Newswise — Like an endlessly repeating video loop, horrible memories and thoughts can keep playing over and over in the minds of people with post-traumatic stress disorder. They intrude at the quietest moments, and don’t seem to have an off switch. But a new study in veterans with PTSD shows the promise of mindfulness training for enhancing the ability to manage those thoughts if they come up, and not get “stuck”. Even more surprising, it actually shows the veterans’ brains changed -- in ways that may help them find their own off switch for that endless loop. The findings, published in Depression and Anxiety by a team from the University of Michigan Medical School and VA Ann Arbor Healthcare System, come from a study of 23 veterans of the wars in Iraq and Afghanistan. All of them got some form of group therapy. After four months of weekly sessions, many reported that their PTSD symptoms eased up. But only in those who got mindfulness training – a mind-body technique that focuses on in-the-moment attention and awareness – did the researchers see the brain changes that surprised even them. Shifting brain connections The changes showed up on functional MRI, or fMRI, brain scans that can visualize brain activity as different areas of the brain “talk” to one another through networks of connections between brain cells. Before the mindfulness training, when the veterans were resting quietly, their brains had extra activity in regions involved in responding to threats or other outside problems. This is a sign of that endless loop of hypervigilance often seen in PTSD. But after learning mindfulness, they developed stronger connections between two other brain networks: the one involved in our inner, sometimes meandering, thoughts, and the one involved in shifting and directing attention. “The brain findings suggest that mindfulness training may have helped the veterans develop more capacity to shift their attention and get themselves out of being “stuck” in painful cycles of thoughts,” says Anthony King, Ph.D., a U-M Department of Psychiatry researcher who led the new study in collaboration with VA psychologists. “We’re hopeful that this brain signature shows the potential of mindfulness to be helpful for managing PTSD for people who might initially decline therapy involving trauma processing,” he adds. “We hope it may provide emotional regulation skills to help bring them to a place where they feel better able to process their traumas.” King, who has experience providing individual and group therapy for veterans from many conflicts, worked with a team of brain-imaging experts and PTSD specialists including senior author Israel Liberzon, M.D. They used an fMRI scanner at the VA Ann Arbor that’s dedicated to research. In all, 14 of the veterans finished the mindfulness sessions and completed follow-up fMRI scans, and 9 finished the comparison sessions and had scans. The small size of the group means the new results are only the start of an exploration of this issue, King says. A palatable option Before they launched the study, the researchers weren’t sure that they could find enough veterans to try mindfulness-based training. After all, it has a reputation as an “alternative” approach and has a relationship to traditionally East and South Asian practices like meditation and yoga. But in fact, more of the initial group of veterans stuck with mindfulness-based therapy sessions – held each week for two hours with a trained mindfulness teacher and psychotherapist – than made it all the way through the comparison psychotherapy group that didn’t get mindfulness training. “Once we explained the rationale behind mindfulness, which aims to ground and calm a person while also addressing mental phenomena, they were very interested and engaged – more than we expected,” says King. “The approach we took included standard elements of exposure therapy as well as mindfulness, to help lead veterans to be able to process the trauma itself.” The comparison group received a VA-developed intervention that was designed for “control group” use. It included problem-solving and group support but not mindfulness or exposure therapy. The mindfulness group saw improvement in PTSD symptoms, in the form of decreased scores on a standard scale of PTSD severity, that was statistically significant and considered clinically meaningful, whereas the control group did not. However, the between-group effects in this small study were not considered statistically significant, and therefore King wants to explore the trend further in larger groups, and in civilians. He emphasizes that people with PTSD should not see mindfulness alone as a potential solution for their symptoms, and that they should seek out providers trained specifically in PTSD care. That’s because mindfulness sessions can sometimes actually trigger symptoms such as intrusive thoughts to flare up. So, it is very important for people with PTSD to have help from a trained counselor to use mindfulness as part of their therapy for PTSD. “Mindfulness can help people cope with and manage their trauma memories, explore their patterns of avoidance when confronting reminders of their trauma, and better understand their reactions to their symptoms,” says King. “It helps them feel more grounded, and to notice that even very painful memories have a beginning, a middle and an end -- that they can become manageable and feel safer. It’s hard work, but it can pay off.” Network shifts At the start of the study, and in previous U-M/VA work, the fMRI scans of veterans with PTSD showed unusual activity. Even when they were asked to rest quietly and let their minds wander freely, they had high levels of activity in brain networks that govern reactions to salient, or meaningful, external signals such as threats or dangers. Meanwhile, the default mode network, involved in inwardly focused thinking and when the mind is wandering, was not as active in them. But at the end of the mindfulness course, the default mode area was more active – and showed increased connections to areas of the brain known as the executive network. This area gets involved in what scientists call volitional attentional shifting – purposefully moving your attention to think about or act upon something. Those with the greatest easing of symptoms had the largest increases in connections. “We were surprised by the findings, because there is thinking that segregation between the default mode network and the salience network is good,” says King. “But now we are hopeful that this brain signature of increased connection to areas associated with volitional attention shifting at rest may be helpful for managing PTSD, and may help patients have more capacity to help themselves get out of being stuck in painful ruts of trauma memories and rumination.”
