Showing posts with label mental health. Show all posts
Showing posts with label mental health. Show all posts

Saturday, December 21, 2013

Mental Health Measures Removed From New Military Spending Bill

Mental Health Measures Removed From New Military Spending Bill
Forbes
Rebecca Ruiz
December 20, 2013

When the House of Representatives recently passed its version of the National Defense Authorization Act, it contained measures to address serious concerns about the diagnosis and treatment of mental illness in the military.

Most importantly, it included an amendment for the creation of a commission to evaluate claims that soldiers with combat-related psychological distress and traumatic brain injuries are being kicked out of the military due to minor infractions. I wrote about that a few months in a post that looked at the Colorado Springs Gazette’s investigative series on this topic.

The commission would have evaluated those charges and determined what, if any, policy changes need to be made in order to account for the role of combat-related mental or physical illness in a soldier’s misconduct.

But when the Senate passed its version of the bill on Thursday night, that amendment had been scrubbed. Two other mental health amendments had been stripped as well:

Mental health assessments
The law would have provided regular mental health screenings for all active-duty service members. Currently, the focus is on giving these assessments to service members who deploy, and even then, the requirement can be waived if an individual isn’t exposed to “operational risk factors.”


Mental health support for personnel and families
This provision is vague, but it would have permitted the Secretary of Defense to create initiatives that “respond to the escalating suicide rates and combat stress related arrest rates” of service members; train soldiers to recognize and respond to combat stress disorder, suicide risk, substance addiction, risk-taking behaviors, and family violence; and determine the effectiveness of the military’s efforts to reduce suicide rates.
read more here

Depression claims life of gifted author Ned Vizzini

Popular young adult author Ned Vizzini, 32, dies in New York
By HILELL ITALIE
Dec 21st 2013

NEW YORK (AP) - Ned Vizzini, a popular young adult author and television writer who wrote candidly and humorously about his struggles with depression, has committed suicide. He was 32.

Vizzini jumped off the roof of his parents' home in Brooklyn on Thursday, said his brother, Daniel Vizzini. New York City's medical examiner's office confirmed Friday that Vizzini took his own life and had sustained blunt impact injuries consistent with a fall. Daniel Vizzini said his brother had battled mental illness for much of his life and had "taken a turn for the worse" in recent weeks.

Ned Vizzini's autobiographical novel "It's Kind of a Funny Story" was adapted into a feature film of the same name. A resident of Los Angeles in recent years, he was a prolific author of fiction and nonfiction and spoke around the country about mental health and the healing effects of writing. On his website, he recommended Andrew Solomon's "The Noonday Demon" and the Dalai Lama's "The Art of Happiness" to readers coping with depression.

"At his signings, countless kids would approach him to say that he changed their lives - he gave them hope," his longtime publisher, Alessandra Balzer of Balzer + Bray, said in a statement Friday. Balzer + Bray is an imprint of HarperCollins.

John Green, Megan McCafferty and Sarah Dessen were among the authors mourning him on Twitter. In a telephone interview with The Associated Press, an emotional Judy Blume called him one of those people "who just touch your life in a certain way."
read more here

Monday, November 11, 2013

VA's mental health efforts fall short now, won't keep pace in the future

Report: VA's mental health efforts fall short now, won't keep pace in the future
Stars and Stripes
By Leo Shane III
Published: November 11, 2013

WASHINGTON — Veterans Affairs officials will spend more than $7 billion and tens of thousands of hours of clinical time on mental health care this fiscal year, and that won’t be nearly enough, a new report argues.

A new policy brief from the Center for New American Security says that VA mental health efforts do not meet the needs of veterans today and are not enough to keep pace with the wave of veterans expected to hit the health care system in the next decade.

“Historically, veterans’ mental health care needs have risen sharply over time, with peak expenditures occurring 10 to 20 years after the end of war,” the report states. “This was true for the Vietnam War cohort and will likely be true for the post-9/11 combat cohort as well.

“Now is the time for the VA to act decisively to meet these generations’ needs — while it has ample resources to do so, before the demand among post-9/11 veterans spikes.”

The brief comes just a week after VA officials announced they had added more than 1,600 mental health clinicians and 800 peer counselors in the last year.
read more here

Friday, November 1, 2013

Former Veterans Affairs Psychiatrist Pleads Guilty to Medicare Fraud

Former Veterans Affairs Psychiatrist Pleads Guilty to Medicare Fraud
30 October 2013
Written by YNN


Washington, DC - Dr. Mikhail L. Presman, a licensed psychiatrist employed by the Department of Veterans Affairs (VA), pleaded guilty today to health care fraud for falsely billing Medicare for home medical treatment to Medicare beneficiaries and agreed to forfeit more than $1.2 million in illegal profits.

Acting Assistant Attorney General Mythili Raman of the Justice Department’s Criminal Division, U.S. Attorney Loretta Lynch of the Eastern District of New York, and Special Agent in Charge Thomas O’Donnell of the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG) made the announcement.

According to court documents, from Jan. 1, 2006, through May 10, 2013, Presman submitted approximately $4 million in Medicare claims for home treatment of Medicare beneficiaries notwithstanding his full-time, salaried position as a psychiatrist at the VA hospital in Brooklyn.

