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\"[This book] explores the topic of mental illness in the military\"--Provided by publisher.

With the United States' involvement in numerous combat operations overseas, the need for civilian social workers with the clinical skills necessary to work with members of the military returning from combat, as well as their families, has never been more critical. In this practical and important book, each chapter is written by specialists in a particular area devoted to the care of service members and includes case material to demonstrate assessment and intervention approaches. The reader is introduced to the world of the military and the subsequent development of mental health services for returning men and women. Chapters look at special populations of service members with specific needs based directly on their experience in the military, discussing post-traumatic stress disorder, traumatic brain injury, sexual harassment and assault during their service, and the physiology of the war zone experience. The challenges faced by reintegrating service men and women are explored in detail and include family issues, suicide, and substance use disorders. A section on services available to returning service members looks at those offered by the Veterans Administration and at the use of animal-assisted interventions. The book concludes with a section devoted to unique concerns for the practitioner and explores ethical concerns they may face and their own needs as clinicians working with this population.

Being deployed to a war zone can result in numerous adverse psychological health conditions. It is well documented in the literature that there are high rates of psychological disorders among military personnel serving in Operation Enduring Freedom in Afghanistan and Operation Iraqi Freedom in Iraq as well as among the service members' families. For service members' families, the degree of hardship and negative consequences rises with the amount of the service members' exposure to traumatic or life-altering experiences. Adult and child members of the families of service members who experience wartime deployments have been found to be at increased risk for symptoms of psychological disorders and to be more likely to use mental health services. In an effort to provide early recognition and early intervention that meet the psychological health needs of service members and their families, DOD currently screens for many of these conditions at numerous points during the military life cycle, and it is implementing structural interventions that support the improved integration of military line personnel, non-medical caregivers, and clinicians, such as RESPECT-Mil (Re-engineering Systems of Primary Care Treatment in the Military), embedded mental health providers, and the Patient-Centered Medical Home. Preventing Psychological Disorders in Service Members and Their Families evaluates risk and protective factors in military and family populations and suggests that prevention strategies are needed at multiple levels - individual, interpersonal, institutional, community, and societal - in order to address the influence that these factors have on psychological health. This report reviews and critiques reintegration programs and prevention strategies for PTSD, depression, recovery support, and prevention of substance abuse, suicide, and interpersonal violence.

Enter the Kafkaesque world of America's famous but notorious Department of Veterans Affairs (VA), where returning soldiers seek a new start to the rest of their lives. Can they overcome the traumas of war, and military service, if they are also at war with the VA? The answer is both No - government bureaucracy can be as formidable a foe as that on any battlefield or in the barracks - and Yes, given veterans' willingness to face the demons of Post-Traumatic Stress Disorder (PTSD), drug addiction and other military-related traumas with the help of fiercely committed social workers, psychologists and healthcare experts. Andrea Plate, author and Licensed Clinical Social Worker, spent 15 years working with America's wounded warriors. From battlefield to bedside to group talk-therapy, she exposes the human face of war, up close and personal, and some of the most remarkably resilient souls who survived it.

