New mobile app helps patients with PTSD through prolonged exposure

The Departments of Defense and Veterans Affairs have released PE (for prolonged exposure) Coach, a smartphone mobile application for use with post-traumatic stress disorder treatment. Both departments use prolonged exposure therapy as an effective treatment for PTSD. PE Coach is a free app for Apple and Android mobile devices.

Psychologists at the Defense Department’s National Center for Telehealth and Technology, known as T2, and the VA National Center for PTSD, developed the mobile app to specifically help patients with their therapy.

“PE Coach is a helpful tool that assists our service members and veterans who are between visits and in treatment for post-traumatic stress disorder,” said Dr. Jonathon Woodson, assistant secretary of defense for health affairs. “We could not be more grateful to the mobile app developer and have shared this app with our military health care providers as well, and hope that many individuals who are receiving PE therapy will find it useful.”

Prolonged exposure therapy helps a patient process a trauma memory to reduce the distress and avoidance caused by the trauma. The patient revisits the memory with a therapist and as the memory is emotionally processed, anxiety decreases. The therapy also helps the patient confront avoided situations that trigger memories of the trauma.

Many psychologists providing prolonged exposure therapy acknowledge it could be more effective if patients could better adhere to their assignments between sessions.

The patient installs PE Coach on their smartphone and can record the therapy session for playback between the sessions. The app also provides an explanation of exposure therapy, assignments, explanations of PTSD and its symptoms, and a convenient way to write notes about typically avoided locations, situations and events for later discussions with their therapist.

Reger said that writing in a notebook in public places made many people feel uncomfortable. However, tapping a note on a smartphone is much easier to capture those in-the-moment feelings.

PE Coach will help users successfully adhere to PE treatment, which could improve the quality of the treatment. Reger said it was not designed to be used as a self-help tool and should not replace professional counseling.

The Defense Department and VA released a similar mobile application last year. The PTSD Coach application is a reference tool for education, tracking symptoms, self-assessments and connections to support individuals with PTSD.

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Groups call on Marines to sever ties with UFC

From Stars and Stripes

by By JENNIFER HLAD

WASHINGTON — A group of veterans is asking the Marine Corps to stop sponsoring the Ultimate Fighting Championship, saying the mixed martial arts organization tolerates inappropriate and offensive speech and is inconsistent with the Corps’ values.

The Veterans Committee of UNITE HERE, a union that represents 250,000 hotel, food service, restaurant, textile, industrial laundry and gaming industry workers, wrote a letter to Marine Commandant Gen. James Amos in July and to Secretary of Defense Leon Panetta this month, asking that the Corps terminate its relationship with UFC, the nation’s largest promoter of professional cage fighting events.

“The UFC is an organization that has tolerated people associated with it making jokes about rape, homophobic slurs and sexually explicit remarks that are demeaning towards women,” the group wrote in its letter to Amos. “We believe these statements are deeply at odds with the culture, mission and values of the Marine Corps, and the values of the people you are trying to recruit.”

The letters cite several examples of offensive statements, videos and tweets by UFC fighters and UFC president Dana White. A video of several examples is featured on a website with the petition, including a clip of a press conference in which one fighter told another he was going to “put those hands on you worse than that dude did them other kids at Penn State.”

The National Center on Domestic and Sexual Violence, Protect Our Defenders, Veterans For Peace and other organizations have joined the union in its efforts.

Debby Tucker, executive director of the Texas-based National Center on Domestic and Sexual Violence, said her organization got involved after it began urging UFC to institute a code of conduct for its fighters. She didn’t initially know the Marine Corps sponsored the sport.

Tucker co-chaired the Department of Defense Task Force on Domestic Violence, where she worked with Marines who were “very bright and progressive and not at all disparaging of women,” she said. “To turn around and find out the Marine Corps is one of the [sponsors of UFC] really shocked me.”

A 2010 sponsorship agreement the union obtained through an open records request and provided to Stars and Stripes indicates the Marines paid more than $2 million to sponsor UFC pay-per-view events and feature associated videos and other content on the UFC website in 2010 and 2011.

