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Saturday, December 22, 2007

From the Home Front: Missing You This Christmas

Keeping our troops, military families and veterans in my heart and thoughts during this holiday season, and yearning 2008 will bring us closer to realizing peace on earth and good will towards all.

"Christmas Without You" by Beth I. Cohen:



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

"If I Could Make it Snow for Christmas" by Mark J. Thomas:



"You're Not Alone This Christmas" by Peter Keenan & Kenyon Walker:




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Wednesday, December 19, 2007

WWII, Korean, Vietnam, Desert Storm and OEF/OIF Vets Chime in on Combat Experience

An interesting look at the experiences of war veterans over the decades ran earlier this month and is still well worth a reading. From the Kansas City Star:

Q. Did you have any problems readjusting after you returned from war?

Joseph L. Dickerson (Korean War): I was in several pretty strong firefights, and I was wounded — shrapnel from mortar fire at night in left chest. It’s still there, close, by my heart. They see it every time they take an X-ray. I had a hard time adjusting because I saw a whole lot of dead bodies in the short time I was there. And blood. Head blown off, arm blown off.

When I got discharged I never did talk too much to anyone about it. I kept it to myself. But I knew something was wrong, because I had problems holding jobs. I think I was 21 when I got out. Battle fatigue, that’s what they called it then. I had dreams, and you become touchy sometimes.

I went in at 17, and I used to be a happy-go-lucky guy. When I got out I was a little different. I wouldn’t go to work as I was supposed to. I couldn’t take orders till after about three or four years. And dreams. I still have the dreams. I sleep with a weapon. I always have slept with a weapon after I came out of the service. You just feel safer.

Maj. Jason “Tank” Sherman (Iraq and Afghanistan): I came back, still in the reserves, and didn’t really go through anything. I didn’t see what some other people have seen.

Gary Shepard (Vietnam War): I’m still not adjusted. I mostly stay with my friends. I’m still not comfortable in restaurants, and my kids still know they don’t let me get my back to the wall, and they watch out for me. I try not to let that bother me so much anymore, but sometimes it does. I still go to sleep with a loaded pistol most of the time.

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

In the interest of education, article quoted from extensively.

Continuing:

Ernest Torok (Vietnam War): Coming back from Vietnam I just moved on to my next military assignment. When you stay in the military, amongst your comrades, you all understand each other, and it’s not as much of a problem. But when you go from military back to civilian, that’s a heck of a big adjustment. But personally I don’t feel that I suffered.

Patrick Ratterman (Desert Storm): I had horrible problems readjusting. I had held the same job for eight years (working with delinquent kids) when I was deployed. When I came back I got my old job back, but probably within a few months I was let go. It turns out I was struggling with post-traumatic stress disorder. Over the last 15 years I’ve had 17 different jobs. There were a lot of physical problems that are related to Gulf War illness — fibromyalgia, chronic fatigue. We apparently got into some depleted uranium or sarin gas, nobody really knows. So I would say I had numerous problems on my return.

Andrea Whitworth (Afghanistan): It’s hard to explain, but you feel a null and void of that year. It’s gone. You’ve been away from friends and family. It’s almost like you don’t know them anymore, and you have to adjust to that. I felt a sense of (being) lost. That’s all I had known for the past year. Not only had I changed since I left, but everybody around me had changed as well. It was the “what-do-I–do-from-here, and where-do-I-go-from-here” type of feeling, and a sense of fear to a certain point. I’ve readjusted now.

Roy Shenkel (World War II): I had a lot of trouble. I was frightened. I couldn’t be around people or be in a restaurant. And as stupid as I was I carried a .25-caliber handgun in my pocket for about a month after I got home. I wasn’t thinking right. One day I said to myself: “What am I doing with this thing?” I just felt like I didn’t want to be challenged anymore or pushed around. I don’t know. But it was stupid. I got rid of it. But it took me two years to get straightened out. I’m still not completely over it, but I’m doing great now. But we all should have been deprogrammed. They just turned us loose, and we did the best we could.

Read the rest to hear reflections on how they were treated when they got home, and what advice they have for today's troops.

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Tuesday, December 18, 2007

Free Downloadable Suicide Prevention Book

There's been a lot of news about veterans' suicide of late, and I wanted to share a free resource with you today. It's a book called Suicide, the Forever Decision: For Those Thinking About Suicide and For Those Who Know, Love and Counsel Them, by Paul Quinnett, Ph.D. Meet Quinnett in this November report from KXLY4 [Spokane, Washington/Northern Idaho]:



Click on 'Article Link' below tags for the book's introduction...

From Suicide, the Forever Decision:

INTRODUCTION

Dear Reader,

I don't know who you are or why you are reading these words. I only know that you have picked up this book and, for the moment, you are reading it. It is my hope that if you need this book, you will continue to read it.

As an author, it would help me a great deal if I knew more about you. But I don't and, unless we meet sometime someplace, we can never know one another. So we are stuck right here in the beginning. We are strangers and that is the way things will be between us. But this should not stop us. At least it will not stop me.

I am going to write this book directly to you, as if you were sitting with me in my office. My office is a warm room. It is quiet and private. We have comfortable chairs and the phone doesn't ring. No one will disturb us in my office. It is the office in which I do what psychologists often do-listen to people, talk with them, and try to help them with life's problems.

At the outset I must assume a couple of things about you. And while it is dangerous to make assumptions about people, because of our relationship, I will have to do it. I will assume that because you are reading this book, you have thought about taking your own life, or that you have already attempted to do so. Either way, I will assume you are greatly troubled and that you have considered ending your life.

Assuming this to be true, I am going to talk to you about the pain of living and the consequences of dying, so far as I know about them. I am going to talk to you about suicide. And because your life is at stake, I am not going to fool around. I am not going to kid you. I am not going to mince words.

Rather, I intend to be just as honest and straightforward as I know how to be. And because I have known many people who have wanted to kill themselves and too many who have, I have some idea of what kind of mood you are in at the moment. I know you may not be up to reading a book. But maybe you could read this one. I will keep it short.

One of the reasons I have written this book is that suicide is an unpleasant topic. People do not like to talk about it. They do not like to hear that another human being is so troubled that he or she is considering self-destruction. But this silence is not good for us. It is not good for the troubled person and it is not good for those of us who may wish to avoid the fact that someone we know is so desperate and so alone that ending his or her life seems the only solution. It is time we talked, and talked candidly.

Some people may argue that a book of this kind should not be written and that, somehow, talking plainly about suicide will increase the chances that a reader may die by suicide. I do not believe this is true, and several research studies support my opinion. Rather, it is my feeling that the more we learn about dying, the more we learn about living. And, when we have learned more about both, maybe we are better able to fully live all of the life we have left to us.

Another reason I have written this book is that many people kill themselves without ever knowing that help was just phone call away. You wonder, in this modern age, how this can be. But it is true. So maybe this book will find its way into the hands of someone who never knew help was there and where to find it. Maybe this book will give someone that little bit of courage they need to ask for that help, or to hold on for another day or another week or until their life changes for the better and the thoughts of suicide begin to fade.

Just one more note.

I do not have any magic answers or quick solutions to life's problems. I don't think anyone does. So I won't offer you any easy ways of living or simple solutions to the pain and suffering that seem to be a part of all our lives. But because this book is about suicide and nothing less than your life is at stake, I won't apologize for what I have to say to you that you may not like. For all I know, this book may be the last thing you ever read.

Paul Quinnett

Please download the book (online viewing and a French translation also available at that link), and if you are in need of immediate help, please contact one of the numbers listed below:

Veteran-to-Veteran Peer Counseling
1-877-VET2VET

Nat'l Veterans Foundation Help Line
1-888-777-4443 (M-F 9-9 Pacific)
Email help also available from NVF

Suicide Hotlines
1-888-649-1366
1-800-SUICIDE
1-800-784-2433

Suicide Help Online
http://www.hopeline.com
http://www.spanusa.org


More PTSD resources (in right hand column).


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Friday, December 14, 2007

Arguments Heard Today in Government's Motion to Dismiss VA Class Action Lawsuit Case

Latest updates on this and related VA/Army lawsuits posted in "As Second Legal Attempt Fails to Force VA Hand on Disability Claims Processing, Army Sued Over Discharged Veteran PTSD Disability Ratings." -- Ilona Meagher, 12/17/08

From San Francisco's KGO Channel 7 [ABC]:

A legal battle affecting some 600,000 veterans, many with post traumatic stress disorder came to a San Francisco courtroom today. The federal government is trying to dismiss a lawsuit filed over a tremendous backlog for treatment.

The lawsuit filed by veterans groups in July asks the federal court to intervene to require the Veterans Administration to change its procedures so it can handle disability claims in a fair and timely manner.

Today, a judge heard arguments on the government's motion to dismiss the lawsuit, claiming that the federal courts have no jurisdiction in this case -- that only Congress does.

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

In the interest of education, article quoted from extensively.

Continuing:

Attorneys for the veterans groups say there's a 600,000 case backlog of disability claims from those who served in Iraq, Afghanistan and even Vietnam.

"The whole system is completely broken down. There just is no justice for our veterans," said Veterans with Disabilities attorney Gordon Erspamer.

