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In addition, contracts for supplies or other services takes 6 to 9 months to establish. He says that a lot of companies won't even bid on VA contracts because of this. This results in higher costs, with the exception of pharmaceuticals, because the VA has "exerted its marketing clout" in this area." (Mayo, 2006) Oliver (2007) states that "Republicans want still tighter eligibility criteria, re-restricting the VHA entirely to the poor and those with service-related disabilities. Democrats appear to be opposed to greater explicit restrictions on access, but it is important to recognize that the reform process, by perhaps overemphasizing primary care and underemphasizing the hospital sector, has probably led to greater implicit restrictions on access to specialist care in the VHA." Oliver states that the result is that "while the average burden of care has fallen, the need for specialized care has risen." (2007)
V. SWOT ANALYSIS
Department of Veterans Affairs 2007 Organizational Briefing Book. Office of Human Resources and Administration. Washington, D.C.
History (2008) VA History. U.S. Department of Veterans Affairs Online available at
(2011) report that cognitive therapy "especially cognitive restructuring…can help correct faulty perceptions of danger, improve perceived self-control of memories and accompanying negative emotions and strengthen adaptive coping responses under conditions of distress." (p.1) Cognitive therapy or restructuring is "one of the best validated PTSD treatments, designed to help the patient review and challenge distressing trauma-related beliefs." (Foa, Keane and Friedman, 2000; Yerkes and Holloway, 1996 in: Ruzek, et al., 2011, p.1) it is reported that cognitive-behavioral conjoint therapy (CCT) for PTSD related in the work of Monson & Friedman, in press) is the "only disorder specific CT designed to ameliorate all of the symptoms of PTSD and to enhance relationship functioning concurrently. The specific treatment consists of conflict management strategies to enhance safety, behavioral interventions to decrease avoidance and improve dyadic communication and dyadic cognitive interventions to address maladaptive thinking patterns that maintain both PTSC symptoms and relationship distress." (in:…
There is a culture inside the military that continues to harass those who try to take advantage of mental health services (Hall, 2008).
Because of its continuing and transient nature, chronic suicidal ideation (CSI) compared to active suicidal thinking is often not an indication for hospitalization. This can be a difficult factor in treatment of veterans with PTSD. For many who have experienced considerable trauma in their past and continue to cognitively and emotionally re-experience the trauma (i.e. chronic PTSD), CSI is a persistent concern. CSI is distinguished from acute and active suicidal ideation as being constant, transient, intermittent thoughts of ending one's life. Acute suicidal ideation explains a patient who is in imminent danger of killing themselves, and is an indication for emergency hospitalization. On the other hand, passive suicidal ideation is the wish for oneself to die, without active plans to facilitate the process. Since danger is not…
Hall, Thomas C. (2008). PTSD/Substance Abuse Committee Report: Force Readiness. Retrieved March 24, 2010, from Vietnam Veterans of America Web site:
Sivak, Joseph. (n.d.). PTSD And Chronic Suicidal Ideation: The Role Of Counter Suicidal
Cognition. Retrieved March 24, 2010, Web site: http://www.fsu.edu/~trauma/a1v5i3.html
Veterans & etirees; Is Government Keeping its Promise
This study aimed at exploring the experiences and perceptions of Veterans belonging to Lousiana and Mississippi about three variables; the accessibility of organization; the accessibility of benefits and availability and adequacy of the facilities being provided by government through VA. The respondents were also asked to suggest whether there is a need for improvement and what should VA do to provide benefits and facilities to the Veterans in a better ways.
For this purpose the researcher conducted an online survey targeting 100 Veterans from Mississippi and another 100 from Louisiana. The researcher also conducted an extensive review of the literature focusing on the problems of Veterans as well Government policies and VA structure and healthcare facilities.
Although majority of the Veterans did not give negative response but a great number of responses show that there are problems to access benefits and organization…
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, text revision (4th ed.). Washington, DC: Author.
Annual Report of the Administrator of Veteran's Affairs (1931). U.S. Government Printing Office,
Asch, S.M., McGlynn, E.A., Hogan, R.A., Haywardm P., Shekelle, L.R (2004). Comparison of quality of care for patients in the veterans Health Administration and patients in a national sample. Annals of Internal Medicine, 141(12), 938-945.
Backus, L.I., Boothroyd, D., & Deyton, L.R. (2005). HIV, hepatitis C and HIV/hepatitis C virus co-infection in vulnerable populations. AIDS, 19(suppl. 3), 513-519.
In particular, the attorneys working on this issue claim that the VA is "structurally unsuitable" for dealing with post-traumatic stress disorder (PTSD) which is "a signature problem" veterans of the Iraq and Afghanistan wars are suffering from (einstein). Symptoms of PTSD include: "…intense anxiety, persistent nightmares, depression, uncontrollable anger, and difficulties coping with work, family, and social relationships" (einstein).
There an estimated 1.6 million men and women who have served the U.S. In those two conflicts, and according to a Pentagon Task Force report an estimated "38% of soldiers and 50% of National Guard members" that returned home from Iraq or Afghanistan "have mental health issues, ranging from post-traumatic stress disorder to brain injuries" (einstein). Those numbers, along with the assertion that only 27 of the VA's 1,400 medical facilities have inpatient post-traumatic stress disorder programs, create an enormous gap in needs vs. services, the lawyers for the plaintiffs point…
Canadian Broadcast Company. (2010). U.S. Veterans Face Gap in Mental Health Care.
Retrieved April 7, 2010, from http://license.icopyright.net/user/viewFreeUse.act?fuld=Nzg1NzcxOQ%3D%3D.
Department of Veterans Affairs / Office of the Actuary, Office of Policy and Planning. (2007).
Veterans by State, Age Group, Period, Gender, 2000-2036. Retrieved April 8, 2010,
The need for more robust mental health care is acute worldwide. One specific client population that is currently underserved is that of American veterans of foreign wars. In the state of Hawaii alone, there are seven active military installations and as many as 117, 254 veterans currently living in Hawaii," (VA, 2010). Yet there is only one Veteran's Affairs health care facility available to all 100,000-plus individuals qualifying for care in the state of Hawaii. This deficiency is deplorable in a country that purports to value its veterans and the services they provide to promote the freedom, justice, and values of the United States of America. Hawaii is a microcosm of the rest of the country: which is doing too little to help its most precious citizens. This group project consists of a multifaceted plan to prevent and treat mental health disorders among the American veteran community.
Cooter, R. War, Medicine, and Modernity. (1998), pp 125-148.
"Make the Connection." Retrieved online: http://va.gov/
"My Army Benefits." Retrieved online: http://myarmybenefits.us.army.mil/Home/Benefit_Library/State__Territory_Benefits/Hawaii.html
"Post-Traumatic Stress Disorder." United States Department of Veterans' Affairs. Retrieved online: http://www.mentalhealth.va.gov/ptsd.asp
Does Gender Affect the Utilization of Mental Health Care Services among Veterans?
The decision one makes when choosing a career poses a lifelong effect on his own life as well as of his family members. The deployment decision of a career that the person has to face sometimes harms his mental health and family both (Brooks & Chopik, 2020). For example, if the person belongs to the army, he might be deployed in a war zone, which later would have disastrous impacts on his mental health in the form of stress, depression, and excessive use of alcohol, etc. The intensity of trauma might increase if the diagnosis is not done on time and may lead to family problems like divorce, social dysfunction, substance abuse, difficulties in future employment, legal complications, and, most of all, physical health troubles.
Recently, women's inclusion in almost all areas of life has been largely increased,…
Adams, R.E., Urosevich, T.G., Hoffman, S.N., Kirchner, H.L., Figley, C.R., Withey, C.A., Boscarino, J.J., Dugan, R.J. & Boscarino, J.A. (2019). Social and psychological risk and protective factors for veteran well-being: The role of veteran identity and its implications for intervention. Military Behavioral Health, 7(3), 304-314. https://doi.org/10.1080/21635781.2019.1580642
Allore, H.G., Ning, Y., Brandt, C.A., & Goulet, J.L. (2013). Accounting for the hierarchical structure in veterans' health administration data: Differences in healthcare utilization between men and women veterans. International Journal of Statistics in Medical Research, 2(2), 94-103. DOI: 10.6000/1929-6029.2013.02.02.03
Brooks, C. & Chopik, W. (2010, June 17). Research finds deployment affects mental health of veterans differently. Michigan State University. https://msutoday.msu.edu/news/2020/research-finds-deployment-affects-mental-health-of-veterans-differently/
Desta, H., Berhe, T. & Hintsa, S. (2018). Assessment of patient's satisfaction and associated factors among outpatients received mental health services at public hospitals of Mekelle town, northern Ethiopia. Springer Link, 12(38). https://doi.org/10.1186/s13033-018-0217-z
Duggal, M., Goulet, J.L., Womack, J., Gordon, K., Mattocks, K., Haskell, S.G., Justice, A.C. & Brandt, C.A. (2010). Comparison of outpatient health care utilization among returning women and men veterans from Afghanistan and Iraq. BMS Health Services Research, 10 (175). https://doi.org/10.1186/1472-6963-10-175
Hansen, A.H. &Hoye, A. (2015). Gender differences in the use of psychiatric outpatient specialist services in Tromso, Norway, are dependent on age: A population-based cross-sectional survey. BMC Health Services Research, 15(477). DOI https://doi.org/10.1186/s12913-015-1146-z
Harpaz-Rotem, I. & Rosenheck, R.A. (2011). Serving those who served: Retention of newly returning veterans from Iraq and Afghanistan in mental health treatment. Psychiatric Services, 62(1), 22-27. DOI: 10.1176/ps.62.1.pss6201_0022.
