Veteran Treatment Courts and PTSD

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It is pleasing to see that CBS decided to feature one of the 120 or so Veteran Treatment Courts in the United States on one of its most popular investigative programs: 60 Minutes. Found below is a brief summary of this very moving and disturbing report:

Two and a half million Americans have served in Iraq and Afghanistan; many of them, more than once. The VA tells us about 20 percent come home with post-traumatic stress disorder, known as PTSD. So, that comes to about 500,000. For some, returning is harder than they imagined. The suicide rate for the Army is up 15 percent over last year. For the Marines its up 28 percent. A few of our troops return to become something they never thought they could be: criminals, for the first time in their lives.

Around Houston, in Harris County, Texas, 400 veterans are locked up every month. We met a judge there who saw them coming before the bench, fresh out of the warzone and he thought a lot of them were worth saving. Judge for yourself once you meet some of our troops, coming home.

A byproduct of the 1995 Crime Bill, the Veterans Treatment Court (Vets Court for short) is a way for Veterans facing jail time to avoid incarceration. If they accept, they are assigned to a mentoring Veteran and must remain drug-free for two years, obtain a high school diploma and have a steady job at the end  of the probation period. This may seem like a good deal, but the path to recover their lives is difficult and fraught with temptation, particularly for those Veterans with PTSD.

SFTT applauds those in law enforcement and the judicial system and supporting Veterans organization for developing such an effective and common sense approach to help Veterans reintegrate into society. 60 Minutes paints a very sympathetic picture of the Veterans Administration in this rehabilitation process, but Vets that we have talked to who have participated in Vet Court programs paint a somewhat different picture.

It is evident that there is a high incidence of dependency on drugs, potent painkillers, antidepressants and alcohol among those with PTSD. One graduate of the Veterans Court Program who now is a substance abuse counselor told me that close to 90% of Vets with PTSD have substance abuse issues.

Now, the VA has very strict rules on issuing prescription medication to Veterans with documented substance abuse problems. In other words, it may be difficult for Veterans to receive proper treatment for PTSD if substance abuse and PTSD are treated as mutually exclusive problems. This clearly introduces a level of difficulty for the VA in providing the type of comprehensive rehabilitation treatment these Vets deserve. Some may call it Catch 22, but I am sure our Vets find it no laughing matter.

In any event, SFTT applauds the Veteran Treatment Courts and is committed to help them expand across the United States.

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