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New Report on Vets’ Mental Health ‘Very Consistent’ with Military Findings
American Forces Press Service ^ | John J. Kruzel

Posted on 04/17/2008 4:57:56 PM PDT by SandRat

WASHINGTON, April 17, 2008 – A study released today shows that nearly 20 percent of Iraq and Afghanistan veterans report symptoms of post-traumatic stress disorder or major depression, findings that military health officials called “very consistent” with their own.

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Army Col. Loree K. Sutton, director of the Defense Center of Excellence for Traumatic Brain Injury/Post Traumatic Stress Disorder, addresses the findings and recommendations of a new RAND study on brain injury and stress disorders in our troops serving in Afghanistan and Iraq, during a media roundtable in the Pentagon, April 17, 2008. Defense Dept. photo by R. D. Ward

(Click photo for screen-resolution image);high-resolution image available.
During a media roundtable at the Pentagon this morning, officials said the report by the RAND Corporation, titled “The Invisible Wounds of War,” helps clarify mental health hurdles the Defense Department is seeking to overcome.

“We’re on a journey, and we’ve come a long way, … but we’ve got a long way to go,” said Army Col. Loree Sutton, chief of the newly created Defense Center of Excellence for Psychological Health and Traumatic Brain Injury. “That’s why we’re so thankful to teams like the RAND team that have stepped up and helped us better understand our challenges.”

Sutton called it “heartening” that the RAND report’s conclusions are “very consistent” with previous studies by the Army’s Mental Health Advisory Team and other results published in a private medical journal. “We appreciate their efforts to inform our efforts,” she added.

One of the study’s findings is that just more than half of servicemembers reporting symptoms actually seek care for post-traumatic stress disorder or major depression. For those who do seek help, only about half receive treatment that researchers consider “minimally adequate,” the report states.

“Clearly, that’s a finding that concerns us,” Sutton said.

“It’s very consistent with the civilian literature, as well as with our own assessment of the challenges in this area,” she said. She cited “closing the gap” between knowledge and practice as a top priority. “We will redouble our efforts,” she said.

Sutton said the military health community has used $500 million appropriated in 2007 to fund more than 25 major new programs supported by more than 125 initiatives, many of which “get to the heart of that concern.” She added, “We want to provide evidence-based care, the very highest quality care.”

One reason many troops avoid psychological treatment, the RAND report says, is because they fear it will harm their careers.

“In general, respondents were concerned that treatment would not be kept confidential and would constrain future job assignments and military-career advancement,” the report said.

Sutton said the military health community is attempting to transform military culture with regard to its approach to psychological care. Defense Secretary Robert M. Gates has bolstered these efforts, she said, by seeking to remove a question about health care history that appears on security clearance questionnaires.

“That’s in the process of being revised right now,” she said. “We think that that’s going to be a big step forward to help our servicemembers understand that seeking care, in fact, is a sign of strength.”

Joining Sutton at the roundtable was Air Force Lt. Col. Michael Jaffee, director of the Defense and Veterans Brain Injury Center. Jaffee said the “big cultural challenge” also occurs in the combat theater, especially in servicemembers’ attitude about seeking treatment for possible battlefield concussions.

“Our culture is so towards performance that we think we can shake it off; if we toughen up, we can get by it,” he said. “It's very similar to the professional athlete who may not want to be taken out of the game.

“So it really speaks to that big cultural challenge,” he said, “which is one of the main challenges in front of us.”

While the healthcare community has a long road ahead, it took a step in the right direction over the past year by hiring nearly 8,000 additional mental health professionals and other staffers, Sutton said.

The colonel also highlighted the Center of Excellence, a state-of-the-art hub for psychological health and traumatic brain injury treatment that opened its doors in November. One of her main duties there, she said, is to assess the efficacy of the more than 150 new programs and initiatives, increasing funding for those that are most efficient and scrapping those that flounder.

Underscoring a sense of urgency in her mission, Sutton stressed the need for “less talk and a lot more action” in regard to mental health clinical care, education, training, research funding, and outreach. She said spreading the importance of military mental health care is an issue of national importance.

“It's a national educational campaign,” she said. “Not just for those of us in the military and the veterans community, but for our entire country.”
Related Sites:
Defense and Veterans Brain Injury Center
Military Health System
Click photo for screen-resolution image Army Col. Loree K. Sutton, director, Defense Center of Excellence for Traumatic Brain Injury/Post Traumatic Stress Disorder, and Air Force Lt. Col. Mike Jaffee, director, Defense Veterans Brain Injury Center, hold a Pentagon media roundtable, April 17, 2008, to address the findings and recomendations from a new RAND study on brain injuries and stress disorders being suffered by our troops in Afghanistan and Iraq. Defense Dept. photo by R. D. Ward   
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TOPICS: Culture/Society; Foreign Affairs; Government
KEYWORDS: health; mental; military; vets

1 posted on 04/17/2008 4:57:56 PM PDT by SandRat
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To: SandRat
The military get's a bad rap here. In society, the number is 1 in 4.

Typical onset of most mental illness's overlaps military age. So, a certain percentage of service personell were going to develop mental illness regardless. Compared with prior conflicts, less than 20% is good progress.

2 posted on 04/17/2008 5:18:02 PM PDT by fso301
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To: SandRat
Frankly — I don't doubt for a moment that a number like 20% of combat veterans or those exposed to real danger, suffer from some mental issues.... to one degree or another..

In fact - I would be a little suspicious of any figure significantly less than that..

American warriors are certainly trained, equipped and motivated to deliver an ungodly level of destruction and death to ANY enemy — or kill up close in a very intimate and nerve racking scenario..

American warriors are NOT mechanical robots, drug crazed suicide bombers, mind numbed zealots or insensitive human being.... American warriors are trained to retain their humanity and the truth of that fact is demonstrated constantly......

These young American warriors are ENTITLED to have “mental issues” with the memories and mental pictures or mental stress they have experienced... Treat them as the wounded warriors they are and stop stigmatizing them as somehow “nuts”....

It's their very humanity and sanity that causes them the issues they're having from the experiences they've endured...

I only pray their nightmares end soon - and they don't harm themselves or loved ones in the interim....

3 posted on 04/17/2008 5:30:20 PM PDT by river rat (Semper Fi - You may turn the other cheek, but I prefer to look into my enemy's vacant dead eyes.)
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To: SandRat

20% is probably lowballing it for Soldiers (etc.) with “hands-on” combat experience. But that is only five years into the current conflict. Let’s not forget what the “P” in PTSD stands for. That number has nowhere to go but up.

4 posted on 04/17/2008 7:16:18 PM PDT by Snickersnee (Where are we going? And what's with this handbasket?)
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