Opioid Abuse, Veterans and Mea Culpa

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With 80 people dying each day from overdoses of opioids, it is not surprising that Federal, State and Local authorities are seeking emergency measures and money to treat opioid abuse.

OxyContin - Veteran Addiction

Less surprising is the moral outrage and lynch-mob mentality of those who seek vengeance against those they deem responsible for the epidemic.  Just today, I read in the New York Times that the McKesson Corporation, “the nation’s largest drug distributor . . . finds itself at the center of the nation’s opioid epidemic.”

According to New York Times editor Gretchen Morgenson, McKesson shareholders and investors are likely to question the lavish pay packages earned McKesson executives while promoting the sale of lethal opioids to an unsuspecting public.

I do not doubt that corporate greed has played a large role in this terrible epidemic, but let’s not forget their important enablers:

I realize it is a lot easier to blame some Colombian or Mexican War Lord for our nationwide drug addiction, but it seems undeniable that the U.S. government and trusted private and public associations have colluded with drug companies to create this “semi-legal” drug epidemic.

The consequences are heart-wrenching for many families who have lost loved-ones to this terrible addiction. Large towns and cities across the country have been devastated. Communities can no longer support themselves due to drug addiction by large segments of their population.

Rather than seek villains from this terrible tragedy, it is an opportunity for all citizens to reflect on the dysfunctional medical and substance control and testing process that enabled privately-owned companies to “legally” hook so many Americans on prescription drugs.  The “mea culpa” has plenty of self-serving enablers who would do well not to point fingers.

Sure, Big Pharma may eventually pay the price, but political party operatives have had their hands out at every stage of the addiction process to accept  “political contributions” to keep the regulatory process well lubricated.

The Veterans and Opioids

As SFTT has reported on numerous occasions, the VA has regularly resorted to using opioids and other toxic prescription drugs to treat Veterans with PTSD and TBI.  The VA and the Department of Defense (the DoD) have long known of the side-effects of opioids, but both have cited the FDA and “clinical trials” as evidence that their treatment procedures have strong support from the medical community.

According to the VA (whose numbers are generally suspect), some 68,000 Veterans are addicted to opioids:

“The Center for Investigative Reporting, using data provided under the Freedom of Information Act, said prescriptions for four opioids (hydrocodone, oxycodone, methadone and morphine) surged by 270 percent between 2000 and 2012, leading to addictions and a fatal overdose rate that was twice the national average.

“In 2014, the VA said it issued 1.7 million prescriptions for opioids to 443,000 vets to be taken at home.

“Citing a VA Office of Inspector General’s report, the Center for Ethics and the Rule of Law (CERL) said: “Between 2010 and 2015, the number of veterans addicted to opioids rose 55 percent to a total of roughly 68,000. This figure represents about 13 percent of all veterans currently prescribed opioids.”

Even by the VA’s own admission, these numbers are staggering.  More to the point, the use of these opioids may have helped Veterans cope with their pain, but it has done little if anything to help treat Veterans suffering from PTSD and TBI.  In fact, many Veterans will argue that the use of these prescription opioids has led to deeper depression and anxiety and, in some cases, suicidal tendencies.

Frankly, the use of opioids in treating PTSD and TBI has been largely unsuccessful.  There are many less invasive treatment alternatives for PTSD and TBI, but the VA seems reluctant to pursue them.

Why?  Has the insatiable greed of corporations and their government enablers blocked the pursuit of new treatment alternatives?

I certainly hope not, but I remain sceptical.

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Military News Highlights: Week Ending Jul 21, 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 Releases Secret Sites of US Troops in Syria
In the latest display of Turkish anger at U.S. policy in Syria, the state news agency has divulged the locations of 10 U.S. military bases and outposts in northern Syria where the U.S. is leading an operation to destroy the so-called Islamic State in its self-styled capital of Raqqa. The list published by the Anadolu news agency points to a U.S. presence from one end to the other of the Kurdish self-administration region—a distance of more than 200 miles. The Anadolu news agency even listed the number of U.S. troops in several locations and in two instances stipulated the presence of French special forces.  Read more . . .