A Marine Corps commercial posted online shows shots of UFC fighters juxtaposed with shots of Marines. The commercial starts by showing the words, “There is still a path for warriors,” and later, after the words “proven on the field of battle” are shown, there is a shot of Marines raising the flag at Iwo Jima followed by UFC fighters raising their arms in victory.

Jim DuPont, chairman of the union’s veterans committee, said he believes equating sports with what Marines do is just wrong.

“Those are mercenaries for sport, and they’re out to make money for themselves and have no greater social good,” DuPont said of UFC.

The Marine Corps is “not about hate, it’s about protecting our freedoms,” he added.

Marine spokeswoman Capt. Kendra Motz said the Marine Corps has “expressed its concern to the UFC regarding issues articulated in the petition involving inappropriate conduct, alleged or substantiated, by a handful of individuals.”

The UFC “has been forthright in addressing the issue and have proactive measures in place to deal with these isolated transgressions,” she said, without describing the measures.

UFC representatives did not respond to a request for comment. In May, White told mixed martial arts publication MMA Weekly he does not plan to institute a code of conduct for fighters and is “going to take it as it comes.”

The Corps sent a letter to the union, noting that the Marines partnered with UFC “to leverage the Warrior Lifestyle similarities of our two organizations,” and that mixed martial arts programming reaches a large portion of the Corps’ recruiting prospects.

DuPont said the viewers might be the target audience, “but they’re sending the wrong message.”

Mike Bolduc, an Army National Guard veteran and member of the union’s veterans committee, agreed.

“A warrior is not all about number one,” he said. “There’s no such thing as a martial art without a moral context. That’s just violence, really.”

The group has delivered its petition to the Marine Corps and to the Panetta Institute for Public Policy in California and hopes the DOD will get involved in severing the sponsorship.

“We’re more determined than ever to get this done,” DuPont said.

Tucker said she hopes the letters and petition will spark a discussion about whether the recruits spurred to join through the UFC sponsorship have the values the Marine Corps is looking for, and that any continued sponsorship is examined with an eye on “how are we going to make sure that the UFC doesn’t contribute to a misunderstanding of what it really means to be a Marine.”

The group delivered the petitions to the Marine Corps as an amendment was being introduced in the House to end all military sports sponsorships, including NASCAR and UFC. The House decided not to ban the sponsorships; the Army went on to announce it will end its NASCAR sponsorship after the season ends because of a poor return on investment. The Army National Guard will continue to sponsor NASCAR driver Dale Earnhardt Jr. through the 2013 season.

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VCS Presents Testimony before DNC Platform Committee

VCD AD for Advocacy Ben Krause presents our testimony before the DNC platform committee

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Using technology to battle PTSD

From the Boston Globe by Chelsea Conaboy

Brian Sullivan, a former Army bomb technician, quit treatment for post-traumatic stress when, he said, doctors began pushing him to take medications he didn’t want. His symptoms, however, did not quit.

Traffic jams made the 42-year-old Foxborough native anxious. Sullivan couldn’t go into a crowded mall. And he was haunted by the memory of a man who approached him while he was working to disable an improvised explosive device during one of two deployments to Afghanistan, he said. Sullivan faced a choice: Shoot, or risk that the man was a suicide bomber. He didn’t fire, but the stress stuck with him.

 T2 Mood Tracker is one of several apps developed by the Department of Defense for use by veterans with PTSD.

CLIFF OWEN/ASSOCIATED PRESS

T2 Mood Tracker is one of several apps developed by the Department of Defense for use by veterans with PTSD.

Last year, Sullivan, who now lives in Virginia, began using a smartphone application developed by the Department of Defense to guide him through breathing exercises when his anxiety began to build. The same agency launched another app earlier this year for veterans to use while in a particular kind of therapy, revisiting difficult memories with a professional. Sullivan became curious, and this summer returned to treatment.

Ten years ago, the resources available to veterans with PTSD who were unwilling or unable, because of geography or other factors, to be treated by a therapist were limited. Researchers are developing technologies to reach people like Sullivan wherever they are, putting tools directly into their hands through programs online and on their smartphones.

