VCS ED on PRI’s “To the Point”

Yesterday VCS Executive Director Patrick Bellon was on Public Radio International’s “To the Point” with Warren Olney.  Also on the program were Jim Dao of the New York Times and Under Secretary for Benefits Alison Hickey. The topic was the persistent disability  claims backlog. You can hear the entire discussion herehttp://www.kcrw.com/news/programs/tp/tp121002veterans_and_the_va_

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SMA on suicide: ‘It’s okay to seek help’

SMA Chandler frankly discusses his own issues. 

From usamy.mil

By David Vergun  Suicide prevention Sgt. Maj. of the Army Raymond F. Chandler III, tells Soldiers thinking about suicide that it’s OK to ask for help. He also discussed his own behavioral health challenges and treatment on the eve of the Army’s suicide stand-down, Sept. 27, 2012.

  • WASHINGTON (Army News Service, Sept. 26, 2012) — “It’s a source of strength to ask for help and we are all about being strong in the Army,” said Sgt. Maj. of the Army Raymond F. Chandler III, on the eve of the Army-wide suicide stand down.

He was referring to the importance of reducing the stigma in the Army concerning seeking help for thoughts or feelings of suicide.

Chandler acknowledged that suicides have been increasing in the Army and remain a huge problem.

“Suicide is an enemy we have yet to defeat,” he said. “Our ultimate goal is to change mindset across the force, build resilience, strengthen life-coping skills and address the stigma associated with asking for help. We’ve got a long ways to go, but we’re going to get there.”

He drew a comparison between a Soldier and a police officer.

“Soldiers are asked to close with and destroy the enemy, and that means ultimately taking another human being’s life,” he said. “If you are a police officer in any community around the United States, if you draw your weapon and shoot it, you are going to see behavioral health care, because we recognize that act is one that places extreme stress on an individual.”

“For our Army and its culture, we will routinely ask you to close with and destroy the enemy, which means to possibly kill someone,” he continued. “Being a Soldier and what we ask Soldiers to do is probably the highest level of performance we will ask of any human being. (Now), we ask you as a United States Soldier (to seek) behavioral health.”

Those who have been in harm’s way are not the only ones at risk for suicide, he said. “More than 50 percent of suicides are Soldiers who’ve never deployed. Our challenge is with each individual Soldier to reach out to them.”

He called junior leaders “truly our first line of defense against suicides,” adding that they “are fully aware of (the resources) out there and their responsibilities, and we make it as easy as possible for them to get the help for their Soldiers that they need.”

Chandler also encouraged family members to ask their Soldiers to seek help or to seek help for themselves.

“There are tremendous resources across the Army to help, but first step is for the individual to say ‘I need some help,’ or for a friend or loved one to say ‘you may have some issues, lets talk about getting some help.’”

Change is taking place for the better, he said. “I’m starting to see some traction around the force about it’s okay to seek help — and that’s a big deal for us.”

He praised the quality of care that is available as well.

“We have tremendous behavioral health care specialists who serve our Soldiers. I’d place our medical community against anyone else’s in the world.”

One of the challenges facing the Army is hiring more behavioral health care specialists, he added. “We’re looking for more ways to bring them onboard.”

Establishing a relationship of trust with the caregivers is just as important as reducing the stigma associated with seeking help for suicidal ideation, Chandler said. He lauded the effort to provide behavioral caregiving at the unit level.

“One of most exciting things we’ve done recently is to start with our embedded behavioral health care, pushing it down to the brigade level. That relationship building between the Soldier, leader and health care provider tells them that there’s care available, easier to get to and to access. And then, the stigma and the walls start to break down.”

Chandler was frank about his own behavioral health challenges regarding post-traumatic stress disorder and traumatic brain injury.

“Around 2004 on June the 30th at 1600 in Baghdad, Iraq, a 122mm rocket came into my room and blew up, knocking me around a bit,” he said. “I had to face my own mortality and in doing that I made some decisions from an emotional standpoint that turned my feelings off, and in doing that I put myself in a position over a period of years where I became less attached to those things most important in my life: my family, my wife, and instead, focused on those things I could control, which was my work environment.”

“And that had a negative effect on me and I went into a downward spiral and started to make some poor decisions in life,” he continued. “I got to a place where I needed help, and with the help of some friends and loved ones, recognized that and spent about two years in almost weekly behavioral health counseling.

“When I was interviewed to be the sergeant major of the Army by General (George W.) Casey, who was the chief of staff at the time, he asked me, ‘is there anything I need to know about.’ I told him I’d been in behavioral health care counseling for the past two years. He said, ‘I see that as a strength and would ask if you can to talk about it to Soldiers and families if selected,’ and it’s been a part of what I’ve done for about the last 20 months.”