The lawsuit claims that aside from the huge backlog, the delays are caused by restrictions on veterans' due process rights and an unfair appeals process.

They want people to give up. That's what they want to do because its so difficult, it takes so much time and its so frustrating. ... Judge Samuel Conti said he'll rule later, probably next month whether to dismiss the case or allow it to go to trial.

Attorneys for the VA refused to comment outside the courtroom. But in July when the suit was filed, the VA told ABC7 in a written statement that "veterans have access to widely recognized quality health care, and the VA gives priority handling to their monetary disability claims."


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Senate Confirms James Peake to Head VA

First up, from the Kaiser Daily Health Policy Report:

The Senate Veterans' Affairs Committee on Thursday voted 15-0 to approve retired Army Lt. Gen. James Peake, President Bush's nominee for Department of Veterans Affairs secretary, CQ Today reports. [The full Senate voted today to confirm Peake].

Peake on Thursday answered several post-hearing questions from committee members. In response to a question by Sen. Richard Burr (R-N.C.) about what he wanted to achieve during his term, Peake said he will focus on improving treatment for veterans with mental health issues, adding, "The issue of (post-traumatic stress disorder) is an important one, as is the issue of (traumatic brain injury). We must get the best of science to help us with the way we deal with our veterans."

Peake also said he would consider automatic acceptance of claims for PTSD by veterans with records that prove symptoms of the disorder. In addition, he said he would launch a probe into a claim by committee Chair Daniel Akaka (D-Hawaii) that fewer than 50% of Iraq and Afghanistan veterans who have been diagnosed with PTSD receive VA disability benefits.

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

From the Associated Press:

The Senate confirmed James Peake, a former Army Surgeon General, as Veterans Affairs secretary Friday.

Retired Lt. Gen. Peake, 63, the son of a medical services officer and Army nurse, has spent 40 years in military medicine. He retired from the Army in 2004 after being lead commander in several medical posts, including four years as Army Surgeon General. ...

Widely supported by both Democrats and Republicans, Peake has promised lawmakers that he would be an independent advocate for veterans and get needed funding for their care. The Senate Veterans Affairs Committee endorsed his nomination unanimously this week. The Senate confirmed Peake by unanimous consent. ...

The favorable vote came after Peake assured lawmakers that he would learn from past VA mistakes by placing more medical staff at VA clinics and budgeting better to meet the agency's needs. He also promised to find other ways to retain senior VA officials than awarding lucrative performance bonuses each year regardless of merit.

From the Air Force Times:

Sen. Daniel Akaka, D-Hawaii, the committee chairman, said the only serious questions about Peake, a former Army surgeon general who spent 39 years on active duty, involved his post-service employment by a company that held contracts to provide medical examinations and other services to VA.

“His answers were very good,” Akaka said. “I am completely satisfied.”

Peake promised to break all ties to QTC Management, where he had worked as chief medical officer and chief executive officer, and to also recuse himself from any VA issues that might involve the company.

At his Dec. 5 confirmation hearing, Peake said he had been with the company for less than a year. He also pledged to do whatever Congress felt was necessary to avoid a conflict of interest or the perception of one.

Peake said he would have “no ongoing financial interests” with the company, including no deferred compensation or any bonuses. And he also pledged he would not return to the company after serving as VA secretary if confirmed.

“I want no perception of any favoritism,” he said.

Sen. Patty Murray, D-Wash., a veterans’ committee member who had been on the fence about Peake’s nomination, said there have been many complaints involving QTC.

“We have providers with poor English skills, evaluations that don’t focus on the problems that have been identified, absence of VA medical records, QTC billing for more time than the provider spends with the veterans,” she said.

“I believe General Peake’s heart is in the right place, but this job will take more than just promises,” Murray said. “He needs to work every day to overcome the bureaucratic ineptitude, backlog of claims, wait times, and other challenges that our veterans face every day.”

In the end, Murray voted to approve Peake’s nomination but said she would be watching closely as he leads VA.

President Bush's response to Peake's Senate confirmation:

I am pleased that the Senate unanimously confirmed Dr. James Peake to serve as Secretary of Veterans Affairs. Dr. Peake is a decorated veteran, highly-skilled physician, and proven leader who has devoted his career to serving America's men and women in uniform. His decades of expertise in combat medicine and health care management have provided him with a thorough understanding of the Department's responsibility to care for America's veterans.

One of his first tasks as Secretary will be to ensure that my Administration continues to swiftly implement the recommendations of the Dole-Shalala Commission on Wounded Warriors. I am confident that he will build upon our record of improving care, reducing bureaucracy, and ensuring that our veterans receive the benefits they deserve.


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House, Senate Pass Defense Bill Nationalizing Minnesota's 'Beyond the Yellow Ribbon' Reintegration Program

This week was a good one on Capitol Hill for returning veterans and their families. The House passed its version of the Defense Policy bill on Wednesday and the Senate followed today. Each contains a provision to nationalize Minnesota National Guard's Beyond the Yellow Ribbon reintegration program (see related links below for more on the state's efforts over the past two years).

The program encompasses the full military cycle from deployment to return home, rallying the resources of the National Guard and Reserve units, state and local governments, and community service providers to deliver mandatory reintegration programs for both soldiers and family members. They also offer support services to help husbands, wives and children through the process of readjustment.

From the MSP Star Tribune:

Minnesota's program, created by the Guard's Maj. Gen. Larry Shellito in 2005, has been heralded for keeping tabs on at-risk vets in the months after they return from combat zones, when war-related emotional disorders could start to surface. It includes workshops at the 30-, 60- and 90-day marks that focus on marriage and parenting, substance and gambling abuse and anger management.

U.S. Rep. John Kline, a Republican, said the whole country could benefit from such a program. Kline authored the amendment on the House version of the bill, which every Minnesota representative cosponsored. Minnesota Sens. Amy Klobuchar, a Democrat, and Norm Coleman, a Republican, cosponsored the Senate version.

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

In the interest of education, article quoted from extensively.

Continued:

Until granted a waiver, the Minnesota National Guard technically violated a Department of Defense rule exempting National Guard troops from mandatory activity within 60 days of returning from combat, which was intended to give them well-deserved time off.

"The problem was that in those months when they came back they started running into problems," Kline said. "Sometimes they didn't have a job waiting for them, sometimes there were marital difficulties. ... We needed a waiver so we can bring these soldiers back every 30, 60 and 90 days, basically just to see how they're doing."

Kline's amendment would repeal the 60-day provision for all state guard organizations and would allocate funds to pay soldiers for the time they spend in the sessions. It would also provide $23 million to administer the programs, and to analyze effectiveness of programs across the country. Shellito said the most beneficial element of the program is that it reunites troops who truly understand what their colleagues are going through.

"They're just so happy to see each other," Shellito said. "But once they start talking, they realize some of the things they're feeling, all their buddies are feeling the same thing."

Before Beyond the Yellow Ribbon, Kline said there wasn't much of a program in place. At the end of their deployment, Guards members would fly into Fort McCoy in Wisconsin for a few days' worth of briefing on information such as which veterans benefits they would qualify for.

"Frankly, let's be blunt about this, the soldiers are typically not paying a lot of attention," Kline said. "They've been gone for a long time, they're nodding heads and checking boxes and signing papers and can't wait to get back to their families."

The psychological and emotional problems soldiers often face after returning home often don't surface until weeks or months later. Initially, there was some grumbling from soldiers who didn't think they should have to go through the training because they didn't think they needed it, Shellito said.

"By the time they got back home, Mom and Dad, the wife and kids or the husband and kids said, 'No, we're going. And if not for you then for us,'" he said. "The satisfaction rate once they go through it is extremely high."

"As a nation, we have an obligation to wrap our arms around those who serve and sacrifice for us," Klobuchar said. "What works in Minnesota can work in other states."

More from the Examiner:

The state program reassembles units at 30, 60 and 90 days after their return so the Guard can get a sense of how its members are doing and provide them with assistance.

"It's in the 90-day period that problems arise," Kline said in a telephone interview Tuesday. Soldiers might not know where to turn if they run into problems with their families, jobs or other aspects of their lives, he said.

"After you've gone home, now is the time to come back and find out what's available to you," he said. "Most importantly, it's an opportunity for leadership to talk to a soldier and find out how it's going."

Although soldiers are allowed to come back now, Kline said that without the mandatory sessions, many don't know where they can turn for services.

"Or they may be worried about the perception they're not tough enough," he said. "We don't want that. We want to make this is as easy as possible." Kline said he wasn't worried about any objections about the mandatory meetings. "These men and women are members of the armed forces," he said. "And responding to orders is not unconstitutional, or unusual. And when they come back they will be paid."

The cost of the legislation is estimated at $123 million a year. Adjutant General Larry Shellito, head of the Minnesota National Guard, said he was excited that the legislation is moving forward.

"It's going to have a significant impact," he said.

This past week, Minnesota Public Radio Midday show hosted Maj. John Morris, Chaplain of the Minnesota National Guard involved in creating the state's program. Well worth a listen.