Studies suggest that helping veterans and others early on in their experience with trauma-related stress may prevent some of the more catastrophic effects of PTSD. That requires giving people who aren’t sure whether their symptoms are severe enough to warrant attention from a doctor — or don’t want to admit it — a safe route to learn more. And it means finding effective ways to treat the large numbers of service members who have experienced war-related trauma in the past decade.

As many as one in five people who have served in Iraq and Afghanistan may have symptoms of PTSD or major depression, according to a 2008 RAND Corporation study. Only about half of the people with symptoms sought mental health care in the year before they were surveyed.

Treatment for PTSD historically has taken a one-on-one approach, with some small group therapy, said Terence M. Keane, who directs a division of the Department of Veterans Affairs National Center for PTSD that is based in Boston and focused on behavioral science.

Keane and others began thinking a decade ago about how to use the Internet to provide behavioral health care to the masses. In 2009, the National Institute of Alcohol Abuse and Alcoholism awarded researchers at the VA and the medical and public health schools at Boston University $909,000 in stimulus money to study an online treatment to see if it would ease the effects of trauma and reduce risky drinking in veterans.

The researchers recruited 600 people using targeted Facebook advertisements on pages for veterans of the wars in Iraq and Afghanistan. The ads attracted people in major cities, in rural parts of Idaho, Montana, and North Dakota, and elsewhere. The program was as anonymous as researchers could make it. Participants provided an e-mail address but no name.

About two-thirds immediately started an eight-part program to evaluate their drinking, identify triggers of PTSD symptoms, and find ways to cope that did not involve alcohol. The others started the same program two months later.

The first group reported a greater reduction in PTSD symptoms and drinking than the group waiting for access to the program. The drop in alcohol intake continued three months after the program ended.

The online format can reach many people at once, Keane said, while anonymity could attract those who may not otherwise seek help. Often, people who come to the VA for therapy have lost jobs or spouses as a result of their PTSD, alcohol use, or other behavioral health issues. “That’s the end of the continuum,” Keane said. “We’re trying to get to people way before then to prevent a lot of things from going wrong.”

Keane has presented the results, which are not yet published, at several conferences this year. Now, he is searching for grants from foundations and others to reopen the program, at VetChange.org . He is hoping to develop similar programs for people who have PTSD and physical injuries, chronic pain, or other addictions.

A decade ago, people who searched PTSD online may have found only “flat information,” explaining causes and symptoms, said Sonja Batten, a clinical psychologist who works on national mental health policy for the VA.

The number of forums and educational campaigns online dedicated to the condition have proliferated since then. Mobile applications in development by the VA and the Department of Defense National Center for Telehealth & Technology in Washington state, called T2, are designed to go further.

In April 2011, the two agencies launched PTSD Coach, an app that allows people to use their phones to take well-studied tests for assessing the severity of symptoms, track those results over time, and create quick-reference pages to contact the people who provide support in moments of need.

The program, available free on iPhone and Android devices, includes a series of exercises, such as guided meditation to help with anxiety and a page of resources for people in crisis. As of the end of July, the app had been downloaded about 66,000 times, Batten said.

Researchers at T2 now have a series of apps and more in development. The one that prompted Sullivan to return to treatment, called PE Coach, was launched in March and is designed for use in conjunction with “prolonged exposure” therapy that takes place in person.

Patients typically are asked, between visits, to listen to recordings of their therapy session, which can be recorded in the app. The program also includes self-assessment questionnaires and space for notes.

People with PTSD avoid things that trigger memories of trauma. So taking the first steps to get help and sticking with it can be difficult, said Greg Reger, a clinical psychologist at T2. The app is designed to make that process easier.

“When a patient adheres to a treatment plan, they’re giving themselves the best chance of improvement,” said Reger, who deployed to Iraq in 2005 and 2006 with a combat stress control detachment.

Reger is part of a network of researchers testing the use of virtual reality to activate service members’ memories in therapy. Others at his center are studying remote therapy, done through telehealth video conferencing.