Haskel, S.G., Brandt, C.A., Krebs, E.E., Skanderson, M., Kerns, R.D., & Goulet, J.L. (2009). Pain among veterans of operations enduring freedom and Iraqi freedom: Do women and men differ? Pain Medicine, 10(7), 1167-1173. https://doi.org/10.1111/j.1526 4637.2009.00714.x
1. Veteran Health Needs
Returning veterans and their families need early identification and treatment, as well as continuity of care. Early identification of mental health issues is critical, but needs to take place within a veterans’ healthcare system responsive to and understanding of the issues that arise during and after deployment. The veterans’ health care system should become more robust, seamlessly integrated with the mental and physical health services delivered during deployment.
Both veterans and their families need early intervention. Reunification with families is a critical period, and needs to be addressed as a situation that could present specific risks for exacerbating underlying mental health issues. For example, separation of family members during deployment creates “boundary ambiguity,” and role member ambiguity in families, and reunions can be traumatic (State of Rhode Island, n.d.). Depending on the length of time of separation, the reunion of the family can be strained, and…
Begley, A.M. (2010). On being a good nurse. International Journal of Nursing Practice 16(6): 525-532.
Jackonis, M.J., Deyton, L. & Hess, W.J. (2008). War, its aftermath, and US health policy. Journal of Law and Medical Ethics 36(4): 677-689.
Melroe, N.H. (1990). Duty to warn vs. patient confidentiality. Nurse Practitioner 15(2): 58-60.
Slate, M.K. (2015). Nurses code of ethics. Retrieved online: http://www.rn.org/courses/coursematerial-177.pdf
State of Rhode Island (n.d.). How will we welcome them home? Retrieved online: http://www.attcnetwork.org/learn/topics/veterans/docs/Blueprint%20v3.pdf
It may be that CBT is the most helpful, but further evidence is needed to prove so. PTD has recurring ramifications that affect many variables of life from employment opportunities to social and family atmosphere. There are some who never fully recover their mental or physical capacities, aside from those who have been unalterably handicapped for life. Quality of life becomes another factor, as well as debilitating stress on family. Ramifications are huge, conceivably consequenting in a veteran's losing his family (through the spouse demanding a divorce upon his return since she may feel unable to cope with his altered mental and/or physical conditions) to the veteran committing suicide. It is therefore crucial that psychological interventions be studied regarding their influence in regards to this situation as well as assessing variables that may be adopted in order to better one's counseling practice in regards to helping veterans with PTD. Also…
Allison-Aipa, T.S., Ritter, C., Sikes, P., & Ball, S. (2010). The impact of deployment on the psychological health status, level of alcohol consumption, and use of psychological health resources of postdeployed U.S. army reserve soldiers, Military Medicine, 175, 630-637.
Smith, H. (2010). Operational stress and retention, Center of Military and Strategic Studies, 12, 55-62.
Mental Health in Veterans
What is mental Illness: Mental Illness Facts
A person is said to be mentally when he finds it difficult to cope up with even mundane demands of day-to-day living activities and demands. This could be a result of either or a combination of the following: disrupted thinking patterns and, inability to relate to persons around him among other things that are normally easy on effort. The ailments that are of a more serious nature include those like posttraumatic stress disorder (PTSD), suicidal inclinations, Obsessive compulsive disorder (OCD), schizophrenia, among other psychosocial behavioral inconsistencies. The latest work on them has found solutions to correct most, if not all of these ailments (NAMI, 2014).
Common Mental Health Issues in Veterans
About a quarter of the populace in the U.S. annually, are supposed to be carrying curable mental health problems, majority of which are associated with symptoms like acute…
Mental Illnesses (2014) in National Alliance on Mental Illness. Retrieved Sept. 16, 2014, from http://www.nami.org/Content/NavigationMenu/Inform_Yourself/About_Mental_Illness/About_Mental_Illness.htm
Mental Health (2014) in U.S. Department of Veterans Affairs' Office of Research & Development. Retrieved Sept. 16, 2014, from http://www.research.va.gov/research_topics/mental_health.cfm
Mccleod, Madison, Hewitt, Chad S. (2012 May) Chapter 6, pp. 125-156 in Health Care in Transition: Veterans: Health Issues, Coping Strategies and Benefits. Retrieved Sept. 16, 2014, from ProQuestebrary: http://site.ebrary.com.proxy.lib.sfu.ca/lib/sfu/detail.action?docID=10681388
Whitesell, A. And Owens, G. (2012) The Impact of Patriotism, Morale, and Unit Cohesion on Mental Health in Veterans of Iraq and Afghanistan. Retrieved Sept. 16, 2014, from the library of Simon Fraser University http://www.lib.sfu.ca / ( http://web.a.ebscohost.com.proxy.lib.sfu.ca/ehost/detail/detail?sid=807bedab-0187-462a-9dd0-bc3b6a0d956d%40sessionmgr4003&vid=8&hid=4109&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=pdh&AN=2012-07873-001 )
Home Care for Veterans
Training Goals and Specific Instructional Objectives
Location, Attendees, Time
Methods and Media
Training Evaluation Methods
Sample Lesson Plan
Home Care for Veterans
Home care for veterans is a much needed service today, as many VA hospitals no longer have the personnel to extend the kind of individualized care that so many veterans/patients require (Carter, Leach, 2011). Likewise, it is often the case that veterans cannot easily get to a hospital or doctor's office for care (Cole, 2014). Home care for veterans brings the services they need right to their home. It provides the quality and attention necessary for facilitating health and improving personal environments (Barry, 2000). This training and development program will provide participants with a better understanding of what home care is and how it works for veterans, as well as some of the tools and knowledge interested nurses will need to implement…
Barry, C. B. (2000). Teaching the older patient in the home: Assessment and adaptation. Home Healthcare Nurse, 18(6): 374.
Cater, J., Leach, J. (2011). Veterans, military sexual trauma and PTSD: Rehabilitation planning implications. Journal of Applied Rehabilitation Counseling, 42(2): 33-40.
Cole, R. (2014). Understanding military culture: A guide for professional school counselors. The Professional Counselor, 4(5): 497-504.
Connor, S. (2009). Hospice and Palliative Care. CRC Press. Boca Raton, FL: CRC
Technology Proposal/Implementation Paper
The Department of Veterans Affairs (VA) remains a vital entity in as far as the provision of key services to veterans in the country is concerned. The Veteran Benefits Administration (VBA), to a large extent, concerns itself with the administration of U.S. Department of Veteran Affairs’ programs. This is more so the case with regard to the provision or advancement of various forms of support to not only veterans and survivors, but also their dependents. Towards this end, some of the main programs that VBA administers include, but they are not limited to; pension and compensation, rehabilitation and employment, loan guaranty, and insurance. In the year 2016, the National Archives and Records Administration (2016) released a records management inspection report which was categorical that “the VA Records Management Program lacks several basic records management fundamentals.” The relevance of VA records cannot be overstated when it…
Department of Veterans Affairs is a governmental organization. It has its roots in 1921, when veterans benefits were organized at the federal level, following the First World War. The brutal conditions of that war, where soldiers were exposed to mechanical weaponry, chemical weapons such as mustard gas, as well as disease-ridden trench warfare conditions, created substantial need for veterans hospitals, and the creation of a federal agency to accommodate this need formed the beginnings of the modern Department of Veterans Affairs (VA.gov, 2016). The Veterans Administration was created in 1930, and the 1944 GI Bill expanded benefits for veterans.
Today, the Department of Veterans Affairs is a branch of the federal government. There are three separate administrations within the VA -- for benefits, health and cemeteries. The benefits programs for veterans include employment/vocational assistance, home loans, life insurance, disability compensation, pensions and the GI Bill. The health branch operates over…
Veterans Perceptions of Long-Term Care PTSD Treatment
Grounded Theory esearch Proposal
[Type text] [Type text] [Type text]
VETEANS PECEPTIONS OF LONG-TEM CAE PTSD TEATMENT
Perceptions of PTSD Treatment by Veterans esiding in Community Long-Term Care Facilities
VETEANS PECEPTIONS OF LONG-TEM CAE PTSD TEATMENT
Perceptions of PTSD Treatment by Veterans esiding in Community Long-Term Care Facilities
The wars currently occurring across the globe are occurring at a time when more soldiers are surviving to return home, but often with lasting mental health issues and physical disabilities. Many people can name someone who suffers from PTSD as a result of having experienced a traumatic event. Diagnosis of PTSD is improving, and along with this has come recognition that the mental health issue can be a persistent and debilitating disorder ("Office of Public Affairs," 2014). Veterans being treated for PTSD may find themselves in long-term care facilities in community settings ("Office of Public…
Dye, J.F., Schatz, I.M., Rosenberg, B.A., and Coleman, S.T. (2000, January). Practicing qualitative research constant comparison method: A kaleidoscope of data. The Qualitative Report, 4(1/2). Retrieved from http://crlte.engin.umich.edu/wp-content/uploads/sites/7/2013/06/Dye-Schatz-Rosenberg-Coleman-Constant-Comparison-Method-A-Kaleidoscope-of-Data.pdf
Goetz, J.P., & LeCompte, M.D. (1981). Ethnographic research and the problem of data reduction. Anthropology and Education Quarterly, 12, 51-70.
