Secrecy a Factor in Rise of Military Suicides

March 11, 2009 – The Department of the Army has finally gone public and acknowledged the alarming rate of suicide among its ranks. While Army leadership is to be commended for breaking the barrier of silence regarding mental illness in the military, the underlying culture of secrecy that has contributed to the current trend is in dire need of reform. According to figures obtained by the Associated Press, there has been a steady increase in suicides since 2003, totaling 450 active duty soldiers, with the highest numbers occurring in the past year. Military suicides vary considerably between branches of the service, with the Army and Marine Corps frequently reaching the highest annual rates. Longer and more frequent deployments and the primacy of ground combat operations are factors often blamed for the Army’s higher rates of physical injury, mental illness and suicide.

In October 2008, the Army announced a five-year, $50 million collaborative study with the National Institute of Mental Health to address suicide. In a rare public admission of the urgency of the problem, Dr. S. Ward Cassells, assistant secretary of defense for health affairs, stated in the New York Times, “We’ve reached a point where we do need some outside help.” Such efforts are encouraging but will yield little immediate assistance to active duty soldiers, returning veterans and their families.

The Army is now investigating 24 suspected suicides that occurred in January 2009, compared with five during the same month in 2008. “The trend and trajectory seen in January further heightens the seriousness and urgency that all of us have in preventing suicides,” said Peter Chiarelli, Army vice chief of staff, in an AP interview last month.

Republican Sen. John Cornyn, R-Texas, prevailed upon Secretary of the Army Pete Geren to agree in 2008 to investigate a suicide cluster of four recruiters since 2005, all within an East Texas battalion.

At the completion of Brig. Gen. Dell Turner’s investigation last month, he told the Houston Chronicle that there was no single issue leading up to the suicides. He said a combination of factors, including poor leadership, stress and individual issues led to the deaths. The investigation resulted in a rare one-day stand-down for all Army recruiters for suicide prevention training. It is only with this scope of commitment that the Army will fulfill its institutional responsibility to provide appropriate mental health care for its service members.

It is notable that the Army only began keeping records on suicides in 1980, a policy likely fueled by the cascade of attempted and successful suicides by Vietnam veterans. In 1983, with the introduction of the diagnosis of Post Traumatic Stress Disorder (PTSD) in the American Psychiatric Association’s Diagnostic & Statistical Manual, the military and VA began, finally, to acknowledge the debilitating effects of this combat-related trauma reaction. Increased risk of suicide is among the many symptoms of the half-million Vietnam veterans diagnosed with chronic PTSD. Using the most conservative estimates, there may be as many as 75,000 active duty military or recently discharged veterans with PTSD or significant symptoms of PTSD, according to psychologist Alan Peterson of the University of Texas. Peterson is a researcher with a multidisciplinary consortium recently awarded a $25 million Department of Defense grant to study behavioral treatments for PTSD.

To date, there has been no comprehensive epidemiological study on military suicides resulting from PTSD. In 1988, however, the Centers for Disease Control presented congressional testimony, confirming 9,000 suicides among Vietnam combat veterans.

In a March 2008 e-mail exchange brought to light by the Senate Veterans’ Affairs Committee and the VA Inspector General, Dr. Ira Katz, the VA’s chief of mental health services, referenced an internal report suggesting that a thousand Vietnam veterans were attempting suicide each month.

Katz and a VA colleague questioned disclosing the figures and discussed the agency’s financial disincentive to give the diagnosis of PTSD. Sadly, this stance is far from the model of transparency and collaboration among the VA, DOD and the military required to significantly stem the rising tide of mental health casualties.

One bright spot, however, warrants mention. In July, 2007, Army psychologist John Fortunato opened the doors of the Restoration and Resilience Center at Fort Bliss, Texas, an intensive, in-patient treatment program for active duty soldiers with PTSD. At the ribbon-cutting ceremony, Brig. Gen. James Gilman said, “It’s important to try new things because clearly what we’ve been doing so far isn’t working.” Above all, Fortunato believes that providing appropriate care to soldiers with combat-related PTSD is one more way for the Army to fulfill the soldier’s creed: “Never leave a fallen comrade.”

Greenberg is developing a curriculum for chaplains on the physical, psychological and social dimensions of combat-related PTSD.

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Military Personnel Face Unique Challenges, Consequences

March 12, 2009 – At a family wedding, I had the chance to catch up with a cousin who has decided to join the military in lieu of unsubsidized education, blaming lack of personal direction and available work. This reason is sound, as the gap between rich and poor has widened to the worst of any industrialized country in the world. The criminal nature of this institutionalized gap is exemplified by our country’s ranking as the most financially prosperous for more than a century now.

As more working lower-class men enter the world without direction from single-parent, labor-oriented family situations, the benefits of becoming a soldier will drive many to risk their lives becoming a killer for our country and possible prosperity or purpose.

More veterans returning from the wars of the past have caused the familial milieu deprived of traditional nuclear families, or middle-class two-parent households. Previous returns from war have complicated the economy as unemployed skilled men flood the military-oriented economy that has a hard time absorbing them and the cost of the benefits promised by the G.I. bill.

Soldiers bring more than economic complications with their return from service. Heavy journalism has been presented, largely under the radar, about the effects of post-traumatic stress disorder (PTSD), a serious maladaption to life as a killer of men, women and children in war.

