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View on facebook. Load More Support your Library. Moreover, on the basis of mass-media reports, diagnoses of alcoholism and alcohol abuse increased from 6. However, because of the long-standing policy whereby self-referral for substance abuse can be reported to the chain of command, the numbers being reported are probably underestimates of the true number. The readjustment needs associated with these health outcomes are discussed in greater detail in Chapter 4. Several non-health-related problems faced by service members have been documented. Gaps in pay and benefits that have resulted in debt and other hardships have been reported.

For example, there is evidence that service members have been pursued for repayment of military.

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Diagnosis of alcohol abuse required a respondent to meet at least 1 of the 4 DSM-IV criteria defined for abuse in the past year. Diagnosis of alcohol dependence required the respondent to meet at least 3 of the 7 DSM-IV criteria for dependence during the past year. Often times, however, they were pursued for collection of military debts that were incurred through no fault of their own; those included overpayment of pay and allowances, pay calculation errors, and erroneous leave payments GAO, The service members have also been prevented from obtaining loans GAO, Moreover, there have been reports in the popular press that National Guard and reserve members have been unable to return to the civilian jobs that they left before their deployments 60 Minutes , November 2, despite protective provisions in the Uniformed Services Employment and Reemployment Rights Act of , a federal law intended to ensure that persons who serve or have served are not disadvantaged in their civilian careers because of their service.

The problem is especially common among those employed by small businesses: Veterans for America found that some small businesses avoid hiring citizen soldiers Veterans for America, According to the National Coalition for Homeless Veterans , veterans are more likely to become homeless because their work skills may not be readily transferable to the civilian sector.

In addition, although there are no data on the number of homeless OEF and OIF veterans, because of the large number of troops returning from Iraq and Afghanistan with mental health problems or TBI, there is concern that they may be at higher risk for homelessness. A recent study by Vogt et al. The study also found that the longer a parent is absent, the greater the risk of family dysfunction after deployment, and the risk is greater when the deployed parent is the mother.

Deployments and frequent relocation are inherent in military life. The physical separation, especially when the deployments are to combat zones, is difficult for families. Often, families have little warning of a deployment, and the deployments extend beyond the originally stated duration. Adjusting to the different roles that each partner plays before and after deployment for example, going from an interdependent state to an independent state and back to an interdependent state is one of the challenges that married couples face. Service members are expected to work long and unpredictable hours, especially in preparation for deployment, and this puts additional stresses on couples and families.

Moreover, when service members return from deployment with physical injuries or cognitive deficits, these problems may contribute to marital conflict. Although those effects have not been studied extensively in the military population, data on marital satisfaction in civilian populations suggest that depression,.

Recent data from the Army show an overall increase in the number of divorces since the start of OEF and OIF, especially in female soldiers. Cotton reported that in , 8. Similarly, although the rate is lower, 2.

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The rate of domestic violence is higher in military couples than in civilian couples. Marshall et al. The conflicts in Iraq and Afghanistan have taken a toll on the children of US troops deployed there. Children of US troops deployed to Iraq and Afghanistan reportedly sought outpatient mental health services 2 million times in Andrews et al. Additionally, an increase in the rate of child maltreatment has been reported since the start of the conflicts.

Rentz et al. They reported a statistically significant two-fold increase in substantiated maltreatment in military families in the 1-year period after September 11, , compared with the period before then. A recent study of over 1, military families Gibbs et al. Because of the demographics of those who are serving in Iraq and Afghanistan older service members who are married and have children , the number of children who have been affected by these conflicts is clearly larger than in past conflicts.

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Many severely injured service members depend on family members for daily caregiving. US troops who serve are entitled to benefits, such as health care.

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Health care is delivered by DOD through the military health system MHS to active-component service members and their dependents, to reserve-component members and their dependents when they are on active duty, and to some military retirees and their dependents. Service members who separate from the military may be eligible for health care administered by VA, which is organized into 23 veterans-integrated service networks where veterans who qualify Table 2. All veterans with at least 24 months of continuous active-duty service and other than a dishonorable discharge are eligible to receive care from VA.

Enrollment eligibility is determined through an eight-step process see Chapter 5 in which the veteran 12 completes and submits the Application for Health Benefits VA Form EZ.

In 7—10 days, a decision letter is sent to the veteran stating his or her enrollment eligibility Task Force on Returning Global War on Terror Heroes, Effective January 28, , OEF and OIF veterans who enroll within the first 5 years after separating from the military are eligible for enhanced enrollment placement into priority group 6 for 5 years after discharge. VA provides other benefits to veterans, including home loans, life insurance, vocational counseling, employment assistance, and education and training.

Veterans who are receiving aid and attendance benefits or are housebound and veterans who have been determined by the VA to be catastrophically disabled.

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In the case of members of the reserve component, the period ends a few months after return from deployment; this forces family members to change providers. Others, such as Grace After Fire, provide on-line recovery services to female veterans. Because of the great breadth and number of initiatives that are available at the grassroots level, it is beyond the scope of this report to provide a comprehensive review of them; however, Chapter 5 provides more detail on the available federal programs that have been developed in response to OEF and OIF.

Even as they continue to address the readjustment needs of OEF and OIF service members, veterans, and their families, more work remains. The demands on the forces, the repeated deployments, the shorter dwell times, the activation of parents, and the separation of families have all resulted in unmet needs for many of those who serve. The following chapters provide more detailed information on what those needs are, what programs are available, and what the possible next steps to address the needs might be.

Reservists Rocky Return to Job Market. Allen, J. Cross, and J. Suicide in the Army: A review of current information. Military Medicine 7 Andrews, K. Bencio, J. Brown, L. Conwell, C. Fahlman, and E. Armed Forces Health Surveillance Center. Booth, B. Segal, and D. Centers for Disease Control and Prevention. National Center for Injury Prevention and Control. Cotton, R. Curley, B.

Davila, J. Karney, T. Hall, T.