Our Nation is facing an epidemic situation of grand proportions with the level of suicides happening in our Veteran population. While our Veterans may be facing challenges as a result of their combat experience they are also experiencing issues caused from the lack of proper support and resources to get back to a new normal. Many of our Veterans experience the following: Self-Isolation Invisibility Falling through the cracks No obvious support avenues There are various reports and statistics that report varying numbers of suicides per day (1 to 22) but what is alarming is that any number is happening to those that have selflessly defended our Nations freedom. When you look at the short representative list above you have to know and believe that this can be addressed. Why are there more studies and discussions on the exact demographics and numbers of suicides for Veterans than actual action being taken to prevent suicides amongst our Veterans? I would contend there needs to be a surge in education on how to prevent suicide from happening not matter what is leading our Veteran to that place in their life. I would also contend that 1 is too large of a number...let’s stop bantering and writing about what the “real” number is and trying to determine if the rate is higher or lower with those who experienced combat or not..STOP...STOP...STOP. Time to refocus our efforts and energy! Our Veterans need an Advocate, they need many advocates. It is very important that there voice is loud and heard by all. We need to be that voice in our own ways to ensure they know they are supported, they are not alone, and there are programs for support that are run by people who care. The Veteran community is one of the strongest in the world, they have just been exposed to unusual circumstances that as a human you cannot prepare for. As a Nation we need to educate everyone on how they can play a role in supporting our Veterans on a daily basis. To just be disturbed or sad about the alarming statistics is not doing anyone any good. No Veteran wants sympathy or someone to patronize them. They want normalcy, respect and to live a fulfilling life like everyone else. Landmark Life Coaching has made it our mission to partner with as many organizations and non-profits as possible to reach a larger number of Veterans that can benefit from Coaching. Coaching provides support unlike any other by establishing an avenue for Veterans to receive one on one focused support for as long as they need it. Do you hear me....Do you see me....Does what I say matter...The answer to this for our Veterans has to be an emphatic YES. Landmark Life Coaching’s Mission is to honorably and respectfully serve courageous groundbreakers and transitioning veterans to persevere in defining and executing their future by providing an atmosphere of comradery and trust that honors their dedication and commitment. This will empower our clients to feel whole, honored, respected and fulfilled in defining and living their life purpose. by Dwayne Paro
Newswise — The devastating consequences of sexual trauma in the military reported by 25 percent of female and 1 percent of male veterans who served in the U.S. armed forces don't end with psychological and physical trauma, but are associated with a much higher risk for homelessness, a study led by Utah researchers has found. An examination of the records of 601,892 veterans who served in Iraq or Afghanistan found that almost 10 percent of those who reported military sexual trauma (MST) when screened experienced homelessness at some point within five years of first seeking Department of Veterans Affairs (VA) care after their separation from the military between fiscal 2001 and 2011–more than twice the rate of those who reported no MST when screened. Approximately 12 percent of men who reported MST were homeless at some point within five years after seeking VA care compared with approximately 9 percent of women who reported MST. Just under 584,000 of the vets screened reported no MST, while 18,597 reported MST, including 14,092 women and 4,505 men. The average age of all the veterans in the survey was just under 39. The association with homelessness was independent of other factors including mental health and substance abuse diagnoses. The study, published April 20, 2016, online in JAMA Psychiatry, comes as the U.S. Department of Veterans Affairs declares April as Military Sexual Trauma Awareness Month. “Some of our men and women in uniform face challenges after they return from service and post-deployment homelessness is an extreme case of poor community reintegration,” says Adi V. Gundlapalli, M.D., Ph.D., a researcher with the Salt Lake City VA Health Care System, associate professor of internal medicine at the University of Utah School of Medicine and corresponding author on the study. “Our work adds to the body of knowledge to identify