Skeptics doubt VA’s claim of breakthrough on claims backlog

By LEO SHANE III Stars and Stripes Published: June 19, 2012

WASHINGTON — Veterans Affairs officials say they’re poised to make a major breakthrough on the department’s massive claims backlog, but skeptical lawmakers and veterans advocates say they’ve heard such proclamations before.

VA officials announced Tuesday that they have all but wrapped up work on Agent Orange disability claims that overwhelmed the processing system over the last two years. Nearly 230,000 of those cases have been reviewed and finalized, and officials said fewer than 500 open cases remain.

The VA had set aside 37 percent of the department’s rating staff and 13 resource centers to deal solely with the Agent Orange cases. With the work finished, officials said, those centers and about 1,200 claims processors will begin dealing with the overall disability and pensions backlog.

More than 911,000 claims remain unprocessed, down from more than 1.4 million last year but still up 60 percent from when the Agent Orange claims push started two years ago. About two-thirds of those cases have been pending for more than 125 days, despite department promises to deal with them quickly.

Members of the House Veterans Affairs Committee called that embarrassing.

“VA continues to struggle with unconscionable backlogs and unacceptable delays in getting our nation’s veterans the benefits they need,” said Rep. Gus Bilirakis, R-Fla. “It is time for VA to break this cycle of unproductivity and deliver the benefits that the agency was created to provide.”

Veterans advocates pointed to continuing problems with how old paper records are scanned and saved, as well as problems with claims processed inaccurately on their first submission.

“We’ve heard time and time again that this is the year they’ll break the backlog,” said Richard Dumancas, deputy director for claims at the American Legion. “We want to be optimistic … but it’s hard to find optimism when so many red flags pop up.”

VA Secretary Eric Shinseki has publicly called for the claims backlog to be eliminated in the next three years. Allison Hickey, undersecretary for benefits at the department, said new initiatives on the way coupled with the reassignment of those claims adjusters will help the agency reach that goal, while also improving case accuracy.

But Rep. Bob Filner, D-Calif., said he believes the system as currently designed is hopeless. He called for a process similar to how tax returns are processed, where all disability and pension claims are assumed to be true but subject to audit.

That proposal has drawn little support from the VA and veterans service organizations. Filner chastised both on Tuesday for propping up a broken system.

“This is disgraceful and an insult to our veterans,” he said. “Somebody has to take responsibility for this and try something new.”

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Backlog of Disability Claims for Veterans Sends Democrat on a Tear

 

From the NYTimes At War blog By JAMES DAO

 

On Tuesday, the House Veterans Affairs Committee held one of its perennial hearings on the ever-growing backlog of disability compensation claimspending before the Department of Veterans’ Affairs. The usual polite questioning of V.A. officials was expected, followed by the usual complex answers that few on the committee might be expected to comprehend.

But the affair turned surprisingly contentious, not because of the Republican majority, but thanks to the ranking Democrat on the panel, Representative Bob Filner of California.

After a relatively tame opening statement in which the vice chairman, Representative Gus Bilirakis, a Republican of Florida, called on the V.A. “to break this cycle of unproductively and deliver the benefits that V.A. was created to provide,” Mr. Filner, voice dripping with sarcasm, announced: “Well, here we are again.”

Recalling his first backlog hearing some 20 years ago, Mr. Filner noted with rising irritation that the V.A. has hired, by his count, more than 10,000 new employees in recent years, but has seen the backlog more than double, to over 900,000 pending claims. Yet the Veterans Benefits Administration, the division that handles disability compensation, had done little more than “recycle programs,” he said.

“The definition of insanity is to try the same thing over and over again and expect different results,” he said, sounding a theme he would return to several times during the nearly five-hour hearing.

The congressman, who is running for mayor of San Diego, as veteran-friendly a town as exists in America, was just getting started. After a panel of experts from four major veteran service organizations, including the American Legion and Veterans of Foreign Wars, testified about V.B.A.’s problems, Mr. Filner tore into them, too. Heads turned.

Accusing the groups of “playing” the V.A.’s games by allowing themselves to be easily wooed into submission by promises of access to senior officials, Mr. Filner urged the groups to support “radical” change and “blow up” or “break” what he called “this stupid system.”