It remains open to question how much these technologies can help someone with PTSD, said Dr. Elspeth Cameron Ritchie, a retired Army colonel who is now chief medical officer for the District of Columbia Department of Mental Health. She sits on an Institute of Medicine committee examining PTSD treatments.

In a report released in June , the committee called for more formal study on the effectiveness of emerging technologies and alternative treatments such as yoga and acupuncture. Ritchie was optimistic that some will prove useful. But, she and others said, technology alone may not resolve the challenges faced by people deeply affected by war-related trauma.

“In the end, it’s still going to come down to the basic psychological principles and having people go through the hard work” of therapy, said the VA’s Batten. For some, like Sullivan, these tools may be a more palatable introduction to that work.

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New Program Aims to Better Help Troops Transition to Civilian Life

 

From Armed Forces Press Service

by Terri Moon Cook

Washington, D.C. –  The Defense Department is conducting pilot classes of a new program designed to better prepare service members transitioning out of the military to civilian life.

Transition Goals Plans Success, known simply as Transition GPS, replaces the 20-year-old Transition Assistance Program, or TAP. In a sweeping overhaul of the 20-year-old TAP, as part of the VOW to Hire Heroes Act passed in 2011, Transition GPS takes military members through a week-long class, compared to the original TAP’s mandatory two to four hours of separation counseling, said Susan Kelly, the Defense Department’s deputy director for the newly formed Transition to Veterans Program Office.

 

“The Defense Department wants our service members to succeed when they become civilians,” Kelly said during an American Forces Press Service interview.

“Separating from the military lifestyle is a major life change,” she said, pointing out that there are some things that veterans can’t control during the transition process, but there are others that they can. “And that’s exactly what the Transition GPS helps you do. It’s going to walk you through a set of modules, help you build your skills, and takes you through what you need to consider … [through] deliberate planning that makes you more open to the success you want to be in the civilian work force.”

Naval Station Norfolk is one of seven installations now conducting pilot classes of the new five-day Transition GPS workshop. Full use of the program is expected to be in place by the end of 2013, according to a White House release.

Kelly said senior leaders from the Defense Department, the military services, Department of Veterans Affairs, the Department of Labor, the Small Business Administration, the Education Department and the Office of Personnel Management met regularly for a year as the Veterans Employment Initiative Task Force to develop the new program.

“It was President Obama’s mandate to DOD and VA to establish the joint Veterans Employment Initiative Task Force,” Kelly explained, “that brought all the partners together in a very structured and very goal-oriented way. It was the major impetus for bringing all those lessons learned together and helping us develop a very comprehensive curriculum for our service members.”

She said representatives of the agencies contributed in multiple ways to develop Transition GPS, which, she added “we hope will eventually evolve into the military lifecycle transition assistance program.”

Transition GPS will be mandatory for service members, Kelly said, including reservists and national guardsmen, with some exceptions. A key part of the weeklong program is a three-day Labor Department Employment Workshop, which is mandated by the VOW to Hire Heroes Act to be in place by Nov. 21.

“Between the mandatory DOL employment workshop, plus the core curriculum for Transition GPS, there is a holistic view that starts with looking at the challenges of transition, and preparing military members to meet those challenges, including family considerations. It also helps plan for the financial changes they’ll face as they become civilians,” she said.

Kelly said the DOL employment workshop introduces challenges a service member might confront, and how to deal with such stressors. Staff members help them determine what’s most important to them in a job — salary, advancement, stability and other considerations.

The workshop takes service members through job searches using up-to-date technology, and has them look at whether their skills are in demand in the civilian sector, where the best opportunities exist, and whether moving is a consideration. The DOL wants military members to develop a second plan if the first one doesn’t pan out.

“They might look at what skills are in demand and how they can fill that gap,” Kelly said. “There are some very serious questions to look at.”

“There are specific pieces of the new curriculum that give them the information they need to make very well-thought out decisions as well as skills building to help them succeed in whatever pathway they chose,” Kelly added.