factors associated with homelessness among Veterans with the ultimate goal of mitigating the risk. A positive MST screen status turned out to be a marker for homelessness in the absence of further diagnostic information.” Emily Brignone, B.S., a Utah State University (USU) doctoral candidate is first author, and Jamison D. Fargo, Ph.D., USU associate professor of psychology, is senior author. Rachel Kimerling, Ph.D., an expert in military sexual trauma at the VA Palo Alto, Calif., Health Care System (National Center on PTSD and Center for Innovation to Implementation (Ci2i)), also is an author. “Male and female veterans who report MST are more vulnerable to homelessness both in the short- and long-term following their discharge from the military, with males at differentially greater risk,” Brignone says. “These findings underscore the importance of trauma-informed care and trauma-specific interventions for veterans with a positive screen for MST.” The researchers examined Department of Defense and Department of Veterans Affairs (VA) records to determine MST screen status. The MST screen is considered positive if the veteran reports experiencing either sexual assault, or repeated, threatening sexual harassment during military service. The higher rate of homelessness among vets who reported MST is seen not only in the long term but also immediately after discharge. The researchers found that among those with a positive screen for MST, 1.6 percent were homeless at some point within 30 days of being discharged and 4.4 percent were homeless at some point within one year. Each of those rates is more than twice as high as homelessness among vets who did not report MST, the authors found. “Our goal is to raise overall awareness of military sexual trauma, including the impact on male veterans, and associated adverse outcomes such as homelessness,” Kimerling says. “We hope all veterans with a history of MST will avail themselves of the free care offered in the VA for management of MST-related conditions.”
A 76-year-old disabled veteran is appealing the life sentence he was handed for growing pot. Lee Carroll Brooker, from Alabama, was found guilty of drug trafficking back in 2004. He was arrested after cops raided his son, Darren Lee Brooker’s house in 2011, and seized 42 marijuana plants, which they claim had a street value of $92,000. Darren Brooker was also charged with trafficking—but, he was sentenced to five years’ probation, with a suspended five-year jail sentence that will be dismissed if he doesn’t violate any of the terms of his probation. His father received a life sentence, without the chance of parole, because he had four previous, decades-old, felony convictions, including one for armed robbery in Florida, which he had served jail time for. According to court documents, the defense asserted that Brooker was growing the pot for personal use. Brooker’s attorney argued that his client needed it to self-medicate in light of numerous physical illnesses. However, Alabama law mandates that any felon found possessing more than two pounds of marijuana must automatically receive a life sentence, without the chance of parole. Even the rabidly conservative Alabama Chief Justice Roy Moore, has slammed the sentence for being “excessive and unjustified.” In a 2015 memo Moore said Brooker’s case showed a “grave flaw” in Alabama’s legal system, and urged for reform of the statutory sentencing scheme: I believe Brooker’s sentence is excessive and unjustified. A trial court should have the discretion to impose a less severe sentence than life imprisonment without the possibility of parole. I urge the legislature to revisit that statutory sentencing scheme to determine whether it serves an appropriate purpose. Brooker is appealing his life sentence, claiming it violates his Eighth Amendment rights to be free of cruel and unusual punishment. Meanwhile, the ACLU notes that more than 3,000 people are currently serving life sentences, without the chance of parole, for non-violent crimes. by Maxine Page
The Senate Appropriations Committee approved an amendment Thursday that would allow Department of Veterans Affairs doctors to recommend medical marijuana as a treatment option in states where it is legal, the Military Times reported. It would essentially allow VA doctors to operate under the same rules as civilian physicians in medical marijuana tates. The bipartisan amendment, adopted 20-10, is an addition to the fiscal 2017 Military Construction, Veterans Affairs and Related Agencies appropriations bill and was sponsored by Montana Republican Sen. Steve Daines and Oregon Democratic Sen. Jeff Merkley. The Military Times reported it marks the second time senators have moved to give veterans further access to medical marijuana at VA facilities. A provision was approved by the full Senate toward the end of last year in the fiscal 2016 VA