South Korea Proposes Military Talks with the North
South Korea on Monday proposed holding military and humanitarian talks with North Korea, its first visible split with the Trump administration, which has said it will deal with North Korea’s continued missile tests by stepping up sanctions and military pressure on the country. If the talks take place, they will be the first military-to-military dialogue since 2014. It is an attempt to ease tensions along a heavily armed border, and perhaps to arrange the resumption of reunions of families divided decades ago by the Korean War. But North Korea did not immediately respond, and such conversations have a dismal history since military officials on both sides are usually not empowered to negotiate significant agreements.  Read more . . .

French Military Chief Resigns Over Defense Cuts
A public fight between President Emmanuel Macron and France’s chief military officer over proposed cuts in military spending led Wednesday to the first high-profile resignation of a public servant since Mr. Macron was elected in May. In an unusual move, the military chief, Gen. Pierre de Villiers, offered his resignation after Mr. Macron said publicly that he would be the one to determine military policy and implicitly criticized General de Villiers for questioning the government’s proposed budget cuts. The president’s seemingly unshakable confidence in his judgment, and his reluctance to brook any dissent, could signal potential difficulties ahead as Mr. Macron tries to shrink government spending.  Read more . . .

Major IT Contract at Department of Veterans Affairs in Danger of “Catastrophic Failure”
Internal documents obtained by the American-Statesman show that last year, even as government overseers were taking the VA to task for failures in other high-profile IT projects, VA officials worried that the department’s $543 million contract with Hewlett-Packard Enterprise Services to implement a real-time locating system, or RTLS, was careening off the rails. The system, which consists of tagging and wirelessly tracking everything from catheters to hospital beds, has been hailed as a way to potentially save millions of dollars in lost or misplaced equipment.  Read more . . .

PTSD Brain Details

New PTSD Study Points Way to Future Treatment
A study of post-traumatic stress disorder (PTSD)—conducted by the VA National Center for PTSD (NCPTSD), National PTSD Brain Bank, and Yale University—has identified a new potential mechanism contributing to the biology of the disorder that may be targeted by future treatments.  The study, led by NCPTSD and Yale psychiatrist Irina Esterlis, is the first to implicate a specific alteration in brain glutamate signaling in PTSD. Glutamate is a chemical messenger of brain signals, and alterations in glutamate levels in PTSD were described previously. The new study reports that positron emission tomography (PET) scans show increased levels of a subtype of glutamate receptor in the brain, metabotropic glutamate receptor-5 (mGluR5), in patients with PTSD. In animals, overstimulation of mGluR5 is associated with fear and stress-related behaviors; drugs that reduce mGluR5 function may reduce these symptoms. Thus, the current study may have implications for the treatment of PTSD, said the researchers.  Read more . . .

Welsh Study on Treating PTSD
Funded by the Forces in Mind Trust (FiMT) and supported by Health and Care Research Wales, the study is seeking to help veterans who have not responded to current PTSD treatments. The two-year study is investigating the effectiveness of a new therapy known as 3MDR, where patients walk on a treadmill whilst interacting with a series of self-selected images that are related to their trauma, and displayed on a large screen. The aim of this therapy is to help patients learn how to move through their avoidance by, literally, approaching their traumatic memories.   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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Hyperbaric Oxygen Therapy (HBOT) by Grady Birdsong

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Hyperbaric Oxygen Therapy HBOT Grady BirdsongGrady Birdsong, a USMC Veteran from Vietnam, has co-authored a book with Col. Robert Fisher (USMC – Ret) that deals with hyperbaric oxygen therapy (“HBOT”) entitled “The Miracle Workers of South Boulder Road:  Healing the Signature Wounds of War.”

The book is a 2016 Best Book Awards finalist and details how HBOT helps reverse the damage of traumatic brain injury.   In a must-hear interview, Grady Birdsong explains his experience with HBOT (and now his advocacy)  to Jerry Fabyanic on his “Rabbithole” program at KYGT in the Idaho Springs/Denver area.

Grady Birdsong spikes up interest in hyperbaric oxygen therapy with a down-to-earth radio interview with KYGT Radio with the following introduction:

In our advocacy campaign to make this clinic and treatment known, I had the good fortune of being interviewed on KYGT Radio over the weekend by Jerry Fabyanic on his “Rabbithole” program in a mountain town close to Denver. He has so graciously provided me with a link to that interview about our book. We most gratefully appreciate his voice and his audience at KYGT in the Idaho Springs/Denver area. Likewise my close friend and veteran Marine, David T. “Red Dog” Roberts, 1st Bn, 4th Marines, Delta Company in Vietnam and his Doc, Corpsman, Kenneth R. Walker produced two songs that are complementary to this advocacy of healing the signature wounds of war. You will hear them in the interview.

