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Take Two Yellow Ribbons & Call Me in the Morning

by: Caoimhin Laochdha

Sun Nov 18, 2007 at 11:08:32 AM EST


( - promoted by Caoimhin Laochdha)

Despite better education and more awareness within the general population, a pervasive bias remains against people with mental health problems. 

Suffering from mental illness too often means suffering from prejudice or discrimination as well. The systemic biases in our communities and institutions exacerbate the very illness afflicting those who most need support and understanding. Prejudice and lack of access to care are another set of roadblocks for people struggling with acute and/or chronic serious mental health problems. 

It is an all-consuming task, for many who have mental problems, to cope with their disabilities and work toward maintaining or preserving - to the full extent they can - a functional life. This burden frequently falls on the family and loved ones who help to care and take responsibility for those with mental/behavioral health and personality disorders.  Now, throw in the added burden of prejudice, neglect, a judgmental community that fails at its duty to be a support system (or to allow a support system to be in place), and life for the mentally ill is one nasty uphill fight.

If you haven't guessed already, this is about the  U.S. war on Iraq . . .(more below)

Caoimhin Laochdha :: Take Two Yellow Ribbons & Call Me in the Morning

This past week, police officers acting on behalf of the United States of America arrested Army Sergeant Brad Gaskins.

I do not know the legal background to this case, but the fact that Sgt. Gaskins has suffered severe disability from two combat tours in Iraq is not in dispute.  The United States arrested him for being AWOL after he sought treatment for his mental illness. The treatment he sought and needs is unavailable to him in the overstretched, understaffed, unprepared and ill-equipped health care system that is responsible for U.S. solders and marines. 

As reported by the AP

SYRACUSE, N.Y. (AP) — A soldier who served two combat tours in Iraq was arrested Wednesday. . .

. . . Sgt. Brad Gaskins said he left the base in August 2006 because the Army wasn't providing effective treatment after he was diagnosed with PTSD and severe depression.

"They just don't have the resources to handle it, but that's not my fault," Gaskins said.

Tod Ensign, an attorney with Citizen Soldier, a GI rights group that is representing Gaskins, said the case is part of a "coming tsunami" of mental health problems involving Iraq and Afghanistan vets.

Last month, the Veterans Administration said more than 100,000 soldiers were being treated for mental health problems, and half of those specifically for PTSD. . .

 

 So here's the problem.  The U.S. government, unable to treat seriously ill soldiers, is criminalizing their illness.  This is where the mental/behavioral health and physical injury prejudices come into play.  I acknowledge not knowing the specific medical and legal details of Sgt. Gaskins' case. However, regardless of the specifics of Sgt. Gaskins plight, his case is one more blatant indictment of the United State's and especially the current administrations', pattern of neglect and betrayal of our all volunteer recruited military.  Compound this continuing mistreatment of our soldiers and marines, with the historic and systemic prejudices surrounding mental illness; and a pre-existing medical double standard becomes a societal and governmental double betrayal as well.

Sgt. Haskins arrest is one example demonstrating the ways in which the physical/mental health double standard has eaten its way into the Pentagon and is one more way in which we are disgracing our troops. 

Imagine, for a moment, a soldier with shrapnel in her brain who faces a lifetime of paralysis if she does not find a neurosurgeon to remove the shrapnel. Then imagine the Army will not provide a surgeon trained or capable of removing the shrapnel in order to save this soldier from a lifetime of disability and suffering. Forced to accept only one acceptable option, the soldier leaves the base infirmary and goes AWOL. The soldier then ends up at Mass General, Dartmouth or a local community hospital where a surgeon can salvage her future.

Unfortunately, for our hypothetical soldier with the shrapnel in her brain, a local TV crew shows up at the hospital parking lot to tell the story (like the media did with Sgt. Gaskins) of her combat injuries and the military's unwillingness to provide critical treatment for her.  Now, imagine as she is going through her pre-operative tests, the MPs arrive and arrest her: putting her in shackles and walking her out of the hospital still wearing a surgical gown. Preposterous? (I hope you said "yes" although what is preposterous any more). That is the  attitude feeding our double standard because it is truly difficult to see much difference in the level of outrage either type of case should generate.