“What are you afraid of?” he taunted more than once from the depths of his chair, which bounced back and forth with each of his rhetorical lunges.

Gerald Manar, deputy director of National Veterans Service for the V.F.W., responded for the group, ever so politely: “Sir, when you blow up something, you have nothing left.”

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Advanced Technology Identifies “Core” Brain Abnormality in Gulf War Illness


 

Written by Anthony Hardie, 91outcomes.com

(91outcomes.com) – A discovery by a Minneapolis medical researcher may lead to a new test to help identify Gulf War Illness, a unique disease that affects 250,000 veterans of the 1991 Gulf War, according to official estimates, as well as other U.S. forces.

Using sophisticated brain mapping equipment and techniques called magnetoencephalography (MEG) that looks more like something from a science fiction movie, Dr.  Aposotolos Georgopolous of the Minneapolis VA Medical Center has found a unique visual signature of a “core” brain abnormality in GWI.

According to Georgopolous, the essence of brain function is communication among neural ensembles, and neural communication is accomplished by ongoing, dynamic interactions among multiple “neuronal ensembles.”  Dr. Georgopolous has used MEG to identify unique visual signatures of the neuron ensembles for an array of other diseases.

Conclusions Georgopolous’s MEG findings provide further evidence to a large and growing body of objective scientific evidence that shows GWI is a distinctly separate disease entity rooted in damage to, and dysfunction of the brain.

The findings were presented before the Congressionally chartered Research Advisory Committee on Gulf War Veterans’ Illnesses (RAC-GWVI) in public meetings this week in Boston, Mass.

Georgopolous expressed the need for his current study needs to be extended to larger numbers so as to include detailed examination of subgroups with comorbidities — other diseases and conditions that may also be simultaneously afflicting some GWI patients.

However, his current findings remain compelling and his unique identification through highly advanced technology of a “core” brain abnormality in GWI has profound implications.

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Disabled vets’ families fight VA over fiduciaries

By ERIC NALDER AND LISE OLSEN Houston Chronicle Published: June 18, 2012

Across the country, disabled veterans’ families are in bitter battles with the U.S. Department of Veterans Affairs, trying to oust VA-appointed fiduciaries from their lives.

Two attorneys, Doug Rosinski of Columbia, S.C., and Katrina Eagle of San Diego, have taken on VA in cases involving allegations of bureaucratic mistreatment. Both said regional program managers sometimes overlook the misdeeds of paid fiduciaries while coming down hard on veterans’ relatives who do the work for nothing.

The agency’s policy is that family members get priority in fiduciary appointments, but it does not always work that way. And while many family members serve successfully as fiduciaries for disabled veterans, some get into trouble, often because of a lack of training or knowledge of the rules

R. Dean Slicer, a top regional program manager in Indiana, boasted in a November 2010 email to an Indianapolis bank official that they would have “fun” battling with a war veteran’s daughter. Carolyn Stump, a registered nurse, was trying to free her seriously ailing 81-year-old dad, William Evans, from a fiduciary at the bank who had tangled with the family and had recently been slow paying some bills, according to court records.

Slicer, who last year was promoted to oversee the fiduciary program in 13 states, declined to comment.

“It is very unfortunate that the VA gives any one person that much power,” said Stump, who is also her father’s medical caretaker and state court-appointed guardian.

“Obviously there are stories that we are going to look into,” said VA spokesman Joshua Taylor when asked about that case and others.

Veterans are rarely successful in winning control of their finances back from the fiduciary program.

The VA had long held that beneficiaries had no right of appeal. But in April 2011, a three-judge panel of the U.S. Court of Appeals for Veterans Claims agreed with Rosinski’s argument that there is an appeal right. Armed with that ruling, he is trying to win release for his client, disabled Dallas veteran William Freeman, from a “complete stranger” appointed as his fiduciary.

The judges chided Veterans Affairs Secretary Eric Shinseki for his department’s failure to explain its handling of Freeman.

Joe Boatman, of Round Rock, Texas, also never got an explanation why James Andrews, a fiduciary program official based in Waco, showed up at his house last July to berate his wife for the way she had handled their finances as her husband’s appointed fiduciary for ten years, bringing her to tears.

