Talking is Easy for Therapists, Except When It's About Guns. Veterans Want to Teach Them How.
Valley Fire Triggers Memories of Vietnam Trauma for Evacuated Veteran
Wounded Veterans Find Comfort, Hope in Cooking Class
One in Ten California Veterans are Uninsured
Federal Court Dismisses Veterans' Suit over Mental Health Care
VA Adds Mental Health Clinicians
Veterans with PTSD at Risk of Prescription Opioid Abuse
Women Veterans Suffer from PTSD at Same Rate as Men
Sponsored
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Veterans Want to Teach Them How.","publishDate":1485939616,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Jay Zimmerman got his first BB gun when he was seven, and his first shotgun when he was ten.\u003c/p>\n\u003cp>“Growing up in Appalachia, you look forward to getting your first firearm probably more so than your first car,” he says.\u003c/p>\n\u003cp>His grandfather taught him to hunt squirrel and quail. Zimmerman, who lives in Tennessee, says pretty much everyone he knows has a gun. It’s just part of the culture.\u003c/p>\n\u003cp>“When I went into the military, that culture was reinforced,” he says. “Your weapon is almost another appendage. It’s part of who you are.”\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/305633357\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Zimmerman was a medic in the army in the late 1990s and early 2000s. He served in Bosnia, Africa, and the Middle East. Since he came home, he’s struggled with PTSD and depression. It reached a crisis point a few years ago, when his best friend -- the guy who had saved his life in a combat zone -- killed himself. Zimmerman decided his time was up too.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I decided that I would have one more birthday with my daughter, one more Christmas with my daughter,” he says. “I had devised my own exit strategy for sixteen February, 2013.”\u003c/p>\n\u003cp>But then he bumped into a woman who used to ride the same school bus when they were kids. His exit date came and went. They’re married now.\u003c/p>\n\u003cp>Zimmerman is a peer counselor at the \u003ca href=\"http://Mountain%20Home%20VA%20Medical%20Center\" target=\"_blank\">Mountain Home VA Medical Center\u003c/a> in Johnson City, Tennessee. He also travels to conferences all over the country, sharing his story with therapists and with other vets. He tries to set an example that it’s okay to ask for help. Even today, if he’s not doing well, he disassembles his guns and stores them separately from ammunition, so he can’t make any rash decisions. If things get really bad, Zimmerman has a special arrangement with a few friends.\u003c/p>\n\u003cp>“I call them and say, 'Look, I’m feeling like it’s not safe for me to have firearms in my home. Can you store them for me for a couple days till I feel like I’m OK to have them back?'\"\u003c/p>\n\u003cfigure id=\"attachment_274997\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-274997\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/Jay-Zimmerman-in-uniform-and-dad-800x600.jpg\" alt=\"Jay Zimmerman (right) was an army medic. He poses with his dad before he deployed to Bosnia in 1998.\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Jay Zimmerman (right) was an army medic. He poses with his dad before he deployed to Bosnia in 1998. \u003ccite>(Photo Courtesy of Jay Zimmerman)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Suicide is an impulsive act. Nearly half the people who survive an attempt say the time between their first thought of suicide and the attempt itself was less than 10 minutes. But the method can mean the difference between life and death: people who take pills have time to change their minds. Not with guns.\u003c/p>\n\u003cp>About 70 percent of veterans who commit suicide do so with a gun, which prompted President Barack Obama to order the VA to talk to vets about gun safety and storage options like the ones Zimmerman uses.\u003c/p>\n\u003cp>But here’s the trouble: Most therapists aren’t gun people. They don’t know how to talk about guns. And so they don’t.\u003c/p>\n\u003cp>“One obvious reason for that is that no one has taught them how,” explained Megan McCarthy, National Deputy Director in the Office for Suicide Prevention at the Department of Veterans Affairs.\u003c/p>\n\u003cp>McCarthy was invited to speak recently at a suicide-prevention conference in San Francisco for therapists who work with vets.\u003c/p>\n\u003cp>“How many of you would say you feel really comfortable having a conversation with any of the people you work with about limiting access to all lethal means?” she asked the roomful of therapists.\u003c/p>\n\u003cp>Hardly anyone raised their hand.\u003c/p>\n\u003cp>“Okay, so that’s why we’re here today,” she said.\u003c/p>\n\u003cp>Researchers recommend starting with a field trip to a shooting range. There, therapists can learn about different kinds of firearms, as well as gun locks, and get an introduction to gun culture.\u003c/p>\n\u003cp>When counseling vets, therapists have to ask more questions and be less directive, according to McCarthy.\u003c/p>\n\u003cp>“We often conceive of ourselves as experts, as people who impart information to clients,” she said. But with vets, \"it may take time to build trust. Telling them what to do the first time you’ve met them is probably not going to be a very effective approach.”\u003c/p>\n\u003cfigure id=\"attachment_275001\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-full wp-image-275001\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/AFSP.VAConference-Audience-1-e1482453949563.jpg\" alt=\"Therapists learn how to talk to vets about guns at a conference in San Francisco.\" width=\"640\" height=\"480\">\u003cfigcaption class=\"wp-caption-text\">Therapists learn how to talk to vets about guns at a conference in San Francisco.\u003c/figcaption>\u003c/figure>\n\u003cp> \u003c/p>\n\u003cp>McCarthy presented a case study at the conference: A 28-year old army veteran who fought in Iraq told his VA psychiatrist that he had an argument with his girlfriend last week. He drove to an empty parking lot and sat with his loaded handgun in his lap, intending to kill himself.\u003c/p>\n\u003cp>He didn’t do it. A week later, the man told his psychiatrist things were still tense with his girlfriend. But he didn’t want to talk about suicide or storing his gun.\u003c/p>\n\u003cp>McCarthy asked the clinicians in the audience what they would do next, if they were this man’s psychiatrist.\u003c/p>\n\u003cp>“Why did he not do it? That would be my question,” said one therapist.\u003c/p>\n\u003cp>“I’d say, would you be willing to talk more about that?” said another.\u003c/p>\n\u003cp>“I would want to see this individual again, within the same week,” said a third. “I believe in strong intervention.”\u003c/p>\n\u003cp>Jay Zimmerman, the former army medic and peer counselor, stood up. He told them they’re all wrong.\u003c/p>\n\u003cp>“Chances are the reason he’s not talking to you is because he’s afraid he’s going to lose his gun, that he carries pretty much all the time,” he said. “My buddies are the same way, we all carry all the time.”\u003c/p>\n\u003cp>Zimmerman said the vet in the case study would rather talk to someone like him than someone in a white coat.\u003c/p>\n\u003cp>“If he’s got that good relationship with me as a peer, as a buddy, he’s probably already called me and talked to me,” he explained.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>The takeaway for psychologists at the San Francisco conference, McCarthy said, is that sometimes their role is not to intervene, but to be a facilitator, someone who can connect vets with peer counselors like Zimmerman, or suggest they talk with a buddy, not always a professional.\u003c/p>\n\n","blocks":[],"excerpt":"Therapists are often asked to counsel vets about guns and suicide risk, but many therapists don't know anything about guns. ","status":"publish","parent":0,"modified":1486599814,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1112},"headData":{"title":"Talking is Easy for Therapists, Except When It's About Guns. Veterans Want to Teach Them How. | KQED","description":"Therapists are often asked to counsel vets about guns and suicide risk, but many therapists don't know anything about guns. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Talking is Easy for Therapists, Except When It's About Guns. Veterans Want to Teach Them How.","datePublished":"2017-02-01T09:00:16.000Z","dateModified":"2017-02-09T00:23:34.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"274976 http://ww2.kqed.org/stateofhealth/?p=274976","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/02/01/talking-is-easy-for-therapists-except-when-its-about-guns-veterans-want-to-teach-them-how/","disqusTitle":"Talking is Easy for Therapists, Except When It's About Guns. Veterans Want to Teach Them How.","path":"/stateofhealth/274976/talking-is-easy-for-therapists-except-when-its-about-guns-veterans-want-to-teach-them-how","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Jay Zimmerman got his first BB gun when he was seven, and his first shotgun when he was ten.\u003c/p>\n\u003cp>“Growing up in Appalachia, you look forward to getting your first firearm probably more so than your first car,” he says.\u003c/p>\n\u003cp>His grandfather taught him to hunt squirrel and quail. Zimmerman, who lives in Tennessee, says pretty much everyone he knows has a gun. It’s just part of the culture.\u003c/p>\n\u003cp>“When I went into the military, that culture was reinforced,” he says. “Your weapon is almost another appendage. It’s part of who you are.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/305633357&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/305633357'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Zimmerman was a medic in the army in the late 1990s and early 2000s. He served in Bosnia, Africa, and the Middle East. Since he came home, he’s struggled with PTSD and depression. It reached a crisis point a few years ago, when his best friend -- the guy who had saved his life in a combat zone -- killed himself. Zimmerman decided his time was up too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I decided that I would have one more birthday with my daughter, one more Christmas with my daughter,” he says. “I had devised my own exit strategy for sixteen February, 2013.”\u003c/p>\n\u003cp>But then he bumped into a woman who used to ride the same school bus when they were kids. His exit date came and went. They’re married now.\u003c/p>\n\u003cp>Zimmerman is a peer counselor at the \u003ca href=\"http://Mountain%20Home%20VA%20Medical%20Center\" target=\"_blank\">Mountain Home VA Medical Center\u003c/a> in Johnson City, Tennessee. He also travels to conferences all over the country, sharing his story with therapists and with other vets. He tries to set an example that it’s okay to ask for help. Even today, if he’s not doing well, he disassembles his guns and stores them separately from ammunition, so he can’t make any rash decisions. If things get really bad, Zimmerman has a special arrangement with a few friends.\u003c/p>\n\u003cp>“I call them and say, 'Look, I’m feeling like it’s not safe for me to have firearms in my home. Can you store them for me for a couple days till I feel like I’m OK to have them back?'\"\u003c/p>\n\u003cfigure id=\"attachment_274997\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-274997\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/Jay-Zimmerman-in-uniform-and-dad-800x600.jpg\" alt=\"Jay Zimmerman (right) was an army medic. He poses with his dad before he deployed to Bosnia in 1998.\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Jay Zimmerman (right) was an army medic. He poses with his dad before he deployed to Bosnia in 1998. \u003ccite>(Photo Courtesy of Jay Zimmerman)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Suicide is an impulsive act. Nearly half the people who survive an attempt say the time between their first thought of suicide and the attempt itself was less than 10 minutes. But the method can mean the difference between life and death: people who take pills have time to change their minds. Not with guns.\u003c/p>\n\u003cp>About 70 percent of veterans who commit suicide do so with a gun, which prompted President Barack Obama to order the VA to talk to vets about gun safety and storage options like the ones Zimmerman uses.\u003c/p>\n\u003cp>But here’s the trouble: Most therapists aren’t gun people. They don’t know how to talk about guns. And so they don’t.\u003c/p>\n\u003cp>“One obvious reason for that is that no one has taught them how,” explained Megan McCarthy, National Deputy Director in the Office for Suicide Prevention at the Department of Veterans Affairs.\u003c/p>\n\u003cp>McCarthy was invited to speak recently at a suicide-prevention conference in San Francisco for therapists who work with vets.\u003c/p>\n\u003cp>“How many of you would say you feel really comfortable having a conversation with any of the people you work with about limiting access to all lethal means?” she asked the roomful of therapists.\u003c/p>\n\u003cp>Hardly anyone raised their hand.\u003c/p>\n\u003cp>“Okay, so that’s why we’re here today,” she said.\u003c/p>\n\u003cp>Researchers recommend starting with a field trip to a shooting range. There, therapists can learn about different kinds of firearms, as well as gun locks, and get an introduction to gun culture.