Stress of war takes mental toll on military kids
Children of deployed service members at risk of psychological problems
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Stress, strain on military families
Jan. 12: The stress of having loved ones serving on the front lines in the military can be especially difficult for children. NBC’s Dawn Fratangelo reports.
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msnbc.com and NBC News
updated 6:00 p.m. ET, Thurs., Aug 13, 2009
The years-long U.S. commitment in Iraq and Afghanistan is taking a significant toll on the children of service members, who are 2½ times more likely to develop psychological problems than American children in general, new research indicates.
The study, published this week in the Journal of Developmental & Behavioral Pediatrics, found that deployment of a parent was correlated to high stress levels in the parent who remains at home, which it said was linked to greater psychological impact on children.
The findings open a new window on the collateral damage wartime deployment can exact back at home.
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There is abundant research on the effects of deployment and combat on service members themselves, said the researchers, led by Maj. Eric M. Flake, a physician at Madigan Army Medical Center in Tacoma, Wash. However, “few studies have looked at how having a parent deployed during wartime affects children,” they wrote.
Davita Hoffman, a specialist at Pikes Peak Behavioral Health Group in Colorado Springs, Colo., said the stress was compounded by military staffing shortages that lead to multiple deployments for many service members.
“Don’t forget, these families generally move once every three years,” Hoffman said.
When Thane Hounchell’s father was assigned to Barksdale Air Force Base in Shreveport, La., in January, Thane, 17, had to abandon his friends and classes at his high school in Prattville, Ala.
“Military children give up a lot, and the fathers and moms are gone a lot,” said Jana Hounchell, Thane’s mother.
Thane acknowledged that the impact on children like him was very real.
Click for related content
Is the U.S. doing enough to lessen the impact of military parents' depoyment on their children?
“You’re kind of in the military, too,” Thane said. “You’ve got to make sacrifices for your country.”
Children’s stress levels could be ‘toxic’
Military children bear “a complex psychosocial burden,” according to the American Academy of Pediatrics, which agreed that data on the effects of deployment on children were only just beginning to emerge.
Recent data make it clear that children of parents who are deployed during wartime “experience ambiguous loss and stress, often beyond normative levels, that may become toxic if not detected and addressed in a timely manner,” the academy said.
What parents can do
The Military Child Education Coalition, a nonprofit advocacy group, says deployment can be a difficult time, for both parents and the families they leave behind. It offers these tips for military families:
• Stay in touch. Ask about homework, tests and school activities. This will help you feel connected to family life.
• Share details about the deployment. Don’t think you’re doing your children a favor by sparing them the details — they want to know where Mommy or Daddy will be.
• The remaining parent or caregiver must make care to take care of his or her own needs first. Make sure you’re connected to other people through groups on base, community groups, church groups or parent groups, so you will have your own support network.
• If it can be determined, find a concrete way to illustrate how long the deployed parent will be away. One way is to create a paper chain, with each day represented by an individual link.
• Leave remembrances. Photos, especially those of the family together, can be very powerful. Record yourself reading favorite bedtime stories or singing favorite songs. These will be treasured resources while you are away.
Hoffman said many service members were diagnosed with post traumatic stress disorder when they came back home, and “the child will mimic those symptoms the parent has.”
“It’s a classic case of a child acting out what they see from Mom and Dad,” she said.
Master Sgt. Minnie E. Hiller-Cousins, administrator of the Family Assistance Center at the National Guard Armory in Teaneck, N.J., said that in er experience, the stress starts much earlier than that, with the simple loss of daily contact.
Hiller-Cousins, a 30-year veteran of the National Guard, recalled the emotional impact on her 2-year-old grandson when she was deployed to Iraq, where she served for eight months.
“If I close my eyes, I can hear him screaming as the bus was pulling off,” she said.
In the study published this week, Flake and his colleagues noted a report last month that found that children of service members sought outpatient mental health care 2 million times last year, double the number when the war in Iraq began more than six years ago.
When that finding was combined with their research, they concluded that “the stresses of deployment seem to be associated with a heightened risk for psychosocial morbidity in military children.”
Parents’ stress translates to children’s stress
The study questioned the spouses of 101 recently deployed Army personnel, each of whom had at least one child aged 5 to 12. They were asked to provide information about both themselves and their children.
Based on the parents’ responses, Flake and his colleagues concluded that 32 percent of the children were at “high risk” for psychosocial problems, which can include learning disorders; developmental disabilities; and emotional, behavioral and psychosomatic problems. That percentage was about 2½ times higher than the norm for American children of the same age in general.
