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Strain in the ranks is leading directly to a tragic suicide epidemic in our military. A Senate hearing is slated for today on the subject. It’s an epidemic and a disturbing problem that this nation must solve. It has the attention of the top civilian in the US Army. We hope the Army’s plan to help our troops cope with the stresses of war works — but we’re sure that reducing the continuous load of deployments on our troops would be very helpful.  War-related trauma doesn’t just plague our veterans — it also haunts our military children, too. Is there a technique for weakening traumatic memories? The fact is, our troops are also dying at home. Add Nevada to the list of states considering special courts for our veterans suffering PTSD — as war has injured them, not that criminality has overcome them. Add Texas to the list of states looking to boost the mental health of military families. Because the most pervasive combat injury is invisible. Sexual assaults in the military are on the rise — but a glimmer of a silver lining is that such assaults are now being more readily reported than swept under the rug. Even a Navy Chaplain stands accused of sex-related crimes.

Advocates for veterans report an increase in the number of Iraq and Afghanistan veterans facing charges such as domestic violence, firearms violations, breach of peace and drunken driving.A Connecticut lawmaker says the court system should be able to identify troubled veterans and refer them to mental health specialists, the same way family courts and drug courts work."Our troubled veterans may not need to be locked up if their combat experience has led to psychological wounds," said Senate Majority Leader Martin Looney, a New Haven Democrat who has introduced legislation to create a separate criminal docket for veterans.This mirrors actions elsewhere in the country. Some states are setting up veterans' courts or enacting laws to deal with veteran offenders. In 2008, Buffalo, N.Y., created the first Veterans Treatment Court after a judge noticed that hundreds of veterans were showing up in his courtroom facing minor charges. California and Minnesotahavepassed legislation to allow nonviolent veterans to forgo jail time if they can prove that their combat experience played a role in the criminal behavior.Looney said he introduced his bill after hearing stories about returning Iraq and Afghanistan veterans in Connecticut and across the nation ending up in jail. Connecticut also is using a $2 million grant from the federal Center for Mental Health Services to devise a program that will keep veterans with post-traumatic stress disorder out of jail.

Reluctant To Report SymptomsPeople with experience in overseas conflicts, or who work with those who have recently returned, often refer to one overriding symptom of post-traumatic stress disorder in recent veterans."Anger is a really big problem," said Jay White, an Iraq veteran and counselor at the Hartford Vet Center in Rocky Hill. It's one aftermath of the "high-octane environment" veterans experience in war, he said.According to the Connecticut Department of Veterans Affairs, 16,500 state residents have been deployed to Iraq and Afghanistan since the 9/11 terrorist attacks. That number includes soldiers in the Connecticut Guard, the reserves and active duty personnel. The high number of veterans returning from Iraq and Afghanistan with post-traumatic stress disorder presents a large challenge for the criminal justice system. And given that President Barack Obama last week authorized an additional 17,000 troops to go to Afghanistan this year, the number of people who could eventually experience PTSD is likely to increase.PTSD, triggered by an event or events so extreme that they cause trauma, can shatter a soldier's sense of safety and trust and cause a constellation of reactions, in addition to anger.

Tom Berger, former chairman of the PTSD committee of the Maryland-based Vietnam Veterans of America, said post-traumatic stress can easily manifest itself in criminal behavior. "It interferes with your thinking process. You have high anxiety. You do strange things like taking U-turns, or carrying loaded weapons in your car," said Berger, who has worked to change the criminal justice system for veterans. James Campbell's experience may typify that of many veterans. The 28-year-old Middletown resident now works as a veterans' employment representative for the state Department of Veterans Affairs. He said he returned home in a hyper-vigilant, ready-for-battle state of mind. Road rage and driving drunk were problems."When I got back, I felt I was indestructible, especially when I was drinking. I didn't care whether I would get into a car and drive drunk," he said. Berger said jail diversion programs should include treatment and recovery and a mentoring component. He said some Vietnam veterans incarcerated when they returned home from war remain in jail. Jim Tackett, director of veterans' services for the state Department of Mental Health and Addiction Services, said the state's jail diversion program will work closely with mental health officials, the veterans administration and the criminal justice system to identify veterans who need help. "Some veterans who commit minor crimes that are the direct result of traumatic wartime experiences need treatment, not incarceration," Tackett said.

