Veterans Treatment Courts: Smart Justice

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Several years ago, I had the honor to meet Judge John Schwartz, one of the early pioneers in promoting the benefits of  Veteran Treatment Courts.

Drug Treatment Courts

Drug Courts began to emerge in the nineties to deal more effectively with a growing drug problem in the United States.  As I wrote earlier,

Since the mid-1990, the US judicial system has recognized the need to deal with drug-related criminal activity and have established some 2,600 Drug Treatment Courts in the United States.  Drug treatment courts are specialized community courts designed to help stop the abuse of drugs, alcohol, and related criminal activity. Non-violent offenders who have been charged with simple possession of drugs are given the option to receive treatment instead of a jail sentence.   These programs have proven to be remarkably successful for reducing the level of recidivism in our prison system.

Capitalizing on the infrastructure and success of the Drug Treatment Courts, some 50 or so Veteran Courts have sprung up across the United States to deal with veterans who have committed a crime while suffering from substance abuse.  In many cases, these troubled vets have the support of other Vets (often from the Vietnam era) who “mentor” their military colleagues through the rehabilitation process.

Since then, Veteran Treatment Courts exist in every state in the United States.  These Courts provide Veterans with PTSD and substance abuse issues with an alternative to serving time in a federal or state penitentiary.

As the video from Justice for Vets explains below, Vet Courts provide Veterans with a second chance to recover their lives with the support of wise counsel from fellow Veterans, judicial system and law enforcement officers.

Aside from the fact that this appears to be a most sensible way to provide brave Veterans with the steady supportive counsel of a fellow Veteran, the Vet Court system has also reduced our prison population and cut recidivism by almost two-thirds.

While the Veteran Court system was largely the inspiration of community judges, law enforcement officers and a supportive community, the Department of Veterans Affairs (“the VA”) has been playing an active role in supporting these local and State programs since 2008.

Currently, there are approximately 220 Veteran Treatment Courts functioning in the United States with many other communities seeking to establish similar programs of their own. In fact, Justice for Vets recently provides a great deal of direct support and information for communities seeking to establish their own Veteran Treatment Court.

While 2017 applications for Justice for Vets support are currently closed, communities interested in this initiative would do well to contact Justice for Vets for more information on the Veteran Treatment Court Application Process.

Now, there are some – perhaps, many – who are opposed to any “special treatment” provided to people who break the law.  Nevertheless, the “cost” of incarcerating individuals who break drug laws and their exposure to hardened criminals seem to outweigh any potential long-term benefit to society.

For years, the VA has been serving up a cocktail of drugs to Veterans suffering from PTSD.  Only now have we come to the realization that this may not have been the proper way to deal with this serious problem.  In fact, opioid abuse is now an epidemic across the U.S.   One could argue that our Veteran population was well aware of this problem long before it hit mainstream America.

Should Veterans be subjected to incarceration, because the VA support system erred so badly?  I think not!

In May, we celebrate Drug Court Professionals across the United States who have contributed both their time, money and expertise to combat drug abuse in the United States.  If your community is currently planning – or thinking about – establishing a proactive response to drug abuse then you may well want to register for the NADCP Training conference that will be held this year in Washington, D.C. from July 9 – 12.

Justice for Veterans is a co-sponsor of this training conference and SFTT salutes those professionals who are giving their time and energy to fight drug abuse in America.

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SFTT News: Highlights for Week Ending Mar 31, 2017

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Found below are a few military news items that caught my attention this past week. I am hopeful that the titles and short commentary will encourage SFTT readers to click on the embedded links to read more on subjects that may be of interest to them.

If you have subjects of topical interest, please do not hesitate to reach out. Contact SFTT.

Lightweight Military Helmet

New Lightweight Combat Helmet Introduced
The Advanced Combat Helmet Gen II will replace the legacy Advanced Combat Helmet, which was fielded about 15 years ago. The service earlier this month awarded Revision Military, based in Essex Junction in Vermont, a contract worth about $98 million to make 293,870 of the new helmets. Made of high-density polyethylene instead of the current helmet’s Kevlar, the ACH Gen II weighs about 2.5 pounds in size large — about a 24-percent weight reduction, officials from Program Executive Office Soldier said at Fort Belvoir in Virginia.  Read more . . .

Iran Called a Destabilizing Influence in Middle East by Military Brass
The nation’s top military official in the Middle East on Wednesday said Iran is one of the greatest threats to the U.S. today and has increased its “destabilizing role” in the region. “I believe that Iran is operating in what I call a gray zone,” Commander of the U.S. Central Command, Army Gen. Joseph Votel, told the House Armed Services Committee in testimony Wednesday. “And it’s an area between normal competition between states — and it’s just short of open conflict.”  Read more . . .

Kim - North Korea

Dissecting US Policy Toward North Korea
Since the Clinton years, the US has considered military action and imposed strict sanctions against North Korea in an effort to curb its nuclear program — but none of it has worked amid fundamental misunderstandings about the shadowy Kim regime. US and UN sanctions on North Korea have sought to cripple the regime through restricting access to commerce and banking, but despite limited successes here and there, North Korea now regularly demonstrates a variety of potent and expensive nuclear arms in open defiance of the international community at large.  Read more . . .

