Department's treatment of soldiers who suffer mental-health ailments after returning from Iraq and Afghanistan.

In a letter set to be sent today, the senators -- Obama and fellow Democrats Barbara Boxer (Calif.), Claire McCaskill (Mo.), Tom Harkin (Iowa), independent Joe Lieberman (Conn.) and Republican Kit Bond (Mo.) -- tell the General Accounting office they're concerned by reports alleging soldiers with post-traumatic stress disorder and other mental health problems have been denied care by superior officers and instead deployed for new tours oversees.

The letter says some of the senators voiced those concerns to the Defense Department earlier but have yet to hear a response. The senators ask the GAO to brief them first on "upsetting" allegations of mental health treatment -- or lack therof -- for soldiers at Fort Carson, Colo., and then expand to include "system-wide mental health deficiencies within the DOD."

Click on 'Article Link' below tags for full letter...

The letter:

April 18, 2007

The Honorable David M. Walker
Comptroller General
Government Accountability Office (GAO)
441 G Street, NW, Room 7125
Washington, DC 20548

Dear Mr. Walker:

We are writing to request that the General Accounting Office (GAO) undertake a review of Department of Defense (DOD) screenings, diagnoses, referrals and treatment of service members who may have Post Traumatic Stress Disorder (PTSD) and other mental health conditions related to their service in Iraq and Afghanistan. Several of us previously wrote the DOD requesting an examination of command practices and reports of biases and misdiagnoses in the treatment of mental health-related injuries such as PTSD and other deployment-related health problems, including Traumatic Brain Injury (TBI), but have not yet received a response.

The stigmas associated with PTSD and other mental health needs are no less potent within the military than in the civilian world. Indeed, reports from soldiers suffering from PTSD suggest that the stigma is worse, with some military commanders appearing to minimize the significance of PTSD and other mental health needs; or suggesting that a service member is malingering to avoid redeployment. There are allegations of commanders at Fort Carson, Colorado denying soldiers access to mental health care and instead ordering them redeployed for additional tours in Iraq. We have also heard of cases in which service members with PTSD are diagnosed as having "personality disorders" that the Army considers "pre-existing," thus depriving otherwise eligible combat veterans of disability benefits and much-needed mental healthcare. Because the stakes for our service members' and their health are so high, we must move quickly to investigate and correct any deficiencies.

We have come to learn about a number of upsetting allegations at Fort Carson. Therefore, for the purposes of an expedited review, we request to be briefed initially by GAO on these immediate cases. We ask that you subsequently focus your inquiry not only on Fort Carson but on system-wide mental health deficiencies within the DOD.

With the significant burdens already being placed on our service members and their families with multiple extended deployments, we must ensure that they are not further burdened with any humiliation, stigmatization or other minimization of genuine mental health needs. Our service members are risking their lives for our nation's security; it is our moral obligation to care for them. We therefore ask the GAO to assess:

1) Known cases of improper discharges or misdiagnoses and patterns of systematic stigmatization employed by military commanders regarding the mental health needs of service members throughout the chain-of-command at Fort Carson and across DOD departments;

2) The growing number of discharges for personality disorders, and whether or not such discharges are being improperly used when service members should in fact be given a mental health diagnosis that DOD does not consider preexisting.

3) The overall number of misdiagnosed cases of PTSD, other mental health conditions, and TBIs (at Fort Carson and force-wide);

4) DOD progress in implementing previous mandates to develop force-wide criteria and procedures for screening, diagnosing and referring mental health cases for follow-up treatment;

5) The efficacy of the DOD's current mental health safety net and treatment capabilities: for example, what current mechanisms are available to service members in the event of misdiagnosis?;

6) The steps and resources required to implement one-on-one, face-to-face mental health screenings for all returning service members;

7) The number of service members, men and women, reporting mental health concerns related to sexual assault during deployment; and whether current DOD personnel training and diagnostic guidance is sufficiently responsive to the needs of both men and women.

We seek to ensure that the DOD has the resources necessary to diagnose and treat service-connected injuries that impact the mental health of U.S. service personnel. It is vital that the U.S. military ensures it is treating the mental health needs of our forces with the same priority and resource investments it is devoting to physical injuries. If you would like to discuss this request, please contact [redacted].

Thank you for your assistance in this matter.

Sincerely,

_____________________

Barack Obama

_______________________

Barbara Boxer

_______________________

Tom Harkin


______________________

Christopher Bond

_____________________

Joe Lieberman

_______________________

Claire McCaskill


Cc: Gordon England
Deputy Secretary of Defense


Pete Geren
Acting Secretary of the Army


Related Posts

Labels: , , , , , , , , , , , , ,

Denver/Boulder 'Strength after Service' Event for Vets, Military Family and Community Members

News of an upcoming event in the Longmont Daily Times-Call:

A 36-year-old Army special forces veteran on Monday attended the first of two Strength after Service workshops for fresh perspective on his combat experiences in Iraq in 2003. “It’s a gateway for understanding to a person who’s just come back from surviving the most grotesque, incomprehensible event,” said the Denver resident, who requested anonymity.

The Boulder-based nonprofit organization One Freedom sponsored the free, two-hour workshop at the Longmont Public Library to share stress-management techniques without the stigma of therapy, said Dan Taslitz, a former Marine and One Freedom speaker.

“Strength is a more global experience than being physically strong in a bad environment,” he said. “Service requires a lot of sacrifice. It also brings a very special reward. What we want to do is provide a framework (for vets) to access the reward and embrace the challenges of reintegration.”

Click on 'Article Link' below tags for more...

Continuing:

One Freedom pairs veterans such as Taslitz — a reconnaissance team leader in Iraq in 2004 and 2005 — with stress-management experts such as Stephen Robinson. Both men acknowledged the importance of “training up” for combat — becoming hyper aware and focused on the mission to survive and accomplish it. They said training down after discharge to reconnect with family, friends and the community is just as critical. ...

Some vets need professional help. Others need more personal resources, One Freedom organizers said. “You can use your mind, or it can use you,” Robinson said. To train down the mind, he discussed the neurophysiology of stress and touched on five stress-management skills: breath control, attention control, simulation, energy management, and rest and recovery.

“It’s not enough to wave the flag, play Toby Keith music and put a yellow ribbon in the car,” [the vet] said. “For my buddy who’s sitting next to me and drowning himself in alcohol, this may be just what he needs to open the door (for healing). ... The way I view this is it completes the circle of being a warrior.”

If you are in the area and wish to attend next Monday's session, it is open to veterans, military family and community members alike.

Event Details

What: Strength after Service, a stress-management workshop sponsored by Boulder-based One Freedom for returning veterans, their families and the community

Where: Longmont Public Library, 409 Fourth Ave. General Information Desk: 303-651-8470

When: Monday, April 23, 2007, 6:30 to 8:30 p.m.

Cost: Free

What a great community resource!


 Related Posts

Labels: , , , , ,

Tuesday, April 17, 2007

New Blogger Elbows Its Way In

Just a quick point or two about technology happenings.

Yesterday, Blogger switched me over to the New Blogger platform (I was dragging my heels; problems inevitably crop up -- as they already have -- whenever you do any type of upgrade, and I've been a bit time-crunched). While I haven't switched PTSD Combat's template over to New Blogger's 'widget' system, there are a few immediate changes I wanted to make you aware of.

One Feedburner note: I've just tweaked a problem created by the way New Blogger handles my Feedburner feed; apologies for those on the email list who received old posts along with the new ones this morning. It may occur one more time tomorrow (?) but should be corrected afterwards. Sorry for the confusion.

Click on 'Article Link' below tags for more...

For now, the most important change is the new labels system.

The new 'Labels' line replaces my Del.icio.us 'Tags' line. I'll still maintain my Del.icio.us indexing system, but using labels will make in-house searching and grouping of related posts a lot easier. Click on a label topic, and you'll stay right here (rather than jumping over to Del.icio.us), related posts at your beck and call one after another in the PTSD Combat environment. I've updated the last 15 or so entries with the label system so you can try it out. Until I can carve out more time to update earlier posts, it'll return pretty skimpy results, though. I'll upgrade as time allows, aiming to have fully loaded labels by early summer.

Another change is the way search bar items are now returned.

In the past, typing in your keywords in the Blogger bar above returned a link list. You had to click on every link to see what the post was all about (and annoyingly sometimes those links didn't work, either). No more. Now the posts themselves are returned (in the same way as the label items are returned, one after another in the PTSD Combat environment). This alone will make it a lot easier to find what you're looking for. Yeah!

Labels:

Family 'Respectfully Disagrees' With VA Report on Son's Suicide

From the Associated Press:

[Iraq vet Jonathan] Schulze had made at least 40 visits to the VA hospital in Minneapolis, where doctors diagnosed him with post-traumatic stress disorder, the report said. But it said mental health workers at the St. Cloud hospital told investigators Schulze never mentioned suicide to them, and they would have taken it seriously if he had.

“The report and story has been whether something was, or was not, said,” [Family friend Robert] Herubin said. “The real issue is: Jonathan finally made the decision to change his life and get the help he needed. He made a commitment to become a good dad, and he packed his bags. Irregardless, he was put on a waiting list and was turned away.” ...

Schulze’s mother and stepfather, Eileen and John Carlson...said they’re now trying to move forward. They announced they have begun setting up the Jonathan Schulze “I Can’t Hear You” Foundation, using a favorite Marine phrase, to reach out to returning veterans with post-traumatic stress disorder.

“So his death isn’t for nothing,” Eileen Carlson said. “I’m hoping that at least we will be able to help other people. I want to not only help other veterans, but I want to help their parents, too. Because I wish I would have had a better understanding of PTSD when I was going through this with Jonathan.” ... [Herubin] said the name of the foundation refers to the need to pay closer attention to what veterans might not be saying.

Click on 'Article Link' below tags for more...

Continuing:

Eric Satersmoen said he was best friends with Schulze when they fought in Fallujah in 2004. “Every day there was some type of combat. ... Basically it was a lot of urban warfare, door to door, losing a lot of friends, a lot of carnages, everyday war, I guess you would say,” Satersmoen said. Satersmoen said he, too, was diagnosed with PTSD and is getting counseling through the VA. He said he “most definitely” believes the foundation can make a difference.

Schulze’s family and friends also announced plans for a benefit for Schulze’s daughter, Kaley, and soon-to-be-born son, Jonathan Jr. It will be at the Prior Lake VFW on May 19.

...........

Donations for Schulze’s children can be sent to “Kaley and Jonathan Schulze” while donations to the foundation can be sent to “Operation Jonny Schulze,” both in care of Wells Fargo Bank, 16817 Duluth St. SE, Prior Lake, MN 55372.

Wishing the Schulze family peace and commending them for the work they have now embarked upon.


 Related Posts

Labels: , , , , , ,

Monday, April 16, 2007

Wisconsin Law Enforcement Proactive in Meeting Needs of Veteran and Community

Good to see such programs springing up across the country. From the Milwaukee Journal Sentinel:

What would be considered road rage on Wisconsin highways is normal driving for a U.S. military member at the wheel of a Humvee in Iraq. What could be considered assault or inappropriate aggressiveness at a Madison bar is behavior and split-second violent decision-making that could keep a soldier alive in a combat zone.

U.S. military members in Iraq and Afghanistan must carry their weapons wherever they go, but in Wisconsin it's illegal to carry concealed weapons. Veterans now returning from war often have difficulty moving from one culture to another - the culture of war, death and violence to the culture of home, peace and family. Some make the transition smoothly; others don't.