Andrews’ follow-up report cited overdraft charges and questioned Boatman’s access to the bank accounts. He also said “no questionable expenditures or misuse of funds were identified,” though he added there was no way to tell because his funds were commingled with his wife’s. His report described Boatman as an “alert” and cogent man.

Eagle said the VA had previously allowed Boatman’s wife, a retired social worker, to commingle their monies. In previous reports she was praised for her handling of their finances.

Andrews, who did not respond to messages, had already appointed a new fiduciary to take over Boatman’s financial affairs. Eagle said his criticisms seemed “pre-ordained” to justify his actions.

After Eagle got involved, the VA backed away, taking the unusual step of releasing Boatman from the program. Eagle said it helped that his case was mentioned at a February congressional hearing. The VA also ordered an investigation of the case. It has not responded to a Hearst request for the report.

Boatman, who was a Navy combat medic in Vietnam, chaired a committee of Vietnam Veterans dealing with post-traumatic stress disorder. He challenged local Veterans Affairs officials over PTSD policies and at one point had a role in exposing an embarrassing department email.

“I was blindsided out of nowhere,” Boatman says of the fiduciary flap, but adds he does not think he was retaliated against.

In the Indiana case of William Evans, Eagle said, she’s sure retaliation did occur.

Slicer — the recently promoted regional manager — and others in his office have for more than two years been waging a nasty and unresolved battle, which has gone repeatedly to a special veterans appeals court, to prevent Evans and his family from wriggling free of the fiduciary program.

Stump, the veteran’s daughter, had nursed Evans for more than a decade when in July 2009 she inquired about a medical guardianship. She was persuaded by federal bureaucrats to apply for a financial one, records show. She had power of attorney for her father already, and didn’t think the fiduciary program was necessary, but she accepted the role, according to documents. Upset from the beginning, she wrote to her congressman about it. Her relationship with Veterans Affairs deteriorated.

Still, an agency field examination in July 2010 found “no questionable expenditures,” a tidy home and a well-cared-for father. Behind the scenes, a wounded bureaucracy was preparing to come down on her, court records show.

In October 2010, Stump was removed as fiduciary and an official at Greenfield Banking Company, Joana Springmier, was appointed.

VA officials questioned Stump’s failure to get prior permission to buy appliances and new flooring for her father’s home, and her decision to take Evans on trips to get special medical treatment and to visit Army buddies before he slipped into the darkness of Alzheimer’s. She was told the trips were “emotional spending” — not allowed — and the bank was instructed to save more money for emergencies. Stump said she saw no reason to hoard her ailing father’s money with him so close to death.

In a Nov. 22, 2010 email to Springmier, Slicer mentioned the “many congressional and other complaints filed by Mrs. Stump.” He told Springmier to “document any conversations you have.” He cited a technical misstep: Stump’s mother had refused to disclose her small Social Security allotment.

“So this will be a fun one,” wrote Slicer.

Stump said her mother was afraid that Slicer would seize her income, too.

Two other Indiana families fought with Slicer’s office and the bank, including Vicki Olson of Fort Wayne, who won freedom from the program for her husband in a protracted battle that caused her to become a volunteer advocate for other veterans.

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Purple Hearts for PTSD debated

 

By BARRIE BARBER

Dayton Daily News Published: June 18, 2012

With more than 2 million service members returning home from Iraq and Afghanistan, post-traumatic stress disorder and traumatic brain injury have become the signature wounds of both conflicts.

But while the Pentagon has decided TBI, or mild concussions received as a result of enemy action, qualify for the status of a Purple Heart, the military hasn’t yielded on PTSD.

Thomas Bush Jr., 54, an Air Force combat veteran who has PTSD, thinks his comrades-in-arms’ invisible wounds qualify them for the medal.

“That’s a very open discussion with a lot of vets,” said Bush, of Riverside.

To receive the Purple Heart, a service member must have suffered an injury in combat.

The language specifically disqualifies PTSD by name.

“PTSD is an anxiety disorder caused by witnessing or experiencing a traumatic event; it is not a wound intentionally caused by the enemy from an ‘outside force or agent,’ but is a secondary effect caused by witnessing or experiencing a traumatic event,” Pentagon spokeswoman Eileen Lainez said in an email to the Dayton Daily News.