appropriations bill but was later removed from the final law. Marijuana Legality by State | InsideGov Under the Senate's amendment the VA would be barred from using funds to “interfere with the ability of veterans to participate in medicinal marijuana programs approved by states or deny services to such veterans,” according to the Military Times. As it stands now, veterans' doctors can't even talk to them about the possibility of their being prescribed medical marijuana, even in a state where it has been legalized. Twenty-three states and Washington, D.C., have legalized medical marijuana, while 17 states have passed laws allowing doctors to prescribe oils derived from marijuana plants. The VA has recommended that its physicians use practices that have been scientifically proved to be effective to treat issues like post-traumatic stress disorder, depression and pain. And while many veterans are already using medical marijuana to treat PTSD or anxiety, there isn't research proving cannabis is an effective treatment for relieving symptoms. Marijuana Support Over Time | InsideGov BY TIM MARCIN
HELPING VETS CONNECT TO THEIR NEXT MISSION IN HEALTHCARE: EDUCATORS, EMPLOYERS HOST MEET AND GREET FOR VETS
WHAT: Meet and Greet devoted to helping Chicagoland vets with healthcare experience learn how to become civilian healthcare professionals WHO: Healthcare Employers, Representatives of local colleges and universities, Lots of your fellow Vets! WHY: Lots of promising careers are available in the healthcare field and many veterans already possess the experience necessary to get a jumpstart toward the credentials necessary. WHEN: Thursday, April 21, 2016, 5-7 pm WHERE: Vice District Brewing, 1454 S Michigan Ave, Suite 1, Chicago, IL 60605 Registration required! To register, visit VHCP.eventbrite.com For more information, about the program and opportunities, visit http://vethealthcarejobs.org/about/ For more information about The Council for Adult and Experiential Learning, visit www.cael.org Established in 1975, The Council for Adult and Experiential Learning (CAEL) serves adults who want to return to school, and helps a variety of clients—employers, colleges and universities, and workforce developers—to connect learning and work, so they can build efficient systems that help adult learners succeed.
FORMER SEAHAWKS QUARTERBACK JIM ZORN AND CONGRESSMAN JAMES MCDERMOTT, MD (WA 7 ) JOIN COMBAT-BLINDED VETERANS AND TOP RESEARCHERS TO DISCUSS BRAIN INJURY AND ITS EFFECTS ON VISION
Newswise - What and Why: Vision and Traumatic Brain Injury (TBI): A view toward therapeuticsMore than 75% of all TBI patients experience visual disorders, including double vision, light sensitivity, difficulty reading print and even vision loss. This interactive session will bring together some of the best minds studying TBI to discuss two important topics: what happens inside the head and eyes of a patient with TBI that leads to symptoms, and the scientific exploration that gives hope for treatments for the debilitating condition.• Master Sergeant Eric Marts (Retired Army) will share the challenges he has faced — from both TBI and the Department of Veterans Affairs — following his deployment to Iraq in 2005 – 2007. • Ann McKee of Boston University will discuss her findings about CTE in athletes and veterans.• Jim Zorn, former quarterback of the Seattle Seahawks, will talk about the need for more research to support veterans, athletes and others whose lives have been devastated by TBI. Scientists will outline developments in diagnosing TBI earlier and more accurately, new ideas on how to minimize or slow the effects of TBI and possibilities for therapy. Who: Association for Research in Vision and Ophthalmology Where: Washington State Convention Center, Seattle, Washington, Skagit 4/5 (The Conference Center Annex) When: Saturday, April 30, 2015, 10am – 1pm Pacific time Additional speakers/interview opportunities:• Randy H. Kardon, MD, PhD, University of Iowa: Do Visual Manifestations of TBI Progress? • Lee E. Goldstein, MD, PhD, Boston University: Experimental Approach to Neurotrauma and the Eye • Wing Commander Robert AH Scott, MBBS, FRCS(Ed), FRCOphth, DMi, University of Birmingham, United Kingdom: Potential Therapies Based on Disturbance in Vision• Elaine R. Peskind, MD, University of Washington: Blast Concussion and Mild TBI in Veterans: Implications for Vision• Andrew T. Hartwick, OD, PhD, The Ohio State University: The Link between Photophobia and Head Injury For more information, see arvo.org/TBI. About ARVOThe Association for Research and Vision in Ophthalmology (ARVO) is the largest eye and vision research organization in the world. Members include nearly 12,000 eye and vision researchers from over 75 countries. ARVO advances research worldwide into understanding the visual system and preventing, treating and curing its disorders. Learn more at arvo.org.