Contrary to his representations, Presman did not provide any treatment to a substantial number of the beneficiaries he claimed to have treated. For example, Presman submitted claims to Medicare for home medical visits at locations within New York City even though he was physically located in China at the time of these purported home visits. Additionally, Presman submitted claims to Medicare for 55 home medical visits to beneficiaries who were hospitalized on the date of the purported visits.
read more here

Monday, October 21, 2013

President Kennedy tried to do right for mentally ill 50 years ago

Kennedy's Vision for Mental Health Never Realized
Associated Press
By MICHELLE R. SMITH
PROVIDENCE, R.I. October 20, 2013 (AP)

The last piece of legislation President John F. Kennedy signed turns 50 this month: the Community Mental Health Act, which helped transform the way people with mental illness are treated and cared for in the United States.

Signed on Oct. 31, 1963, weeks before Kennedy was assassinated, the legislation aimed to build mental health centers accessible to all Americans so that those with mental illnesses could be treated while working and living at home, rather than being kept in neglectful and often abusive state institutions, sometimes for years on end.

Kennedy said when he signed the bill that the legislation to build 1,500 centers would mean the population of those living in state mental hospitals — at that time more than 500,000 people — could be cut in half. In a special message to Congress earlier that year, he said the idea was to successfully and quickly treat patients in their own communities and then return them to "a useful place in society."

Recent deadly mass shootings, including at the Washington Navy Yard and a Colorado movie theater, have been perpetrated by men who were apparently not being adequately treated for serious mental illnesses. Those tragedies have focused public attention on the mental health system and made clear that Kennedy's vision was never fully realized.

The legislation did help to usher in positive life-altering changes for people with serious illnesses such as schizophrenia, many of whom now live normal, productive lives with jobs and families. In 1963, the average stay in a state institution for someone with schizophrenia was 11 years. But only half of the proposed centers were ever built, and those were never fully funded.

Meanwhile, about 90 percent of beds have been cut at state hospitals, according to Paul Appelbaum, a Columbia University psychiatry professor and expert in how the law affects the practice of medicine. In many cases, several mental health experts said, that has left nowhere for the sickest people to turn, so they end up homeless, abusing substances or in prison. The three largest mental health providers in the nation today are jails: Cook County in Illinois, Los Angeles County and Rikers Island in New York.
read more here

Wednesday, August 14, 2013

Marine busted by FBI over Facebook posts goes to court

Judge refuses to dismiss suit against Feds who arrested former Marine for his controversial Facebook posts
Raw Story
By Techdirt
Tuesday, August 13, 2013

Almost exactly a year ago, former Marine Brandon Raub was taken from his home by federal agents and involuntarily committed to a psychiatric ward, all because of some controversial postings to his Facebook account, including some 9/11 conspiracy-related articles and violent song lyrics.

On August 16, 2012, Raub was visited by local police, FBI agents and Secret Service personnel who questioned him about his Facebook posts. Raub was cooperative and discussed his activity with the officers, despite their not having a warrant. At some point, one of the agents made a call to Michael Campbell, a psychotherapist retained by the county who decided, despite having never met or observed Raub, that the former Marine was "potentially dangerous" and should be detained.

At that point, the collected officers cuffed Raub and took him to the local jail before having him committed to the mental hospital. Government officials later claimed Raub wasn't arrested, but the video taken of his "not being arrested" looks for all the world to the un-government-trained eye like an arrest.
read more here

Wednesday, August 7, 2013

WHO says stop giving benzodiazepines after trauma

WHO releases guidance on mental health care after trauma
New clinical protocol and guidelines to enable effective mental health care for adults and children exposed to trauma and loss
News release
6 AUGUST 2013


GENEVA - WHO is releasing new clinical protocols and guidelines to health-care workers for treating the mental health consequences of trauma and loss.

Mental disorders are common, disabling and usually untreated, and WHO’s "Mental Health Global Action Programme (mhGAP)" was developed in 2008 to scale-up care for mental, neurological and substance use disorders with simple treatment protocols that can be offered by primary health-care doctors and nurses.

New care protocols for post-traumatic stress disorder and others

Now, WHO is extending this programme by including care for post-traumatic stress disorder (PTSD), acute stress and bereavement within its global programme.

“We have received numerous requests for guidance for mental health care after trauma and loss” says Dr Oleg Chestnov, WHO Assistant Director-General for Noncommunicable Diseases and Mental Health. “Primary health-care providers will now be able to offer basic support consistent with the best available evidence. They will also learn when to refer to more advanced treatment.”
Warnings against some popular treatments

Primary health care staff are also warned against certain popular treatments. For example, benzodiazepines, which are anti-anxiety drugs, should not be offered to reduce acute traumatic stress symptoms or sleep problems in the first month after a potentially traumatic event.

“PTSD needs to be managed along with other common mental disorders” reports Dr Mark van Ommeren, Scientist in the WHO Department of Mental Health and Substance Abuse. “This new, simple WHO-UNHCR treatment protocol will guide health workers around the world to help adults and children who suffer from conditions specifically related to stress.” The new guidelines and protocol were published today in an article in "The Journal of the American Medical Association".

read more here
BENZODIAZEPINES
Ativan
Dalmane
Doral
Estazolam
Flurazepam
Halcion
Lorazepam
Midazolam HCL
Prosom
Restoril
Temazepam
Triazolam
Alprazolam
Ativan
Chlordiazepoxide
Clorazepate
Diazepam
Librium
Lorazepam
Oxazepam
Serax
Tranxene SD
Tranxene T
Valium
Xanax
Xanax XR
Clonazepam
Klonopin

Wednesday, June 12, 2013

Orlando VA gets 35 new mental health workers

Orlando VA gets new mental health workers
13 News
June 11, 2013

ORLANDO
The Veterans Affairs Medical Center in Orlando is getting 35 new mental health workers as part of the Obama Administration's goal of expanding mental health access for veterans.

