The Role Of Mental Health Disorders In Veterans

As awareness grows relating to the mental health problems of those who served in Operation Iraqi Freedom (OIF), Operation Enduring Freedom (OEF), much of the focus has been on providing adequate and effective care to the newest population of combat veterans. Although efforts have significantly increased with the employment of Evidence Based Practices (EBP) and while the Department of Defense (DOD) and the Veterans Healthcare Administration (VHA), have updated their clinical practice guidelines, barriers remain and reaching the majority of this particular population remains a challenge.

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

Veterans are the people who have given part of themselves to protect our country. We have denied them, laughed at them, and forgotten them when they gave so much to defend us. There are veterans who are living on the streets, dying from starvation, sickness, and weather, when they thought they would be welcomed with open arms. Going to war changed their personalities and gave them a want to forget the things they saw. Veterans should be welcomed and cared for, not disrespected and forgotten. PTSD, or Post Traumatic Stress Disorder, can affect the daily lives of veterans and their families who have to help deal with it. Things such as fireworks or gunshots can trigger it, causing them to remember the horrific things they have seen and heard.

There are several barriers to rural veterans receiving quality of care. These include the rural and military stigma against mental health services, the insufficient timeliness of receiving care, the lack of skilled professionals in positions to serve veterans, and the tangible challenge of access to care. These barriers cause many veterans to not receive services at all. At best, it causes major hindrances for rural veterans resulting in sporadic treatment, low quality of care (Buzza, et al., 2011) and financial concerns (Gayle & Heady, 2011).

How does war affect the mind of a soldier? It would seem to some that a soldier thrives on war, that true heroism lies within those who show no weakness in its midst. No mental block can stop a soldier from his duty. Yet, some 20% of veterans are returning home from the wars in Iraq and Afghanistan suffering from Post-Traumatic Stress Disorder (PTSD). So what of these brave servicemen and women who snap upon realizing the harsh tragedy of war? How can the concept of unbreakable soldier be taken on? In the article, “Military’s mental-health system faces shortage of providers, lack of good diagnostic tools” Ellen Nakashima and Sandhya Somashekhar take on these questions by examining the resources provided to veterans for mental health issues. The authors of this article take specific note of the rising rates of mental health related problems among veterans over the past decade. What is befuddling about this piece is how the information is presented as surprising or shocking. How could the authors, let alone the military, be caught off guard by the fact that a decade long war could

Veterans are everywhere throughout the United States, but just because they are everywhere, doesn’t meant they are getting the proper care. According to the Iraq and Afghanistan veterans of America, “One in three veterans return home and suffer from some sort of mental health issue.” Their mental health issues vary from post traumatic stress disorder to anxiety and depression. The switch from fighting everyday to being home is tough for the veterans and they need to receive the proper treatment so they can possibly live a life as normal as possible. The state Department of Mental Health and Addiction Services, started a $810,000 program to support these veterans with their issues returning home. The transition is hard, not

Society does not accommodate the needs of Veterans in terms of housing and health services upon returning to civilian life. Vietnam veterans are infamously known for being homeless and having a host of mental health issues. Today’s veterans have more support systems but the success of those systems may vary from region to region. In the Puget Sound region there are many homeless veterans despite efforts made by communities and municipalities. Issues of access to health care and inadequate community support intersect to form an underserved group of citizens who served in the military.

America has failed in providing quality physical and mental health care for veterans who do not have the money or the insurance to pay for it themselves. This paper will attempt to uncover approximately how many veterans actually fall through the cracks by asking simple questions; how many are homeless, how many report having PTSD, how many have a substance abuse disorder, how many end up in divorce because of domestic violence?

