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WASHINGTON, June 9, 1999 - President Clinton and DoD announced June 7 two new Defense Department initiatives aimed at improving the mental health of service members. The first, called the "combat stress control" program, seeks to help identify and manage stress during deployments before it adversely impacts service members' coping skills and effectiveness. The second initiative, aimed at suicide prevention, will take the existing Air Force suicide prevention pilot program and expand it throughout DoD by the end of this year. The Air Force program has been particularly successful, achieving a 50 percent reduction in suicides in only three years. The president announced the initiatives in conjunction with the first-ever White House Conference on Mental Health, held June 7 at Washington's Howard University and chaired by Tipper Gore, wife of Vice President Al Gore. The president and Mrs. Clinton also participated in the all-day conference aimed at reducing the stigma associated with mental health disease and treatment and improving care throughout the nation.

Scientific American has a knock-out article that questions whether the diagnosis of post-traumatic stress disorder is a coherent psychological concept or whether it is actually making the situation worse for soldiers with post-combat mental health problems.

Jason Haines was in survival mode in 2005 when a car pulled out in front of him on a side street in New Britain. In his mind, Haines was still patrolling the streets of Baghdad in a Humvee with the U.S. Army, firing his .50-caliber shotgun at enemy insurgents who set off roadside bombs. Haines beeped his car's horn, but the driver wouldn't speed up. In a rage, Haines began tailgating the car - which, he soon discovered, was an unmarked police cruiser. Haines wasn't arrested that day, but he came close to joining hundreds of Iraq and Afghanistan veterans nationwide whose untreated war-related emotional and mental afflictions - usually termed post-traumatic stress disorder - lead to minor criminal arrests.

The men crewed .50-calibers through Iraq neighborhoods, survived roadside bomb blasts, attended memorial services for buddies. Now they were being asked to cut cattle, on foot, in front of one another and a handful of real cowboys. It's safe to say there wasn't exactly a rush to start. But within a few minutes, the 15 veterans of Iraq and Afghanistan-almost all of them self-described city boys whose experience with livestock extends only to the dinner plate-had learned a thing or two about patience and teamwork, and for a few minutes of laughter and sweat, they could forget about the war that still haunts them. "It's like we're back in the field now," said Jeremy Williams, a 26-year-old who lives in a small town near Huntsville and served three tours in Iraq with the Marines. The veterans came from throughout the United States to spend four days at the stylish Wildcatter Ranch, invited by the Wounded Warrior Project and the owners of the ranch to help restore their spirits. Some of the men have physical injuries, but each of them is struggling to deal with combat stress and their return to civilian society. The men went canoeing and rode horses. They got massages and shot skeet. They stayed in luxurious rooms and they visited an elementary school, where the children gave them Graham Steers ball caps. "I have never seen anything like this before," said Harvey Stubbs Jr., 32, a Chicago-area native who was medically retired from the Army because of his injuries. "The outpouring of love ... has been amazing. A lot of people give lip service to supporting the troops, but these people have opened their hearts to us in ways I can't believe."

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"Post-Traumatic Stress Disorder Statistics for OEF / OEF AFGHANISTAN * A recent study showed that 18 percent of 45,880 veterans were diagnosed with psychological disorders, including 183 with PTSD. IRAQ * According to a 2005 VA study of 168,528 Iraqi veterans, 20 percent were diagnosed with psychological disorders, including 1,641 with PTSD. * In an earlier VA study this year, almost 12,500 of nearly 245,000 veterans visited VA counseling centers for readjustment problems and symptoms of PTSD. * The Marines and Army were nearly four times more likely to report PTSD than Navy or Air Force because of their greater exposure to combat situations. * Enlisted men were twice as likely as officers to report PTSD. "

"Every day, people all across the country do solid work to help veterans successfully transition from combat to civilian life. Every effort has meaning. Every person donates uniquely to the pool. Today, I'd like to introduce you to one of these individuals: Darin C. Farr of the Utah Department of Veterans Affairs. "

"If you haven't seen Ilona Meagher's website focused on combat-related post-traumatic stress among US soldiers and veterans, go here. Meagher wrote a book called, Moving a Nation to Care: Post-Traumatic Stress Disorder and America's Returning Troops. And this week, she's gathered a very useful collection of statistics on the military services with some of the following highlights. Better not to quote me directly here; go to Ilona's site and see the sources she cites for the study parameters and context:"

"Just learned this today from the blog PTSD Combat: Winning the War Within:"

Advocates for the integrated approach in the treatment of PTSD at both Ft. Hood (El Paso, Texas) and Ft. Bliss (Killeen, Texas) were convinced that the traditional methods of treating PTSD weren't long enough in duration, intense enough or comprehensive enough. A program was created that would address all aspects of PTSD and treat the whole soldier. This integrative approach treats many of the symptoms of PTSD that are not addressed through the standard mental health protocols, including cognitive-behavioral therapy and pharmacotherapy. The concept eventually led to the implementation of the Ft. Bliss Restoration & Resilience Center and the Warrior Combat Stress Reset Program at Ft. Hood that incorporated medical massage, meditation, yoga, acupuncture, marital/family therapy and reiki with the standard treatment protocols of cognitive-behavioral and cathartic psychotherapies and pharmacotherapy.