{"id":25,"date":"2008-10-14T00:37:11","date_gmt":"2008-10-14T00:37:11","guid":{"rendered":"http:\/\/ericnewhouse.com\/blog\/?p=25"},"modified":"2008-10-14T00:37:11","modified_gmt":"2008-10-14T00:37:11","slug":"great-proposal-admiral","status":"publish","type":"post","link":"https:\/\/ericnewhouse.com\/blog\/great-proposal-admiral\/","title":{"rendered":"Great proposal, admiral"},"content":{"rendered":"<p class=\"BodyText\" style=\"margin: 0in 0in 0pt;\"><span style=\"font-size: x-small; font-family: ImperialGFT;\">Hats off to Adm. Michael Mullen, the Pentagon&#8217;s top uniformed officer, for taking a leadership role in combating post-traumatic stress disorder among returning combat troops.<\/span><\/p>\n<p class=\"BodyText\" style=\"margin: 0in 0in 0pt;\"><span style=\"font-size: x-small;\"><span style=\"font-family: ImperialGFT;\">Mullen, chairman of the Joint Chiefs of Staff, is calling for all returning combat troops, including the commanders, to undergo screening for post-traumatic stress with a mental health professional, a move aimed at stemming an epidemic of psychological issues among veterans. <\/span><\/span><\/p>\n<p class=\"BodyText\" style=\"margin: 0in 0in 0pt;\"><span style=\"font-size: x-small;\"><span style=\"font-family: ImperialGFT;\">\u201cThe PTS issue is something we just all have to focus on,&#8221; Mullen said. \u201cI think it&#8217;s a bigger problem than we know.&#8221; <\/span><\/span><\/p>\n<p class=\"BodyText\" style=\"margin: 0in 0in 0pt;\"><span style=\"font-size: x-small;\"><span style=\"font-family: ImperialGFT;\">Mullen said troops are reluctant to acknowledge psychological problems for fear of showing weakness. They now fill out questionnaires after combat tours that help determine if they have suffered psychological damage. They&#8217;re examined by medical professionals for physical injuries, but not by mental health experts. <\/span><\/span><\/p>\n<p class=\"BodyText\" style=\"margin: 0in 0in 0pt;\"><span style=\"font-size: x-small;\"><span style=\"font-family: ImperialGFT;\">\u201cI&#8217;m at a point where I believe we have to give a (mental health) screening to everybody to help remove the stigma of raising your hand,&#8221; Mullen said. \u201c`Leaders must lead on this issue, or it will affect us dramatically down the road.&#8221; <\/span><\/span><\/p>\n<p class=\"BodyText\" style=\"margin: 0in 0in 0pt;\"><span style=\"font-size: x-small; font-family: ImperialGFT;\">Mullen\u2019s proposal is a great start because it focuses on active-duty personnel who can be ordered around. And if implemented properly, it will reduce the stigma both for active-duty troops and others.<\/span><\/p>\n<p class=\"BodyText\" style=\"margin: 0in 0in 0pt;\"><span style=\"font-size: x-small; font-family: ImperialGFT;\">But it\u2019s only a proposal at this stage. Mullen doesn\u2019t know when it would start, what it would cost, or where\u2019s he\u2019s going to be able to find the psychiatrists, psychologists and social workers to carry it out.<\/span><\/p>\n<p class=\"BodyText\" style=\"margin: 0in 0in 0pt;\"><span style=\"font-size: x-small; font-family: ImperialGFT;\">So this is a perfect time for me to make some suggestions that will help the admiral achieve his goal.<\/span><\/p>\n<p class=\"BodyText\" style=\"margin: 0in 0in 0pt;\"><span style=\"font-size: x-small; font-family: ImperialGFT;\">1) Expand the plan so it includes National Guard and Reserve personnel returning from combat. Their rates for PTSD are abnormally high because they tend to be older soldiers with families who never really thought signing up as a weekend warrior would land them in a combat zone.<\/span><\/p>\n<p class=\"BodyText\" style=\"margin: 0in 0in 0pt;\"><span style=\"font-size: x-small; font-family: ImperialGFT;\">2) Many troops develop PTSD six months to a year after their return. Soldiers should be checked for combat stress every six month for the first two years after returning from combat. Then at each annual physical exam, there should be a mental health component.<\/span><\/p>\n<p class=\"BodyText\" style=\"margin: 0in 0in 0pt;\"><span style=\"font-size: x-small; font-family: ImperialGFT;\">3) Crisis response teams, including a personnel officer and a chaplain, are invaluable in tracking down the soldiers who begin to exhibit problems, either on the job or during drill weekends. For National Guard troops in California and Montana, it has been very useful to have mental health counselors on base during drill weekends to chat with soldiers about any developing problems.<\/span><\/p>\n<p class=\"BodyText\" style=\"margin: 0in 0in 0pt;\"><span style=\"font-size: x-small; font-family: ImperialGFT;\">4) This doesn\u2019t begin to address PTSD among the millions of vets who\u2019ve left active duty, and the VA is currently swamped by the number of earlier-era vets \u2014 particularly the \u2018Nam vets traumatized by the current conflict. The Pentagon should be working hand-in-hand with the VA to utilize effective techniques in common. But it will ultimately be up to Congress to provide the funding to begin to meet a massive backload.<\/span><\/p>\n<p class=\"BodyText\" style=\"margin: 0in 0in 0pt;\"><span style=\"font-size: x-small;\"><span style=\"font-family: ImperialGFT;\">These are some of the steps that the Montana National Guard has taken to become a national model in assessing PTSD among its returning combat troops and its veterans. For more information on the Montana model, check out my book: <span style=\"text-decoration: underline;\">Faces of Combat, PTSD &amp; TBI<\/span>. I just got my first shipment of books from the printer this afternoon, so it should be in bookstores within days. <span style=\"mso-spacerun: yes;\">\u00a0<\/span><span style=\"mso-spacerun: yes;\">\u00a0<\/span><span style=\"mso-spacerun: yes;\">\u00a0<\/span><span style=\"mso-spacerun: yes;\">\u00a0<\/span><span style=\"mso-spacerun: yes;\">\u00a0<\/span><span style=\"mso-spacerun: yes;\">\u00a0<\/span><\/span><\/span><\/p>\n<p class=\"BodyText\" style=\"margin: 0in 0in 0pt;\"><span style=\"font-size: x-small; font-family: ImperialGFT;\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hats off to Adm. Michael Mullen, the Pentagon&#8217;s top uniformed officer, for taking a leadership role in combating post-traumatic stress disorder among returning combat troops. Mullen, chairman of the Joint Chiefs of Staff, is calling for all returning combat troops, including the commanders, to undergo screening for post-traumatic stress with a mental health professional, a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-25","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/ericnewhouse.com\/blog\/wp-json\/wp\/v2\/posts\/25","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ericnewhouse.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ericnewhouse.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ericnewhouse.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ericnewhouse.com\/blog\/wp-json\/wp\/v2\/comments?post=25"}],"version-history":[{"count":0,"href":"https:\/\/ericnewhouse.com\/blog\/wp-json\/wp\/v2\/posts\/25\/revisions"}],"wp:attachment":[{"href":"https:\/\/ericnewhouse.com\/blog\/wp-json\/wp\/v2\/media?parent=25"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ericnewhouse.com\/blog\/wp-json\/wp\/v2\/categories?post=25"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ericnewhouse.com\/blog\/wp-json\/wp\/v2\/tags?post=25"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}