\u003c/p>\n\u003cp>When counseling vets, therapists have to ask more questions and be less directive, according to McCarthy.\u003c/p>\n\u003cp>“We often conceive of ourselves as experts, as people who impart information to clients,” she said. But with vets, \"it may take time to build trust. Telling them what to do the first time you’ve met them is probably not going to be a very effective approach.”\u003c/p>\n\u003cfigure id=\"attachment_275001\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-full wp-image-275001\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/AFSP.VAConference-Audience-1-e1482453949563.jpg\" alt=\"Therapists learn how to talk to vets about guns at a conference in San Francisco.\" width=\"640\" height=\"480\">\u003cfigcaption class=\"wp-caption-text\">Therapists learn how to talk to vets about guns at a conference in San Francisco.\u003c/figcaption>\u003c/figure>\n\u003cp> \u003c/p>\n\u003cp>McCarthy presented a case study at the conference: A 28-year old army veteran who fought in Iraq told his VA psychiatrist that he had an argument with his girlfriend last week. He drove to an empty parking lot and sat with his loaded handgun in his lap, intending to kill himself.\u003c/p>\n\u003cp>He didn’t do it. A week later, the man told his psychiatrist things were still tense with his girlfriend. But he didn’t want to talk about suicide or storing his gun.\u003c/p>\n\u003cp>McCarthy asked the clinicians in the audience what they would do next, if they were this man’s psychiatrist.\u003c/p>\n\u003cp>“Why did he not do it? That would be my question,” said one therapist.\u003c/p>\n\u003cp>“I’d say, would you be willing to talk more about that?” said another.\u003c/p>\n\u003cp>“I would want to see this individual again, within the same week,” said a third. “I believe in strong intervention.”\u003c/p>\n\u003cp>Jay Zimmerman, the former army medic and peer counselor, stood up. He told them they’re all wrong.\u003c/p>\n\u003cp>“Chances are the reason he’s not talking to you is because he’s afraid he’s going to lose his gun, that he carries pretty much all the time,” he said. “My buddies are the same way, we all carry all the time.”\u003c/p>\n\u003cp>Zimmerman said the vet in the case study would rather talk to someone like him than someone in a white coat.\u003c/p>\n\u003cp>“If he’s got that good relationship with me as a peer, as a buddy, he’s probably already called me and talked to me,” he explained.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The takeaway for psychologists at the San Francisco conference, McCarthy said, is that sometimes their role is not to intervene, but to be a facilitator, someone who can connect vets with peer counselors like Zimmerman, or suggest they talk with a buddy, not always a professional.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/274976/talking-is-easy-for-therapists-except-when-its-about-guns-veterans-want-to-teach-them-how","authors":["3205"],"categories":["stateofhealth_11","stateofhealth_14","stateofhealth_13"],"tags":["stateofhealth_2808","stateofhealth_3011","stateofhealth_68","stateofhealth_2846","stateofhealth_112","stateofhealth_137"],"featImg":"stateofhealth_274996","label":"stateofhealth"},"stateofhealth_82687":{"type":"posts","id":"stateofhealth_82687","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"82687","score":null,"sort":[1443192314000]},"guestAuthors":[],"slug":"valley-fire-triggers-memories-of-vietnam-trauma-for-evacuated-veteran","title":"Valley Fire Triggers Memories of Vietnam Trauma for Evacuated Veteran","publishDate":1443192314,"format":"standard","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cp>\u003cem>Editor's note: For Lake County veterans who fought in Vietnam, the sights and sounds of the Valley Fire two weeks ago immediately stirred images of burning napalm and exploding grenades. As part of our \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Vital Signs\u003c/a> series, reporter April Dembosky interviewed Vietnam veteran Jack Reece. He shares his story, starting with his view of the fire -- just before he fled his home in Hidden Valley. The interview has been edited for length and clarity.\u003c/em>\u003c/p>\n\u003cp>I was up there on that hillside watching that fire come off of Cobb [in Lake County] and then down and into the valley.\u003c/p>\n\u003cp>It was like a unit moving forward with tanks and everything, and those canisters, those propane canisters going off, they make a \"whooooo... boom!\"\u003c/p>\n\u003cp>I tried to stay there as long as I could, and then I had to drive out through a firestorm. All those houses were on fire and I had to drive through it, about 150 yards. It tripped me, the flashes.\u003c/p>\n\u003cp>It all flashed back.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>I mean, watching people get hit with napalm. Taking a hill and having little children dropping grenades down these things. You run up to them and kill them all -- and find out they’re children. It's horrible. You don’t want to know. I was a squad leader and a hit man.\u003c/p>\n\u003cp>My whole f***ing leg got blown apart. All the way up to here. And then I got a concussion. I was in a coma for three days.\u003c/p>\n\u003cp>Ninety-six of us went over in our unit, and only 14 of us came back.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/225536921\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>As soon as you go through an experience like that again, you start hearing people screaming and yelling. I don’t need that in my life and so, I self medicated. Night before last -- I like gin and tonic, and I can just, run 'em through. It was okay, for just that night, because I couldn’t get any meds -- because my meds were up the house.\u003c/p>\n\u003cp>Monday morning, I knew I had to, I knew it. I got my ass over there and got to see the psychiatrist, and she took care of me.\u003c/p>\n\u003cp>Because with vets, we’re never going to get over it, honey. Never. But, we can learn to manage it. When we realize we’re at those points where we go and we need help and we ask for it. Most guys don’t know that. They freak out on it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Anyway. I’m so fortunate. I think the guys upstairs, whoever’s watching over, they have to do double time with me.\u003c/p>\n\n","blocks":[],"excerpt":"\"All those houses were on fire and I had to drive through it. It tripped me. I mean, the flashes. It all flashed back.\"","status":"publish","parent":0,"modified":1443222959,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":483},"headData":{"title":"Valley Fire Triggers Memories of Vietnam Trauma for Evacuated Veteran | KQED","description":""All those houses were on fire and I had to drive through it. It tripped me. I mean, the flashes. It all flashed back."","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Valley Fire Triggers Memories of Vietnam Trauma for Evacuated Veteran","datePublished":"2015-09-25T14:45:14.000Z","dateModified":"2015-09-25T23:15:59.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"82687 http://ww2.kqed.org/stateofhealth/?p=82687","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/09/25/valley-fire-triggers-memories-of-vietnam-trauma-for-evacuated-veteran/","disqusTitle":"Valley Fire Triggers Memories of Vietnam Trauma for Evacuated Veteran","path":"/stateofhealth/82687/valley-fire-triggers-memories-of-vietnam-trauma-for-evacuated-veteran","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Editor's note: For Lake County veterans who fought in Vietnam, the sights and sounds of the Valley Fire two weeks ago immediately stirred images of burning napalm and exploding grenades. As part of our \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Vital Signs\u003c/a> series, reporter April Dembosky interviewed Vietnam veteran Jack Reece. He shares his story, starting with his view of the fire -- just before he fled his home in Hidden Valley. The interview has been edited for length and clarity.\u003c/em>\u003c/p>\n\u003cp>I was up there on that hillside watching that fire come off of Cobb [in Lake County] and then down and into the valley.\u003c/p>\n\u003cp>It was like a unit moving forward with tanks and everything, and those canisters, those propane canisters going off, they make a \"whooooo... boom!\"\u003c/p>\n\u003cp>I tried to stay there as long as I could, and then I had to drive out through a firestorm. All those houses were on fire and I had to drive through it, about 150 yards. It tripped me, the flashes.\u003c/p>\n\u003cp>It all flashed back.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>I mean, watching people get hit with napalm. Taking a hill and having little children dropping grenades down these things. You run up to them and kill them all -- and find out they’re children. It's horrible. You don’t want to know. I was a squad leader and a hit man.\u003c/p>\n\u003cp>My whole f***ing leg got blown apart. All the way up to here. And then I got a concussion. I was in a coma for three days.\u003c/p>\n\u003cp>Ninety-six of us went over in our unit, and only 14 of us came back.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/225536921&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/225536921'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>As soon as you go through an experience like that again, you start hearing people screaming and yelling. I don’t need that in my life and so, I self medicated. Night before last -- I like gin and tonic, and I can just, run 'em through. It was okay, for just that night, because I couldn’t get any meds -- because my meds were up the house.\u003c/p>\n\u003cp>Monday morning, I knew I had to, I knew it. I got my ass over there and got to see the psychiatrist, and she took care of me.\u003c/p>\n\u003cp>Because with vets, we’re never going to get over it, honey. Never. But, we can learn to manage it. When we realize we’re at those points where we go and we need help and we ask for it. Most guys don’t know that. They freak out on it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Anyway. I’m so fortunate. I think the guys upstairs, whoever’s watching over, they have to do double time with me.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/82687/valley-fire-triggers-memories-of-vietnam-trauma-for-evacuated-veteran","authors":["8344"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_68","stateofhealth_2519","stateofhealth_137"],"featImg":"stateofhealth_83791","label":"stateofhealth_2363"},"stateofhealth_11229":{"type":"posts","id":"stateofhealth_11229","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"11229","score":null,"sort":[1362781617000]},"guestAuthors":[],"slug":"wounded-veterans-find-comfort-hope-in-cooking-class","title":"Wounded Veterans Find Comfort, Hope in Cooking Class","publishDate":1362781617,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>\u003cstrong>By Mina Kim\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_11242\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/08/wounded-veterans-find-comfort-hope-in-cooking-class/rs4123_photo_kronmark_fish/\" rel=\"attachment wp-att-11242\">\u003cimg class=\"size-medium wp-image-11242\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/03/RS4123_photo_Kronmark_fish-300x225.jpg\" alt=\"Chef Lars Kronmark teaches veterans how to remove the skin of a fish; part of a four-day "boot camp" at Napa's Culinary Institute of America where injured veterans and their spouses learn healthy cooking tips. (Mina Kim/KQED)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chef Lars Kronmark teaches veterans how to remove the skin of a fish; part of a four-day \"boot camp\" at Napa's Culinary Institute of America where injured veterans and their spouses learn healthy cooking tips. (Mina Kim/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>In a stainless-steel teaching kitchen deep within the old stone walls of the elite Culinary Institute of America in Napa Valley, acclaimed chef Lars Kronmark pulls a piece of fat from the cavity of a raw, whole chicken.\u003c/p>\n\u003cp>“A big chunk of fat like that, it doesn’t really hurt to leave it in there,” Kronmark said. “But in the end of the day, that’s still going to be too much fat.”\u003c/p>\n\u003cp>It looks like a standard cooking class. But this is an unusual class for an unusual group of students. It’s a healthy cooking “boot camp” designed for wounded veterans of the Iraq and Afghanistan wars with a goal of helping veterans connect with each other and learn to eat healthier.\u003c/p>\n\u003cp>Six military veterans and their spouses dressed in white chef’s coats and hats watch Kronmark closely. His healthy cooking techniques are welcome tips to the group of 12, including veteran James McQuoid, who lives with post-traumatic stress disorder.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I’m of the larger variety,” McQuoid said. “A couple years ago, I didn’t care about my health. I was very reclusive and what not, but through therapy and stuff I’ve come to realize — I’ve got a younger child — I want to be around a bit longer, and I’m really not helping myself at all.”