More tales of incompetence and inexcusible stupidity about shabby, shoddy "treatment" for American troops with PTSD.
(Recommendations for fixing VA system, here. Earlier WaPo story here.)
The American military, led by raucous draft-dodger George W. Bush as its shining, sock-stuffed-codpiece commander, apparently just can't handle treating its own troops with PTSD now, even thought it's Bush's own Oedipal war that gave them their severe psychological injuries.
Every month, 20 to 40 soldiers are evacuated from Iraq because of mental problems, according to the Army. Most are sent to Walter Reed along with other war-wounded. For amputees, the nation's top Army hospital offers state-of-the-art prosthetics and physical rehab programs, and soon, a new $10 million amputee center with a rappelling wall and virtual reality center.
Nothing so gleaming exists for soldiers with diagnoses of post-traumatic stress disorder, who in the Army alone outnumber all of the war's amputees by 43 to 1. The Army has no PTSD center at Walter Reed, and its psychiatric treatment is weak compared with the best PTSD programs the government offers. Instead of receiving focused attention, soldiers with combat-stress disorders are mixed in with psych patients who have issues ranging from schizophrenia to marital strife.
Even though Walter Reed maintains the largest psychiatric department in the Army, it lacks enough psychiatrists and clinicians to properly treat the growing number of soldiers returning with combat stress. Earlier this year, the head of psychiatry sent out an "SOS" memo desperately seeking more clinical help.
Individual therapy with a trained clinician, a key element in recovery from PTSD, is infrequent, and targeted group therapy is offered only twice a week.
Here's the real deall:
1. Assess.
Assess symptomatology, and the level of risk to self and others.
2. Refer In or Out, then Treat.
High-risk patients (dangerous to self/others) go inpatient, receive individual counseling at least twice a week, med eval, groups with possible referral for psych eval. They stay inpatient until they are stabilized.
3. Assess again, Refer Again.
Patients assessed as suitable for outpatient treatment get individual sessions, twice a week to start if they're very symptomatic, once a week if that will suffice. Med eval referrals made by clinician as needed. Work toward stabilization of symptoms.
4. Add Groups. (Maybe.)
Once a patient is doing well (symptoms less severe/less frequent), add group treatment -- down the line. Don't start out with group treatment.
Earlier in this series, the writers suggested that "more research" needs to be done on PTSD before treatment can begin.
This is total bullshit. Effective treatments already exist, the military just is not using them.
If the military's not prepared to treat their own wounded, they need to refer their wounded troops for treatment to experienced trauma-trained clinicians.
They're ready, willing, and able.
Get it done. Make it happen.
Get it done.
vets with PTSD
support the troops