Chinese Military Growth and Sophistication Attracts Attention
China’s rapid development of new destroyers, amphibs, stealth fighters and long-range weapons is quickly increasing its ability to threaten the United States and massively expand expeditionary military operations around the globe, according to a Congressional report. A detailed report from Congressional experts, called the 2016 US-China Economic and Security Review Commission, specifies China’s growing provocations and global expeditionary exercises along with its fast-increasing ability to project worldwide military power.   Read more . . .

Highlights of NPR Interview with VA Secretary Dr. David Shulkin
Secretary of Veterans Affairs David Shulkin says the Department of Veterans Affairs “is on a path toward recovery.” “We have a clear mandate to do better, [and] to make sure that we’re honoring our mission to serve our veterans,” Shulkin told NPR’s Morning Edition. Shulkin discussed his current priorities for the Department of Veterans Affairs, including how the money from the Veterans Choice program has been spent, and his approach to the persistently high rate of suicide among military veterans, with NPR’s Rachel Martin. The interview has been edited for length and clarity.  Read more . . .

New Diagnosis Tools for Veterans with PTSD?
Researchers are working at brain banks around the country to see what is going on inside the heads of veterans like Fadley. They are examining the brains of deceased veterans in hopes of knowing more accurately what effects trauma ― psychological or physical ― has had on the brain. That could someday lead to better diagnostic tests, treatments, clues into where PTSD originates and evolves.  Read more . . .

Agent Orange Effects Still Felt Today
An estimated 11.4 million gallons of the chemical pesticide known as Agent Orange were sprayed over millions of acres of Vietnam forests from 1962 to 1970. The United States Department of Veterans Affairs has long acknowledged the link between the substance and diseases like cancer in veterans, but when veterans began reporting having children with birth defects, the VA stayed mostly mum. But a joint investigation by ProPublica and the Virginian-Pilot published Friday revealed the odds of having a child born with birth defects were found to be a third higher for veterans exposed to Agent Orange than for those who weren’t. The investigation also determined that the VA had collected information about the link between birth defects and Agent Orange during examinations of more than 668,000 veterans but never adequately scrutinized it.  Read more . . .

Drop me an email at info@sftt.org if you believe that there are other subjects that are newsworthy.

Feel you should do more to help our brave men and women who wear the uniform or our Veterans? Consider donating to Stand For The Troops

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Will the VA Provide Better Service to Veterans?

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With much fanfare, Dr. David Shulkin, the new Secretary for the Department of Veterans Affairs (“the VA”), has moved quickly to address some of the recurring problems at the VA.

Dr. David Shulkin, VA Secretary

As the first VA Secretary without a military background, Dr. Shulkin appears committed to resolve several pressing concerns:

– Speedier processing of Veteran benefit claims and,

– Eliminate unnecessary bureaucracy and artificial constraints on “out-of-network” support for Veterans (Choice Program).

Indeed, Secretary Shulkin recently unveiled a 10 Point Plan to modernize the VA:

1. Firing bad employees

2. Extending the Choice program

3. Choice 2.0

4. Improving VA infrastructure

5. ‘World-class’ services

6. Better VA-DoD partnerships

7. Better electronic records

8. Stopping suicide

9. Appeals modernization

10. Internal improvements 

While there is little in these Powerpoint presentation bullet points that anyone would quibble with, implementing these broad goals tends to be far more complicated than listing the goals.   Unless there are rigorous benchmarks to assess progress toward achieving these goals, then this “goal-setting” exercise is rather fruitless.

In fact, it is difficult to reconcile the need for increased hiring within the VA unless one sees clear and conclusive evidence that “bad employees” are being fired.  In fact, the VA is recommending a hiring surge to deal with a backlog of benefit claims, a situation that has persisted for 4 years.

Are more employees needed or does the VA lack the “right” mix of employees to implement Shulkin’s 10 point plan?

For instance, State and Local VA coverage varies radically across the US.  For example, NPR reported in 2015 “that spending is nearly $30,000 per patient in San Francisco, and less than $7,000 per patient in Lubbock, Texas. Nationally, the average is just under $10,000. In places where more veterans are enrolled in VA health benefit plans, spending per veteran did tend to be higher.”   Why?  This is a huge variance that is not well explained.

Aligning the VA to Achieve Measurable Goals

As one looks at Shulkin’s proposed goals, it would be useful to determine their priority and the level of commitment (personnel and capital expenditure) that is required to attain them.  Furthermore, what are the benchmarks to chart progress toward achieving those goals.

For instance, “stopping Veteran suicides” is a goal that would find few naysayers.  Nevertheless, it is difficult to reconcile that goal with the sad fact that 30% of suicide watch calls are not currently attended by the Veteran Crisis Center.  Indeed, I find it disturbing that the Suicide Crisis Line has been centralized under the VA in the name of “efficiency.”