Additional details on the defense policy bill from AP:

The Senate on Friday passed a defense policy bill that would offer more help to troops returning from combat and set conditions on contractors and pricey weapons programs. ... The 90-3 vote follows House approval earlier this week and sends the measure to President Bush to sign, which he is expected to do.

"Caring for our troops and their families must always be our top priority," said Sen. Carl Levin, D-Mich., chairman of the Armed Services Committee, which helped write the bill. ... The bill would authorize a 3.5 percent pay raise for service members. It also would guarantee that combat veterans receive mental health evaluations within 30 days of their request and prohibit fee increases to the military's health care system.

In one provision that is likely to be particularly costly, troops returning from Iraq and Afghanistan are guaranteed three more years of Veterans Affairs health care after being discharged. Current law gives troops two years to file claims.

Advocates say the extra time is needed because conditions can worsen over time or take more time to become obvious, particularly in cases of brain injury and post-traumatic stress disorder.


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Thursday, December 13, 2007

A Thank You to the House Veterans Affairs Committee From a Concerned Citizen

Mike and Kim Bowman, parents of local Illinois National Guardsman who committed suicide two years ago on Thanksgiving Day after having returned home from Iraq only eight months earlier, my husband and I flew home late last night following an incredible two days in Washington, D.C. testifying before the House Veterans Affairs Committee on the issue of veterans suicide.

[Written testimony transcripts; my full testimony below.]

I have a lot going on today as a result, but wanted to share a few things quickly now and promise to return to share some of my thoughts in full as soon as I can. But I want to say how honored and moved I was to have been in that room during the two breathtaking hours of testimony the Bowmans gave.

There really was very little left to have to say after their masterful and information-rich time in front of the committee. It just makes one all the more realize the inanity of having to do study after study and call in professional after professional to analyze data and point to what needs to be done.

If the VA and the DoD really want to know what we should be doing to assist military family members through the reintegration process, here's all they need to do: ask our military families. Fortunately, these types of hearings at least offer the rest of us -- and the VA and the DoD -- the opportunity to learn straight from the source what is needed.

We must listen, and then we absolutely must act.

My testimony:



Thank you so much to 'KR' from Clark Community Network for coming out to photograph the hearing, and for putting this slideshow together for us:



Moving Congress to Care - Ilona testifies on PTSD (12.12.07)

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

NBC News gave a fair shake to everyone involved in yesterday's testimony, focusing on the incredible testimony of Mike and Kim Bowman, but also including small mentions and short clips from me and author Penny Coleman:



Mike Bowman said the National Guard never prepared his son Tim for what he'd experience in Iraq.

Eight months after coming home, specialist Tim Bowman took his own life, on Thanksgiving. "His war was now over. His demons were gone," said Bowman.

Six years after Vietnam, Penny Coleman’s husband Daniel O’Donnell committed suicide. Coleman said, "He would wake up screaming and sweating and fighting something terrible that wasn't there."

"I thought that if I loved him enough I could fix him. I was wrong. I had no idea what I was up against," said Coleman. Families say veterans with post traumatic stress disorder don't seek mental help because they fear it'll end their military careers.

Author Ilona Meagher wrote the book "Moving a Nation to Care." She said, "They shouldn't be penalized for having to pick up the phone."


Yesterday's CBS Evening News Report:



And again NBC, this time the Nightly News:



I can't stress enough how incredibly powerful the Bowman's testimony was. In fact, because they were allowed to speak as long as they were, and because Chairman Filner allowed Penny and me to speak at length as well, many of those who were to testify after us were asked to be called back in January to a follow-up hearing.

After a short recess, the VA was brought before Congress to give their side of things. It wasn't what one might call necessarily pretty.

It was a stunning day, and unfortunately was not carried live and seems to have been overshadowed by all of the presidential race news and the CIA tape story. I do believe, however, that it was a watershed moment for this country on this issue. To see that these difficult topics were at long last aired and seriously broached, with family members continuing to have the opportunity to share their stories in such a way with us is heartening. Hopefully Chairman Filner and the rest of the committee will continue to do the important work of moving this issue forward with us.

Thank you Chairman Filner for your steady leadership.

My full written testimony:

Opening Statement

Chairman Filner, Ranking Member Buyer, and other distinguished members of the Committee, I thank you for the opportunity to appear before you today.

To open, I’d like to briefly share my thoughts on why it is that I believe I’m here.

I am not only someone who’s spent the past two years researching and writing about post-traumatic stress in our returning troops, I’m also a veteran’s daughter. My father was born in Hungary, served two years in antitank artillery as a Hungarian Army conscript, fought against the Soviet Union on the streets of Budapest during the 1956 Hungarian Revolution, and later fled to America where, in 1958, he again became a soldier, this time wearing a United States Army uniform, and serving as a combat engineer stationed in Germany.

My father’s unique experience of having served on both sides – East and West – in such differing armies during the Cold War, gave him a unique perspective on military life.

And so, growing up, my sisters and I often heard my father say, “You can always tell how a government feels about its people by looking at how it treats its soldiers.”

Looking at our returning soldiers and their widely-reported struggles with the military and VA health care systems they rely on, of being stigmatized from seeking care or of being placed on lengthy VA waiting lists when they need immediate help – some even committing suicide before their appointment dates arrive – have raised this citizen’s alarm bells.

We have had a “see no evil, hear no evil” approach to examining post-deployment psychological reintegration issues such as suicide. After all we have learned from the struggles of the Vietnam War generation – and the ensuing controversy over how many of its veterans did or did not commit suicide in its wake – why is there today no known national registry where Afghanistan and Iraq veteran suicide data is being collected? How can we ascertain reintegration problems – if any exist – if we are not proactive in seeking them out?

As late as May 2007, Department of Veterans Affairs spokeswoman Karen Fedele told the Washington Post that there was no attempt to gather Afghanistan and Iraq veteran suicide incidents. "We don't keep that data,” she said. “I'm told that somebody here is going to do an analysis, but there just is nothing right now."

Meanwhile, the Army reported its suicide rate in 2006 rose to 17.3 per 100,000 troops, the highest in 26 years of keeping such records. At long last, the Associated Press revealed that the VA is finally conducting preliminary research. They’ve tracked at least 283 OEF/OIF veteran suicides through the end of 2005, nearly double the rate of the additional 147 suicides reported by the DoD’s Defense Manpower Data Center.

Looking only at the these suicide figures from the VA (283) and the DoD (147), there have been at least 430 Afghanistan and Iraq veteran suicides that have occurred either in the combat zone or stateside following combat deployment. Lost in the VA and DoD counts are those veterans who have returned from their deployments, are still in the military and not yet in the VA system. The DoD says they do not track those incidents, and I assume neither does the VA because these veterans are not yet on their radar.

Yet even with this omission, many of these 430 confirmed suicides are a result of our wars in Afghanistan and Iraq and should – but won’t – be listed with the DoD’s official OEF/OIF death toll of 4,351. It bears mentioning: Currently 10 percent of the overall fatal casualty count of these wars is due to suicide.

Dismissing the issue of veteran suicide in the face of this data is negligent and does nothing to honor the service and sacrifice of our veterans and the families and communities that literally are tasked with supporting them once they return.

Yet, prior to last month’s CBS News investigation, which revealed that 120 veterans of all wars committed suicide every week in 2005 and that 20-24 year old Afghanistan and Iraq veterans are two to four times more likely to commit suicide than their civilian counterparts, the scope of the problem has been largely unknown because no one with proper resources and access to do the compiling of data came forward to do so.

In my written testimony, I’ve included 75 suicides that I and other citizen journalist colleagues have been tracking since September 2005 and which today reside in the ePluribus Media PTSD Timeline.

Offering only a small and incomplete sliver of insight into how some of our returning troops are faring on the home front – especially in light of the fact that at least another 355 incidents could be added among them according the the VA and DoD – I believe that they collectively tell an even greater tale about the failure of us as individuals and as a society to ensure that our returning warriors are cleansed completely from the psychological wounds of war.

They also reflect the failure of our government institutions to protect those who protect us.

While I realize that these distressing stories are the exception and not the rule, to our exceptional military families having to deal with the deterioration of a loved one they thought had safely returned from combat, they are the rule. In 1956, the same year that my parents fled to this incredible country, the 84th Congress – in the very House that we sit in today – had this to say in a presidential commission report on veterans’ benefits:

“The Government's obligation is to help veterans overcome special, significant handicaps incurred as a consequence of their military service. The objective should be to return veterans as nearly as possible to the status they would have achieved had they not been in military service… and maintaining them and their survivors in circumstances as favorable as those of the rest of the people. … War sacrifices should be distributed as equally as possible within our society. This is the basic function of our veterans' programs.”

I am not a pedigreed expert or a government official seasoned in testifying before you, but those who are from the GAO and the Congressional Research Department and even the Veterans Administration itself, have sat in this very seat over the years and told you we are falling far short in providing the resources and programs our returning troops and military families need to successfully return to their personal lives following their service to the nation.

To those who resist hearing the cold hard truth of where we are today, I’d like to say: The time is here to stop fighting the data, and to start fighting for our troops.

This is America. We can do better. We must do better.