\u003c/p>\n\u003cfigure id=\"attachment_11245\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/08/wounded-veterans-find-comfort-hope-in-cooking-class/rs4121_photo_dinner-served/\" rel=\"attachment wp-att-11245\">\u003cimg class=\"size-medium wp-image-11245\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/03/RS4121_photo_dinner-served-300x225.jpg\" alt=\"A healthy dinner is served at Napa's Culinary Institute of America healthy-cooking boot camp for injured veterans. (Mina Kim/KQED)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A healthy dinner is served at Napa's Culinary Institute of America healthy-cooking boot camp for injured veterans. (Mina Kim/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Federal officials estimate more than 70 percent of the veterans receiving care in the VA are overweight or obese. McQuoid’s doctor recommended he get more omega-3 fatty acids by eating fish instead of fatty meats.\u003c/p>\n\u003cp>“But I didn’t know how to cook fish,” McQuoid said. “After being here though, I can cook fish!”\u003c/p>\n\u003cp>The four-day boot camp is a program of the Wounded Warrior Project, a nonprofit that serves injured veterans transitioning to civilian life. The camp’s days begin with lectures on subjects like the physiology of taste and end with vets and their partners preparing dishes for dinner. Today’s menu includes roast chicken with lemon and rosemary, Baja fish tacos, and pork loin cooked in a pomegranate glaze.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Invisible Wounds\u003c/strong>\u003c/p>\n\u003cp>Yet, the program is playing a much bigger role than helping veterans eat better. Julia Valentour, health and wellness coordinator at the Wounded Warrior Project’s San Diego office, said there’s a waiting list for the classes that often helps veterans break through the isolation they feel when they return from war.\u003c/p>\n\u003cp>“I don’t think people realize what [veterans] go through and how much they sacrifice for us,” Valentour said. “You’re not hearing about the war on TV everyday, so you tend to forget that it’s still going on.”\u003c/p>\n\u003cp>At one cooking station a young man in a wheelchair with prosthetic legs, quietly peels sweet potatoes. Another veteran purses his lips in concentration as he chops cilantro using only one hand. But for many of the veterans, their wounds are not visible.\u003c/p>\n\u003cp>Tiffany Rush-Green who flew in from Phoenix for the class with her husband Yancy Green, a Marine, said this is the first time she’s seen her husband smile in a long time.\u003c/p>\n\u003cp>“Finally we can do something together, and take our time and just be a team so we can find that common ground,” Rush-Green said. “I am not a veteran, so a lot of times I can’t relate to him on certain issues, but cooking I think we’re going to be able to relate to each other on.”\u003c/p>\n\u003cp>Yancy Green said his wife is happy because she won’t have to do all the cooking anymore.\u003c/p>\n\u003cp>“I have no more excuses after this week,” he said.\u003c/p>\n\u003cp>For Renee Hampton and her husband — who asked not to give his name because he’s on active duty — being here is a dream come true. Hampton said her husband learned to cook when he was five and always wanted to be a chef, but chemicals used in the war robbed him of his ability to smell and taste. Still, it hasn’t dampened his experience in the class.\u003c/p>\n\u003cp>“I absolutely love this,” he said. “Besides, all my life, I’ve always wanted one of these [chef] jackets, and now I get one.”\u003c/p>\n\u003cp>For Culinary Institute chef Kronmark, the service members humble him in ways he hasn’t felt before.\u003c/p>\n\u003cp>“Makes you remember how lucky you are,” Kronmark said. “It’s really amazing.”\u003c/p>\n\u003cp>The next class is scheduled for May, and will be for spouses or caregivers of veterans.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Listen to Mina Kim's story:\u003c/strong>\u003cbr>\n\u003cobject width=\"335\" height=\"85\">\u003cparam name=\"movie\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201303081630c.xml\">\u003cembed src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" type=\"application/x-shockwave-flash\" width=\"335\" height=\"85\" flashvars=\"file=http://www.kqed.org/radio/archives/R201303081630c.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n","blocks":[],"excerpt":"In a stainless-steel teaching kitchen deep within the old stone walls of the elite Culinary Institute of America in Napa Valley, acclaimed chef Lars Kronmark pulls a piece of fat from the cavity of a raw, whole chicken.\r\n\r\nIt looks like a standard -- albeit high end -- cooking class. But this is an unusual class for an unusual group of students. This is a healthy cooking \"boot camp\" designed for wounded veterans of the Iraq and Afghanistan wars.","status":"publish","parent":0,"modified":1363806863,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":25,"wordCount":885},"headData":{"title":"Wounded Veterans Find Comfort, Hope in Cooking Class | KQED","description":"In a stainless-steel teaching kitchen deep within the old stone walls of the elite Culinary Institute of America in Napa Valley, acclaimed chef Lars Kronmark pulls a piece of fat from the cavity of a raw, whole chicken.\r\n\r\nIt looks like a standard -- albeit high end -- cooking class. But this is an unusual class for an unusual group of students. This is a healthy cooking "boot camp" designed for wounded veterans of the Iraq and Afghanistan wars.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Wounded Veterans Find Comfort, Hope in Cooking Class","datePublished":"2013-03-08T22:26:57.000Z","dateModified":"2013-03-20T19:14:23.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"11229 http://blogs.kqed.org/stateofhealth/?p=11229","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/03/08/wounded-veterans-find-comfort-hope-in-cooking-class/","disqusTitle":"Wounded Veterans Find Comfort, Hope in Cooking Class","path":"/stateofhealth/11229/wounded-veterans-find-comfort-hope-in-cooking-class","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Mina Kim\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_11242\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/08/wounded-veterans-find-comfort-hope-in-cooking-class/rs4123_photo_kronmark_fish/\" rel=\"attachment wp-att-11242\">\u003cimg class=\"size-medium wp-image-11242\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/03/RS4123_photo_Kronmark_fish-300x225.jpg\" alt=\"Chef Lars Kronmark teaches veterans how to remove the skin of a fish; part of a four-day "boot camp" at Napa's Culinary Institute of America where injured veterans and their spouses learn healthy cooking tips. (Mina Kim/KQED)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chef Lars Kronmark teaches veterans how to remove the skin of a fish; part of a four-day \"boot camp\" at Napa's Culinary Institute of America where injured veterans and their spouses learn healthy cooking tips. (Mina Kim/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>In a stainless-steel teaching kitchen deep within the old stone walls of the elite Culinary Institute of America in Napa Valley, acclaimed chef Lars Kronmark pulls a piece of fat from the cavity of a raw, whole chicken.\u003c/p>\n\u003cp>“A big chunk of fat like that, it doesn’t really hurt to leave it in there,” Kronmark said. “But in the end of the day, that’s still going to be too much fat.”\u003c/p>\n\u003cp>It looks like a standard cooking class. But this is an unusual class for an unusual group of students. It’s a healthy cooking “boot camp” designed for wounded veterans of the Iraq and Afghanistan wars with a goal of helping veterans connect with each other and learn to eat healthier.\u003c/p>\n\u003cp>Six military veterans and their spouses dressed in white chef’s coats and hats watch Kronmark closely. His healthy cooking techniques are welcome tips to the group of 12, including veteran James McQuoid, who lives with post-traumatic stress disorder.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I’m of the larger variety,” McQuoid said. “A couple years ago, I didn’t care about my health. I was very reclusive and what not, but through therapy and stuff I’ve come to realize — I’ve got a younger child — I want to be around a bit longer, and I’m really not helping myself at all.”\u003c/p>\n\u003cfigure id=\"attachment_11245\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/08/wounded-veterans-find-comfort-hope-in-cooking-class/rs4121_photo_dinner-served/\" rel=\"attachment wp-att-11245\">\u003cimg class=\"size-medium wp-image-11245\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/03/RS4121_photo_dinner-served-300x225.jpg\" alt=\"A healthy dinner is served at Napa's Culinary Institute of America healthy-cooking boot camp for injured veterans. (Mina Kim/KQED)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A healthy dinner is served at Napa's Culinary Institute of America healthy-cooking boot camp for injured veterans. (Mina Kim/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Federal officials estimate more than 70 percent of the veterans receiving care in the VA are overweight or obese. McQuoid’s doctor recommended he get more omega-3 fatty acids by eating fish instead of fatty meats.\u003c/p>\n\u003cp>“But I didn’t know how to cook fish,” McQuoid said. “After being here though, I can cook fish!”\u003c/p>\n\u003cp>The four-day boot camp is a program of the Wounded Warrior Project, a nonprofit that serves injured veterans transitioning to civilian life. The camp’s days begin with lectures on subjects like the physiology of taste and end with vets and their partners preparing dishes for dinner. Today’s menu includes roast chicken with lemon and rosemary, Baja fish tacos, and pork loin cooked in a pomegranate glaze.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Invisible Wounds\u003c/strong>\u003c/p>\n\u003cp>Yet, the program is playing a much bigger role than helping veterans eat better. Julia Valentour, health and wellness coordinator at the Wounded Warrior Project’s San Diego office, said there’s a waiting list for the classes that often helps veterans break through the isolation they feel when they return from war.\u003c/p>\n\u003cp>“I don’t think people realize what [veterans] go through and how much they sacrifice for us,” Valentour said. “You’re not hearing about the war on TV everyday, so you tend to forget that it’s still going on.”\u003c/p>\n\u003cp>At one cooking station a young man in a wheelchair with prosthetic legs, quietly peels sweet potatoes. Another veteran purses his lips in concentration as he chops cilantro using only one hand. But for many of the veterans, their wounds are not visible.\u003c/p>\n\u003cp>Tiffany Rush-Green who flew in from Phoenix for the class with her husband Yancy Green, a Marine, said this is the first time she’s seen her husband smile in a long time.\u003c/p>\n\u003cp>“Finally we can do something together, and take our time and just be a team so we can find that common ground,” Rush-Green said. “I am not a veteran, so a lot of times I can’t relate to him on certain issues, but cooking I think we’re going to be able to relate to each other on.”\u003c/p>\n\u003cp>Yancy Green said his wife is happy because she won’t have to do all the cooking anymore.\u003c/p>\n\u003cp>“I have no more excuses after this week,” he said.\u003c/p>\n\u003cp>For Renee Hampton and her husband — who asked not to give his name because he’s on active duty — being here is a dream come true. Hampton said her husband learned to cook when he was five and always wanted to be a chef, but chemicals used in the war robbed him of his ability to smell and taste. Still, it hasn’t dampened his experience in the class.\u003c/p>\n\u003cp>“I absolutely love this,” he said. “Besides, all my life, I’ve always wanted one of these [chef] jackets, and now I get one.”\u003c/p>\n\u003cp>For Culinary Institute chef Kronmark, the service members humble him in ways he hasn’t felt before.\u003c/p>\n\u003cp>“Makes you remember how lucky you are,” Kronmark said. “It’s really amazing.”\u003c/p>\n\u003cp>The next class is scheduled for May, and will be for spouses or caregivers of veterans.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Listen to Mina Kim's story:\u003c/strong>\u003cbr>\n\u003cobject width=\"335\" height=\"85\">\u003cparam name=\"movie\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201303081630c.xml\">\u003cembed src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" type=\"application/x-shockwave-flash\" width=\"335\" height=\"85\" flashvars=\"file=http://www.kqed.org/radio/archives/R201303081630c.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/11229/wounded-veterans-find-comfort-hope-in-cooking-class","authors":["8344"],"categories":["stateofhealth_12"],"tags":["stateofhealth_68","stateofhealth_137"],"featImg":"stateofhealth_11232","label":"stateofhealth"},"stateofhealth_6292":{"type":"posts","id":"stateofhealth_6292","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"6292","score":null,"sort":[1338914682000]},"guestAuthors":[],"slug":"one-in-ten-california-vets-are-uninsured","title":"One in Ten California Veterans are Uninsured","publishDate":1338914682,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_6305\" class=\"wp-caption alignleft\" style=\"max-width: 190px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/vet.jpg\">\u003cimg class=\"size-full wp-image-6305\" title=\"One in ten California veterans lack health insurance. (Robert Wood Johnson Foundation)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/vet.jpg\" alt=\"\" width=\"190\" height=\"152\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">One in ten California veterans lack health insurance. (Robert Wood Johnson Foundation)\u003c/figcaption>\u003c/figure>\n\u003cp>Ten percent of California veterans don't have health insurance or don't use \u003ca href=\"http://www.va.gov/\">Veterans Affairs\u003c/a> (V.A.) care. That's just slightly below the 10.3 percent rate among veterans around the country.