Perhaps, Dr. Shulkin and his staff have some measurable goals.  If so, they should be made public and both the Executive Body and Congressional Oversight Committees should receive regular updates from the VA on progress to date in achieving mutually agreeable goals.

Is this likely to happen?  Most certainly not!  This is an anathema to Big Government.

Is Firing Bad Employees Really Going to Occur?

With 365,000 employees, there are certainly going to be a few “bad eggs.”  While Dr. Shulkin praised the vast majority of VA employees, he told a cheering crowd  that “We’re going to make sure that the secretary has the authority to make sure that those (sic “bad”) employees … are leaving the VA system.”

J. David Cox

J. David Cox

Really?  It seems to anyone who has taken more than a cursory look at staffing within the VA, that David Cox, the President of the American Federation of Government Employees, will be calling the shots rather than Dr. Shulkin.

In most cases, distinguishing between a “bad” employee and an inefficient one is largely subjective.  Given the protection afforded by employees at the VA, it is highly unlikely that both the bad and inefficient employees will be “leaving the VA system” anytime soon.

In effect, this places a greater burden on both ” the good” and the many efficient and competent employees within the VA.  With little say or control on managing the workforce, I find it highly unlikely that Dr. Shulkin will be able to fulfill his promise to fire “bad” employees.

More importantly, it is unlikely that he will be able to realign staffing levels to implement his 10-point plan.

And Speaking of Bad Apples:  How About Dr. David Cifu?

If Secretary Shulkin is really serious about dealing with “Veteran suicides” and providing Veterans with alternative treatment for Veterans with PTSD, he would do well to question the credentials of Dr. David Cifu and others within the VA who continue to block Veteran access to better treatment alternatives.

When one looks at Secretary Shulkin’s complex agenda, one should focus on the signs that change is actually occurring.  Personally, I don’t expect to see much change over the next couple of years, unless there are clear bookmarks to measure that change.  Sadly, it seems likely that we will be looking at the same litany of complaints a couple years down the road.

Dr. Shulkin, I admire your bravado and enthusiasm, but question whether you have the right tools and authority at your disposal to bring about a much needed reform within the VA.

Veterans should be hopeful, but not too optimistic.

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SFTT News: Week Ending Mar 24, 2017

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Found below are a few military news items that caught my attention this past week. I am hopeful that the titles and short commentary will encourage SFTT readers to click on the embedded links to read more on subjects that may be of interest to them.

If you have subjects of topical interest, please do not hesitate to reach out. Contact SFTT.

Does President Trump’s Military Budget Help “Grunts?”
Trump, who positions himself as the champion of the working class, has promised to pump billions more into the military. Yet the initial numbers suggest those who really benefit will be the ones who always benefit: the big defense contractors and their enablers at the Pentagon and Congress. The last people to see that flood of spending will be the ones most likely to fight and die: the grunts.   Read more . . .

All Laser Military by 2025?
Lasers have been a mainstay of sci-fi battles for decades. But making them practical for the battlefield has proven difficult. Now, private contractors and government agencies have developed weapons systems that are making science fiction a reality. This was made evident when Lockheed Martin and the US Army recently announced, a successful test of a 60-kilowatt (kW) laser. This one was twice as powerful as one they assessed in 2015.  Read more . . .

Changes in Tactics Required for “Megacity” Warfare?
Speaking at the Future of War Conference 2017 hosted by New America in Washington, D.C., Gen. Mark Milley said that the character of warfare will likely go through a fundamental shift over the next decade. The world’s population is steadily moving toward living in megacities. Currently, there are about a dozen of these huge urban areas with populations of more than 10 million. By mid-century, “we are going to have at least 50 or more,” Milley said.  Read more . . .

Nato Logo

Assessment of New NATO-Russia Balance
Twenty-five years after the end of the Cold War, the military balance between NATO and Russia, after years of inattention, has again become the focus of intense concern and even alarm in some Western quarters. From NATO’s vantage point, Russia poses a serious military threat to its eastern flank—and to Euro-Atlantic security more broadly—for three reasons.  Read more . . .

VA Recommends Hiring “Surge” to Deal with Disability Claims
The Department of Veterans Affairs (VA) is warning the backlog for veterans appealing decisions involving disability benefits will grow if the Trump administration goes ahead with its harsh budget cuts. Waiting times could grow to as much as eight-and-a-half years. A Government Accountability Office (GAO) report on Veterans Affairs Disability Benefits released on Thursday found staff resources at the agency had not kept pace with increased pending appeals, and concluded that additional staff were needed.  Read more . . .

Criticism of VA Suicide Hotline
The VA suicide hotline is still sending nearly a third of calls to outside back-up centers despite pledges by Veterans Affairs officials to stop the practice last year after a scathing report found the centers had routed veterans to voicemail, an inspector general investigation found. The VA opened a new call center and hired more staff to answer phones, but as of November, 30% of calls — or 14,600 that month — rolled over to backup centers.  Read more . . .

