March/April 2005
PTSD/SUBSTANCE ABUSE COMMITTEE REPORT |
|
|
More Of The Same |
|
BY TOM BERGER, CHAIR |
In yet another GAO report released on February 16, the
investigative agency questions whether the Veterans Affairs
Department can adequately help troops returning from Iraq and
Afghanistan with PTSD. This latest GAO report was requested by
Rep. Lane Evans (D-Ill.), the House Veterans’ Affairs Committee
ranking Democrat.
Data for the 2004 budget year show that fewer than half of those
using VA health care are screened for PTSD. The report also said
that “if veterans returning from combat do not have access to
these services, many mental health experts believe that the chance
may be missed to lessen the severity of symptoms and improve the
overall quality of life for those with the disorder.”
The VA contends that the report did not adequately describe the
type of services for PTSD that the agency has provided over the
past 20 years or its ability to provide such services in the
future. In a reference to the GAO report, Dr. Jonathan Perlin, the
VA’s Acting Undersecretary for Health, said: “We take exception to
this report,” and noted that “the VA is a world leader in PTSD
treatment.”
GAO investigators said the VA has put in place only 14 of 24
recommendations from an advisory committee that Congress created,
while the VA says it has completed seven. The bottom line,
according to the report, is that the delay “raises questions about
VA’s capacity to identify and treat veterans returning from combat
who may be at risk” for developing PTSD and maintaining treatment
for veterans already receiving help.
PERCEPTION WARS
In early February, Col. Thomas Burke, Director of Mental Health
Policy for the Department of Defense, said that the stigma for
troops seeking mental health care “is a real problem,” and that
“there is a perception among the troops that seeking mental health
care means you’re weak or a coward and, frankly, we in the
military foster that attitude.” Burke also noted that “the biggest
barrier to reducing stigma in the military is confidentiality.”
In other words, troopers who self-identify themselves as suffering
from PTSD or other forms of psychological trauma and then try to
pursue medical help are running into difficulties. Perhaps that’s
the reason for an Army Times report of February 28 that “some
troops in Iraq are taking antidepressants such as Prozac, Zoloft
and Paxil.” On the other hand, this does little to explain The
Guardian’s report on February 17 that some scientists in South
Carolina want to offer the street drug “Ecstasy” as a treatment
for PTSD and are advertising for combat veteran volunteers. The
scientists note that the drug-assisted therapy sessions last up to
eight hours during which music is played.
COMMITTEE NOTES
The PTSD Awareness poster is hot off the presses. The committee
decided to provide a copy to each of the 206 Vet Centers, as well
as to each member who attends the San Mateo meeting of VVA’s
Conference of State Council Presidents. In addition, the committee
has begun planning a one-day conference on the immediate mental
health needs of veterans, especially those participating in the
War on Terror. Lastly, with the assistance of the Government
Relations staff, the committee chair submitted written testimony
for the record to the VA’s Veterans Readjustment group in
mid-February. |