“Ultimately I’m a better person and a better father, a better husband, which in turn helps me to be a better Soldier because of it,” he said.

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Scores of recent Texas war veterans have died of overdoses, suicide and vehicle crashes, investigation finds

By American-Statesman Investigative Team They survived the battlefields of Iraq and Afghanistan. But they did not survive the homecoming. A six-month American-Statesman investigation, which paints the most complete picture yet of what happened to Texas’ Iraq and Afghanistan veterans who died after leaving the military, reveals that an alarmingly high percentage died from prescription drug overdoses, toxic drug combinations, suicide and single-vehicle crashes — a largely unseen pattern of early deaths that federal authorities are failing to adequately track and have been slow to respond to. The Statesman obtained autopsy results, toxicology reports, inquests and accident reports from more than 50 agencies throughout the state to analyze the causes of death for 266 Texas veterans who served in operations Enduring Freedom and Iraqi Freedom and were receiving Department of Veterans Affairs disability benefits when they died. The Statesman investigation, which relied on 345 fragmentary death records provided by the VA — as well as obituaries and interviews with veterans’ families — reveals a phenomenon that has mostly been hidden from public view. The investigation found that: More than 1 in 3 died from a drug overdose, a fatal combination of drugs or suicide. Their median age at death was 28. Nearly 1 in 5 died in a motor vehicle crash.

Of those with a primary diagnosis of post-traumatic stress disorder, the numbers are even more disturbing: 80 percent died of overdose, suicide or a single-vehicle crash. Only two of the 46 Texas veterans of the Iraq and Afghanistan operations who had a PTSD diagnosis died of disease or illness, according to the newspaper’s analysis. The 345 Texas veterans identified by the VA as having died since coming home is equal to nearly two-thirds of the state’s casualties in Iraq and Afghanistan. But that only includes veterans who have sought VA benefits, meaning the total number of deaths is likely much larger. The investigation highlights the problem of prescription drug overdose among veterans, which has received scant attention compared to suicides: Nearly as many Texas veterans died after taking prescription medicine as committed suicide. VA prescriptions for powerful narcotics have skyrocketed over the past decade even as evidence mounted that such painkillers and PTSD make a dangerous combination. In effect, experts say, the military and VA exposed an especially vulnerable population to a flood of powerful drugs.

Read more..

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Mystery Republican Holds Up COLA Vote For Disabled Veterans

From VCS AD Ben Krause’s Blog disabledveterans.org

 

In another shifty move by Senate Republicans, one Senator anonymously blocked the annual vote for the Cost of Living Increase for disabled veterans.

This serves as yet another blow to veterans legislation just on the heels of Senate Republicans voting down the Veterans Jobs Corps. Rachel Maddow did a great piece on the issues with the obstructionist techniques these Senators are suddenly employing.

Here is what basically went down according to the Beast:

“It cleared every Democrat in the Senate [Veterans Affairs Committee], but there was still a hold on the bill, so obviously it had to be from someone on the Republican side,” said Matt McAlvanah, a spokesman for Senator Murray. “It lasted until we adjourned, nearly 72 hours. We then went into recess, with the Republicans still having a hold on this bill. So we put out a release today saying someone should step forward.”

“Now we hear that Republicans are saying there is no longer a hold. That’s fine, but it does little good now because we’re not coming back until postelection. Now we have to pass this bill by the skin of our teeth just to make sure the VA can process the checks. It’s going to be a close call.”

Because of the delay, the Senate, which is out of session until Nov. 13, will have to vote on the legislation on the very same day it reconvenes in order for its payments to get out on time, according to a statement from the Department of Veterans Affairs.

“Should Congress pass the COLA after that date, VA would have to make complex programming changes to the system that could not be accomplished in time to pay the COLA increase on January 1,” according to the VA release. “Consequently, the December COLA increase would have to be paid retroactively.”

 

Ironically, with the Veterans Jobs Corps, the Senate Republicans drafted part of that legislation despite not being in the majority. Still, they voted it down.

  • Richard Burr, NC
  • Roger Wicker, MS
  • Mike Johanns, NE
  • Scott Brown, MA
  • Jerry Moran, KS
  • John Boozeman, AR

Generally speaking, I am centrist on most issues. The same applies to veterans issues. I will fight tooth and claw for these and side with anyone who has the strongest platform to support veterans.

Now, I see Republicans filibustering legislation supporting veterans. This same legislation was written in part by the Republicans. It was paid for through offsets. Yet, when it came time for the rubber to meet the road, they vetoed the Jobs Corps bill.