 

In the course of five days, about 50 students develop an individual transition plan that maps out financial planning and a budget to follow the first 12 months after separating from the military. It also covers how to write a resume and how to interview for a job, along with exploring how military skills can be carried over into the civilian work force. In addition to the DOL workshop, a Veterans Affairs representative goes over benefits. 

If certain skills are not transferrable, service members’ personal goals are identified for the type of employment they want to pursue, the education they want to gain from college or technical training schools, or to start their own business, she said.

Optional two-day tracks, to be piloted in the coming months, will include help for those who want to pursue a college degree, or technical training.

“We found that military members weren’t making the best of their post-911 GI Bill,” Kelly said. “So we are getting them the information to help them choose wisely.”

The new GI Bill, she said, is a generous benefit. “Make it work for you, and choose wisely,” Kelly suggested.

The Small Business Administration will also offer an optional two-day curriculum to put new veterans on the path to start up small businesses, Kelly said. “The SBA is very passionate about our military members being very innovative, [being] creative, and self-initiating … and they’re going to help them build [business] skills.”

The SBA also developed an eight-week online course to help new veterans build a solid business plan, she added. It also assigns a mentor to each military member, who will see them through their small-business startup, sustaining the business, and remain a long-term mentor.

Navy Hospital Corpsman 2nd Class Peter Adams is one such small business candidate. He wants to go into film and video production and start his own company. He said Transition GPS has allowed him to look at reinventing himself.

“The class has given me ways to take my leadership and organization skills and [others] I never would have thought of and how to market them for myself,” he said. “It gives me the confidence on my resume and in an interview to say, ‘This is what I can do for you,’” Adams said.

Navy Machinist Mate 1st Class Jason Christian has worked in cryogenics throughout his military career, and his goal is to stay in his field in the civilian sector.

He had previously attended the original TAP, and he says the new pilot program is more interactive.

“The technology made everything change significantly,” Christian said. Aside from the major companies in his field, he said he found others he didn’t know existed. “I plan on coming back and bringing my spouse so she can be involved in this. [We need] to look at housing, the cost of living, what traffic is like, the crime rate and what the schools are like for my children — things I never took into account.”

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Army Suicides Doubled Last Month From June’s Total

From the AP

By Robert Burns

Army Suicides

WASHINGTON — Suicides among active-duty soldiers in July more than doubled from June, accelerating a trend throughout the military this year that has prompted Pentagon leaders to redouble efforts to solve a puzzling problem.

The Army, which is the only branch of the military that issues monthly press statements on suicides, said 26 active-duty soldiers killed themselves in July, compared with 12 in June. The July total was the highest for any month since the Army began reporting suicides by month in 2009, according to Lt. Col. Lisa Garcia, an Army spokeswoman.

The Marine Corps had eight suicides in July, up from six in June. The July figure was its highest monthly total of 2012 and pushed its total for the year so far to 32 – equal to the Marines’ total for all of 2011. The Marines’ July figure is being posted on its website but was provided first to The Associated Press.

The Air Force said it had six in July, compared with two in June. The Navy had four in July but its June figure was not immediately available.

The Army’s suicide numbers have been higher than the other services, in part because it is substantially larger than the Marine Corps, Navy and Air Force. The Army also has had more members in combat over the past decade. It was the main ground force in Iraq and has a preponderance of the U.S. troops today in Afghanistan.

For the first seven months of 2012, the Army recorded 116 suicides among active-duty soldiers. If that pace were maintained through December the year’s total would approach 200, compared with 167 for all of 2011.

“Suicide is the toughest enemy I have faced in my 37 years in the Army,” said Gen. Lloyd J. Austin III, the Army’s vice chief of staff, who is spearheading his service’s efforts to find ways to halt the surge in suicides.

“That said, I do believe suicide is preventable,” Austin added. “To combat it effectively will require sophisticated solutions aimed at helping individuals to build resiliency and strengthen their life coping skills.”

Suicidal behavior in the military is thought to be related to cumulative stress from combat duty, but it also is believed to be linked to a range of other pressures such as marital and financial problems as well as health issues.