Oftentimes, Bush said, if a service member has combat-related PTSD, he may be the only survivor of a traumatic event and carried out the mission under fire.

“If it’s a true case of PTSD from combat, I think it should be awarded,” he said. “Sometimes you can’t just put a Band-Aid on a wound that’s in your head.”

Vietnam veteran Ricky A. York said he’s had combat-related PTSD, but isn’t sure a Purple Heart should be given to soldiers who carry wounds, as he did, inside them. For 43 years, the former cavalry soldier avoided talking about Vietnam to his family before he wrote a book about it.

“I can tell you I have injuries, but they aren’t physical,” said York, 66, of Kettering, a retired General Motors autoworker. “That’s a pretty big distinction to actually be physically wounded. … I don’t know if I’d agree it’s the same as being shot or stepping on a mine.

“I just think personally if I said I deserve a Purple Heart and there’s a veteran there with one arm or a leg missing, I don’t know how he would look at it,” he said. “I sure don’t want to offend one of those guys.”

The numbers of service members receiving Purple Hearts has risen by thousands since the Sept. 11, 2001, attacks. The Marine Corps, for example, has issued more than 8,700, said Navy Lt. Matt Allen at the Pentagon. The Navy, which has its own special forces and combat construction workers and provides support on the ground to Marines, has awarded 800 more.

The Military Order of the Purple Heart and the Veterans of Foreign Wars say post-traumatic stress doesn’t merit the award.

“PTSD is not something new,” said John E. Bircher, a Military Order of the Purple Heart spokesman in Springfield, Va. “There’s hardly anyone who has ever been in combat, and certainly someone who has been wounded, who doesn’t suffer some form of PTSD.”

Medals aren’t awarded for illness or disease, but for “achievement and valor,” said Joseph E. Davis, a VFW national spokesman in Washington, D.C.

“The Purple Heart is awarded for a physical wound received while engaged with an enemy force,” he said in an email to the JournalNews. “PTSD is considered an illness and not an injury.”

He noted soldiers who suffered Gulf War syndrome, and Korean War veterans who had frostbite in the freezing depths of Korean winters, also didn’t qualify for the award.

“Not to diminish the illness or effects of PTSD, but it is the VFW’s belief that awarding the (Purple Heart) for PTSD is not consistent with the original purpose and would denigrate the medal,” he wrote.

Larry C. James, director of the School of Professional Psychology at Wright State University, said some have concerns soldiers could fake PTSD to get the medal. The retired Army psychologist, however, believes few would try.

“Ninety-nine percent of these young men and women are honest,” he said. “Integrity and character is part of the military.”

Charles R. Figley, director of the Traumatology Institute at Tulane University in New Orleans, said counselors can tell if someone has combat-related PTSD. The military and veterans should be the ones to decide to change the rules, said Figley, a Marine veteran who served in Vietnam.

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Military, NFL team up to reduce shared stigma about concussions

By RICK MAESE The Washington Post Published: June 15, 2012

  • larry fitzgerald

Arizona Cardinals wide receiver Larry Fitzgerald is one of several current and former NFL players who have partnered with the military to try to change the way both players and troops view brain injuries. HARRY E. WALKER/MCT

In a conference room on the third floor of the Pentagon, introductions were made and the conversation quickly turned to concussions. Everyone seated at the long table had impressive credentials from either the battlefield or the football field.

“Just the knowledge of what a concussion is has totally changed,” said Mike Rucker, a retired defensive end who had military personnel seated on either side of him. “We thought a concussion was when somebody was knocked out and was unresponsive. Now we have the understanding, no, it’s those little stars that you see.”

Beset by the ongoing concussion issue, the NFL has partnered with the U.S. Army and Marines to try to change attitudes of both athletes and troops toward brain injuries. While the NFL has worked with the USO and sent its athletes to military bases around the world since the 1960s, both sides say this is the first formal undertaking aimed at effecting change on this issue.

Medical personnel from the league and military will share information and the two sides are in the early stages of plotting an awareness campaign that will target current players, active military personnel and future generations of athletes and servicemen.

“It has to start with the kids,” said former running back Brian Westbrook. “Then they’ll get older and they’ll realize, ‘Hey, this isn’t just part of the sport. It’s way more serious than that and it has to be treated the right way.’”