People generally understand and are less likely to "stigmatize" traumatic head injuries and their corresponding disabilities than the mental health trauma suffered by soldiers such as Sgt. Gaskins.  To the soldier facing the consequences of either trauma, the responsibility of the United States to the people we recruit to serve in our military is no different. How short we fall from that responsibility is apparent when the United States arrests a sick soldier rather than treats him.  It is a further apparent when we allow the Pentagon to criminalize illness rather than treat it. 

Sgt Gaskins' case is a gross betrayal by the United States of its soldiers and marines.  It is also a symptom of a bigger problem faced by veterans.  The example of his situation sends a message from the Pentagon and the administration to the tens of thousands of soldiers and marines who are receiving either substandard care, or not receiving any care. And this is the message: "We know you're in bad shape and we know you hurt.  Now you know that we can make it much worse for you too.

Every day, the United States War on Iraq proves there is no shortage of ways for the U.S. to shame itself in the eyes of the world, in the eyes of our soldiers and in the eyes of history.

It appears we have shamed ourselves in the eyes of Sgt. Gaskin as well.

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Raise Your Voice!
A Bit More on Diagnosis Discharges (4.00 / 2)
I couldn't leave it at that, so here's a bit more from the NPR report:

- Commanders have discharged almost 20 percent more soldiers for "misconduct" than they did in the same period before the war;

- Commanders have discharged more than twice as many soldiers for "drug abuse" (a subset of the "misconduct" category);

- Commanders have discharged almost 40 percent more soldiers for "personality disorder."

Think about that for a minute: 40 percent more soldiers have been dismissed with a diagnosis of "personality disorder" than before US sdoldiers were sent to Iraq to invade.

Personality Disorder: 'Deeply Stigmatizing Diagnosis'

Some mental-health specialists are especially worried that commanders and military medical staff are abusing the diagnosis of "personality disorder," which commanders have used to discharge some soldiers who were also diagnosed with PTSD.

Psychiatrist Jonathan Shay, who has been studying combat veterans for more than 20 years at the Department of Veterans Affairs and other institutions, criticizes the use of personality disorder partly because it's a "deeply stigmatizing diagnosis," he says.

Shay says that when the military diagnoses soldiers with personality disorder, it is saying, in effect, that fighting in the war didn't cause their mental health problems.

"It's saying, in essence, you're rotten and have been rotten since childhood," he says.

If true, Shay wonders, why didn't Army doctors diagnose such a serious and deep-rooted psychological ailment when they were recruiting the prospective soldier?

Avoiding Paying Disability Benefits?

Shay says the Army's statistics, showing that discharges for "personality disorder" have increased in recent years by almost 40 percent, suggest that the military may be abusing the diagnosis because doing so is convenient.

NanuqFC
In a Time of Universal Deceit, Telling the TRUTH Is a Revolutionary Act. -- George Orwell


[ Parent ]
The outrages are endless (0.00 / 0)
Thanks NanuqFC for bringing in this angle as well.

The zeal with which Mister Bush's posse inflicts punishment on veterans is matched only by the zeal with which they defend, protect and encourage a Republican network of war profiteers.

The fraud and theft committed by Mister Bush's well supported criminal class of Republican contractor conspirators has netted the largest military heist committed against any country - ever.

sláinte,
cl

-- Religion is like sodomy: both can be harmless when practiced between consenting adults but neither should be imposed upon children.


[ Parent ]
Timely press release (4.00 / 1)
Haven't read it yet myself, but seeing that its realted, I thought I'd just post it here:

###

BURLINGTON, November 19 -Senator Bernie Sanders secured $3 million to expand a Vermont program that reaches out to troops after they return home from tours of duty in Iraq and Afghanistan. Also included in the same measure signed by President Bush was an additional $3 million for pilot projects in other states.

"This funding will enable us to do everything we can to help National Guard and Reserve members and their families receive the help they need as they readjust and transition back to life here at home," Sanders said. "At a time when returning soldiers across the country are suffering from extremely high rates of post-traumatic stress disorder and traumatic brain injury, these funds should play a vitally needed role."

Sanders thanked Senator Patrick Leahy for helping to preserve the funding as the legislation moved through Congress.