The few veterans courts in the nation are modeled on drug courts that allow defendants to avoid prison in exchange for strict monitoring. Most are only a couple of months old and it is difficult to track their effectiveness, but the results from the first court, which opened in Buffalo, N.Y., in January 2008, are striking. Of the more than 100 veterans who have passed through that court, only two had to be returned to the traditional criminal court system because they could not shake narcotics or criminal behavior, said Judge Robert Russell - a far lower rate of recidivism than in drug courts. "It's the right thing to do for those who have made a number of sacrifices for us," Russell said. "If they've been damaged and injured in the course of their service . . . and we can help them become stable, we must." There are no comprehensive statistics on how often veterans get in trouble with the law, and the majority never become entangled with the legal system. But psychiatrists and law enforcement officials agree that the traumas of combat can lead to addiction and criminality. Studies have shown that as many as half of the troops returning from Iraq and Afghanistan suffer post-traumatic stress and other disorders, and mental health is the second-most-treated ailment for returning veterans in the Department of Veterans Affairs system.

Since Russell's court started, veterans courts have opened in Orange and Santa Clara counties in California; Tulsa; and Anchorage, Alaska. Pittsburgh, southern Wisconsin, Phoenix and Colorado Springs, Colo., are opening or considering new courts this year. Some in Congress have proposed a federal program to help spread veterans courts across the country. Most veterans courts admit only nonviolent felony offenders, though some include violent crimes. Defendants are required to plead guilty to their crimes. In exchange for a suspended sentence that can include prison time, they must consent to regular court visits, counseling and random drug testing. Should they waver from the straight and narrow, their sentences go into effect. Orange County, Calif., Superior Court Judge Wendy Lindley started her veterans court in November after a young Iraq war veteran on her docket died of a drug overdose. "It was horrible," she said. As in most of the nation's nascent veterans courts, many of the defendants in Lindley's court fought in the Vietnam or Persian Gulf wars. But she has seen a few Iraq war veterans, all of whom had clean histories before joining the military but started getting into trouble after they returned.

I was in Iraq in 2004. From the day we had arrived home to the day we were scheduled to return to Iraq was exactly nine months. The pressure to prepare ourselves quickly was intense. When the first Marine came to my office and asked to see the psychiatrist about some troubling issues from our time in Iraq, I was sympathetic. I said, "No problem." When another half dozen or so Marines approached me with the same request, I was only somewhat concerned.But when all of them and several more returned from their appointments with recommendations for discharge, I'll admit I was alarmed. Suddenly I was not as concerned about their mental health as I was about my company's troop strength.

As all those Marines in my company began filtering out, some from essential positions, I started to worry about the welfare of those remaining. I worried, quite naturally, that if the exodus continued, we might not have enough to accomplish our mission or to survive on the battlefield. My sympathies for those individuals claiming post-traumatic stress began to wane. A commander cannot serve in earnest both the mission and the psychologically wounded. When the two come in conflict, as they routinely do as a result of repeated deployments, the commander will feel an internal and institutional pressure to maintain the integrity of his unit. I did. And there begins a grassroots, albeit subconscious, resistance to Mullen's plan to destigmatize the people who seek help. Because as much as I cared about my Marines, it was difficult to look upon those who sought to leave without suspicion or even mild contempt.