Last month NFL Commissioner Roger Goodell met with Gen. Raymond T. Odierno, the Army’s chief of staff. Since then, a group of NFL players, coaches and medical personnel have held two meetings at the Pentagon with military leaders, including the one last Friday.

The first session included Arizona receiver Larry Fitzgerald, Pittsburgh safety Ryan Clark and ESPN analyst Merril Hoge, among others, and last Friday’s meeting brought Rucker, Westbrook, Cleveland tackle Joe Thomas, retired Giants’ center Shaun O’Hara and several others to the same table with members of the Army and Marines.

As they went around the room, a shared culture and similar attitudes quickly emerged.

“We need the two populations to talk to each other about not rubbing dirt on it and going back on the field,” said Paul Hicks, the NFL’s executive vice president, “about adding a component to the culture that says, ‘It’s okay to go get checked out even if the injury isn’t as visible as a cut.’”

While research on head trauma continues, studies have found that six in 10 former NFL players have suffered concussions and nearly one-third report having at least three. According to military figures, there have been nearly 230,000 reports of traumatic brain injury among the more than 2 million Americans who have been deployed to Iraq and Afghanistan.

“These issues with traumatic brain injuries have an effect on our readiness,” said Maj. Gen. Stephen R. Lanza. “They have an effect on our families, they have an effect on guys as they transition out of the military.”

Lanza said the biggest challenge for both the NFL and the military has been persuading the men and women on the ground to appreciate the severity of the injury and to react accordingly.

“You hear them saying, ‘I’m not taking myself off the battlefield.’ Why? ‘Because the guy on my left and my right trust that I’ll be there,’” Lanza said. “You heard the same thing from the players. ‘I’m not coming out of the game because I need to help my team.’”

Staff Sgt. Shawn Hibbard, who participated in both roundtable meetings, said when he first enlisted more than 12 years ago, no one talked about brain injuries. In two tours, he was the victim of four IED explosions in Afghanistan and suffered traumatic brain injury. Too often, he said, soldiers adopt the attitude, “If I can walk, I can fight.”

“When you go through something like that, you’re just like, ‘Okay, I have all my limbs, I’ll continue on,’” Hibbard said.

Similarly, football players say they entered the league with little knowledge of concussions. Westbrook said when he was a rookie, he was warned about money, women and partying. This year’s crop of rookies will also be told about brain injuries.

At the league’s rookie symposium later this month in Canton, Ohio, players will be on hand to discuss traumatic brain injuries with the rookies. Eventually, the NFL hopes troops will meet in person with young football players to discuss brain injuries, and military brass similarly wants its servicemen and women to hear from football players.

“If I try to address this with a soldier, they may understand what I’m saying,” Lanza said. “But if I put an NFL guy in there who says, ‘Hey, I understand what you’re going through, I had this issue, too,’ boy, that resonates with our soldiers.”

The two sides also began planning an awareness campaign: posters that would hang in NFL locker rooms and Army barracks, and social media strategies that might reach young and old alike.

Neither side is certain where the partnership may lead, but as the relationship progresses it’s possible the NFL and military will share technology, medical information and marketing strategies. For now, their attention is focused on making sure concussions are treated properly at all levels.

“The question is, how do we talk to each other in the most effective way?” said the NFL’s Hicks. “And the honest answer is, we don’t know. That’s what we’re trying to figure out.”

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Health Net Federal Services Launches Veteran and Military Spouse Employment Initiative

From marketwatch.com

 

ARLINGTON, Va., Jun 14, 2012 (BUSINESS WIRE) — In an effort to help reduce Veteran unemployment, Health Net Federal Services, LLC, part of the Government Contracts segment of Health Net, Inc. HNT +3.00{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} , today announced the launch of the Veteran and Military Spouse Employment Initiative, a comprehensive and progressive plan to recruit, hire, train and retain Veterans for the Health Net workforce.

This initiative, as well as recent partnerships with Joining Forces and Hero Health Hire, is reflective of Health Net’s commitment to the well-being of our nation’s Veterans.

