Adverse childhood experiences are traumatic early life experiences that can lead to poorer mental, physical, and social outcomes. Children in military and veteran families can face unique challenges compared with civilian families. This study utilizes data from 2017–2019 National Survey of Children's Health to examine 56,655 children living in military, veteran, and civilian families to predict the prevalence of adverse childhood experiences. Findings indicate that children living in veteran families (compared with civilian families) have higher odds of witnessing parents use violence and witnessing parents with alcohol or substance use problems. Children in military families had higher odds of divorce and lower odds of experiencing parental death. It is also noted that children living in military, veteran, and civilian families are similar across other ACEs including the incarceration of a parent, child as victim of violence, living with family with mental illness, unfair treatment because of race, and difficulty covering basics like food and housing.
In this study, researchers found that veterans with college training were more likely to become employed when they also received job search assistance and job placement assistance, as well as that veterans without such training increased their probability of employment after receiving diagnoses and treatment of impairments, VR counseling, job placement assistance, rehabilitation technology, and other supports. In practice, the results of this study provide important information for rehabilitation counselors, vocational counselors, and other practitioners working with veterans with disabilities. In policy, policymakers should work to support and expand state VR programs to reach a wider population of veterans. Suggestions for future study include going beyond whether or not technology services were received, performing a more in-depth analysis of how the various components of rehabilitation technology affect the outcomes of veterans enrolled in VR programs, and exploring whether veterans' service needs vary based on whether or not they are enrolled in higher education programs.
To improve the educational experiences and outcomes of student veterans, the Kisco Foundation developed the Kohlberg Prize in 2015. Two cohorts of colleges were awarded competitive grants to enhance their veterans services. This piece examines the process of creating integrated services for student veterans through the institutionalization of one-stop veterans resource centers, drawing on information provided via winners' responses to standard application and narrative reporting templates. The authors identify key challenges inherent in integrating services. Some of these—for instance, those related to budgets and staffing—are practical. Others are philosophical, highlighting different approaches to service integration and perhaps calling into question the best way to serve specific populations within complex institutions and communities. The authors highlight several approaches colleges took to integrate support services for student veterans, weigh the pros and cons of different approaches, and share observations that may benefit other community colleges as they think through the best ways to support their own military-connected students.
Abstract Background Suicide is a global public health problem. Recently in the U.S., much attention has been given to preventing suicide and other premature mortality in veterans returning from Iraq and Afghanistan. A strong predictor of suicide is a past suicide attempt, and suicide attempters have multiple physical and mental comorbidities that put them at risk for additional causes of death. We examined mortality among U.S. military veterans after hospitalization for attempted suicide. Methods A retrospective cohort study was conducted with all military veterans receiving inpatient treatment during 1993-1998 at United States Veterans Affairs (VA) medical facilities following a suicide attempt. Deaths occurring during 1993-2002, the most recent available year at the time, were identified through VA Beneficiary and Records Locator System data and National Death Index data. Mortality data for the general U.S. adult population were also obtained from the National Center for Health Statistics. Comparisons within the veteran cohort, between genders, and against the U.S. population were conducted with descriptive statistics and standardized mortality ratios. The actuarial method was used estimate the proportion of veterans in the cohort we expect would have survived through 2002 had they experienced the same rate of death that occurred over the study period in the U.S. population having the age and sex characteristics. Results During 1993-1998, 10,163 veterans were treated and discharged at a VA medical center after a suicide attempt (mean age = 44 years; 91% male). There was a high prevalence of diagnosed alcohol disorder or abuse (31.8%), drug dependence or abuse (21.8%), psychoses (21.2%), depression (18.5%), and hypertension (14.2%). A total of 1,836 (18.1%) veterans died during follow up (2,941.4/100,000 person years). The cumulative survival probability after 10 years was 78.0% (95% CI = 72.9, 83.1). Hence the 10-year cumulative mortality risk was 22.0%, which was 3.0 times greater than expected. The leading causes overall were heart disease (20.2%), suicide (13.1%), and unintentional injury (12.7%). Whereas suicide was the ninth leading cause of death in the U.S. population overall (1.8%) during the study period, suicide was the leading and second leading cause among women (25.0%) and men (12.7%) in the cohort, respectively. Conclusions Veterans who have attempted suicide face elevated risks of all-cause mortality with suicide being prominent. This represents an important population for prevention activities.
The adjustment and reintegration of military veterans following deployment has proven challenging since the wartime founding of the United States. Those challenges differ in their nature and intensity depending on social role. Veterans, family, support networks, and members of social institutions and society at large have very different experiences of, and perspectives on, deployment and its aftermath. This paper presents reasons the perspectives of veterans of Operation Enduring Freedom and Operation Iraqi Freedom are frequently unvoiced or unheard as they reintegrate following deployment. These muted voices permit others to consolidate and condense veterans' perspectives and interests on their behalf. Buber's I-it relationship serves as a framework for exploring this process of discursively rendering veterans as non-agentive political objects, as when recent opponents of Syrian immigration invoked neglect of veterans' resources to argue against providing assistance to refugees. The paper concludes with recommendations to counter the monologic nature of these rhetorical efforts and to enhance dialog with veterans.
