Stone Cupid Real

Half of Vets Suffering Brain and Mind Injuries Go Untreated, but Pentagon Pretends Nothing's Going On
By Penny Coleman
AlterNet

Tuesday 29 April 2008

An activist travels to the DoD's annual suicide prevention conference, only to find the military brass living in a parallel universe.
The silverbacks are grooming and posturing at the microphones.

Camo and khaki, wall to wall. Bob Ireland, an Air Force psychiatrist and consultant to the Air Force Surgeon General, welcomes the audience to the Department of Defense's sixth annual Suicide Prevention Conference and makes jokes about how suicide prevention has been the DoD's bastard child, homeless and parentless.

In January 2008, the child nobody wanted finally managed to find a home. The Defense Center of Excellence for Psychological Health and Traumatic Brain Injury assumed responsibility for an issue and an injury that the military has hidden and denied for generations.

It's been left up to Lt. Col. Steven Pflanz, the senior psychiatry policy analyst for the Air Force surgeon general, to report on the mental healthcare practices that have been developed for those on active duty. Kerry Knox, director of the VA's Center for Excellence on Suicide Prevention, was scheduled to share with him these introductory remarks, but is not in attendance. Apologies are made, but no one mentions how obviously difficult it would be for her to get into the self-congratulatory HOOAH! spirit of this conference when her boss just got busted big time for hiding VA suicide statistics, not just to the media but to Congress as well.

"Shh!" Ira Katz, the VA's mental health director, coyly began an email to the agency's chief communications director - and inconveniently made public just this week. "Our suicide prevention coordinators are identifying about 1,000 suicide attempts per month among the veterans we see in our medical facilities. Is this something we should (carefully) address ourselves in some sort of release before someone stumbles on it?"

Ach, Katz, you little schemer.

In another email, he acknowledged that an average of 18 war veterans manage to kill themselves each day - five of whom were under VA care at the time.

OK, Katz is toast. Democrats are already calling for him to resign, which seems rather mild considering how many lives were damaged by his attempts at damage control. But do the math: That's 12,000 veterans a year - VA patients - trying to kill themselves. On top of that, of the 6,570 who on average succeed each year, 1,825 of them are also patients at the VA. How is possible not to mention that kind of news at a conference on military suicides?

This must have been a challenging week for the conference organizers. How to deal with the Katz e-mails and the new RAND Corporation report, which is devastating in its description of DoD and VA failures. And the RAND report can't be blown off as the ravings of a bunch of leftists with an anti war agenda; RAND conducts research and analysis for the Office of the Secretary of Defense, the Joint Staff, the Unified Commands, the defense agencies, the Department of the Navy, and the U.S. intelligence community.

The report revealed that nearly 20 percent of military service members who have returned from Iraq and Afghanistan - that's 300,000 men and women - have symptoms of post-traumatic stress or major depression. Of those, only slightly more than half have sought VA treatment. Soldiers say that hesitation to seek help arises from fear that it will harm their careers.

But word gets around. Even among those who do seek help, RAND estimates that only about half receive treatment their researchers consider "minimally adequate." So why bother.

The study also estimates that about 320,000 service members may have experienced a traumatic brain injury during deployment, but that just 43 percent reported ever being evaluated by a physician for that injury, despite DoD's policy that every soldier returning from Iraq be screened.

I would, of course, be very interested in DoD's response to all of these accusations. At the risk of oversimplification, whatever it is they are doing isn't working. This would be an obvious moment for a little humility and perhaps even an ideal audience to petition for new ideas.

Instead, Pflanz insists: "DoD has been living suicide prevention for a decade ... After bombs-on-target, the next most important thing is suicide prevention. I overuse that phrase," he admits, "but I think it drives home the point that we really do live and breathe suicide prevention."

I am taping this drivel, only listening with half an ear, and I'm reading about the trial that began Monday in San Francisco: Veterans' groups are asking U.S. District Court Judge Samuel Conti, a World War II U.S. Army veteran, to order the VA to start providing immediate treatment for suicidal veterans and prompt care for those suffering from post-traumatic stress. Government lawyers argue that the courts don't have the authority to tell VA how it should operate. That too would seem pertinent at a conference like this, but the trial hasn't been mentioned either.

What brings my attention back to the room is a question from a man sitting at the end of my row of seats. In response to some of Pflanz' brightly colored pie charts indicating what percentage of what demographic of soldiers are killing themselves, this man has asked whether or not those pie wedges take into account multiple deployments. "That information is redacted," says Pflanz definitively. What!?! The questioner smiles ruefully. He's not surprised. I sense a friendly and move over to sit next to him.

James Conover is a three-tour Vietnam vet, a behavioral health specialist who has worked with veterans for 30 years. After he got out of the service, his life fell apart, and he admits that before he got it back together he seriously contemplated throwing himself off the seventh floor balcony of his building. James takes all this very personally.

Emboldened by my new ally, I ask if any of the services take into account what happens to their members after they come home. Are they counting their veteran suicides? "We have no information on that," he answers and refers me to Kerry Knox, who, as I mentioned before, is not present.

And as today's news also includes a story about the administration's decision to renege on their promise to end stop-loss, I ask if their studies take that into account. "There's no easy access to that information."

It's utterly fantastic - all this stuff happening at the same time, all of it intimately related to the purported subject of this conference - and all of it completely invisible.

Read the rest (if you can stomach it) at AlterNet