PTSD denies easy reintegration into society as soldiers experience war-like reactions to everyday stimuli around their civilian lives. In the documentary, “The Ground Truth,” soldiers in Iraq repeatedly identify scenarios in which they grow depressed, alienated and eventually suicidal with untreated symptoms resulting from PTSD.

Soldiers are offered the possibility of being treated for PTSD before leaving service, but the offer occurs after the term of service ends and before returning home. The soldiers must choose between staying in a specialized facility to treat PTSD, or return to their homes, families and friends. The soldiers invariably choose to return home and many cases thus go untreated as red tape prevents many soldiers from receiving medical benefits post-service.

Bureaucratic red tape can often be biased against the soldiers as their PTSD symptoms are often classified as schizophrenia or bipolar disorder. Since schizophrenia and bipolar disorder are personality disorders, they can be explained away as conditions attained prior to military service and then the benefits for treatment of PTSD are not given out. Many veterans are also denied treatment by military-backed psychologists who refuse to assist “conscientious objectors,” described as those soldiers who have problems as a result of killing someone they didn’t want to: women, children and other non-combatants.

Support for PTSD is often provided by civilian and ex-military-based protest groups. Soldiers dissatisfied with their and others’ treatment form organizations such as Iraq and Afghanistan Veterans of America (IAVA, optruth.org) and Veterans Against the Iraq War (VAIW, vaiw.org) to protest the negative effects of the war. Their protests cover domestic and foreign mismanagement that has adversely affected soldiers. Their support for PTSD treatment is paramount as well, forming support groups and funding therapy for many returning soldiers.

The rise of PTSD is attributed to mismanagement of the war from recruitment to deployment and ending with soldier to civilian reintegration.

Recruitment is often gilded as recruiters seeking bonuses introduce all the possibilities of military life without ever mentioning the killing. Basic training is the opposite.

Basic training is the process of breaking the individual personality to form group ideology and remove the aversion to killing. Ethology describes this process as imprinting. The previous ethical and personal identity is removed through extended periods of exhaustion during which they are encouraged to kill dehumanized subjects while cultivating hatred, all in the pursuit of removing the aversion to kill from a young man or woman. The new imprint of a killer replaced the previous identity of the new recruit.

After this reorientation, the soldiers are placed in urban environments that can frequently be classified as “hostile zones” wherein soldiers are under orders to treat all in the area as hostile. With such orders—including often having to lay suppression fire on crowds of people, though there may be only one shooter—civilian casualties often occur. Soldiers walk through “hostile areas” and see children’s shoes and toys on the floor, or the dead children themselves, along with all the other death, and develop psychological coping mechanisms.

Coping with killing, during which one may be a conscientious objector but unable to deny orders, and under the auspices of protecting one’s fellow soldiers, is harder when one has to carry memories away from the battlefield and interact with civilians that might have been those same “casualties” were they living in Iraq.

Recognizing the problem of making men into killers who were once morally against it, the military turns to its most prevalent answer: anti-depressants and sleeping pills. Instead of treating the moral implications of a soldier’s role with the psychological care required, pills are a quick substitute that maintains the mental function of troops and allows for extended tours of service without the need to remove the soldier from the battlefield at all.

TIME magazine reported at least 20,000 troops on medication such as Prozac, Zoloft and sleeping pills like Ambien in the fall of 2007 alone. With war support waning at home and the amount of troops being withdrawn from the battlefront increasing, the medications undoubtedly have risen in popularity amongst the effort to keep the war front moving.

Killing is not the only exacerbating factor in PTSD. Soldiers often return from the war in Iraq jaded, frequently questioning their role in Iraq and the role of corporate interest. Soldiers have a front-row seat to injustice on the war front that they are also the victims of. The initial invasion of Iraq began with a fervent order to secure the oil fields, which were held before the order to attack the capital was given.

Support services for troops were frequently below standards of basic sanitation. Halliburton, awarded no-bid pay plus contracts for providing troop support and securing oil interests in the area. Pay plus contracts award the cost of supplies to support the troops to Halliburton, but then also awards a percentage of the price as extra pay to the company. Under this policy, contractors would often burn perfectly good vehicles that got flat tires or other simple mechanical problems since the loss could be written off, and Halliburton simply makes more money as more money is spent to replace the vehicle.

Due to the profit-seeking motives of the company, essential services are often mismanaged with reports of refrigerator trucks used to transport dead bodies being used to supply troops’ ice. Reports of infected water supplies, cheap meals, substandard shelters and lack of body armor mar the support for troops that should be foremost for military spending.

Corporate involvement is exemplified by the scandals surrounding private security contractors. Security contractors, such as Blackwater, are mercenary organizations frequently reported to have fought alongside normal troops, engage in missions, and fire upon unarmed civilians—the cause of the scandal. Since the United States government classifies the mercenaries as “private contractors,” laws for conviction of mercenaries do not apply and are thus under no legal restrictions for their actions.

The scandal is proof of corporate involvement in the war process if nothing else, and soldiers saw this every day. If they accept their role and seek better pay without restrictions, ex-soldiers can join these private militaries after service. Such a transition is psychologically pragmatic, as their honor is worthless when the government keeps soldier deaths secret by preventing unescorted, unedited journalism in the war zone. Without the honor that comes with having one’s role as a killer for the country upheld and respected in its passing before the national eyes, the role of the soldier closely mirrors that of a mercenary, receiving money for their killing ability.

