Helping Soldiers Heal

Helping Soldiers Heal tells the story of the US Army's transformation from a disparate collection of poorly standardized, largely disconnected clinics into one of the nation's leading mental health care systems. It is a step-by-step guidebook for military and civilian health care systems alike. Jayakanth Srinivasan and Christopher Ivany provide a unique insider-outsider perspective as key participants in the process, sharing how they confronted the challenges firsthand and helped craft and guide the unfolding change. The Army's system was being overwhelmed with mental health problems among soldiers and their family members, impeding combat readiness. The key to the transformation was to apply the tenets of "learning" health care systems. Building a learning health care system is hard; building a learning mental health care system is even harder. As Helping Soldiers Heal recounts, the Army overcame the barriers to success, and its experience is full of lessons for any health care system seeking to transform.

"The book describes the transformation of the United States Army's mental healthcare delivery system from 'organized anarchy' into a learning mental healthcare system. It provides a systematic roadmap and templates that other healthcare systems, including non-military ones, can use to guide their own mental healthcare transformation efforts"--

War and PTSD are on the public's mind as news stories regularly describe insurgency attacks in Iraq and paint grim portraits of the lives of returning soldiers afflicted with PTSD. These vets have recurrent nightmares and problems with intimacy, can’t sustain jobs or relationships, and won’t leave home, imagining “the enemy” is everywhere. Dr. Edward Tick has spent decades developing healing techniques so effective that clinicians, clergy, spiritual leaders, and veterans’ organizations all over the country are studying them. This book, presented here in an audio version, shows that healing depends on our understanding of PTSD not as a mere stress disorder, but as a disorder of identity itself. In the terror of war, the very soul can flee, sometimes for life. Tick's methods draw on compelling case studies and ancient warrior traditions worldwide to restore the soul so that the veteran can truly come home to community, family, and self.

Drawing on in-depth interviews with service women and men, Nancy Sherman weaves narrative with a philosophical and psychological analysis of the moral and emotional attitudes at the heart of the afterwars. Afterwar offers no easy answers for reintegration. It insists that we widen the scope of veteran outreach to engaged, one-on-one relationships with veterans.

How connecting with nature is helping veterans reintegrate into civilian life and recover from PTSD. There are nearly twenty-five million veterans and active-duty soldiers in North America. Some experts estimate that more than one quarter of these men and women suffer from post-traumatic distress, and many other military persons experience difficulty reintegrating into civilian life. While conventionally prescribed treatments primarily involve medication and therapy, many people are discovering additional ways to manage their injuries and reduce their suffering. Field Exercises: How Veterans Are Healing Themselves through Farming and Outdoor Activities shares the compelling stories of men and women who are finding relief from stressful and traumatic military experiences, while also establishing community networks and other peer support initiatives. Stephanie Westlund examines: The deep and far-reaching connections between nature and human health The tremendous impact of stress and trauma on survivors' lives Resources and groups providing opportunities in the emerging field of “Green Care”. Field Exercises offers hope for veterans searching for methods to ease the transition to civilian life and recover from military stress and trauma. This book will appeal to millions of North American soldiers, veterans, and their loved ones, doctors, psychiatrists, social workers and other caregivers, other groups struggling with high rates of stress and post-traumatic experience, and all those interested in the relationship between nature and human health. Stephanie Westlund holds a PhD in peace and conflict studies. She has been conducting research with veterans since 2009, and continues to be inspired by their courage and personal resolve to move through pain toward recovery, and their unrelenting desire to serve their communities.

U.S. military conflicts abroad have left nine million Americans dependent on the Veterans Health Administration (VHA) for medical care. Their "wounds of war" are treated by the largest hospital system in the country—one that has come under fire from critics in the White House, on Capitol Hill, and in the nation's media. In Wounds of War, Suzanne Gordon draws on five years of observational research to describe how the VHA does a better job than private sector institutions offering primary and geriatric care, mental health and home care services, and support for patients nearing the end of life. In the unusual culture of solidarity between patients and providers that the VHA has fostered, Gordon finds a working model for higher-quality health care and a much-needed alternative to the practice of for-profit medicine.

Eight practical steps to help military families through the unique issues they face When service members return, it's up to their families to try to soften their re-entry into civilian life. Healing Stress in Military Families offers practical help for military families coping with the myriad repercussions of their loved ones' duties, from their deployment to their return home. Based on the latest scientific research and best practice guidelines—as well as the authors' experience treating veterans and their families—Healing Stress in Military Families offers answers for the stress that comes not only from war, but also from other related issues, including deployment and redeployment, relocation, and reunion. Healing Stress in Military Families provides: Evidence-based advice for clinicians helping military families with adjustment problems by facilitating communication, reconnection, and growth "Making It Real" exercises for clinicians to employ with families in sessions "Talking Points" that explore how to guide the family in their healing process Homework handouts and between-session "Taking Action" exercises for families that reinforce and build on skills and information introduced in sessions Compassionately written with the military family at heart, Healing Stress in Military Families provides the information, tools, and skills that will empower these courageous families to more easily heal and become stronger and more resilient as they go through life. "This practical workbook will help others understand the highly complex factors that cause dysfunction within military families. Using a clear format that avoids jargon, providers and families can work through the eight practical steps that focus on reconnecting the family and improving resiliency. This excellent book will surely become core material for anyone interested in working with military families." —Bradford Felker, MD, Director, Mental Health Primary Care Service, VA Puget Sound Health Care System and Associate Professor, Department of Psychiatry, University of Washington School of Medicine "Healing Stress in Military Families: Eight Steps to Wellness is a timely, practical publication that recognizes and addresses the impact of traumatic stress on countless 'hidden victims,' our military families. The focus on empowerment and goal-directedness—versus illness, disorder and dysfunction—is so needed today." —Mark D. Lerner, PhD, President, American Academy of Experts in Traumatic Stress

Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.