Gradus, J.L. (2014). Epidemiology of PTSD. PTSD: National Center for PTSD. Retrieve from
, 2011, pp. 263). In implementing something as simple as phone-based CBT with the veterans in the research project at hand, an overall improvement in mental health and well-being could be achieved through relatively few treatments as research has shown, and in seeing the willingness of participants in this research project to provide information regarding their feelings and general mental health, it can be assumed that these same individuals would be willing to provide the same, if not deeper, information regarding their mental health to counselors or therapists in this remote setting with specific goal and behavioral approaches being the main focus of treatment.
Further, solution-focused therapy (SFT) as also been successful in the treatment of veterans with PTSD and the presence of substance abuse. Results of several studies suggest that traumas are often not so debilitating that individuals cannot come back from them entirely over time. This type of…
Bannink, F. (2008). "Posttraumatic success: solution-focused brief therapy." Oxford
Journal of Medicine, 8(3): pp. 215-225. Web. Retrieved from: LexisNexis
Database. [Accessed on 2 December 2012].
Brief, D., Engasser, J., Keane, T., Roy, M., and Rubin, a. (2011). "Web-based intervention for returning veterans with symptoms of PTSD and risky alcohol use." Journal of Contemporary Psychotherapy, 41(4): pp. 237-246. Web.
Of primary concern are the 7% who are not enrolled in the VHA but qualify for coverage, the 10% living in poverty, the 7% without any health coverage, and the 0.2% who suffer from compensable PTSD and have undiagnosed hypertension. Outreach programs will be developed to enhance access to blood pressure screening and treatment, in collaboration with MEDVAMC, Texas Department of Health and Services Commission (TDHSC), and facilities providing services to the homeless population.
The interventions required are collaboration, outreach, screening, and referral and follow-up (MDH, 2001). A priori, coalition building would not be necessary since most veterans would qualify for coverage by the VHA or a public insurance plan. Therefore, the goal of this intervention would be to inform women veterans in the Houston area about the health risks associated with hypertension, where to get screened and how often, and how to gain access to treatment when necessary.…
CDC (U.S. Centers for Disease Control and Prevention). (2012). High blood pressure facts. U.S. Centers for Disease Control and Prevention, U.S. Department of Health and Human Services. Retrieved 8 Mar. 2013 from http://www.cdc.gov/bloodpressure/facts.htm .
Everson-Rose, Susan a. And Lewis, Tene T. (2005). Psychosocial factors and cardiovascular diseases. Annual Review of Public Health, 26, 469-500.
Institute for Health Policy. (2011). Health of Houston Survey 2010: A First Look. Institute for Health Policy, University of Texas School of Public Health. Retrieved 9 Mar. 2013 from https://sph.uth.edu/content/uploads/2010/09/HHS-8.5x11-Sep30_cover.pdf .
MDH (Minnesota Department of Health). (2001). Public Health Interventions: Applications for Public Health Nursing Practice. Minnesota Department of Health. Retrieved 10 Mar. 2013 from http://www.health.state.mn.us/divs/cfh/ophp/resources/docs/phinterventions_manual2001.pdf .
Suicide isk Management at Veterans Affairs
Suicide isk Management Issue U.S. Department Veterans Affairs Hospital
Suicide prevention is a major national management issue in Veterans Affairs centers with a system wide suicide prevention program in place. These suicide-risk management programs include suicide crisis line, suicide monitoring and risk assessment, full-time suicide-prevention coordination efforts and medical record flags that notify on suicide risks (Desai, osenheck, & Desai, 2008).
Suicide risk management is an important management issue in VA Northern California Health Care System, especially among older adults. This is because statistics indicate that older adults (over the age of 65) are vulnerable to suicide and are more likely to complete suicide than younger adults in VA centers (Joung et al., 2012). The national suicide monitoring activities indicate that between 2000 and 2001, suicide rates among VA patients was high in comparison to suicide rates among the general population at 1.66 for…
Amos, J.J., & Robinson, R.G. (2010). Psychosomatic Medicine: An Introduction to Consultation-Liaison Psychiatry. Cambridge, NY: Cambridge University Press.
Desai, M.M., Rosenheck, R.A., & Desai, R.A. (2008). Brief Report: Among Mental Health Outpatients in the Department of Veterans Affairs. Journal of Behavioral Health Services & Research, 31(1), 115-125.
Eden, J., Le, M., & Maslow, K. (2012). The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? Washington, DC: The National Academic Press.
Joung, T.H., Weaver, C.M., Martin, J.L., Caskey, N.H., O'Riley, A., & Kramer, B.J. (2012). Effects of a Late-Life Suicide Risk-Assessment Training on Multidisciplinary Healthcare Providers. Journal of American Geriatrics Society, 60, 775-780.
Findings showed that 95% of the respondents' overall health status was slightly higher compared to that of the general U.S. population of the same age and sex. Factors identified with the favorable health status were male gender, married state, higher educational attainment, higher military rank and inclusion in the Air Force service. Lower quality of health was associated with increased use of health care, PTSD, disability, behavioral risk factors and death. The study also found that deployment experiences from 1998-2001 did not reduce favorable health status (Smith et al.).
The findings go against the reported poor health status of returning veterans, especially in Iraq and Afghanistan (Smith et al., 2004). They suggest a mentally and physically healthier military population that the general population. The outcomes of the study will be useful in evaluating health after deployment in a large, population-based military cohort (Smith et al.).
Mild Head Trauma and Chronic…
Woods, S.J., et al. (2009). Physical health and Posttraumatic Stress Disorder symptoms in women experiencing intimate partner violence. Journal of Midwifery & Women's
Health 53 (6): 538-46. Retrieved on May 16, 2010 from http://www.medscape.com/viewarticle/583188
This correlational-predictive study responds to alarming findings that one in three women will suffer some form of abuse from a family member or intimate partner. Intimate partner violence of IPV creates serious physical and mental health problems, including PTSD symptoms, in women. These are more likely to arise in the family or intimate relationships of war veterans. The concepts of allostasis and allostatic load are used to explore the detailed physical health symptoms of these women and the treatment they seek, the inter-relationship of the symptoms, and their predictors. Allostatic load measures excess exposure to stress and resulting changes in body chemistry, structure and function. Higher levels of physical and mental symptoms indicate more severe IPV. The women are too distressed to seek help. The apt intervention consists in a holistic evaluation, screening for PTSD, and an environment where they can feel safe and a trusting relationship can be maintained. #
In U.S. histoy, the tem affimative action is of elatively ecent oigin, and fist came into use unde the Kennedy administation in 1961, when it odeed fedeal contactos to speed up the employment of minoities and banned discimination on the basis of colo, eligion of national oigin. Lyndon Johnson expanded the use of affimative action in fedeal hiing and contacts in 1965-66, although the Civil Rights Act simply fobids employment discimination based on gende, ace, eligion o ethnicity. Even Richad Nixon suppoted affimative action despite his own acism, as evealed on the White House tapes (Cahn 1995). To be sue, his motives wee moe nefaious in that he hoped to use it as a wedge issue to play woking class whites and minoities off against each othe as pat of his Southen Stategy. Republican politicians have been using it in exactly the same way eve since, and with…
reference: The Case against Affirmative Action. Boston: Madison Books. AAD Project.
Disabled Veterans Affirmative Action Program (DVAAP). U.S. Office of Personnel Management.
Gold, S. (2010). Gold_Eth501_discrim_pt1.wmv http://www.youtube.com/watch?v=Ps_B27jE3es
The main ethical principle here should not be a deontological argument, but rather should be utilitarianism. The greatest number of people will actually be helped by ensuring that discrimination of any type (including the issue of reverse discrimination) does not continue in the United States. It is therefore very important to use the arguments that one can make to show why reverse discrimination will harm a large number of people, including those who it is designed to protect and care for. This harm can come from aggravation that others feel when they notice the reverse discrimination, but it can also come from employers and institutions that are being forced to hire or admit people who are clearly not qualified on the basis of their race or gender or handicap, or what they have done for the country in the past. Only when those characteristics are completely irrelevant will everyone…
Civil Rights Act (Title VII). SEC. 2000e-2. [Section 703] 1964.
Code of Federal Regulations (Title 29, Volume 4). Section 1604.11. Rev. 1997.
Employment discrimination: an overview. (2003). Cornell University. Retrieved at http://www.law.cornell.edu/topics/employment_discrimination.html
Tompkins, J. (1995). The affirmative action approach to EEO. Human Resource Management in Government.
