This candid report is the result of a focused 15-month effort to better understand the increasing rate of suicides in U.S. Army. Key findings include: gaps in the current policies, processes and programs necessary to mitigate high risk behaviors; an erosion of adherence to existing Army policies and standards; an increase in indicators of high risk behavior including illicit drug use, other crimes and suicide attempts; lapses in surveillance and detection of high risk behavior; an increased use of prescription anti-depressants, amphetamines and narcotics; degraded accountability of disciplinary, admin. and reporting processes; and the continued high rate of suicides, high risk related deaths and other adverse outcomes. Charts and tables.

War and Drugs explores the relationship between military incursions and substance use and abuse throughout history. For centuries, drugs have been used to weaken enemies, stimulate troops to fight, and quell post-war trauma. They have also served as a source of funding for clandestine military and paramilitary activity. In addition to offering detailed geopolitical perspectives, this book explores the intergenerational trauma that follows military conflict and the rising tide of substance abuse among veterans, especially from the Vietnam and Iraq-Afghan eras. Addiction specialist Bergen-Cico raises important questions about the past and challenges us to consider new approaches in the future to this longest of US wars.

The surprising story of the Army’s efforts to combat PTSD and traumatic brain injury The wars in Iraq and Afghanistan have taken a tremendous toll on the mental health of our troops. In 2005, then-Senator Barack Obama took to the Senate floor to tell his colleagues that “many of our injured soldiers are returning from Iraq with traumatic brain injury,” which doctors were calling the “signature wound” of the Iraq War. Alarming stories of veterans taking their own lives raised a host of vital questions: Why hadn’t the military been better prepared to treat post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI)? Why were troops being denied care and sent back to Iraq? Why weren’t the Army and the VA doing more to address these issues? Drawing on previously unreleased documents and oral histories, David Kieran tells the broad and nuanced story of the Army’s efforts to understand and address these issues, challenging the popular media view that the Iraq War was mismanaged by a callous military unwilling to address the human toll of the wars. The story of mental health during this war is the story of how different groups—soldiers, veterans and their families, anti-war politicians, researchers and clinicians, and military leaders—approached these issues from different perspectives and with different agendas. It is the story of how the advancement of medical knowledge moves at a different pace than the needs of an Army at war, and it is the story of how medical conditions intersect with larger political questions about militarism and foreign policy. This book shows how PTSD, TBI, and suicide became the signature wounds of the wars in Iraq and Afghanistan, how they prompted change within the Army itself, and how mental health became a factor in the debates about the impact of these conflicts on US culture.

The victims of US military campaigns are usually nameless civilians in far away places, but there are also victims closer to home - the soldiers so often used and then discarded by the establishment. Binding Their Wounds is a book about US veterans written by a US veteran - Bob 'Doc' Topmiller. Topmiller fought in Vietnam, founded a school for orphans there, and become a professor of history before he tragically committed suicide. Close friend and scholar Kerby Neill stepped in to complete the book. The result is a history of US veterans and their treatment by the US establishment from the early republic to the recent wars in Iraq and Afghanistan. Binding Their Wounds offers policy recommendations to improve post-conflict treatment and care for veterans which are long overdue.

Drawing from a diverse range of military, policing, academic and policymakers’ experiences, this book seeks to provide solutions of how national militaries and police can work together to better support future United Nations peacekeeping operations. It addresses the growing tension between increasing non-combat related responsibilities being placed on land forces and the ability of UN peacekeeping forces to fulfil the demands of government and development tasks in fragile and conflict-affected environments. An original contribution to the debate on UN peacekeeping reforms that includes constructing an enhanced partnership for peacekeeping; building on renewed commitment to share the burden and for regional cooperation; providing peacekeepers with the necessary capabilities to protect civilians; and supporting nations in transition from conflict to stabilisation. This book offers the very latest in informed analysis and decision-making on UN peacekeeping reform.