Since October 2001, approximately 1.64 million U.S. troops have been deployed for Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) in Afghanistan and Iraq. Early evidence suggests that the psychological toll of these deployments many involving prolonged exposure to combat-related stress over multiple rotations--may be disproportionately high compared with the physical injuries of combat. In the face of mounting public concern over post-deployment health care issues confronting OEF/OIF veterans, several task forces, independent review groups, and a Presidential Commission have been convened to examine the care of the war wounded and make recommendations. Concerns have been most recently centered on two combat-related injuries in particular: post-traumatic stress disorder and traumatic brain injury. With the increasing incidence of suicide and suicide attempts among returning veterans, concern about depression is also on the rise. The study discussed in this monograph focuses on post-traumatic stress disorder, major depression, and traumatic brain injury, not only because of current high-level policy interest but also because, unlike the physical wounds of war, these conditions are often invisible to the eye, remaining invisible to other servicemembers, family members, and society in general. All three conditions affect mood, thoughts, and behavior; yet these wounds often go unrecognized and unacknowledged. The effect of traumatic brain injury is still poorly understood, leaving a large gap in knowledge related to how extensive the problem is or how to address it. RAND conducted a comprehensive study of the post-deployment health-related needs associated with these three conditions among OEF/OIF veterans, the health care system in place to meet those needs, gaps in the care system, and the costs associated with these conditions and with providing quality health care to all those in need. This monograph presents the results of our study, which should be of interest to mental health treatment providers; health policymakers, particularly those charged with caring for our nation's veterans; and U.S. service men and women, their families, and the concerned public. All the research products from this study are available at http://veterans.rand.org. Data collection for this study began in April 2007 and concluded in January 2008. Specific activities included a critical review of the extant literature on the prevalence of post-traumatic stress disorder, major depression, and traumatic brain injury and their short- and long-term consequences; a population-based survey of servicemembers and veterans who served in Afghanistan or Iraq to assess health status and symptoms, as well as utilization of and barriers to care; a review of existing programs to treat servicemembers and veterans with the three conditions; focus groups with military servicemembers and their spouses; and the development of a microsimulation model to forecast the economic costs of these conditions over time. Among our recommendations is that effective treatments documented in the scientific literature, evidence-based care--are available for PTSD and major depression. Delivery of such care to all veterans with PTSD or major depression would pay for itself within two years, or even save money, by improving productivity and reducing medical and mortality costs. Such care may also be a cost-effective way to retain a ready and healthy military force for the future. However, to ensure that this care is delivered requires system-level changes across the Department of Defense, the Department of Veterans Affairs, and the U.S. health care system.

\"The hallmarks of America's War on Terror have been repeated long deployments and a high percentage of troops returning with psychological problems. Family members of combat veterans are at a higher risk of potentially lethal domestic violence than almost any other demographic; it's estimated that one in four children of active-duty service members have symptoms of depression; and nearly one million veterans of Iraq and Afghanistan require increased care due to physical or psychological trauma. But, despite these staggering trends, civilian America has not been mobilized to take care of the families left behind; the American homefront, which traditionally has been rallied to support the nation's war efforts, has disappeared. In Homefront 911 Stacy Bannerman, a nationally-recognized advocate for military families, provides an insider's view of how more than a decade of war has contributed to the emerging crisis we are experiencing in today's military and veteran families as they battle with overwhelmed VA offices, a public they feel doesn't understand their sacrifices, and a nation that still isn't fully prepared to help those who have given so much. Bannerman, whose husband served in Iraq, describes how extended deployments cause cumulative, long-lasting strain on families who may not see their parent, child, or spouse for months on end. She goes on to share the tools she and others have found to begin to heal their families, and advocates policies for advancing programs, services, and civilian support, all to help repair the broken agreement that the nation will care for its returning soldiers and their families\"-- Provided by publisher.

When soldiers at Fort Carson were charged with a series of 14 murders, PTSD and other \"invisible wounds of war\" were thrown into the national spotlight. With these events as their starting point, Jean Scandlyn and Sarah Hautzinger argue for a new approach to combat stress and trauma, seeing them not just as individual medical pathologies but as fundamentally collective cultural phenomena. Their deep ethnographic research, including unusual access to affected soldiers at Fort Carson, also engaged an extended labyrinth of friends, family, communities, military culture, social services, bureaucracies, the media, and many other layers of society. Through this profound and moving book, they insist that invisible combat injuries are a social challenge demanding collective reconciliation with the post-9/11 wars. Introduction Part I: Coming Home 1. Lethal Warriors at Home 2. \"Best Home Town in the Army\" 3. Doing Dirty Work 4. PTSD = Pulling the Stigma Down 5. Decentering PTSD Part II: The Supporting Cast 6. Codeswitching : \"So, why do you have frostbite?\" 7. \"This is Our Playground\": Family Readiness Groups 8. Waiting to Serve 9. Appropriate Accommodation, or Exceptionalism for Supercitizens? 10. \"This Land is Not for Sale\": Pinon Canyon and Army Expansionism Part III: Dialogue 11. \"You're Not a Victim, You're a Volunteer\" 12. \"Closing the Gaps\": Seeking Civilian-Military Dialogue 13. \"Clueless Civilians\" and Others 14. The Day after Veterans Day: Listening to the Homefront Conclusion: Toward a Collective Reckoning with the Post-9/11 Wars