Which is why a group of Madison police officers intently watched a PowerPoint presentation last week on the effects of combat stress and post-traumatic stress. Because some Iraq and Afghanistan veterans are crossing paths with law enforcement, the Madison Police and Dane County Sheriff's departments are requiring all sworn officials to go through an hourlong session to help them understand why some veterans are getting into trouble and, more important, how to help them.

Click on 'Article Link' below tags for more...

In the interest of education, article quoted from extensively.

Continuing:

Although the majority of U.S. military members serving in a war zone return to civilian life with few problems, combat veterans are at a high risk of post-traumatic stress and other mental health problems, said Jeff Johnson, a state Department of Veterans Affairs official who is handling the training for law officers. They're also less likely to seek help. ...

Johnson, who was a Marine recruiter in Wisconsin for many years, recounted the story of a Marine he knew who was home on leave during his second tour of Iraq. He was at a tavern when he saw a man touch the shirt of the Marine's girlfriend. The Marine broke the man's jaw and gave him a concussion. He later sought alcohol treatment and is now out of the military, going to college and receiving disability payments for post-traumatic stress. "There's a unique set of stressors coming out of this war," said Johnson, who retired from the Marines in 2003 and now operates Mission: Welcome Home for the Department of Veterans Affairs. His son arrived in Iraq last month with the Marines.

High on the list of stresses: not knowing who the enemy is and not knowing if someone will try to kill them. Returning to civilian life after months or a year or more of being hyper-vigilant is difficult, said Johnson, who told the police officers that the warning signs of post-traumatic stress include aggressive driving, inappropriate aggression, alcohol abuse, carrying a weapon because they feel safer armed, being secretive, angry or detached.

Over 800 deputies and police officers have gone through Johnson's program to date where he equips attendees with knowledge, skills and resources that will later help them in the field.

"For once we're a little out front on this topic. We haven't seen tons and tons of this stuff but enough to" schedule the training, said Madison Police Sgt. Lauri Schwartz. "It's kind of like 'Oh, I wouldn't have connected the dots without the presentation.'"

Feedback has been overwhelmingly positive from law enforcement officers, including those who served in Iraq or Afghanistan with the National Guard or Reserves, said Schwartz and Dane County Sheriff's Sgt. Lorie Wiessinger. Wiessinger said she didn't realize that military members who always carried weapons in a combat zone sometimes feel the need to carry a weapon when they're back home, something law enforcement officers should know when responding.

So far, Dane County and Madison are the only Wisconsin agencies undergoing this type of training. Milwaukee County Sheriff David A. Clarke Jr. was not aware of the training, said department spokeswoman Kim Brooks, but it does refer veterans who come in contact with sheriff's deputies to the Department of Veterans Affairs and other agencies.

Johnson says the program also helps officers have a deeper understanding of the bond they share with veterans, and the training can also help to identify possible problems in their own ranks.

"When they stop and think about what these men and women went through (in Iraq or Afghanistan), you can see the emotions from the police who themselves have seen it in the line of duty," Johnson said.

If I had my way, this type of program would spread like wildfire across the country.


 Related Posts

Labels: , , , , , ,

Sunday, April 15, 2007

Editorial: Enough with Congressional Reports, Time for Action is Here

From the Clarksville [TN] Leaf-Chronicle:

It's been established beyond doubt that the outpatient care that many injured troops and veterans are receiving is severely lacking. The attention now needs to be centered on how to make it better. ...

Among the charges is that the health care system is too difficult to navigate. Those who were injured in war complain of long waits for proper treatment — if it ever comes at all — and differing ratings on disabilities once they change from military hospitals to the VA system. On that latter point, during Senate hearings, members heard testimony that the Army is more likely than the other services to rate a disability at less than 30 percent. That's the cutoff for whether service members and their families get lifetime health benefits.

Retired Army Lt. Gen. James Terry Scott, chairman of the Veterans Disability Benefits Commission, testified there are various legitimate factors as to why the Army may rate below 30 percent. But he also said at the Senate hearing there obviously is incentive to keep soldiers at the lower rating "so only separation pay is required and continuing family care is not."

Scott's commission was formed in 2004 to study ways to improve the benefits system. It will be issuing a formal report later in the year. How much longer will our soldiers and veterans have to wait for action? The pressure is now on Congress and the Department of Defense to turn the situation around and ensure that everyone who needs a high degree of care actually receives it.

I couldn't agree more.

Click on 'Article Link' below tags for related posts...


Related Posts

Labels: , , , , , ,

Saturday, April 14, 2007

A Personal Call to Keep Pushing for Our Veterans

Have you noticed?

The winds have picked up, the ground is shifting. And the sands of time are increasingly falling in our favor. Maybe it was the reporting of the Washington Post, or perhaps the Hartford Courant. Or could it have been NPR that had a hand in it, or was it that much-loved political cartoonist, Garry Trudeau?

ABC News reporter Bob Woodruff surely played a crucial role. So did one father, and a Navy psychologist. Certainly tireless veterans like Paul Rieckhoff and Steve Robinson and countless others can take a lot of credit for it. Military families who have borne the ultimate price like the Omvigs and the Luceys can, too.

Editorial boards from the Kansas City Star to the Yakima Herald-Republic and many others can be credited. But so can hard-working and well-meaning VA and DoD personnel of every rank and station who are desperatly trying to fix a system that they know needs fixing. The GAO has done an admirable job, as have the researchers at Walter Reed.

And, thankfully, our elected leaders in the House and the Senate have at long last begun answering our call, gaining courage (and political cover) from us on the outside and inside pushing for and demanding real change this time.

This progress is not due to the effort of any one person or group, but rather of the combined energy of many. So many working together to fix the mammoth problems that have existed in a post-combat healthcare system that we all realize does not honor the work and sacrifices of anyone involved: veteran, military family member, or government employee.

We have a long, long way to go, yes.

Frankly, we're never going to resolve all of the problems that our returning troops have to deal with when they begin to wind their way through the military and VA healthcare system. But we are well on our way to correcting not only the small things that make their experience trying, but a few of the larger difficulties as well. Of course there are scores of news reports than can disprove my optimism. But we are within range, my friends.

Some great things are happening, making it all that much more important that we keep pushing.

Click on 'Article Link' below tags for a few positive moves forward...

Here's one individual leading by example:

Retired USAF Lt. Col. Charlie Brown will be presenting financial contributions to a number of local veterans support organizations at an event scheduled for Monday, April 16th at the Roseville Veterans Memorial Hall.

The event comes just days after Brown's son deployed for his fourth rotation to Iraq, and in the wake of growing concerns about the wide spectrum of post-combat aftercare needs confronting veterans of Iraq and Afghanistan. "We've all heard the troubling trends concerning PTSD, homelessness, suicide, divorce, and the myriad of other challenges that have faced past and current generations of veterans," Brown said. "Many people may not be aware of the vital role that local groups play in delivering services to those in need, and how much they count on the support of private donors and volunteers."

"This event is about highlighting their work, their needs, and what others can do to help," Brown added. It's about the shared obligation of people of all stripes-politicians, businesses, and individuals--to come together, put their money where their mouth is on troop support, and address a common challenge that will be with all of us for decades to come---no veteran left behind."

Another charity extending itself to help our vets:

There’s a celebration today on the South Side [of Chicago] as a residence for homeless military veterans is dedicated in the Auburn-Gresham neighborhood. Catholic Charities built St. Leo Residence at 77th and Emerald. It serves 141 veterans....133 men, eight women. Nate Gilham, the director of veterans services for Catholic Charities says, “the goal of the program is self-sufficiency....moving vets from state of homelessness”.

It does that by offering drug and alcohol counseling, support groups, help in lining up jobs as well as eventually finding their own housing. Catholic Charities team leader Misty Brown says, “This is a way for them to get grounded, get more independent...(and) is a starting point for them”. ...

Lt. Gov. Pat Quinn, a long-time advocate for military veterans has praise for St. Leo’s Residence. “It’s our duty to take good care of those who’ve borne the battle. For homeless veterans we’ve got to pull out all the stops”. ...

The Veterans Administration estimates that, on any given night, there are more than 300-thousand homeless veterans in the United States and that nearly half of them are from the Vietnam Era. Many have Post Traumatic Stress Disorder, have health and substance abuse problems and are out of work.

States are getting involved, too. Indiana, for one:

Indiana soldiers, veterans and their families are getting a boost from state lawmakers, who've set aside partisan wrangling over the wars in Iraq and Afghanistan to help those serving the nation. Bills have advanced that would give new tax breaks to active-duty soldiers, members of the Indiana National Guard and reservists; provide money to help military families struggling because a member has been mobilized; and allow parents, spouses and siblings of Guard members and reservists who are being deployed to take some unpaid leave from their jobs to be with their families.

"Of all the stuff we are doing right now, I'd rather see us pass something to help the kids who are busting their butts for us over there," said Republican Sen. Thomas Wyss of Fort Wayne, chairman of the Senate Committee on Homeland Security, Transportation and Veterans Affairs.

It is not yet clear how many bills to benefit soldiers will pass, or in what form, but Gov. Mitch Daniels recently expressed optimism that several would reach his desk with bipartisan support. "I'm looking forward to signing them," said Daniels, who proposed a package of benefits for soldiers and veterans before the session. Many are in a bill that passed the Senate and House, although differences in the versions must be reconciled in a House-Senate conference committee.

One bill already bears his signature.

That new law, which takes effect July 1, will give National Guard members returning from active duty priority for placement in employment and training programs provided by the state. Spouses of Guard members also are eligible. "We want to make sure that the transition back into our work force is as easy as possible," said Sen. Sue Errington, D-Muncie, the bill's author.

Minnesota, too:

A [Minnesota state] Senate panel on Tuesday approved a proposal to spend $1 million to test more than 800 veterans for exposure to depleted uranium, which the U.S. military has used to harden shells and other munitions for piercing armor.

The legislation puts Minnesota at the forefront of a gradual movement by states -- whose National Guard members and reservists have contributed heavily to the wars -- to improve testing for uranium and determine its long-term consequences.

While critics say proponents have failed to make a convincing case for more testing, advocates liken their campaign to early efforts to learn about the effects of defoliants on soldiers in Vietnam. "Exposure to depleted uranium may well be the Agent Orange of the Iraqi wars," David Francis, a retired Navy officer who served on nuclear submarines, told the Senate Committee on Agriculture and Veterans. "When we send our men and women into war ... we have a sacred obligation to provide the best possible health care for them when they come home."

The state House is advancing a similar proposal to fund sophisticated testing of veterans who feel they are suffering health problems resulting from exposure to depleted uranium.

And veterans groups and educational institutions are finding creative ways to support returning troops:

With backing from key state legislators, a veterans group and a community college in Central Massachusetts plan to build what is believed to be the country's first residential treatment and education facility for injured veterans and their families. The center would be on 10 acres of land donated by Mount Wachusett Community College in Gardner and provide 20 two-bedroom cottages, where veterans from across the country could recover in the company of their families for up to two years, according to planners.

Many of the veterans are expected to have traumatic brain injuries caused by roadside bombs and firefights in Iraq, as well as burns, amputations, and post-traumatic stress syndrome. The veterans could attend classes at government expense at the community college and use its swimming pool and track. The college, in turn, would provide students in physical and occupational therapy to help in the veterans' rehabilitation.