The immediate factor appeared to be high stress in the parent who remained at home, the study found.
More services lower stress levels
In the study, 42 percent of such parents were found to be under “high-risk levels of parental stress.” Overall, either the child, the parent or both were found to be at risk in 55 percent of the families in the study.
The report noted a correlation between the level of support a family receives and a lowering of risk levels, which led them to recommend that all families of deployed service members should be offered support resources. Currently, they said, such services are more commonly available to families living on military bases.
“Assessing the parents’ levels of stress and support could help in recognizing children at high risk of problems with psychosocial adjustment, allowing them to be targeted for appropriate and timely services and support,” they said.
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That is a message that has long been promoted by the National Military Families Association, a nonprofit organization that provides programs and lobbies lawmakers for better “quality of life” policies for the families of service members.
The association noted what it called “the cumulative effects of eight years of war on children, their families and their communities.” It said it the children of service members deployed in wartime were commonly racked with worry over the safety of both parents and were under intense strain from the upheaval of changing schools and their relationships with service providers.
The group called on the Pentagon and Congress to “adapt to the changing needs of service members and families as they cope with multiple deployments and react to separations, reintegration and the situation of those returning with both visible and invisible wounds.”
“Standardization in delivery, accessibility and funding are essential. Programs should provide for families in all stages of deployment and reach out to them in all geographic locations,” it said. “Families should be given the tools to take greater responsibility for their own readiness.”
Friday, August 14, 2009
Stress of war takes mental toll on military kids
Secretary Shinseki Announces Expansion of Counseling for Combat Veterans
Secretary Shinseki Announces Expansion of Counseling for Combat Veterans
Additional 28 New Community Vet Centers
WASHINGTON (August 14, 2009) - Today, Secretary of Veterans Affairs Eric
K. Shinseki announced that combat Veterans will receive readjustment
counseling and other assistance in 28 additional communities across the
country where the Department of Veterans Affairs (VA) will establish Vet
Centers in 2010.
"VA is committed to providing high-quality outreach and readjustment
counseling to all combat Veterans," Secretary Shinseki said. "These 28
new Vet Centers will address the growing need for those services."
The community-based Vet Centers -- already in all 50 states -- are a key
component of VA's mental health program, providing Veterans with mental
health screening and post-traumatic stress disorder (PTSD) counseling.
The existing 232 centers conduct community outreach to offer counseling
on employment, family issues and education to combat Veterans and family
members, as well as bereavement counseling for families of
servicemembers killed on active duty and counseling for Veterans who
were sexually harassed on active duty.
Vet Center services are earned through service in a combat zone or area
of hostility and are provided at no cost to Veterans or their families.
They are staffed by small multi-disciplinary teams, which may include
social workers, psychologists, psychiatric nurses, master's-level
counselors and outreach specialists. Over 70 percent of Vet Center
employees are Veterans themselves, a majority of whom served in combat
zones.
The Vet Center program was established in 1979 by Congress, recognizing
that many Vietnam Veterans were still having readjustment problems. In
2008, the Vet Center program provided over 1.1 million visits to over
167,000 Veterans, including over 53,000 visits by more than 14,500
Veteran families. More information about Vet Centers can be found at
www.vetcenter.va.gov/index.asp.
Communities Receiving New VA Vet Centers
American Samoa
Arizona -- Mohave and Yuma Counties
California -- San Luis Obispo County
Delaware - Sussex County
Florida -Marion, Lake, Collier, Okaloosa and Bay Counties
Georgia - Muscogee and Richmond Counties
Hawaii - Western Oahu
Indiana - St. Joseph County
Louisiana - Rapides Parish
Michigan - Grand Traverse County, also serving Wexford County
Missouri - Boone County
Montana - Cascade and Flathead Counties
Ohio - Stark County
Oregon - Deschutes County
Pennsylvania - Lancaster County
South Carolina - Horry County
Texas - Jefferson and Taylor Counties
Utah - Washington County
Washington - Walla Walla County, also serving Umatilla County, Oregon
Wisconsin - LaCrosse County, also serving Monroe County
Monday, August 10, 2009
PTSD raises heart disease risk in Iraq war vets
Note: Of course the VA Doctors can say what they want, The VA Claim Reps & raters are smarter.
The VA does not recognize it as service connected…majority of the time…Vietnam Vets with PTSD are still waiting for s/c for Heart, hypertension, etc… (s) ColonelDan
PTSD raises heart disease risk in Iraq war vets
Tue Aug 4, 2009 5:15pm EDT
NEW YORK (Reuters Health) - Veterans who come home from Iraq and Afghanistan with posttraumatic stress disorder (PTSD) and other mental health diagnoses are hit with a double whammy: They also have greater risk factors for heart disease, according to a report in the Journal of the American Medical Association.