Refugees with PTSD Handle Stress Differently
PTSD is a mental health disorder that makes a person re-experience a traumatic event. “What we discovered was that a gene associated with a person’s mental health became overactive in refugees with PTSD and wasn’t able to respond the right way when working with the body’s stress defense system,” said Bengt Arnetz, a professor of family medicine who led the study. The methyl CpG binding protein 2 gene, or MECP2, helps control the normal function of nerve cells and plays an important role in mental health and the body’s ability to handle stress. The findings are being presented at the American Psychosomatic Society’s annual meeting on March 18.  Read more . . .

Drop me an email at info@sftt.org if you believe that there are other subjects that are newsworthy.

Feel you should do more to help our brave men and women who wear the uniform or our Veterans? Consider donating to Stand For The Troops

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2017 Veterans Affairs Budget: Breaking Down the Numbers

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Politicians from both sides of the political spectrum tend to use budget data in much the same way a magician conjures a rabbit out of a top hat.  Sadly, the Department of Veterans Affairs (the VA”) budget – in the hands of a politician – often becomes an instrument of posturing for voters rather than a management tool to efficiently allocate limited funds and resources to our Veteran population.

In analyzing the 2017 VA Budget, it is useful to analyze a few broad parameters to help pinpoint the “macro” issues.  Certainly, the VA can operate more efficiently, but this assumes that the VA management is committed to insure that Veterans receive the best care possible.

Unfortunately, management efficiency within the VA is beyond the scope of this very preliminary analysis of the 2017 VA budget.

SFTT’s focus is on how well – in “macro” terms – the 2017 VA budget actually benefits Veterans.

Discretionary vs Mandated Spending at the VA

According to the Department of Veterans Affairs, “The President’s 2017 Budget includes $182.3 billion for VA in 2017.  This includes $78.7 billion in discretionary resources and $103.6 billion in mandatory funding.  Our (sic the VA) discretionary budget request represents an increase of $3.6 billion, or 4.9 percent, over the 2016 enacted level.”

Department of Veterans Affairs

In effect, discretionary spending at the VA has been spared the axe of many other government programs.  As stated above, discretionary spending at the VA is projected to increase 4.9%.  This analysis will focus only on discretionary spending to determine whether the proposed increase actually benefits Veterans.

Discretionary spending represents only 43% of the total VA budget, while some 57% is allocated toward “mandatory programs” that support Veterans who meet predetermined criteria.   Needless to say, eligibility for Veterans to tap into those “mandatory” programs are largely determined by the VA. Many question the rationale and the process used by VA administrators to determine eligibility and the level of compensation.

Analyzing the Discretionary Spending Increases at the VA

All too often we confuse an “increased budget” with better service or improved end-user outcomes.  In the case of the VA the “end-user” is a Veteran who avails himself or herself of VA services.

To explain this apparent paradox, I cite the following example.  For instance, if the entire 4.9% budget increase is allocated to existing staff, then Veterans will receive NO better service or end-user outcomes UNLESS operating efficiencies occur within the VA.  In effect, you are relying on the VA’s NEW management to perform a better job than their predecessors rather than expecting the increased budget allocation to improve the lives of Veterans.

The same logic could be applied to price increases for drugs, third-party consulting services and other discretionary contractual obligations.

The budget is cleverly designed to avoid breaking out staff salary expenses.  Instead it focuses on programs such as “Benefits Claims Processing,” “Medical Care, and “Information Technology.”  Therefore,  it is rather difficult (if not impossible) to breakout budgeted expenses to obtain a better understanding to the cost-benefit relationships.

What is clear, is that the Department of Veterans Affairs hires well over 350,000 full-time employees and staffing has increased by roughly 10% over the past two years.  The good news is that over 32% of VA staffing are Veterans:

Veterans Affairs Budget

Without getting into the details of the budget, it is difficult to know whether taxpayer dollars are being spent efficiently within the VA.  With an average annual salary of approximately $50,000 (estimated national average), total VA staff expenses should exceed $18 billion.  To this, one needs to tack on an additional 30% (estimated) in staff-related expenses (social security, severance pay, pension plan, unemployment insurance, etc).

Therefore, it is reasonable to assume that roughly one-third of the “discretionary” budget is allocated toward staff.  It would be most interesting to know, how much money is allocated to third-party contractors, consultants and part-time employees.

Fitch reports that on average, “staff expenses” represent 54% of total operating expenses of privately run hospitals.  As such, the “scratch-pad” analysis above suggests that the VA is woefully understaffed (i.e. 1/3 of discretionary expenses) or that staff expenses and outside contractor expenses are much higher as a percentage of total discretionary spending.

The issue is not to question whether these staffing and compensation levels are appropriate, but to determine whether the end-user (i.e. the Veteran) is receiving the full benefit of this budgetary increase.

I suspect not, but it is next to impossible to determine how funds are allocated and whether they are done so efficiently.

While the new administration appears to be sending the “right” message to the VA, the current budget seems rather superficial and I detect little that represents a major change in direction of a huge government entity that seems more interested in defending its turf than representing the interests of all Veterans.

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SFTT Military News: Week Ending Mar 17, 2016

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Found below are a few military news items that caught my attention this past week. I am hopeful that the titles and short commentary will encourage SFTT readers to click on the embedded links to read more on subjects that may be of interest to them.