CLICK HERE for the entire and very educational 50+ minute podcast.

SFTT has long recommended the use of hyperbaric oxygen therapy or HBOT to treat Veterans with the symptoms of PTSD and TBI.  There are many studies that prove conclusively that the supervised application of HBOT helps improve brain function and restores cognitive abilities.

While Mr. Birdsong points out the many restorative benefits of HBOT, follow-up supervision is recommended to help deal with some of the symptoms of PTSD.

Sadly, in many online forums dealing with the ravages of PTSD, most military families are unaware of the benefits of regular supervised “dives” in HBOT chambers.  I would argue that the Department of Veterans Affairs has purposely discredited the use of HBOT in treating PTSD and TBI to promote their own failed agenda and the prevalent use of addictive prescription drugs.

One only needs to listen to the likes of Dr. David Cifu, Senior TBI Advisor to the Department of Veterans Affairs, to see the cynicism and blatant disregard for clinical evidence adopted by the VA against HBOT.   One can only speculate why, but HBOT seems to offer Veterans a far better solution than the cocktail of drugs served up by the VA.

Found below is a very moving and instructional video by Grady Birdsong of a young woman who “recovered her life” from the “signature wounds of war” with the use of HBOT:

Thanks to the effort of Grady and many other dedicated Veterans, we can all join together and help Veterans reclaim their lives. It is simply the right thing to do!

Nevertheless, the benefits of HBOT will not be widespread until the restrictive and self-serving barriers to this treatment are adopted and encouraged by the VA. Secretary Shulkin of the VA wants change to occur at the VA.  What better way to demonstrate his commitment to reducing Veteran suicides than by embracing HBOT to treat PTSD?

If you want to learn more about how HBOT can be used in treating PTSD and TBI, I suggest that you purchase The Miracle Workers of South Boulder Road:  Healing the Signature Wounds of War.  Share it with family and friends to encourage them not to give up hope on our brave Veterans.

For those tired of watching the lives of loved one end in pain, depression and hopelessness; write Dr. Shulkin and members of Congress and ask for action.  Don’t allow naysayers and self-serving bureaucrats like Dr. Cifu block Veteran access to HBOT.

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SFTT News: Highlight for Week Ending Jun 7, 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.

Syrian Military Threatens Coalition Forces on Border
Forces loyal to the Syrian government have threatened to retaliate with force after the U.S. military struck their positions on multiple occasions. A military alliance fighting the Islamic State militant group (ISIS) and other insurgents on behalf of Syrian President Bashar al-Assad and his allies in Iran and Russia issued a statement Wednesday containing five points of criticism after U.S. warplanes carried out strikes against their fighters on Tuesday. The U.S. argued that Iran-backed militants had approached too closely a Special Forces base in the Syrian region of al-Tanf near the Iraqi and Jordanian borders, prompting the U.S. to launch its second such attack in three weeks against pro-Assad forces.  Read more . . .

Veterans with PTSD

Treating PTSD at the Department of Veterans Affairs
The Department of Veterans Affairs has greatly expanded its treatment programs for mental health problems overall, and for post-traumatic stress disorder in particular, said Dr. Harold Kudler, acting assistant deputy under secretary for Patient Care Services at the VA. In fiscal 2016, the VA provided mental health treatment to 1.6 million veterans, up from 900,000 in 2006, Kudler said. Of the overall figure, 583,000 “received state-of-the-art treatment for PTSD,” including 178,000 who served in Iraq and Afghanistan, he added.   Read more . . .

European Military Command Center Moves Forward
The European Union approved a new military command center for foreign training missions on Thursday after Britain dropped its opposition, the latest step in EU efforts to integrate its militaries and defense industries. A day after the European Commission offered 1.5 billion euros ($1.68 billion) a year in support of Franco-German plans for greater EU defense cooperation, all 28 EU governments agreed for the command center in Brussels to run training missions in Somalia, the Central African Republic and Mali. EU foreign policy chief Federica Mogherini said in a statement the decision was “a very important operational decision to strengthen European defense”.   Read more . . .