The need has never been more crucial for community health providers, programs, and organizations to have access to training in addressing the unique behavioral health challenges facing our veterans, active duty military, and their families. Handbook of Military Social Work is edited by renowned leaders in the field, with contributions from social work professionals drawing from their wealth of experience working with veterans, active duty military, and their families. Handbook of Military Social Work considers: Military culture and diversity Women in the military Posttraumatic stress disorder in veterans Traumatic brain injury in the military Suicide in the military Homelessness among veterans Cycles of deployment and family well-being Grief, loss, and bereavement in military families Interventions for military children and youth Offering thoughtful advice covering the spectrum of issues encountered by mental health professionals working with individuals and families, Handbook of Military Social Work will contribute to the improvement of efforts to help our military personnel, veterans, and their families deal with the challenges they face.

This text introduces readers to military families, their resilience, and the challenges of military life. Personal stories from active duty, National Guard, reservists, veterans, and their families, from all branches and ranks of the military, and those who work with military personnel, bring their experiences to life. A review of the latest research, theories, policies, and programs better prepares readers for working with military families. Objectives, key terms, tables, figures, summaries, and exercises, including web based exercises, serve as a chapter review. The book concludes with a glossary of key terms. Engaging vignettes are featured throughout: Voices from the Frontline offer personal accounts of issues faced by actual program leaders, practitioners, researchers, policy makers, service members, and their families. Spotlight on Research highlights the latest studies on dealing with combat related issues. Best Practices review the optimal strategies used in the field. Tips from the Frontline offer suggestions from experienced personnel. The book opens with an introduction to military culture and family life. Joining the military and why people do so are explored in chapter 2. Next, life in the military including relocation, employment, education, and deployment are examined. Daily lives of children in military families are explored in chapter 4. How stress and resilience theories are used in working with military families are then reviewed. Chapter 6 focuses on milestones experienced by service members and programs that support them through these transitions. Everyday issues caused by the trauma of war are reviewed in Chapters 7 and 8. Programs, policies, and organizations that serve military families in dealing with deployment, education, and health and child care are explored in chapters 9 and 10 followed by initiatives supporting reintegration and reunification issues. Next, how to work with families and those who have experienced traumatic events is considered. The book concludes with a review of career opportunities and stories from working professionals. Intended as a text for advanced undergraduate or graduate courses on military families or as a supplement for courses on the family, marriage and family, stress and coping, or family systems taught in family studies, human development, clinical or counseling psychology, sociology, social work, and nursing, this book also appeals to helping professionals who work with military families.

This is a print on demand edition of a hard to find publication. In 2001, the Deputy Secretary of Defense stated that domestic violence will not be tolerated in the Department of Defense (DoD). Despite this posture, DoD's clinical database indicates that 8,223 incidents met criteria for domestic abuse in fiscal year 2009. However, because this database includes only cases reported to military clinical offices, it does not represent all cases. This report evaluated whether DoD is able to determine the effectiveness of its domestic abuse efforts. To conduct this review, the report reviewed legislative requirements and DoD guidance, analyzed domestic abuse data, and interviewed officials involved in domestic abuse prevention and treatment and persons eligible to receive services at five military bases. Illus.

This authoritative and comprehensive title is designed to enhance best clinical practices for all healthcare providers who care for military service personnel and veterans. The book is organized into four sections. The first section covers foundational information on the culture and context of health care for members of the US military and veteran population. The second section focuses on systems of care for mental health needs of military and veteran populations. The third section characterizes best practices as well as ethical issues in clinical care for mental health needs of members of the military and veterans. Guidance in relation to a wide range of clinical topics is provided, such as mood disorders, post-traumatic stress disorder, combat and operational stress, military sexual assault, psychosis, and sleep disorders. The last section is intended to assist readers in reinforcing their learning through a set of clinical cases with accompanying questions for deeper consideration. An invaluable resource for all clinicians, allied health personnel, and administrators concerned with the mental health needs of service members and veterans, Military and Veteran Mental Health: A Comprehensive Guide is a gold-standard addition to the literature on military healthcare.