Leahy said, "The men and women of the National Guard have answered every call to duty with skill and sacrifice, and they have a right to expect the equipment they need in the field and the support they and their families deserve at home. In between drills after long deployments, it is important to keep in touch with returned soldiers and offer them any counseling or help they might need.  I have been glad to work with Senator Sanders to secure additional funding for the Vermont Guard's program."

Sanders was joined at the press conference in his Senate office here by Vermont National Guard Adjutant General Michael D. Dubie, and Jim MacIntyre, coordinator of the Vermont National Guard Outreach Team.

It is important that Vermont expand this program so that it becomes a model for the nation, Sanders said, because:

*According to the Department of Veterans Affairs, the number of Iraq and Afghanistan veterans who experienced PTSD increased by 70 percent -- or by 20,000 cases -- during the last year.

* A Defense Department Task Force on Mental Health found 38 percent of soldiers and 31 percent of Marines report psychological concerns, such as traumatic brain injury and post-traumatic stress disorder, after returning from deployment. The Associated Press added that among members of the National Guard, the figure is much higher - 49 percent - with numbers expected to grow because of repeated deployments.

* A CBS news investigation found that in 2005 there were at least 6,256 suicides in 45 states among those who served in the armed forces. One age group stood out: veterans aged 20 through 24 who have served during the war in Iraq. They had the highest suicide rate among all veterans, estimated between two and four times higher than civilians the same age.

* Two signature injuries from Iraq and Afghanistan are PTSD and traumatic brain injury. Some have one or the other, some have both. Many of these injuries are invisible from the outside. Symptoms include nightmares and other sleep disorders, trouble concentrating, anger, recklessness, and self-medication with drugs and alcohol.  From 125,000 to 150,000 U.S. troops may have suffered mild, moderate or severe brain injuries in Iraq and Afghanistan

* As the Disabled American Veterans reports, data from the U.S. Department of Veterans Affairs show that of the 1.5 million troops who served in Iraq or Afghanistan, 720,000 (48 percent) are now veterans in the civilian population.  Of these, 202,000 have filed claims for VA disability benefits. The VA granted benefits in more than 90 percent of the cases processed so far, and will grant more upon appeal or presentation of additional evidence.  In other words, real statistics show that one out of four veterans from Iraq and Afghanistan is disabled in military service.

Congress responded by passing a funding bill for the Department of Veterans Affairs that would provide $43.1 billion in discretionary spending. This is the largest increase in veterans' benefits spending in the VA's 77-year history.

"This funding alone is not enough," Sanders said. "We could have the best services in the world for our returning veterans but if they don't know about them or can't access them then they are not serving their purpose.  That is what this program in Vermont is all about.  What we are trying to do here is develop a model outreach program which connects service members and their families who need assistance to programs that can provide help.

"That may mean help with general health problems, mental health counseling, marriage counseling, financial problems, services for children and substance abuse awareness and treatment," he added.  "We are finding out that veterans and their families are in need of a wide variety of assistance when they get back.  Some of that help can be found at the VA; National Guard Family Assistance Centers; local and state social service programs, and charitable and non-profit organizations.  The outreach specialists help connect and refer these service members and their families to whatever the most appropriate help is.  What we are also doing here is leveraging the resources and expertise that the various entities in our state have.  There is no need to reinvent the wheel here, but rather we need to connect those needing help with those that already provide it.

"We all know that service members and their families, especially those from the National Guard and Reserves, often are not aware of the services and benefits available to them or do not know how to access them.  This program provides some of that education.  This is also especially important for service members who live in rural areas like many parts of Vermont that may not be near an active duty base, VA facilities, or other avenues of assistance.

"This outreach also helps work around the reluctance some service members have in asking for help.  By using other veterans to do the outreach, we tap into the fact that many service members are more comfortable talking to someone who shares their experiences.  Additionally, certain health problems or needs for other assistance do not arise for months after our men and women in uniform return from deployment.  These outreach programs, focused over a longer period of time, will allow service members to get help with the problems that surface down the road.

"So what we see here is that certain issues just are not going to come up right away.  When people come back they are just happy to be home, see their family and friends.  After some time passes, however, problems may boil to the surface.  That is why it is very important that we have this kind of proactive outreach and follow up with these service members because they might not know what kind of help they are going to need right when they come back but after a few months the needs and the questions may be more clear."

Nullius perfectus est



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