\u003c/p>\n\u003cp>That's according to a \u003ca href=\"http://www.rwjf.org/coverage/product.jsp?id=74428\">report\u003c/a> by the \u003ca href=\"http://www.urban.org/\">Urban Institute\u003c/a>. Co-author\u003ca href=\"http://www.urban.org/expert.cfm?ID=JenniferMHaley\"> Jennifer Haley\u003c/a> says there are 108,000 uninsured vets in the state, second only to the number in Texas.\u003c/p>\n\u003cp>\"In our study someone is uninsured if they don’t have any of the types of insurance coverage you’d think of for general population and they also don’t report using V.A. care,\" says Haley.\u003c/p>\n\u003cp>Haley used data from the \u003ca href=\"http://www.census.gov/acs/www/about_the_survey/american_community_survey/\">2010 American Community Survey\u003c/a> to look at the rates among non-elderly vets, ages 19-64. She says disproportionate numbers of the uninsured were also unemployed and unmarried.\u003c!--more-->\u003c/p>\n\u003cp>All of them reported big gaps in accessing health services compared to their insured counterparts. 41.2 percent of the uninsured reported unmet medical needs in the past 12 months as opposed to 12.7 percent of vets with insurance. And 33.7 percent of vets without health insurance said they were delaying care due to cost, compared to 8.4 percent of those with insurance.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"http://www.swords-to-plowshares.org/about/staff-and-board/\">Amy Fairweather\u003c/a> director of policy with the San Francisco veterans advocacy group \u003ca href=\"http://www.swords-to-plowshares.org/\">Swords to Plowshares\u003c/a> says people often incorrectly assume that veterans automatically have health insurance through the V.A.\u003c/p>\n\u003cp>“They have to prove eligibility,\" she says. Certain service distinctions automatically qualify you, she says, as does having a service connected illness. There is also a poverty means test, and certain treatments require co-pays.\u003c/p>\n\u003cp>Fairweather says because veterans are overrepresented in the homeless population in San Francisco \"it comes as no surprise that there are so many veterans who are completely uninsured... except for the really community based system of care which is overburdened and can’t meet everyones needs.”\u003c/p>\n\u003cp>Still, she is quick to point out that for \u003ca href=\"http://www.blogs.va.gov/VAntage/586/busting-myths-about-va-health-care/\">those who do have access\u003c/a> in Northern California, the VA hospitals are excellent and are often connected with first class teaching hospitals.\u003c/p>\n\u003cp>\"They’re very good with PTSD,\" Fairweather says. \"They’re very good with Agent Orange for older veterans, because that’s been their area of expertise. They obviously have to catch up with women and some other things.\"\u003c/p>\n\u003cp>But she says it can be difficult to get in the door. Fairweather says the \u003ca href=\"http://www.benefits.va.gov/oakland/\">Oakland Veterans Benefit Administration\u003c/a>, which determines eligibility has 34,000 claims backlogged.\u003c/p>\n\u003cp>\"Claims are taking a year to two years for the initial walk through,\" she says. \"A lot of the initial decisions are appealable so that takes going through the system again.\"\u003c/p>\n\u003cp>But the Urban Institute report did find that in California - and around the country - veterans are uninsured at lower rates than the general population. Among the non-elderly, \u003ca href=\"http://aspe.hhs.gov/health/reports/2011/CPSHealthIns2011/ib.shtml\">about 18 percent of the general population was without insurance in 2010\u003c/a>.\u003c/p>\n\u003cp>As with \u003ca href=\"http://en.wikipedia.org/wiki/Health_insurance_coverage_in_the_United_States\">the general figure\u003c/a>, where veterans live does seems to play a role in insurance status. The report found uninsurance rates among veterans fluctuated across states, from 4.3 percent in Massachusetts to 17.3 percent in Montana.\u003c/p>\n\u003cp>The Urban Institute's Jennifer Haley says they were interested in what caused the state variation, and tried controlling for factors like differences in veterans' incomes.\u003c/p>\n\u003cp>\"But even when we controlled for that, the state differences didn’t go away,\" she says. \"It could be due of Medicaid enrollment differences or other state policy differences but we didn’t look in depth at that.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The study was funded by the \u003ca href=\"http://www.rwjf.org/\">Robert Wood Johnson Foundation\u003c/a>.\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1339541544,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":617},"headData":{"title":"One in Ten California Veterans are Uninsured | KQED","description":"Ten percent of California veterans don't have health insurance or don't use Veterans Affairs (V.A.) care. That's just slightly below the 10.3 percent rate among veterans around the country. That's according to a report by the Urban Institute. Co-author Jennifer Haley says there are 108,000 uninsured vets in the state, second only to the number","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"One in Ten California Veterans are Uninsured","datePublished":"2012-06-05T16:44:42.000Z","dateModified":"2012-06-12T22:52:24.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"6292 http://blogs.kqed.org/stateofhealth/?p=6292","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/06/05/one-in-ten-california-vets-are-uninsured/","disqusTitle":"One in Ten California Veterans are Uninsured","path":"/stateofhealth/6292/one-in-ten-california-vets-are-uninsured","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_6305\" class=\"wp-caption alignleft\" style=\"max-width: 190px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/vet.jpg\">\u003cimg class=\"size-full wp-image-6305\" title=\"One in ten California veterans lack health insurance. (Robert Wood Johnson Foundation)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/vet.jpg\" alt=\"\" width=\"190\" height=\"152\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">One in ten California veterans lack health insurance. (Robert Wood Johnson Foundation)\u003c/figcaption>\u003c/figure>\n\u003cp>Ten percent of California veterans don't have health insurance or don't use \u003ca href=\"http://www.va.gov/\">Veterans Affairs\u003c/a> (V.A.) care. That's just slightly below the 10.3 percent rate among veterans around the country.\u003c/p>\n\u003cp>That's according to a \u003ca href=\"http://www.rwjf.org/coverage/product.jsp?id=74428\">report\u003c/a> by the \u003ca href=\"http://www.urban.org/\">Urban Institute\u003c/a>. Co-author\u003ca href=\"http://www.urban.org/expert.cfm?ID=JenniferMHaley\"> Jennifer Haley\u003c/a> says there are 108,000 uninsured vets in the state, second only to the number in Texas.\u003c/p>\n\u003cp>\"In our study someone is uninsured if they don’t have any of the types of insurance coverage you’d think of for general population and they also don’t report using V.A. care,\" says Haley.\u003c/p>\n\u003cp>Haley used data from the \u003ca href=\"http://www.census.gov/acs/www/about_the_survey/american_community_survey/\">2010 American Community Survey\u003c/a> to look at the rates among non-elderly vets, ages 19-64. She says disproportionate numbers of the uninsured were also unemployed and unmarried.\u003c!--more-->\u003c/p>\n\u003cp>All of them reported big gaps in accessing health services compared to their insured counterparts. 41.2 percent of the uninsured reported unmet medical needs in the past 12 months as opposed to 12.7 percent of vets with insurance. And 33.7 percent of vets without health insurance said they were delaying care due to cost, compared to 8.4 percent of those with insurance.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.swords-to-plowshares.org/about/staff-and-board/\">Amy Fairweather\u003c/a> director of policy with the San Francisco veterans advocacy group \u003ca href=\"http://www.swords-to-plowshares.org/\">Swords to Plowshares\u003c/a> says people often incorrectly assume that veterans automatically have health insurance through the V.A.\u003c/p>\n\u003cp>“They have to prove eligibility,\" she says. Certain service distinctions automatically qualify you, she says, as does having a service connected illness. There is also a poverty means test, and certain treatments require co-pays.\u003c/p>\n\u003cp>Fairweather says because veterans are overrepresented in the homeless population in San Francisco \"it comes as no surprise that there are so many veterans who are completely uninsured... except for the really community based system of care which is overburdened and can’t meet everyones needs.”\u003c/p>\n\u003cp>Still, she is quick to point out that for \u003ca href=\"http://www.blogs.va.gov/VAntage/586/busting-myths-about-va-health-care/\">those who do have access\u003c/a> in Northern California, the VA hospitals are excellent and are often connected with first class teaching hospitals.\u003c/p>\n\u003cp>\"They’re very good with PTSD,\" Fairweather says. \"They’re very good with Agent Orange for older veterans, because that’s been their area of expertise. They obviously have to catch up with women and some other things.\"\u003c/p>\n\u003cp>But she says it can be difficult to get in the door. Fairweather says the \u003ca href=\"http://www.benefits.va.gov/oakland/\">Oakland Veterans Benefit Administration\u003c/a>, which determines eligibility has 34,000 claims backlogged.\u003c/p>\n\u003cp>\"Claims are taking a year to two years for the initial walk through,\" she says. \"A lot of the initial decisions are appealable so that takes going through the system again.\"\u003c/p>\n\u003cp>But the Urban Institute report did find that in California - and around the country - veterans are uninsured at lower rates than the general population. Among the non-elderly, \u003ca href=\"http://aspe.hhs.gov/health/reports/2011/CPSHealthIns2011/ib.shtml\">about 18 percent of the general population was without insurance in 2010\u003c/a>.\u003c/p>\n\u003cp>As with \u003ca href=\"http://en.wikipedia.org/wiki/Health_insurance_coverage_in_the_United_States\">the general figure\u003c/a>, where veterans live does seems to play a role in insurance status. The report found uninsurance rates among veterans fluctuated across states, from 4.3 percent in Massachusetts to 17.3 percent in Montana.\u003c/p>\n\u003cp>The Urban Institute's Jennifer Haley says they were interested in what caused the state variation, and tried controlling for factors like differences in veterans' incomes.\u003c/p>\n\u003cp>\"But even when we controlled for that, the state differences didn’t go away,\" she says. \"It could be due of Medicaid enrollment differences or other state policy differences but we didn’t look in depth at that.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The study was funded by the \u003ca href=\"http://www.rwjf.org/\">Robert Wood Johnson Foundation\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/6292/one-in-ten-california-vets-are-uninsured","authors":["252"],"categories":["stateofhealth_14"],"tags":["stateofhealth_79","stateofhealth_137"],"featImg":"stateofhealth_6305","label":"stateofhealth"},"stateofhealth_5660":{"type":"posts","id":"stateofhealth_5660","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"5660","score":null,"sort":[1336505962000]},"guestAuthors":[],"slug":"federal-court-dismisses-veterans-suit-over-mental-health-care","title":"Federal Court Dismisses Veterans' Suit over Mental Health Care","publishDate":1336505962,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_5674\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SoldiersonPatrolinIraq_USArmy_Flickr.jpg\">\u003cimg class=\"size-large wp-image-5674\" title=\"Soldiers on patrol in Iraq. (Photo: U.S. Army)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SoldiersonPatrolinIraq_USArmy_Flickr-620x434.jpg\" alt=\"Soldiers on patrol in Iraq. (Photo: U.S. Army)\" width=\"620\" height=\"434\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Soldiers on patrol in Iraq. (Photo: U.S. Army)\u003c/figcaption>\u003c/figure>\n\u003cp>In a \u003ca title=\"http://www.ca9.uscourts.gov/datastore/opinions/2012/05/07/08-16728.pdf\" href=\"http://www.ca9.uscourts.gov/datastore/opinions/2012/05/07/08-16728.pdf\" target=\"_blank\">final decision\u003c/a> five years in the making, a federal appeals court in San Francisco ruled Monday that the courts lack jurisdiction to order changes in the way the Veterans Administration handles mental health claims.\u003c/p>\n\u003cp>As the \u003ca title=\"http://www.sfgate.com/cgi-bin/article.cgi?f=/c/a/2012/05/08/MN7K1OEJ78.DTL\" href=\"http://www.sfgate.com/cgi-bin/article.cgi?f=/c/a/2012/05/08/MN7K1OEJ78.DTL\" target=\"_blank\">San Francisco Chronicle reports\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Two veterans groups said in a 2007 lawsuit that the VA had made mental health care virtually unavailable to thousands of discharged soldiers through perfunctory exams, long waits for referrals and treatment, and a prolonged medical benefits process in which vets can't hire lawyers.