An executive order by the president required that the VA hired 1,600 mental health workers nationwide to meet the growing need in August of last year.
read more here

Saturday, June 8, 2013

Why you should see an expert to treat PTSD?

Why you should see an expert to treat PTSD?
by Kathie Costos
Wounded Times Blog
June 8, 2013

Everyday I read hundreds of articles on PTSD associated with military service. Sometimes experts have written the article but most of the time they are written by reporters with a simplistic understanding leaving too many things out of what they write. If they lack basic information, they fail to ask the right questions and often leave their readers with bad information. Sometimes they are written by veterans with PTSD and family members. When I read those, I am reminded of everything else I read that day and I get angry because they are still suffering so much. After all the years PTSD has been researched, more and more groups have stepped up to help. Most were not aware of how huge this medical crisis was until reporters started to fill them in but it was the veterans stepping up to tell their stories that created everything done today. The problem is, too many want to help but are not trained properly to do it.

I had really bad pain running down my arms and legs. I can't tell you how many things I thought it could be and I stressed myself out trying to figure out what was happening inside of me. Finally I went to see my family doctor. He listened to what I saying, did some basic checks then sent me for an MRI. When I got there, they said they had to scan my head and neck. I thought they were nuts since I didn't feel pain there. They were right. I have two bulging discs that hit nerves. If my doctor did not had enough understanding of how the human body works, he wouldn't have sent me to the right place first. These discs act up once in a while and I put up with the pain because I know where it originates from and that the pain will go away. My doctor recommended an expert to see if the pain gets too much for me.

Veterans can see psychologists and psychiatrists fully educated on how the mind works and they can give basic help based on what they know. If they do not listen carefully to what the veteran has to say, they can, and often do, make the wrong decisions on treatment if they are not experts on PTSD. Yet even if they have a basic knowledge, they will hear key words clueing them in on what the origin of the problem is. Some of the key words are "all of a sudden" along with nightmares and "seeing things" like when they have a flashback but do not know what it is. When they say they are hearing things but do not communicate what those sounds are, the psychologist will make an assumption and the wrong treatment is provided. If they are aware of what is associated with PTSD, especially combat PTSD, then they will refer the veteran to an expert. Combat PTSD is different from other types of PTSD because of the nature of the trauma and the number of exposures along with duration of the threat.

This article came out in 1991.
Post-traumatic stress disorder in the community: an epidemiological study
Jonathan R. T. Davidson, Dana Hughes, Dana G. Blazer and Linda K. George (1991).
Psychological Medicine, Volume 21, Issue03, August 1991 pp 713-721
http://journals.cambridge.org/action/displayAbstract?aid=5070376
Post-traumatic stress disorder (PTSD) was studied in the Piedmont region of North Carolina. Among 2985 subjects, the lifetime and six month prevalence figures for PTSD were 1·30 and 0·44 % respectively. In comparison to non-PTSD subjects, those with PTSD had significantly greater job instability, family history of psychiatric illness, parental poverty, child abuse, and separation or divorce of parents prior to age 10. PTSD was associated with greater psychiatric co-morbidity and attempted suicide, increased frequency of bronchial asthma, hypertension, peptic ulcer and with impaired social support. Differences were noted between chronic and acute PTSD on a number of measures, with chronic PTSD being accompanied by more frequent social phobia, reduced social support and greater avoidance symptoms.

There should be no excuses for getting this wrong. Every psychiatrist and psychologist should have a basic understanding of what PTSD is by now so they can refer the veteran to the proper help they need and that help has to come from an expert. The problem is too many treating veterans are not experts on trauma and too few are veterans with a deeper understanding of what is going on. If they leave out the two other parts of the veteran, their body and spirit, then the veteran is cheated out of deeper healing.

Medication treats their brains but if they do not know how to calm down their bodies, they are given more medication. If they know what they can do to teach their bodies to relax, then they don't need more medication to get numb. Constantly being on edge causes other problems with their health.

If they do not take care of their spiritual needs, then they lack the ability to forgive as well as be forgiven thus feeding the anger aspect of PTSD. I can't remember how many times a veteran has asked why they are getting so angry all the time over little things. Constantly feeling this way causes problems in their relationships.

A great doctor will know when it is time to send a veteran to the right expert. A great psychologist will know if they know enough to treat the veteran properly or send them to someone with more knowledge than they have. The best one will know that everything is connected and will recommend the proper ways to treat the whole veteran.

Everything I learned over the years came from the experts, listening to veterans and living with my own veteran. The information is out there. The trick is, finding it. If you start with communicating with you doctor, they will know where to send you for the help you need. If they don't, then find another doctor.