PTSD related to military service has been linked to heart disease in the past, but, to the authors' knowledge, the present study is the first to examine the association for veterans of the current Iraq and Afghanistan conflicts.
Given the time frame of the recent wars, the authors of the study did not look at heart attacks or other events, but examined risk factors for heart disease instead. PTSD and other mental disorders, such anxiety disorder, more than doubled the risk of tobacco use, for example, which is a well-known risk factor.
The study, by Dr. Beth E. Cohen and colleagues, from Veterans Affairs Medical Center, San Francisco, included more than 300,000 veterans who began using Veterans Affairs healthcare from October 7, 2001 to September 30, 2008.
Most - 88 percent - of the subjects were male and the average age was 31 years.
About a quarter had PTSD. Among those who did, about half also suffered from depression, and more than a quarter suffered from anxiety disorder. About a fifth abused alcohol.
Men with mental disorders other than PTSD were at increased risk for all of the heart disease risk factors studied, including tobacco use, high blood pressure, obesity, and diabetes. All of those risk factors were also elevated in men with PTSD, except diabetes.
In women, PTSD was significantly linked to all of the risk factors studied. Other mental disorders were tied to all of the risk factors except diabetes.
SOURCE: JAMA, August 5, 2009.
PTSD raises heart disease risk in Iraq war vets
I support Joe Sestak will you?
Dear Mike,
Today, we’re endorsing our friend Joe Sestak for the Senate seat in Pennsylvania, and we need everyone to rally around Joe to help, as he takes on Arlen Specter in the Pennsylvania primary!
CLICK HERE TO HELP JOE SESTAK BE PENNSYLVANIA’S NEXT SENATOR!
This decision wasn’t hard. When we launched VoteVets.org PAC, Joe was one of our very first endorsed candidates, in his successful race for Congress. He has one of the most tremendous records of service of anyone in Washington.
During a distinguished 31-year career in the United States Navy, Sestak attained the rank of 3-star Admiral and served in the Clinton White House, Pentagon, and in operational commands at sea, culminating with command of the USS George Washington Aircraft Carrier Battle Group. In fact, he is the highest-ranking former military officer ever elected to either branch of Congress.
His record in Congress is just as impressive, in a short time. He is one of the few representatives to serve on three committees, serving as Vice Chair of the Small Business Committee, and a member of the Committee on Education and Labor and the Armed Services Committee. In the current Congress he has had more of his bills pass than either of the state’s two Senators.
CLICK HERE TO HELP JOE SESTAK’S CAMPAIGN!
In the end, Joe Sestak will bring the same honesty, integrity, and hard work with which he’s always served America to the U.S. Senate. Joe understands the unique challenges facing America – especially those of us who served and are serving, and stands firm on his principles. You always know where Joe Sestak stands.
Let’s show him that we are there for him. Click on the link above, and then forward it on to all of your friends and ask them to get into this fight.
Sincerely,
Jon Soltz
Iraq War Veteran
Chairman, VoteVets.org
Paid for by VoteVets.org PAC
Not Authorized by Any Candidate or Candidate’s Committee
Some truth about Agent Orange
Partial reprint of attached article in PDF format
Mum's the word
A declassified letter by V.K. Rowe
at Dow's Biochemical Research
Library to Bioproducts Manager Ross
Milholland dated June 24, 1965
clearly states that the company knew
the dioxin in their products,
including Agent Orange, could hurt
people.
In reference to 2,4,5,-trichlorophenol
and 2,3,7,8,-tetrachlorodibenzodioxin
(components of Agent Orange), Rowe
stated:
"This material is exceptionally toxic;
it has a tremendous potential for
producing chloracne and systemic
injury."
Rowe worried the company would
suffer if word got out.
"The whole 2,4,5-T industry would
be hard hit and I would expect
restrictive legislation, either barring
the material or putting very rigid
controls upon it."
********
The report quotes a 1988 letter from
Dr. James R. Clary, a former
government scientist with the
Chemical Weapons Branch, to Senator
Tom Daschle. Dr. Clary was involved
in designing tanks that sprayed
herbicides and defoliants in Vietnam,
according to the report.
Clary told Daschle:
"When we (military scientists)
initiated the herbicide program in the
1960's, we were aware of the potential
for damage due to dioxin
contamination in the herbicide. We
were even aware that the 'military'
formulation had a higher dioxin
concentration than the 'civilian' version
due to the lower cost and speed of
manufacture. However, because the
material was to be used on the 'enemy,'
none of us were overly concerned. We
never considered a scenario in which
our own personnel would become
contaminated with the herbicide. And,
if we had, we would have expected our
own government to give assistance to
veterans so contaminated."