Suggestions to ease the veteran suicide problem:

  • Offer all returning veterans immediate compensation and treatment support the first six months after their return home. Fostering positive coping skills (vs. negative coping skills of self-medication or domestic violence) must be a key goal of our veterans’ reintegration programs; veterans forced to wait at least six months for VA compensation and treatment benefits to kick in do not feel supported, they feel under siege.
  • Increase 21st century asymmetrical warfare and psychological injury understanding and preparation. The DOD should continue to make adjustments in its training to give service members the tools they need to counter the modern battlefield’s unique stressors.The Psychological Kevlar Act of 2007 would push the DoD to provide proactive psychological training for veterans from boot camp onward; more need to sign on to this legislation and it should be passed into law.
  • Force the DOD and VA do a better job of communicating with veterans on their rights and resources, and making outside community-based resources known to them as well. Many vets are unsure of what benefits they have earned and what rights they have to them. Some are discouraged from using them. Many community programs and groups are ready and waiting to assist returning veterans and military families, but are unknown to the very people who might benefit from them. While Secretary Robert Gates has said it may take up to three years to fully implement the PTSD portion of the Dole-Shalala recommendations, why are we not utilizing the resources that are available in communities across the country?
  • Properly and fully fund the Veterans Administration. Billions in underfunding translates to long waiting lines, lack of funds for PTSD research, and not enough PTSD specialists at each VA facility.
  • Reduce tour lengths, decrease overall number of combat deployments, and increase dwell time between deployments by funding an increase in forces. With each successive deployment, troops’ susceptibility to PTSD increases. Army Chief of Staff George W. Casey Jr. testified last month before the Senate Armed Services Committee saying that the military must be grown in order for dwell-time to be increased, etc.
  • Restrict the ability to redeploy troops diagnosed with PTSD. No PTSD-diagnosed troops should be redeployed into a combat zone, and troops should not be deployed taking psychotropic drugs such as Paxil or Zoloft, that have been shown by the FDA to increase suicide risk.
  • Improve post-deployment assessments. Move away from relying on questionnaires and make physicals and one-on-one demob consultations mandatory. In February 2006, the VA contracted the Institute of Medicine to do a thorough review of scientific and medical literature related to the diagnosis and assessment of PTSD; the committee strongly concluded that the best way to determine whether a person is suffering from PTSD is with a “thorough, face-to-face interview by a health professional trained in diagnosing psychiatric disorders.” The DoD should follow the same rule.
  • Invest more in counseling and support. Rather than relying on quick-fix medications to solve returning psychological problems, invest time and resources in holistic wellness programs to help veterans and their families recover from the experience of war.
  • Remove stigma/punishment for those seeking help. One of the easiest ways to do this would be to operate under the assumption that everyone will need some form of support following combat. Move away from a system where those struggling most must somehow find the strength to conspicuously come forward on their own.
  • Require completion of a ‘boot camp in reverse’ transitional training program. Military families who have lost loved ones to suicide consistently say there should be a more formal reentry program following return from combat, weekly meetings/classes lasting from 2 to 3 months. The program should be as required to attend and complete by all service members as boot camp.
  • Pay special attention in supporting National Guard and Reserve forces. Not being a part of a cohesive unit, they are especially susceptible to PTSD.
  • Stop closing VA Hospitals and Vet Centers. We should be providing more opportunities for veterans scattered across the country, especially in rural areas, to have access to health care benefits.
  • Increase funding to community service boards. Many troops – especially those with the National Guard and Reserve or in rural areas – do not have easy access to health services. Make sure they have alternatives to getting the care they need, or fully reimburse their private health care bills.
  • Increase Vet Center program offerings. Offer more complimentary group and individual classes for troops and military families that explain what PTSD is, how it can be treated and how one can forge the tools necessary to move their lives beyond it.
  • Provide complimentary counseling to all immediate family members. If the service member refuses to seek help, the spouse and children should have access to counseling service to help them through their loved one’s reintegration process.
  • Increase personal data security and treatment anonymity. Many will not come forward to get the help they need because they worry it may come back to haunt them when they’re up for a promotion, being considered for a mission, or when looking for civilian employment. Family members, however, should not be kept in the dark, especially if veteran is prescribed psychotropic medication.

Selection of OEF/OIF Veteran Suicides

The ePluribus Media PTSD Timeline, is a collection of press-reported cases of post-combat related possible, probable, self-reported and/or confirmed incidents of PTSD or broader reintegration difficulties. The work is meant to preserve incidents that are at risk of being lost to us with the forward movement of time, as small town news websites do not archive many of their reports.

Additional reasons for the existence of the PTSD Timeline include:

  • Allowing for ease of study of PTSD and related reintegration issues by researchers, reporters, educational and government institutions
  • Fostering further discussion and exploration of post-combat reintegration issues
  • Validating to military family members that we are paying attention to their experiences

What follows is a brief glimpse at the personal post-war landscape for our military families revealed through suicide incidents tracked by me and other citizen journalists in the PTSD Timeline since September of 2005.

Legend: /ss/=stateside suicide /oif/=OIF combat zone suicide /oef/=OEF combat zone suicide

2002

Following the terrorist attacks of September 11th, Operation Enduring Freedom commenced with the invasion of Afghanistan on October 7, 2001. Fort Bragg, N.C., home of the Army Special Operations Command, was the first to experience a cluster of post-deployment reintegration issues when three military wives were murdered by their recently-returned husbands within a span of five weeks. (One additional wife was murdered during this same timeframe, but the husband had not deployed to OEF).

On June 11, 2002/ss/, Rigoberto Nieves (32-year old Special Forces sergeant) fatally shot his wife and then himself in an off-base murder/suicide after having returned home from Afghanistan in mid-March. On July 19, 2002/ss/, Brandon Floyd (30-year old Special Ops soldier) shot his wife and then himself in an off-base murder/suicide after having returned home in January.

CNN reported at the time: “Fort Bragg garrison commander, Army Col. Tad Davis, is reviewing counseling and stress-management programs available at the base. A spokesman said the Army wants to see if there is something it could do better. But one military official who had previously served at Fort Bragg pointed out that Special Operations soldiers may be reluctant to seek help.” [iii]

2003

On March 19, 2003, Operation Iraqi Freedom commenced.

Joseph Suell (24-year old veteran and father of two who’d served in South Korea, Kuwait and Iraq) intentionally overdosed on June 16, 2003/oif/, the day after Father’s Day. Corey Small (20-year old Ft. Polk, La., army private) shot himself in front of others after making a phone call home on July 3, 2003/oif/.

The following day, on July 4, 2003/oif/, James Curtis Coons (36-year old army master sergeant with 17 years of military service, OIF Bronze Star) hanged himself with a bed sheet at Walter Reed Army Medical Center; he had been evacuated from Kuwait two weeks earlier following an overdose.

Alyssa Peterson (27-year old Arabic-speaking interpreter with the 311th Military Intelligence BN, 101st Airborne), who reportedly disagreed with interrogation techniques being used at Tal-Afar prison, shot herself on September 12, 2003/oif/. On October 1, 2003/ss/, Kyle Edward Williams (21-year old soldier with a clean record who’d served in Iraq with the 507th Maintenance Company) shot and killed an Arizona man who’d broken into his car and later shot himself.

Thomas J. Sweet II (23-year old Ft. Riley, Kan., 5th Field Artillery Regiment, 1st Infantry Division sergeant) shot himself on November 27, 2003/oif/, the very day he received word of his promotion. Jeffrey Braun (19-year old 82nd Airborne Division paratrooper) shot himself on December 1, 2003/oif/.

2004

Alexis Soto-Ramirez (43-year old 544th Military Police Company specialist), who’d been evacuated a month earlier from Iraq due to back pain, hanged himself with his bathrobe sash at Walter Reed Army Medical Center on January 12, 2004/ss/. Five days later, on January 17, 2004/ss/, Jeremy Seeley (28-year old 101st Airborne specialist) walked off Fort Campbell, Ky., checked into a hotel, and overdosed on household poison.

Boyd Wicks, Jr. (Marine infantry sergeant) returned from Iraq in June 2003 and was discharged in October; he committed suicide on February 1, 2004/ss/, his father saying of PTSD. On March 7, 2004/oif/, Matthew Milczark (18-year old Marine) shot himself in a Kuwaiti military chapel. One week later, on March 14, 2004/ss/, William Howell (36-year old Ft. Carson, Colo., Special Forces chief warrant officer with 17 years of military service as a Green Beret) threatened his wife with a gun, and then shot himself as police officers moved in on him; he’d returned from Iraq a mere three weeks earlier.

Four days later, on March 18, 2004/ss/, Brandon Ratliff (6-times decorated Army Reserve’s 909th Forward Surgical Team executive officer), shot himself after writing The Columbus Dispatch, “I didn’t think I’d have to fight over there and have to fight these guys, too.” He’d lost a promised promotion and raise following his tour in Afghanistan saving injured soldiers on the frontline.

On March 21, 2004/ss/, Ken Dennis (22-year old Marine corporal and combat rifleman who’d served in Pakistan, Afghanistan, Somalia, Djibouti and Iraq) hanged himself with his belt in his Renton, Wash., apartment eight months after returning from Iraq. He’d confessed to his father, “You know, Dad, it’s really hard – very, very hard – to see a man’s face and kill him.”

