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A Veteran's Journey

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A Veteran's Journey A Veteran’s Journey Home: Reintegrating Our National Guard and Reservists into Family, Community, and Workplace ttttt The 26th Annual Rosalynn Carter Symposium on Mental Health Policy November 3 and 4, 2010 A Veteran’s Journey Home: Reintegrating Our National Guard and Reservists into Family, Community, and Workplace ttttt The 26th Annual Rosalynn Carter Symposium on Mental Health Policy November 3 and 4, 2010 Contents Welcome Nina Berman, M.S., Freelance Documentary Photographer ................................................................................4 Opening Remarks Rosalynn Carter, Chair, Carter Center Mental Health Task Force ......................................................................6 Hon. Patrick Kennedy, U.S. Representative, Rhode Island..................................................................................8 Keynote Address A. Kathryn Power, M.Ed., Director, Center for Substance Abuse and Mental Health Services Administration....................................................................................................................................11 Panel I: Reintegration into Family Ron Capps, Freelance Writer; U.S. Army Reserve, Retired ..............................................................................16 Mara Boggs, M.S., Major, U.S. Army ..................................................................................................................18 Joyce Raezer, Executive Director, National Military Family Association ..........................................................19 Dinner Keynote Antonette Zeiss, Ph.D., Acting Director, Chief Patient Care Services Officer for Mental Health, Department of Veterans Affairs..............................................................................................22 Panel II: Reintegration into the Workplace Ronald Finch, Ed.D., Moderator, Vice President, National Business Group on Health....................................26 John Howard, M.D., Main Presenter, Director, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention ..............................................................................26 Respondents: William C. Bonk, M.B.A. Director, Health and Wellness, Lockheed Martin....................................................29 Daniel J. Conti, Ph.D., Managing Director, Employee Assistance and WorkLife Program, JP Morgan Chase ..............................................................................................................................................32 Ronald Drach, President, Drach Consulting ......................................................................................................34 Panel III: Reintegration into the Community Brian Flynn, Ed.D., Moderator, Associate Director, Center for the Study of Traumatic Stress, Uniformed Services, University of the Health Sciences ..................................................................37 Barbara Van Dahlen, Ph.D., Main Presenter, President and Founder, Give an Hour........................................38 Respondents: Linda Rosenberg, M.S.W., President and CEO, National Council for Community Behavioral Healthcare ......................................................................................................................................42 Rev. Thomas B. Carter, Partners in Care, Maryland National Guard................................................................44 Liisa Hyvarinen Temple, M.S., Freelance Journalist; Adjunct Faculty, University of South Florida; Rosalynn Carter Fellow for Mental Health Journalism, 1999–2000................................................................................46 Discussion Topics Education Jarrett Blake, Associate Director, Veterans Division of the Veteran, Immigrant, and Refugee Trauma Institute of Sacramento........................................................................................................................49 Catherine Morris, M.S., Veterans Counselor and Professor, Sierra College ......................................................50 Criminal Justice Hon. Robert T. Russell Jr., J.D., Associate Judge, Buffalo City Court ................................................................54 Sean Clark, J.D., National Coordinator, Veterans Justice Outreach ..................................................................57 Rural Issues Dennis Mohatt, M.A., Moderator, Vice President for Behavioral Health, Western Interstate Commission on Higher Education....................................................................................................................62 James (Jay) Shore, M.D., M.P.H., Center for American Indian and Alaska Native Health, University of Colorado-Denver ........................................................................................................................64 Anthony Mohatt, Lieutenant Colonel, Kansas National Guard; Assistant Special Agent-in- Charge, U.S. Department of Agriculture, Office of Inspector General ..........................................................67 Research Dori Reissman, M.D., M.P.H., Moderator, Senior Medical Adviser, National Institute for Occupational Safety and Health, U.S. Centers for Disease Control and Prevention............................................................69 Michael Schoenbaum, Ph.D., Senior Adviser for Mental Health Services, Epidemiology, and Economics, Office of the Director, National Institute of Mental Health ................................................69 James P. Kelly, M.D., Director, National Intrepid Center of Excellence, Department of Defense ....................73 Summation Terri Tanielian, M.A., Moderator, Co-director, RAND Corporation’s Center for Military Health Policy Research ....................................................................................................................................77 Closing Message Rosalynn Carter, Chair, Carter Center Mental Health Task Force ....................................................................79 Biographies............................................................................................................................................................80 Planning Committee ............................................................................................................................................88 Participants List ....................................................................................................................................................89 Mental Health Task Force....................................................................................................................................96 Funders..................................................................................................................................................................98 Welcome Nina Berman, M.S. Freelance Documentary Photographer hortly after the war in Iraq began, I started photographing and interviewing seriously injured soldiers and marines who had returned home. I visited them in their hometowns after they Shad been medically discharged. I was meeting them at particularly vulnerable moments in their lives as they began the transformation from able-bodied GIs with a clear, clear path and purpose, to disabled veterans brought back into the civilian world with no clear direction, and with enormous physical challenges that were not present when they deployed. In my photographs, the veterans are pictured alone. That is how I saw them: isolated and disconnected. Veterans living in more rural areas were even more so, and I speak here anecdotally, simply from my experiences. For instance, this young man, Sam, has been blinded and has lost a leg. He had been sent home to rural Pennsylvania where, at the age of 21, he was living in a trailer by himself. He already had a difficult family life, and within two years of his return, he attempted suicide on several occasions. To my knowledge, he is not being treated on any regular basis for his psychological distress. I believe distance to a veteran’s facility, his inability to drive, and his drug use are all factors. One night, he set fire to his girlfriend’s trailer. She escaped with her two children, and he was arrested for attempted homicide. He was sentenced to the state penitentiary. Now, he is a criminal justice problem. For other veterans, there are predictable problems in their relationships. One young man, paralyzed from the waist down, separated from his young wife shortly after he returned. Another vet, a guardsman with 4 Welcome brain damage, relies on his wife to take care of large U.S. military bases. For this group, there him. She describes this experience as having a is extreme anxiety and frustration because they child who came home from war instead of the feel their physical suffering is not being treated man she knew. seriously. And they feel powerless and angry as My most extensive investigation of the impact their health steadily worsens. war has on family life was the story of a marine I met two veterans who said they had been reservist. Wounded in a suicide car bombing, he diagnosed with PTSD as a result of their service; has made an astonishing recovery through force one spoke of enormous alcohol abuse. For this of will and modern medicine. He and his high group of vets, I have encountered a new problem: school sweetheart married in a kind of love- although the VA has been very sensitive to their conquers-all wedding. But the narrative
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