Chemical warfare: calling a spade a
spade
Supporters of the US's Agent Orange
Campaign prefer to call it an
"herbicide program" rather than
chemical warfare. But official
documents reveal that the US Senate
knew its real name.
In US Senate Congressional Records
dated August 11, 1969, a table
presented to senators showed that
congress clearly classified 2,4-D and
2,4,5-T (main components of Agent
Orange) in the Chemical and Biological
Warfare category.
The table also includes Cacodylic
Acid, a main component of Agent Blue,
another chemical sprayed on Vietnam
to kill plants, in the official Chemical
and Biological Warfare category. The
table describes it as "an arsenic-base
compound.heavy concentrations will
cause arsenical poisoning in humans.
Widely used in Vietnam. It is
composed of 54.29 percent arsenic."
As Vietnam War Scholar and US
Veteran W.D. Ehrhart put it concisely
in a Thanh Nien Daily interview last
week: "It would be hard to describe
Agent Orange as anything other than
a chemical weapon. Dioxin is a
chemical." So is arsenic.
Friday, July 31, 2009
VA not ready to back extra pay for lost quality-of-life
VA not ready to back extra pay for lost quality-of-life
By Tom Philpott, Special to Stars and Stripes
Pacific edition, Saturday, August 1, 2009
Monthly compensation that the Department of Veterans Affairs pays to veterans with service-connected disabilities is intended to replace average earnings loss due to their injuries or ailments.
But should VA also pay disabled veterans something extra for diminished quality of life? Two prominent commissions in 2007 said that it should. On Wednesday, however, a senior VA official told senators that the department isn’t prepared yet to endorse a qualify-of-life payment, or to make any other significant change to disability compensation.
“There’s more information that’s needed, and…more discussion that needs to take place with many experts, before we are prepared to say yes or no on any of those recommendations,” said Patrick W. Dunne, under secretary for benefits in VA’s Veterans Benefits Administration.
Sen. Richard Burr (N.C.), ranking Republican on the veterans’ affairs committee, raised the issue in a hearing on a different topic: What VA is doing to speed the processing of a rising number of disability claims.
Burr noted that VA just last year commissioned a study, by Economic Systems Inc., of Falls Church, Va., on appropriate levels of disability pay to compensate for loss of earning capacity and quality of life as a result of service-related disabilities. This six-month study was to follow up on recommendations from both the Veterans’ Disability Benefits Commission and the Dole-Shalala Commission in 2007 to reform disability compensation.
The benefits commission, in its comprehensive report, concluded that VA disability pay was too low for three categories of veterans: those who suffer from mental disabilities; those severely injured while young, and those deemed unemployable (i.e., rated IU or Individual Unemployability) by VA.
The commission also said current disability pay should reflect the “adverse impact…on quality of life” of veterans’ disabilities. Commissioners recognized that some severely injured veterans are paid a Special Monthly Compensation too on top of VA disability pay. But they said the VA rating schedule still should be revised to compensate many more veterans for diminished quality of life. In the interim, the commission said, Congress should increase VA disability compensation immediately by 25 percent.
The Dole-Shalala panel focused its recommendations on wounded warriors and veterans who were in service after the attacks of 9/11. It recommended restructuring their VA disability compensation into three parts: transition payments to cover short-term living expenses for disabled vets and their families; earning loss payments until veterans become eligible for social security, and a quality-of-life payment to compensate for non-work-related effects of permanent “combat-related” injuries.
The study by Economic Systems, Inc. (EconSys), delivered last August, looked at VA disability compensation with regard to earnings loss, loss of quality of life, transition benefits and other areas raised by the two commissions. To ensure that VA didn’t ignore the findings, the Veterans' Benefits Improvement Act of 2008 directed VA to evaluate the EconSys study and, in a report to Congress, give a timeline and a list of legislative changes needed to make any worthy disability pay reforms.
VA’s assessment of the EconSys study arrived on Capitol Hill July 22.
“But I don’t see any planned actions or timelines laid out in the VA’s report,” Burr told Dunne a week later. “Could you clarify whether VA plans to take any actions in response to that study?”
Dunne said EconSys did a “good job” considering its six-month deadline, but much more information and debate is needed before VA can back changes. For VA or Congress to act based on the “truly national policy recommendations” found in the EconSys study, which relied on insufficient cost and earnings data, “would not be serving our veterans properly,” Dunne said.