Through the lens of veterans studies, we know a great deal about the fate of those soldiers who have recently returned home following a period of deployment in Iraq and Afghanistan, yet counterintuitively we know nothing about the plight of the private military contractors who worked alongside them. Addressing this blind spot, the article explores the socioeconomic trajectories of "private military veterans" from a life-course perspective. Specifically, it addresses three questions regarding their status in the civilian labor market. What occupations do they work in? To what extent do they work in similar occupations to public military veterans? To what extent do they work in similar occupations to the general population? Focusing on the U.K. case, it reveals that private military veterans are significantly overrepresented in the "protective service occupations," where they primarily work in the private security industry, and offers a multilayered explanation for this distinctive clustering effect.
Introduction: Toxoplasmosis is caused by infection with the protozoan Toxoplasma gondii (T. gondii), an obligate intracellular parasite. T. gondii infects a large portion of the world's population, but uncommonly causes clinically significant disease. Those that are at greatest risk for more severe disease with toxoplasmosis are the immunologically impaired, fetuses, and newborns. T. gondii infection in immunocompetent patients can present as a self-limiting acute infection, or as an acute systemic disease. There are three main T. gondii genotypes, I, II, and III, with varying geographical prevalence. T. gondii is most commonly acquired via ingestion of infectious oocysts, from the environment, tissue cysts from contaminated food items, vertical transmission, or via organ transplantation from an infected donor. Diagnosis can be made via histological and serologic testing in suspected patients. Seropositive testing should be considered within the clinical context, as IgM antibodies may persist for months to years. IgG antibody avidity patterns further help delineate acute versus chronic infections. Histopathology from tissue biopsy of lymphadenopathy is more commonly pursued to establish diagnosis in immunocompetent patients. Case Report: We present a 37-year-old male who presented to the clinic with persistent bilateral non-tender occipital lymphadenopathy of two months duration. Patient also endorsed an acute fluid filled blister on the penis, recurrent cold sores, and significant fatigue. Review of systems were unremarkable. Patient's immunizations were up-to-date. Patient is an active military serviceman with history of overseas deployment. Patient reports consuming undercooked meat overseas, as well as game meat preparation while hunting. Similar symptoms were also reported by another fellow veteran. Laboratory studies revealed normal CBC, CMP, and TSH. HIV, gonorrhea, and chlamydia testing were negative. Urology referral found no abnormalities. Aspiration biopsy of the right occipital lymph node demonstrated granulomas and aggregates of histiocytes compatible with reactive hyperplasia. Findings were suggestive of toxoplasmosis and no malignancy was found. Follow up T. gondii serological testing results revealed Ab IgM: 104 AU/ML (reference range 0.0-7.9). Toxoplasma gondii Ab IgG: >400 AU/ML (reference range 0.0-7.1), which were consistent for active infection. Patient was referred to Infectious Disease and supportive therapy was recommended. A three month follow up showed improvement in symptoms. Discussion: Although acute infections with T. gondii in immunocompetent patients typically are self-limiting, more serious systemic infections may occur. A pyrimethamine-containing antibiotic regimen is recommended for treating systemic infections. We propose educating high-risk individuals with appropriate preventive measures, which may be beneficial in preventing Toxoplasmosis.
Marked by difficulty falling or staying asleep and/or poor sleep leading to daytime dysfunction, insomnia contributes to functional impairment, poor health, and increased healthcare utilization when left untreated. As many as two-thirds of Iraq and Afghanistan military veterans complain of insomnia. Older veterans of prior conflicts report insomnia occurring since initial service, suggesting a chronic nature to insomnia in this population. Despite insomnia's high prevalence and severe consequences, there is no theoretical model to explain either the onset or chronicity of insomnia in this growing patient population. Existing theories view insomnia as an acute, unidirectional phenomenon and do little to elucidate long-term consequences of such problems. Existing theories also fail to address mechanisms by which acute insomnia becomes chronic. This paper presents an original, integrated theoretical model that draws upon constructs from several prominent behavioral medicine theories to reconceptualize insomnia as a chronic, cyclical problem that is both a consequence and predictor of stress. Additional research examining the relationships between stress, sleep, resilience, and outcomes of interest could inform clinical and research practices. Addressing sleep problems early could potentially enhance adaptive capacity, thereby reducing the risk for subsequent negative outcomes.
Purpose: This study aims to explore the physical, psychological and social wellbeing of veterans who have experienced limb-loss and to ascertain the factors that contribute to the ability of veterans to maintain their independence at various stages in their lives. Methods: Sixty two life-story interviews were conducted with 32 veterans (aged between 40 and 95) who had experienced limb-loss either during or after military service. Results: Three overarching superordinate themes and related sub-themes were generated from a detailed Framework Analysis "Barriers to transition" describes issues related to employment, legal support and compensation, stigma and loss of identity. "Disparity of care" highlights the issues related to military and civilian care and prosthetics service user experience. The final superordinate theme, "Enduring challenge of limb loss," considers stoicism, dealing with pain, mobility, physical isolation and social networks. Conclusions: The outcomes offer an opportunity to shape future health and social care policy around the requirements of veterans who have experienced limb-loss by understanding the complexity, and ascertaining the factors that contribute to, maintaining long-term independence.