Jeffrey Lucey (23-year old Marine Reserve) hanged himself in his basement on June 22, 2004/ss/, after his parents had involuntarily committed him to the local VA; he was released three days later and told to stop drinking before they could assess him for PTSD.

Also on June 22, 2004/ss/, Adam Kelley (36-year old Gulf War combat veteran) ended his 13-year struggle with PTSD and shot himself in his car while sitting in his truck behind a Las Vegas sandwich shop. His mother blamed long VA waits, shuffling from one doctor to another, prescribing medications that did more harm than good and monthly appointments with a physician’s assistant rather than weekly appointments with a physician’s aide as contributing factors.

Andre Ventura McDaniel (40-year old Ft. Carson, Colo., Special Forces soldier) shot himself six weeks after returning from Iraq, on August 28, 2004/ss/. On September 24, 2004/ss/, Michael Torok (23-year old Ft. Bragg, N.C., communications specialist) stabbed himself in the heart in his car parked alongside a rural Illinois corn field. He had visited the Hines VAMC for various ailments following his Afghanistan service, but Hines was not screening all returning veterans for PTSD at the time. The next day, he told his parents he was going to visit a friend and was never seen or heard from again.

On October 9, 2004/ss/, Brian McKeehan (37-year old Fort Euliss, Va., soldier) hanged himself with a bed sheet in the Virginia Peninsula Regional Jail, one month after returning from Iraq and 12 hours after being arrested for assaulting his wife. In the four weeks he was home, local police had responded to six domestic violence complaints. Michael Jon Pelkey (29-year old Fort Sill, Ok., captain) shot himself on November 5, 2004/ss/ a year after returning from Iraq. He had received a private diagnosis of PTSD, but was told of months-long waits for mental health care appointments on base.

Curtis Greene (25-year old Ft. Riley, Kan., soldier) abruptly went AWOL, saying he did not want to return to Iraq; after his wife begged him to return, he hanged himself in his barracks on December 6, 2004/ss/. Police had previously responded to two domestic violence calls and he was being treated for PTSD.

2005

Andres Raya (19-year old Camp Pendleton, Calif., Marine) committed suicide-by-cop on January 9, 2005/ss/ four months after taking part in the invasion of Fallujah. After telling family he did not want to return to Iraq, he fired on Modesto police in an apparent premeditated 3-hour ambush in which one police officer was killed and another critically injured. Mark C. Warren (44-year old 116th Armor Cavalry Regiment Oregon Army National Guardsman) shot himself in Kirkuk on January 31, 2005/oif/.

John Ruocco (40-year old Marine cobra helicopter pilot from Newbury, Mass.) hanged himself in February 2005/ss/, three months after returning home from Iraq and a few weeks before he was to redeploy. His wife said he worried about the ramifications of seeking help, personally and professionally.

On February 3, 2005/ss/, Richard T. Corcoran (34-year old Ft. Bragg, N.C. Special Forces soldier who’d served in Afghanistan) shot his ex-wife and her boyfriend, and then shot himself.

Alan McClean (62-year old decorated Vietnam Purple Heart/Bronze Star veteran and minister who’d lost both legs to a landmine) shot himself in his Washington state church office on February 11, 2005/ss/. Formerly supportive of the war effort, but deeply affected by the rising casualty counts, he wrote, “35 Marines died today in Iraq, only slightly more noticed than my legs.” His daughter said later, “I underestimated the power of the war to take his life and I really feel that though my dad’s been in Wenatchee, the war in Iraq killed him.”

Steven Michael Logan (26-year old Marine intelligence clerk), personally reenlisted by Secretary of the Navy Gordon R. England at the peak of Mount Suribachi above Iowa Jima a year earlier, shot himself on February 28, 2005/ss/. Samuel Lee (19-year old 2nd Infantry Division soldier) serving in Ramadi shot himself on March 28, 2005/oif/ and Dominic Campisi (30-year old Delaware Air National Guardsman), who’d served in both Afghanistan and Iraq, killed himself on April 17, 2005/ss/ only days after returning from Uzbekistan.

On May 23, 2005/oef/, Kyle Hemauer (21-year old 29th Infantry Division Virginia National Guard specialist) shot himself in Afghanistan. And in Iraq on June 4, 2005/oif/, the highest-ranking OIF death at the time, Ted S. Westhusing (44-year old colonel and leading scholar of military ethics) shot himself in his base trailer. In emails to family, he seemed especially upset that traditional military values such as duty, honor and country had been replaced by profit motives in Iraq.

Justin “Paul” Byers (19-year old Iowa Army National Guardsman) stepped in front of highway pickup truck on June 20, 2005/ss/ after hearing of his 22-year old brother’s death in Iraq. On July 9, 2005/ss/, Jeremy Wilson (23-year old Ft. Carson, Colo., 10th Special Forces Group soldier) hanged himself in his barracks a month after returning from Iraq. Jason Cooper (23-year old Mt. Pleasant, Iowa, 308th Quartermaster Army Reserve specialist) hanged himself in his basement four months after his Iraq tour on July 14, 2005/ss/.

Eleven days after being pinned by then Army Chief of Staff Peter Schoomaker himself with the Army’s new Combat Action Badge, Leslie Frederick, Jr. (23-year old Purple Heart and Bronze Star Ft. Lewis, Wash., specialist) shot himself in his Tacoma apartment on July 26, 2005/ss/.

Two days later, on July 28, 2005/ss/, Saxxon Rech (20-year old Camp Lejeune, N.C., Marine) shot his girlfriend and himself in Washington; he had been mysteriously discharged in February. Two days later, Robert Decouteaux (24-year old Ft. Hood, Tx., soldier) shot himself on July 30, 2005/ss/, and another two days later, on August 1, 2005/ss/, Robert Hunt (22-year old Ft. Hood, Tx. 1st Cavalry Division radio operator-maintainer) was found dead in his apartment; both Decouteaux and Hunt had served in Iraq for a year and were scheduled to return in the fall.

Another two days later, on August 3, 2005/ss/, Stephen Sherwood (35-year old Ft. Carson, Colo., 2nd Brigade Combat Team soldier) shot his wife and then himself nine days after returning home from a year’s deployment in Iraq. He enlisted in January 2004 to have health benefits because his wife was pregnant.

Bernardo C. Negrete (53-year old retired brigadier general who’d served in Grenada, Panama and Iraq) shot himself on September 16, 2005/ss/ after his wife complained that he stop drinking and come to bed. Phillip Kent (26-year old Fort Hood, Texas, 720th Military Police Battalion 2nd lieutenant/platoon leader during the hunt for Saddam Hussein in Tikrit), after being hospitalized for PTSD following his return home and being discharged early, committed suicide on September 28, 2005/ss/.

On October 8, 2005/ss/, Greg Morris (57-year old 4th Infantry Division Vietnam veteran diagnosed with PTSD) shot himself; by his side were his gun, Purple Heart, and a folder of information on how the VA planned to review veterans PTSD cases [a plan that was halted following public outcry].

On November 8, 2005/ss/, Chris Forcum (20-year old Marine lance corporal) killed himself in Oregon six weeks after returning from Iraq. His father said at the time that “they teach soldiers how to fight, but they don’t teach them how to live when they come home.” Timothy Bowman (24-year old Illinois National Guard specialist) had joined the military after 9/11; he shot himself on Thanksgiving morning, November 24, 2005/ss/, eight months after coming home from Iraq.

Jeffrey Lehner (42-year old Marine Aerial Refueler Transport Squadron sergeant) shot his father and then himself on December 7, 2005/ss/, after calling his VA counselor in distress saying he would not be coming in the next day. After serving in Afghanistan, the Gulf War veteran had returned home at the end of 2004 in need of help, admitting himself to a VA hospital for intensive PTSD treatment. Instead, he was placed with bipolar and schizophrenic patients because the PTSD ward was full. On December 22, 2005/ss/, Joshua Omvig (22-year old Iowa Army Reverse soldier) shot himself a year after returning from Iraq.

2006

On January 16, 2006/ss/, Douglas Barber (37-year old National Guards supply convoy driver), following a two-year struggle with the VA over receiving treatment for his PTSD, changed his answering machine message to say he was checking out of this world, telephoned police and waited for them on his porch; when they would not shoot him, he shot himself.

Chuck Call (30-year Army gunner who’d volunteered to go to Iraq with another unit when his was not called up) committed suicide three months after returning on February 3, 2006/ss/. Haunted by nightmares and anxiety, he sought VA benefits only to be told he did not qualify for them due to his income. On February 20, 2006/ss/, Jon Trevino (36-year old Scott AFB 375th Aeromedical Evacuation Squadron tech sergeant who served in both Afghanistan and Iraq) shot his wife and himself.

In Iraq, Tina Priest (21-year old Fort Hood, Texas, 4th Infantry Division soldier) shot herself on March 1, 2006/oif/, two weeks after saying she was raped by a fellow soldier and days after being diagnosed and treated for Acute Stress Disorder consistent with Rape Trauma Syndrome.