In reading VA’s evaluation of the $3.2 million EconSys study, it’s easy to see why VA officials are cautious. It’s a mixed bag for veterans. Some options are quite costly but might help many veterans. Others, like one calling for IU compensation eligibility to end in old age, would save VA money but anger many veterans. VA calls some of the recommendations “inconsistent with the nation’s obligations to its wounded warriors.”
EconSys presented three options for compensating for loss of quality of life. The easiest to understand would create a standard additional payment based on a veteran’s combined degree of disability. Payments would be set by assigning a quality-of-life score to the degree of disability.
“The report used several factors in coming up with the score, but also found that the overall quality of life varies greatly among veterans with the same disability rating, depending on the body system involved,” VA warned.
A second option would create a separate pay scale for loss of quality of life, based on a veteran's combined degree of disability and primary disability. Certain disabilities would be associated with greater quality-of-life loss than others. That might result in veterans with a lower combined degree of disability getting a higher quality-of-life payment, VA said.
A third option would have VA conduct individual clinical and rating assessments and establish separate, empirically-based rates for loss of earnings and loss of quality of life. The VA medical exam would have to be expanded to include a rater to assess a wide range of quality-of-life criteria.
EconSys estimated the annual cost of each of its quality of life payment options would be in a range of between $10 billion to $30 billion.
Burr urged Dunne to consult with VA Secretary Eric Shinseki, and then tell Congress “what the next step should be.” Burr noted that both major commissions saw a need to “move to a system that compensates for the loss of quality of life.” That course was favored too, for a time, within VA and Congress. That momentum to help veterans shouldn’t be lost, Burr said.
To comment, e-mail milupdate@aol.com, write to Military Update, P.O. Box 231111, Centreville, VA, 20120-1111 or visit: www.militaryupdate.com
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The Veterans Disability Benefits Commission turned in it's report in 2007, then we had the Dole /Shalala Report after the Walter Reed fiasco. Which many people then decided that Veterans Hospitals and Walter Reed were all part of the same medical system and the media did not do a very good job at explaining the difference.
Walter Reed is an active duty medical center, it has NOTHING to do with the VA medical care.
Dole/Shalala advocate a 2 tier pay system for the new war vets of Iraq and Afghanistan the VDBC advocated a 25% pay raise for all compensation payments to disabled veterans to compensate them for loss of quality of life besides just a check to replace their loss of earning power as has been the way the government has been setting compensation pay since 1776. They have never paid any extra money for the loss of a disabled veterans quality life, not being able to play with your kids or grand kids, bowling as a family, take your spouse dancing etc, the 25% would enable the disabled veteran to afford a few nice extras in life to help offset the losses they are experiencing.
This is not a hard decision, either the disabled veterans and their families should get the extra funds as a quality of life payment or not it is about the money and the veterans and their families deserve it. Spend a day or a week with a family of a disabled veteran and you wouldn't deny them the extra compensation I promise you.
Thursday, July 30, 2009
Initial List of Compassionate Allowance Conditions
See list of illnesses’
http://www.socialsecurity.gov/compassionateallowances/conditions.htm
http://www.socialsecurity.gov/compassionateallowances/
Compassionate Allowances
Social Security has an obligation to provide benefits quickly to applicants whose medical conditions are so serious that their conditions obviously meet disability standards.
Compassionate allowances are a way of quickly identifying diseases and other medical conditions that invariably qualify under the Listing of Impairments based on minimal objective medical information. Compassionate allowances allow Social Security to quickly target the most obviously disabled individuals for allowances based on objective medical information that we can obtain quickly.
Commissioner Astrue has held three Compassionate Allowance public outreach hearings. The hearings were on rare diseases, cancers, and traumatic brain injury (TBI) and stroke. The Commissioner will hold the fourth public outreach hearing in Chicago on July 29, 2009. The subject of the hearing is Early-Onset Alzheimer’s Disease and Related Dementias.
The initial list of Compassionate Allowance conditions was developed as a result of information received at public outreach hearings, public comment on an Advance Notice of Proposed Rulemaking, comments received from the Social Security and Disability Determination Service communities, and the counsel of medical and scientific experts. Also, we considered which conditions are most likely to meet our current definition of disability.
A modest 50 conditions were selected for the initiative's rollout. The list which follows will expand over time.
Initial List of Compassionate Allowance Conditions
Additional information about how compassionate allowances are processed
Quick disability info
https://secure.ssa.gov/apps10/poms.nsf/lnx/0423022010
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IF this works the way it is intended, this will be one of the best things the government has done in decades......