The embedded traumatic experiences are usually deeply disturbing to the individual and can lead to typical symptoms of PTSD, such as depression, suicidal tendencies and loss of personal motivation.
In terms of existential analysis, these traumatic experiences can be understood and analyzed from the subjective and experiential viewpoint of the individual. The advantage of this form of analysis and treatment is that it is based on the view that the psychological worldview of the individual is deregulated and even destroyed by the traumatic events that he or he has experienced. From this starting point treatment is able to deal more effectively with the underlying factors and the broader issues that impact the existential world of the patient.
In conclusion, the use of existential psychology to treat this condition is extremely valuable and appropriate in that this approach does not only treat the symptoms but attempts to repair and address the…
Allers, R. (1961). Existentialism and Psychiatry: Four Lectures. Springfield, IL: Charles C. Thomas. Retrieved February 27, 2010, from Questia database: http://www.questia.com/PM.qst?a=o&d=58823205
Colaizzi, P.F. (2002). Psychotherapy and Existential Therapy. Journal of Phenomenological Psychology, 33(1), 73+.
Foa, E., & Meadows, E. (1997). Psychosocial Treatments for Posttraumatic Stress Disorder: A Critical Review. 449+.
Fuchsman, K. (2008). Traumatized Soldiers. The Journal of Psychohistory, 36(1), 72+.
Improving Veterans Health Administration (VHA) Wait Time for Veterans Care
Veterans are senior citizens who have served the nation in a dedicated manner and in their elder days need to feel the reciprocation of the nation on the sacrifice that they made. The population demography of the U.S.A. is such that more elderly people are to be expected, hence the strain on the economy and the health care in general will definitely have to put in place effective systems that will enable better treatment and handling of the ageing population with the complications that come with old age. The Department of Veterans Affairs (VA) goal is to provide timely, high-quality health care for veterans (Department of Veteran Affairs, 2016: Pp7). In order to achieve this, there are various legislation and steps that come along these legislations that VA has taken. One of the measures that VA works on is to…
Bussewitz C., (2014a). Hawaii has the Longest Wait for New Veteran Patients. AP Regional State Report-Hawaii.
Bussewitz C., (2014b). Veterans Talk Doctor Shortage in Panel. AP Regional State report-Hawaii
North Virginia Technology Council, (2014). Opportunities to Improve the Scheduling of Medical Exams for America's Veterans.
Pizer S.D. & Prentice J.C., (2011). What Are the Consequences of Waiting for Health Care in the Veteran Population? JGIM.
Managing Diversity: U.S. Military Veterans
As Hazle, Wilcox and Hassan (2012) point out, U.S. military veterans re-entering civilian life often face numerous challenges that can be difficult for to overcome. In many cases a total mental and social adjustment is required, a support system is needed, and guidance or direction must be provided to help prepare veterans for life outside the military. The order and functioning system that they are used to in the military is not present in civilian life, and the hierarchical chain of command in which they have worked is typically not the enforced with such rigor in whatever workplace they end up joining in civilian life. U.S. companies also face the challenge of addressing the needs of this population: it is a significantly large talent pool, with skills and knowledge—but tapping into the pool can be difficult for businesses as well because of the readjustment…
Bohnsack, R., Pinkse, J., & Kolk, A. (2014). Business models for sustainable technologies: Exploring business model evolution in the case of electric vehicles. Research Policy, 43(2), 284-300.
Daspit, J. J., Chrisman, J. J., Sharma, P., Pearson, A. W., & Long, R. G. (2017). A strategic management perspective of the family firm: Past trends, new insights, and future directions. Journal of Managerial Issues, 29(1), 6.
Faurer, J., Rogers-Brodersen, A., & Bailie, P. (2014). Managing the re-employment of military veterans through the Transition Assistance Program (TAP). Journal of Business & Economics Research (Online), 12(1), 55.
Gerhart, B., & Fang, M. (2015). Pay, intrinsic motivation, extrinsic motivation, performance, and creativity in the workplace: Revisiting long-held beliefs. Annual Review of Organizational Psychology and Organizational Behavior, 2, 489-521
Hamburg, J., & Harris-Thompson, D. (2017). Get on board with performance solutions that perform. Training, (4), 33.
Hazle, M., Wilcox, S. L., & Hassan, A. M. (2012). Helping veterans and their families fight on!. Advances in Social Work, 13(1), 229-242.
Wenger, E. C., & Snyder, W. M. (2000). Communities of practice: The organizational frontier. Harvard business review, 78(1), 139-146.
Military members are sent to war leaving behind family, communities, and their lifestyle in order to fight a war. Upon their return they are thrown back into their "old lives" and are expected to adapt quickly and be unchanged (Cooter, 2004). Even though some veterans can readapt into the communities and become a productive member of society some veterans end up with psychological issues as a result of their exposure to the hardships of leaving a family, friends, and their life behind, and the traumatic events that they experience during war. War affects a lot of individuals and can cause mental illness, co-occurring disorders, substance abuse and/or alcohol (Weine, 2001).
In 2009, there were over twenty million military veterans in the U.S. (Lewis, 2011). Many of these veterans suffer from what is known as Post Traumatic Stress Disorder (PTSD) (Post-traumatic stress disorder, 2011). This is a mental health…
Cooter, R. War, Medicine, and Modernity. (1998), pp 125-148.
Eaton, E. (2011). PTSD plagues life at home. Retrieved from http://www.statepress.com/2011/11/13/ptsd-plagues-life-at-home/
Lewis, K. (2011). Interesting Veterans Day Facts. Retreived from http://workingmoms.about.com/od/holidays/a/VeteransDay.htm
Many Veterans Not Getting Enough Treatment for PTSD. (2011). Retrieved from http://www.sciencedaily.com/releases/2010/02/100210110742.htm
Human Resources: Recruitment of Females and Veterans of the U.S. Military
Companies wishing to work with the federal government must focus on hiring females and veterans, among other groups. Females are among the classes protected by the federal government's antidiscrimination laws. In addition, the federal government requires the recruitment and hiring of veterans. Consequently, at least some of the Human Resources Department's strategic plan must include efforts tailored to recruiting and retaining females and veterans.
In order to work with the federal government, companies must show their compliance with federal anti-discrimination laws protecting certain classes of individuals, including but not limited to women (U.S. Equal Employment Opportunity Commission, 2008) and veterans (U.S. Department of Labor, n.d.). As a result, a strategic Human Resources plan should include well-developed efforts to recruit and retain women and veterans. hile there are a variety of recruitment tactics at a Human Resources Department's disposal, the…
Caterpillar. (2013). Caterpillar recruiters engage with veterans at a hiring our heroes career fair. Retrieved June 19, 2014 from www.caterpillar.com Web site: http://www.caterpillar.com/en/news/caterpillarNews/careers/caterpillar-recruiters-engage-with-veterans-at-a-hiring-our-heroes-career-fair.html
Caterpillar. (2013). Military experience and a Caterpillar career. Retrieved June 19, 2014 from www.caterpillar.com Web site: http://www.caterpillar.com/en/careers/career-areas/military.html
U.S. Department of Labor. (n.d.). Vietnam Era Veterans' Readjustment Assistance Act. Retrieved June 19, 2014 from www.dol.gov Web site: http://www.dol.gov/ofccp/regs/compliance/vevraa.htm
U.S. Equal Employment Opportunity Commission. (2008, July 21). Title VII: E-Verify - Federal Contractors/Subcontractors - Memorandum of Understanding. Retrieved June 19, 2014 from www.eeoc.gov Web site: http://www.eeoc.gov/eeoc/foia/letters/2008/titlevii_e_verify_july2008.html
Problem and Solutions at the Veterans Health Administration
The chances are good that most Americans have either received health care services from the Department of Veterans Affairs’s (VA’s) Veterans Health Administration (VHA) directly or from a physician that has received training from a VA teaching facility. This likelihood is due to the fact that the VA not only operates the nation’s largest integrated health care network, but also provides vital training opportunities for more than half of the doctors practicing in the United States today. Given the critical role that the VA plays in the nation’s health care system, identifying constraints to the quality of care provided by VA practitioners and opportunities to improve them represent timely and valuable enterprises. To this end, the purpose of this paper is to provide a brief overview of the VA and the wide array of challenges it faces in delivering high quality patient…
About VHA. (2020). U.S. Department of Veterans Affairs. Retrieved from https://www.va.gov/health/ .
DeBeer, B. B. & Matthieu, M. M. (2019, January). Quality improvement evaluation of the feasibility and acceptability of adding a concerned significant other to safety planning for suicide prevention with veterans. Journal of Mental Health Counseling, 41(1), 4-7.
Joint Commission standards. (2020). Joint Commission. Retrieved from https://www.jointcommission.org/standards/ .
Managing risks and improving VA health care. (2020). U.S. Government Accountability Office. Retrieved from https://www.gao.gov/key_issues/managing_risks_improving_va_health_ care/issue_summary.