\u003c/p>\n\u003cp>At a trial in 2008, Department of Veterans Affairs documents showed that the system took an average of 4.4 years to review veterans' health care claims, that more than 1,400 veterans who had been denied coverage died in one six-month period while their appeals were pending, and that 18 veterans per day were committing suicide, much higher than the rate among the general population.\u003c!--more-->\u003c/p>\u003c/blockquote>\n\u003cp>The District Court which heard the case in 2008 ruled that the legal remedies to the veterans' complaints lay with Congress or the Department of Veterans Affairs -- and not the courts. Last year a three judge panel overturned the District Court ruling. The Obama Administration requested the full Ninth Circuit Court consider the question, and yesterday's decision confirmed the original District Court finding.\u003c/p>\n\u003cp>In a press release today, veterans groups expressed frustration with the decision:\u003c/p>\n\u003cblockquote>\u003cp>Sandy Cook, the Vice-Chair for \u003ca title=\"http://www.veteransunitedfortruth.org/\" href=\"http://www.veteransunitedfortruth.org/\" target=\"_blank\">Plaintiff Veterans United for Truth\u003c/a> (VUFT), remarked: \"The message that this decision sends to the VA is that it can continue its unconstitutional practices unchecked by the power of the Courts. It would not be an exaggeration to call it a carte blanche approval for the VA to continue to mishandle, mistreat, and stiff our veterans.\"\u003c/p>\n\u003cp>Bob Handy, the President of VUFT, added: \"I should never underestimate the ability of our Courts to weave some rationale that leaves veterans out in the cold or on the street, homeless and destitute, without any recourse. It is no wonder that the suicide rate is so high.\"\u003c/p>\n\u003cp>[\u003ca title=\"http://veteransforcommonsense.org/\" href=\"http://veteransforcommonsense.org/\" target=\"_blank\">Veterans for Common Sense\u003c/a>] Executive Director, Patrick Bellon, said “I was always taught our Constitution trumps statutes and that our Courts were our last bastions to preserve our liberties; today, that promise has proved hollow, and all I hear is the continuing echoes of men and woman in distress. We should all feel their pain. This day will be remembered as the day our country turned its back on our veterans. VCS vows to fight this heartbreaking decision all the way to the end, because 18 of our veterans commit suicide every day.”\u003c/p>\u003c/blockquote>\n\u003cp>In April the VA\u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/04/20/va-adds-mental-health-clinicians/\" href=\"http://ww2.kqed.org/stateofhealth/2012/04/20/va-adds-mental-health-clinicians/\" target=\"_blank\"> announced plans\u003c/a> to add 1,600 mental health clinicians to veterans hospitals across the country to help meet the growing need for mental health care, especially among veterans returning from service in Iraq and Afghanistan.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The week after the VA's announcement, its own Inspector General issued a \u003ca title=\"http://www.va.gov/oig/pubs/VAOIG-12-00900-168.pdf\" href=\"http://www.va.gov/oig/pubs/VAOIG-12-00900-168.pdf\" target=\"_blank\">lengthy report\u003c/a> finding that too many veterans were waiting too long for mental health care. Worse, the report found that the VA did not have a \"reliable and accurate method of determining whether they are providing patients timely access to mental health services.\" The Inspector General found just over half of new patients waited 50 days to be evaluated. VA rules require a full mental health evaluation for new patients in 14 days. About a third of patients then had longer than required waits to begin treatment.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Writing for the majority in yesterday's 10-1 decision, \u003ca title=\"http://law.unlv.edu/faculty/jay-bybee.html\" href=\"http://law.unlv.edu/faculty/jay-bybee.html\" target=\"_blank\">Judge Jay Bybee\u003c/a> acknowledged the merits of the veterans' case:\u003c/p>\n\u003cblockquote>\u003cp>VCS’s complaint sounds a plaintive cry for help, but it has been misdirected to us. As much as we may wish for expeditious improvement in the way the VA handles mental health care and service-related disability compensation, we cannot exceed our jurisdiction to accomplish it. ... Such responsibilities are left to Congress and the Executive.\u003c/p>\u003c/blockquote>\n\n","blocks":[],"excerpt":"In a final decision five years in the making, a federal appeals court in San Francisco ruled Monday that the courts lack jurisdiction to order changes in the way the Veterans Administration handles mental health claims.\r\n\r\nAs the San Francisco Chronicle reports:\r\n\r\nTwo veterans groups said in a 2007 lawsuit that the VA had made mental health care virtually unavailable to thousands of discharged soldiers through perfunctory exams, long waits for referrals and treatment, and a prolonged medical benefits process in which vets can't hire lawyers.","status":"publish","parent":0,"modified":1336505962,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":664},"headData":{"title":"Federal Court Dismisses Veterans' Suit over Mental Health Care | KQED","description":"In a final decision five years in the making, a federal appeals court in San Francisco ruled Monday that the courts lack jurisdiction to order changes in the way the Veterans Administration handles mental health claims.\r\n\r\nAs the San Francisco Chronicle reports:\r\n\r\nTwo veterans groups said in a 2007 lawsuit that the VA had made mental health care virtually unavailable to thousands of discharged soldiers through perfunctory exams, long waits for referrals and treatment, and a prolonged medical benefits process in which vets can't hire lawyers.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Federal Court Dismisses Veterans' Suit over Mental Health Care","datePublished":"2012-05-08T19:39:22.000Z","dateModified":"2012-05-08T19:39:22.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"5660 http://blogs.kqed.org/stateofhealth/?p=5660","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/05/08/federal-court-dismisses-veterans-suit-over-mental-health-care/","disqusTitle":"Federal Court Dismisses Veterans' Suit over Mental Health Care","path":"/stateofhealth/5660/federal-court-dismisses-veterans-suit-over-mental-health-care","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5674\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SoldiersonPatrolinIraq_USArmy_Flickr.jpg\">\u003cimg class=\"size-large wp-image-5674\" title=\"Soldiers on patrol in Iraq. (Photo: U.S. Army)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SoldiersonPatrolinIraq_USArmy_Flickr-620x434.jpg\" alt=\"Soldiers on patrol in Iraq. (Photo: U.S. Army)\" width=\"620\" height=\"434\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Soldiers on patrol in Iraq. (Photo: U.S. Army)\u003c/figcaption>\u003c/figure>\n\u003cp>In a \u003ca title=\"http://www.ca9.uscourts.gov/datastore/opinions/2012/05/07/08-16728.pdf\" href=\"http://www.ca9.uscourts.gov/datastore/opinions/2012/05/07/08-16728.pdf\" target=\"_blank\">final decision\u003c/a> five years in the making, a federal appeals court in San Francisco ruled Monday that the courts lack jurisdiction to order changes in the way the Veterans Administration handles mental health claims.\u003c/p>\n\u003cp>As the \u003ca title=\"http://www.sfgate.com/cgi-bin/article.cgi?f=/c/a/2012/05/08/MN7K1OEJ78.DTL\" href=\"http://www.sfgate.com/cgi-bin/article.cgi?f=/c/a/2012/05/08/MN7K1OEJ78.DTL\" target=\"_blank\">San Francisco Chronicle reports\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Two veterans groups said in a 2007 lawsuit that the VA had made mental health care virtually unavailable to thousands of discharged soldiers through perfunctory exams, long waits for referrals and treatment, and a prolonged medical benefits process in which vets can't hire lawyers.\u003c/p>\n\u003cp>At a trial in 2008, Department of Veterans Affairs documents showed that the system took an average of 4.4 years to review veterans' health care claims, that more than 1,400 veterans who had been denied coverage died in one six-month period while their appeals were pending, and that 18 veterans per day were committing suicide, much higher than the rate among the general population.\u003c!--more-->\u003c/p>\u003c/blockquote>\n\u003cp>The District Court which heard the case in 2008 ruled that the legal remedies to the veterans' complaints lay with Congress or the Department of Veterans Affairs -- and not the courts. Last year a three judge panel overturned the District Court ruling. The Obama Administration requested the full Ninth Circuit Court consider the question, and yesterday's decision confirmed the original District Court finding.\u003c/p>\n\u003cp>In a press release today, veterans groups expressed frustration with the decision:\u003c/p>\n\u003cblockquote>\u003cp>Sandy Cook, the Vice-Chair for \u003ca title=\"http://www.veteransunitedfortruth.org/\" href=\"http://www.veteransunitedfortruth.org/\" target=\"_blank\">Plaintiff Veterans United for Truth\u003c/a> (VUFT), remarked: \"The message that this decision sends to the VA is that it can continue its unconstitutional practices unchecked by the power of the Courts. It would not be an exaggeration to call it a carte blanche approval for the VA to continue to mishandle, mistreat, and stiff our veterans.\"\u003c/p>\n\u003cp>Bob Handy, the President of VUFT, added: \"I should never underestimate the ability of our Courts to weave some rationale that leaves veterans out in the cold or on the street, homeless and destitute, without any recourse. It is no wonder that the suicide rate is so high.\"\u003c/p>\n\u003cp>[\u003ca title=\"http://veteransforcommonsense.org/\" href=\"http://veteransforcommonsense.org/\" target=\"_blank\">Veterans for Common Sense\u003c/a>] Executive Director, Patrick Bellon, said “I was always taught our Constitution trumps statutes and that our Courts were our last bastions to preserve our liberties; today, that promise has proved hollow, and all I hear is the continuing echoes of men and woman in distress. We should all feel their pain. This day will be remembered as the day our country turned its back on our veterans. VCS vows to fight this heartbreaking decision all the way to the end, because 18 of our veterans commit suicide every day.”\u003c/p>\u003c/blockquote>\n\u003cp>In April the VA\u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/04/20/va-adds-mental-health-clinicians/\" href=\"http://ww2.kqed.org/stateofhealth/2012/04/20/va-adds-mental-health-clinicians/\" target=\"_blank\"> announced plans\u003c/a> to add 1,600 mental health clinicians to veterans hospitals across the country to help meet the growing need for mental health care, especially among veterans returning from service in Iraq and Afghanistan.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The week after the VA's announcement, its own Inspector General issued a \u003ca title=\"http://www.va.gov/oig/pubs/VAOIG-12-00900-168.pdf\" href=\"http://www.va.gov/oig/pubs/VAOIG-12-00900-168.pdf\" target=\"_blank\">lengthy report\u003c/a> finding that too many veterans were waiting too long for mental health care. Worse, the report found that the VA did not have a \"reliable and accurate method of determining whether they are providing patients timely access to mental health services.\" The Inspector General found just over half of new patients waited 50 days to be evaluated. VA rules require a full mental health evaluation for new patients in 14 days. About a third of patients then had longer than required waits to begin treatment.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Writing for the majority in yesterday's 10-1 decision, \u003ca title=\"http://law.unlv.edu/faculty/jay-bybee.html\" href=\"http://law.unlv.edu/faculty/jay-bybee.html\" target=\"_blank\">Judge Jay Bybee\u003c/a> acknowledged the merits of the veterans' case:\u003c/p>\n\u003cblockquote>\u003cp>VCS’s complaint sounds a plaintive cry for help, but it has been misdirected to us. As much as we may wish for expeditious improvement in the way the VA handles mental health care and service-related disability compensation, we cannot exceed our jurisdiction to accomplish it. ... Such responsibilities are left to Congress and the Executive.\u003c/p>\u003c/blockquote>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/5660/federal-court-dismisses-veterans-suit-over-mental-health-care","authors":["240"],"categories":["stateofhealth_14"],"tags":["stateofhealth_68","stateofhealth_137"],"featImg":"stateofhealth_5674","label":"stateofhealth"},"stateofhealth_5294":{"type":"posts","id":"stateofhealth_5294","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"5294","score":null,"sort":[1334957052000]},"guestAuthors":[],"slug":"va-adds-mental-health-clinicians","title":"VA Adds Mental Health Clinicians","publishDate":1334957052,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_5315\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/veteran.gif\">\u003cimg class=\"size-full wp-image-5315\" title=\"veteran\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/veteran.gif\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/04/veteran.gif 300w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/veteran-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/veteran-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/veteran-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/veteran-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/veteran-75x75.gif 75w\" sizes=\"(max-width: 300px) 100vw, 300px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The need for mental health services among veterans has increased 35% since 2007. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The Department of Veterans Affairs \u003ca href=\"http://www.va.gov/opa/pressrel/pressrelease.cfm?id=2302\">has announced \u003c/a>that it will add 1,600 mental health clinicians and 300 support staff to veterans hospitals across the country to help contend with the rising demand for mental health care among returning veterans. That's an almost 10% increase in mental health staff and is sorely needed at hospitals that can't keep up with the requests for appointments. In some places, wait time for care is much longer than the VA's 14 day policy, the subject of a report by the department's inspector general to be released next week.\u003c/p>\n\u003cp>Northern California may be faring slightly better than the rest of the country on mental health issues. “In Northern California we have many veterans coming back. We also have a lot of staff,\" said Robin Jackson, a spokeswoman for the \u003ca href=\"http://www.northerncalifornia.va.gov/\">Department of Veterans Affairs Northern California Health Care System\u003c/a>. \"We’ve tripled our mental health staff in the last 4 years. So we many be ahead of the curve,” she added. Jackson said that staff in Northern California realized that traumatic brain injury and other mental trauma would be the most common illnesses in returning Iraq and Afghanistan veterans, so they ramped up their staffing to meet the need.\u003c!--more-->\u003c/p>\n\u003cp>Northern California VA's are meeting the department's 14 day timeline to see veterans in need of mental health treatment, according to Jackson. She also said they've been doing some innovative things to help veterans feel comfortable using the VA, and to diagnosis them early. “We do a post deployment health reassessment,” Jackson said, citing the recent return of a National Guard unit where all members were given the health assessment. \"They get familiar with what we have to offer and feel comfortable to come back,” she added. Jackson says California has always been at the forefront of practices like these because of the state's large veterans population, especially in Southern California.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"We’ve tripled our mental health staff in the last 4 years. So we many be ahead of the curve.\"\u003c/aside>\n\u003cp>Southern California has seen a sharp increase in mental health need, almost doubling the number of patients between 2006 to the present. Dr. Peter Hauser, mental health program coordinator for the Southern California network of VA health care facilities, estimates that 20 to 30 percent of returning veterans from Iraq will have Post Traumatic Stress Disorder (PTSD). He added that the VA network expects more demand as former soldiers try to reintegrate into civilian life and experience employment difficulties that exacerbate existing traumas.\u003c/p>\n\u003cp>Dr. Hauser expects his region to get 111 new mental health professionals. \"We are working hard to fill all existing vacancies and ramp up recruiting to hire new staff and create outpatient mental health teams that enhance continuity of care,\" he wrote in an email. Southern California has had a \u003ca href=\"http://www.usatoday.com/news/military/story/2012-04-19/veterans-hiring-mental-health-workers/54418514/1\">hard time filling vacancies\u003c/a> on its mental health staff that already exist. Dr. Hauser cited high cost of living in Southern California, salary competition from private networks and overal budgetary contraints as reasons why recruiting and filling psychiatrist positions has been difficult.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Department of Veterans Affairs as whole has \u003ca href=\"http://www.nytimes.com/2012/04/20/us/veterans-affairs-dept-to-increase-mental-health-staffing.html?_r=1\">come under fire\u003c/a> for long wait times and inadequate care, problems the new staff are meant to address. \"History shows that the costs of war will continue to grow for a decade or more after the operational missions in Iraq and Afghanistan have ended,\" Department Secretary \u003ca href=\"http://www.va.gov/opa/bios/secretary.asp\">Eric Shinseki\u003c/a> said in a statement. \"As more veterans return home, we must ensure that all veterans have access to quality mental health care.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The VA treats 1.3 million veterans for mental health problems nationwide, 400,000 of whom are returning from Iraq and Afghanistan. Since 2009, the VA has increased the mental health budget by 39%, but that may not be enough. The number of veterans seeking mental health help has increased 35% since 2007. The new staff will be paid for out of the VA's existing budget.\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1334957767,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":9,"wordCount":695},"headData":{"title":"VA Adds Mental Health Clinicians | KQED","description":"The Department of Veterans Affairs has announced that it will add 1,600 mental health clinicians and 300 support staff to veterans hospitals across the country to help contend with the rising demand for mental health care among returning veterans. That's an almost 10% increase in mental health staff and is sorely needed at hospitals that","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"VA Adds Mental Health Clinicians","datePublished":"2012-04-20T21:24:12.000Z","dateModified":"2012-04-20T21:36:07.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"5294 http://blogs.kqed.org/stateofhealth/?p=5294","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/04/20/va-adds-mental-health-clinicians/","disqusTitle":"VA Adds Mental Health Clinicians","path":"/stateofhealth/5294/va-adds-mental-health-clinicians","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5315\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/veteran.gif\">\u003cimg class=\"size-full wp-image-5315\" title=\"veteran\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/veteran.gif\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/04/veteran.gif 300w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/veteran-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/veteran-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/veteran-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/veteran-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/veteran-75x75.gif 75w\" sizes=\"(max-width: 300px) 100vw, 300px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The need for mental health services among veterans has increased 35% since 2007. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The Department of Veterans Affairs \u003ca href=\"http://www.va.gov/opa/pressrel/pressrelease.cfm?id=2302\">has announced \u003c/a>that it will add 1,600 mental health clinicians and 300 support staff to veterans hospitals across the country to help contend with the rising demand for mental health care among returning veterans. That's an almost 10% increase in mental health staff and is sorely needed at hospitals that can't keep up with the requests for appointments. In some places, wait time for care is much longer than the VA's 14 day policy, the subject of a report by the department's inspector general to be released next week.\u003c/p>\n\u003cp>Northern California may be faring slightly better than the rest of the country on mental health issues. “In Northern California we have many veterans coming back. We also have a lot of staff,\" said Robin Jackson, a spokeswoman for the \u003ca href=\"http://www.northerncalifornia.va.gov/\">Department of Veterans Affairs Northern California Health Care System\u003c/a>. \"We’ve tripled our mental health staff in the last 4 years. So we many be ahead of the curve,” she added. Jackson said that staff in Northern California realized that traumatic brain injury and other mental trauma would be the most common illnesses in returning Iraq and Afghanistan veterans, so they ramped up their staffing to meet the need.\u003c!--more-->\u003c/p>\n\u003cp>Northern California VA's are meeting the department's 14 day timeline to see veterans in need of mental health treatment, according to Jackson. She also said they've been doing some innovative things to help veterans feel comfortable using the VA, and to diagnosis them early. “We do a post deployment health reassessment,” Jackson said, citing the recent return of a National Guard unit where all members were given the health assessment. \"They get familiar with what we have to offer and feel comfortable to come back,” she added. Jackson says California has always been at the forefront of practices like these because of the state's large veterans population, especially in Southern California.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"We’ve tripled our mental health staff in the last 4 years. So we many be ahead of the curve.\"\u003c/aside>\n\u003cp>Southern California has seen a sharp increase in mental health need, almost doubling the number of patients between 2006 to the present. Dr. Peter Hauser, mental health program coordinator for the Southern California network of VA health care facilities, estimates that 20 to 30 percent of returning veterans from Iraq will have Post Traumatic Stress Disorder (PTSD). He added that the VA network expects more demand as former soldiers try to reintegrate into civilian life and experience employment difficulties that exacerbate existing traumas.\u003c/p>\n\u003cp>Dr. Hauser expects his region to get 111 new mental health professionals. \"We are working hard to fill all existing vacancies and ramp up recruiting to hire new staff and create outpatient mental health teams that enhance continuity of care,\" he wrote in an email. Southern California has had a \u003ca href=\"http://www.usatoday.com/news/military/story/2012-04-19/veterans-hiring-mental-health-workers/54418514/1\">hard time filling vacancies\u003c/a> on its mental health staff that already exist. Dr. Hauser cited high cost of living in Southern California, salary competition from private networks and overal budgetary contraints as reasons why recruiting and filling psychiatrist positions has been difficult.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Department of Veterans Affairs as whole has \u003ca href=\"http://www.nytimes.com/2012/04/20/us/veterans-affairs-dept-to-increase-mental-health-staffing.html?_r=1\">come under fire\u003c/a> for long wait times and inadequate care, problems the new staff are meant to address. \"History shows that the costs of war will continue to grow for a decade or more after the operational missions in Iraq and Afghanistan have ended,\" Department Secretary \u003ca href=\"http://www.va.gov/opa/bios/secretary.asp\">Eric Shinseki\u003c/a> said in a statement. \"As more veterans return home, we must ensure that all veterans have access to quality mental health care.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The VA treats 1.3 million veterans for mental health problems nationwide, 400,000 of whom are returning from Iraq and Afghanistan. Since 2009, the VA has increased the mental health budget by 39%, but that may not be enough. The number of veterans seeking mental health help has increased 35% since 2007. The new staff will be paid for out of the VA's existing budget.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/5294/va-adds-mental-health-clinicians","authors":["234"],"categories":["stateofhealth_14"],"tags":["stateofhealth_68","stateofhealth_136","stateofhealth_137"],"label":"stateofhealth"},"stateofhealth_3507":{"type":"posts","id":"stateofhealth_3507","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"3507","score":null,"sort":[1331132404000]},"guestAuthors":[],"slug":"veterans-with-ptsd-at-risk-of-prescription-opioid-abuse","title":"Veterans with PTSD at Risk of Prescription Opioid Abuse","publishDate":1331132404,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_3555\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/PillsGenericGetty060611.jpg\">\u003cimg class=\"size-medium wp-image-3555\" title=\"Veterans with PTSD are more likely to be prescribed opioid drugs for pain relief. (Photo: Jupiter Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/PillsGenericGetty060611-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Veterans with PTSD are more likely than other vets to be prescribed opioid drugs for pain relief. (Photo: Jupiter Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Across the country, there's been a greater understanding of \u003ca title=\"http://www.iom.edu/Reports/2011/Relieving-Pain-in-America-A-Blueprint-for-Transforming-Prevention-Care-Education-Research.aspx\" href=\"http://www.iom.edu/Reports/2011/Relieving-Pain-in-America-A-Blueprint-for-Transforming-Prevention-Care-Education-Research.aspx\" target=\"_blank\">treating pain\u003c/a>. The prescription of opioid pain relievers--drugs like codeine, vicodin or morphine--has nearly doubled since 1994. But at the same time, \u003ca title=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6043a4.htm\" href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6043a4.htm\" target=\"_blank\">prescription opioid abuse, overdose and death\u003c/a> has also increased dramatically. The same trends are true for veterans of the Iraq and Afghanistan wars. Today, due to medical advances and improvements in combat protective gear, higher numbers of veterans of these wars are surviving injuries. But once home, they continue to suffer both pain and mental health problems. They are often prescribed opioid pain relievers.