"This is a win-win for everybody," said Leslie Lightfoot, a former Army medic and founder of the Veterans Hospice Homestead in Fitchburg, which is spearheading the project. The group is seeking to raise about one-third of the estimated $5 million needed to open the Northeast Veterans Trauma Rehabilitation Center and expects the remainder to come from the state and federal governments.

Daniel M. Asquino, president of Mount Wachusett Community College, said he supports the project and expects the college's trustees to endorse the plan this spring. "Whether you believe in the war or not, they're sacrificing life and limb," Asquino said. ". . . Those individuals need a compassionate place to recover and get their life back in order."

Nonprofit advocacy groups are also working to offer support to returning troops -- and even the individuals advocating for them. And I have first-hand experience in this area.

My publisher and I had not yet been able to arrange a Seattle stop for the Moving a Nation to Care book tour, when one day I received a really kind letter from a member of a local combat PTSD advocacy group (the group is connected to Dr. Edward Tick's Soldier's Heart organization; Tick is the author of what I believe to be one of the best volumes on the matter, War and the Soul).

The writer asked if I was planning a visit out their way. I replied saying that we hadn't arranged a venue yet.

She and her group sprang into action, lobbied University Bookstore, and I now have a Seattle, WA stop on the calendar for July 12, 2007. But this kind new friend and ally threw her support in my direction in another way, too. She wrote the following letter to the Seattle Times and shared it with me:

I just read about this book when I ran across the author’s blog:
“Moving a Nation to Care: Post-Traumatic Stress Disorder and America's Returning Troops,” by Ilona Meagher

I’m a member of a small grass-roots nonprofit in Seattle called Soldier’s Heart Seattle. Our purpose is to raise consciousness (that favorite ‘60s phrase!) about post-traumatic stress disorder and try to provide a safe homecoming for our Iraq and Afghanistan vets and their families. To that end, we’re putting together a “care package” for returning vets with info and support on PSTD issues.

I haven’t read Ms. Meagher’s book (due out in May) but if it’s as thorough and well-written as her Web site then it ought to be good. Also, Dr. Edward Tick wrote a very positive blurb for it. Ed, a psychotherapist in Albany, NY, and author of “War and the Soul,” is the one who inspired our group with the healing work he’s done with Vietnam, gulf war, and Iraq vets. Getting medical care and understanding for PTSD is a huge issue for combat vets, as you may be aware. (I was also intrigued that the author is a former flight attendant who decided to take on this issue as her work after 9/11.)

Bottom line: it would be great if Ms. Meagher’s book could be reviewed in the Times. She appears to have done a phenomenal amount of research on this issue and maintains the blog/Web site for vets and the public. One thing our group has learned is how many, many people want to do something to “support the troops” beyond a bumper magnet, but they don’t know where to turn. A book like this can broaden the public discussion considerably at this time and inspire more efforts on behalf of vets with PTSD.

Thank you for your consideration.

I could continue on with many other examples of people reaching out to move the issue of taking better care of our troops forward.

I thank those like Ramona above who have personally helped me, and more importantly have the greatest appreciation for everyone working in big and small ways to ensure our vets know we've got their backs -- just as they have had ours.

Labels: , , ,

Thursday, April 12, 2007

Why Are They Fighting in Iraq?

I've been taking an interesting and informative class at NIU this semester, a special section called Iraq on Film.


Eventually, I'd like to find the time to put a post together on the class itself, but today I wanted to share a link that we were given by our instructor. It's a momentary divergence from the issue of PTSD, but a quick trip to view the well-produced multimedia presentation by MSNBC will be well worth it if you'd like to understand why the different ethnic groups are fighting in Iraq.

Labels: , ,

Wednesday, April 11, 2007

Three Months Tacked Onto All Army Combat Deployments

From VOA:

The U.S. Defense Department announced Wednesday that most of the U.S. army troops now in Iraq and Afghanistan and other parts of the Middle East and East Africa will have their assignments extended from 12 months to 15 months, and that the longer tours of duty will apply to soldiers who deploy to the region for the foreseeable future. VOA's Al Pessin reports from the Pentagon the move is designed to enable the U.S. military to sustain the higher troop level in Iraq that President Bush ordered in January.

Defense Secretary Robert Gates announced the change in policy Wednesday, saying he hopes it will be temporary, but unable to say how long it will last. ... Secretary Gates said the change will enable the U.S. military to sustain the surge of more than 20,000 additional troops in Iraq for at least a year, but he said no decision has been made to maintain the higher troop level for that long. ...

The secretary and the top U.S. military officer, General Peter Pace, acknowledged that extending combat tours will put a further strain on the U.S. military. General Pace said steps are being taken to reduce the strain in the future, including a long-term expansion of the U.S. Army and Marine Corps. But he said for now, U.S. leaders have no choice but to ask more of the current troops and their families.

"Is it an additional strain to go from 12 months to 15 months? Of course it is," said General Pace. "Is it in combat and therefore even more difficult? Of course it is. The troops want to and deserve to know that their leaders are mindful of what we're asking them to do, mindful of the additional strain, working to make that less than it is."

Click on 'Article Link' below tags for more...

Continuing:

The policy of the U.S. Defense Department is to provide active-duty soldiers two years at home for every year of deployment abroad. The wars in Iraq and Afghanistan, as well as other U.S. military commitments worldwide, have moved that to one year away and one year at home.

Secretary Gates said the decision to move to 15 months away and a year at home is designed in large part to ensure that all soldiers do get the full 12 months at home before their next deployment, and to provide predictability to the soldiers and their families. He said he hopes to get back to the original deployment schedule, but he could not say when that might happen.

The decision on longer deployments in Iraq, Afghanistan and some nearby areas only affects the Army, not the other U.S. military services, and only active-duty soldiers, not members of the Reserves or the National Guard. The vast majority of the U.S. troops in that region are active-duty members of the Army.

These extended deployments come on the heels of 1,800 forced Marine Individual Ready Reserve call-ups and an unprecedented second call-up of 12,000 National Guard troops from Ohio, Arkansas, Indiana and Oklahoma. Click on the state names to see a few governor reactions -- they are not good.


 Related Posts

Labels: , , , , , ,

Study: Drug May Ease Combat PTSD Nightmare Incidence

From Veterans Affairs Research:

A generic drug already used by millions of Americans for high blood pressure and prostate problems has been found to improve sleep and lessen trauma nightmares in veterans with posttraumatic stress disorder (PTSD).

"This is the first drug that has been demonstrated effective for PTSD nightmares and sleep disruption," said Murray A. Raskind, MD, executive director of the mental health service at the Veterans Affairs Puget Sound Health Care System and lead author of a study appearing April 15 in Biological Psychiatry.

The randomized trial of 40 veterans compared a nightly dose of prazosin (PRAISE-oh-sin) with placebo over eight weeks. Participants continued to take other prescribed medications over the course of the trial.

At the end of the study, veterans randomized to prazosin reported significantly improved sleep quality, reduced trauma nightmares, a better overall sense of well being, and an improved ability to function.

"These nighttime symptoms are heavily troublesome to veterans," said Raskind, who also is director of VA’s VISN 20 (Veterans Integrated Service Network #20) Mental Illness Research, Education and Clinical Centers program (MIRECC). "If you get the nighttime symptoms under control, veterans feel better all around."

Click on 'Article Link' below tags for more...

The press release is quoted in full for educational purposes.

Raskind, also a professor of psychiatry and behavioral sciences at the University of Washington, estimates that of the 10 million U.S. veterans and civilians with PTSD, about half have trauma-related nightmares that could be helped with the drug.

Participants were given 1 mg of prazosin per day for the first three days. The dose was gradually increased over the first four weeks to a maximum of 15 mg at bedtime. The average dose of prazosin in the trial was 13.3 mg. By comparison, typical prazosin doses for controlling blood pressure or treating prostate problems range from 3 mg to 30 mg per day in divided doses.

The drug did not affect blood pressure compared to placebo, though some participants reported transient dizziness when standing from a sitting position during the first weeks of prazosin titration. Other occasional side effects included nasal congestion, headache, and dry mouth, but these were all minor, according to the authors. "This drug has been taken by many people for decades," said Raskind. "If there were serious long-term adverse side effects, it is likely we would know about them by now."

The relatively small size of the study was due to the easy availability of this generic drug, Raskind said. "If you are doing a study with a new drug, the only way people can get it is to be in the study. With prazosin, we have approximately 5,000 veterans with a PTSD diagnosis taking it already in the Northwest alone. So we had to find veterans with PTSD who were not [taking it]."

For treating PTSD, prazosin costs 10 to 30 cents a day at VA contract prices. It is not a sedating sleeping pill, emphasized Raskind. "It does not induce sleep. But once you are asleep, you sleep longer and better." And better sleep can make a big difference. "This drug changes lives," Raskind said. "Nothing else works like prazosin."

Trauma nightmares appear to arise during light sleep or disruption in REM sleep, whereas normal dreams — both pleasant and unpleasant — occur during normal REM sleep. Prazosin works by blocking the brain’s response to the adrenaline-like neurotransmitter norepinephrine. Blocking norepinephrine normalizes and increases REM sleep. In this study, veterans taking prazosin reported that they resumed normal dreaming.

One dose of prazosin works for 6 to 8 hours. Unlike similar drugs, prazosin does not induce tolerance; people can take it for years without increasing the dose. But when veterans stop taking it, Raskind said, the trauma nightmares usually return.

Aside from the VA-funded study he just published, Raskind is working on three larger studies of prazosin. One, a VA cooperative study slated to start this month, will enroll about 300 veterans at 12 VA facilities. The second, a collaborative study with Walter Reed Army Medical Center and Madigan Army Medical Center, will enroll active-duty soldiers who have trauma nightmares. The third study, funded by the National Institute of Mental Health, will look at prazosin in the treatment of civilian trauma PTSD.



 Related Posts

Labels: , , , ,

Tuesday, April 10, 2007

Reintegration Tips for Returning Vets

From the Utica Observer-Dispatch:

Fred Bush, a clinical social worker with the Veterans' Administration hospital in Syracuse, said he has seen many returning soldiers who exhibit a wide range of feelings and reactions as they try to readjust to their old home lives. "Everybody will have some sort of readjustment issues," he said. "Whatever a person has experienced will never go away, and we should never forget what we've done," he said, "But if you can learn to live with them, and symptoms are not stopping you from having a productive life, (it's alright)."

It's when the symptoms don't go away or start to interfere with relationships or the soldier's ability to function professionally or in other ways that the returning soldier should seek help. ... It's estimated many as 30 percent of those may need clinical intervention at some time, he said. Each returning veteran must readjust to life in the United States after experiencing things most American civilians can't fully comprehend.

Click on 'Article Link' below tags for his reintegration tips...

Readjustment issues are normal, but if they persist, the returning soldier should seek help from a mental health professional.

Watch for acute changes to behavior, like excessive drinking, social isolation or high levels of anxiety.

It's normal for a person returning from a combat situation to sleep lightly for a while, but continued problems sleeping, or repeated bad dreams could be a sign help is needed.

A readjustment period in a marriage after being in a war zone is common. Home-life patterns may have shifted in the soldier's absence. It helps to let the returning spouse feel needed and have them take on responsibilities they used to perform, even if the spouse who stayed home had been doing them.

It's helpful if a returning soldier can find at least one person to talk to about their experiences. Family and friends should let soldiers know, without badgering or pressuring, that they're willing to listen.