As student veterans transition to four-year institutions from the military, they navigate pathways that are often neither linear nor easy. Using Turner's theory of liminality, we examine student veterans' perspectives of the transition from military to civilian life. Interviewees include 60 student veterans from all military branches from four universities in the USA. Student veterans describe successes and challenges as they matriculate into engineering education as transfer students. Analyses of qualitative data yield original findings about the importance of mentors and student veteran networks for fostering student veterans' educational interests and in promoting their persistence. This study uses a framework of liminality to highlight the bridge between prior military position and a forthcoming reentry into society with a new professional identity as an engineer. In describing their studies, student veterans greatly valued military-learned skills, such as patience, discipline, and technical skills, that give them an advantage in their engineering studies. These findings will be relevant to researchers studying transitions in general and researchers investigating veterans or other populations experiencing transitions. University leaders, including student affairs administrators, faculty members, and others who serve the student veteran community will also benefit from the results.
"Art Therapy with Military Veterans: Trauma and the Image provides a comprehensive framework for understanding and applying art therapy with former and serving armed forces personnel who have Post-Traumatic Stress Disorder (PTSD). This book brings together experienced contributors in one volume to provide the range of information essential to those seeking to understand the complexities of working in this context.In recent years, art therapy has received increasing attention as a promising treatment for veterans with PTSD. This cutting-edge book provides vital background information on PTSD, military culture and mental health provision, and an effective art therapy working model. The text explores creative partnerships with other disciplines, in different settings, and includes first-hand accounts from veterans about the role art therapy has played in their recovery. This accessible book is a timely response to growing recognition of the value of art therapy with veterans, and it also addresses issues relevant to the wider population of people whose lives have been detrimentally affected by trauma.With chapters authored by leading clinicians in this field, Art Therapy with Military Veterans: Trauma and the Image will be of interest to all art therapists and mental health professionals working with traumatised veterans."--Provided by publisher.
Many combat-occupation veterans experience difficulty translating their military occupation to a civilian occupation after they leave the military. Veterans may struggle with military culture, self-leadership, health concerns, stereotypes, and employment barriers such as disability and underemployment. In this qualitative descriptive research study, the researcher analyzed the transition barriers U.S. combat-occupation veterans experienced when entering the civilian sector and workforce. The researcher interviewed six participants via Zoom using semistructured interview questions. All participants met the criteria of being 18–29 years old, being a veteran with a combat occupation, and having a willingness to tell their transition experiences. Five of the six participants knew they were leaving the military in advance, but none felt they were prepared for their transition. Participants felt they were still transitioning, though some had been out of the military for several years. Findings showed that veterans are often underprepared for transition, transition is difficult, leaders must allow service members to prepare for transition, a support system is key, and self-leadership is a catalyst for successful transition. Government agencies that work with and for the U.S. military can create specific programs and practices for transitioning service members with combat occupations to create a successful transition into the civilian workforce. Keywords: qualitative descriptive, combat-occupation veteran, transition, self-leadership
Risk factors for poor mental health among UK veterans include demonstrating symptoms while in service, being unmarried, holding lower rank, experiencing childhood adversity and having a combat role; however, deployment to a combat zone does not appear to be associated with mental health outcomes. While presentation of late-onset, post-service difficulties may explain some of the difference between veterans and those in service, delayed-onset post-traumatic stress disorder (PTSD) appears to be partly explained by prior subthreshold PTSD, as well as other mental health difficulties. In the longer term, veterans do not appear to suffer worse mental health than equivalent civilians. This overall lack of difference, despite increased mental health difficulties in those who have recently left, suggests that veterans are not at risk of worse mental health and/or that poor mental health is a cause, rather than a consequence, of leaving service.
Today, the Federal Department of Veterans Affairs recognizes well over 100 military veteran organizations including the American Legion, American Veterans (AMVETS), Paralyzed Veterans of America, and Veterans of Foreign Wars. But these assets, these associations, and these contact resources were not always available. I want to show you how the church "in this case the Baptist church" helped two veterans relocate from the battle trenches of the Civil War to the civilian world following General Robert E. Lee's infamous surrender at Appomattox. The reintegration challenges faced by these two veterans and the assistance they received in addressing them demonstrates how, 150 years ago, the church served as one of our first military veterans organizations. ; Presented at Race and/or Reconciliation, the Third Conference on Veterans in Society, which took place in Roanoke, VA from November 12-14, 2015. ; Conference hosted by the Center for the Study of Rhetoric in Society, Department of English http://www.rhetoric.english.vt.edu/