Where psychological and traumatic brain injuries can still, to some extent, be doubted and debated, and when their treatment stands in opposition to troop strength and to mission accomplishment, the needs of those wounded service members will be subordinated.The result by necessity, which we are already witnessing today, will be dubious treatment protocols within the military aimed at retention, diagnosed soldiers returning to the battlefield, and a slowly diminished emphasis on screening. It will happen. It has begun already. There will be no policy shift. There will be no change in the language we hear from our leaders. But we will know all too well that our soldiers are still not being properly treated by the ever-increasing number of suicides that occur.

It is notable that the Army only began keeping records on suicides in 1980, a policy likely fueled by the cascade of attempted and successful suicides by Vietnam veterans. In 1983, with the introduction of the diagnosis of Post Traumatic Stress Disorder (PTSD) in the American Psychiatric Association’s Diagnostic & Statistical Manual, the military and VA began, finally, to acknowledge the debilitating effects of this combat-related trauma reaction. Increased risk of suicide is among the many symptoms of the half-million Vietnam veterans diagnosed with chronic PTSD. Using the most conservative estimates, there may be as many as 75,000 active duty military or recently discharged veterans with PTSD or significant symptoms of PTSD, according to psychologist Alan Peterson of the University of Texas. Peterson is a researcher with a multidisciplinary consortium recently awarded a $25 million Department of Defense grant to study behavioral treatments for PTSD.To date, there has been no comprehensive epidemiological study on military suicides resulting from PTSD. In 1988, however, the Centers for Disease Control presented congressional testimony, confirming 9,000 suicides among Vietnam combat veterans.

According to figures obtained by the Associated Press, there has been a steady increase in suicides since 2003, totaling 450 active duty soldiers, with the highest numbers occurring in the past year. Military suicides vary considerably between branches of the service, with the Army and Marine Corps frequently reaching the highest annual rates. Longer and more frequent deployments and the primacy of ground combat operations are factors often blamed for the Army’s higher rates of physical injury, mental illness and suicide. In October 2008, the Army announced a five-year, $50 million collaborative study with the National Institute of Mental Health to address suicide. In a rare public admission of the urgency of the problem, Dr. S. Ward Cassells, assistant secretary of defense for health affairs, stated in the New York Times, “We’ve reached a point where we do need some outside help.” Such efforts are encouraging but will yield little immediate assistance to active duty soldiers, returning veterans and their families.

It was during his first deployment in Iraq that Marine Cpl. David Tracy, 23, of Peekskill earned his Purple Heart."I was up top behind the gun when we stopped at a checkpoint and a roadside bomb exploded on the other side of the barrier," said Tracy, an infantryman who served as a machine gunner in Baghdad and Fallujah.

Legislation introduced recently by Rep. John Hall, D-Dover Plains, would lift the burden of proof from veterans who served in combat zones and have a diagnosis of PTSD, allowing them to receive disability benefits without having to prove that a specific incident caused the disorder.In the Iraq and Afghanistan wars alone, more than 100,000 veterans have been found to have PTSD, but only 42,000 have been granted service-connected disability for their condition, said Hall, chairman of the Veterans Affairs Subcommittee on Disability Assistance and Memorial Affairs.The disability claims backlog at the VA tops 800,000. A large percentage of that number are Vietnam veterans seeking compensation for PTSD, Hall said.

Antonette Zeiss, deputy chief of the VA's Mental Health Services, said members of the current generation of veterans are being encouraged to come in sooner so they can get treatment, even if they are not eligible for benefits. State-of-the-art treatment should now be available without delays, she said.But PTSD is not the whole story, said Zeiss, a clinical psychologist. There are 442,862 veterans enrolled with the VA who have a diagnosis of PTSD out of a total 1,662,375 with some mental-health diagnosis, she said.Continuing conflicts mean those numbers will grow. Up to 17 percent of veterans who have served in Iraq and Afghanistan have PTSD, major depression or other mental-health problems, Dr. Joseph T. English told Congress last year. He is chairman of psychiatry at New York Medical College in Valhalla, which is affiliated with the VA hospitals at Montrose and Castle Point.