Senate Passes VA Reform Bill
The Senate approved bipartisan legislation by voice vote Tuesday to reform civil service protections at the Department of Veterans Affairs. The legislation, dubbed the “Department of Veterans Affairs Accountability and Whistleblower Protection Act” would make it easier to fire federal employees, including executives. The legislation follows numerous scandals at the VA in recent years, most notably the manipulation of waiting lists for veterans, with patients dying while waiting for treatment.  Read more . . .

Secretary Shulkin Announces Shift in Electronic Records
In a move that’s been long-discussed and much anticipated, Veterans Affairs Secretary David Shulkin announced his intention to move VA to a commercial, off-the-shelf electronic health record and turn the page on a new chapter toward achieving interoperability with the Defense Department. VA will abandon its own, existing Veterans Information Systems and Technology Architecture (VistA) and adopt MHS Genesis, the same EHR system that DoD is deploying. All patient data will reside in one common Cerner Millennium system.  Read more . . .

Crisis in PTSD Drug Development Leads to Other Treatment Alternatives
Only two medications – sertraline (Zoloft, Pfizer) and paroxetine (multiple brands) – are currently approved by the US Food and Drug Administration (FDA) for the treatment of PTSD. Although these drugs and a few others have modest effect sizes, they are not as effective as trauma-focused psychotherapies, as reported in a recent review, which, Dr Davis said, factored largely into the pivotal clinical guidelines shift. Although the results reflect the potentially robust efficacy of psychotherapy, they also underscore the need for better medications, a sentiment that Dr Davis and her colleagues on the working group noted in a consensus statement.  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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Veterans with PTSD Knew that VA Opioid Prescriptions Were Wrong

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After many lives of many brave Veterans with PTSD have been lost, the State of Ohio has finally taken action against pharmaceutical drug companies for hyping opioids.

Opioids

According to the New York Times reporter,  

The State of Ohio filed a lawsuit on Wednesday against the pharmaceutical industry over the opioid epidemic, accusing several drug companies of conducting marketing campaigns that misled doctors and patients about the danger of addiction and overdose.

Defendants in the case include Purdue Pharma, Teva Pharmaceutical Industries, Johnson & Johnson, Endo Pharmaceuticals, Allergan and others.

Purdue, the maker of OxyContin, a time-release opioid, released a statement saying, “We share the attorney general’s concerns about the opioid crisis and we are committed to working collaboratively to find solutions,” and calling the company “an industry leader in the development of abuse-deterrent technology.”

As most Veterans treated by the Department of Veterans Affairs (“the VA”) are aware, opioids were the prescription of choice for Veterans suffering from PTSD.

Despite overwhelming evidence available to the VA and the Department of Defense (the DOD) that this was probably not a wise course of action, the VA persisted in treating the symptoms of PTSD with dangerous prescription drugs.

It is only now with opioid and drug addiction ravishing communities across the United States that some local and State governments are beginning to take action.  In the interim, thousands of Veterans with PTSD have suffered through over-medication with opioids by doctors at the VA.

More to the point, the VA continues to insist on dated and ineffective treatment programs for Veterans with PTSD and TBI.   Under the inept counsel of Dr. David Cifu, these same treatment therapies continue at the VA today.

It is difficult to predict when this tragic saga will end, but clearly there are no indications that the VA plans to make any substantial changes to current programs.  As such our brave Veterans will continue to receive the same flawed therapy and, most likely, a healthy supply of prescription drugs to mask the symptoms.

Where are our leaders in Congress and leaders within the VA to put an end to this tragedy?  Cynical though I am, I have a difficult time believing that Big Pharma political campaign donations would be the reason.

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SFTT Military News: Week Ending May 19, 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.

Secretary of Defense Weighs In on War with North Korea
U.S. Defense Secretary Jim Mattis said on Friday that any military solution to the North Korea crisis would be “tragic on an unbelievable scale” and Washington was working internationally to find a diplomatic solution. North Korea has defied all calls to rein in its nuclear and missile programs, even from China, its lone major ally, calling them legitimate self-defense.  Read more . . .

Military Handgun M-9 handguns

Could the US Military Purchase Handguns Online?
The Defense Department may start doing a whole lot more online shopping in 2018, if Republican Rep. Mac Thornberry has his way. The Texas chairman of the Armed Services Committee unveiled new legislation Thursday that aims to cut costly bureaucratic red tape at the Pentagon by allowing the military to buy everything from pens to treadmills from business-to-business sites such as Staples and Amazon. That would free the federal government’s biggest bureaucracy from using its current “expensive” and “onerous” contracting and scheduling process to buy its commercial goods, according to Thornberry.  Read more . . .