Two days later, Donald Woodward (23-year old army soldier) shot himself on his favorite Pennsylvania hiking trail on March 3, 2006/ss/. He’d tried killing himself once before by lighting his truck on fire and getting inside; his wife pulled him out; afterwards, he finally agreed to get some help from the VA, which gave him antidepressants and scheduled a counseling appointment a month later. He committed suicide before the appointment date arrived.

Three days later, Greg Braun (26-year old Army Ranger sniper with the 128th Infantry of Wisconsin National Guard) shot himself in his basement four months after returning home from Iraq on March 6, 2006/ss/. He had served in Kosovo as well as tour tours in Iraq, and was a Milwaukee policeman. Eric Ryan Grossman (22-year old Marine) ran into California interstate traffic killing himself when a minivan hit him on April 6, 2006/ss/, only five days after returning from a seven-month tour in Iraq.

James Gallagher (Camp Pendleton, Calif., Marine gunnery sergeant) committed suicide eight months after returning from Iraq on May 1, 2006/ss/. On July 25, 2006/oef/, Andrew Velez (22-year old Army specialist) shot himself in Sharona, Afghanistan. Two years earlier his brother had died in Iraq and he was said to have “locked up” after identifying his remains. He suffered flashbacks and held his wife hostage between tours.

At home following a near-suicide attempt in Iraq in which he sought the help of his commanding officer, David Ramsey (27-year old Ft. Lewis, Wash., 47th Combat Support Hospital critical care nurse specialist) slipped through the cracks stateside as Madigan AMC released him from their care, unaware of his near suicide attempt in Iraq due to a lack of access to electronic records. Missing his follow-up appointment, he shot himself on September 7, 2006/ss/.

On October 17, 2006/ss/, Zachary Bowen (28-year old Army MP who’d served in Kosovo and Iraq) strangled and dismembered his girlfriend and 11 days later threw himself off of the ledge of the Omni Royal New Orleans hotel with a suicide note in his pocket. A day later, on October 18, 2006/ss/, Jeanne “Linda” Michel (33-year old Camp Bucca Navy medic) shot herself two weeks after returning to her husband and three kids. While overseas, she was prescribed Paxil for depression without family notification, and taken off the antidepressant, again without family notification, when she returned home.

James E. Dean (29-year old corporal) killed himself via suicide-by-cop shortly after learning he was to be redeployed to Iraq. The Afghanistan veteran diagnosed with PTSD barricaded himself at his father’s farm on Christmas Day; a Maryland State Police sharpshooter killed him 15 hours later, on December 26, 2006/ss/.

2007

On January 16, 2007/ss/, Jonathan Schulze (25-year old Marine machine gunner) hanged himself following two attempts to get help from the Minnesota VA system, once in Minneapolis/St. Paul, the other in St. Cloud. He was given a waiting list number of 26 for a counseling appointment, but was dead before the date arrived. The following day, on January 17, 2007/ss/, Michael Bramer (23-year old Fort Bragg, N.C., 82nd Airborne Division Special Forces Unit paratrooper who’d served in Afghanistan and Iraq) shot himself in his home.

Justin Bailey (27-year old Marine rifleman), among the first wave of the Iraq invasion and diagnosed with PTSD since returning, checked himself into a Los Angeles VAMC needing immediate help for prescription drug addiction. Yet, the day before his death, he received prescriptions for five medications, including a two-week supply of the potent painkiller methadone; he overdosed in his VAMC room on January 26, 2007/ss/.

Jessica Rich (24-year old Fort Carson, Colo., 52nd Engineering Battalion Army Reserve heavy equipment operator) drove directly into oncoming interstate traffic on February 8, 2007/ss/; medically evacuated from Iraq due to lower back pain and PTSD, she was on a waiting list for a specialized PTSD treatment program.

On February 20, 2007/ss/, Brian Jason Rand (26-year old Ft. Campbell, Ky., 30th Infantry Regiment sergeant) shot himself at a local park seven weeks after returning home to Clarksville, Tenn. He answered ‘yes’ to PTSD to the identifiers on his post-deployment questionnaire following his second tour; yet, two days after being diagnosed with PTSD he was redeployed to Iraq for a third and final time.

Chris Dana (23-year old 163rd Infantry Battalion Montana National Guardsman) shot himself on March 4, 2007/ss/ after having cancelled his appointment for PTSD. His brother said after returning in November 2005 he seemed to be melting from the inside; his father said his eyes had lost their shine, the joy of living.

Stephen Edward Colley (22-year old Ft. Hood, Texas, helicopter mechanic) committed suicide on May 16, 2007/ss/. Returning from Iraq 6 months earlier, his father said he felt he could not get the psychological help he needed from the military for fear it would jeopardize his future career. On May 27, 2007/ss/, Brian William Skold (28-year old 151st Field Artillery Minnesota National Guardsman) died via suicide-by-cop.

The ninth Ft. Campbell, Ky., soldier to commit suicide in 2007, Derek Henderson (27-year old Afghanistan and Iraq veteran) jumped to his death from a bridge over the Ohio River on June 21, 2007/ss/. He had begun carrying a 12” knife and wanted a gun to “fight the enemy,” his medical records indicating PTSD five times. On July 25, 2007/ss/, Noah Charles Pierce (23-year old 3rd Infantry Division soldier) shot himself in rural Minnesota. The soldier who had signed up for the military after 9/11 wrote in his suicide note that he had killed people and now it was time to kill himself.

On August 29, 2007/ss/, John R. Fish II (19-year old Ft. Hood, Texas, 41st Fire Brigade ammunitions specialist) shot himself. He had returned from a long Iraq deployment in November 2006. Steven D. Lopez (23-year old Ft. Bragg, N.C., Afghanistan and Iraq veteran) shot his wife and then himself on November 5, 2007/ss/; he had sought help from base doctors and was prescribed Paxil.

On November 20, 2007/ss/, Joseph Colin Russell (25-year old two tour Ft. Hood, Texas, 1st Cavalry Division, 2nd Brigade soldier) shot himself at a friend’s house. He was homeless and accused of being responsible for the death of another vet following a fight at a nightclub.

Two days later, on November 22, 2007/ss/ – Thanksgiving Day – Tyler Curtis (25-year old two tour Iraq veteran) committed suicide three months after returning to Maine following his 2006 discharge from the Army. He was torn by grief for the families of those he may have killed.



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Tuesday, December 11, 2007

Mrs. Meagher Goes to Washington

Sorry, I just couldn't help myself with that title.

Actually, I'm hoping that I'll be able to get out of Chicago today and make it to DC, as the ice is coming down quick and hard and my original flight has already been canceled.

I won't be posting anything during my trip, but will pass along my thoughts on tomorrow's House Veterans' Affairs Committee hearing on Stopping Suicide: Mental Health Challenges Within the Department of Veterans Affairs when I get back.

NIU and the Northern Star have both kindly written pieces on my journey to Washington, D.C., to testify before Congress this week. I'm humbled to have been asked, and hope that I can contribute something valuable to the discussion.

I'd like to thank everyone for their support these past two years.

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


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Thursday, December 06, 2007

Confirmation Hearings Begin for Veterans Affairs Nominee James Peake

From AP:

Pledging to "do the right thing," Veterans Affairs nominee James Peake said Wednesday he will be an independent advocate for thousands of injured veterans and will fight for the needed funding for their care.

In a 2 1/2-hour confirmation hearing, the retired Army lieutenant general also vowed to work on making significant headway in fixing gaps in care and reducing delays in disability pay.

But Peake hedged on offering specific solutions, deferring to detailed briefings he will receive later if confirmed. He indicated his greatest mark on the agency in the waning months of the Bush administration might be improved communications with the Defense Department.

"I'm not much of a legacy guy," Peake said.

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

In the interest of education, article quoted from extensively.

Continuing:

Peake, 63, said as an Army surgeon general he on occasion clashed with an administration unwilling to provide adequate funding. Stressing that he believes in "working within the system," Peake said he eventually got the money by explaining "what we couldn't do."

"I understand I'm part of the administration," he said. "But I also have a responsibility to the administration and this committee to lay out the situation openly and honestly and to fight for the resources to do my job, which is to take care of veterans."

Peake also said he will closely consider a proposal — generally opposed by the VA — to guarantee a minimum level of annual funding. Veterans groups say that would shield the VA budget process from politics and eliminate future shortfall risks.

"I do have an open mind on the subject and intend to carefully study it," he said. ...

During the hearing, Peake also:

_Said he hoped to foster greater VA cooperation with the Pentagon in providing better treatment for mental health problems such as post-traumatic stress disorder and traumatic brain injury.

_Cited the sharing of medical records between the two departments as a "very high" priority. "I do believe we can make substantial progress" in 2008, he said.

_Said delays in disability pay — which average 177 days — could be reduced by "simplifying" the system, but did not offer specifics.

Peake has previously expressed support for a pilot program that was recently started at the recommendation of a presidential commission chaired by former Sen. Bob Dole, R-Kan., and former Health and Human Services Secretary Donna Shalala. The program seeks to eliminate duplication in the process at the VA and Pentagon.