\u003c/p>\n\u003cp>But little has been known about mental health disorders and the prescribing of opioids to veterans. Researchers at the San Francisco Veterans Affairs Medical Center and UCSF set out to address this question and found that veterans with mental health problems were more likely to be prescribed opioid drugs than veterans without mental health issues.\u003c!--more-->\u003c/p>\n\u003cp>The study, published Tuesday in the \u003ca title=\"http://jama.ama-assn.org/content/307/9/940.short\" href=\"http://jama.ama-assn.org/content/307/9/940.short\" target=\"_blank\">Journal of the American Medical Association\u003c/a>, reviewed information from more than 140,000 Iraq and Afghanistan war veterans who were diagnosed with pain. Veterans without mental health problems were prescribed opioids much less frequently--about 6.5 percent of them received these prescriptions. That rate went up to 11.7 percent in veterans with a mental health diagnosis. And the rate was highest--17.8 percent--for veterans with Post-Traumatic Stress Disorder (PTSD).\u003c/p>\n\u003cp>The study also showed that all veterans that were prescribed opioids had a higher risk of misusing their prescription opioid by either over-dosing, having drug-related accidents, hurting oneself, or other things that would cause them to end up in the Emergency Room. That risk was the greatest among those with PTSD.\u003c/p>\n\u003cp>Lead author \u003ca title=\"http://profiles.ucsf.edu/ProfileDetails.aspx?Person=4802489\" href=\"http://profiles.ucsf.edu/ProfileDetails.aspx?Person=4802489\" target=\"_blank\">Karen Seal\u003c/a> is a physician at the San Francisco Veterans Affairs Medical Center and a professor at UCSF. She says the study results are troubling. \"The message to me is to keep redoubling our efforts to really have conversations with patients about these risks, and really provide them alternatives to just taking Vicodin or oxycodone or morphine, which has become very, very common in our society.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Seal says there were clear patterns in the data showing that Veterans Affairs (VA) patients with PTSD were more at risk for being on higher doses of opioids, and for longer periods of time. PTSD patients also had a higher risk of being prescribed two or more opioids simultaneously, and were more likely to get early refills on medications. She says getting early refills is a good indication that veterans may be abusing drugs by taking more than prescribed.\u003c/p>\n\u003cp>Seal says the VA often offers alternatives to opioid pain medication first, such as anti-inflammatory drugs, physical therapy, complementary alternative medicine, and various relaxation techniques. She says in her own practice, she's found that when she approaches her patients about alternatives to opioid prescriptions, many patients say they would rather avoid the opioids and try these alternative therapies first.\u003c/p>\n\u003cp>\"They particularly like going to physical therapy,\" Seal said. \"And actually trying -- usually for the first time -- modalities like acupuncture, chiropractory, relaxation, and even in some case psychotherapy that's really meant to address their pain and PTSD, or other mental health problems, simultaneously.\"\u003c/p>\n\u003cp>But Seal cautions that these alternative methods don't\u003cem> \u003c/em>always work. Some patients require opioid medication to relieve their pain. \"In those cases you would still prescribe [opioids] to relieve pain and suffering, but you would do so in a way that you are assessing for risk, and you are monitoring their use of the medication.\"\u003c/p>\n\u003cp>In the study, the authors note that the VA has guidelines that \"urge caution in opioid prescribing\" in people with substance abuse issues.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Department of Veterans Affairs issued a written statement in response to the study saying it \"agrees with the recommendation that VA continue to build upon its current approach to treating patients who have both pain and PTSD. This includes expanding \u003ca title=\"http://www.va.gov/primarycare/pcmh/\" href=\"http://www.va.gov/primarycare/pcmh/\" target=\"_blank\">Patient Aligned Care Teams\u003c/a> (PACTs) that align primary care physicians with nurses, mental health providers, pharmacists and social workers. VA is committed to ensuring Veterans receive the quality care and benefits they have earned.\"\u003c/p>\n\n","blocks":[],"excerpt":"Across the country, there's been a greater understanding of treating pain. The prescription of opioid pain relievers--drugs like codeine, vicodin or morphine--has nearly doubled since 1994. But at the same time, prescription opioid abuse, overdose and death has also increased dramatically. The same trends are true for veterans of the Iraq and Afghanistan wars. Today, due to medical advances and improvements in combat protective gear, higher numbers of veterans of these wars are surviving injuries. But once home, they continue to suffer both pain and mental health problems. They are often prescribed opioid pain relievers.\r\n","status":"publish","parent":0,"modified":1332471588,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":720},"headData":{"title":"Veterans with PTSD at Risk of Prescription Opioid Abuse | KQED","description":"Across the country, there's been a greater understanding of treating pain. The prescription of opioid pain relievers--drugs like codeine, vicodin or morphine--has nearly doubled since 1994. But at the same time, prescription opioid abuse, overdose and death has also increased dramatically. The same trends are true for veterans of the Iraq and Afghanistan wars. Today, due to medical advances and improvements in combat protective gear, higher numbers of veterans of these wars are surviving injuries. But once home, they continue to suffer both pain and mental health problems. They are often prescribed opioid pain relievers.\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Veterans with PTSD at Risk of Prescription Opioid Abuse","datePublished":"2012-03-07T15:00:04.000Z","dateModified":"2012-03-23T02:59:48.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"3507 http://blogs.kqed.org/stateofhealth/?p=3507","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/03/07/veterans-with-ptsd-at-risk-of-prescription-opioid-abuse/","disqusTitle":"Veterans with PTSD at Risk of Prescription Opioid Abuse","path":"/stateofhealth/3507/veterans-with-ptsd-at-risk-of-prescription-opioid-abuse","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_3555\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/PillsGenericGetty060611.jpg\">\u003cimg class=\"size-medium wp-image-3555\" title=\"Veterans with PTSD are more likely to be prescribed opioid drugs for pain relief. (Photo: Jupiter Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/PillsGenericGetty060611-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Veterans with PTSD are more likely than other vets to be prescribed opioid drugs for pain relief. (Photo: Jupiter Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Across the country, there's been a greater understanding of \u003ca title=\"http://www.iom.edu/Reports/2011/Relieving-Pain-in-America-A-Blueprint-for-Transforming-Prevention-Care-Education-Research.aspx\" href=\"http://www.iom.edu/Reports/2011/Relieving-Pain-in-America-A-Blueprint-for-Transforming-Prevention-Care-Education-Research.aspx\" target=\"_blank\">treating pain\u003c/a>. The prescription of opioid pain relievers--drugs like codeine, vicodin or morphine--has nearly doubled since 1994. But at the same time, \u003ca title=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6043a4.htm\" href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6043a4.htm\" target=\"_blank\">prescription opioid abuse, overdose and death\u003c/a> has also increased dramatically. The same trends are true for veterans of the Iraq and Afghanistan wars. Today, due to medical advances and improvements in combat protective gear, higher numbers of veterans of these wars are surviving injuries. But once home, they continue to suffer both pain and mental health problems. They are often prescribed opioid pain relievers.\u003c/p>\n\u003cp>But little has been known about mental health disorders and the prescribing of opioids to veterans. Researchers at the San Francisco Veterans Affairs Medical Center and UCSF set out to address this question and found that veterans with mental health problems were more likely to be prescribed opioid drugs than veterans without mental health issues.\u003c!--more-->\u003c/p>\n\u003cp>The study, published Tuesday in the \u003ca title=\"http://jama.ama-assn.org/content/307/9/940.short\" href=\"http://jama.ama-assn.org/content/307/9/940.short\" target=\"_blank\">Journal of the American Medical Association\u003c/a>, reviewed information from more than 140,000 Iraq and Afghanistan war veterans who were diagnosed with pain. Veterans without mental health problems were prescribed opioids much less frequently--about 6.5 percent of them received these prescriptions. That rate went up to 11.7 percent in veterans with a mental health diagnosis. And the rate was highest--17.8 percent--for veterans with Post-Traumatic Stress Disorder (PTSD).\u003c/p>\n\u003cp>The study also showed that all veterans that were prescribed opioids had a higher risk of misusing their prescription opioid by either over-dosing, having drug-related accidents, hurting oneself, or other things that would cause them to end up in the Emergency Room. That risk was the greatest among those with PTSD.\u003c/p>\n\u003cp>Lead author \u003ca title=\"http://profiles.ucsf.edu/ProfileDetails.aspx?Person=4802489\" href=\"http://profiles.ucsf.edu/ProfileDetails.aspx?Person=4802489\" target=\"_blank\">Karen Seal\u003c/a> is a physician at the San Francisco Veterans Affairs Medical Center and a professor at UCSF. She says the study results are troubling. \"The message to me is to keep redoubling our efforts to really have conversations with patients about these risks, and really provide them alternatives to just taking Vicodin or oxycodone or morphine, which has become very, very common in our society.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Seal says there were clear patterns in the data showing that Veterans Affairs (VA) patients with PTSD were more at risk for being on higher doses of opioids, and for longer periods of time. PTSD patients also had a higher risk of being prescribed two or more opioids simultaneously, and were more likely to get early refills on medications. She says getting early refills is a good indication that veterans may be abusing drugs by taking more than prescribed.\u003c/p>\n\u003cp>Seal says the VA often offers alternatives to opioid pain medication first, such as anti-inflammatory drugs, physical therapy, complementary alternative medicine, and various relaxation techniques. She says in her own practice, she's found that when she approaches her patients about alternatives to opioid prescriptions, many patients say they would rather avoid the opioids and try these alternative therapies first.\u003c/p>\n\u003cp>\"They particularly like going to physical therapy,\" Seal said. \"And actually trying -- usually for the first time -- modalities like acupuncture, chiropractory, relaxation, and even in some case psychotherapy that's really meant to address their pain and PTSD, or other mental health problems, simultaneously.\"\u003c/p>\n\u003cp>But Seal cautions that these alternative methods don't\u003cem> \u003c/em>always work. Some patients require opioid medication to relieve their pain. \"In those cases you would still prescribe [opioids] to relieve pain and suffering, but you would do so in a way that you are assessing for risk, and you are monitoring their use of the medication.\"\u003c/p>\n\u003cp>In the study, the authors note that the VA has guidelines that \"urge caution in opioid prescribing\" in people with substance abuse issues.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Department of Veterans Affairs issued a written statement in response to the study saying it \"agrees with the recommendation that VA continue to build upon its current approach to treating patients who have both pain and PTSD. This includes expanding \u003ca title=\"http://www.va.gov/primarycare/pcmh/\" href=\"http://www.va.gov/primarycare/pcmh/\" target=\"_blank\">Patient Aligned Care Teams\u003c/a> (PACTs) that align primary care physicians with nurses, mental health providers, pharmacists and social workers. VA is committed to ensuring Veterans receive the quality care and benefits they have earned.