Madam Speaker, I rise today to enter into the Record an article from the New York Times published on July 8, 2008 titled ``After the Battle, Fighting the Bottle at Home.'' Alcohol abuse is rising among Afghanistan and Iraq veterans, many…
Madam Speaker, I rise today to enter into the Record an article from the New York Times published on July 8, 2008 titled ``After the Battle, Fighting the Bottle at Home.''
Alcohol abuse is rising among Afghanistan and Iraq veterans, many of them trying to deaden the repercussions of war and disorientation of home. The problem is particularly prevalent among those suffering from post-traumatic stress disorder. Increasingly, these veterans are spilling into the criminal justice system. Their stories are similar: coming back from war with lost jobs, crushing debt and ruptured families.
In May, House and Senate passed bills that would require the veteran's agency to expand substance-abuse screening and treatment for all veterans. However, this legislation does not provide immediate relief to veterans. For active duty service members, the military faces a shortage of substance-abuse providers on bases across the country, while the insurance plan, Tricare, makes it difficult for many reservists and their families to get treatment. Finding treatment programs that accept Tricare often ends in frustration and few residential rehabilitation programs have the accreditation required by the plan. An advocacy group, Veterans for America, found the demand for psychological help was so great, and the system so burdened, that soldiers often waited a month to be seen.
The Pentagon's most recent survey of health-related behavior found that for the first time in more than 20 years, a quarter of the soldiers surveyed considered themselves heavy drinkers, defined as having 5 or more drinks at least once a week. Consequently, suicides have also reached a high in the Army last year in which alcohol or drugs were cited in 30 percent of the 115 cases, the Pentagon reported.
Last January, a city court judge in Buffalo, Robert T. Russell, noticed a surge of recent veterans with substance-abuse and mental- health problems in the city's courtrooms. He created the Nation's first Veterans Court, where, instead of jail, veterans arrested for low-level crimes, mostly tied to alcohol or drugs, are enrolled in treatment.
[From the New York Times, July 8, 2008]
After the Battle, Fighting the Bottle at Home
(By Lizette Alvarez)
Most nights when Anthony Klecker, a former marine, finally
slept, he found himself back on the battlefields of Iraq. He
would awake in a panic, and struggle futilely to return to
sleep.
Days were scarcely better. Car alarms shattered his nerves.
Flashbacks came unexpectedly, at the whiff of certain
cleaning chemicals. Bar fights seemed unavoidable; he nearly
attacked a man for not washing his hands in the bathroom.
Desperate for sleep and relief, Mr. Klecker, 30, drank
heavily. One morning, his parents found him in the driveway
slumped over the wheel of his car, the door wide open, wipers
scraping back and forth. Another time, they found him curled
in a fetal position in his closet.
Yet only after his drunken driving caused the death of a
16-year-old cheerleader did Mr. Klecker acknowledge the depth
of his problem: His eight months at war had profoundly
damaged his psyche.
``I was trying to be the tough marine I was trained to be--
not to talk about problems, not to cry,'' said Mr. Klecker,
who has since been diagnosed with severe post-traumatic
stress disorder. ``I imprisoned myself in my own mind.''
Mr. Klecker's case is part of a growing body of evidence
that alcohol abuse is rising among veterans of combat in
Afghanistan and Iraq, many of them trying to deaden the
repercussions of war and disorientation of home. While the
numbers remain relatively small, experts say and studies
indicate that the problem is particularly prevalent among
those suffering from post-traumatic stress disorder, as it
was after Vietnam. Studies indicate that illegal drug use,
much less common than heavy drinking in the military, is up
slightly, too.
Increasingly, these troubled veterans are spilling into the
criminal justice system. A small fraction wind up in prison
for homicides or other major crimes. Far more, though, are
involved in drunken bar fights, reckless driving and alcohol-
fueled domestic violence. Whatever the particulars, their
stories often spool out in unwitting victims, ruptured
families, lost jobs and crushing debt.
With the rising awareness of the problem has come mounting
concern about the access to treatment and whether enough
combat veterans are receiving the help that is available to
them.
Having cut way back in the 1990s as the population of
veterans declined, the Veterans Health Administration says it
is expanding its alcohol- and drug-abuse services. But
advocacy groups and independent experts--including members of
a Pentagon mental-health task force that issued its report
last year--are concerned that much more needs to be done. In
May, the House and Senate passed bills that would require the
veterans agency to expand substance-abuse screening and
treatment for all veterans.
``The war is now and the problems are now,'' said Richard
A. McCormick, a senior scholar for public health at Case
Western Reserve University in Cleveland who served on the
Pentagon task force. ``Every day there is a cohort of men and
women being discharged who need services not one or two or
five years from now. They need them now.''
For active-duty service members, the military faces a
shortage of substance-abuse providers on bases across the
country, while its health insurance plan, Tricare, makes it
difficult for many reservists and their families to get
treatment.
In the breach, a few states, including California,
Connecticut and Minnesota, have passed laws or begun programs
to encourage alternative sentences, often including
treatment, for veterans with substance-abuse and mental-
health problems.
In recent years, the military has worked to transform a
culture that once indulged heavy drinking as part of its
warrior ethos into one that discourages it and encourages
service members to seek help.