Returning soldiers shouldn't be afraid to share their experiences with people close to them. It can help to talk. Also, some soldiers think they shouldn't tell their loved ones about dangerous or disturbing situations they faced, because they don't want to hurt or upset them. It can still be important to share those stories with the right person and to reach out for support.

Returning soldiers may have been near explosions, and could have undiagnosed brain injuries. Behaving out of character can be a sign of such an injury.

No matter what your view of the politics surrounding the war, be sensitive when talking about them to a returning veteran. A "thank you" or a pat on the back can go a long way.

•For information about readjustment issues faced by returning soldiers, or to find out how to get help, call the Veterans' Administration's TelCare information line at 1-888-838-7890. To ask Veterans Administration Clinical Social Worker Fred Bush to speak at your organization, call 425-4400 ext 52719.

Source: Veterans Administration Clinical Social Worker Fred Bush


 Related Posts

Labels: , , , , ,

New Amazon.com Listmania List: Afghanistan, Iraq and Combat PTSD

Get the scoop on some of the books and films that were a great help to me during my background research for Moving a Nation to Care. You'll find a list of my top 30 resources, and a brief reflection on each.

From Afghanistan, Iraq and Combat PTSD:

No matter the label given in past eras -- nostalgia or soldier's heart, shell shock or battle fatigue, post-Vietnam syndrome or today's PTSD -- we have forever felt the sting of war's affect on soldier and society. Our newest generation of veterans and our nation is no different, attempting to find meaning in the most violent of experiences and expressions known to man.

These are the books and films that I found to be most helpful in my quest for deeper understanding and direction. While I've placed mine in the #1 slot on this list, Moving a Nation to Care's pole position perch actually reflects the fact that it humbly stands on the shoulders of the deep and broad knowledge of those below it.

Moving a Nation to Care was also included on author Lesley Thomas' Love, Not War Listmania list on March 28.

Labels: , , , , ,

Monday, April 09, 2007

U.S. News & World Report: More Evidence That Military Downgrading Disability Ratings

The evidence keeps piling up:

U.S. military appears to have dispensed low disability ratings to wounded service members with serious injuries and thus avoided paying them full military disabled retirement benefits. While most recent attention has been paid to substandard conditions and outpatient care at Walter Reed Army Medical Center, the first stop for many wounded soldiers stateside, veterans' advocates say that a more grievous problem is an arbitrary and dysfunctional disability ratings process that is short-changing the nation's newest crop of veterans. The trouble has existed for years, but now that the country is at war, tens of thousands of Americans are being caught up in it.

Now an extensive investigation by U.S. News and a new Army inspector general's report reveal that the system is beset by ambiguity and riddled with discrepancies. Indeed, Department of Defense data examined by U.S. News and military experts show that the vast majority-nearly 93 percent-of disabled troops are receiving low ratings, and more have been graded similarly in recent years. What's more, ground troops, who suffer the most combat injuries from the ubiquitous roadside bombs, have received the lowest ratings.

One counselor who has helped wounded soldiers navigate the process for over a decade believes that as many as half of them may have received ratings that are too low. Ron Smith, deputy general counsel for the Disabled American Veterans, says: "If it is even 10 percent, it is unconscionable." The DAV is chartered by Congress to represent service members as they go through the evaluation process. Its national service officers are based at each rating location, and there is a countrywide network of counselors. Smith says he recently asked the staff to cull those cases that appeared to have been incorrectly rated. Within six hours, he says, they had forwarded him 30 cases. "So far," Smith says, "the review supports the conclusion that a significant number of soldiers are being fairly dramatically underrated by the U.S. Army."

Click on 'Article Link' below tags for more...

Article quoted from extensively in the interest of education.

Continuing:

At first glance, the disability ratings process seems straightforward. Each branch of service has its own Physical Evaluation Boards, which can comprise military officers, medical professionals, and civilians. The PEBs determine whether the wounded or ill service members are fit for duty. If they are, it's back to work. Those found unfit are assigned a disability rating for the condition that makes them unable to do their military job. The actual rating is key, and here's why: Service members who have served less than 20 years-the great majority of wounded soldiers-who receive a rating under 30 percent are sent home with a severance check. Those who receive a rating of 30 percent or higher qualify for a host of lifelong, enviable benefits from the DOD, which include full military retirement pay (based on rank and tenure), life insurance, health insurance, and access to military commissaries.

But the system is hideously complicated in practice. The military doctors who prepare the case for the PEBs pick only one condition for the service member's rating, even though many of the current injuries are much more complex. The PEBs use the Department of Veterans Affairs ratings scale, which grades disabilities in increments of 10-a leg amputation, for example, puts a soldier at between 40 and 60 percent disabled. The PEBs claim they have the leeway to rate a soldier 20 percent disabled for pain, say, rather than 30 percent disabled for a back injury. If rated at 20 percent or below and discharged, the soldier enters the VA system as a retiree where he is evaluated again to establish his healthcare benefits.

Some stats:

Since 2000, 92.7 percent of the disability ratings handed out by PEBs have been 20 percent or lower, according to Pentagon data analyzed by the Veterans' Disability Benefits Commission, which Congress formed in 2004 to look into veterans' complaints (Page 47). Moreover, fewer veterans have received ratings of 30 percent or more since America went to war in Afghanistan and Iraq, according to the Pentagon's annual actuarial reports. As of 2006, for example, 87,000 disabled retirees were on the list of those exceeding the 30 percent threshold; in 2000, there were 102,000 recipients. Last year, only 1,077 of 19,902 service members made it over the 30 percent threshold (chart, Page 49).

The total amount paid out for these benefit awards has remained roughly constant in wartime and peacetime, leading disabled veterans like retired Lt. Col. Mike Parker, who has become an unofficial spokesperson on this issue, to allege that a budgetary ceiling has been imposed to contain war costs.

One soldier's story:

Trying to overturn a low rating can be a full-time job-and an exasperating one. Take Staff Sgt. Chris Bain, who lost the use of his arms but not his sense of humor. "They call me T-Rex because I have a big mouth and two hands and I can't do nothing with them," he jokes. He left the Army in February, but he still has plenty of fight in him. During an ambush in Taji, Iraq, in 2004, a mortar round exploded 2 feet away from him, ripping through his left arm and hand. A sniper's bullet passed through his right elbow. His buddies saved his life, throwing Bain on the hood of a humvee and rushing him to a combat hospital. Once transferred to Walter Reed, Bain refused to have his arm amputated and underwent eight surgeries to save it. That choice cost him. While an amputation would have automatically put him over the 30 percent threshold, the injury to his left arm was rated at 20 percent even though he cannot use the limb.

Bain was angry. A noncommissioned officer who had planned on 20 or 30 years in the Army, he knew his career was over, but he wasn't going to go quietly. "I wanted to be an example to all soldiers," he said. "My job was to take care of troops." He went to find Danny Soto, the DAV representative at Walter Reed he'd heard so much about. "Danny is just an awesome guy. He took great care of me, but he should not have had to," Bain says. Soto is a patron saint to many soldiers at Walter Reed. He walks the halls, finding the newly injured and urging them to collect documents for their journey through the tortuous-and, to many, capricious-system. Many soldiers are young, and after they have spent months or years recuperating, they just want to get home and are unwilling to argue for the rating they deserve. Even though he missed his wife and three children, Bain decided: "I've already been here two years, another one ain't going to hurt me. Too many people are getting lowballed."

With Soto's help, Bain gathered detailed medical evidence of his injuries and went to face the board. They gave him a 70 percent rating for injuries related to the blast except for his hearing loss, which was not considered unfitting since he had a hearing aid. Oddly enough, however, the board put him on the temporary disabled retirement list instead of the permanent list. "What do they think, that after three years, my arm is going to come back to life?"

A lifetime of adjusting lies ahead for Bain. "I can't tie my shoes, open bottles of water, or cut my own food," he says. "I have to ask for help." The 35-year-old veteran has found a new sense of purpose. He's decided to run for Congress in 2008, and fixing the veterans' system is his top priority. "I do not want this s--- to happen again to anyone. No one can communicate with each other. The paper trail doesn't catch up." It's a tall order, but the soldier says that he has "100,000 fights" left in him.

A DAV national service officer at Walter Reed sums it up:

Meanwhile, people like Danny Soto want to know who is going to stop the military boards from giving out ratings like the 10 percent given to one soldier for a skull fracture and traumatic brain injury, when the VA later assigned a 100 percent rating. Soto is also frustrated by a recent case in which a soldier whose legs had been severely injured in a blast in Iraq was given only a 20 percent disability rating for pain and by the treatment of a man who has a bullet hole through his eye and suffers from seizures. As Soto sat with that soldier in front of the board, he asked why he had been placed on the temporary list. "At what point do you think he is going to fall below 30 percent?"

Soto is unsparing in his criticism of the bureaucracy. "This system," he says, " is so broke." Old soldiers say the root of the problem is an Army culture that preaches a "suck it up" attitude. "If you ask for what you are due, you are perceived to be whining or trying to pad your pocket," says a retired command sergeant major. "If you're not bleeding, you're not hurt. That's what we were taught."

We have a lot of work ahead of us, folks.


 Related Posts

Labels: , , , , , ,

Sunday, April 08, 2007

Activities and Programming for Military Kids and Their Parents

Every year, the Defense Department designates April as the Month of the Military Child, and this year is no exception. What better day than today, a day where many of us have been fortunate to spend time with family, to bring together a few resources created especially for our littlest of troopers who sacrifice so much for their country?

Here's to our most precious of patriots.

Click on 'Article Link' below tags for more...

Must-see Television Programming/DVDs
Monday, April 9, 2007, PBS plans a rebroadcast of one of their most popular programs, When Parents Are Deployed, hosted by Cuba Gooding, Jr. [pdf flyer] You may need to set your recorder, as it's scheduled to air at 10:30 pm, but it will be well worth it. An intro:



PBS has resources waiting for you online, too.

Next stop, the Sesame Workshop for a really sweet video featuring Elmo coping with his father's deployment [ view | download ]. There's also a parents' video just for you. [ view | download ]. The companion website offers lots of activities for your kids as well as a way to order your own free Talk, Listen and Connect: Helping Families During Military Deployment kit that includes the Sesame Street DVD featuring Elmo and his dad as he deploys, a poster showing how Elmo is dealing with the his absence, and a helpful magazine filled with tips for military parents.

FREE Summer Camp For Military Kids
Operation Purple summer camp registration begins March 15th and ends May 1st! Check out the 2007 camp locations and register today!

The Operation Purple Camp Experience

Many children are experiencing multiple deployments or have more than one parent or family member deployed. The stories from those who attended Operation Purple summer camps offer a glimpse of the heavy emotional and psychological burden that falls on the sons and daughters of service members. The goal of these free summer camps is to bring together youth who are experiencing some stage of a deployment and the stress that goes along with it. Operation Purple camps give kids the coping skills and support networks of peers to better handle life’s ups and downs.

This year more than 40 weeks of camps will be held at 34 locations in 26 states. The camps’ outreach programs provide the skills and positive outlets for their feelings, but it’s the camaraderie campers are able to build with one another that’s so important. Learning coping skills, making new friends, and experiencing life lessons at an early age are what make Operation Purple camps so unique.

Operation Purple Camp for Children of Wounded Service Members

As a pilot program in 2007, the Operation Purple camp program will provide additional help for kids who are going through a potentially difficult adjustment—an injury to a parent. This specialized, dedicated camp will incorporate additional mental health support into the daily camp activities—without losing the focus on fun!