If you have subjects of topical interest, please do not hesitate to reach out. Contact SFTT.

Kim - North Korean

Military Action in North Korea on the Table?
The US has said its policy of “strategic patience” with North Korea is over and suggested it might decide to take preemptive military action. Secretary of State Rex Tillerson said the option was “on the table” if the threat from the North’s weapons programme reached a level requiring it. During a visit to South Korea, he also said the US was exploring a range of new diplomatic and economic measures. And he defended the deployment of a US missile system in South Korea. The move has angered China, but South Korea and the US say the system is needed as a defence against North Korean aggression.  Read more  . . .

Energy Efficiency Now a Military Priority
The US military sees climate change as a national security threat. So, it’s finding ways to adapt to global warming, to make the armed forces stronger and more flexible.  The US military burns over 1.25 billion gallons of fuel a year, and the Department of Defense is the country’s single largest consumer of fossil fuels, according to Goudreau. “When you talk climate issues, you can talk mitigation or adaptation. Every single gallon of fuel that we burn is carbon going into the atmosphere,” he says.   Read more . . .

Big Increase Proposed in Military Spending
As US president Donald Trump was proposing a $54 billion defense spending hike on March 16, something rather different was happening in Russia. With its economy sputtering, there are reports that it could slash its military budget by 25%. The actual figure is actually more likely to be around 5%, explains Mark Galeotti, a Russian security expert at the Institute of International Relations in Prague. And it comes after several years of rapid growth in Russia’s defense spending. But that still reveals a stark discrepancy. Trump wants to bolster America’s military with an amount not far short of Russia’s entire 2016 defense budget of $65.8 billion (3.8 trillion rubles).  Read more . . .

1,000 Ground Troops to Syria?
The U.S. military has drawn up early plans that would deploy up to 1,000 more troops into northern Syria in the coming weeks, expanding the American presence in the country ahead of the offensive on the Islamic State’s de facto capital of Raqqa, according to U.S. defense officials familiar with the matter. The deployment, if approved by Defense Secretary Jim Mattis and President Trump, would potentially double the number of U.S. forces in Syria and increase the potential for direct U.S. combat involvement in a conflict that has been characterized by confusion and competing priorities among disparate forces.   Read more . . .

Dr. David Shulkin, VA Secretary

VA Budget to Grow by 6%
The Department of Veterans Affairs, the second-largest federal agency with 313,000 civilian employees and a far-flung hospital system, is one of the few corners of the government that would see its budget grow in the next fiscal year — by 6 percent. During his campaign, President Trump promised dramatic reforms at an agency he said was filled with a culture of “fraud, coverups and wrongdoing” after a 2014 scandal over coverups of patient wait times for medical care. His first spending plan would boost VA’s budget by $4.4 billion, to $78.9 billion, with much of the new money dedicated “to improve patient access and timeliness of medical care” for the more than 9 million veterans who use the system.  Read more . . .

South Carolina Discussion on Veterans with PTSD Stereotypes
There are many stereotypes surrounding veterans with Post-Traumatic Stress Disorder (PTSD). Many of them are negative and paint those living with PTSD as violent. However, the Student Veteran Association at the University of South Carolina is aiming to change that perception. “PTSD, it is the normal reaction of human beings who experience extraordinary events,” says Dr. Nancy Brown with the College of Social Work at USC. On Wednesday night, six panelist, with different military backgrounds, all living with PTSD in their own way are hoping to educate and knock down perceptions.  Read more . . .

Drop me an email at info@sftt.org if you believe that there are other subjects that are newsworthy.

Feel you should do more to help our brave men and women who wear the uniform or our Veterans? Consider donating to Stand For The Troops

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Cyberwarfare, Spying and All That Jazz: Please Take a Few Precautions

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While the press is currently having a field day reporting that “gentlemen” actually spy on each other, it would be useful for readers of SFTT to take a few precautions to protect themselves in this era of unscrupulous hackers and BIG BROTHER.

cyber warfare

Short of going completely “off the grid” – i.e. no email, no social media accounts, no credit cards, no personal data stored online by ANY third party – it is virtually impossible to guarantee that your anonymity will withstand the efforts of a determined hacker or even a casual network intrusion.

Furthermore, even if you taken every step possible to insulate yourself from hacking, a massive cyberattack on the country’s infrastructure system (i.e. power grid, telecommunications, air traffic controller, etc.) could cause great personal and collective harm.   See more below on “Distributed Denial of Service” or DdoS.

Suggestions to Protect Yourself in the Information Age

As suggested above, there is little you can to do to fully protect yourself against determined “bad guys” or State intelligence operatives.   Nevertheless, you can take a few simple steps to help reduce your cyber-profile without compromising your lifestyle too much:

– Scrap your AOL and Yahoo email services for Google.  Regardless of who your service provider is, Google has far more FREE security surveillance features to protect your personal online accounts from hacking;

– Delete any unnecessary social media accounts (i.e. Facebook, Instagram, Twitter, etc.);

– Change your password every six months or so and definitely use at least one symbol (?,$,!) and Capital Letter in your password  (1234 is not a password);

– Use Two-Step Security verification to reduce the chance of unauthorized changes to your account(s).