Case Study 3
A veteran aged eighty, living alone, diagnosed with diabetes mellitus type 2 (T2D) twelve years ago, displaying normal renal functioning, and prescribed insulin injections besides other oral anti-hyperglycemic drug (OAD), reported hypoglycemia attacks. Their potential consequences (unconsciousness or even, in extreme cases, death) frightened him. His attendant has been negligent in holiday and weekend periods, resulting in irregular insulin administration, which subsequently resulted in hypoglycemia episodes. As a result, the patient was prescribed insulin degludec; with time, this medication’s dosage was increased and he began displaying better fasting blood sugar and HbA1c levels, without hypoglycemia attacks. Case results indicate a combination of diet changes and degludec gave required diabetes control whilst ensuring no hypoglycemia episodes occurred.
Over one-quarter of America’s 65+-aged population cluster is diabetes-diagnosed, with the general population’s aging being a key diabetes-endemic driving factor. Elderly diabetics depict considerable risks for chronic as well as…
Abdelhafiz, A. H., & Sinclair, A. J. (2013). Management of Type 2 Diabetes in Older People. Diabetes Therapy, 4(1), 13–26. http://doi.org/10.1007/s13300-013-0020-4
Jain, A., & Paranjape, S. (2013). Prevalence of type 2 diabetes mellitus in elderly in a primary care facility: An ideal facility. Indian Journal of Endocrinology and Metabolism, 17(Suppl1), S318–S322. http://doi.org/10.4103/2230-8210.119647
Moghissi, E. (2013). Management of Type 2 Diabetes Mellitus in Older Patients: Current and Emerging Treatment Options. Diabetes Therapy, 4(2), 239–256. http://doi.org/10.1007/s13300-013-0039-6
Swinnen, S. G., Hoekstra, J. B., & DeVries, J. H. (2009). Insulin Therapy for Type 2 Diabetes. Diabetes Care, 32(Suppl 2), S253–S259. http://doi.org/10.2337/dc09-S318
Elder Veterans and Health Care Services
The focus of my dissertation is toward the aged American population, particularly the elderly veterans. I will be considering the type and quality of care they receive for the remainder of their old age. Currently, there are programs and health services targeted toward that group. I am interested in the approaches and activities of such programs and other similar programs that might need to be implemented through congressional deliberation and approval. Gerontology is receiving significant attention from researchers in the American space due to the steady incline of the aged American population.
Through the evaluation of certain tendencies within the group of elderly veterans, intervention measures can be provided. Known risk-factors within this group include mental illnesses and war-related disabilities/amputations, which are potential triggers for suicidal behavior/tendency with increasing age (Reid, 2018). Also, there is an increasing sense of hopelessness associated with…
Healthcare Agency Evaluation: Jacksonville, Florida Department of Veterans Affairs Outpatient Clinic
Today, the Department of Veterans Affairs (VA) operates a national network of healthcare facilities, including medical centers, outpatients clinics, Vet Centers and domiciliaries. The mission of the VA was established in 1865 in President Lincoln’s Second Inaugural Address wherein he created the mandate to “care for him who shall have borne the battle and for his widow and his orphan” (Sigfurd, 2008). This paper provides a summary of a recent visit to one of the VA’s outpatient clinics located in Jacksonville, Florida, including the quality of services provided, the agency’s accessibility, the method of payments used, accreditation and privacy protections for its veteran patients. Finally, recommendations concerning how the Jacksonville VA Outpatient Clinic can improve service to its veteran patients concludes this paper.
1. Summary of the visited healthcare agency.
The Jacksonville outpatient clinic is part of a nationwide…
About Jacksonville VA outpatient clinic. (2018). Jacksonville VA Outpatient Clinic. Retrieved from https://secure-research-payment.com/writer/writer_order_detail/index/2174385#1.
Sigfurd, B. J. (2008, January). \\"To care for him who shall have borne the battle and for his widow and his orphan\\" (Abraham Lincoln): the Department of Veterans Affairs polytrauma system of care. Archives of Physical Medicine and Rehabilitation, 89(1), 160-162.
Veteran Affirmative Action
The concept of affirmative action has been in the limelight for many decades and most significantly in the 1965 onwards during the tenure of President Lyndon Johnson. He once gave a speech that was concerned with offering everyone fair opportunity to compete in line with the capabilities that they have and taking into account the disadvantages that the individual has suffered. He is quoted to have said that "You do not take a person who, for years, has been hobbled by chains and liberate him, bring him up to the starting line of a race and then say you are free to compete with all the others, and still just believe that you have been completely fair." (Civil ight 101, 2014)
The real focus of the affirmative action is on opportunity provision for all. The affirmative action programs are predominantly meant and formatted to break…
Civil Right 101, (2014). Affirmative Action. Retrieved September 20, 2014 from http://www.civilrights.org/resources/civilrights101/affirmaction.html
Hiring Veterans (n.d.). U.S. Department of Labor. Retrieved September 20, 2014 from athttp://www.dol.gov/dol/topic/hiring/veterans.htm
The War on Terror has led to an extended war in the Middle East that started with a U.S. intervention in Afghanistan, spread to Iraq, and has steadily engulfed other states as well. Returning veterans from Afghanistan and Iraq have suffered from post traumatic stress disorder (PTSD), which has impacted the work and family life of these veterans (Vogt et al., 2017). 1.3 million veterans of the Afghanistan and Iraq interventions are at risk for suicide (Kang et al., 2015). Hundreds of thousands of this same population suffer from identity adjustment as the return to civilian life and attempt to make the transition from military norms to civilian living (Orazem et al., 2017). This paper will discuss this specific population, its needs, policies and laws that impact this population, barriers to resource utilization, and how the nursing profession can promote change to improve healthcare outcomes for this veteran population.
Kacke et al. (2011). The fist pupose of the study is to measue the level of satisfaction associated with the cuent (at the time of witing) activities povided veteans at a VA CLC. The second pupose is to identify past/pesent "activity pefeences" in ode to povide guidance fo futue activities development fo veteans at the VA CLC. Activities included a ange of execises -- fom eating to paying.
The methodology used in this study was that of the suvey method. The sample was selected fom the veteans population fom five of the six lage VA CLC in the sububan notheasten U.S. Veteans at the VA CLC wee thee fo "shot-tem ehabilitation, shot-tem tansition, o LTC sevices" and the demogaphics of the veteans population wee 19 males fo evey 1 female. Total numbe of veteans at the CLC was 200. The suvey was sent to evey vetean. The acial demogaphics of…
references and satisfaction among older adults in a veterans administration long-term care facility. Clinical Gerontologist, 34: 103-116.
veterans leaving the military. Specifically, it will attempt to solve some of the problems veterans being discharged from the military are facing. Veterans returning from the war in Iraq face a variety of problems and issues, and many of them are not being addressed by the military. Health care is one vital problem, many veterans coming home find that if they need health care, the Veterans Administration (VA) hospitals are so crowded they cannot receive treatment for weeks or even months. However, probably the biggest problem facing returning vets is readjusting to civilian life, and all that entails, from dealing with family and friends to the stresses of their jobs. Many returning vets will not admit they may need mental health counseling, and if they do admit it, they may not be able to find it. The problems of returning veterans are many, and until we learn how to solve…
Anonymous. 23 Nov. 2004. Nightmare #1. Retrieved from the Veterans for Common Sense Web site: http://www.veteransforcommonsense.org/NewsArticle.cfm?ID=2432 24 Nov. 2004.
Author not Available. (2 Oct. 2002). Readjustment, reconnecting after deployment. Retrieved from the United States Military Academy Web site: http://www.usma.edu/publicaffairs/PV/021004/Deployment.htm 24 Nov. 2004.
Editors (23 Oct. 2003). Coping with traumatic stress reactions. Retrieved from the National Center for Post-Traumatic Stress Disorder Web site: http://www.ncptsd.org//war/fs_coping.html?printable=yes 24. Nov. 2004.
This is important because it reflect the certain difficulties the government has to stimulate the employment of veterans in a line of work of their choice.
Other statistics mention that not only do a large number of veterans have a disability related to their position but rather the fact that they are part of a system which has a rate of unemployment too high for the United States. More precisely, "In 2007, the unemployment rate among veterans who served in the U.S. Armed Forces since September 2001 was 6.1%, the ureau of Labor Statistics (LS) of the U.S. Department of Labor reported today. About 17% of these veterans, also called Gulf War-era II veterans had a service-connected disability in August 2007. The jobless rate for veterans of all eras combined was 3.8% in 2007. About 12% of all veterans had a service-connected disability in August 2007" (ureau of Labor Statistics,…
Adams, K. (2008) "Disabled veteran promotes job program that met his needs." Pilot online. Accessed 18 July 2008, at http://hamptonroads.com/2008/07/disabled-veteran-promotes-job-program-met-his-needs
Appel, a. (2008) EEOC issues two guides on employing disabled veterans. TCPalm. Accessed 18 July 2008, at http://www.tcpalm.com/news/2008/apr/20/eeoc-issues-two-guides-employing-disabled-veterans/
Bureau of Labor Statistics. (2006) Employment Situation of Veterans News Release. Accessed 18 July 2008, at http://www.bls.gov/news.release/vet.htm
Dept of Labor. (2007) Disabled Veterans' Outreach Program Marks 30-Year Anniversary. Accessed 18 July 2008, at http://www.ctdol.state.ct.us/communic/2007-11/vet.htm
Commander-in-Chief of the Canadian Forces has declared that the country should put in more effort to treat the occurrences of Post-traumatic stress disorder and suicides among soldiers. In just a span of one week, there were four Canadian military suicides (Fekete, 2013). These soldiers went on to commit suicide after returning from war. It is known that hundreds and thousands of men and women have lost their lives in numerous battles till date. Suffering even after war is over and not being able to take over one's nerves is just horrible. Countries like Canada and U.S. are quite concerned over the increasing rates of PTSD amongst veterans. This event shows that PTSD amongst veterans is a serious problem and is becoming quite common.
