| Advice to Stop PTSD Diagnoses Triggers Probe |
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| Written by Libby Lewis | |||
| Friday, 30 May 2008 00:18 | |||
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More and more military veterans returning from Iraq and Afghanistan are seeking help and compensation for post-traumatic stress disorder. That has created concern by veterans and others that the government could try to minimize the problem of PTSD to save money. An incident at a veterans' hospital near Fort Hood, the Army post in Texas that is one of the nation's largest military bases, has stoked that concern. In an e-mail, a psychologist at the Olin E. Teague Veterans' Center in Temple, Texas, advised her staff to stop diagnosing veterans with PTSD to save money. The e-mail became public last week. The head of the Department of Veterans Affairs insists that's not VA policy.
Psychologist Norma Perez was hired last summer to help coordinate a PTSD program at the center, which draws a lot of veterans. Not long afterward, Perez announced she would disband a dozen or so PTSD therapy groups, in which about 140 veterans met monthly with a clinical counselor. Perez wanted to replace the long-term groups with short-term plans — lasting no longer than three months — that focus on coping skills and cognitive processing therapy. The VA uses a broad range of therapies for PTSD, including group therapy. Some veterans in the program said Perez told them that long-term group therapy doesn't work. Some vets accused Perez of personally trying to destroy their groups. But Kim Larsen, a former Army medic and Vietnam vet with PTSD, who attended two VA forums about the plan to disband the groups, had a different impression. He thought Perez was simply the messenger. Then he saw an e-mail from Perez to her staff, advising them to "refrain from giving a diagnosis of PTSD straight out...." It was dated March 20. Incensed, Larsen shared the e-mail and it wound up with Citizens for Responsibility and Ethics, a watchdog group, and VoteVets.org, a veterans advocacy group. Last week, the groups posted the e-mail on the Internet, setting off a tempest. Read the whole thing here.
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