Monday, June 3, 2013

Another conference on Mental Health will do little good

Personally I am tired of hearing most of what people say when compared to the devastating outcomes. I remember all too well when very little was being done to address suicides tied to military service. With so many years of this program followed by another program to "prevent them" and end the stigma of having PTSD so there are now over 900 programs, these results are disgraceful. As Congress continues to hold hearings on nonsense, they have failed to hold hearings on discovering who is responsible for the increase in these suicides. When you consider the simple fact they survived combat but could not survive being back home, that screams someone has to be held accountable but no one has been. One more conference will do little good.
Background on the National Conference on Mental Health
The White House
June 03, 2013

On Monday, June 3rd, President Obama and Vice President Biden will host a National Conference on Mental Health at the White House as part of the Administration’s effort to launch a national conversation to increase understanding and awareness about mental health. President Obama will deliver opening remarks and Vice President Biden will deliver closing remarks to conference participants.

The conference will bring together people from across the country, including mental health advocates, educators, health care providers, faith leaders, members of Congress, representatives from local governments and individuals who have struggled with mental health problems, to discuss how we can all work together to reduce stigma and help the millions of Americans struggling with mental health problems recognize the importance of reaching out for assistance.

Building on Progress

The conference builds on the President’s plan to reduce gun violence, which calls on Health and Human Services Secretary Kathleen Sebelius and Education Secretary Arne Duncan to launch a national conversation to increase understanding and awareness of mental health. It also builds on a number of steps to raise awareness and improve care for those experiencing mental health issues, including veterans, a topic Veterans Affairs Secretary Eric Shinseki will address in the closing session. For example:

Expanding Mental Health Coverage. The Affordable Care Act will expand mental health and substance use disorder benefits and parity protections for 62 million Americans. In addition, thanks to the health care law, beginning in 2014, insurers will no longer be able to deny anyone coverage because of a pre-existing mental health condition. The law already ensures that new health plans cover recommended preventive benefits without cost sharing, including depression screening for adults and adolescents and behavioral assessments for children.

Supporting Young People. The President’s Fiscal Year 2014 Budget includes a new $130 million initiative to help teachers and other adults recognize signs of mental illness in students and refer them to help if needed, support innovative state-based programs to improve mental health outcomes for young people ages 16-to-25, and help train 5,000 additional mental health professionals with a focus on serving students and young adults.&

Improving Access to Services for Veterans. In response to the President’s Executive Order in August of 2012, the Department of Veterans Affairs has achieved their goal of increasing capacity by hiring 1,600 new mental health providers, over 300 peer-to-peer veteran specialists, establishing 24 pilot projects in nine states where VA is partnering with community mental health providers to help Veterans access mental health services in a timely way and enhancing the capacity of its Crisis Line by 50 percent.

At the conference, the President will announce that the Department of Veterans Affairs is directing 151 of its health care centers nationwide to conduct Mental Health Summits with community partners, including local government officials, community-based organizations, and Veteran Service Organizations starting July 1 through September 15. The Summits will identify and link community-based resources to support the mental health needs of Veterans and their families, as well as help increase awareness of available VA programs and services. read more here

Gun suicides and mental health linked

Analysis: Local gun suicides and mental health linked
June 1, 2013
BY ERIC DEXHEIMER
AMERICAN-STATESMAN STAFF

Sean F.’s July 2010 obituary in the American-Statesman said he had passed away “unexpectedly.” But the 39-year-old had already tried to kill himself twice before, his parents later told investigators — once, three years earlier, with a gun. He had bipolar disorder and possibly was schizophrenic, according to his autopsy report. The Austin Police Department had also identified him internally as an “EDP,” an emotionally disturbed person recognized by officers from previous contacts.

Yet, one week before he died, he was still able to purchase a gun. He then used the 9 mm handgun to shoot himself inside his North Austin apartment. (The Statesman isn’t using the full names of suicide victims because in some cases their families or friends couldn’t be reached.)

The recent nationwide discussion about gun violence has concentrated mainly on firearms used in homicides. Since December’s elementary school massacre in Newtown, Conn., lawmakers’ focus has been even more specifically on guns used in the sort of mass murders that fuel public outrage and prompt policy reforms.
read more here

A few gun deaths from January 2013 on Wounded Times
Ex-Marine in recovery is Broward's first homicide victim of 2013
Florida mother kills infant son in murder-suicide attempt, police say
PTSD, a Navy SEAL and family left behind
Andrew Baumgartner was a Marine, who served in Afghanistan
Iraq veteran with PTSD getting help after shooting
Iraq veteran held on $3M bond in shooting deaths
Fort Riley soldier died of gunshot wound
Young veteran's suicide shatters air of stability
Mississippi State Rep. Jessica Upshaw found dead
Police officer found dead in New Jersey Park
Mississippi Police officer and suspect killed at Jackson Police Station
Missouri Soldier killed woman and unborn child to "protect career"
Fort Hood soldier who died of gunshot identified
Veteran's suicide resonates with loved ones, law enforcement, veterans officials
Fort Hood soldier on leave dies of gunshot wound

Tuesday, May 14, 2013

PTSD study reveals "There's not a single pharmacological treatment out there"

Brain-imaging study links cannabinoid receptors to post-traumatic stress disorder
May 14, 2013
Psychology and Psychiatry

In a first-of-its-kind effort to illuminate the biochemical impact of trauma, researchers at NYU Langone Medical Center have discovered a connection between the quantity of cannabinoid receptors in the human brain, known as CB1 receptors, and post-traumatic stress disorder, the chronic, disabling condition that can plague trauma victims with flashbacks, nightmares and emotional instability. Their findings, which appear online today in the journal Molecular Psychiatry, will also be presented this week at the annual meeting of the Society of Biological Psychiatry in San Francisco.