– Do not share your password(s) with others, including your family.  It is not a matter of trust, but your security procedures may be far better than those of your friends or family;

– If you are into chat, photo-sharing, etc. avoid using multiple platforms to simplify your life (for instance, use Google Chat rather than Facebook messaging or What’s App);

– ALWAYS update your accounts with the latest UPDATE from your provider, most updates contain very important security enhancements;

– Cancel as many credit cards and online accounts as conveniently possible;

– Regardless of its convenience, consider ending electronic banking and insist on paper statements;

– Can you live without a cell phone?

Sure, many of these suggestions can be a huge inconvenience, but are you willing to compromise your personal security to make life easier for others?

Distributed Denial of Service or “DdoS”

Last year, cyberattacks temporarily shut down Twitter, Netflix, PayPal and others may be just the beginning of disruptive communications warfare.

While these cyberattacks appear to have orchestrated by a rogue band of hackers who call themselves the “New World Hackers,” it portends an ominous future for cybersecurity.

The “attack” called distributed denial-of-service or Ddos causes tens of thousands of mobile devices to simultaneously query server databases that cannot handle the volume of requests and simply shutdown.  Read more by clicking the link below:

http://time.com/4541790/cyberattack-internet-hackers-cameras-toys/

This cyberattack came on the heels of “leaked” emails from high-ranking members in the Democratic National Party by Wikileaks that may have been provided by Russian government intelligence sources.

Actually, recent information suggests that shared passwords could have been the original source of the DNC leaks according to Luke Rosiak of the Daily Caller:

Imran Awan — the lead suspect in a criminal probe into breaches of House of Representatives information security systems — possessed the password to an iPad used by then-Democratic National Committee Chairperson Debbie Wasserman Schultz when DNC emails were given to WikiLeaks, The Daily Caller News Foundation Investigative Group has learned.

The Department of Homeland Security and U.S. intelligence officials have long feared these attacks and have presumably instituted safeguards and countermeasures to prevent such occurrences.  

DoD Network, Systems and Data or DDNSD

In 2013, the Department of Defense established detailed guidelines to protect the country’s cyber networks.  A hyperlink to the recently updated unclassified version is shown below:

http://iac.dtic.mil/csiac/download/DDNSD_Public_Releasable_11132014.pdf

While our network security has improved dramatically since 9/11, hackers (state-sponsored and independent) continue to breach our security system with increasing regularity.  It is impossible to know how the “defection” of Edward Snowden compromised our security, but most security experts claim that the damage was considerable.  See below . . .

http://www.bbc.com/news/world-us-canada-23123964

Also the recent “leak” of current CIA electronic surveillance methods certainly doesn’t engender much confidence that we can insulate ourselves from determined cyberattacks.  Question:  If this is the “intelligence information” that is currently publically available, then what should we think about more clandestine intelligent programs that may have already been hacked by hostile State intelligence services?

In Summary

Many years ago (2003-2004),  I attended a lecture on internet security by a security specialist who was then consulting with Homeland Security.  He showed a frightening real time analysis of hacking attempts against Windows-based peripherals, particularly printers.    If fact, I watched this internet security consultant break into the Club Membership database where the event was hosted in less than 30 seconds.

It seems that the New World Hackers were able to orchestrate their assault on vulnerable servers using cellphones and other internet-enabled peripherals.  If this is the case, virtually all systems are vulnerable.   Recent disclosures by Wikileaks on CIA surveillance tools clearly suggest that this is already happening.  

As Hillary Clinton’s “private server” and the DNC hack have shown, we don’t take security-measures seriously.  Unless we wise up, more pain and suffering will be coming shortly.

While you may not be able to control the full spectrum of an electronic invasion of our privacy, do take a few of the steps recommended above to better safeguard your well being.  Lowering your cyber-profile is a good thing!

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Techniques to Help Veterans Minimize Chronic Pain

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Dealing with chronic pain can be quite a . . . pain.  Chronic pain is defined as any pain that lasts longer than 6 months, chronic pain can be moderate or unbearable; episodic or continuous. Of course, whether due to past injuries, strain from overuse, or just general wear and tear, chronic pain is common amongst military Veterans.

Caregiver for Veteran with PTSD

On days when the pain is debilitating, you may not want to get out of bed. It may seem as though you are fighting a losing battle against the pain, but your quality of life can be restored. More importantly, it can be done without having to rely on opioids for relief. Here are a few tips on what you can do to minimize chronic pain.

Biofeedback Therapy for Chronic Pain

Biofeedback is a relaxation technique in which patients use their mind to control body functions that normally occur without fail. Participating in a biofeedback therapy session can give you the skills to lessen your pain at home. In a session, sensors will be attached to your body, then connected to a monitoring device. The device will measure your body functions such as breathing, perspiration, skin temperature, blood pressure and heart rate. As you relax during therapy, your breathing slows and your heart rate will dip. As the numbers on the monitor begin to reflect your relaxed state, you will start to learn how to consciously control your body functions. Through biofeedback therapy, you will learn how to use your mind to overcome bouts of pain.