Since the military invariably prevents free journalism wherever it can and disallows images of returning coffins and the honored dead, the war’s toll on people is largely invisible. For those soldiers who have been through hell and back, coming home to people who have no idea the toll the Iraq war has taken is the worst part of their reintegration, with or without PTSD.

Betrayal of soldiers as much as civilians necessitates the organizational support for Iraq soldiers that protest Plutocratic—government by the wealthy, of the wealthy, and for the wealthy—mismanagement.

As boys are made into killers, kill and return home, the society must change to absorb them and the soldiers try to change to prevent depression, despondency and, most monstrously, suicide.

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Vets Need Help Fighting War in Their Heads

March 11, 2009 – President Obama’s new secretary for Veterans Affairs, retired general Eric Shinseki, is coming to town Friday to visit the VA Medical Center in North Chicago.

Here’s hoping he meets Maj. Shari Johnson of the U.S. Army Reserve 452nd combat support group.

Johnson, 47, is a registered nurse. But she’s not on staff at the VA hospital. She’s a patient who just checked herself in on Sunday, hoping and praying that she can learn to turn down the volume on the war that’s raging in her head.

Two years ago, I wrote about Johnson and her husband, Sgt. Mike Johnson, who also is a nurse.

Both were sent to Afghanistan in 2003. Both were assigned to the hospital at Bagram Air Base in Parwan province. Both suffer from post-traumatic stress disorder.

Mike had already been diagnosed with PTSD in after serving in the 1990 Gulf War — but the Army called him up again anyway.

Duty in Afghanistan profoundly affected them both.

At Bagram, Shari treated children whom the Taliban had placed in boiling water up to their waists as their horrified parents looked on. It was a way of punishing the parents for collaborating with Americans. One of Mike’s jobs, meanwhile, was to meticulously prepare dead soldiers for the trip home to grieving families, piecing them back together and dressing them with care so that if coffins were opened, they could be presented with the full dignity they deserved.

Six months after returning home to their small farm in Downstate Sheldon, the aftershocks began. Shari told me in 2005 that she started, “crying all the time . . . not wanting to go anywhere. I just wanted to hide out.”

Mike, whose medications covered a small table in the living room, couldn’t sleep, couldn’t cope easily with crowds or with vehicles pulling up behind him on the highway.

The war they had left was all around them.

For awhile, both husband and wife continued their medical work at civilian hospitals, Shari in the intensive care unit of a local hospital and Mike doing emergency room medicine. But problems with anger have sidelined Mike, and though Shari still has a job, it’s in the area of nursing education, not on the floor anymore with badly injured or desperately ill patients.

The Johnsons are, at their very core, soldiers. They don’t want to be hobbled by PTSD. They don’t want pity or even sympathy. All they want is to be well again, whole again. And believe it or not, they would, if they could, go back to serve again.

If anyone understands this, Shinseki does.

As a wounded soldier who lost part of his foot in Vietnam and fought the bureaucracy to stay on active duty, Shinseki has long had a reputation of speaking truth to power across the administrations of Bill Clinton, George W. Bush and now Barack Obama.

As the debate rages over whether only the physically wounded qualify for Purple Hearts, there is an even bigger fight at hand. It has to do with how we care for the soldiers who stood strong for us, fought in time of war and protected us in time of peace.

The VA in America is a mess. You need only try to reach its offices in Washington to find out that it takes 10 calls before one is answered. You need only talk to Mike and Shari to understand how hard it has been to get treatment and at the same time support themselves.

But there are signs that we are beginning to open our minds to the full toll of war.

Recently, Carter Ham, a four-star Army general who commands U.S. soldiers in Europe, admitted to suffering from PTSD. “Such candor,” wrote USA Today, “is critical to overcoming a military macho culture that’s outdated and counterproductive.”

Veterans like Mike and Shari Johnson deserve help.

Shinseki’s visit may signal that help is coming.

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Army Stands Up Task Force to Prevent Suicides

March 6, 2009 – Brig. Gen. Colleen McGuire has been selected to head up a new task force to prevent suicides in the Army.

“Suicide is a multi-dimensional problem and as such will take a multi-disciplinary approach to dealing with it,” Army Vice Chief of Staff Gen. Peter W. Chiarelli said Thursday at a Blogger’s Roundtable before announcing the new task force.

In keeping with the complexity of the problem, the task force will have members from a range of staff sections and functional areas. McGuire, who was promoted to brigadier general Dec. 2, is a military police officer who for the past year has served as director of senior leader development for Department of the Army.

“My charter is to truly look … across all disciplines, so in the end, that leader, that commander can have a menu of tools, of training programs and experts that he can turn to and know how to best employ them,” McGuire said.

Her task force will include representation from the Office of the Deputy Chief of Staff for G-1 (Personnel) and Human Resources Command. It will have representatives from the Provost Marshal’s Office and from the Army Medical Department. It will also coordinate closely with the Chief of Chaplain’s Office and other staff areas, said Lt. Col. Leo Ruth, a member of the new task force.

Ruth said the task force will examine all of the Army’s recent suicide cases and try to find “commonalities.”

“The whole idea … is to identify a common theme,” Ruth said.