This bill, the Jobs Corps Act, will need to wait until next year. Hopefully, they will sort out the coward Republican who anonymously blocked the vote on the COLA increase for disabled veterans.

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Tell Congress you disapprove of their failure to pass COLA for disabled veterans

Yesterday the Senate failed to pass a Cost-of-living-adjustment for disabled veterans.

If you think this in an injustice you can tell your elected officials by using Popvox. Its an easy tool that will give you the information you need and direct your correspondence to the proper location. Thank you for supporting veterans.

powered by popvox.com

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VA processing claims at record pace, but still can’t keep up

From Stars and Stripes

By Leo Shane III

WASHINGTON – Veterans Benefits Administration processors completed more benefits claims than ever before last month, wrapping up work on a record 107,462 cases. The agency also announced that it topped 1 million completed claims for the third fiscal year in a row, another historic mark.

That’s the good news. The bad news is that the record pace of work barely made a dent in the massive benefits backlog which has plagued the system for years.

As of Sept. 4, more than 567,000 benefits claims had been awaiting completion by VBA workers for more than 125 days. That’s down almost 13,000 applications from the start of August, but up nearly 27,000 from January and 2,000 from June, when Veterans Affairs officials announced the reassignment of hundreds of claims processors to start attacking that problem.

In a statement, Veterans Affairs Undersecretary for Benefits Allison Hickey said that the department is on the right track but “we realize much work remains to be done to better serve veterans. Too many veterans still wait too long.”

Department officials have set a goal of eliminating the backlog – all claims pending for more than 125 days – by the end of 2015. Last week, members of the House Veterans Affairs Committee publicly questioned whether that goal is feasible, considering the sluggish progress so far.

VA officials have also set a goal of 98 percent accuracy on claims processing by then. In the last year, that accuracy level has risen from 83 percent to 86 percent.

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Romney Mistakes Defense Spending For Veterans Health Care

From VCS AD and Disabledveterans.org  Ben Krause

 

Toady, Mitt Romney was cited conflating defense spending with veteran health care. He is already following through with campaign promises on that 47{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} of Americans.

“Given the needs of our veterans, how in the world, as commander-in-chief, you could stand by as we shrink our military commitment financially is something that I don’t understand, and I will reverse it,” Romney said.

During the speech to the American Legion, Romney conflated defense cuts with spending for health care services to veterans. Romney apparently forgot that the Department of Veterans Affairs has its own Cabinet position, and is not an arm of the Department of Defense.

Nonetheless, Romney went on to bloviate about how he would do a better job than President Obama by not shrinking our defense budget that blows billions every year on overblown defense projects.

He does not appear to know the different between veteran health care and military health care. Veteran health care is provided by the Department of Veterans Affairs. Military health care is provided by the Department of Defense. THESE ARE TWO SEPARATE GOVERNMENTAL DEPARTMENTS.

Since disability compensation is tax free, making all disabled veterans part of the now infamous 47{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d}, it looks like Romney is already following through with a campaign promise – to not pay attention to those not paying taxes.

This whole thing makes sense since Romney is getting his input on VA issues from Jim Nicholson. Nicholson was largely regarded as one of the worst VA heads in modern history – it was rumored his appointment to the head slot of the VA had more to do with campaign favors than actual merit.

Either way, in light of Romney’s speech to the VFW, and now this subsequent speech to the American Legion, one thing is conclusive: Romney does not understand veterans issues, and does not care enough to get his facts straight when talking to large groups of us.

For veterans planning to vote for the Romney Ryan ticket, just realize that doing so should be based on other issues than just veterans benefits.

Between Ryan and Romney, it looks clear that Defense spending will be the priority. Meanwhile, taking care of veterans after the war will get as little attention as possible.

If anything, our benefits will likely be cut.

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Mystery Republican Blocks Cost of Living Adjustment for Disabled Veterans


(Washington, D.C.) – Today, U.S. Senator Patty Murray, Chairman of the Senate Veteran’s Affairs Committee, announced that an as yet unnamed Senate Republican has blocked a traditionally non-controversial bill that would provide over 3.9 million veterans and their survivors with a Cost-of-Living Adjustment (COLA) for the benefits they receive. The COLA increase, which is designed to offset inflation and other factors that lead to the rising cost of living, was brought to the Senate floor by Senator Murray last Thursday. The bill was cleared by all Senate Democrats but was blocked by at least one Senate Republican that has not come forward to claim responsibility.

