Substance Abuse and Post-Traumatic Stress Disorder Among Veterans
Jeffrey Sams
College of Southern Maryland(HMS-1032)
Substance Abuse and Post-Traumatic Stress Disorder Among Veterans Substance abuse among our veterans is much greater than our civilian populations. This is largely caused by post-traumatic stress disorder, associated from combat, and who have endured multiple deployments. In most cases, veterans who have turned to alcohol or drugs have a dual diagnosis. They not only have a problem with alcohol or drugs, but they also suffer from a mental or mood disorder that has a major impact on these issues. In most cases the mood disorder is post-traumatic disorder(PTSD), which results from being in combat. According to
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Bennett, PhD; Hilary J. Liberty, Ph 2013 107). Prior research has evaluated the prevalence of MH concerns and opportunities for treatment at various points in the military/veteran career including post deployment, among those being treated at Veterans Affairs (VA) facilities, and in the general population) (Andrew Golub, PhD; Peter Vazan, PhD; Alexander S. Bennett, PhD; Hilary J. Liberty, Ph 2013 107). The National Survey on Drug Use and Health (NSDUH) data indicate that a substantial portion of young veterans in the general population have substance use disorder (18%) or Serious Psychological Distress (SPD) (14%) (Andrew Golub, PhD; Peter Vazan, PhD; Alexander S. Bennett, PhD; Hilary J. Liberty, Ph 2013 111). All in all, the NSDUH proved to be an extremely valuable resource for this study, and indeed, the results of this analysis for unmet treatment needs have identified important directions for further research into reasons for not getting treatment, especially for SPD (Andrew Golub, PhD; Peter Vazan, PhD; Alexander S. Bennett, PhD; Hilary J. Liberty, Ph 2013 113). The Veterans Administration and National Survey on Drug Use and Health (NSDUH) are taking steps in the right direction to help our veterans with their unmet needs with substance abuse and PTSD. Some examples of improvements are, better mental health evaluations before leaving active duty, more information about military service, and tracking trends among veterans in the general population, who are not necessarily in contact with the
99). Similarly, both articles mentioned PTSD symptoms as being a barrier overlapping with depression. Baker, Kilmer, Lemmer, Goldsmith, and Pittman (2012) provided more in-depth information that focused primarily on PTSD and depression as to where Connor et.al (2013) looked into more barriers other than the overlapping symptoms as being reasons for barriers for treatment in combat veterans. Baker et. al (2012) examined 2 significant mental health issues including PTSD and depression in OEF/OIF combat veterans in their entire research study. These researchers found that health related quality of life (HRQoL) is highly affected in both disorders. Although the study used a clinician-administered PTSD scale (CAPS) as well as standardized and structured interviews conducting to the DSM-5 criteria, the fact alone remains that the overlapping symptoms could be difficult for veterans to understand. The participants in this study consisted of 200 OEF/OIF veterans who completed an interview as well as self-report questionnaires. The sample included 95% men, 45% active duty, 55% veteran; ages 19-52, median 27%; 77% non-Hispanic/Latino, and 80% white. The findings revealed that PTSD and depression have overlapping symptoms as anhedonia, concentration, and insomnia. In conclusion, the results from the
The heroes that make up our armed forces often suffer from terrible experiences in battle, some of which severely impact their mental and physical health, including suffering from post traumatic stress disorder or PSTD. Unfortunately, this has caused many of them to turn to drugs, whether prescription or illicit, to treat these problems. In fact, recent statistics estimate that one in 10 soldiers returning from Afghanistan and Iraq suffer from a substance abuse problem.
Many veterans are unable to leave behind the trauma of Vietnam and psychologically return home. They struggle with a variety of extremely severe problems that neither they nor their families, friends, or communities knew how to understand
Article Citation: Bernhardt, A. (2009). Rising to the challenge of treating OEF/OIF veterans with co‐occurring PTSD and substance abuse. Smith College Studies in Social Work, 79(3-4), 344-367.
The VA runs the largest substance use disorder treatment program in the world. Treatment of veterans with SUDs and co-occurring psychiatric disorders is one of the following three paradigms; parallel, sequential, and integrated. Most VA programs are parallel, where the patient receives treatment for SUD in one program and treatment for PTSD in another. Many SUD-PTSD veterans may be unable to navigate the separate systems or make sense of the disparate messages about PTSD treatment and recovery. One challenge to dissemination and implementation of EBTs is that of dual disorders, particularly SUD and PTSD. These patients use costly inpatient services, tend to have frequent relapses, and are less likely to adhere to or complete treatment.