What is Post Traumatic Stress Disorder?
Post Traumatic Stress Disorder (PTSD) is a condition that develops after a person experiences one or more traumatic events. PTSD is…
Douglas, J. (1993). Childhood physical abuse and combat-related posttraumatic stress disorder in Vietnam veterans. Am J. Psychiatry, 150 235 -- 239.
Fekete, J. (2013). Military's 'stiff upper lip' attitude over PTSD needs to stop, Governor-General David Johnston says. [online] Retrieved from: http://news.nationalpost.com/2013/12/12/militarys-stiff-upper-lip-attitude-over-ptsd-needs-to-stop-governor-general-david-johnston-says / [Accessed: 16 Dec 2013].
Kardiner, A. (1941). The traumatic neuroses of war.. Psychosomat Med Mono, 11 (111).
Homelessness Among Veterans
Among the social problems that have continuously bothered successive governments over the years. The problem is further compounded bearing that the veterans offered their best duty to the country when the need was most dire. As the years pass, as the US engages in one more war, veterans keep increasing and prospect for having more veterans will keep going up. The increase is astronomical for the homeless veterans. Currently at least 15% of the homeless population is consisted of the veterans. By 2008 there were approximately 135,000 homeless veterans tough this number is said to have reduced by 47% by 2016 (U.S. Department of Homeless Veterans, 2017).
Veterans are said to the prone to being homeless than other Americans by 50% due to poverty, poor support network and squalid living environments within overcrowded housing units. It is estimated that 1.5 million veterans are considered as at risk…
Working with the U.S. Department of Veteran's Affairs to define future growth plans - This is also critical as more and more patients age and require specialized services. The NMVHCS needs to continue working with the Department of Veteran's Affairs to plan for and respond to the needs of the aging veteran's population.
As the NMVHCS is completely funded by the U.S. Department of Veteran's Affairs, their financial needs are budgeted as part of that federal agency.
As the NMVHCS is underwritten by the U.S. Government and does not specifically compete with private healthcare, there are no other primary competitors in the region from a government perspective. There is however the competition for federal funds with other agencies throughout the region. In terms of healthcare however, the veterans in the region receive greatly reduced prices and have in some cases free medical care for their lifetimes,…
The dead were those that were remembered and martyred in the South, and the survivors had to do just that - survive. Northern soldiers eventually got some kind of pension as a reward for their valor, but the South was in disarray, and Southern soldiers really did not gain anything for their valor. The reactions to this were difficult to read, because many soldiers turned to drugs, alcohol, violence, and many suffered from mental problems. This is an area not often explored, and it made this book more interesting. It would have been nice if the editors had included even more essays and evaluations in this section of the book, because it was definitely the most commanding of all the sections.
This was a difficult book to read, because the essays the editor's chose were extremely academic (and some were very dry), and so it made it more difficult to…
Barton, Michael and Logue, Larry M. The Civil War Veteran: A Historical Reader. New York: New York University Press, 2007.
"Used, manipulated," and "violated" was one veteran's assessment of his experience in being drafted and serving in the military (erry 55). However, others became career soldiers, such as Sergeant Major Edgar Huff. Still others felt a sense of energy and purpose serving in Vietnam, and one of them, Manny Holloman even remembers his days as a soldier fondly, and misses his life in Vietnam. Manny even learned Vietnamese and married a Vietnamese woman, although he was forced to leave her behind after the Americans left Vietnam.
he fact that so few whites were willing to serve in the armed forces, and so many more African-Americans served in disproportionate numbers has one unintentionally positive effect -- more African-Americans rose to higher ranks in the service, as well as became politically mobilized for their fellow veterans upon returning home, such as one veteran who became active in the veteran's rights movement after…
The book's outreach spans enlisted men, noncommissioned officers, and commissioned officers, soldiers, sailors, airmen and Marines who served between the years of 1963-1973. Although some men felt more patriotic about their service than others, most of their experiences underline the fact that the Vietnam conflict was fought in disproportionate numbers by individuals without the political and social influence to 'skirt' the draft, a fact that has become well-publicized only now. "Used, manipulated," and "violated" was one veteran's assessment of his experience in being drafted and serving in the military (Terry 55). However, others became career soldiers, such as Sergeant Major Edgar Huff. Still others felt a sense of energy and purpose serving in Vietnam, and one of them, Manny Holloman even remembers his days as a soldier fondly, and misses his life in Vietnam. Manny even learned Vietnamese and married a Vietnamese woman, although he was forced to leave her behind after the Americans left Vietnam.
The fact that so few whites were willing to serve in the armed forces, and so many more African-Americans served in disproportionate numbers has one unintentionally positive effect -- more African-Americans rose to higher ranks in the service, as well as became politically mobilized for their fellow veterans upon returning home, such as one veteran who became active in the veteran's rights movement after the war. The experience of service gave many men a desire to become part of something larger than themselves, even if they resented the institutionalized racism of the military.
The book gets its title, Bloods, from the name many African-Americans called one another -- blood brothers -- because of the racism they faced from white soldiers within the American armed services. No matter what their background, African-Americans did share a common struggle because of the racism that was inflicted upon them as they gave their lives in such great numbers for their country abroad, even while they were denied their rights at home. However, this common experience of racism and the triumph of overcoming it must be honored by showing the unique ways black men dealt with their struggles, not by reducing their experience into a tale defined solely by race.
careers, many social workers will encounter individuals who are veterans of active duty military service. Like other client populations, veterans may experience issues with their day-to-day living requirements that require assistance, but these individuals may also experience a wide range of problems that are unique to service in the armed forces. This paper reviews the relevant literature to determine how current social work policies in the United States address issues of inequality, oppression or social justice for military veterans, the social work staff's ability to provide quality social work services, and ethical issues that affect social work values and practice in this area. An analysis concerning alternative approaches that social work and others could advocate or organize on behalf of veterans is followed by an assessment of which models of advocacy (Jannson or Hayes & Mickelson) are currently being used with this client population. Finally, a summary of the research…
Adams, C. (2013, March 13). Millions went to war in Iraq, Afghanistan, leaving many with lifelong scars. McClatchy Newspapers. Retrieved from http://www.mcclatchydc.com/
Franklin, E. (2009, August). The emerging needs of veterans: A call to action for the social work profession. Health and Social Work, 34(3), 163-169.
Haynes, K.S. & Mickelson, J.S. (2000). The debate. In Affecting social change: Social workers in the political arena (pp. 23 -- 39). Boston: Allyn & Bacon.
Most advocacy groups can help the families of veterans also understand their legal entitlements to support services.
Congressional representatives can occasionally come to the aid of their constituents who are veterans. Lawmakers listening to the concerns of their constituents can bring special cases to the attention of their fellow congressmen and women in Washington to help advocate on behalf of veterans and veterans affairs. Some congressional representatives may be willing to serve on special committees that advocate for veterans affairs in Washington.
Social workers have an obligation to learn about the large-scale organizations that serve the needs of veterans as well as smaller scale community organizations. Even social workers that do not specialize in veterans affairs should become familiar with the unique legal situation of their clients. For example, social workers should familiarize themselves with the specific medical, social, occupational, and psychiatric needs that veterans have, especially the veterans that…
The Obama Administration had pledged to end veteran homelessness, an interesting pledge given the myriad of complex reasons why people become homeless. But they were able to make progress towards that objective. The White House announced in 2016 that it had be able to cut veteran homelessness by 47% as of 2016 (Zoroya, 2016). The number living on the street was reduced 56% during the 2010-2016 time period. This was the result of a number of different approaches, which highlight the way that policy is addressed in this area.
The project to end veteran homelessness was the result of a coordinated effort by two departments, the Bureau of Veteran Affairs (VA) and Housing & Urban Development. The VA cites three components of its plan: conducting outreach to seek out veterans in need; connecting homeless and at-risk veterans with housing solutions; and collaborating with various government agencies, employers, housing…
VA & Homeless Vets
There is not a shortage of public issues that tend to pull at the heartstrings of many people. Whether it be poverty, abuse or neglect of children or people being homeless or otherwise desperate, it would seem that there is no shortage of people in dire need of assistance. A prominent subset of the homeless population just mentioned are the homeless people that are veterans of the United States Armed Forces. As one might expect, the Veterans Affairs (VA) Administration has a program that is specifically meant to address the issue of many veterans being homeless. While it may not be popular to say, the solution to this social problem is not as easy as one might expect as there is only so much money, resources and options that exist.