“This is stunning” said Senator Murray. “Particularly because we still don’t have any indication why someone would block a cost-of-living adjustment for veterans and their surviving spouses, many of whom are struggling to make ends meet. This adjustment for our disabled veterans is hard earned and well deserved. My hope is that whichever Senator has decided to hold up this bill will at least come forward to own up to it. That way we can move forward to overcome their opposition and get our veterans the support they need.”

The Veterans COLA will affect several important benefits, including veterans’ disability compensation and dependency and indemnity compensation for surviving spouses and children. The COLA rate will match the annual increase provided to Social Security recipients and is based on the Bureau of Labor Statistics Consumer Price Index.

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Please Support our Public Education Efforts and Landmark Lawsuit

Thanks to all of our supporters,we have achieved 11{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} of our goal. Show your support for VCS today so we can get to our fall fundraising goal of 10,000. 

At Veterans for Common Sense we work hard to educate the public and elected officials about the issues facing veterans. In 2007 we sued the VA to help veterans access their benefits and to obtain mental health services when they need it most and without delay. Donations are tax deductible.

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For Veterans, a Surge of New Treatments for Trauma

From NYT.com

By TINA ROSENBERG

Fixes looks at solutions to social problems and why they work. TAGS:

MENTAL HEALTH, PTSD, VETERANS Suicide is now the leading cause of death in the army. More soldiers die by suicide than in combat or vehicle accidents, and rates are rising: July, with 38 suicides among active duty and reserve soldiers, was the worst month since the Army began counting. General Lloyd Austin III, the army’s second in command, called suicide “the worst enemy I have faced in my 37 years in the army.” This Thursday, the Army is calling a “Suicide Stand-Down.” All units will devote the day to suicide prevention.

There are many reasons a soldier will take his own life, but one major factor is post-traumatic stress.

Anyone who undergoes trauma can experience post-traumatic stress disorder — victims of rape and other crimes, family violence, a car accident. It is epidemic, however, among soldiers, especially those who see combat. People with PTSD re-experience their trauma over and over, with nightmares or flashbacks. They are hyperaroused: the slam of a car door at home can suddenly send their minds back to Iraq. And they limit their lives by avoiding things that can bring on the anxiety — driving, for instance, or being in a crowd.

PTSD has affected soldiers since war began, but the Vietnam War was the first in which the American military started to see it as a brain injury rather than a sign of cowardice or shirking. A study of Vietnam vets 20 years after the conflict found that a quarter of vets who served in Vietnam still had full or partial PTSD.

America’s current wars may create even more suffering for those who fought them. In the Afghanistan and Iraq conflicts soldiers have been returned to these wars again and again, and they face a deadly new weapon — improvised explosive devices, or I.E.D.’s — which cause brain injuries that, terrible in themselves, also seem to intensify PTSD. “We surmise PTSD will be worse,” said Dr. James Kelly, the director of the National Intrepid Center of Excellence, which studies and treats the intersection of PTSD and traumatic brain injury. “Some people are on their 10th deployment. Previously, people didn’t have those doses. And there are multiple blast exposures and other blunt blows to the head. This kind of thing is new to us.”

~~~~

When we think about treating PTSD, we usually picture a single patient and a psychotherapist. The two treatments in widest use are, in fact, just that: cognitive processing therapy, where patients learn to think about their experiences in a different way, and prolonged exposure, in which the therapist guides the patient through re-experiencing his trauma again and again, to teach the brain to process it differently.

These therapies help a lot of veterans — about 40 percent of those who go through treatment are cured. But there are many, many more suffering veterans who are not helped. It’s not just that these treatments don’t work for everyone — no therapy does. More important, they are not broad enough. PTSD is often accompanied by and entwined with other serious problems — depression, sleep disorders, chronic pain and substance abuse. Sometimes these resolve if the PTSD does, but often they require specific attention — which the standard PTSD therapies don’t provide.

There is another way these treatments need broadening — they need to reach more people. The military and Veterans Affairs hospitals do not have enough psychotherapists to offer them on the necessary scale. And many soldiers are wary of psychotherapy and afraid of the stigma it carries.

Today, the military is fighting that stigma. The V.A. is trying to integrate mental health care into primary health care; soldiers are now routinely screened for issues like PTSD, depression or substance abuse. An ad campaign called AboutFace features dozens of vets talking about their PTSD and how they got better — the point is: they are people just like you. A new program called Comprehensive Soldier and Family Fitness builds in resilience training for all soldiers at every phase — pre-deployment, in theater, upon return. It seeks to make regular mental health exercises as routine for soldiers as physical training.

Read More…http://opinionator.blogs.nytimes.com/2012/09/26/for-veterans-a-surge-of-new-treatments-for-trauma/

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