How to Reduce Inflammation for Chronic Pain

It’s no secret that chronic pain and inflammation go hand-in-hand. Inflammation is a normal immune response in  your body that usually alerts you when something is wrong. Pain, swelling and redness are all forms of inflammation that is needed to help with the healing process. Inflammation becomes an issue when it becomes chronic, and the initial healing process fails, which causes pain. Fortunately you can reduce chronic pain and inflammation by consuming a healthy diet. Certain foods can cause flare ups, therefore they need to be reduced or eliminated. Those foods include dairy products, fried food, refined flour, sugar, high-fat red meat and all processed foods. The proper diet should be rich in leafy-green vegetables, low-sugar fruits and foods high in omega-3 fatty acids.

Exercise Regularly to Reduce Chronic Pain

Exercise is actually one of the best ways to reduce chronic pain. The less you move, the more pain you are likely to feel. The endorphins that are released during exercise are natural painkillers that increase your tolerance by changing how your body responds to pain. Routine exercise can help you reduce your medicine intake, increase your happiness and return your zest for life. If you find it difficult to move fluidly during exercise, start by walking a few times a week, then gradually increase your efforts.

Don’t Hesitate to Ask for Help

Naturally, you’ll want to do everything you can to maintain your independence, but know that it is more than ok to need help. Overdoing it in areas where you shouldn’t will only worsen your pain, causing you more stress and unhappiness. Figure out areas of your life where you could use some help and then see who might be able to provide it.

For example, keeping your house clean may be especially difficult when your pain is at its worst. Consider asking a family member to help you with cleaning once a week or if you have the resources, hire a housekeeper. Yard work can be another troublesome area for people with chronic pain. Chances are you can find a tween or teen in your neighborhood who would be more than happy to pick up leaves in your yard or mow it once every couple of weeks for a few extra bucks. Just having this little bit of extra help can make a world of difference.

Find Support

Chronic pain can be very isolating and it may seem as though no one in your immediate circle understands your frustration. Participating in a support group, such as those provided by the ACPA and its sister organization Veterans in Pain, will provide a safe haven for you and allow you the opportunity to vent. Those that suffer with chronic pain tend to see themselves in a negative light. Thinking negatively of yourself can lead to depression and more painful flare-ups. If you find that the group setting is not helping you solve your issues, consider reaching out to a therapist. Never be ashamed or prideful to ask for help –it just may save your life.

When you are in pain, it can be hard to find the motivation to do anything. Feelings of anger and resentment toward your body are to be expected, but it is important that you push forward. Chronic pain is a condition that can be successfully managed as long as you treat it with self-love and patience. Use these tips as a blueprint to help you combat chronic pain and start living your best life!

Guest Contributor, Constance Ray
Recovery Well

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SFTT Military News: Week Ending Mar 10, 2017

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Found below are a few military news items that caught my attention this past week. I am hopeful that the titles and short commentary will encourage SFTT readers to click on the embedded links to read more on subjects that may be of interest to them.

If you have subjects of topical interest, please do not hesitate to reach out. Contact SFTT.

Turkey Seeks to Develop Military Cooperation with Russia on Syria
President Tayyip Erdogan sought to build cooperation with Russian leader Vladimir Putin on Friday over military operations in Syria, as Turkey attempts to create a border “safe zone” free of Islamic State and the Kurdish YPG militia. Erdogan, referring to Islamic State’s remaining stronghold, told a joint Moscow news conference with the Russian President “Of course, the real target now is Raqqa”. Turkey is seeking a role for its military in the advance on Raqqa, but the United States is veering toward enlisting the Kurdish YPG militia – something contrary to Ankara’s aim of banishing Kurdish fighters eastwards across the Euphrates river.  Read more . . .

Dangerous Military Options for North Korea
Frustrated that North Korea has been undeterred by international sanctions, the administration of U.S. President Donald Trump is conducting a policy review to look for more effective ways to counter Pyongyang’s missile and nuclear threats. Adding new urgency to this longstanding security threat is North Korea’s accelerated efforts to develop the capability to strike the U.S. mainland with a nuclear tipped intercontinental ballistic missile (ICBM.) In January President Trump tweeted “it will not happen,” in response to North Korean leader Kim Jong Un’s statement indicating that his country would soon test an ICBM.  Read more . . .

Support Options to Help Veterans Finish College
Military veterans face steep challenges when trying to reintegrate themselves in school after service, ranging from lacking the structure of the military to being older than their classmates. Compared to their non-vet peers, veterans — 4% of undergrads nationwide, according to American Council on Education — report at higher rates that they struggle to connect with campus, which can lead to higher dropout rates. In 2011, 51.7% of veteran students graduated from college, compared to 58% of non-veteran students, according to the National Center for Education Statistics. To help more vets stay in school and graduate, several universities nationwide have started programs to teach their staff and faculty about military culture and veterans’ issues. DuBord helped Binghamton adopt one such training program, called Vet Net Ally.   Read more . . .