The challenges that faces the VA or anyone else will tend to have when it…
Speaking Truth to Health Policy: Helping Veterans eadjust
Every day, at least 20 combat veterans commit suicide in the United States, or one veteran every 65 seconds (Shane & Kime, 2016). This alarming trend is attributable in large part to the symptoms that many people suffer from after experiencing traumatic episodes in their lives. Drawing on the sources of power enumerated by Mason, Gardner, Hopkins Outlaw and O'Grady (2016).This paper provides a current description concerning the health policy adopted by the Department of Veterans Affairs (VA) in response to this nation-wide problem to determine how the situation could benefit from having nurses speak truth to power. Finally, a summary of the research and important findings concerning this issue are presented in the conclusion.
The condition currently known as posttraumatic stress disorder is certainly not a new construct. In World War I, the condition was termed "shell shock" and in World…
Bare, S. (2015, June 2). The truth about 22 veterans suicides a day. Task & Purpose. Retrieved from http://taskandpurpose.com/truth-22-veteran-suicides-day/ .
List of nursing organizations. (2016). Nurse.org. Retrieved from http://nurse.org/orgs.shtml .
Miller, J. (2013, May-June). Veterans on trial: The coming court battles over PTSD. Military Review, 93(3), 92-94.
Shane, L. & Kime, P. (2016, July 7). New VA study finds 20 veterans commit suicide each day. Military Times. Retrieved from http://www.militarytimes.com/story/veterans/2016/07/07/ va-suicide-20-daily-research/86788332/.
Jonas Veterans Healthcare Program
Recognizing the tremendous commitment and sacrifices our veterans have made to serve our country, the Jonas Center is committed to do our part to support improved healthcare for this population (Jonas Center, N.d.).
The Jonas Center's vision is to foster new partnerships that help improve veterans' healthcare through nursing and we welcome all contributions to support our efforts.
• Program scope
Starting in the fall of 2012, the Jonas Center will support scholarships for 54 nurses to be trained at the doctoral level (PhD and DNP) on veteran-specific healthcare needs, ranging from clinical to policy to administration to education, to help ensure our veterans are receiving the best possible care. Scholar's research projects will be focused on priority veterans' healthcare need (as identified by the hite House and Veterans Administration).
• Program audience
Students, veterans, and the general public.
• Program background…
Jonas Center. (N.d.). History. Retrieved from Jonas Center: http://www.jonascenter.org/who-we-are/history
Jonas Center. (N.d.). Jonas Veterans Healthcare Program. Retrieved from Jonas Center: http://www.jonascenter.org/program-areas/scholars/jonas-veterans-healthcare-program
Statement of the Problem
The integration of veterans into different business sectors is not a novel idea. Numerous sectors and organizations have been dedicated to facilitating employment of veterans. In the construction sector, different institutions such as Veterans Build America and Hire Our Heroes have made significant strides towards this endeavor. Nonetheless, regardless of the presence of such institutions and assimilation programs for coupling veterans with jobs in the construction sector, measuring their effectiveness continues to be a significant challenge, largely owing to the lack of extensive research in the area. Furthermore, a lot of these programs have faced major difficulties such as lack of funding, which undercut their efficacy. Consequently, it is not guaranteed whether they have a positive contribution to the development of the labor force in the construction sector.
1. What capabilities and talents can veterans bring to the construction sector?
2. What is the…
individual health history and examination of a 61-year-old American male Vietnam veteran, "Mr. John Veteran" using the SBAR approach. Mr. Veteran is married, with two adult children and three grandsons, aged 4, 7 and 12 years by his older daughter who is a registered nurse in an intensive care unit; his younger daughter is a senior in college majoring in business administration (she received a full scholarship to a private college). Mr. Veteran earned his bachelor's degree in organizational leadership at a small midwestern university. Although Mr. Veteran continues to work full time as a paralegal, he advises that he intends to "semi-retire" when he turns 62 years next year and becomes eligible for Social Security payments. Mr. Veteran smokes two packs of cigarettes a day and drinks beer on occasion, but does not take drugs, even for severe pain, because he is worried about becoming addicted to them.
This "complex bureaucracy" may at least partially explain the controversy that surrounds many Veterans Hospitals after accusations of poor conditions and health care have tarnished the VA's image during the past year. Two Washington Post reporters write, "Stories of neglect and substandard care have flooded in from soldiers, their family members, veterans, doctors and nurses working inside the system" (Hull and Priest, 2007, p. A01). The arguments against these problems has steadily grown, and as they have grown, new problems have been uncovered. With so many returning veterans, the VA is finding it difficult to cope with the sheer numbers of veterans involved. The Post reporters continue, "Nearly 4,000 outpatients are currently in the military's Medical Holding or Medical Holdover companies, which oversee the wounded. Soldiers and veterans report bureaucratic disarray [...] indifferent, untrained staff; lost paperwork; medical appointments that drop from the computers; and long waits for consultations" (Hull…
Editors. (2007). Facts about the Department of Veterans Affairs. Retrieved 13 March 2008 from the VA.gov Web site: http://www1.va.gov/opa/fact/docs/vafacts.doc.1-7.
Hull, a, and Priest, D. (5 March 2007). 'It is just not Walter Reed': Soldiers share troubling stories of military health care across U.S. Washington Post. A01.
Manske, J.E. (2006). Social work in the Department of Veterans Affairs: Lessons learned. Health and Social Work, 31(3), 233+.
The Nurses Organization of Veterans Affairs (NOVA)
Purpose, Mission and Vision
NOVA exists to fulfill a very important function in the United States: Providing healthcare services to the nation's war veterans. To be able to do this, the organization's mission is to "shape and influence healthcare in the Department of Verterans Affairs (NOVA Foundation, 2012).
NOVA's vision has six components:
To provide high quality nursing care.
To provide nurses with an optimal work environment.
To keep nurses informed on relevant issues regarding VA health care and nursing.
To create opportunities for VA nurses to function at the leadership level.
To recruit all VA nurses for NOVA membership.
Advantages of Membership
The most obvious benefit of membership is the ability to connect with other members, who can offer support for specific challenges related to the professions. This opportunity to work with others also strengthens the ability of the VA…
Meyers, S. (2003, Oct. 2). Nurse Shortage: Recruitment and Retention. Statement of The Nurses Organization of Veterans Affairs (NOVA) Before the House Committee on Veterans Affairs, Subcommittee on Oversight and Investigations. Retrieved from: http://democrats.veterans.house.gov/hearings/schedule108/oct03/10-2-03/smyers.pdf
Nova Foundation (2012). Nurses Organization of Veterans Affairs. Retrieved from: http://www.vanurse.org/
United States Department of Veterans Affairs. (2012, Jun. 4). NOVA Foundation Scholarship. Retrieved from:
Ethical Dilemma in a Department of Veterans Affairs Tertiary Healthcare Facility
Selection of the environment.
Selected environment. The environment for the proposed study will be a Department of Veterans Affairs (VA) medical center (hereinafter alternatively "VAMC") that provides the full complement of tertiary healthcare services. The pseudonym for the selected facility will be "Lincolnville VAMC" (because the VA's motto is derived from Lincoln's second inaugural address).
Description of environment and rationale for selection. The Lincolnville VAMC provides tertiary healthcare services for veterans living in a 25-county area in a midwestern state. Besides its operations in the main facility, the Lincolnville VAMC also operates two community-based outpatient clinics. Some of the primary services offered by the Lincolnville VAMC include:
Behavioral Health Service: This service provides consultation, evaluation, and treatment for a variety of issues that can impact emotional well-being.
2) Pharmacy: This service processes more than 80,000 prescriptions each month.
Gomulka, G.T. (2010). Saving military families. Military Review, 90(1), 111-112.
Hendin, H. & Foley, K. (2008). Physician-assisted suicide in Oregon: a medical perspective.
Issues in Law & Medicine, 24(2), 121-122.
Lighthall, A. (2010, November/December). The rules of engagement. Psychotherapy Networker,
Military Veteran Hiring Situation -- My Testimony
A military veteran entering into civilian life can face tough challenges, especially when it comes to finding a suitable, well-paying job in today's American economy. But I have been blessed to find a good job, and I am extremely grateful to ITA International for the opportunity they have provided for me.
After serving my country for ten years in the United States Army, it was very important for me to find a civilian job in Virginia. Not just any job, but a job that would allow me to use my career training as a project manager.
Indeed, it was my good fortune to come into contact with ITA International in February 2016, an equal opportunity company in Virginia that reaches out to military veterans. Through online sources (Linked-In), I located the ITA International recruiter, and supplied my resume.