CB1 receptors are part of the endocannabinoid system, a diffuse network of chemicals and signaling pathways in the body that plays a role in memory formation, appetite, pain tolerance and mood. Animal studies have shown that psychoactive chemicals such as cannabis, along with certain neurotransmitters produced naturally in the body, can impair memory and reduce anxiety when they activate CB1 receptors in the brain. Lead author Alexander Neumeister, MD, director of the molecular imaging program in the Departments of Psychiatry and Radiology at NYU School of Medicine, and colleagues are the first to demonstrate through brain imaging that people with PTSD have markedly lower concentrations of at least one of these neurotransmitters —an endocannabinoid known as anandamide—than people without PTSD. Their study, which was supported by three grants from the National Institutes of Health, illuminates an important biological fingerprint of PTSD that could help improve the accuracy of PTSD diagnoses, and points the way to medications designed specifically to treat trauma.

"There's not a single pharmacological treatment out there that has been developed specifically for PTSD," says Dr. Neumeister. "That's a problem. There's a consensus among clinicians that existing pharmaceutical treatments such as antidepressant simple do not work. In fact, we know very well that people with PTSD who use marijuana—a potent cannabinoid—often experience more relief from their symptoms than they do from antidepressants and other psychiatric medications. Clearly, there's a very urgent need to develop novel evidence-based treatments for PTSD."
read more here

Monday, May 13, 2013

When being "resilient" is part of the problem

A fascinating reaport came out of Boston this morning about the slogan "Boston Strong" being an issue for some mental health professionals.

Mental health experts worried about ‘Boston Strong’ slogan
By Deborah Kotz
GLOBE STAFF
MAY 13, 2013

The slogan “Boston Strong” that emerged days after the Marathon bombings resonates with many — including two-thirds of the more than 500 readers who answered a Boston.com poll.

More than 50,000 Boston Strong T-shirts have been sold to raise money for a victims’ charity fund, and the phrase has been plastered on posters and signs throughout the city.

But mental health specialists are concerned that some still traumatized by the Marathon attacks might deem themselves weak or inadequate for not feeling that Boston strength.

“I think it is probably attempting to speak to a sense of resilience and strength on the level of the community,” said Dr. Michael Leslie, a psychiatrist who treats trauma patients at McLean Hospital in Belmont. “But there are people who will read this in a personal way, as an exhortation that they themselves need to be strong” no matter what they’re actually feeling. That would be “an unfortunate conclusion to draw from the phrase,” he added.
read more here


In the article, this came out.
"Nearly 9 percent of poll respondents said they didn’t like the slogan because it makes them feel like they have to be strong."

RESILIENT : characterized or marked by resilience: as
a : capable of withstanding shock without permanent deformation or rupture
b : tending to recover from or adjust easily to misfortune or change

The word does not mean "untouched" or "unchanged" by what happens. The first part of the definition is not about a person but is about an object.

Being resilient does not mean they are unbreakable. All it means is they are able to hold out a little bit longer than others. It does not mean they be unchanged. It just means the change in them will not destroy them. If they have a misunderstanding of what resilience is, that can cause a whole new problem.

The military has been pushing the term of "resilience" as if it is supposed to mean they can overcome everything without being changed or harmed. When they believe that is what comes next after "it" happened to them, they have a harder time when reality sinks in and they discover they are only human after all.

Wednesday, May 1, 2013

Some veterans considered to be at high risk for suicide don't get follow up

VA doesn't follow up with many veterans after mental health care
May. 1, 2013
By Patricia Kime
Army Times

About a third of veterans considered to be at high risk for suicide don’t receive the recommended follow-up care after they’ve been discharged from Veterans Affairs Department inpatient mental health care, according to a new report from the VA inspector general.

The VA study shows that of 215 cases reviewed between April and September 2012, 65 did not receive the recommended after-care of four visits within 30 days of being discharged.

Thirty-three percent did not have any record of being contacted by a suicide prevention coordinator or case manager, as also is recommended in VA treatment policies.

“Although MH providers scheduled follow-up appointments prior to patient discharge, timely post-discharge MH evaluations were not consistently provided,” VA Assistant Inspector General for Healthcare Inspections Dr. John Daigh wrote.
read more here

Tuesday, April 30, 2013

Is Fort Campbell getting it right on PTSD now?

101st Airborne vastly expands care for 'unseen wounds'
Apr. 30, 2013
By Philip Grey
The (Clarksville, Tenn.) Leaf-Chronicle

FORT CAMPBELL, KY. — Not so long ago, there were only five psychiatrists and one treatment facility dealing with PTSD, depression and other behavioral health issues for Fort Campbell’s 30,000-plus soldier population.

That capacity has just been increased many times over, with the opening of no less than five newly-constructed and staffed Embedded Behavioral Health Care Team facilities – one for each of the 101st Airborne Division’s four brigade combat teams and another for the 101st Sustainment Brigade. Additional psychological health support has also been added to each of the division’s two combat aviation brigades.