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/3507/veterans-with-ptsd-at-risk-of-prescription-opioid-abuse","authors":["46"],"categories":["stateofhealth_14"],"tags":["stateofhealth_68","stateofhealth_136","stateofhealth_137"],"featImg":"stateofhealth_3555","label":"stateofhealth"},"stateofhealth_2178":{"type":"posts","id":"stateofhealth_2178","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"2178","score":null,"sort":[1326757727000]},"guestAuthors":[],"slug":"women-veterans-suffer-from-ptsd-at-same-rate-as-men","title":"Women Veterans Suffer from PTSD at Same Rate as Men","publishDate":1326757727,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_2232\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/FemaleVetsPTSD_011612.jpg\">\u003cimg class=\"size-medium wp-image-2232\" title=\"For Some Returning US Troops, PTSD Is The New Battlefield\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/FemaleVetsPTSD_011612-300x192.jpg\" alt=\"Post Traumatic Stress Disorder is a major issues for female soldiers returning from the wars in Iraq and Afghanistan. (Chris Hondros: Getty Images)\" width=\"300\" height=\"192\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Post Traumatic Stress Disorder is a major issue for female soldiers returning from the wars in Iraq and Afghanistan. (Chris Hondros: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The number of women in the military has doubled in the past decade. According to the Pentagon, about 10 percent of the 2.2 million troops who served in Iraq and Afghanistan have been women.\u003c/p>\n\u003cp>These women are more likely to be in the line of fire than those serving in previous wars -- and that means they're also at a higher risk of having depression, Post-Traumatic Stress Disorder (PTSD) and other mental health problems. Researchers at the University of California San Francisco and the San Francisco VA Medical Center (SFVAMC) wanted to see if\u003cem> gender\u003c/em> played a role in mental health outcomes after soldiers were exposed to combat-related trauma. In a recent \u003ca href=\"http://www.whijournal.com/article/S1049-3867%2811%2900174-5/abstract\" target=\"_blank\">study\u003c/a>, researchers looked at 7,251 veteran responses to different kinds of combat exposure: witnessing killing, sexual trauma, killing in war, and injury. They found that\u003ca href=\"http://www.whijournal.com/article/S1049-3867%2811%2900174-5/abstract\" target=\"_blank\"> PTSD rates are the same among male and female vets\u003c/a> of the Afghanistan and Iraq wars, with about 18 percent of both groups screening positive for the disorder.\u003c/p>\n\u003cp>While both male and female vets had equal chances of having PTSD after exposure to killing, sexual trauma, or witnessing killing, women vets who were\u003cem> injured\u003c/em> were more likely to have PTSD than men.\u003c/p>\n\u003cp>The study also found that while female veterans were more likely to suffer from depression, their male counterparts were more likely to abuse alcohol.\u003c/p>\n\u003cp>\u003c!--more-->Lead author \u003ca href=\"http://psych.ucsf.edu/faculty.aspx?id=1744\" target=\"_blank\">Shira Maguen\u003c/a>, a psychologist at SFVAMC and an assistant professor of psychiatry at UCSF, said the study suggests that doctors should get a detailed assessment of specific traumatic combat experiences because \"not all types of combat may be equally experienced by men and women after they return from deployment.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Though men and women had the same rates of PTSD due to sexual trauma, 12 percent of women actually reported experiencing sexual trauma, compared to less than one percent of men. Previous studies on female veterans show that those with a history of sexual trauma are about eight times more likely to suffer from PTSD than other female veterans.\u003c/p>\n\u003cp>Still, what's surprising, said Maguen, is that there are more similarities than differences between male and female PTSD outcomes. She said the the VA needs to do more research on women's health issues, but adds that they're doing an \"excellent\" job adding women's clinics for this growing population of veterans.\u003c/p>\n\u003cp>\"At the San Francisco VA we have a one-stop-shop model where a woman veteran can come in and get medical care and mental health care and social work all in one visit. These are particular settings where women can really be evaluated. And if we have studies like this informing us what the highest risk factors are, we can really do a better job of assessing women, and hopefully that will lead to better treatment.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The study was supported by the \u003ca href=\"http://www.va.gov/\" target=\"_blank\">Department of Veterans Affairs\u003c/a>, and was published electronically in the \u003ca href=\"http://www.journalofpsychiatricresearch.com/\" target=\"_blank\">Journal of Psychiatric Research\u003c/a>.\u003c/p>\n\n","blocks":[],"excerpt":"Researchers at the University of California San Francisco and the San Francisco VA Medical Center (SFVAMC) wanted to see if gender played a role in mental health outcomes after soldiers were exposed to combat-related trauma. In a recent study, researchers looked at 7,251 veteran responses to different kinds of combat exposure: witnessing killing, sexual trauma, killing in war, and injury. It found that PTSD rates are the same among male and female vets of the Afghanistan and Iraq wars, with about 18 percent of both groups screening positive for the disorder.","status":"publish","parent":0,"modified":1326932424,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":11,"wordCount":513},"headData":{"title":"Women Veterans Suffer from PTSD at Same Rate as Men | KQED","description":"Researchers at the University of California San Francisco and the San Francisco VA Medical Center (SFVAMC) wanted to see if gender played a role in mental health outcomes after soldiers were exposed to combat-related trauma. In a recent study, researchers looked at 7,251 veteran responses to different kinds of combat exposure: witnessing killing, sexual trauma, killing in war, and injury. It found that PTSD rates are the same among male and female vets of the Afghanistan and Iraq wars, with about 18 percent of both groups screening positive for the disorder.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Women Veterans Suffer from PTSD at Same Rate as Men","datePublished":"2012-01-16T23:48:47.000Z","dateModified":"2012-01-19T00:20:24.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"2178 http://blogs.kqed.org/stateofhealth/?p=2178","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/01/16/women-veterans-suffer-from-ptsd-at-same-rate-as-men/","disqusTitle":"Women Veterans Suffer from PTSD at Same Rate as Men","WpOldSlug":"ptsd-among-women-in-combat","path":"/stateofhealth/2178/women-veterans-suffer-from-ptsd-at-same-rate-as-men","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2232\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/FemaleVetsPTSD_011612.jpg\">\u003cimg class=\"size-medium wp-image-2232\" title=\"For Some Returning US Troops, PTSD Is The New Battlefield\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/FemaleVetsPTSD_011612-300x192.jpg\" alt=\"Post Traumatic Stress Disorder is a major issues for female soldiers returning from the wars in Iraq and Afghanistan. (Chris Hondros: Getty Images)\" width=\"300\" height=\"192\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Post Traumatic Stress Disorder is a major issue for female soldiers returning from the wars in Iraq and Afghanistan. (Chris Hondros: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The number of women in the military has doubled in the past decade. According to the Pentagon, about 10 percent of the 2.2 million troops who served in Iraq and Afghanistan have been women.\u003c/p>\n\u003cp>These women are more likely to be in the line of fire than those serving in previous wars -- and that means they're also at a higher risk of having depression, Post-Traumatic Stress Disorder (PTSD) and other mental health problems. Researchers at the University of California San Francisco and the San Francisco VA Medical Center (SFVAMC) wanted to see if\u003cem> gender\u003c/em> played a role in mental health outcomes after soldiers were exposed to combat-related trauma. In a recent \u003ca href=\"http://www.whijournal.com/article/S1049-3867%2811%2900174-5/abstract\" target=\"_blank\">study\u003c/a>, researchers looked at 7,251 veteran responses to different kinds of combat exposure: witnessing killing, sexual trauma, killing in war, and injury. They found that\u003ca href=\"http://www.whijournal.com/article/S1049-3867%2811%2900174-5/abstract\" target=\"_blank\"> PTSD rates are the same among male and female vets\u003c/a> of the Afghanistan and Iraq wars, with about 18 percent of both groups screening positive for the disorder.\u003c/p>\n\u003cp>While both male and female vets had equal chances of having PTSD after exposure to killing, sexual trauma, or witnessing killing, women vets who were\u003cem> injured\u003c/em> were more likely to have PTSD than men.\u003c/p>\n\u003cp>The study also found that while female veterans were more likely to suffer from depression, their male counterparts were more likely to abuse alcohol.\u003c/p>\n\u003cp>\u003c!--more-->Lead author \u003ca href=\"http://psych.ucsf.edu/faculty.aspx?id=1744\" target=\"_blank\">Shira Maguen\u003c/a>, a psychologist at SFVAMC and an assistant professor of psychiatry at UCSF, said the study suggests that doctors should get a detailed assessment of specific traumatic combat experiences because \"not all types of combat may be equally experienced by men and women after they return from deployment.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Though men and women had the same rates of PTSD due to sexual trauma, 12 percent of women actually reported experiencing sexual trauma, compared to less than one percent of men. Previous studies on female veterans show that those with a history of sexual trauma are about eight times more likely to suffer from PTSD than other female veterans.\u003c/p>\n\u003cp>Still, what's surprising, said Maguen, is that there are more similarities than differences between male and female PTSD outcomes. She said the the VA needs to do more research on women's health issues, but adds that they're doing an \"excellent\" job adding women's clinics for this growing population of veterans.\u003c/p>\n\u003cp>\"At the San Francisco VA we have a one-stop-shop model where a woman veteran can come in and get medical care and mental health care and social work all in one visit. These are particular settings where women can really be evaluated. And if we have studies like this informing us what the highest risk factors are, we can really do a better job of assessing women, and hopefully that will lead to better treatment.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The study was supported by the \u003ca href=\"http://www.va.gov/\" target=\"_blank\">Department of Veterans Affairs\u003c/a>, and was published electronically in the \u003ca href=\"http://www.journalofpsychiatricresearch.com/\" target=\"_blank\">Journal of Psychiatric Research\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/2178/women-veterans-suffer-from-ptsd-at-same-rate-as-men","authors":["46"],"categories":["stateofhealth_11"],"tags":["stateofhealth_136","stateofhealth_137"],"featImg":"stateofhealth_2232","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. 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Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.","airtime":"MON-THU 11am-12pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"http://www.wbur.org/hereandnow","meta":{"site":"news","source":"npr"},"link":"/radio/program/here-and-now","subsdcribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661","tuneIn":"https://tunein.com/radio/Here--Now-p211/","rss":"https://feeds.npr.org/510051/podcast.xml"}},"how-i-built-this":{"id":"how-i-built-this","title":"How I Built This with Guy Raz","info":"Guy Raz dives into the stories behind some of the world's best known companies. 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No other part of the globe has experienced such dynamic political and social change in recent years.","airtime":"SAT 3am-4am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Inside-Europe-Podcast-Tile-300x300-1.jpg","meta":{"site":"news","source":"Deutsche Welle"},"link":"/radio/program/inside-europe","subscribe":{"apple":"https://itunes.apple.com/us/podcast/inside-europe/id80106806?mt=2","tuneIn":"https://tunein.com/radio/Inside-Europe-p731/","rss":"https://partner.dw.com/xml/podcast_inside-europe"}},"latino-usa":{"id":"latino-usa","title":"Latino USA","airtime":"MON 1am-2am, SUN 6pm-7pm","info":"Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg","officialWebsiteLink":"http://latinousa.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/latino-usa","subscribe":{"npr":"https://rpb3r.app.goo.gl/xtTd","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Latino-USA-p621/","rss":"https://feeds.npr.org/510016/podcast.xml"}},"live-from-here-highlights":{"id":"live-from-here-highlights","title":"Live from Here Highlights","info":"Chris Thile steps to the mic as the host of Live from Here (formerly A Prairie Home Companion), a live public radio variety show. 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Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.","airtime":"MON-FRI 3am-9am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/morning-edition/","meta":{"site":"news","source":"npr"},"link":"/radio/program/morning-edition"},"onourwatch":{"id":"onourwatch","title":"On Our Watch","tagline":"Police secrets, unsealed","info":"For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. 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