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Returning Home from Iraq and Afghanistan
Nearly 1.9 million U.S. troops have been deployed to Afghanistan and Iraq since October 2001. Many service members and veterans face serious challenges in readjusting to normal life after returning home. This initial book presents findings on the most critical challenges, and lays out the blueprint for the second phase of the study to determine how best to meet the needs of returning troops and their families.
Returning Home from Iraq and Afghanistan
As of December 2012, Operation Enduring Freedom (OEF) in Afghanistan and Operation Iraqi Freedom (OIF) in Iraq have resulted in the deployment of about 2.2 million troops; there have been 2,222 US fatalities in OEF and Operation New Dawn (OND)1 and 4,422 in OIF. The numbers of wounded US troops exceed 16,000 in Afghanistan and 32,000 in Iraq. In addition to deaths and morbidity, the operations have unforeseen consequences that are yet to be fully understood. In contrast with previous conflicts, the all-volunteer military has experienced numerous deployments of individual service members; has seen increased deployments of women, parents of young children, and reserve and National Guard troops...
Substance Use Disorders in the U.S. Armed Forces
Problems stemming from the misuse and abuse of alcohol and other drugs are by no means a new phenomenon, although the face of the issues has changed in recent years. National trends indicate substantial increases in the abuse of prescription medications. These increases are particularly prominent within the military, a population that also continues to experience long-standing issues with alcohol abuse. The problem of substance abuse within the military has come under new scrutiny in the context of the two concurrent wars in which the United States has been engaged during the past decade-in Afghanistan (Operation Enduring Freedom) and Iraq (Operation Iraqi Freedom and Operation New Dawn). In...
Evaluation of the Department of Veterans Affairs Mental Health Services
Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing me...
Strengthening the Military Family Readiness System for a Changing American Society
The U.S. military has been continuously engaged in foreign conflicts for over two decades. The strains that these deployments, the associated increases in operational tempo, and the general challenges of military life affect not only service members but also the people who depend on them and who support them as they support the nation â€" their families. Family members provide support to service members while they serve or when they have difficulties; family problems can interfere with the ability of service members to deploy or remain in theater; and family members are central influences on whether members continue to serve. In addition, rising family diversity and complexity will likely...
Gulf War and Health
The sixth in a series of congressionally mandated reports on Gulf War veterans' health, this volume evaluates the health effects associated with stress. Since the launch of Operation Desert Storm in 1991, there has been growing concern about the physical and psychological health of Gulf War and other veterans. In the late 1990s, Congress responded by asking the National Academy of Sciences (NAS) to review and evaluate the scientific and medical literature regarding associations between illness and exposure to toxic agents, environmental or wartime hazards, and preventive medicines or vaccines in members of the armed forces who were exposed to such agents. Deployment to a war zone has a profo...
Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations
Prior to the military conflicts in Iraq and Afghanistan, wars and conflicts have been characterized by such injuries as infectious diseases and catastrophic gunshot wounds. However, the signature injuries sustained by United States military personnel in these most recent conflicts are blast wounds and the psychiatric consequences to combat, particularly posttraumatic stress disorder (PTSD), which affects an estimated 13 to 20 percent of U.S. service members who have fought in Iraq or Afghanistan since 2001. PTSD is triggered by a specific traumatic event - including combat - which leads to symptoms such as persistent re-experiencing of the event; emotional numbing or avoidance of thoughts, f...
Parenting and Children's Resilience in Military Families
This reference examines the wide-ranging impact of military life on families, parenting, and child development. It examines the complex family needs of this diverse population, especially as familiar issues such as trauma, domestic violence, and child abuse manifest differently than in civilian life. Expert contributors review findings on deployed mothers, active-duty fathers, and other military parents while offering evidence for interventions and prevention programs to enhance children’s healthy adjustment in this highly structured yet uncertain context. Its emphasis on resource and policy improvements keeps the book focused on the evolution of military families in the face of future cha...
Homefront 911
The hallmarks of America’s War on Terror have been repeated long deployments and a high percentage of troops returning with psychological problems. Family members of combat veterans are at a higher risk of potentially lethal domestic violence than almost any other demographic; it’s estimated that one in four children of active-duty service members have symptoms of depression; and nearly one million veterans of Iraq and Afghanistan require increased care due to physical or psychological trauma. But, despite these staggering trends, civilian America has not been mobilized to take care of the families left behind; the American Homefront, which traditionally has been rallied to support the n...
Staying in the Fight
During the chaotic evacuation of the United States from Afghanistan in 2021, a group of Congress members who were also military veterans of the War on Terror leapt into action to assist vulnerable people in Afghanistan who had aided the American war effort. This cohort of legislators and their staffs on Capitol Hill created hotlines and worked 24-hour shifts in an intense effort to save lives, often coordinating between government agencies, informal networks of veterans' groups, and contacts on the ground in Kabul. In the process, many veteran lawmakers also became vocal critics of presidential management of the crisis and said they felt a moral obligation to act. In Staying in the Fight: Ho...