Online Resources Worth an Exploration
Websites you may wish to check out, gathered by the Kitsap Sun:

What can you do to recognize and honor the military children in your life and community? I’m glad you asked. Consider checking out these Web sites for ideas. If you are an educator, www.monthofthemilitarychild.com has ideas and lesson plans to incorporate in your observance of this month in your classroom. Business leaders also can find ideas to support initiatives for military children on this Web site including sponsoring a journaling/scrapbooking event.

America Supports You (www.americasupportsyou.mil) provides ideas and opportunities to express your support for our troops and their children.

Parents, I want to recommend a few resources for you and your children, not just for this month, but throughout the year. Military Teens on the Move and MTOM for Kids is a "cool" site (www.dod.mil/mtom) full of tips to help military youth get the most out of this "life of adventure." Helping kids and teens cope with relocation, the site provides information on each military installation, communities, schools and ways to weather the pre- and post-move periods.

Kids Information on Deployment Stuff, sponsored by DeploymentLink, strives to make moving around the world or learning of a parent’s deployment destination more fun. Games and information are presented at grade level and provide military children the opportunity to learn about cultures, religions, geography, as well as health and nutrition, family life, personal safety and even kid appropriate news. Check them out at www.deploymentlink.osd.mil/kidslink.

MilitaryStudent.org is a great resource for parents, children and teens to find information and resources on quality-of-life issues such as relocation, deployment and education. There is a section dedicated to special-needs families, educators and military leaders to provide a central location for tools and resources to enhance both educational and social well-being.

I'd also add a stop over to Military Homefront.

A video for kids; Dr. C talks to Elwood and Dulci about PTSD after their fathers return from Iraq:



Special Base Events and Activities
Meanwhile, bases around the country and world have special programs set up for the kids this month. Here are a few examples, but be sure to contact your local base to see what they're offering.

From the Hilltop Times [Utah]:

Hill Air Force Base 'Month of the Military Child' Events

April 11, 18, and 25, Gerrity Memorial Library hosts Story Hour and crafts beginning at 10:30 a.m. for preschool age children. April 11 is “You Are What You Eat”, April 18 is “Child Abuse Prevention Puppet Show,” and April 25 is “Move It and Groove It”. For more information call 777-3833.

April 10 and 24, Hill Bowling Center will host Month of the Military Child events. April 10, 6 - 9:30 p.m., pay only $1 per game. April 24, 6:30 - 9 p.m., experience Thunder Alley for only $5 per bowler or rent-a-lane for $25. For more information call 777-6565.

April 13, Child Development Center hosts Race Day. It will be held in the parking lot from 2:30 -5:30 p.m. Everyone is welcome to this free event, which includes race cars and monster trucks on display that children can sit in for photos along with prize drawings, hamburgers, cookies, popcorn and beverages. There will also be a St. Judes trike-a-thon in the back parking lot by the chapel. For more information call 777-6321

April 14, Cherish Our Children 5K and One-Mile Family Events Course hosted by the Fitness Center and Family Advocacy Programs. This event Starts at 9 a.m. and is $10 to pre-register or $15 at the event. It includes T-shirt, bounce house, and prize giveaways. For more information call 777-2761.

April 16, Family Child Care Open House, 6 - 9 p.m., in Bldg. 460 (Thornton Community Center). Stop by to meet providers and learn more about becoming a home day care provider. Light refreshments and door prize drawing will be included. For more information call 777-0695.

April 18, Kid’s Deployment Day hosted by the Airmen and Family Readiness Center. The activities for children will include a tour of the deployment processing line and various aircraft, and K-9 and gas mask demonstrations. Students from Hill Field Elementary School will have designated class times to attend the event. Parents of students from other schools can call the A&FRC at 777-4681 to make reservations for the activities scheduled for after 4 p.m.

Hubbard Golf Course Free Golf - Every Saturday throughout April. Dependents ages 17 and under can enjoy complimentary golf after 1 p.m. One child can play for free per paying adult. For more information call 777-3272.

Information, Tickets & Travel is sponsoring a Month of the Military Child Coloring Contest. Children of active-duty military members can stop by ITT and pick-up a Mickey’s Coloring Sheet for a chance to win a free Lagoon Day Pass. The age categories are: 1 - 3 years, 4 - 7 years, 8 - 12 years and 13 and older. Color your picture and turn them in at ITT by April 23. One winner in each age category will be contacted by April 30. For more information call 777-3525.

Arts & Crafts Center is offering a 10 percent discount on customer framing for family and child portraits during the month of April. Individuals can show thier Members First Plus card and save an additional 10 percent off their order. For more information call 586-0567.

From Media Newswire:

The contributions of military children will be celebrated across the Defense Department as April is designated as Month of the Military Child, and the spirit of the event will be felt by military families, including members at Whiteman Air Force Base, Mo.

Officials at Whiteman AFB are conducting a mock deployment April 28, named Operation Spirit, to celebrate the month. Operation Spirit will give military children a chance to tour the flightline, process through a deployment line, see a pallet building demonstration, and watch a military working dog demonstration. The goal of the event is to educate children about the military, said Tech. Sgt. Karen Simpson, the readiness NCO at the Whiteman AFB Airman and Family Readiness Center.

Lots more resources to help military families in last years' post, too.


Related Posts

Labels: , , , ,

NYC Veteran? Two Upcoming Events for Your Calendar

Supporters of the Moving a Nation to Care project are most likely aware of my upcoming book signing (I prefer to think of it as a community gathering) taking place at the NYC-Greenwich Village Barnes & Noble on May 18, 2007 -- the day before Armed Forces Day. Paul Rieckhoff's IAVA are sponsering my stop and Paul himself has offered to introduce me if his schedule allows. What an honor! (I'm really getting excited about the tour, and have a few more stops to pass along to you in a coming post.)

Another NYC event, the 23rd Annual “Hidden Client Conference,” follows on June 18, 2007. I was recently contacted by Joe Bello, an area veterans advocate and member of the group NY Metro Vets, a YahooGroup with about 250 members. He wrote to send me an event flyer and pass along the details, which includes the news that author Trish Wood is one of the keynote speakers. Highly recommend taking the time to make the event if for nothing else but this treat. She is marvelous. Thanks, Joe!

Details:

The 24th Annual “Hidden Client Conference”
Organized by the Manhattan Vet Center
Date: Monday, June 18, 2007
Theme: “PTSD Re-Deployed: Our Continued Committment”
Place: Hunter College School of Social Work (129 East 79th Street - Lexington & 79th Street) [directions]
Time: 8 am - 9 am Registration
9 am- 4 pm Programs
Keynote Speakers: Trish Wood, author of What Was Asked of Us: An Oral History of the Iraq War and the Soldiers Who Fought It and Miklos F. Losonczy, MD, PhD, associate chief of staff for mental health and behavioral sciences at the New Jersey VA.
Workshops: Download flyer for details.
More Information: Contact Jack Maloney at (212) 742-9591.

Labels: , , , , ,

Saturday, April 07, 2007

Army Raises 2006 Desertion Figure by 1,000

From the Pasadena Weekly:

[T]he US Army has revised its count of active duty soldiers who have deserted the military, raising that figure by almost 1,000 for fiscal year 2006 alone. Until the new figures were released on March 23, it had been widely reported that the number of deserters and soldiers absent without leave, or AWOL, had been decreasing since the start of the Iraq War except for a slight uptick in the past year.

In fiscal year 2006, a total of 3,301 active-duty soldiers deserted the Army, according to Major Anne Edgecomb, an Army public affairs officer. The Army previously reported 2,343 deserters in 2006, which was a slight increase over the year before. The rate of increase was actually about 30 percent.

In 2005, the Army had reported that desertions had dropped by 17 percent, but the new numbers show they actually rose by at least 8 percent. Numbers reported for the years 2000 through 2004 were similarly flawed. “We simply made a mistake in the way we collected data on deserters,” wrote Edgecomb in an email to the paper. “Understand that we were reporting inaccurate figures not only to the public, but also to the Department of Defense. Clearly this was unintentional.”

Click on 'Article Link' below tags for more on Army crack-down...

In the interest of education, article quoted from extensively.

From the New York Times:

Army prosecutions of desertion and other unauthorized absences have risen sharply in the last four years, resulting in thousands more negative discharges and prison time for both junior soldiers and combat-tested veterans of the wars in Iraq and Afghanistan, Army records show.

The increased prosecutions are meant to serve as a deterrent to a growing number of soldiers who are ambivalent about heading — or heading back — to Iraq and may be looking for a way out, several Army lawyers said in interviews. Using courts-martial for these violations, which before 2002 were treated mostly as unpunished nuisances, is a sign that active-duty forces are being stretched to their limits, military lawyers and mental health experts said.

“They are scraping to get people to go back, and people are worn out,” said Dr. Thomas Grieger, a senior Navy psychiatrist. Though there are no current studies to show how combat stress affects desertion rates, Dr. Grieger cited several examples of soldiers absconding or refusing to return to Iraq because of psychiatric reasons brought on by wartime deployments.

At an Army base in Alaska last year, for example, “there was one guy who literally chopped off his trigger finger with an axe to prevent his deployment,” Dr. Grieger said in an interview.

Some stats:

From 2002 through 2006, the average annual rate of Army prosecutions of desertion tripled compared with the five-year period from 1997 to 2001, to roughly 6 percent of deserters, from 2 percent, Army data shows.

Between these two five-year spans — one prewar and one during wartime — prosecutions for similar crimes, like absence without leave or failing to appear for unit missions, have more than doubled, to an average of 390 per year from an average of 180 per year, Army data shows. In total, the Army since 2002 has court-martialed twice as many soldiers for desertion and other unauthorized absences as it did on average each year between 1997 and 2001. ...

Officers said the crackdown reflected an awareness by top Army and Defense Department officials that desertions, which occurred among more than 1 percent of the active-duty force in 2000 for the first time since the post-Vietnam era, were in a sustained upswing again after ebbing in 2003, the first year of the Iraq war.

At the same time, the increase highlights a cycle long known to Army researchers: as the demand for soldiers increases during a war, desertions rise and the Army tends to lower enlistment standards, recruiting more people with questionable backgrounds who are far more likely to become deserters. ... Army studies and interviews also suggest a link between the rising rate of desertions and the expanding use of moral waivers to recruit people with poor academic records and low-level criminal convictions. At least 1 in 10 deserters surveyed after returning to the Army from 2002 to mid-2004 required a waiver to enter the service, a report by the Army Research Institute found. ...

Desertions, while a chronic problem for the Army, are nowhere near as common as they were at the height of the Vietnam War. From 1968 to 1971, for instance, about 5 percent of enlisted men deserted.

Some desert out of dislike for the military lifestyle or because of family problems. For others, it's the war itself that drives them to it:

[S]ince 2003, 109 soldiers have been convicted of going AWOL or deserting war zones in Iraq or Afghanistan, usually during their scheduled two-week leaves in the United States, Army officials said.

With the Iraq war in its fifth year, a new subset of deserter is emerging, military doctors and lawyers said: accomplished soldiers who abscond reluctantly, as a result of severe emotional trauma from their battle experiences.