Large Number of Troops Separated for Misconduct had PTSD
Nearly two-thirds of the 91,764 U.S. troops who were separated from the military for misconduct in a recent four-year period had been diagnosed with post-traumatic stress, a traumatic brain injury or another condition that can lead to misconduct, according to a report released Tuesday, raising questions about the Pentagon’s treatment of combat veterans. The Government Accountability Office found that the Defense Department needs to take action to make sure that commanders appropriately consider medical conditions when weighing what to do with service members facing misconduct allegations. Some 57,141 troops were separated from the service despite a potentially relevant diagnosis between 2011 and 2015, and 13,283 of them received other-than-honorable discharges that could prevent them from receiving care from the Department of Veterans Affairs, the report said.  Read more . . .

Improper Payments at VA Continue to Grow
The Department of Veterans Affairs cost taxpayers $5.5 billion dollars in improper payments last year, according to a new report by the Veterans Affairs Office of Inspector General published Monday. An improper payment is any payment that “should not have been made or that was made in an incorrect amount under statutory, contractual, administrative, or other legally applicable requirements,” according to the report. The findings, published on May 15, reported an increase in improper payments from $5 billion in 2015 to $5.5 billion in 2016. It also found that two VA programs failed to keep their rate of mistaken payments below 10%, and six of its programs failed to meet reduction targets set last year.  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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Meet David Cox: Dr. “No” of VA Reform

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Meet J. David Cox, who many consider “Dr. No” of badly needed reforms within the Department of Veterans Affairs (“the VA’).

J. David Cox

J. David Cox

J. David Cox is President of the American Federation of Government Employees and is the person most likely to block any meaningful reform within the VA.  SFTT has had an eye on Mr. Cox who in the run-up to last year’s Presidential election, threatened the previous secretary of the VA with physical violence:

Cox was “prepared to whoop Bob McDonald’s a – -,” he said. “He’s going to start treating us as the labor partner … or we will whoop his a – -, I promise you,”

The new VA Secretary, Dr. David Shulkin, is rightly receiving favorable media coverage and support from both parties in Congress on his forceful new leadership.  In fact, the New York Times recently referred to Dr. Shulkin as a “Hands On, Risk-Taking ‘Standout.'”

The New York Times reports the following example of Dr. Shulkin’s responsiveness (and common sense):

After he first took the job, he grew concerned that the agency was not doing enough to prevent suicide after a news report showed high rates among young combat veterans. Suicide prevention leaders told him that they would put together a summit meeting to respond, adding that it would take 10 months.

Dr. Shulkin told them to get it done in one month. When his staff members pushed back, he pulled out a calculator and began quietly tapping, then showed them that during the delay, nearly 6,000 veterans would kill themselves. They got it done in a month.

“For me it was a very important day,” he said, remembering the meeting. “It taught our people you can act with urgency, and you can resist the temptation to say we work in a system that you can’t get to move faster. I think they learned that you can.”

Indeed, SFTT has greatly admired the decisiveness with which Dr. Shulkin has attacked two chronic problems with the VA:  A bloated infrastructure and the lack of authority to manage the VA’s large workforce.

While Congressional Republicans and Democrats have largely agreed on an “accountability” bill to support the firing of VA employees, J. David Cox argues that:

“Trampling on the rights of honest, hard-working public-sector employees is not the solution to holding bad employees accountable for their actions,” American Federation of Government Employees National President J. David Cox said. He said the bill would set up different standards for VA employees and other federal workers.

In fact, just recently it was reported that “a federal appellate court overturned the firing of Sharon Helman, who presided over a Phoenix VA Health Care System that left veterans waiting for weeks or even months for care while phony records were kept to show the agency was meeting its wait-time goals.”

Dr. David Shulkin, VA Secretary

While I hope that Dr. Shulkin has the fortitude to implement the bold changes he has outlined, the entrenched bureaucracy represented by David Cox and others, such as David Cifu, will continue to undermine his efforts.

The VA has simply grown too large to manage effectively.  Dr. Shulkin is right in arguing that the lives and well-being of Veterans are far more important than defending the rights of a few “bad apples” within the VA.  David Cox should embrace the vision of Dr. Shulkin and act in a manner which reflects well on the work ethic of the vast majority of VA employees.