“We may not find a trend,” Ruth said, but added that the task force “owed it to leadership” to examine demographics such as age and deployment history to see if any trends exist.

The task force will report to Secretary of the Army Pete Geren, Ruth said. Its recommendations will first be looked at by a senior officer steering committee, he explained. The ultimate product, he said, will be a Suicide Prevention Campaign Plan.

The task force will only form the genesis of the campaign plan, Ruth said, stressing that the task force is a temporary organization.

The Army has also partnered with the National Institute of Mental Health for a long-range study to determine the causes of suicide in the Army.

(For more information on suicide prevention and the recent Bloggers Roundtable, see related article: “Chain teaching to follow Army ‘stand down’ for suicide prevention.”)

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Founders of Film School for Wounded Troops Take Flak from First Class

March 10, 2009 –  This isn’t the script the directors of a San Diego film school had in mind when they opened their doors in January 2008 to train wounded troops in what was hailed as a nationally innovative program.

The husband and wife team of Kevin Lombard and Judith Paixao, founders of the Wounded Marine Careers Foundation Inc., said their goal was to transform lives.

Lombard said he and his team wanted to teach service members “how to tell their own stories, and in the process helping them learn new skills as they prepare to get out of the military.”

But now Lombard and Paixao are the targets of a lawsuit and accusations of financial and employment deception by members of their first graduating class.

Some of the graduates said they would have passed on the 10-week film class had they known the directors would tap nearly $89,000 of each student’s veterans benefits for vocational training – instead of the $10,000 listed in the school’s initial promotional brochure and what they were allegedly told by Lombard and Paixao.

“They just didn’t live up to their promises,” said graduate Joshua Frey, a former Camp Pendleton-based lance corporal who lost most use of his right shoulder because of a combat injury in Fallujah, Iraq. “I feel betrayed by people who used our wartime sacrifices to make a pretty buck. They gave us false hope.”

The film school, which operates out of the Stu Segall Productions lot in Kearny Mesa, was initially billed as a free program funded by donations.

It did turn out to be free for the 11 students who refused to sign off on giving their vocational benefits through the Department of Veterans Affairs. Their tuition was covered by private philanthropy.

But eight students agreed to the VA reimbursement, and some said they did so because they thought the tuition was $10,000.

The VA ended up paying $88,550 directly to the school for each of the eight students. It’s unclear whether those graduates have exhausted their VA money for employment training because such benefits vary from case to case.

Lombard and Paixao said they had sunk $250,000 of their own money into the foundation when VA officials approached them with the idea of using students’ vocational rehabilitation funds. They expect to receive a combined salary of $130,000 this year after not taking any previous pay.

The couple said all expenses were explained to the students before they volunteered to have their VA funds used.

But Frey, three other members of the first graduating class and a teacher said the film school’s directors misled students about the cost of the program, the equipment they would get to keep and the type of jobs they could land.

Frey said Lombard and Paixao touted their school as offering world-class, hands-on training not available at any university. He and other graduates said they were assured they be able to land well-paying jobs in their chosen film specialties.

The only job offer Frey received was an entry-level position as a film loader, he said.

Frey has moved with his wife to Reno, Nev., and is waiting to start work as a stand-in actor for the movie “No Better Place to Die,” which one of the program’s teachers told him about.

“I thought 10 weeks of training would be a lot of experience, but I’ve since realized that it’s not much for someone new to the film industry,” he said.

Former Lance Cpl. Brent Callender, who fractured his pelvis and broke four vertebrae in a September 2006 roadside bomb attack, jumped at the chance to gain career skills for free.

Shortly after enrolling in the film course, he said, Lombard and Paixao told him that his cost would be $10,000 drawn from his veterans’ vocational benefits.

“On graduation day, I learned the VA had paid $88,550 for my tuition. I couldn’t believe the school’s deception,” Callender said.

Levie Isaacks of Los Angeles, who taught cinematography during the 10-week class, said he was so disheartened by the experience that he wrote a letter to the Department of Veterans Affairs.

Isaacks said he knew Lombard and Paixao were getting VA funds, but didn’t know the per-student amount until the end of the course.

“Nothing that I’ve been involved with, ever, cost this much money for what the students learned and the inadequate equipment at the facility. I had to bring my own lighting gear,” he said. “I don’t know what they did with all the money they collected. It’s sinful.”

The troubles started early on, former Cpl. Philip Levine alleges.

Levine joined the foundation’s board as a co-founder. After several months, he began questioning why an organization funded with donations was planning to tap VA vocational money. He said he was voted off the board and barred from joining the film class.

In his lawsuit, Levine is seeking nearly $3,000 in unreimbursed expenses and about $80,000 in damages. The Superior Court case is scheduled to be heard in late April, said Levine’s attorney, Dick Lynn of San Diego.

Levine provided a copy of the foundation’s 2007 brochure for the film school, which listed the tuition as $10,000 per student. A revised brochure currently posted on the foundation’s Web site still has the same figure.

Several film schools in Southern California said $88,550 is excessive for a semester of training.

“It’s outrageous. That’s a lot of money,” said Joe Slowensky, head of the film division for Chapman University’s school of film and media arts.

Chapman charges about $34,000 for one year of film school and roughly $90,000 for its three-year, graduate program in fine arts.