“Health Net has a deep appreciation for the service and sacrifices of military members, their families and Veterans. We have a long history and sound record of hiring Veterans and military spouses. This formal initiative is a natural progression of our mission of service to military members, their families and the Veteran community,” said Tom Carrato, president of Health Net Federal Services. “We consider it good business to hire Veterans and are proud to be part of the Joining Forces and the Hero Health Hire efforts to ensure members of the military community successfully transition to civilian life.”

Key targets of the initiative include:

– Increasing hiring of Veterans and spouses by 10 percent over the next three years;

– Promoting and participating in recruitment opportunities such as military job fairs, conferences and online social media networks;

– Continuing to develop strategic relationships with Veteran and military organizations that support and foster employment opportunities, such as Hero Health Hire and Department of Defense Military Spouse Employment Partnership, Iraq Afghanistan Veterans of America, Joining Forces, Military Officers Association of America (MOAA), and Blue Star Families; and

– Implementing a system to monitor and track Veteran employment objectives to ensure effectiveness and overall program success.

“Leadership ability and the strong sense of mission that comes from military service are characteristics that are highly valued in a competitive business environment,” added Carrato. “Today’s unacceptable high rate of Veterans’ unemployment has led to robust efforts in the public, private and not-for-profit sectors to reverse this trend, and Health Net is committed to do its part.”

About Health Net

Health Net, Inc. is a publicly traded managed care organization that delivers managed health care services through health plans and government-sponsored managed care plans. Its mission is to help people be healthy, secure and comfortable. Health Net, through its subsidiaries, provides and administers health benefits to approximately 5.6 million individuals across the country through group, individual, Medicare (including the Medicare prescription drug benefit commonly referred to as “Part D”), Medicaid, U.S. Department of Defense, including TRICARE, and Veterans Affairs programs. Health Net’s behavioral health services subsidiary, Managed Health Network, Inc., provides behavioral health, substance abuse and employee assistance programs to approximately 4.9 million individuals, including Health Net’s own health plan members. Health Net’s subsidiaries also offer managed health care products related to prescription drugs, and offer managed health care product coordination for multi-region employers and administrative services for medical groups and self-funded benefits programs.

For more information on Health Net, Inc., please visit Health Net’s website at www.healthnet.com .

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Suicides No. 2 cause of death in military

From USA Today

By Gregg Zoroya

The most common way that U.S. servicemembers die outside of combat is by their own hand, according to an analysis released by the Pentagon.

Photo By Rafiq Maqbool, AP

Since 2010, suicide has outpaced traffic accidents, heart disease, cancer, homicide and all other forms of death in the military besides combat, the report says. One in four non-combat deaths last year were servicemembers killing themselves.

The most common way that U.S. servicemembers die outside of combat is by their own hand, according to an analysis released by the Pentagon.

Since 2010, suicide has outpaced traffic accidents, heart disease, cancer, homicide and all other forms of death in the military besides combat, the report says. One in four non-combat deaths last year were servicemembers killing themselves.

This year, suicides among troops occur on average once a day, according to Pentagon figures obtained by USA TODAY. The data, first reported by the Associated Press, show that after the end of the Iraq War, suicides may become more common than combat deaths.

There were 154 confirmed or suspected suicides this year through June 3, while 127 troops died in theAfghanistan War, Pentagon data show.

Defense Secretary Leon Panetta told Congress on Wednesday that he has directed all military branches “to immediately look at that situation and determine what’s behind it, what’s causing it and what can we do to make sure it doesn’t happen.”

On a related issue, Panetta revealed Wednesday that he will have all service branches follow the Army’s lead in reviewing mental health cases dating to 2001. The goal is to see whether any current or former servicemember was denied appropriate medical retirement benefits.

Last year, 26{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} of military deaths occurred in combat, 20{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} by suicide and 17{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} in traffic accidents. The percentage of suicides is up from 10{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} in 2005.

All the services except the Navy are seeing increases in suicide among active-duty members this year. All have studied the issue. The Army — which has the highest suicide rate, on par with the civilian rate — is spending about $75 million to understand why it is happening and what to do about it.

No one so far has answers, said Army Col. Carl Castro, who leads researchers trying to find effective forms of prevention and treatment.

“We were slow to react (at first) because we weren’t sure if it was an anomaly or it was a real trend,” Castro said. “Then it just takes time to program the money and get the studies up and going.”

All the services introduced suicide prevention programs based on promising ideas, Castro said, but none is rooted in scientific research.