Veterans, Veteran organizations and our elected officials should provide Dr. Shulkin with a clear mandate to bring about the much needed reform within the VA. Our Veterans, their family and friends and an appreciate public deserve no less.

J. David Cox would do well to join forces with Dr. Shulkin in this effort rather than taunt him.

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SFTT Military News: Week Ending Apr 14, 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.

Military Revamping Retirement System to Attract Millennials
In a bid to lure millennials, the U.S. military is making the most sweeping changes to its retirement program since World War II. Gone are the days when only a 20-year veteran leaves the service with a nest egg. Going forward, those who serve as little as two years will return to civilian life with retirement savings. The new system introduces 401(k)-type savings for military personnel while downsizing the traditional pension benefit—a trade the corporate world has been making for 35 years. The new design also comes with a stepped-up effort to provide service members with the education they will need to make the most of a system that demands more individual involvement.  Read more . . .

Expanded U.S. Military Push in Yemen?
Amid reports President Trump is considering more American military help for the Saudi-led fight in Yemen, U.S. lawmakers are urging caution, if not an about-face. Four U.S. senators have offered legislation to limit arms sales to Riyadh over its troubled Yemen campaign. Fifty-five members of the U.S. House called on Trump in a letter to end both U.S. refueling for Saudi coalition warplanes and logistical assistance for the Saudi-led bombings in Yemen — and they said Trump must seek congressional approval before he deepens U.S. military involvement.  Read more . . .

Department of Veterans Affairs

Another VA Hospital Criticized by the Inspector General
In a scathing report, the Inspector General for the Department of Veterans Affairs listed a range of overlooked and long-standing problems at the Washington, D.C., VA Medical Center “sufficient to potentially compromise patient safety.” The risk to the 98,000 vets served by medical center in the nation’s capital was so high that the office of Inspector General Michael Missal took the unusual step of issuing a preliminary report to alert new VA Secretary Dr. David Shulkin to the danger.  Read more . . .

Future of the US Military Health System
Three components are needed for a high-performing military. First, the health of military personnel affects “readiness and battlefield performance.” So, health is not only a personnel matter, but also a national security issue. Second, maintaining the health of service members requires “everything from nutritious meals to medical services.”  Third, health care benefits help to attract and retain men and women in the armed services.  Nevertheless, the Military Health System “is a major cost” to the federal government, and the growth of that system “threatens other defense priorities” and attracts “criticism and proposals to reform military health care.”  Read more . . .

Oxycontin and PTSD

Oxycontin Being Tested (Again) for Treatment of PTSD
Nightmares. Obsessive thoughts. Avoiding particular places. Sudden outbursts. Fearing you’re in danger. Survivor guilt. These experiences – manifestations of post-traumatic stress disorder (PTSD) – are part of life for up to 1 in 3 U.S. combat veterans and active military personnel. That’s more than triple the prevalence of PTSD in the population at large. About two-thirds of those with PTSD struggle with alcohol abuse. A new trial may hold new hope for these military personnel through treatment with oxytocin, sometimes referred to as the “love hormone.”  Read more . . .

Tonix Drug PTSD Study Enters Phase 3
Tonix Pharmaceuticals Holding Corp. announced today that it has enrolled the first participant in the Phase 3 HONOR study of TNX-102 SL 5.6 mg, for the treatment of posttraumatic stress disorder (PTSD). “Enrolling the first participant in the HONOR study is an important event not only to Tonix, but potentially to millions who suffer worldwide from both civilian and military-related PTSD,” said Seth Lederman, M.D., Tonix’s president and chief executive officer. “The HONOR study is designed to confirm the clinical benefit of TNX-102 SL to improve PTSD symptoms across several measures as demonstrated in our Phase 2 AtEase study in military-related PTSD.”   Read more . . .

VA Launches New “Quality of Care” Website
The Department of Veterans Affairs unveiled a new website Wednesday aimed at providing information on the quality of care at VA medical centers, touting new accountability even as it grappled with fresh questions of patient safety in its beleaguered health system. The VA website, www.accesstocare.va.gov, is a work in progress. It provides preliminary data on the VA’s 1,700 health facilities, along with more than a dozen private-sector hospitals and national averages. Three years after a wait-time scandal at the Phoenix VA medical center, the website offers comparative data on wait times as well as veterans’ satisfaction ratings in getting timely appointments.  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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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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