The Los Angeles Film School charges almost $42,000 for its associate’s degree in film science, while the University of Southern California said its annual tuition for the School of Cinematic Arts is approximately $37,000.

“I haven’t heard of any rates like the foundation’s. I can’t think of anyone who would dare to charge that much,” said Jean Sherlock, director of the New York Film Academy’s branch at Universal Studios Hollywood.

His school charges $5,800 for an eight-work course in film and digital media.

Sherlock said beyond the tuition issue, it would be immoral to promise or even imply that graduates can secure good jobs after a few months of classes.

“The film industry is a very difficult vocation. It’s intensely competitive,” he said. “You usually start out as interns so you can pick up experience before landing a paid job.”

Paixao tears up when she hears her former students’ accusations.

She uses the word “pure” to describe the couple’s motivation in helping wounded troops and the word “family” when mentioning the Marines and sailors she and Lombard have taught.

She said the VA has twice combed through the foundation’s records and each time agreed that the tuition was reasonable.

Lombard acknowledges the tuition is quite a sum. But he said the training delivered by the foundation and the staff of filmmakers, photo directors, writers, editors, camera and sound experts, graphic designers and other industry-leading technicians is worth it.

He also mentioned the benefit of receiving a union card from the International Alliance of Theatrical Stage Employees upon graduation. The membership can otherwise take years to attain, he said.

Lombard disputes claims about graduates having difficulty finding jobs. He said 11 members did find work, and some quit for reasons of their own.

The couple said their second class, which began in January, will be much more successful because of the lessons learned. The VA is paying $64,426 for each of eight students in the 14-week course.

“Every single person in the class embodies the spirit of adapt and overcome,” Paixao said. “I invite you to some back when they graduate in April to see how successful we’ve been.”

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Some Wounded Soldiers More Likely to be Punished

March 10, 2009, Fort Bragg, NC – Staff Sgt. Jason Jonas says when he goes to bed at night, he is terrified his medication will cause him to oversleep and miss morning roll call again.

His commanders are fully aware the paratrooper wounded in Afghanistan has been diagnosed with a sleep disorder, because he is one of about 10,000 soldiers assigned to the Army’s Warrior Transition units, created for troops recovering from injuries.

Instead of gingerly nursing them back to health, however, commanders at Fort Bragg’s transition unit readily acknowledge holding them to the same standards as able-bodied soldiers in combat units, often assigning chores as punishment for minor infractions.

In fact, the unit has a discipline rate three times as high as Fort Bragg’s main tenant, the 82nd Airborne Division, and transition units at two other bases punish their soldiers even more frequently than the one at Fort Bragg, according to an Associated Press review of records obtained through the Freedom of Information Act.

“In my 10 years of service I have often seen soldiers mistreated, abused or left hanging, but never have I seen an entire unit collectively mentally and physically break down its members,” said Jonas, a 28-year-old from Tempe, Ariz.

Jonas is one of 11 current or former soldiers who have spent time in Fort Bragg’s transition unit and say that its officers are either indifferent to their medical needs or trying to drive injured men and women from the military. Some complain they are being punished for the very injuries that landed them in the unit.

“It is the military’s way of dealing with it: `You’re a fake. You need to go back to work,'” said Pfc. Roman Serpik, 25, who enlisted in Duluth, Ga. He said he injured his head and back in a practice parachute jump last April.

Jonas suffered a concussion on a jump in 1999 at Fort Bragg, and military doctors determined that that led him to develop narcolepsy, a disorder that causes people to fall asleep abruptly, he said. He provided copies of his medical profile to the AP to confirm he has the disorder.

He said medication for his condition made him miss formation five times, resulting in a demotion that cost him $400 a month.

Officers in the transition battalion at Fort Bragg’s Womack Army Medical Center would not discuss individual soldiers’ medical or disciplinary records, citing privacy laws. Speaking generally, they said the way to get soldiers back on their feet is discipline, not accepting excuses.

“Do we hold our capable warriors in transition accountable to these standards, to include the Uniform Code of Military Justice and the various Army regulations? Unapologetically, yes, we do,” said Lt. Col. Jay Thornton, the unit’s commander.

Thornton said soldiers are “helped, not harmed, by maintaining an appropriate level of structure and military discipline.”

Advocates for wounded soldiers question whether the tough-love approach is an effort to get rid of soldiers considered unlikely to return to regular duty.

“It creates a hostile environment where soldiers buckle and take a low-balled disability rating and benefits just to get out when they can,” said retired Army Lt. Col. Mike Parker.

The Warrior Transition system was established two years ago to improve treatment of wounded soldiers after the scandal over shoddy conditions at Walter Reed Army Medical Center in Washington.

Soldiers assigned to the units have combat injuries such as amputations and mental health problems such as post-traumatic stress disorder, as well as minor ailments that didn’t come from combat.

The transition unit at Fort Bragg issued what is known as an Article 15 — used for minor misconduct that doesn’t rise to the level of a court-martial — roughly once a month for every 135 soldiers through the first nine months of 2008.

At Fort Knox, Ky., the rate was even higher — one Article 15 per month for every 96 soldiers. The highest rate was at Fort Drum, N.Y., home to the 10th Mountain Division, where the injured warriors’ commanders issued one Article 15 per month for every 76 soldiers.