“Everything we do in suicide prevention, there’s no evidence it works,” Castro said.

Castro said the research efforts, among the first of their kind in the nation on suicide, could begin producing findings in the months ahead.

Panetta said suicide is “one of the most complex and urgent problems” he faces. “Commanders cannot tolerate any actions that belittle, haze, humiliate or ostracize any individual, especially those who require or are responsibly seeking professional services,” Panetta wrote.

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VA clinicians offer guidelines for treating combat vets

From the modern Physician

By Rich Daly

Posted: June 13, 2012 – 10:45 am ET A newly published review of the healthcare needs of recent combat veterans aims to help public and private providers who care for them.

A group of Veterans Affairs Department clinicians compiled a comprehensive review of health issues for Iraq and Afghanistan war veterans and practical management guidelines for their primary-care providers.

The review and care guidelines were published online in the Journal of General Internal Medicine (PDF).

The review described the ways that combat deployments can impact the physical and psychological health of veterans in unique ways. The effects of such duty may require assessment and management of injuries associated with exposure to blasts, such as mild traumatic brain injury, and mental health conditions, including posttraumatic stress disorder, depression, and substance abuse.

“This article provides valuable insight into the fastest-growing segment of the veteran population at a time they are currently returning from combat,” Veterans Affairs Secretary Eric Shinseki said in a news release.

The large number of veterans who have combat-related health needs are among the roughly 2.4 million service members who have deployed to Iraq or Afghanistan since September 11, 2001, according to the release. Their health problems include chronic musculoskeletal pain, medically unexplained symptoms, complications from environmental exposures, heightened suicide risk, sleep disturbances, and impairments in family, occupational and social functioning, according to the review.

The review also summarizes evidence on a range of behavioral risk factors that can endanger the future health of such veterans.

This patient population’s complex physical, psychological and psychosocial challenges led the review’s authors to recommend an interdisciplinary approach to care focused on mitigating the long-term health impacts of combat.

Read more: VA clinicians offer guidelines for treating combat vets – Modern Physician http://www.modernphysician.com/article/20120613/MODERNPHYSICIAN/306139993#ixzz1xtUWEuIN ?trk=tynt

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Vets Lost in Translation: From the Battlefield to the Office

 

 

From Time’s Battleland blog

By NATE RAWLINGS

Read more: http://battleland.blogs.time.com/2012/06/12/lost-in-translation-from-the-battlefield-to-the-office/#ixzz1xmsaFDPvPicture a young man who joined the military shortly after high school. As an infantryman, he shipped out several times over the past decade to a faraway country (sometimes to more than one) where for months at a time he lived in semi-squalor, walked up and over mountains again and again, negotiated complex agreements with local leaders and led operations to build streets, sewers and schools. And with alarming frequency, he did this while people were shooting at him or trying their best to blow him to smithereens.

After some time, he was put in charge of as many as a dozen troops. Then, in addition to accomplishing the hundreds of tasks that made up the mission, his job was also to keep his buddies alive. After four years or more, he left the military to rejoin the civilian world. Today he finds himself in the human-resources office of a company like IBM or Delta or Disney, and a recruiter asks him, “Tell me about a team you’ve led. Describe a project you initiated and completed. What would you say is your greatest weakness?”

The first question throws him for a loop — does a rifle squad count as a team? And projects, well, there were hundreds, including everything from monthly weapons inventories to organizing multilayered combat operations. Which one should he try to explain to the civilian on the other side of the desk? Throughout the entire interview, there’s a nagging question in the veteran’s mind: What does a former infantryman whose past job description was to “close with the enemy by means of fire and maneuver to defeat or capture him” have to offer Disney?

It turns out, quite a bit. Looking for someone with a collaborative working style? How about someone who lived, ate, slept and fought with a squad for months at a time. Need a manager with strong leadership and management skills? Try someone who planned and led combat patrols in a hostile city with limited resources under constant threat. Does the company need someone who is action-oriented, with a high standard for quality and performance? There’s a saying in the Army: They are all no-fail missions.

 

Read more: http://battleland.blogs.time.com/2012/06/12/lost-in-translation-from-the-battlefield-to-the-office/#ixzz1xms2M1xj

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