 Related Posts

Labels: , , , , ,

Lead Ft. Lewis Army Lawyer: Military Stacks Deck Against PTSD, TBI-injured Troops

Lots of articles, for good reason, coming out on the topic exploring the issue of troops not getting a fair shake when going through their disability claims processing; I recently was asked to contribute some background material on an upcoming piece for the Tacoma News-Tribune. This latest piece, from Military Times, also concerns troops at Washington state's Fort Lewis:

The Army disability retirement system stacks the deck against injured soldiers by forcing them to prove they have post-traumatic stress disorder, demanding physical evidence for traumatic brain injuries, and restricting access to rules and regulations they need to make their cases, said an Army lawyer who helps soldiers appeal their claims. “I think the problems are systemic,” said Steven Engle, head legal counsel for soldiers going through the disability physical evaluation system at Fort Lewis, Wash. “The rules are inequitable.”

In some cases, he said, they may even be illegal.

And the cases that are coming to define the wars in Iraq and Afghanistan — traumatic brain injury, post-traumatic stress disorder and musculoskeletal injuries — are the ones most affected by unfair or unclear rules coming from the service’s top-level Physical Disability Agency, Engle said.

Click on 'Article Link' below tags for more...

Article quoted from extensively in the interest of education.

Continuing:

The rules undeniably keep soldiers’ disability ratings low, but Engle said he could not claim that as an intentional outcome. “I have no evidence to make that allegation,” Engle said. “Locally, I know they’re good and honorable people. I’ve never met anyone from the Physical Disability Agency.”

Engle, a civilian in charge of two Army reserve JAG officers who also assist soldiers through the process, said he is speaking out about the inequities because the Army’s legal command wants to fix the problems stemming from the fact that the Army “grossly oversimplifies” Defense Department guidance on rating disabilities.

Specifically regarding PTSD, one hurdle in getting a PTSD diagnosis is the need to relive the trauma by writing the required stressor letter; understandable that it is necessary, but I have been told by VA counselors that it can be difficult for many patients to get through. Some simply have a hard time remembering all of the details, a natural byproduct of trauma. Another hurdle:

The most troublesome cases involve injuries that can’t be proven with medical evidence, Engle said. One major issue: soldiers with PTSD must prove they witnessed a traumatic event.

In its guidance for preparing psychiatric reports on soldiers going through the physical evaluation board process, the Physical Disability Agency cites various ways soldiers can prove they have had a PTSD-level “traumatic stressor”: statements from a commander or from fellow soldiers, awards with citations, statements from the soldier’s family showing behavior changes, police reports and sworn witness statements.

“Where a data source includes information based only on what the soldier has related,” the guidance states, “you should not use this data source as supportive collateral information.” That seems to contravene the Army’s own regulations. AR 635-40 states that if there is no proof against a soldier’s claim, “reasonable doubt should be resolved in favor of the soldier.”

Engle said decisions on PTSD ratings should be based on the same information as all other mental disabilities — a psychiatrist’s formal diagnosis. Putting the burden of proof for PTSD on the soldier, he said, “is grossly unfair.”

In one case, he said, a soldier watched a buddy die in Iraq and has since suffered nightmares, played the event over in his mind continuously, and remains hyper-alert to possible danger. To help prove he had PTSD, the soldier was told to contact the family of his dead friend to get documentation that the friend had died. Then, Engle said, he was told to prove he witnessed the death.

“He just couldn’t do it,” Engle said.

And what about TBI?

Soldiers with traumatic brain injuries face a similar situation: If they can’t prove with medical evidence that damage was done, they may be rated as only 10 percent disabled, well below the threshold required to earn lifetime medical retirement. “Those cases are terribly under-rated,” Engle said. “I think there’s great confusion on how to rate it. There’s an inherent skepticism built into the rules if you can’t see an injury or measure it with a tool.”

A soldier whose brain scan shows signs of trauma can be rated to the full extent of his cognitive disabilities. But one whose scan comes out clean — even if he suffers daily migraines, can’t remember what he had for lunch, and has cognitive abilities well below his pre-deployment levels — cannot be rated higher than 10 percent, Engle said. That leaves badly injured soldiers with no disability retirement and health care.

Jeannette Mayer recently took her husband, Staff Sgt. DeWayne Mayer, to the Elks Rehab Hospital in Boise, Idaho, where he was diagnosed with traumatic brain injury in February. She said the injury should have been obvious much earlier to Army physicians, and that he should have been rated for it at his physical evaluation board.

Between May and October of 2005, DeWayne Mayer suffered at least five concussive head injuries, his wife said — three from being close to roadside bomb blasts, one when his Humvee flipped, and one when American troops blew up a downed U.S. helicopter that he was guarding before he had gotten clear. “There are times when he is totally confused,” his wife said. “He doesn’t understand what you’re saying to him. If you try to get his attention, he gets violent.”

He suffers migraines, slurs his speech, shuffles his feet, and has been diagnosed with short-term memory loss. As he recuperated at Fort Lewis, she said she asked doctors again and again if it could be a traumatic brain injury. She said he was never seen by a traumatic brain disorder specialist, and that his physical evaluation board gave him three disability ratings of 10 percent each for short-term memory loss, cognitive disorder and a neck injury.

“They told me the TBI program was not for people with short-term memory loss,” she said. “That was a different diagnosis.”

The devil, they say, is in the details -- something to worry about, if you can find them at all:

In another example of seemingly conflicting rules, the psychiatrists’ guidance for mental disorders says soldiers should be evaluated based on their ability to work in a civilian setting — even though the physical evaluation board’s stated task is to determine if soldiers are still fit for their military jobs.

The guidance tells doctors to determine if a soldier has an “acceptable level of attention and concentration” to allow them to be civil with co-workers, make simple work decisions, ask simple questions and request help. “My colleagues call it the ‘Wal-Mart greeter test,’ ” Engle said. “If you could be a greeter at a discount store, you don’t qualify for more than 10 percent.”

Engle also said getting Army rules, regulations and guidance from the Physical Evaluation Board is often difficult, and that those documents are not stored in a central location. “There are a bunch of Army documents for the process: some signed, some not,” Engle said. “Some are provided to counsel, and some are not. A person has a right to know what the rules are.” A soldier will not know what evidence to produce about his case if he doesn’t know how the board is evaluating him, he said.

In March, Engle said he received an e-mail from the PEB with disability ratings guidance for musculoskeletal issues and neurological and convulsive disorders — dated 2005. Engle did not know the changes existed.

A few stats:

Data provided by the Army shows that about 80 percent of injured soldiers at Fort Lewis accept the decision of their initial, informal evaluation board, while the remaining 20 percent appeal. About half of those who decide to appeal eventually choose not to follow through after consulting with legal counsel, the Army said.

That means only 10 percent of injured soldiers entering the disability system at Fort Lewis ever go before a formal evaluation board for their conditions.



 Related Posts

Labels: , , , , , , ,

Friday, April 06, 2007

VA Report: MN Vet Did Not Warn of Suicide

From the Minneapolis-St. Paul Star Tribune:

An internal investigation by the Veterans Administration into the suicide of Marine veteran Jonathan Schulze found that the VA record is "diametrically opposed" to his family's contentions that he was denied psychiatric care just days before he killed himself.

The report [pdf], from the VA's Office of the Medical Inspector, said no evidence exists that Schulze twice told staff at the VA hospital in St. Cloud that he was suicidal. But the report, released Friday, also reveals that doctors at the VA hospital in Minneapolis, where Schulze made at least 40 medical visits, had diagnosed him with post-traumatic stress disorder in the wake of combat in Iraq.

Five mental health workers interviewed at the St. Cloud hospital told investigators that had Schulze mentioned suicide they were certain that "appropriate actions would have been taken. All staff, including the janitors, knows to take the mention of suicide very seriously." That conclusion contradicts statements by Jim and Marianne Schulze, Schulze's father and stepmother, who told VA investigators that they witnessed their son telling the nurse he was suicidal.

Click on 'Article Link' below tags for selections from the report...

Selections from the VA Inspector General's report [pdf]:

Introduction
On January 16, 2007, a veteran of the United States Marine Corps (USMC) and Operation Iraqi Freedom (OIF) committed suicide in a friend’s home. This patient had received extensive health care over the previous 20 months from the VA Medical Center (VAMC) in Minneapolis, Minnesota. He received general medical care there, primarily for infectious conditions and musculoskeletal injuries, and he was also the recipient of psychiatric care at the Minneapolis VAMC, predominantly for post-traumatic stress disorder (PTSD).

Although a patient of the Minneapolis VAMC, the patient visited the St. Cloud VAMC, 75 miles to the northwest of Minneapolis, for the first time 5 days before his death. At that time, he was accompanying his father who was a veteran patient of that facility, and who had a prescheduled January 11, 2007, doctor’s appointment. While at the St. Cloud VAMC with both his father and his stepmother, the patient started the process to be admitted to a St. Cloud VAMC elective residential treatment program. This program is a non-emergency program described by the Veterans Health Administration (VHA) as “appropriate for veterans…who require additional structure and support to address multiple and severe psychosocial deficits, including homelessness and unemployment.”

Two processes were to occur before elective residential treatment program admittance could be arranged. The first was a pre-screening evaluation in which patients spplying for the program are asked if there are legal or medical issues that would prevent program completion. The second is for prospective program participants to answer a more detailed screen administered by a nurse or social worker. These steps occurred on January 11 and 12 respectively, and the patient was advised by the screening social worker that he had been accepted for the program.

Four days later, the patient committed suicide. In the aftermath of the patient’s suicide the patient’s father and stepmother claimed that at the time of both screenings, the patient had told St. Cloud VAMC staff—an intake nurse on January 11 and the screening social worker on January 12—that he was suicidal. This declaration, if true, should have prompted a far more thorough evaluation than simply the residential treatment program admission screens that had been administered.

At the request of VA’s Secretary and members of Congress, VA’s Office of Inspector General (OIG), Office of Healthcare Inspections (OHI) performed a comprehensive inspection of the Minneapolis and St. Cloud VAMCs’ health care provided to the patient. This included the 2 days in question, as well as in the 20 months prior; OHI also examined the circumstances of the patient’s death. Both the prior VA health care and circumstances of death were critical in order to understand the patient’s mental state and actions after his January 12 screening telephone call with the St. Cloud VAMC social worker, and to reconstruct and understand what transpired on January 11–12.

Additionally, in the aftermath of the above allegations, others arose. One was that much of VA’s medical care for the patient was inadequate, the thrust of these allegations being that VA displayed an overall indifference to, and lack of understanding of, the patient’s needs, including, in particular, his PTSD. Another was that the reason the patient was not admitted emergently to the St. Cloud VAMC on January 11–12 was that a bed was unavailable. Still another appeared to be that VA should have recognized the patient’s suicidality in time to prevent it. These allegations, too, are addressed in this report.

Results
OHI found that the patient received extensive quality medical care at the Minneapolis VAMC, consisting of intensive treatment for infections as well as somewhat more routine care for orthopedic conditions. He was hospitalized on May 9, 2005, 1 month after discharge from the USMC, due to lip swelling and inflammation of his superficial abdominal wall, both caused by soft tissue infections. He required intravenous antibiotic therapy and surgical debridement and was ultimately discharged in stable condition 11 days later on May 20. He was hospitalized again from June 12–16, 2005, with abscess-like infections in his groin, buttocks region, and lower extremities, and again required intravenous antibiotic therapy and surgical intervention. The patient’s failure to fight infection well was both troubling and perplexing in an apparently healthy 25-year-old. An immune system evaluation was performed, which found no abnormalities.