Open houses were held at the new facilities on Monday, as post officials celebrated the milestone, achieved just one year after the first pilot program at the 4th Brigade Combat Team was announced by Maj. Gen. James C. McConville, Commander, 101st Airborne Division and Col. Paul R. Cordts, Commander, Blanchfield Army Community Hospital (BACH.)

Attending the ribbon-cutting for the new permanent 4th Brigade Combat Team facility in place of McConville, currently deployed in Afghanistan, was acting senior commander Brig. Gen. Mark R. Stammer.

“We wanted Brig. Gen. Stammer to see and know the power of what we’ve set up,” Cordts said.
read more here

Canada uses video conferencing to help with PTSD and mental health

Canadian Forces To Turn To Video Conferencing To Help Soldiers With PTSD And Other Mental Illnesses
April 30, 2013
Section: Defence Watch
News release from DND:

OTTAWA, ONTARIO–(Marketwired – April 30, 2013) – The Honourable Peter MacKay, Minister of National Defence, announced two new health services initiatives, the Telemental Health Network and the Virtual Reality Initiative Bravemind, developed through the $11.4 million reallocated to the care of ill and injured military personnel in 2012. Minister MacKay made this announcement as part of The Bell True Patriot Love Fund, a one-million dollar program to support community mental health initiatives for Canadian military families.

“The Telemental Health Network and the Virtual Reality Initiative Bravemind complement an already robust system to provide treatment for our military men and women who are suffering from post-traumatic stress disorder and other health conditions,” said Minister MacKay. “The Bell True Patriot Love Fund initiative complements our Government’s focus on providing accessible mental health care to Canadian Armed Forces personnel. As Canadians we must all work together to ensure our military families stay healthy and get the mental health support they need.”

The Telemental Health Network will maximize the use of technology to increase access and reduce wait times by providing mental health services through video conferencing for personnel in all environments – especially rural, remote and underserved communities.

The Government of Canada has procured 90 high-definition desktop videoconferencing systems at a total cost of $800,000.

read more here

Sunday, April 28, 2013

Faith in God has positive effect on treating mental illness

Faith in God has positive effect on treatment outcomes for mentally ill people
Examiner
MENTAL ILLNESS
APRIL 27, 2013
BY: CAROLA FINCH

A study by McLean Hospital, a Harvard Medical School affiliate, suggests that people who are receiving short-term treatment for psychiatric illness have better outcomes if they believe in God.

The study was announced on April 27, 2013, and was published in the current issue of Journal of Affective Disorders (PMID 23051729, DOI: 10.1016/j.jad.2012.08.030). David H. Rosmarin, PhD, McLean Hospital clinician and instructor in the Department of Psychiatry at Harvard Medical School, examined individuals in McLean’s Behavioral Health Partial Hospital program to investigate the relationship between patients' level of belief in God, treatment expectations, and treatment outcomes.

"Our work suggests that people with a moderate to high level of belief in a higher power do significantly better in short-term psychiatric treatment than those without, regardless of their religious affiliation,” Rosmarin. said. Belief was associated with not only improved psychological wellbeing, but decreases in depression and intention to self-harm."
read more here

Monday, April 22, 2013

VA mental health patients among evacuated after bomb threat

Can't imagine what these veterans went through or how much more damage was done to their healing process.
"All Clear" given at Salisbury VA after bomb threat, evacuation
WBTV News
Posted: Apr 17, 2013
By David Whisenant
Building Four is Inpatient Mental Health Care and Building 11 is Outpatient Mental Health.
SALISBURY, NC (WBTV) - Officials in Salisbury gave the "All Clear" at the Salisbury VA at shortly before 11 a.m. Wednesday.

They were investigating a bomb threat that was called in at the William G. "Bill" Hefner Veterans Administration Medical Center in Salisbury.
read more here

Tuesday, April 16, 2013

The Warrior Saw, Suicides After War hits military suicides with facts

The Warrior Saw, Suicides After War by Kathie Costos is now available. I am working on the Kindle conversion and that should be up (I hope) later today. In this work you will have three essential questions answered.

Where are we?

When it comes to military suicides and the record breaking year of 2012 we read the numbers but have forgotten each one represents a family left behind and many more wondering what they did wrong. When you only read numbers going up, it is easy to forget about how many lives these deaths affect.
2003 Army 79 26 while deployed
2004 Army 67 13 while deployed
2005 Army 87 25 while deployed
2006 Army 99 30 while deployed
(Army Suicide Prevention Program Fact Sheet, Army Public Affairs, August 17, 2007)
2007 Army 115 36 while deployed (50 deployed prior to suicide and 29 not deployed)


The following is from the Department of Defense Suicide Event Report.
Air Force Suicides Confirmed and Pending (2011 page 93)
2008 45
2009 43
2010 60
2011 50 241 Airmen who attempted suicide in 251 separate incidents.

Army Confirmed and Pending Suicides (2011 page 128)
2008 140
Suicide attempts 570
Of the 140 suicides, 34 (24%) occurred in OIF-OEF. One hundred sixteen suicide attempts (12%) were reported to have occurred in OIF-OEF. Nineteen percent of Soldiers with completed suicides, and 14% of Soldiers with suicide attempts, had a history of multiple deployments to Iraq and/or Afghanistan. Of suicide events reported as occurring in theater, the majority was reported to have occurred in Iraq.

