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VETERANS DISARMAMENT ACT
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[QUOTE]Originally posted by IWISHIHAD: [QB] Below is an article of some problems i wish these politicians would spend more of their time and our money on instead of this bill. If they would get more help for vets and soldiers like they deserve, there would be a lot less seriously sick veterans and a lot less problems. This article deals more with the soldiers issues but vets are facing the same problems also, many waiting several months to be seen. The Institute of Medicine reported last month that Veterans Affairs’ methods for deciding compensation for PTSD and other emotional disorders had little basis in science and that the evaluation process varied greatly. And as they try to work their way through a confounding disability process, already-troubled vets enter a VA system that chronically loses records and sags with a backlog of 400,000 claims of all kinds. The disability process has come to symbolize the bureaucratic confusion over PTSD. To qualify for compensation, troops and veterans are required to prove that they witnessed at least one traumatic event, such as the death of a fellow soldier or an attack from a roadside bomb, or IED. That standard has been used to deny thousands of claims. But many experts now say that debilitating stress can result from accumulated trauma as well as from one significant event. In an interview, even VA’s chief of mental health questioned whether the single-event standard is a valid way to measure PTSD. “One of the things I puzzle about is, what if someone hasn’t been exposed to an IED but lives in dread of exposure to one for a month?” said Ira Katz, a psychiatrist. “According to the formal definition, they don’t qualify.” The military is also battling a crisis in mental-health care. Licensed psychologists are leaving the armed forces at a far faster rate than they are being replaced. Their ranks have dwindled from 450 to 350 in recent years. Many said they left because they could not handle the stress of facing such pained soldiers. Inexperienced counselors muddle through, using therapies better suited for alcoholics or troubled marriages. Poor access; inadequate training A new report by the Defense Department’s Mental Health Task Force says the problems are even deeper. Providers of mental-health care are “not sufficiently accessible” to service members and are inadequately trained, it says, and evidence-based treatments are not used. The task force recommends an overhaul of the military’s mental-health system, according to a draft of the report. Another report, commissioned by Defense Secretary Robert Gates in the wake of the Walter Reed outpatient scandal, found similar problems: “There is not a coordinated effort to provide the training required to identify and treat these non-visible injuries, nor adequate research in order to develop the required training and refine the treatment plans.” But the Army is unlikely to do more significant research anytime soon. “We are at war, and to do good research takes writing up grants, it takes placebo control trials, it takes control groups,” said Col. Elspeth Ritchie, the Army’s top psychiatrist. “I don’t think that that’s our primary mission.” In attempting to deal with increasing mental-health needs, the military regularly launches Web sites and promotes self-help guides for soldiers. Maj. Gen. Gale Pollock, the Army’s acting surgeon general, has proposed doubling the number of mental-health professionals and boosting the pay of psychiatrists. But there is another obstacle that those steps could not overcome. “One of my great concerns is the stigma” of mental illness, Pollock said. “That, to me, is an even bigger challenge. I think that in the Army, and in the nation, we have a long way to go.” The task force found that stigma in the military remains “pervasive” and is a “significant barrier to care.” Surveys underline the problem. Only 40 percent of the troops who screened positive for serious emotional problems sought help, a recent Army survey found. Nearly 60 percent of soldiers said they would not seek help for mental-health problems because they felt their unit leaders would treat them differently; 55 percent thought they would be seen as weak, and the same percentage believed that soldiers in their units would have less confidence in them. Lt. Gen. John Vines, who led the 18th Airborne Corps in Iraq and Afghanistan, said countless officers keep quiet out of fear of being mislabeled. “All of us who were in command of soldiers killed or wounded in combat have emotional scars from it,” said Vines, who recently retired. “No one I know has sought out care from mental-health specialists, and part of that is a lack of confidence that the system would recognize it as ‘normal’ in a time of war. This is a systemic problem.” Officers and senior enlisted troops, Vines added, were concerned that their careers could be damaged or that they would have trouble getting security clearances if they sought psychological help. They did not trust, he said, that “a faceless, nameless agency or process, that doesn’t know them personally, won’t penalize them for a perceived lack of mental or emotional toughness.” Commander: PTSD diagnosis overused For the past 21/2 years, the counseling center at the Marine Corps Air Ground Combat Center in Twentynine Palms, Calif., was a difficult place for Marines seeking help for post-traumatic stress. Navy Cmdr. Louis Valbracht, head of mental health at the center’s outpatient hospital, often refused to accept counselors’ views that some Marines who were drinking heavily or using drugs had PTSD, according to three counselors and another staff member who worked with him. “Valbracht didn’t believe in it. He’d say there’s no such thing as PTSD,” said David Roman, who was a substance-abuse counselor at Twentynine Palms until he quit six months ago. “We were all appalled,” said Mary Jo Thornton, another counselor who left last year. A third counselor estimated that perhaps half of the 3,000 Marines he has counseled in the past five years showed symptoms of post-traumatic stress. “They would change the diagnosis right in front of you, put a line through it,” said the counselor, who asked not to be named because he still works there. “I want to see my Marines being taken care of,” said Roman, who is now a substance-abuse counselor at the Marine Corps Air Station in Cherry Point, N.C. In an interview, Valbracht denied he ever told counselors that PTSD does not exist. But he did say “it is overused” as a diagnosis these days, just as “everyone on the East Coast now has a bipolar disorder.” He said this “devalues the severity of someone who actually has PTSD,” adding: “Nowadays it’s like you have a hangnail. Someone comes in and says, ‘I have PTSD,’ ” and counselors want to give them that diagnosis without specific symptoms. Valbracht, an aerospace medicine specialist, reviewed and signed off on cases at the counseling center. He said some counselors diagnosed Marines with PTSD before determining whether the symptoms persisted for 30 days, the military recommendation. Valbracht often talked to the counselors about his father, a Marine on Iwo Jima who overcame the stress of that battle and wrote an article called “They Even Laughed on Iwo.” Counselors found it outdated and offensive. Valbracht said it showed the resilience of the mind. Valbracht retired recently because, he said, he “was burned out” after working seven days a week as the only psychiatrist available to about 10,000 Marines in his 180-mile territory. “We could have used two or three more psychiatrists,” he said, to ease the caseload and ensure that people were not being overlooked. [/QB][/QUOTE]
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