This disorder leads the veterans to substance abuse to calm their nerves and help them feel more at ease. The substance abuse, in turn, leads the veterans to be more hostile, aggressive, and violent to those people around them, especially their families. A study found in The American Journal of Psychiatry revealed, "Increases in alcohol and substance abuse closely paralleled the increase in PTSD symptoms seen in the period during and immediately after the war. Patients reported that alcohol, heroin, marijuana, opiates, and benzodiazepines (but not cocaine) were beneficial for their symptoms of
The mean age for the participants in the study was 45. The study also took in account the time of service from the veterans, 60% served in the 1970's, 18% in the 1960's, and 18% in the 1980's (Carlson, Gavert, Macia, Ruzek, & Burling, 2013). The study includes veterans that suffer from personality disorders as well as alcohol abuse. Participants within the study are a mixture of races and come from various backgrounds. Included in demographic questions is if the veteran is divorced or married, which may also be a factor in this study. Additionally military branch information and associated was
This literature review briefly examines the scholarly journal articles and research cited above. The aim of these articles were to identify the effective intervention methods used for the treatment of co-occurring posttraumatic stress disorder (PTSD) and substance use disorders (SUD). Although there is much evidence to support the high rate of individuals who experience symptoms of or are diagnosed with both PTSD and a SUD, there is little known about the comorbidity of these two disorders. There is also little research focused on specific populations, such as veterans, who experience a high rate of SUD diagnoses generally associated with combat PTSD. The literature also describes possible rationale for the high rate of
Both PTSD and substance abuse in Veterans not only affects themselves, but it also affects their families and communities (Substance Abuse and Mental Health Services Administration, 2017). The Substance Abuse and Mental Health Services Administration (2017) states that there are 3.1 million immediate family members to the veterans in the United States (Substance Abuse and Mental Health Services Administration, 2017). These family members can potentially suffer from second-hand trauma symptoms (Substance Abuse and Mental Health Services Administration, 2017). The U.S. Department of Defense and the U.S Department of Veteran’s Affairs both offer care that veterans and their families are eligible for, but a substantial number of veterans and their
This study is significant because it is the first national study of VA non-mental health medical service utilization in veterans returning from Iraq and Afghanistan. The findings are important because in the population studied the soldiers who were found to have mental health issues used all types of non-mental health services than those with no diagnosis. Veterans diagnosed with PTSD had the greatest utilization in all service categories. One million of the service men and women who have returned from war zones in Iraq and Afghanistan have been diagnosed with the disorder. Prior research on this topic has revealed that returning war veterans are at a higher risk for developing mental disorders than any other group in the united states.
The U.S. military produces some of the bravest most heroic men and women on earth. From the moment the oath of enlistment is made to the time of separation or retirement, these courageous souls endure a number of amazing, historic and sometimes unbelievable events. They are praise for their service and lift even higher for their sacrifice, although most are unaware of the true sacrifices are made by some of these men and women. The most visible sacrifices or “outer sacrifices” are loss of life or loss of limbs while the inner wounds are bouts with depression, sexual assault, divorce, and most common alcohol other drug abuse.
Treatment for co-ocurring disorders fall under the outpatient spectrum for addiction rehabilitation, however, it is an essential and successful form of treatment specifically for veterans. For many civilians who have not been to combat it is difficult to comprehend the toxic combination of pride, anger, duty, anguish and anxiety many veterans feel after their time in the service. Consequently, adjusting back to civilian life is a difficult task to accomplish; while some veterans sustain only minor physical and psychological wounds from combat, others aren’t as lucky. As mentioned above, for veterans, PTSD is considered a mental health condition caused by the traumatic events experienced in wartime. Thus often causing veterans to drugs or alcohol to self-medicate. If left unaddressed, PTSD and substance abuse in veterans can be
Each of these veterans carry the physical and emotional scars of war. Most of these veterans have some form of Post-Traumatic Stress Disorder (PTSD) or some level of Psychophysiological Pain. The current Veterans Affairs (VA) system is limited to treating these symptoms with opioids or moderately effective mental therapy. 34 Much of the opioid use leads to addiction, overdose, or even suicide. 35 Many veterans that have begun using marijuana, under the threat of losing all of their VA benefits, have reported marijuana is a much more effective, and less addictive, treatment in coping with nightmares, flashbacks, depression, and pain. 36 According to the VA approximately 31% of Vietnam Veterans, 10% of Gulf War Veterans, 11% of Afghan War Veterans, and 21% of Iraq War Veterans suffer from PTSD. 37 According to other reports, some 22 veterans commit suicide per day due to PTSD or pain. 38
There are many ways to help and support veterans who have served for our country and on their return, from war torn countries, have either fallen on difficult times or suffer from PTSD (Post Traumatic Stress Disorder) and turn towards drugs or even take steps that are fatal to themselves, others or even their family members.
Is the military doing enough to help with substance abuse issues among soldiers and vets? Addiction in the military has been prevailant throughout the history of wars with soldiers coming home pumped up full of prescription drugs, alcohol and illicit substances. One of the many causes that lead to addiction in the military is the stress of being separated from family. Another cause is extended periods of boredom on a military base and from being in combat. The government has been known to turn a blind eye when soldiers are abusing substances; that is until their addiction leads to breaking civilian