2009 164 Army DoDSERs Submitted for Non-Fatal Events 2,047 Army DoDSERs for non-fatal events were submitted for 2009. Of these, 502 (25%) were submitted for suicide attempts, 347 (17%) for instances of self-harm without intent to die, and 1198 (59%) for suicidal ideation only

2010 160 DoDSERs provide data on suicide attempts for 400 individuals. Two attempts were reported (DoDSERs submitted) for 11 (2.75%) individuals, and three for one individual (0.25%). Additionally, four Soldiers with a 2010 suicide attempt DoDSER subsequently died by suicide in 2010 and were also included in the preceding section.

2011 167 440 DoDSERs for 2011 Army suicide attempts. As indicated in Table 5.29, these DoDSERs provide data on suicide attempts for 432 individuals. Two suicide attempt DoDSERs were submitted for 8 (1.85%) individuals 2011 Army suicide attempts 432 individuals with 440 attempts

Marines Confirmed and Pending
2008 42
2009 52
2010 37
2011 32
2011 156 Marines who attempted suicide in 157 separate incidents

Navy Confirmed and Pending
2008 41
2009 47
2010 38
2011 52
2011 87 Navy suicide attempts

Department of Defense Suicide Event Report for 2011
For 2011 there were 935 attempted suicides in the military with 915 individuals trying to kill themselves. 896 tried once, 18 tried twice and 1 tried three times.


These are the deaths from suicides for 2012.
Army 182
Army National Guards 96
Army Reserves 47
Marines 48
Air Force 59
Navy 60
492 total reported suicides from one year alone.

The DOD Suicide Event Report for 2012 has not been released yet but according to the DOD they expect the numbers to go up when they put all the data together.


How did we get here?

Oh, that one is the one that bothers me the most.
When you think that after billions have been spent every year and countless efforts made including the stunning fact there are over 900 programs, yet arrive with more suicides, that should be screaming across every headline in this country.

In 2006 there were more than 500,000 veterans with pending claims and of those 100,000 were over a year old without resolution according to the VA. By March of 2007, the Boston Globe reported that the backlog of claims had gone from 69,000 in 2000 to 400,000 in 2007 taking 177 days to process an original claim and 657 days to process an appeal. The news got worse with a staggering 915,000 in 2009 with 803,000 with the Board of Appeals.

“Backlogs are at the point where veterans must wait an average of six months for a decision on benefits claims and some veterans are waiting as long as four years,” number of unprocessed veterans claims exceeds 915,000 — a 100,000 jump since the beginning of the year.” (Have VA Pay old claims automatically, Rick Maze, Marine Corps Times, June 30, 2009)
This is what 2007 looked like.
In the past 18 months, 148,000 Vietnam veterans have gone to VA centers reporting symptoms of PTSD "30 years after the war," said Brig. Gen. Michael S. Tucker, deputy commanding general of the North Atlantic Regional Medical Command and Walter Reed Army Medical Center. He recently visited El Paso.

Veterans Affairs officials say prioritizing war-on-terror veterans is necessary because many of them face serious health challenges. But they don't agree that other veterans will suffer, saying that they are hiring thousands of new employees, finding ways to train them more quickly and streamlining the process of moving troops from active duty to veteran status. (Two-tiered system of healthcare, Chris Roberts, El Paso Times, October 8, 2007)
There was the Suicide Prevention Hotline taking calls and making "rescues" even when the number of suicides went up.
“Call volume has grown, from 67,350 in 2008, the center’s first full year of operation, to 193,507 last year. But the percentage of rescue calls — those calls for which emergency responders get involved — has declined, from a high of 4.26 percent in 2010 to 2.7 percent in the first months of this fiscal year.” (Reported on Syracuse.com Dave Tobin, February 17, 2013.)
This is perhaps the most troublesome of all. “VA has been underfunded for years; for FY2007, the Bush Administration requested almost $4 billion less in VA funding than the amount suggested by major veterans’ organizations. In early 2007, Congress made veterans’ health care a priority, increasing the funding for veterans’ health care by $3.6 billion.” (IAVA 2008 Congressional Report Card)

According to the American Federation of Government Employees, the VA employed 1,392 Veterans Service Representatives in June 2007 compared to 1,516 in January 2003. Did they think about what would have happened if after the troops were being sent into a second war, the VA was prepared to take care of them with their claims as well as their wounds? Would older veterans have suffered even longer than they already had? Would it have helped to know all their years of fighting to make sure PTSD was treated for all veterans was worthy of their efforts?

VA has been underfunded for years; for FY2007, the Bush Administration requested almost $4 billion less in VA funding than the amount suggested by major veterans’ organizations.

“Clearly, the current funding process is broken. The VA had a $3 billion shortfall in veterans’ health care in fiscal years 2005 and 2006. The waiting list for new veterans’ health care appointments doubled in a year. The current backlog of benefit claims is approaching 400,000.

Staffing levels and training have not kept pace with the number or complexity of claims. Large numbers of retirements among older, more experienced claims adjudicators have worsened the current workforce crisis. By VA’s own estimates, new Veterans Service Representatives (VSRs) require several years of on-the job training to become fully competent.” (AFGE 2007)


Then there are the billions spent every year on "Resilience" training. Many experts have come out and said that this attempt does not work but instead of learning from the numbers, they pushed the programs.