On the more lenient end, the Article 15 rate for the transition battalion at Fort Riley in Kansas, home of the 1st Infantry Division, was one for every 309 soldiers, and one for every 371 soldiers in the transition unit at Hawaii’s Schofield Barracks, the base of the 25th Infantry Division.

The differences in the discipline rates point to a flaw in policy rather than pockets of misbehaving soldiers, said Paul Rieckhoff, founder and executive director of Iraq and Afghanistan Veterans of America.

“We will be looking to the Army to take swift action and hold the appropriate people accountable,” he said.

Commanders at the transition units at Forts Knox and Riley and at Schofield Barracks all declined to comment on how they handle discipline. At Fort Drum, spokeswoman Kate Agresti said only that the base’s transition battalion “follows appropriate military guidelines” that take a soldier’s medical condition into account.

Jaime Cavazos, a spokeswoman with the Army Medical Command, declined to speculate on why the rate of Article 15s in the units differs so widely. “I suspect you’d find similar variances between line units throughout the Army,” Cavazos said.

The current and former soldiers interviewed by the AP told similar stories about discipline within the unit at Fort Bragg. Most spoke on condition of anonymity because of fear of reprisal and warnings from above not to speak with reporters.

Sgt. Sheree Snow, 30, of Indianapolis, said she was evacuated from Iraq to Germany with fibroid tumors in February 2008, had a hysterectomy that May and was prescribed pain and sleeping medication for months afterward while at Fort Bragg. She said the medication led her to miss nine morning formations, and when she was trying to wean herself off the painkillers, an entire day.

Thornton, her commander, punished her with 14 days of extra duty and docked her two months’ pay, she said.

“The leadership isn’t trained to work with wounded soldiers,” said Snow, who returned to her primary assignment at Fort Eustis, Va., this year. “I feel that the unit holds us to such high standards because they do not know better.”

Jason Thomasson, a 34-year-old Iraq veteran from Winston-Salem, N.C., said he was sent to the unit after developing post-traumatic stress disorder, which he said led to extreme paranoia. He missed formations and left Fort Bragg without permission. For that he was demoted and eventually kicked out of the Army.

“Solders are being punished for injuries that they sustained while they were defending the nation,” Thomasson said. “I was a model soldier before I had PTSD.”

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VCS Testimony: FY2010 Veterans Programs Budget Proposals

Fiscal Year 2010 Veterans Programs Budget Proposals

A hearing was held on the proposed fiscal year 2010 budget for programs for veterans. Witnesses testified about the $112.8 billion budget for 2010, which was a $15 billion boost from the previous year. It included provisions to fund the new Post 9/11 GI Bill and allow a gradual expansion of health care eligibility to veterans whose injuries were not service-related (Group 8). It also provided for an expansion of 550,000 new enrollees by 2013, due to the Priority Group 8 veterans.

C-SPAN Video: https://www.c-span.org/video/?284523-1/fiscal-year-2010-veterans-programs-budget-proposals

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Veterans With Post-Traumatic Stress Fight for Aid

March 9, 2009 – It was during his first deployment in Iraq that Marine Cpl. David Tracy, 23, of Peekskill earned his Purple Heart.

“I was up top behind the gun when we stopped at a checkpoint and a roadside bomb exploded on the other side of the barrier,” said Tracy, an infantryman who served as a machine gunner in Baghdad and Fallujah.

Shrapnel nearly blew off Tracy’s right earlobe.

“The whole right side of my face was numb,” Tracy said as he sat with his wife, Becky, and 8-month-old son, Sean, in the living room of their Peekskill condominium. “The handkerchief I used to pull up to cover my mouth (from sand, smoke and dust) was soaked in blood. Two Marines on the other side of the road were hit and lying on the ground.”

Medical personnel at the base near Baghdad sewed up Tracy’s earlobe. About an hour later, he was back out on patrol.

Tracy noticed the ringing in his ears – tinnitus – right away. It took longer to realize that he couldn’t stop thinking about when the next blast from an improvised explosive device might hit.

“He’s very aware of our surroundings and making sure that we are safe when we go out,” Becky Tracy said. “He looks for a quick exit in case of an emergency. At night, I often have to calm him down, wake him up gently instead of scaring him more.”

Like generations of warriors before him, Tracy struggled to put a name to the hypervigilance, night terrors, irritability, survivor guilt and disturbing memories that he couldn’t seem to shake.

Shortly before his honorable discharge from the Marines in July 2007, Tracy was found to have post-traumatic stress disorder. Now he is fighting for an upgrade in benefits for the condition that often makes it hard to get through the day or sleep at night.

They called it “battle fatigue” during World War II, said Army Air Forces veteran Norman Bussel, 85, of Mohegan Lake, who has spent years learning to cope with the crippling condition. The term was “shell shock” during World War I, when Bussel’s father was gassed by German troops.

“No one comes home from combat without emotional baggage,” said Bussel, who was shot down April 29, 1944, over Berlin, lost four of his crew mates, and spent a year in a prisoner-of-war camp before being liberated by Gen. George S. Patton’s troops on April 29, 1945.

Even now, Alan, Robert and Edward Grigas, three brothers who served in Vietnam, are reluctant to admit to themselves the havoc that combat trauma has brought in their lives.

But each of them has spent more time battling over disability benefit claims with the Department of Veterans Affairs than they did fighting in Vietnam.