The ITA International recruiter contacted…
Hector Perez Garcia has been described as "a man who in the space of one week delivers 20 babies, 20 speeches, and 20 thousand votes. He understands delivery systems in this country," ("Justice for My People: The Dr. Hector P. Garcia Story"). Trained as a physician, Hector P. Garcia became the "medical doctor to the barrios," ("Justice for My People: The Dr. Hector P. Garcia Story"). He also served in the United States Army, stationed in North Africa and Italy during the Second World War. For his service as infantry officer, combat engineer officer, Medical Corps officer, and Medical Corps surgeon, Garcia received six battle stars and a Bronze Star. As a highly decorated veteran of a war that should have united the country against its common enemies, Garcia might have expected that Hispanic-Americans like him would enjoy equal rights and social justice. He was wrong. Fed up with discrimination…
Del Valle, Aracelis. "Garcia, Dr. Hector Perez." Learning to Give. Retrieved online: http://learningtogive.org/papers/paper99.html
Holley, Joe. "Hector Perez Garcia, 82, Dies; Led Hispanic Rights Group." The New York Times. 29 July 1996. Retrieved online: http://www.nytimes.com/1996/07/29/us/hector-perez-garcia-82-dies-led-hispanic-rights-group.html?pagewanted=all&src=pm
"Justice for My People: The Dr. Hector P. Garcia Story." PBS. Retrieved online: http://www.pbs.org/justiceformypeople/
Kells, Michelle Hall. Hector P. Garcia: Everyday Rhetoric and Mexican-American Civil Rights. SIU Press, 2006.
According to VA.gov (2016), the Department of Veteran's Affairs has its roots in a policy passed in 1636 when soldiers at the Plymouth Colony who had fought on the war with the Pequot Indians were granted support by the colony. After independence, the policy was continued, and by 1811 the first hospital for veterans was built and funded by the federal government. The system of veteran's assistance was expanded numerous times over the course of the 19th century, and in 1917, further expansion occurred. After World War One there were three agencies that were responsible for different aspects of veteran's benefits and so in 1921 these were merged to create the Veterans' Bureau, the precursor to the modern Department of Veteran's Affairs. The VA was formally created in 1930 by President Hoover, granting it more authority than it previously had, and absorbing more divisions (VA.gov, 2016).
Institute of Medicine. (2013). Committee on the Assessment of Readjustment needs of military personnel, veterans and their families. The National Academy Press: Washington, DC
Kille, L. (2015). The U.S. Veterans' Affairs Department and challenges to providing care for service members: Research roundup. Journalist's Resource. In possession of the author.
Prentice, J. & Pizer, S. (2007). Delayed access to health care and mortality. Health Services Research. Vol. 42 (2) 644-662.
VA.gov (2016). About VA. Department of Veteran's Affairs. Retrieved April 25, 2016 from
Veteran/Purple Heart Recipient
Highly qualified and well-rounded healthcare administrator that has a strong and diverse background in healthcare, operations, facility management, strategic planning, Lean, healthcare development and redesign background. This includes sixteen years of hands-on patient care experience as well as over ten years' experience successfully providing executive level leadership in clinical, administrative, facility planning and overall hospital disciplines. Highly skilled with implementing and managing complex issues at all levels in order to plan, develop, organize, decipher and perfect policy. Able to evaluate hospital-wide operational management programs and needs. Sixteen years of in-depth management experience with healthcare-related development projects for both ambulatory and non-ambulatory settings throughout all disciplines of healthcare. Active security clearance.
PROFESSIONAL STRENGTHs & CERTIFICATIONS
• BLS certified
• HIPAA-Trained & Certified
• Certified in Food Protection and Safety
• Advanced skills with Microsoft Office, Defense Medical Logistics Standard Support Automated Information System, Armed Forces Health…
Its main goals are to examine and evaluate the main areas requiring improvements. The technology transfer programs are the key information sources, which enables the veteran access the latest technologies that can lead to improvement of their livelihood standards. The veteran association other goal is to ensure automated and web-enabled activities. This will enable the association allow online submission of ids rather than uploads from emails hence reducing the usage of papers.
According to 2000 census, 12% of the U.S. population is African-American. This figure may be even less because there are some homeless and incarcerated who are not inclusive in the census report. The Africa American veterans mostly affected by depression though most of them believe is a personal weakness. They represent among the veterans who served in the homeless programs making about 11.4%of the veteran population. These veterans make up 35.1%of the homeless veteran population and 18.9%of the…
USDVA, (2013). U.S. Department of Veteran affairs.
Retrieved from http://www.northflorida.va.gov/services/homeless/
Department of Veterans Affairs Office of Research and Development of Office Technology
Transfer Retrieved from http://www.nist.gov/tpo/publications/upload/VA-Tech-Transfer-Plan.pdf
These findings are truly alarming given the fact that fully 65% of the military personnel who have served in Iraq report a history of combat experience and these experiences can clearly result in physical and emotional injuries, with PTSD being expected to develop in between 5 and 15%, with other estimates ranging even higher (Gutierrez & Brenner, 2009). For instance, Gutierrez and Brenner cite the results of a recent analysis conducted by the AND Corporation that found the range of prevalence estimates for PTSD was 5% to 15% of the military personnel deployed the Middle East; when these rates were applied to the 1.64 million military personnel who have already completed their deployment, and estimated the number of individuals with PTSD will be between 75,000 to 225,000.
Given the large numbers of returning combat veterans today and these disturbing rates of PTSD, these findings suggest that more needs to be…
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders
(4th ed). Washington, DC: Author.
Beckham, J.C., Roodman, a.A., Barefoot, J.C., Haney, T.L., Helms, M.J., Fairbank, J.A., et
al. (1996). Interpersonal and self-reported hostility among combat veterans with and without posttraumatic stress disorder. Journal of Traumatic Stress, 9, 335 -- 342.
Making available recovery program treatment besides collaborating with partnership to leverage resources and knowledge is a role that I perform in efforts of helping clients access care. I am also involved in continual community-based quality improvement programs that are designed to support care access and quality.
B. Veteran Centered Care
With respect to centered care, I normally assist with provision of alternatives to inpatient care for mental health linked problems. Additionally, I make CVT available for weekend and evening hours. As a MHICM practitioner, I perform various administrative and clinical functions for clients and my team. Clinical tasks entail stress and crisis management, group therapy, advocacy and treatment planning. I also ensure that patient preferences with respect to appointments and mental health care providers are maintained.
C. Performance Measures
I offer administrative and clinical supervision for my team besides facilitating cohesiveness communication, education programs and systems concerning community-based services. Given…
Committee on the Robert Wood Johnson Foundation initiative on the future of nursing.(2011). The future of nursing: Leading change, advancing health. New York: National Academies Press
Daniels, R., & Nicoll, L.(2011). Contemporary medical-surgical nursing, Volume 1. New York: Cengage Learning.
Sullivan-Marx, E.(2010). Nurse practitioners: The evolution and future of advanced practice. New York: Springer Publishing Company.
Thonicroft, G. (2011). Oxford textbook of community mental health. London: Oxford University Press.
Anthropologist working with the VA
Definitions / Interests / Key Problems and Issues
Previous Work Performed by Anthropologists in this Area
The Employment Situation, Current Salaries and Opportunities for Advancement
ibliography of the most important books, chapters and articles
Relevant professional organizations, ethics statements and newsletters
Names / locations of PAs and others working in the content area locally and elsewhere.
Relevant Laws and Regulations
Relevant international / domestic organizations, private and public
Other helpful information you think about on your own
The wars in Iraq and Afghanistan had a dramatic impact on the way someone sees themselves and the world around them. This is because many veterans have been forced to serve multiple tours and are still dealing with the lasting experiences from them. Two of primary injuries most are suffering from are post traumatic stress disorder (PTSD) and traumatic brain injury (TI). Anthropologists are seeking to understand the…
Bibliography of the most important books, chapters and articles.
2014. Summary. BLS. Electronic document, http://www.bls.gov/ooh/life-physical-and-social-science/anthropologists-and-archeologists.htm . accessed April 3, 2012
2010. Hidden Battles on Unseen Fronts. Drexel Hill: Casemate.
The purpose of this report is to accurately describe the systems and procedures at the Veterans Administration (VA). This report will fully analyze the history of legislation and court decisions that have implications to the agency's personnel management. Additionally this report will examine the major components of the agency's human resource system's goals and practices regarding hiring and recruitment practices. Finally the report will list recommendations that can improve the agency's success of recruiting and training a diversified workforce.
Laws Affecting the Agency
It is first important to examine the history of the VA itself before examining the more specific human resources department section of the Veterans Administration. According to the VA's website, the formation of this agency in the federal government has demonstrated the political views of this government towards the soldiers who fight the wars for this country. As a result of this relationship, laws, rules…
The Department of Veterans Affairs Human Resource Strategic Plan 2005-2010. Retrieved from
These different elements are used to provide balance, scale and proportion through illustrating the natural movements / actions that are taking place. Repetition, variety, rhythm and unity are demonstrated based upon the way the image is represented and how it changes as it moves further away from the subject. ("John Biglin in a Small Skull")
From a historical context, this is showing the traditions the elite are continuing to embrace (such as: rowing). However, there are economic and political changes with this group of society growing from a new class of affluent that is emerging. This is illustrating how there are ideological shifts in the views and beliefs of everyone. From a social perspective, these areas are highlighting the way society is becoming wealthier with more people having the opportunity to participate in these activities. ("John Biglin in a Small Skull")
"John Biglin in a Small Skull." Met…
"John Biglin in a Small Skull." Met Museum, 2013. Web 24 Apr. 2013
"Kindred Spirits." Met Museum, 2000. Web. 24 Apr. 2013
"The Veteran in a New Field." Met Museum, 2013. Web. 24 Apr. 2013
"View from Mount Holyoke." Met Museum, 2013. Web. 24 Apr. 2013