Of the 26 active-duty soldiers who committed suicide in July, all were male and only two were officers, according to figures provided by the Army’s office of public affairs. Thirteen were married, 10 were single and three were divorced. A breakdown of the deployment history of 14 of the 26 showed that six had never been deployed, seven had been deployed between one and three times, and one had been deployed six times.

So far this year the number of suicides in the military has surged beyond expectations, given that the pace of combat deployments has begun to slow. The Defense Department closely tracks suicides throughout the military but releases its figures only once a year. The Associated Press in June obtained an internal Defense Department document that revealed that there had been 154 suicides in the first 155 days of the year, though June 3. That marked the fastest pace of active-duty military suicides in the nation’s decade of war.

The Tragedy Assistance Program for Survivors, a private organization that provides support for military members and their families, said counseling and other forms of care for emotionally distraught military members is often too little, too late.

“Others never seek help out of fear over how others will view seeking treatment,” the group said in a statement Thursday.

Need help? In the U.S., call 1-800-273-8255 for the National Suicide Prevention Lifeline.

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Veterans Affairs agency under investigation for conference spending

From the Washington Post

By  The Department of Veterans Affairs spent $5 million—and set aside $4 million more — last year for two training conferences whose organizers are under investigation for breaking ethics rules by improperly accepting gifts, congressional committees and government sources said Monday.The agency’s inspector general is investigating whether event planners and other organizers of the conference for human resources employees improperly accepted alcohol, concert tickets and spa treatments. Investigators also are looking into tens of thousands of dollars spent on promotional items for conference attendees, government sources said.

A total of about 1800 VA employees attended the four-day events, held in July and August 2011 at the Marriott World Center in Orlando, officials said.

The investigation comes four months after the General Services Administration was engulfed in scandal over a Las Vegas conference for the agency’s West Coast employees that cost $823,000. That four-day event, revealed by the GSA inspector general, was billed as a training exercise but was little more than an entertainment junket. The agency’s top leaders were fired or forced out as a result.

The VA conferences, by contrast, “were for legitimate training purposes,” the office of Inspector General George J. Opfer said in a statement Monday. But investigators “have uncovered questionable activities” in a review that started in late April, the statement said.

“We are reviewing conference expenditures for compliance with government laws and regulations, the reasonableness and oversight of these expenditures, and whether actions taken by VA staff were in compliance with government ethics and rules of behavior,” the office said.

Republican lawmakers said the veterans agency, the government’s largest after the Defense Department, authorized $9 million for the conferences. VA officials said $5 million was spent.

The allegations of wrongdoing came from whistleblowers who came forward in the wake of the GSA scandal, the inspector general’s office said.

In a statement, VA officials called the alleged misconduct “unacceptable” and said the agency already has made changes to address possible misspending.

“While the inspector general has stated that the conferences were for legitimate training purposes, that would not excuse the misconduct or poor judgement that is alleged of even a few individuals,” the statement said.

The agency said it has removed the purchasing authority of any employees under investigation. Veterans Affairs Secretary Eric Shinseki also ordered an outside review of all training policies and procedures and is requiring any employee involved in planning training conferences to take ethics training.

Lawmakers on congressional committees that oversee the agency were briefed by the inspector general’s office last week.

Rep. Jeff Miller, (R-Fla) chairman of the House Veterans Affairs Committee, said in a statement, “If the results of the IG investigation are upheld, this represents an egregious misuse of funds meant to provide for the care of America’s veterans.”

The inspector general’s preliminary findings have concluded that “multiple planning trips to multiple destinations cost the taxpayers thousands of dollars,” Miller said.

The inspector general’s full report on the conference is expected in September.

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Auto Anxiety: Some Returning Veterans Struggle with Driving.

(CBS News)

By Lee Woodruff

Veterans have many difficulties readjusting to civilian life. Thousands of them have trouble with the simplest things, such as driving a car. It can be a terrifying ordeal for some vets.

Former Marine Sgt. Eric Campbell has knee braces, the obvious physical evidence of his two tours of duty in Iraq. Less obvious are the psychological effects of those experiences. But they are there.