``The Army takes alcohol and drug abuse very seriously and
has tried for decades to deglamorize its use,'' said Lt. Col.
George Wright, an Army spokesman. ``With the urgency of this
war, we continue to tackle the problem with education,
prevention and treatment.''
That is a tricky mission in time of war.
``The problem in today's military is soldiers have to be
warriors, killers, do war, but we don't allow them any
releases like we used to,'' said Bryan Lane, a former special
forces sergeant who sustained a traumatic brain injury in
Iraq and has post-traumatic stress disorder, or PTSD. ``You
can't go out and drink, you can't get into a fight. It's
completely unrealistic.''
The military, he said, is trying to create a contradiction:
``a perfect warrior, and then a perfect gentleman.''
Warning Signs Grow
Fort Drum, in the North Country of New York just outside
Watertown, is home to the Army's most-deployed brigade--the
Second Brigade of the 10th Mountain Division. Late last year,
several thousand soldiers returned after 15 months in Iraq.
Some had served three, even four, tours, and they quickly
overwhelmed the base's mental health system. A study by an
advocacy group, Veterans for America, found the demand for
psychological help was so great, and the system so
overburdened, that soldiers often waited a month to be seen.
Many also did what generations of homecoming soldiers have
done: they salved their wounds in local bars. With drinking
off-limits in Iraq, at least openly, they were that much more
likely to binge, that much less able to tolerate it.
The base's commander, Maj. Gen. Michael L. Oates, says that
since his arrival in early 2007, misconduct related to
substance abuse has reached ``unacceptable'' levels, despite
a toughened regimen of education, designated-driver programs
and penalties.
``The rate of illegal drug use is slightly up; the rate of
alcohol is more than slightly up,'' General Oates said. ``I'm
not a teetotaler. I'm not against people drinking. I'm
against misconduct.''
By last March, he had seen enough. He ordered the base's
newspaper, The Fort Drum Blizzard, to publish the names and
photographs of all soldiers charged with drunken driving. To
date, at least 116 have appeared. Half were combat veterans
who had returned in the last year, the general said, though
others may have deployed earlier.
Most returning soldiers readjust after a few months. But
the general estimated that at least 20 percent turned to
heavy drinking
or drugs--typically ``the first signal that there is
something wrong.''
Across the military, the precise dimensions of the problem
are elusive, especially since the different branches largely
keep their own statistics. Many studies do not distinguish
between servicemembers who have seen battle and those who
have not. What is more, behavior becomes far harder to track
when servicemembers leave the military.
Even so, a variety of surveys, as well as anecdotal
evidence and rising alarm in many military communities,
indicate growing substance abuse among recent combat
veterans. Of particular concern are members of the National
Guard and reserves, as well as recently discharged
servicemembers, who can lose their bearings outside the
camaraderie and structure of the military.
In the Army, which has the bulk of the troops in Iraq and
Afghanistan, the Pentagon's most recent survey of health-
related behavior, conducted in 2005 but released last year,
found that for the first time in more than 20 years, roughly
a quarter of soldiers surveyed considered themselves regular
heavy drinkers--defined as having five or more drinks at
least once a week. The report called the increase--to 24.5
percent in 2005, from 17.2 percent in 1998--``an issue of
concern.''
Perhaps the best monitor of recent combat veterans'' mental
health is the Pentagon's postdeployment survey. Reflecting
concern about heavy drinking, the latest report, published
last November, introduced a question about drinking habits.
Of the 88,235 soldiers surveyed in 2005 and 2006, three to
six months after returning from war, 12 percent of active-
duty troops and 15 percent of reservists acknowledged having
problems with alcohol.
While drug use decreased substantially after 1980, when the
military cracked down, it has increased slightly in the Army
and the Marines since 2002, the behavioral survey said.
Experts say that, in some cases, troubled combat veterans are
more prone to use drugs after leaving the military.
In general, studies find that drinking is more prevalent in
the military than in the civilian population; the behavioral
survey reported that heavy drinking among 18- to 25-9-year-
old men in the Army and the Marines was almost twice as
common as among their civilian counterparts.
Heavy drinking or drug use frequently figures in what law
enforcement officials and commanders at military bases across
the country say is a rising number of crimes and other
examples of misconduct involving soldiers, marines and recent
veterans.
``Alcohol and drug use starts a cascade of worse
problems,'' said Dr. McCormick, the task force member, who
recently retired as director of mental health for the state
veterans affairs system in Ohio. ``It's like throwing
gasoline on fire.''
Most cases involve low-level misconduct. From 2005 to 2006,
for example, ``alcohol-related incidents''--mostly drunken or
reckless driving and disorderly conduct--more than tripled at
Fort Hood, Tex., according to information released to the
Pentagon task force. Other statistics showed a similar
pattern throughout the Army, a task force member said.
The Marines, filled with young men drawn by the corps'
hard-charging image, have traditionally had the military's
highest drinking rates. While the behavior survey showed a
slight decrease in heavy drinking after 2002, it showed an
increase in binge drinking. The Marines also reported a rise
in alcohol-related incidents.
Sometimes, though, substance abuse becomes a factor in
major crimes. This year, a New York Times examination of
killings in this country by veterans of Iraq and Afghanistan
found that drinking or drug use was frequently involved in
the crimes.