During the patient’s May 9–20, 2005, Minneapolis VAMC admission, his attending physician elicited the history that the patient had been diagnosed by his family physician with PTSD. Arrangements were made for a Minneapolis VAMC evaluation. On May 13, the patient was seen by a Minneapolis VAMC social worker to whom he told that he suffered anxiety symptoms associated with combat exposure including panic attacks, nightmares, flashbacks, and hypervigilance. A more detailed evaluation was performed a week later by a Minneapolis VAMC nurse clinician and a Minneapolis VAMC psychiatrist. A PTSD treatment plan was formulated with the patient’s approval consisting of prescription medications, counseling, and group therapy. However, in the following weeks and months, these measures could not be implemented successfully because the patient frequently did not keep follow-up appointments. The patient’s mental health treatment was further complicated by the patient’s reluctance to fully disclose the extent of his problems with alcohol. Overall, we found that his medical and psychiatric treatment were often impeded by not providing a complete and accurate medical history or complying with follow-up recommendations.

In the face of missed appointments, Minneapolis VAMC caregivers called the patient, offered care after daytime work hours, and when he “no-showed,” reviewed his medical chart and assessed his risk for suicidality and homicidality. These assessments were negative. Despite the patient’s clear underlying illness, however, he was not delusional or an imminent risk to himself or others such that he could be committed under Minnesota law.

In the latter part of 2006, when legal problems related to a Driving While Intoxicated (DWI) conviction were an issue for the patient, the Minneapolis VAMC formulated a care plan. The patient was scheduled for March 2007 entry into a Minneapolis VAMC program, which is an elective, non-emergent program.

In January 2007, the patient considered other VA program options that met his needs, including pending legal requirements. On or about January 4, a friend telephoned the Minneapolis VAMC because the patient was in distress. The staff there advised to bring him to the VAMC, and a friend offered to take him, but the patient declined. On January 11, he accompanied his father and stepmother to the St. Cloud VAMC because his father had an appointment there with his own doctor. At the St. Cloud VAMC, the patient began the application process for an elective non-emergent residential program. OHI could not substantiate the allegation that the patient stated he was suicidal at the St. Cloud VAMC that day or in a telephone screening interview the next day. We did not find evidence of attempts made to seek help at a non-VA facility, or to contact other sources of help such as the police or 911 in reaction to a purported statement of suicidality. Further, OHI found that the patient did not express suicidal ideation from January 13–15. On January 16, the day he committed suicide, evidence indicates that the patient had heavy alcohol intake after a period of abstinence. Either deliberately or inadvertently, the patient fatally asphyxiated himself, and the Regional Medical Examiner ruled the patient’s death a suicide by hanging.

OHI found that this patient’s VA medical care met or exceeded community standards. The patient’s medical record contemporaneously documents care provided for PTSD. However, although extensive PTSD care was offered, it was never fully engaged in. The patient was also offered care for other disclosed mental health issues. The St. Cloud VAMC had inpatient psychiatric beds available on January 11–12, 2007, to hospitalize a patient, if acutely suicidal. The patient was not turned away from the St. Cloud VAMC due to lack of an acute psychiatry bed. He was placed on a waiting list for elective residential care, the program for which he had been screened. During his VAMC care, he was repeatedly assessed for suicidality and these evaluations were always negative.

Recommendations
OHI’s recommendations concern the screening process for the St. Cloud VAMC’s elective residential program. Because patients diagnosed with PTSD and co-morbid conditions have an elevated risk for self-destructive behaviors, we believe that screening for entry into VA mental health programs, even non-emergent elective programs such as in this case, should entail a more comprehensive and detailed assessment process. We recommended that the St. Cloud VAMC screening questionnaire be reviewed and that a multidisciplinary process be considered. As discussed in the body of this report, we found that the patient was asked to contact the St. Cloud VAMC regarding follow-up, both for evaluation and information. We believe that it would be a superior approach for a VAMC to initiate the contact with patients and provide updates as required instead of placing this onus on patients.


Related Posts

Labels: , , , ,

Study: Brain's Hippocampus Shrinks Due to Stress in Children

From VOA [listen to the report]:

Psychiatrists know post-traumatic stress disorder, or PTSD, develops in people exposed to chronic stress. Researchers have studied the brains of adults with the psychological disorder and found a region of their brains called the hippocampus to be smaller than in people without PTSD. The hippocampus is a part of the brain associated with the storage and retrieval of memories.

Dr. Victor Carrion, a psychiatrist at California's Stanford University wondered if the same phenomenon occurred in children, and if exposure to severe stress caused their hippocampi to shrink.

Click on 'Article Link' below tags for much more...

Continuing:

Carrion and his colleagues evaluated 15 pre-adolescent children with symptoms of PTSD, including nightmares and uncontrollable flashbacks, extreme agitation and emotional numbness. They assessed the children's behavior at the beginning of the study and again after 12 to 18 months. They also measured blood levels of the stress hormone cortisol and took images of their brains.

They found that kids with more severe PTSD symptoms had more cortisol in their blood and their hippocampi decreased in volume. "What that means is that the higher your symptoms of PTSD, or the higher your level of cortisol, the higher your chances of having a decrease in the size of this structure," Carrion notes, adding that this was the first time researchers have really seen that connection, indicating how cortisol might be related to the hippocampus.

Carrion says he was surprised at how quickly the changes occurred, even though the children were not experiencing trauma during the time of the study. "This is a trauma that they experienced in the past," he explains, "so we're seeing the consequences of the trauma having an effect on the individual, not only the trauma."

Carrion says knowing about the physiologic changes in the hippocampus might help researchers understand why PTSD becomes a chronic condition and develop better treatments to help children. His study appears in the journal Pediatrics.

While the study was done on children, it most likely has bearing on adults as well. It also may the first step to clearing up one debate in the field. Jake Young at Pure Pedantry explains:

There was a debate in the post-traumatic stress disorder (PTSD) for some time about whether the shrinkage observed in the hippocampus -- a structure involved in learning and memory -- was the result of the stress or was a vulnerability factor for the disease.

We know that high levels of cortisol -- a stress hormone -- can kill neurons. So you could argue that the stress and stress hormones that cause PTSD could also result in the reduction in hippocampal volume. This is the so-called neurotoxicity hypothesis.

On the other hand, individuals who get PTSD could have some underlying genetic or structural susceptibility, one characteristic of which could be an already smaller hippocampus. This is the so-called vulnerability hypothesis.

He goes on to say that the Stanford study "adds credibility to the neurotoxicity hypothesis."


 Related Posts

Labels: , , , , ,

Thursday, April 05, 2007

Editorial: Pushing Quick Retirement for PTSD/TBI-injured Troops is Wrong

From the Yakima [WA] Herald-Republic:

It's rapidly becoming a national disgrace.

Our men and women in uniform are ordered into harm's way in far-flung places like Iraq and Afghanistan. Then they're tossed aside to battle with a hidebound bureaucracy when they return home in need of what should be the best medical care on earth.

Well, no more.

We've published one horror story too many about shabby treatment of our returning veterans since this war with no end in sight began more than four years ago. From rat-infested quarters at Walter Reed Hospital in the nation's capital to an overwhelmed military medical care system elsewhere, our veterans are being shortchanged by a systemic failure. They deserve the best care this nation can provide and for as long as it is needed.

Click on 'Article Link' below tags for more...

Continuing:

Last week, this newspaper carried a story on the appearance before a congressional committee by Denise Mettie of Selah. She told a story of incredible insensitivity on the part of Army officials in dealing with her wounded son, Spc. Evan Mettie of Selah. She said the Army knew her son had post-traumatic stress disorder after his first tour of duty in Iraq but did nothing to treat it because if he was medicated, the Army wouldn't have been able to redeploy him.

As it turned out, when Evan Mettie returned for his second tour of duty, the 23-year-old 2002 Selah High School graduate suffered serious head wounds during a New Year's Day 2006 suicide car-bombing in Baji, Iraq. Subsequently, Denise Mettie said she signed away her son's health-care options without realizing it, agreeing to a medical retirement for her son. She told committee members that it was unfair for the Army to begin the retirement process just 17 days after Evan's injury -- especially since retirement limits health-care options.

We find it incredible the Army would so quickly push "retirement" for someone suffering severe brain injuries. It might be expedient, but it's certainly not in the interests of proper care. And sure enough, there have since been complications with his condition.

We totally agree with U.S. Sen. Patty Murray, who told Mettie that "our country owes you and your son an apology. Your son fought a war for our country. You shouldn't have had to fight every day to get him the care he deserves."

For the incessant talk of 'support the troops' that we've heard over and over and over again all of these years, you'd think that editorial boards and senators would have only the most glowly things to report on how our troops are faring after they return from the battlefield. Yet, here we are.


 Related Posts

Labels: , , , , , ,

Wednesday, April 04, 2007

What Can We Do? Make an Effort to Reach Out to Local Veterans Organizations

It's been a busy week over here, a lot of things to pass along.

I'd like to begin with a recap of a local veterans' group meeting that I was invited to attend Tuesday night. All of the details, more pictures and some resources and links in extended. But, first let me begin by sharing a photo: my first 'picture with the author' request (that's VietNow member Bruce Jacobsen below holding my upcoming book). What a thrill!



Click on 'Article Link' below tags for more...

Much of my writing and research concerns the plight of our newest returning veterans from Iraq and Afghanistan. Since I set up the PTSD Timeline with a focus on OEF/OIF veterans, that's one simple explanation for the neglect of all the others; the greater reason, however, is that the issue of war, its vets, and its after effects is so broad and deep that any one person, especially a novice like myself, could very easily get lost in the gulf of problems and overwhelmed by the issues that have needed tending to for decades. Those in the fight a lot longer and stronger already had that area covered. But, even they need fresh faces and renewed energy in the form of new members and supporters. And as I learned this past week, you don't have to be a Vietnam vet to be a part of VietNow.

VietNow is family-focused. Their aim is on grassroots, personal and direct support of veterans and military family members in local communities. In mine, for example, the Rockford Charter Chapter participates in Adopt-a-Road, Special Olympics, Kids to Camp, Christmas for Vets, Rockford Rescue Mission, Salvation Army programs and many more. They play a role in local StandDowns that aim to reach out and provide services for homeless vets in the area. VietNow members also encourage and support their friends doing vital work at the Rockford Vet Center and are involved in running a shuttle van service from the area to the Madison VA Hospital -- a virtual lifeline for vets who might not have any other way to get to the nearest VAMC for care. The group has not been free of some bumps in the road, but they are clearly moving forward and helping many in this community if those in attendance were any indication.

Another example of VietNow's mission to care for all vets -- no matter if they made it home from the battlefield or not -- is in its loyalty to those still missing in action. They have made it a mission to "strive to achieve the most accurate and full accounting of the heroic Americans still listed as POW/MIA." One of those still listed as missing is Alan Lee Boyer, a 22-year old Green Beret from Illinois MIA since 1968 while on a reconnaisance mission in Laos.

Alan's unit came under enemy fire and a helicopter rescue was attempted, which led to the rescue of seven South Vietnamese before the rope was shot away. Three Americans were stranded, Boyer among them. At last sighting, they were alive and unhurt, but when the Huey came back two days later they had vanished, and are still classified as MIA. Boyer is honored by Rockford's VietNow National Headquarters by their naming their clubhouse after him; his mother is still very active in the chapter.