“I just got my benefits after fighting with the VA for five years,” said Edward Grigas, 57, of Somers, an Army combat engineer responsible for security at base camps from 1970 to 1971.

“I didn’t have any medals, so it’s hard to prove PTSD,” said Grigas, who lost several close friends in Vietnam and watched helplessly as his comrades were mortally wounded. “The VA denied me benefits three times. I had to remember things that happened 40 years ago to prove PTSD when I can’t remember what I ate yesterday.”

Two Purple Hearts and a Bronze Star didn’t help his brother Alan Grigas, 60, of Goldens Bridge much.

“I had holes in me, but the VA said: ‘Prove to us it happened in the service,’ ” said Alan Grigas, who served with the 173rd Airborne in Vietnam. “They said: ‘Give us the names of the doctors and the people who were around you.’ The burden of proof should not be on the vet. It should be on the VA.”

Legislation introduced recently by Rep. John Hall, D-Dover Plains, would lift the burden of proof from veterans who served in combat zones and have a diagnosis of PTSD, allowing them to receive disability benefits without having to prove that a specific incident caused the disorder.

In the Iraq and Afghanistan wars alone, more than 100,000 veterans have been found to have PTSD, but only 42,000 have been granted service-connected disability for their condition, said Hall, chairman of the Veterans Affairs Subcommittee on Disability Assistance and Memorial Affairs. [This information was obtained by VCS using FOIA].

The disability claims backlog at the VA tops 800,000. A large percentage of that number are Vietnam veterans seeking compensation for PTSD, Hall said.

The Veterans Benefits Administration did not respond to requests for information on the number of PTSD claims or the reasons for denials or delays in processing them.

Bussel, a VA-accredited volunteer who helps veterans file benefit claims, said Hall’s bill is “vitally important” for combat veterans who are often homeless, depressed and show such deep feelings of hopelessness that he sometimes fears for their safety.

Despite the need, veterans are often reluctant to seek treatment or benefits for PTSD, said Rockland Veterans Service Agency director Jerry Donnellan.

“I see a lot coming back from Iraq or Afghanistan with PTSD,” said Donnellan, who lost his right leg while fighting with the 196th Light Infantry Brigade, American Division, in Vietnam. “There’s the temporary euphoria of coming home with all their fingers and toes that can mask depression and underlying anxiety.”

Then there are “the John Wayne-types who are so tough they could bite trees,” he said. “They say: ‘Save it for someone who really needs it.’ “

Robert Grigas, 59, of Brewster falls into that category.

“I was taught as a Marine in Vietnam to face it and suck it up,” said Grigas, who received a Purple Heart, a Bronze Star, a Vietnamese Cross of Gallantry and a citation from President Lyndon Johnson for “courage, bold initiative and selfless devotion to duty at great personal risk.”

An acute form of diabetes – the result of exposure to Agent Orange, he said – has left him blind in his right eye and led to the amputation of a portion of his right foot. By 1999, he was too sick to continue work as a carpenter.

Eventually, he won full disability for PTSD when what he wanted was other compensation for his physical losses.

“I didn’t want benefits for PTSD because they made me out to be crazy and I’m not,” he said.

Whether it’s veterans returning from Iraq and Afghanistan, or those who served in combat decades ago, it’s important in treatment to “reframe the issues so men don’t feel defective,” said Kenneth Reinhard, a clinical psychologist who runs the Anxiety Disorders Clinic at the VA Hudson Valley Healthcare System in Montrose. “PTSD is not a weakness. It’s a normal reaction to an abnormal situation.”

Treatment, whether it consists of medication, group or individual therapy, or a combination of all three, can help the individual face the issues stemming from trauma and go on to lead a “reasonably normal life,” said Reinhard, who began his career working with Vietnam veterans in the 1970s.

Bussel got counseling from Reinhard for two decades, and he said it has freed him to live the “best days” of his life. He has written a book, “My Private War: Liberated Body, Captive Mind – A World War II POW’s Journey,” published by Pegasus Books. Reinhard wrote the foreword.

“I’m traveling on book tours and helping vets,” Bussel said. “Twenty years ago, I couldn’t have done that.”

Antonette Zeiss, deputy chief of the VA’s Mental Health Services, said members of the current generation of veterans are being encouraged to come in sooner so they can get treatment, even if they are not eligible for benefits. State-of-the-art treatment should now be available without delays, she said.

But PTSD is not the whole story, said Zeiss, a clinical psychologist. There are 442,862 veterans enrolled with the VA who have a diagnosis of PTSD out of a total 1,662,375 with some mental-health diagnosis, she said.

Continuing conflicts mean those numbers will grow. Up to 17 percent of veterans who have served in Iraq and Afghanistan have PTSD, major depression or other mental-health problems, Dr. Joseph T. English told Congress last year. He is chairman of psychiatry at New York Medical College in Valhalla, which is affiliated with the VA hospitals at Montrose and Castle Point.

But fear of stigma prevents many from seeking help, said English, a past president of the American Psychiatric Association. Soldiers are screened for PTSD before they are released.

“If they check off the symptoms on the sheet, everyone else will go home and they’ll be delayed,” he said last week.

For the many who would like to work for the FBI or a police or fire department, “any suggestion of a mental disorder could impair their ability to get a job,” English said.

Reach Susan Elan at selan@loud.com or 845-228-2277.