Recalling a moment from one of his tours, Campbell said, “This van started coming down the road toward our roadblocks and our translators were translating, ‘Stop, stop, stop your vehicle.’ We ended up firing on this van. There was a dad driving, a mother in the passenger seat, the pregnant sister of the mother, and two children. The only one that survived was the pregnant sister.”

Events like that have left Campbell with post-traumatic stress disorder, or PTSD. After fighting in Operation Iraqi Freedom he’s lost some of his own. Anxiety has made it impossible for him to drive. “I would hit potholes and it would throw me into a flashback.”

Campbell and his fiancee Amy live 20 miles outside of Fresno, Calif., in a tiny trailer they share with her three kids and two of his own. His inability to drive puts an increased burden on her, and makes a difficult situation, worse.

Campbell is one of more than 200,000 vets who’ve sought treatment for PTSD. Roadside bombs and improvised explosive devices in Iraq and Afghanistan made driving treacherous in those war zones and back home veterans have to navigate a new set of hazards.

Dr. Steve Woodward runs a study on veterans and driving out of the Veterans Affairs hospital in Palo Alto, Calif. Woodward said, “They’ll do things like drive in the center of the road. This was something they were taught to do, to stay away from the sides. They’ll drive very fast, they’ll sometimes go through red lights.”

Campbell is part of Woodward’s study. He gets wired up to monitors that check his heart rate and breathing behind the wheel, while a therapist sits beside him.

To avoid influencing the outcome, CBS News wasn’t permitted in the car while the study was being conducted, but afterward we drove with Campbell and therapist Marc Samuels to get a sense of the road through this veteran’s eyes.

Campbell said, “If a vehicle were to stop in front of me, I can’t go anywhere,” Campbell said. “Because there was a vehicle behind me, I’m trapped.” Traffic jams, he said, “… are not good for me, no.”

It was an eye-opening ride. Situations invisible to most drivers trigger alarm bells for Campbell. He’s been trained to notice the smallest discrepancy. Campbell explained, “If you have fresh paint on a certain area and old, ratty paint everywhere else, you’re like, OK, what happened to that spot? Who planted a bomb there?”

Electrical boxes on the sidewalk. People on cell phones. The tiny silhouette of a construction worker in the distance can look like a sniper. Virtually anything on the road can be a flashpoint for a combat veteran.

But it’s possible to live with those anxieties, Samuels said. “I’m not going to say ‘overcome’ because they are not going to go away,” he said. “I can’t cure his PTSD. But what we can do is address the issues that are underlying it to allow those symptoms to be manageable.”

For Campbell, that means continually reminding himself he’s no longer in danger. He said, “It’s safe, we’re in America, bombs aren’t going to go off. So it’s given me a little bit more freedom. I want to be able to take over driving if she’s tired. I know I will never be 100 percent, but I want to be better.”

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Veterans group calls for legislative fix to VA contracting rule

From federalnewsradio.com

by Ruben Gomez

Vietnam Veterans of America has thrown support behind a congressional effort to loosen a rule that governs service-disabled veteran-owned businesses working for the Veterans Affairs Department.

“Congress may need to move to synchronize the standards of control between VA and [the Small Business Administration],” said Rick Weidman, VVA’s executive director for policy and government affairs, in an interview with Federal News Radio.

Weidman criticized a VA rule requiring that service-disabled veterans competing for SDVOSB contracts unconditionally control decision-making within their companies. He said SBA regulations allow more flexibility.

“Literally every day I get emails on both sides of this issue,” he said. “And the two sides being people begging for help to throw the frauds out because they’re stealing the business, and letters from veterans who are saying, ‘look, you know me Rick. You know my business. And [VA is] saying that I’m not qualified.’”

Rep. Bill Johnson (R-Ohio), chairman of the Veterans Affairs Subcommittee on Oversight and Investigations, is crafting legislation to force VA to loosen its rule. Johnson said he favors SBA’s process, although he did not say exactly how the bill would change the steps VA uses to verify SDVOSB program eligibility.