You can read the rest in the book.

I track reports from across the country and readers of Wounded Times know that I only track verifiable reports from newspapers, government sites and academic media. This book gives the sites and the dates of the reports. If you look at the date of the report, 90% of them came from Wounded Times. You can go to the achieve on the sidebar, find the date you are looking for and then you'll find the links to where the reports came from. Some of them may not be active any longer but as of 6 months ago when I started writing THE WARRIOR SAW, SUICIDES AFTER WAR, most of the links still worked.

What can be done?

There are things that have to happen right now.

End Resilience Training. I have been screaming about that since it started.

Start to use the same kind of training Crisis Intervention Specialist use so they will know how to respond after an event right away. There is too much of a crisis going on right now and no time to play catchup. They can be trained in a week to know how to respond and have a basic understanding of the difference between mental illness and anxiety caused by trauma. They will also be able to do what police and firefighters have been doing for a very long time. It will not prevent all cases of PTSD but it will prevent a lot of them.

Get the families involved because they are the support system for them when they come home. Too many families have no clue what to watch out for, what PTSD is or what to do about it.

Get clergy involved because if you do not understand that this is in fact a "moral injury" then you are part of the problem. This is not a new idea. Jonathan Shay wrote about it in Achilles in Vietnam.

The fact is that PTSD has been researched for over 40 years. None of this had to happen but the wrong people were listened to and the right people were forgotten about.
You can also read it on Kindle now.

Thursday, April 4, 2013

Thrown Into a Psych Ward for No Apparent Reason?

This story does not add up to the headline.

Do veterans get treated the way they should? Hell no! Do they wait and fight for the compensation and treatment they earned while serving? Yes and they shouldn't have to. The veteran says in the second interview that he had personal issues and left a message on his friends phone. That is what apparently caused this. The police did a "wellness check" and frankly they don't do that unless someone has called about someone they are worried about.

I've had to do it several times for veterans I was worried about. They don't just show up at a veteran's door.

This veteran says in the phone interview that he went to the VA for pain in his back and was told he would need to get evaluated by mental health and that makes sense since they are evaluating veterans for PTSD and TBI because most don't know they have either one. The pain medication he was asking for is probably addictive, so there is another reason. Plus you have to consider that we have a huge problem with veterans committing suicide.

There is no way for me to know for sure because all I can go by are the videos of this veteran being interviewed. If he left a message on his friend's machine starting the concern off, then people did what they were supposed to do. The only way the VA can take away gun rights is if the veteran is a danger to himself or others, or has a court ordered fiduciary because they cannot make rational decisions. This does not happen often.

Congress' answer to the veterans suicide epidemic was to take away guns because that is the preferred "means" of suicide however we have seen that attempt did nothing to reduce the suicide rate. By the way, this law was signed in 2008.

PROVISIONS OF THE JOSHUA OMVIG VETERANS SUICIDE PREVENTION ACT
The Joshua Omvig Veterans Suicide Prevention Act (the “Act”) mandates that VA create and implement a comprehensive program to address the mental health problems of all veterans.

Congress expressed particular concern for “the special needs of veterans suffering from PTSD and the special needs of elderly veterans who are at high risk for depression,” the veteran populations most likely to commit suicide.

The program has six major components, detailed in section 3 of the Act:
(1) education for VA staff;
(2) increased emphasis on mental health
assessments for veterans;
(3) designation of suicide prevention counselors;
(4) research on veterans’ mental health issues;
(5) provision of round-theclock
mental health care; and
(6) outreach and education for veterans and their families.
The VA also “may provide for other actions to reduce the incidence of suicide among veterans that the Secretary considers appropriate.”

Finally, Congress mandated that the VA report on the implementation status of the program, its estimated timeline for completion, the estimated costs of the program, and any additional actions deemed necessary to fully address veterans’ mental health issues.


If this veteran is upset by what happened then he needs to contact his friend because it is my guess the phone call set all of this off. He should thank him for caring that much about him because making that phone call is one of the hardest things a person does. They struggle with wondering if they are saving a life or ending a friendship. Then it dawns on them that if they don't make the call just in case their fears are justified, they would live with the guilt over not trying to save the life of someone they cared about.

Disabled Veteran David Schmecker: Thrown Into a Psych Ward for No Apparent Reason
by Renee Nal
April 03, 2013

David Schmecker, 50, is a disabled veteran with "no psychiatric history" who seemingly had his firearms confiscated and gun permit revoked in Connecticut for no apparent reason. It all started when he called the Veteran's Administration to get a follow-up appointment for a spinal injury.

George Hemminger of SurviveAndThriveTV interviewed the distraught Navy veteran who explained his story. Schmecker says that when the VA called back to schedule the appointment, he was informed that the appointment would entail a visit with a psychiatrist and a psychologist on top of his physical therapy and pain management session. As noted by Opposing Views, "It's not unusual for veterans to be asked to submit to a psychological evaluation when requesting pain medication due to the high rate of addiction." Regardless, Schmecker "refused" the mental health treatment, as he said the appointment was for a "spine injury." He indicates that after his refusal, "they never got back to me and they still haven't."
read more here