_Expressed a commitment to improving veterans health care in hard-to-reach rural areas.

From the Los Angeles Times:

Peake is chief medical director and chief operations officer of QTC Management, a Diamond Bar company that contracts with the VA to perform physical exams of veterans seeking disability assistance. Murray has criticized Peake's nomination because of his ties to QTC. Peake told the senator that if he is confirmed, he will sever all ties with the company and turn over supervision of its contracts with the department to the VA's deputy secretary.

Throughout the hearing, Murray referred to horror stories of veterans with mental illnesses, including 22,000 who had been discharged because of "previous personality disorders" and thus lost access to the VA healthcare system. She said a third of all Iraq veterans have sought treatment for mental health problems and that veterans are twice as likely to commit suicide as other Americans.

Peake said outreach and education concerning mental health issues would be a top priority. "We don't want to be passive and wait for people to come to us sick," he said. "We have to reach out."

From the St. Louis Post-Dispatch:

Peake said he knew little about the 22,000 veterans who have been discharged for "pre-existing personality disorders." He told the Senate Veterans Affairs Committee that he was "aware of the issue" but needed to look into "the individual cases."

Sen. Patty Murray, D-Wash., a committee member and leading administration critic on the issue, said she found Peake's answers "disappointing."

Leaders of several veterans organizations at the hearing also said they were surprised by what they said appeared to be a lack of preparation by Peake, a physician who recently served as Army surgeon general.

"He's been in the system for a long time, he's an M.D., and he should be more knowledgeable about these issues," said Matthew Cary, president of Veterans & Military Families for Progress.

While major veterans service organizations support Peake's nomination, many of the same VSOs that do seemingly little to advocate for issues such as post-traumatic stress disorder or personality disorder discharges, another that does heavy lifting in this area is not behind Peake's nomination.

From Veterans for Common Sense:

While Peake comes with impressive military credentials, including combat duty and a Silver Star medal, he is very bad for VA and for veterans.

When it comes to fixing VA’s enormous systemic problems caused by Bush’s failures to fully fund VA, Peake’s lack of any VA-related experience will only exacerbate VA’s problems. Many people doubt Peake will be able to fully comprehend VA’s sprawling system of 1,400 medical facilities and 58 claims processing offices by the time Bush’s term ends in 14 short months. ...

Peake has no plan to make sure every veteran who needs to see a doctor sees one immediately – as veterans are regularly turned away from VA due to capacity problems. And Peake has no plan to promptly fix the surging backlog of 600,000 veterans waiting an average of six months for an initial VA disability claim decision – and waiting another dozen years if the veteran files an appeal.

[A]s the top Army general in charge of medical care at the start of [the] Iraq War, Peake failed to follow the law and make sure all our service members were given full medical examinations before and after deployment. Peake failed to raise the national alarm on the lack of body armor desperately needed by our troops. Peake failed to start programs to address the soaring number of veterans suffering from traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD).

If Peake performed properly as Army Surgeon General, fewer unfit solders would have been sent to the Iraq War, only to commit suicide on the front lines. And if Peake had done his job, then screening for TBI and PTSD would have been in place in 2002, not in 2007, so veterans could get the best long-term out-patient medical care.

If Peake had done his job and worked with VA in 2003...then the Wall Street Journal would not have reported on the horrible and unconscionable treatment Jason Stiffler received in 2003 when the Army kicked him to the curb at Walter Reed without VA medical care and VA disability benefits. Stiffler suffered from TBI and PTSD, yet DoD and VA had no transition services.

In January 2004, Peake knew all the tragic details about the warehousing of hundreds of wounded combat veterans living for months without assistance in dilapidated quarters at Walter Reed, Fort Stewart, Fort Knox, and other posts because Bush and Peake went to war without a plan to care for casualties – now numbering 250,000 treated at VA hospitals. ...

After several government investigations and endless Pentagon promises, the military still does not provide VA with prompt or complete military service records and medical records so that VA can provide immediate healthcare and other benefits to disabled veterans.

Peake recently worked at QTC, VA’s deeply troubled disability claims exam contractor. According to one government report, QTC is responsible, in part, for failing to fix the enormous backlog of 600,000 disability claims. VA needs more qualified doctors and hard-working claims processors. VA must avoid more bloated and wasteful spending on contractors who are more interested in profits than in honorable public service helping our veterans. ...

The facts show hundreds of thousands of veterans are still waiting endlessly for their hard-earned disability benefits, and some veterans committed suicide after being improperly turned away from VA. At other VA hospitals, veterans are regularly turned away due to capacity problems. In the middle of two wars, Bush continues betraying our veterans by nominating unqualified leaders and supporting bad legislation.

Paul Rieckhoff, Executive Director for Iraq and Afghanistan Veterans of America (IAVA), has a few worthy questions for Peake.

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Monday, December 03, 2007

BBC Radio Drama: Soldiers in the Sun

BBC Radio has a compelling offering, a 90-minute drama bringing to life the trials of one soldier dealing with missing home, loved ones, and country while dealing with the horrors of war.

If you're setting out to do some work in front of your computer, cue up this piece from across the pond. Listen and details:

A drama documentary looking at the psychological consequences of war. Captain Rob Shepperton, serving in Afghanistan in the medical corps, is out on a routine patrol when he comes across a sight that will change his life.

Playlist:

Captain Rob Shepperton ...... Adrian Bower
Doctor ...... Deborah McAndrew
Matt ...... Thomas Morrison
Sol ...... Tom Attwood
Samsour ...... Nikhil Parmar
Girl ...... Emily Armitage

With music played and composed by John Harle.

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Sunday, December 02, 2007

Female Iraq Veteran Faces Life in Prison for Combat Zone Self-Inflicted Gunshot Wound

Another stunner from the Washington Post:

In a nondescript conference room at Walter Reed Army Medical Center, 1st Lt. Elizabeth Whiteside listened last week as an Army prosecutor outlined the criminal case against her. The charges: attempting suicide and endangering the life of another soldier while serving in Iraq.

Her hands trembled as Maj. Stefan Wolfe, the prosecutor, argued that Whiteside, now a psychiatric outpatient at Walter Reed, should be court-martialed. After seven years of exemplary service, the Army reservist faces the possibility of life in prison if she is tried and convicted.

Military psychiatrists at Walter Reed who examined Whiteside, 25, after she recovered from her self-inflicted gun wound diagnosed her with a severe mental disorder, possibly triggered by the stresses of a war zone. But Whiteside's superiors considered her mental illness "an excuse" for criminal conduct, according to documents obtained by The Washington Post.

At the hearing, Wolfe, who had warned Whiteside's lawyer of the risk of using a "psychobabble" defense, pressed a senior psychiatrist at Walter Reed to justify his diagnosis.

"I'm not here to play legal games," Col. George Brandt, chief of Behavioral Health Services in Walter Reed's Department of Psychiatry, responded angrily, according to a recording of the hearing. "I am here out of the genuine concern for a human being that's breaking and that is broken. She has a severe and significant illness. Let's treat her as a human being, for Christ's sake!"

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

In the interest of education, article quoted from extensively.

Continuing:

In recent months, prodded by outrage over poor conditions at Walter Reed, the Army has made a highly publicized effort to improve treatment of Iraq veterans and change a culture that stigmatizes mental illness. The Pentagon has allocated hundreds of millions of dollars to new research and to care for soldiers with post-traumatic stress disorder. On Friday, it said it had opened a new center for psychological health in Arlington, Va.

But outside the Pentagon, the military still largely deals with mental-health problems in an ad-hoc way, often relying on the judgment of combat-hardened commanders whose understanding of mental illness is vague or misinformed.

The stigma around psychological wounds can be seen in the smallest of Army policies. While family members of soldiers recovering at Walter Reed from physical injuries are provided free lodging and a per diem to care for loved ones, families of psychiatric outpatients usually have to pay their own way.

"It's a disgrace," said Tom Whiteside, a former Marine and retired federal law-enforcement officer who lost his free housing after his daughter's physical wounds had healed enough that she could be moved to the psychiatric ward.

Under military law, soldiers who attempt suicide can be prosecuted under the theory that it affects the order and discipline of a unit and brings discredit to the armed forces. In reality, criminal charges are extremely rare unless there is evidence the attempt was an effort to avoid service or endangered others.

At one point, Whiteside almost accepted the Army's offer to resign in lieu of a court-martial. But it meant she would have to explain for the rest of her life why she was not given an honorable discharge. Her attorney also thought she would have been left without the medical care and benefits she needed.

It's a long piece, and worthy of reading in full.

[UPDATE Feb 12, 2008]: From CBS Evening News

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Saturday, December 01, 2007

Mark Fiore: The Surge at Home

This week, the politically biting and brilliant editorial cartoonist/animator Mark Fiore tackles the myriad holes that have been reported of late in society's veteran safety net.

To absolutely get the full effect of this admittedly dark piece of comic humor, please view his latest animation, The Surge at Home, aptly narrated by "your Pentagon pal 'Ouchy.'"

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While the animation can't be done justice with a handful of stills or a brief run-through of the narration as I've attempted here, the clip itself is very much worthy of recording for posterity. And so, I hope Mr. Fiore will allow me the latitude to share the following with you for educational (and -- yes -- humorous) purposes.