And if the Vietnam veteran you're seeking to locate made it home, but you're simply unable to locate them, VietNow also offers a veteran locator forum to assist you in your search.

Here's a little history on the organization, from their brochure:

The Beginning of VietNow

VietNow was founded in Rockford, Illinois, in 1980, with a few meetings now and then just to talk. Vietnam veterans were not welcomed into other veterans' organizations for several years since Vietnam was termed as a 'conflict' and not a war. There was little or no public support for them, so it was only natural to turn to each other for mutual support and camaraderie. As more veterans heard of these informal meetings, our ranks swelled, and a grassroots support organization formed.

Coming Together at the Wall

Then, in 1982, at the dedication of The Wall in Washington, D.C., Vietnam veterans from across the nation gathered there to remember, to weep, and ultimately, to heal. Many vets saw our trademark tan hats with the VietNow logo (which stand for 'Vietnam to Now'), and wanted to share in the 'Belonging, Pride, and Acceptance' and 'Veterans Helping Veterans.' In 1983, VietNow became a national organization, and we now have chapters across the country. The National Headquarters remains in Rockford. Learn more >>>

It was at the headquarters, during a general membership meeting on officer election night, where I had the opportunity to meet Bruce Jacobsen, as well as President John Bates, Vice-President Dave Scott, Secretary Dwayne Barton, and Treasurer Darrell Gilgan (pictured above) and many other members, including combat photographer Joe Whinnery (pictured below). Bruce honored me by introducing me and my upcoming book, Moving a Nation to Care. In fact, Bruce submitted a short review of the book in the March chapter newsletter. Here's a snippet:

Shattered Bodies and Minds

The nation's attention has finally been turned toward the reality of war and the burden that veterans carry following the battles. Battle injuries in the Global War on Terror have been awarded over 30,000 Purple Hearts, and it is estimated that 150,000 have received concussive head injuries. Newsweek quotes Linda Bilmes as saying that 700,000 GWOT veterans will flood the system in the coming years. On the news is the flap and repercussions of the condition of Bldg 18 at the Walter Reed complex. Newsweek in its March 5, 2007 issue brings reality to the public's attention.

None of this might have happened without the outspoken hard work done by Ilona Meagher, who credits the efforts of VietNow in her book. She has, by research, collected factual historical information and compiled it into a text that should be read by all, especially by the bean counting bureaucrats, before they launch the nation into war. It isn't an easy read, as it tackles the raw hard reality faced by veterans, old and new alike.

The VietNow website has a solid collection of articles on PTSD that I had read over during my research for Moving a Nation to Care. I would highly recommend them.

So, while this blog and my work is targeted towards today's returning troops, our former vets are never far from my mind and their concerns are no less deserving of our attention or care than those of our Iraq and Afghanistan veterans. In fact, some of the greatest support and real boots-on-the-ground help that I've received has come out of the Vietnam veteran set. These guys (and gals) have learned lessons the hard way and have a lot to offer the latest generation. Let's support them, so that they may support their newest combat brothers and sisters as they return home.

There are a lot of different veterans organization out there. Although the two groups that I have worked closest with include Iraq and Afghanistan Veterans of America (IAVA) and Veterans for America (VFA), it's also worth taking time to reach out to smaller or more local groups in your area to see what they're doing and ask how you might be able to help them in their work.

Have you taken a look at what groups exist in your neighborhood?

Labels: , , , ,

Monday, April 02, 2007

When Time Isn't on Your Side: The Veterans' Medical Disability Claim System Backlog

From Government Health IT:

In addition to coping — until recently — with mold and unsanitary conditions at the Walter Reed Army Medical Center, some injured soldiers face financial problems because the Department of Veterans Affairs struggles to approve disability claims in a timely manner.

The problem is not new, but lawmakers are paying more attention to the backlog of claims at the VA as warfighters return from Iraq and Afghanistan. The VA’s inability to process disability claims quickly has caused veterans to wait for as long as two years before they receive funds to pay for their living expenses and other financial needs.

Last year, the VA received 800,000 applications from recently returned soldiers and longtime veterans. Those applications are in addition to the existing backlog of 378,000 veterans’ claims that can’t be processed without additional information. “While VA made progress in fiscal years 2002 and 2003 reducing the size and age of its pending claims inventory, it has lost ground since then,” said Daniel Bertoni, acting director of education, workforce and income security issues at the Government Accountability Office. The VA has difficulty obtaining the military service records it needs for deciding claims, Bertoni said.

Click on 'Article Link' below tags for more...

In the interest of education, article quoted from extensively:

Continuing:

Despite those challenges, the VA said it resolved or provided adjustments for 2 million claims last year and took steps to improve claims processing. Under the best circumstances, a claim takes four months to complete — to obtain military and private records, schedule medical exams, receive results and evaluate evidence, said Ronald Aument, the VA’s deputy undersecretary for benefits. Appeals can take two years, he added. ...

The VA and the Defense Department have taken steps to fix some of the problems in processing disability claims. To speed service delivery, the VA set up Benefits Delivery at Discharge, a trial project begun last year to collect electronic versions of service members’ disability claim applications, service medical records and other evidence before service members leave the military. The disability claims forms ask for information about disabling injuries and the connection between military service and the injury.

DOD is sharing service members’ demographic data with the VA through a direct feed to the VA-DOD Identity Repository, said Robert Reynolds, executive management officer for policy and programs at the Veterans Benefits Administration. The data includes the member’s name, service locations, date of discharge and the combat data necessary for all VA benefit claims. “Our objective is that we will have the DD form 214 [DOD discharge] data in computable format,” Reynolds said.

DOD is creating a module in its Joint Patient Tracking Application for the VA so that it can track severely injured returning service members, Reynolds said. That veteran tracking application will give VA case managers the medical history they need before they can process benefit claims. Last month, VA Secretary Jim Nicholson ordered priority processing of disability claims for all injured veterans on active duty and serving in National Guard and Reserve units who are returning from Afghanistan and Iraq.

Meanwhile:

A bill containing provisions that would transform the disability claims process passed the House last week. The Wounded Warriors Assistance Act of 2007 would require the Defense Department and Department of Veterans Affairs to administer a standard separation and evaluation physical that VA officials could use in establishing disability ratings.

The bill would also require the VA and DOD to establish a capability for electronically exchanging medical data. And it would require the VA to use an electronic version of DOD’s DD-214 form, which certifies a person’s discharge from active duty.

In addition, the bill would require a written transition plan for service members, the co-location of VA benefit teams at military treatment facilities and the transmission of records to the VA before a service member’s service ends.

While the rest of us are upgrading our computer systems and hardware at a regular basis, the government is far behind in the technology game -- a lethal move in private sector businesses:

The Defense Department has spent the past three years fielding a modern electronic health records system, the Armed Forces Health Longitudinal Technology Application. But DOD’s ability to process disability claims has lagged far behind.

The Army’s Physical Disability Case Processing System (PDCAPS), for example, can’t keep up with the flood of returning injured soldiers from Iraq and Afghanistan. The Army’s primary disability review boards — one for physical evaluations and the other for medical evaluations — have handled more than 11,000 and 15,000 cases, respectively, each year for the past two years. The boards did so relying on 1980s database technology.

Those were among the 41 findings and observations made by the Army’s inspector general in a recent report detailing shortcomings in the service’s ability to process disability claims. The problems surfaced during revelations about the neglect of injured soldiers at the Walter Reed Army Medical Center. The Army secretary requested the IG audit in April 2006.

The audit revealed policy incongruities between DOD instructions and Army regulations and inadequate training of service members who use the Army Physical Disability Evaluation System (APDES) to manage personnel. “These issues, coupled with the increase in the number of soldiers entering APDES, diminish the ability of the evaluation system to meet the needs of soldiers and…the Army,” the IG wrote. ...

The IG’s audit report recommended that the Army Physical Disability Agency and the Army’s chief information officer develop a modern database application to replace PDCAPS and share data with the Medical Board Internal Tracking Tool and other newer disability applications.

The report said the problems that frustrated soldiers at Walter Reed were partially the fault of a 1985 Clipper database, which is part of PDCAPS. Technicians upload PDCAPS data daily to a primary database in Washington, D.C., which means the system does not operate in real time, the IG’s report said. The Army did not respond to questions about a schedule for deploying a new database.

Ryan Rosenberg, marketing vice president at FileMaker, a database company, said it makes no sense for any organization to use a system based on 1980s technology.

The Senate has provided $36.1 million, and the House $35 million, for improving the VA's IT systems and digitizing records. For more information on these IT problems, read the full IG Report on the Army's Physical Disability Evaluation System [pdf].


 Related Posts

Labels: , , , , , ,

Sunday, April 01, 2007

Pentagon Shuts Us Down


Well, I'm typing feverishly here, trying to get the final post in before the Pentagon pulls the plug on us. I tried, folks. Tried covering the issue of combat PTSD with some care and balance, but I guess it just wasn't enough.

Sure, I was uneasy when I saw PTSD Combat's StatCounter registered a visit by the Pentagon on Thursday, but I didn't think it would come to this. I was uneasy, but I wasn't worried. Well, I just got my notice in my email box. They're shutting it down. It's been an honor bringing you this important news. If they shut us down before I finish this post, just know th

April Fool's!


(...at least I hope :o)

Labels: , ,

Archives
2009: Jan Feb Mar Apr May Jun Jul Oct Nov
2008: Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec
2007: Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec
2006: Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec
2005: Sept Oct Nov Dec


Home | About | Contact | Sitemap


I Want You to Care About PTSD

Subscribe to PTSD Combat...
Your email address:
 
Delivered once daily by FeedBurner

Get Our News Feed (what?)

In a hurry?
Use the top left Blogger Search Bar.

Author Bio
Tour/Events
News
Reviews
Excerpt
Order
Info Sheet
Media Kit
Presentations

Ilona Meagher's Facebook profile

"Action is good for the soul
and the goal."

Ilona Meagher is an independent Illinois-based online writer, new media developer and author of Moving a Nation to Care: Post-Traumatic Stress Disorder and America's Returning Troops.

After reading of a soldier's lost battle with combat stress/PTSD in 2005, she decided to pursue the then under-reported topic.

It would change her life.


 Public Profile








Find Elected Officials
Enter ZIP Code:

or Search by State

See Issues & Action
Select An Issue Area:


Contact The Media
Enter ZIP Code:

or Search by State


Creative Therapy

Legislation News

Veterans Affairs

Department of Defense

Politics of PTSD

Legal Action

Science Advances

Body, Mind, Spirit

Poetic Wisdom

Supporting Family

Caregiver Issues

Fighting Stigma

Engaging Society

The Best Medicine

Women Warriors

Latest PTSD Google News

(No headlines? Enable javascript.)

McClatchy Veterans News

Wounded Times

Healing Combat Trauma

VA Watchdog


The information presented on this web site is based on news reports, medical and government documents, and personal analysis. It does NOT represent therapeutic prescription or recommendation. For specific information and advice, consult your health care provider.

Comments at PTSD Combat do not necessarily represent the editor's views. Illegal or inappropriate material will be removed when brought to our attention. The existence of such does not reflect an endorsement by PTSD Combat.

This site contains at times large portions of copyrighted material not specifically authorized by the copyright owner. This material is used for educational purposes, to forward understanding of issues that concern veterans and military families. In accordance with U.S. Copyright Law Title 17 U.S.C. Section 107, the material on this site is distributed without profit. More information.

Locations of visitors to this page

Add to Technorati Favorites