According to (Fischner, et al., 2016), military beliefs of self-reliance, stoicism, and manliness were reasons why veterans did not seek treatment. With the above-mentioned beliefs, the military norms played a role that prevented a least one individual from this study to seek mental health treatment. The gentlemen, who came from an infantry background, stated that mental health was a taboo subject and that seeking treatment was a sign of failure. Another veteran stated that he was embarrassed to seek mental health treatment and this veteran was afraid others would find that he was indeed seeking mental health treatment but if privacy was promised and maintained he was fine with seeking treatment (Fischner, et al., 2016). This is an indication that providers need to ensure that veterans understand HIPPA and confidentiality laws when they do seek treatment so that these fears are eased. Another belief that this study identified showed is that military beliefs emphasized the need to not show any weakness and to facilitate independence (Fischner, et al., 2016). According to (McCaslin, Leach, Herbst, & Armstrong, 2013), military beliefs have origins in service, respect, honor, and order as well as comradeship amongst military members. The loss of a veteran’s social network in a combination of having to locate housing, healthcare, and source of income can cause an insurmountable hardship for the returning veteran (McCaslin, Leach, Herbst, & Armstrong,

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.

There has been controversy about whether the U.S. Department of Veteran Affairs is taking care of their veterans or are resisting in recognizing Post-Traumatic Stress Disorder. The Union of Concerned Scientist found that the Department of Defense stated that, “The U.S. Army allegedly pressured psychologists not to diagnose Post-Traumatic Stress Disorder (PTSD) to free the Army from providing long-term, expensive care for soldiers. The Department of Veteran Affairs (VA) has also been implicated in pressuring staff to misdiagnose veterans with the aim of cutting costs” (UCS). In result of not properly diagnosing the veterans, they are left unsure why treatment

“The Veterans Health Administration (VHA) is home to the United States’ largest integrated health care system” (Mason e.t. al 2016). Because of technological and medical advancement, surviving injuries from war has lead to a greater need for post deployment and discharge care. I often hear the phrase “Freedom is not free”; the mental health of our active duty soldiers and veterans is one area that ends up costing America. Some lose time with their families, some are injured physically and mentally, and some lose their lives.

For many years, the VA has offered health care to the men and women who have surrendered a large part of their lives to protect our nation. The VA has made great stride in providing specialized services to veterans such as Traumatic Brain Injury (TBI), Military Sexual Trauma (MST), and Mental Health treatment. In fact, the VA is leading the field on Post-Traumatic Stress Disorder (PTSD) research, but now that many of our men and women are returning home from war, the commitment that the VA made to provide accessible health services and a smooth transition from military life back to civilian life to these heroes and their dependents are not being granted in a timely manner. Studies show that suicide among veterans is the number one leading cause of death in the United States and

There is concern about military service members receiving stigma about getting or needing treatment in the area of mental health. Stigma occurs when individuals view others negatively because they have been labeled or identified as having a deviant behavior against societal norms; deviant behaviors such as mental illnesses or diagnoses uncommon or harmful to others. How does that impact the military? Military men and women alike are termed heroes, warriors, and survivors; this is quite the reputation to keep up. Military members go to war or deploy to hostile combat environments, which many come back with severe mental illnesses and diagnosis that need immediate care. At this point they may not feel like a hero. The terms psychological, mentally ill, PTSD, and behavioral health has gained a reputation as having or being a problem. Being labeled a problem is not what service members want. Many studies are trying to pinpoint the problem and resolve the stereotypes associated with getting treatment. Consequently, an individual’s attitude toward mental health treatment is thought to be affected by other people’s views on mental health care (Held & Owens, 2012).

Hundreds of thousands of United States veterans are not able to leave the horrors of war on the battlefield (“Forever at War: Veterans Everyday Battles with PTSD” 1). Post-traumatic stress disorder (PTSD) is the reason why these courageous military service members cannot live a normal life when they are discharged. One out of every five military service members on combat tours—about 300,000 so far—return home with symptoms of PTSD or major depression. According to the Rand Study, almost half of these cases go untreated because of the disgrace that the military and civil society attach to mental disorders (McGirk 1). The general population of the world has to admit that they have had a nightmare before. Imagine not being able to sleep one