The opening screen reads, "Now that the surge has made everything hunky-dory in Iraq...let's check in on...The Surge at Home!"

Our Pentagon pal, Ouchy, takes us through a series of homeland surges. First up: The Surge of Letters that have been sent out to wounded veterans seeking repayment of enlistment bonus monies due to not having fulfilled their contract. As Ouchy says, "Why should the Pentagon pay you to sit at home and be wounded?"

While marching band music plays enthusiastically in the background, Ouchy tells of The Survey Surge, saying, "Now that the Army realizes it may take more than one form to find out what's going on in your head..." there's been an increase in returning troops reporting mental health issues.

All of this is great training, Ouchy says, for The Uninsured Surge. He continues in his high-pitched and enthusiastic voice, "Forget Army of One! Now you're in the Army of 5.6 million!" [This figure, I believe, Fiore extrapolates from the 1.7 million veterans found to be uninsured; his figure includes military family members as well.]

Never fear, because this may eventually lead you to the next leg of the journey, The Homeless Surge, says Ouchy. That mission is "already manned with 200,000 a night and about to be reinforced" with new homeless recruits from the Iraq and Afghanistan conflicts, already reported to be at 1,500.

"And of course," Ouchy says, "the recently revealed Suicide Surge" in which over 6,000 veterans committed suicide in one year [the year was 2005]. The blabbering band aid finishes with a flourish, proudly stating, "This might be the best kept wartime secret ever!"

Ouch, indeed.

Admittedly, while this is gallows humor at its finest and may not be entirely appropriate for all who visit this site, I felt that it did a really good job of hitting on all of the data that's come out recently. The onslaught of data regarding veteran suicide and homelessness, by the way, will be the topic of an upcoming House Veterans' Affairs Committee hearing on December 12.

So, this animation is nothing if not timely.

If it helps to inform a few more people about these worrying statistics, and gets them to pick up the phone to their elected officials and/or ready do something even more substantive to help, then it's done a great service to moving the issues important to our military families forward.

At the close of his animation, Fiore includes two links: One for those who want to help, and one for those who might need it.

Bravo, Mr. Fiore, bravo.

And h/t to eagle-eye Kathie Costos.


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States Move to Assist Uninsured Veterans

This was a big story in mid-October, as it should have been. Before updating on the response to the uninsured veteran problem in two states, Illinois and Wisconsin, a data recap via AP:

Nearly 1.7 million military veterans have no health insurance or access to government hospitals and clinics for veterans, according to a report Tuesday from a doctors' group that favors federally financed health care.

The number of uninsured veterans jumped by 235,000 since 2000, meaning they are losing health insurance at a faster rate than the general population, said Physicians for a National Health Program, which advocates a universal national health insurance program. About 45 million Americans have no health insurance, including 5 million who lost coverage during the past four years, according to the Census Bureau.

"We're sending men and women off to war and yet the people who fought previous wars can't get the basic things they need to go on with their lives afterward," said Dr. David Himmelstein, a Harvard Medical School professor and an author of the study.

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In the interest of education, article quoted from extensively.

Continuing:

White House spokesman Trent Duffy said the Bush administration has opened 194 community health clinics for veterans and increased spending on medical care for veterans by 40%. "The president wants to make sure they get the care that they need and they deserve," Duffy said.

However, the report traced some of the increase to the Bush administration's decision last year to suspend health care services for higher-income veterans in order to reduce waiting times for doctor's appointments.

Other veterans reported that they were on waiting lists for appointments, could not afford co-payments or lived in communities with no veterans' facilities, the report said. Like other Americans who are uninsured, most veterans have jobs. More than 85% worked within the past year, the report said.

Many uninsured veterans reported serious health problems, the report said. Between 20% and 30% said that they delayed or could not afford care, medications and eyeglasses. More than 40% said they had no medical visits in the past year and two-thirds said they had no preventive care. Another 3.9 million people without health insurance live in veterans' households and also are ineligible for veterans' health care, the report said.

Almost all uninsured veterans served during the Vietnam war or more recently. Those who fought in World War II and the Korean War are older than 65, making them eligible for government health care through Medicare.

Additional details from PNHP:

Of the 47 million uninsured Americans, one in every eight (12.2 percent) is a veteran or member of a veteran’s household, according to a study by Harvard Medical School researchers published in the December, 2007 issue of the American Journal of Public Health (galley version [pdf]). ...

The study is based on detailed analyses of government surveys released between 1988 and 2005. Veterans were only classified as uninsured if they neither had health insurance nor received ongoing care at Veterans Health Administration (VA) hospitals or clinics. A preliminary review by the study’s authors of 2006 data released last month (while this study was in press) shows little change in the number of uninsured veterans since 2004.

“Like other uninsured Americans, most uninsured vets are working people - too poor to afford private coverage but not poor enough to qualify for Medicaid or means-tested VA care,” said Dr. Steffie Woolhandler, an Associate Professor at Harvard Medical School who testified before Congress about the problem earlier this year. “As a result, veterans and their family members delay or forgo needed health care every day in the U.S. It’s a disgrace.”

Other findings of the study include:

* The number of uninsured veterans has increased by 290,000 since 2000, when 9.9% of non-elderly veterans were uninsured, a figure which rose to 12.7% in 2004.

* Of the 1.768 million uninsured, 645,628 were Vietnam-era veterans while 1,105,891 were veterans who served during “other eras” (including the Iraq and Gulf Wars)

* Of uninsured veterans, 56.5% were older than 44.

* Uninsured veterans had as much trouble getting medical care as other uninsured persons. 26.5% of uninsured veterans reported that they had failed to get needed care due to costs; 31.2% had delayed care due to costs; 49.1% had not seen a doctor within the past year; and two-thirds failed to receive preventive care

* Nearly two-thirds of uninsured veterans were employed.

States across the nation are responding to this and other reports. Illinois, for example, is tweaking its uninsured veterans program:

Department of Veterans' Affairs Director Tammy Duckworth said Friday current eligibility rules for the Veterans Care insurance program exclude many veterans who could benefit from it.

"We are rewriting the rules," Duckworth said. "Unfortunately, some of the (original) rules did not address the situation of veterans today." Duckworth blamed the rules for the small number of Illinois veterans who have signed up for the program. More than a year after the state started taking applications, Veterans Care has "somewhere over 100" veterans enrolled in it, Duckworth said. Initial estimates were that thousands of Illinois veterans might qualify.

"It's not very high," Duckworth said. "That's because of the restrictions."

For example, a veteran cannot enroll in Veterans Care if he or she has access to other health insurance. Members of the Illinois National Guard and Reserve drill one weekend a month, during which time they are covered by federal Veterans Administration health care.

"For those two days of the month, they have health care, and that eliminates their eligibility for Veterans Care," Duckworth said. She also wants to allow some veterans to enroll in Veterans Care, even if they qualify for health care under the Veterans Administration. Veterans would be eligible if they live more than 50 miles or more than an hour's drive away from the nearest VA facility, she said.

"If you live in El Paso, Illinois, you don't have access to VA health care. You are too far away," Duckworth said. Another problem, she said, is that even if a veteran is eligible for federal health care, he or she may have difficulty getting it on a timely basis. In some cases, veterans wait months or even years to get appointments for VA health services.

"To me, that is the same as not having access," Duckworth said. She acknowledged that if eligibility rules are changed and more veterans participate, the cost to the state will go up. Veterans Care is funded with a combination of state money and proceeds from a special state lottery game.

Still, Duckworth said, the program will maintain income requirements and other rules that will keep Veterans Care focused on those who really need it.

And to the north, in Wisconsin:

Some statistics don't sit well with state Rep. Steve Hilgenberg, D-Dodgeville. When he read a study from Harvard Medical School that 1 of every 8 veterans under the age of 65 is uninsured, Hilgenberg was surprised, and moved to action.

Hilgenberg said he will introduce the Veteran Interim Health Care Bill within the next two weeks. Under the bill, Wisconsin's uninsured veterans will receive 24 months of affordable health insurance with low monthly premiums and conservative co-pays.

"These troops are stressed enough getting out of combat," Hilgenberg said. "They shouldn't need to worry about health insurance coverage." ... The plan would be geared toward working veterans who do not have access to health insurance, either because they make more than is allowed to access Veterans Affairs health care, their employer does not offer health insurance or they cannot afford a private policy.

"We owe veterans the opportunity to recuperate and reshape their lives on return to civilian life with access to affordable medical care," Hilgenberg said. "It is so important that we do everything possible to protect our Wisconsin veterans."

Hilgenberg said the Department of Veterans Affairs would operate the program, which he estimates would cost the state about $2 million. Hilgenberg said the money would come out of the state's general purpose fund.

The Legislative Fiscal Bureau is working on costs for the coverage, premiums and co-pays. Hilgenberg estimates the monthly premiums would be around $50. He had no estimates on the co-pay structure.

Hilgenberg said veterans, upon returning home from service, would have to apply for the coverage. Once the VA determined a veteran was eligible for the insurance, the two-year coverage would start.

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"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.


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