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                  VA NEWS FLASH
from Larry Scott at VA Watchdog dot Org -- 04-26-2008 #3
 






 


 
 

 


 



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UPDATE: AT TRIAL, VA OFFICIAL DENIES SUICIDE NUMBERS

COVER UP -- Also, Dr. Michael Kussman makes strange

statement reinforcing stigma of mental illness.

 

 

We have two stories...first about the denial of a VA cover up...second is about a strange statement many believe reinforces the stigmas of mental illness.

For background on this lawsuit (with backlinks)...click here...
http://www.vawatchdog.org/08/nf08/nfAPR08/nf042508-5.htm

The official web site for this lawsuit is here...
http://www.veteransptsdclassaction.org/index.html

First story here... http://www.cbsnews.com/stori
es/2008/04/25/cbsnews_investigates/main4044399.shtml

Story below:

 

-------------------------

Despite E-mails, VA Boss Denies Cover Up

CBS News investigative producer Pia Malbran wrote this story for CBSNews.com.

 

The head of health care at the Department of Veteran Affairs (VA) denied any wrong doing by the agency on Thursday as more internal emails surfaced showing VA officials discussed withholding suicide information from the public.

While on the stand in California federal court, where the VA is facing a lawsuit filed by veteran advocates who are demanding better health care, Dr. Michael Kussman, the VA’s Under Secretary for Health, said, “I disagree with the premise that there was some effort to cover up something.”

On March 10 of this year, Everett Chasen, the chief communications officer for the VA’s Veterans Health Administration (VHA) sent an e-mail message to several top agency officials including Kussman. At the time, CBS News was preparing a report about attempted suicides among VA patients. Chasen wrote, “I don’t want to give CBS any more numbers on veteran suicides or attempts than they already have - it will only lead to more questions.”

In response, Kussman said he did not “recall” the message. He said, “Obviously I’m [copied] on the e-mail but I get [copied] on a huge number of e-mails everyday.”

Article continues below:

 

In another e-mail - dated December 15, 2007 - Dr. Ira Katz, who oversees mental health at the VA, informed Kussman that “there are 18 suicides per day” among all vets and “4-5 suicides per day” among those being treated by the VA. When asked by lawyers in court if these figures raised any concerns, Kussman said, “Any suicide is cause for concern.” However, despite repeated requests by media and members of Congress, the VA has never made these figures publicly known.

Two other e-mails presented in court on Thursday show VA officials calling a CBS News investigative report on veteran suicides “defensible” with a methodology that “appears to be correct.”

CBS News spent five months compiling nationwide suicide data based on state death records after the VA said they did not collect this kind of information. The report was broadcast last November and heavily criticized by VA officials.

Kussman was asked if the VA ever told Congressman Steve Buyer, R-Ind, who questioned the accuracy of the CBS News report, that the report was “defensible.” Kussman said, “I don’t know if that was specifically communicated to the congressman.”

-------------------------

Second story here... http://psychcentral.com
/blog/archives/2008/04/25/undersecretary-of-hea
lth-reinforces-stigma-of-mental-health/

Story below:

-------------------------

Undersecretary of Health Reinforces Stigma of Mental Illness

by John M. Grohol, Psy.D.



You’ve got to scratch your head when one of the government’s chief advocates for health care in the Veterans Administration just reinforces the old stigmas associated with mental health concerns. Testifying before a federal judge in San Francisco, Michael Kussman said:

“The number of patients who have adjustment reactions to the experience that they have in Afghanistan or Iraq is very important, but we don’t believe that’s mental illness,” Kussman said. “It would be unfair and inappropriate to stigmatize people with a mental health diagnosis when they are having what most people believe are normal reactions to abnormal situations.”

Well, golly gee Dr. Kussman, are you saying that traumatic reaction to wartime situations isn’t a mental illness? Because posttraumatic stress disorder (PTSD) surely has existed in one form or another since all wars have ever been fought. Is PTSD simply an “adjustment reaction” (whatever that is)? Or are you saying that an adjustment disorder isn’t a real, diagnosable mental disorder? Because, if you are, you’d be wrong on that account as well.

Or, perhaps worse of all, are you suggesting that because mental disorders remain stigmatized within our society today — especially within the military — we therefore shouldn’t seek to properly diagnose and treat soldiers with real and often serious mental health problems? As the undersecretary of health for the VA, you don’t exactly help reduce the stigma with beliefs like this. One of your jobs is to help reduce the stigma of all health and mental health concerns through education and information. Instead you’re only reinforcing the stigma by suggesting people with mental health disorders are somehow damaged or treated unfairly. And if that’s the case, Mr. Undersecretary, I suggest you work to change the system you head that allows veterans to be treated unfairly because of such a diagnosis.

Having a depressive, traumatic or anxious reaction to combat is actually not a normal reaction (even if some of us believe it should be). And sadly, war and combat fighting is not an “abnormal situation” for a soldier — it is exactly what is expected of them (and what they signed up for).

In a perfect world, we wouldn’t need soldiers. But in a perfect world, we would definitely take care of those who fought for us. That especially means not minimizing the effects of wartime, nor reinforcing the stigma of mental illness — a condition that returns with so many of our military men and women who have seen combat.

Read the full article: Official defends VA’s mental health effort...here...
http://www.sfgate.com/cgi-bin/article.cgi?f=/c/a/2008/04/25/BAS010BH7F.DTL

-------------------------

posted by Larry Scott
Founder and Editor
VA Watchdog dot Org

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