Category Archives: PTSD

Impacted Nurse: "Critical Incident Stress Debriefings" Re-Examined

Follow LJF97 on Twitter Tweet  A look at psychological first aid replacing critical incident debriefs. may tell us a bit more about assuming that all not people respond the same way to a given incident – or to a given therapy.  Or maybe they do. From the brilliant blog  Impacted Nurse, quoting in turn from Vaughan Bell at Mind Hacks:

“This technique is now not recommended because we know it is at best useless and probably harmful, owing to the fact that it seems to increase trauma in the long-term.

Instead, we use an approach called psychological first aid, which, instead of encouraging people to talk about all their emotions, really just focuses on making sure people feel secure and connected.  
Psychological first aid is actually remarkable for the fact that it contains so little psychology, as you can see from the just released psychological first aid manual from the World Health Organisation.
You don’t need to be a mental health professional to use the techniques and they largely consist of looking after the practical needs of the person plus working toward making them feel safe and comfortable.

No processing of emotions, no ‘disaster narratives’, no fancy psychology, its really just being practical, gentle and kind.”

Via Mindhacks – Escaping from the past of disaster psychology. As noted above, via Impacted Nurse.

 

Sgt. Brad Gaskins – diagnosed with PTSD, charged with desertion

A soldier who deserted en route to Iraq would be charged with desertion. And – one’s position on the war notwithstanding – it’s understandable. Military discipline depends on compliance with lawful orders.

Let’s take a different case: soldier goes to Iraq, not once but twice, serves honorably, and after the second tour is hospitalized and diagnosed  with PTSD. After being discharged from hospital, he’s told that continued medical care in the United States “would delay any chance he had at obtaining a medical release” – and that he should, therefore, return to Iraq with his unit.

We assume that a soldier with a physical injury wouldn’t be rotated back to combat. Shouldn’t this soldier – having already served twice and having suffered this way – be in a better position than the soldier who deserts before serving in combat? The Army apparently thinks otherwise.

From the AP’s November 14th piece by William Kates

:

A soldier who served two combat tours in Iraq was arrested Wednesday for leaving the Army without permission more than a year ago to seek treatment for post traumatic stress disorder.

At a news conference hours before his arrest, Sgt. Brad Gaskins said he left the base in August 2006 because the Army wasn’t providing effective treatment after he was diagnosed with PTSD and severe depression.

“They just don’t have the resources to handle it, but that’s not my fault,” Gaskins said.

Tod Ensign, an attorney with Citizen Soldier, a GI rights group that is representing Gaskins, said the case is part of a “coming tsunami” of mental health problems involving Iraq and Afghanistan vets.

Last month, the Veterans Administration said more than 100,000 soldiers were being treated for mental health problems, and half of those specifically for PTSD.

Gaskins, 25, of East Orange, N.J., was taken into custody at a Watertown cafe by civilian police officers from Fort Drum and two local police officers, Ensign said. The lawyer said he had been on the phone with military prosecutors working out the details of Gaskins’ surrender when the soldier was arrested.

Fort Drum spokesman Ben Abel said after a soldier is AWOL for more than 30 days he becomes classified as a deserter and a federal arrest warrant is issued. He said he was unaware of the specifics of Gaskins’ case and declined to comment on it.

An eight-year Army veteran, Gaskins served two tours in Iraq and a peacekeeping tour in Kosovo. He said his mental health began deteriorating during his second tour in Iraq, which began in June 2005, when his job was to conduct road searches and locate improvised explosive devices.

He said after returning to Fort Drum in February 2006, he began suffering flashbacks and nightmares, headaches, sleeplessness, weight loss and mood swings that took him from depression to irrational rages. Military doctors sent him to the Samaritan Medical Center in Watertown, where he spent two weeks and was diagnosed with PTSD. When he later asked his commanders about returning to Samaritan, they told him it would delay any chance he had at obtaining a medical release, Gaskins said.

At the time, the Fort Drum mental health facility had a staff of a dozen caring for approximately 17,000 troops, Ensign said.

Gaskins said that because he had been unable to get proper help, he requested a two-week leave and went home to New Jersey, where he has been living since.

The base has expanded its mental health facility staff to 31 in the past year, with plans to add another 17 staffers, Abel said. “Is there a need for more — yes,” he said.

Gaskins said he hasn’t been able to get a job because of his PTSD, and that he and his wife have separated. He said he has only supervised visitation rights with his two children.

See also:

“Sergeant Fled Army, but Not the War in His Head,” by Fernanda Santos, in The  New York Times.