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Editorial Column: The U.S. Must Refocus on Afghanistan

March 9, 2009 – During the presidential campaign, Barack Obama and John McCain didn’t agree on much, but they did see eye-to-eye on one thing: the U.S. need for a big troop increase in Afghanistan. Yet, with the President announcing a major troop increase for Afghanistan, a rising chorus of voices is arguing that the United States should end its military involvement there and focus solely on aid and development.

Many of these critics believe that recent setbacks in our stabilization efforts reflect something fundamental about the history of Afghanistan— that the country is the ‘graveyard of empires’ and cannot be tamed by outside forces. They point back to Alexander the Great to argue that no foreign power has ever succeeded in Afghanistan, and argue that the British experience in Afghanistan in the 19th century and the Soviet experience in the 20th show the same. Further, they argue that we should withdraw and commit only humanitarian aid to the country.

From our different perspectives as an Afghanistan veteran and an analyst, we believe the basic premise of these claims is a myth and threatens to cloud the real debate over the future of Afghanistan.

First, the Soviet and British analogies fail, because in both cases the invading superpowers were fighting forces backed by another great power. If you saw Charlie Wilson’s War you know that the Soviets were crushing the Mujahedeen until the US started a massive effort to fund, arm and train the Afghan insurgency.

The second part of the graveyard myth – that Afghans are inherently xenophobic – is equally fictitious. Even with deteriorating security, a recent poll by the BBC showed US popularity (47{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d}) was roughly seven times that of the Taliban (7{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d}).

Critics of the present Afghanistan policy have also argued that instead of sending more troops, we should withdraw militarily and simply provide more aid. For example, former Senator George McGovern has called for a five-year ‘time-out’ to war and that the U.S. instead should provide school lunch to every child in Afghanistan.

But previous U.S. efforts to provide aid in unstable conflict zones have failed dramatically and served only to empower enemies of the United States. For example, in 1991, in response to the humanitarian crisis in Somalia, President H.W. Bush authorized an of airlift food. However, lacking any security on the ground, the aid was largely swept up by roving gangs and warlords, and the population was left to starve. The ultimate result was further US engagement leading to the Black Hawk Down catastrophe in Mogadishu.

We are already seeing similar trends in parts of Afghanistan where the Taliban is in control. Development simply cannot take hold where armed thugs are occupying government buildings, murdering aid workers and spraying acid into the faces of young girls on their way to school, all of which occurred during Captain Bailey’s deployment in 2007.

Tellingly, the primary concern of tribal leaders then was the lack of basic security. Far too often, we had too few forces deployed in local villages to ensure our aid reached the intended beneficiaries. In many instances, this absence allowed the Taliban to tip the balance of power in isolated, yet strategically important, cities and villages.

President Obama clearly understands this. That’s why he’s pursing a dual track strategy in Afghanistan, focused both on security and development by committing more troops and deploying a special envoy, Richard Holbrooke.

Despite the naysayers, President Obama knows that the stakes in Afghanistan are frightfully high – that failure there is not an option. America has suffered the devastating effects of a failed state in Afghanistan once already, and ensuring that an al Qaeda safe haven does not reemerge must remain a top national security priority. Instead of chasing historical myths, this country should follow the fact-based, dual track strategy of security and development.

Scott Payne is a Policy Advisor on National Security at Third Way. Aaron Bailey is a former Army Infantry Captain and served in Afghanistan from May to November 2007. He resides in Ann Arbor, MI and is a member of VoteVets.org.

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Local Program Helps Vets With PTSD

March 6, 2009 – The military describes the latest suicide figures as “very disturbing.”

Authorities report 18 solider suicides last month and 24 in January.

The suicide rate is now higher than the civilian rate for the first time on record.

With more and more soldiers being diagnosed with Post Traumatic Stress Disorder, there are mental health programs in North Texas reaching out to veterans and their families.

“Nobody knew what to expect until we got there,” said Iraq Veteran Charles Goolsby.

He was deployed to Iraq in 2003. When he got back, his struggles intensified.

“I was angry and drinking a lot,” said Goolsby “I felt alone.”

It took him three years to get help. He turned to Operation Healthy Reunions.

The program is part of Mental Health America of Greater Dallas and supports troops and their families. They provide free screenings to people who make less than $100,000 a year.

“Even if the soldiers are still over there the families over here are experiencing some of the problems of dealing with families alone with the military personal gone,” said Greg Zarbo, Program Director for Mental Health America of Greater Dallas.

Symptoms of Post Traumatic Stress Disorder include anxiety, anger and sleep problems according to therapist.

“I guess it was three months into the deployment when some things changed,” said Grace Miller.

When she heard about the program, she knew it was what she needed to cope.

Miller’s husband was deployed to Iraq last year. He’s back safe, but she said their constant worry now is their marriage.

“It’s very hard to reacquaint ourselves with one another and try to get back what we had,” said Miller.

“I don’t regret anything,” says Goolsby. He is working through his anger. He said the program has really helped him.

He also said if he were asked to go back to Iraq he would, but he know realizes the challenges that come with deployment.

Operation Healthy Reunions of the Mental Health America of Greater Dallas is located on 624 N. Good Latimer, Suite 200 in Dallas. Their number is 214-871-2420 ext. 117 or 110. They can also be emailed at mhainfo@mhadallas.org.

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