Drug Abuse

Expanded Drug Testing for Military Applicants
The Defense Department will be expanding drug testing for military applicants to check for all drugs that are tested in active duty military members, according to DoD.  The change, set to take place on April 3, is meant to reflect “the level of illicit and prescription medication abuse among civilians, as well as the increase in heroin and synthetic drug use within the civilian population,” according to Army Col. Tom Martin.  Read more . . .

Can PTSD Risk be Estimated Before Deployment?
Researchers at the University of Texas at Austin are studying cortisol and testosterone in soldiers. Cortisol, the stress hormone, is released as part of the body’s flight-or-fight response to life-threatening emergencies. Testosterone is one of the most important of the male sex hormones. Their findings, published in the journal of Psychoneuroendocrinology, look at cortisol’s critical role in the emergence of post-traumatic stress disorder (PTSD), but only when levels of testosterone are suppressed.   Read more . . .

PTSD:  Misconceptions and Latest Treatments
Medscape recently interviewed Dr Sonya Norman, director of the Posttraumatic Stress Disorder (PTSD) Consultation Program, run by the executive branch of the National Center for PTSD, about common misconceptions related to PTSD and the latest treatments for the condition.  Read more . . .

Drop me an email at info@sftt.org if you believe that there are other subjects that are newsworthy.

Feel you should do more to help our brave men and women who wear the uniform or our Veterans? Consider donating to Stand For The Troops

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Dr. David Cifu: Do Veterans with PTSD Want Him in Their Corner?

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Stand for the Troops (“SFTT”) has written extensively about treating Veterans with PTSD and TBI.  Sadly, much of the publically available literature for brain-related injuries deals with identifying the symptoms and helping Veterans – and their loved ones – cope with terrible consequences of living with PTSD and TBI.

The issue(s) – at least in my mind – are these:

– Is treating the behavioral symptoms of PTSD and TBI enough for Veterans?  

– Have we given up hope in helping Veterans permanently reclaim their lives?

Sadly, treating the symptoms of PTSD/TBI is generally confused with actually providing Veterans with a meaningful long term solution to overcome the debilitating impact of a war-related brain injury.  

Now we learn that the VA is again studying the medicinal benefits of marijuana in treating Veterans with PTSD.   As many Veterans have been experimenting with marijuana for quite some time, I believe that the study will conclude that “medicinal marijuana, if used wisely, can mitigate anxiety, wild mood swings and suicidal thoughts among Veterans suffering from the effects of brain-related injury.”

The phrase in quotes are my words, but I suspect that conclusions of the multi-million dollar clinical study will not differ significantly.

The use of mind-altering drugs – whether medicinal marijuana or opioids – will most certainly help Veterans cope with the debilitating pain and anxiety of PTSD and TBI, but will prescription drugs meaningfully contribute to curing brain injury among Veterans?  

While the Department of Defense (“DoD”) and the Department of Veterans Affairs (“the VA”) have largely agreed that prescription drugs is not the answer, there is little evidence that the DoD or VA are clearly committed to provide Veterans with a clear path to full recovery.

Dr. David Cifu

Dr. David Cifu

In fact, the VA, represented by its spokesperson, Dr. David Cifu, continues to push a stale and failed agenda that states that the only two effective treatment therapies offered by the VA are:

– Cognitive Behavioral Therapy and,

– Prolonged Exposure Therapy.

As the SFTT and others have pointed out, the VA has little – if anything – positive to show in having treating tens of thousand of Veterans with PTSD and TBI with these therapy programs.  You don’t have to be a brain surgeon (sorry for the very poor pun) or even Dr. David Cifu to recognize that currently recommended VA therapy programs have failed Veterans miserably.

Nevertheless, Veterans, the public and countless Congressional committees continue to listen to the same irresponsible dribble year-after-year and buy the same stale argument that Veterans are getting the best treatment possible.  To use a popular phrase, a little “fact-checking” would go a long to way to dispelling this insipid myth.

Dr. David Cifu represents what is wrong with the VA:   A lack of willingness to consider other alternatives.   As Judge and Jury on what constitutes “authorized therapy programs,” the VA has effectively precluded thousands of Veterans from seeking “out of network” solutions that appear to provide a far better long-term outcome.

The VA claims otherwise as we have seen in a long battle over the efficacy of Hyperbaric Oxygen Therapy (“HBOT”) in treating Veterans with PTSD and TBI.  Dr. David Cifu stands behind questionable studies that suggest that there is insufficient clinical evidence to support the thesis that HBOT can improve brain function.   In fact, Dr. Paul Harch, cites plenty of evidence in an academic study for the National Library of Medicine (Medical Gas Research) that conclusively demonstrates the lack of substance to Dr. Cifu’s bland and misleading opinions.

It is difficult to know whether new leadership within the VA will lead to more openness in providing Veterans with PTSD/TBI the support they require in finding therapy programs that work, but unless gatekeepers like Dr. David Cifu can be shown a quick exit, it is unlikely that much will change.

Our brave Veterans deserve far better than the sad and tragic delusional claims of Dr. Cifu.

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