The unconditional control requirement creates a “bright line” and removes subjectivity from the process examiners use to decide whether a business qualifies for the service-disabled veteran set-aside program, said Thomas Leney, executive director of VA’s Office of Small and Disadvantaged Business Utilization, during in a recentsubcommittee hearing.

“We have improved our quality control and become more aggressive in referring firms that we suspect are misrepresenting their status,” said Leney in written testimony. “In fiscal 2011 we referred 25 firms to the Office of Inspector General for investigation as possible misrepresentation. So far in fiscal 2012, we have referred 59 firms.”

VA is the only federal agency required by law to verify the status of service-disabled veteran-owned businesses. The department conducts audits of businesses through its Center for Veterans Enterprise (CVE).

But some lawmakers and veterans groups believe VA is keeping legitimately qualified veterans from receiving contracts, saying no investor in his or her right mind would give the majority owner carte blanche control over the investment.

“You can take almost anything and absolutize it and make a muck of it. And that’s really what the VA has done … in a way that makes no sense in terms of business,” Weidman said.

He said statutory change is the only way to address the concerns.

“If we can ever make CVE work properly, then VET-Force and Vietnam Veterans of America and virtually all the other veterans organizations and military service organizations would be in favor of making it a governmentwide standard, if you will, but not at this point because it’s driving our people out of business who are legitimate,” he said.

VA is considering the possibility of improving its SDVOSB processes and is accepting suggestions for change, said agency spokeswoman Josephine Schuda.

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Job-seeking veterans get help developing ‘personal brand’

By Anna-Lysa Gayle, CNN

Washington (CNN) – Veterans are getting a helping hand in developing their “personal brand” and hopefully raising their chances for employment.

The U.S. Chamber of Commerce will distribute Personal Branding guides to veterans as part of a new initiative to help more veterans secure civilian jobs. The initiative offers tips for vets to compete against other job-seekers. Many tools have already been placed at their disposal so that they have everything they need to request and get employment, going so far as to provide access to a service called resume builder so that they can have an excellent written resume that should help them get a foot in the door. Still, we are listening to their feedback and making sure that we take it into account as the program continues to develop.

“You need to talk about your military experience in terms that employers will understand, and not just about your military occupation and not just about the intangibles. Talk about your leadership experience, talk about the fact that you work well in team, talk about your incredible work ethic,” said Kevin Schmiegel, vice president of the U.S. Chamber of Commerce.

The new effort was announced at a job fair hosted at Quantico Marine Base in Virginia, and is part of the chamber’s “Hiring Our Heroes” program launched last year. Job-seekers at the fair on Monday included veterans, military spouses and current Marines hoping to line up employment before the end of their duty.

The initiative could result in approximately 10{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} to 20{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} of veterans at the job getting hired by the 62 companies registered, according to Bryan Goettel, director of communications of the Hiring Our Heroes program.

“We got employers along with the veterans in the same room, and that’s a good start,” said former Marine Sgt. Dakota Meyer, who has partnered with the U.S. Chamber of Commerce to promote the new initiative. Meyer already has a calling card of note, he was the first living Marine to receive a Medal of Honor since the Vietnam War.

“You get someone who is not in the military and I tell you ‘I’m a sniper’ and … what do you automatically think? You automatically think you should shoot a gun. Well, that’s only like 10{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} of the job. I’ve been to coach’s course, I learned how to teach, I learned how to use PowerPoint. I’ve been to sniper school, which briefs using PowerPoint,” said Meyer.

He believes his skills can easily translate to the civilian workforce. He currently is a construction worker, a speaker and the author of the book, “Into the Fire: A Firsthand Account of the Most Extraordinary Battle in the Afghan War.”

Andria Johnson served in the Navy for 20 years, and since retiring has faced a tough time finding a job in her field. She said the new iniative could help her present her skills in a more appealing way to employers. Johnson said while in the Navy she was a multimedia manager and a recruiter

“It will help in really helping me to not only develop and realize some of the skills that I have already, but actually kind of put a footprint out there and help with networking,” said Johnson.

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