Newswise — It was Ray Taylor’s last patrol in Vietnam, just before midnight on July 3, 1967. The 21-year-old Marine sergeant should have been sleeping, but he was going home in a couple of weeks and felt a little wired. About a mile and a half away on top of the Nong Son Mountain – the site of the only active coal mine in Vietnam – Marine Corporal John Kuchar was asleep in his bunker when he became involved in the bloodiest battle of his 13-month tour. Kuchar credits Taylor, a Rutgers University-Newark alumnus, for saving his life. Taylor is among the thousands of Rutgers graduates who have served – and sometimes died – in American military conflicts throughout the university’s nearly 250-year history. He has recorded his experiences as part of the Rutgers Oral History Archives, home to one of the nation’s largest collections of personal accounts. “If it wasn’t for Ray, I wouldn’t be here,” said Kuchar, a Marine in the 2nd Battalion, 5th Marine Division, and a buddy for almost 50 years, who met Taylor in 1968 after the two had left Vietnam and enrolled in Union County College. “I’ll always consider him to be my guardian angel.” Taylor, who graduated from Rutgers University-Newark in 1971 with a degree in economics, arrived in Vietnam on June 14, 1966 after serving one tour in Guantanamo Bay. His jobs ranged from a machine-gunner, scout and sniper, to commander of the recon platoon and liaison at the division headquarters. On the night of the attack at the mine, Taylor and another Marine in his reconnaissance platoon were sitting on top of an observation hill located on the other side of the Song Thu Bon River. Recon’s job is to be the eyes and ears of larger units, to find the bad guys before sending in the infantry, and going on to their next patrol. While the two Marines noticed a firefight on the Nong Son Mountain, they didn’t think much about it until it intensified. Looking through binoculars from a spot that offered 360-degree views on a clear day, all they could see that night was darkness. It was 11:30 p.m. and pitch black. Taylor remembers thinking that if the enemy made it up the hill, which stretched a thousand feet above the river, it could be catastrophic. He didn’t learn until later that 400 Vietcong and North Vietnamese were overrunning the 59 Marines and three soldiers atop Nong Son. The attackers, led by a Chinese officer, used mortars, satchel charges, grenades, small arms, and even a flamethrower. With the assistance of another Marine, Taylor used his radio to contact the 2nd Battalion - 5th Marine base eight-and-a-half miles away at An Hoa for artillery support. “They wanted me to give them a grid so they could fire to the top of the hill. But it’s risky because you don’t want to kill your own.” Taylor calculated the firing data. Four rounds were fired, each miraculously landing atop the hill 25 yards from Kuchar, driving the North Vietnamese and Vietcong away and helping to save Kuchar’s life and dozens of his fellow Marines. “I found out many years later that if we hadn’t fired the artillery when we did nobody would have survived the attack,” said Taylor, who was with Bravo Company 1st Reconnaissance Battalion, 1st Marine Division. Of the 62 troops atop Nong Son, 43 were wounded, 13 were killed and only 12 – including Kuchar – could walk. Taylor participated in about 45 reconnaissance operations during his 13-month tour and received a Purple Heart after being wounded when he was hit by shrapnel. His mission at the coal mine less than two weeks before he left Vietnam and his first, two days after he arrived, following the June 15, 1966 Battle of Hill 488 or Howard’s Hill, were two he will never forget. “They thought the enemy was going to attack the Special Forces Camp about six miles away so they sent us in,” said Taylor. “I was a machine-gunner so as soon as I got there they put me in a pit and told me to keep my eye out.” The camp was never hit, but two U.S. aircraft did come under enemy fire and Taylor spent hours helping to tend to the wounded and dead. One incident of the war that will always be seared in Taylor’s memory: A lieutenant ordering the troops to fire on a low hill at the enemy. The round came in short, hit directly behind Taylor, killed his assistant machine-gunner and wounded four others. A few months later, the same officer ordered Taylor to fire artillery through what he considered to be friendly villages. Taylor refused. “It was all about morality,” said Taylor who faced being court-martialed for disregarding the order of an officer and cancelling the mission. “It was something I knew I shouldn’t do and that’s all there was to it.” Military brass agreed and a month after the February 1967 incident, Taylor was promoted from corporal to sergeant. When Taylor returned home to New Jersey in July of 1967, he considered signing up for another tour but meeting Kuchar and other Vietnam veterans at Union County College before transferring to Rutgers-Newark made the transition back to civilian life easier. The 70-year-old retiree, who spent his career in supermarket logistics, is still amazed when he looks back at his transformation – from a kid who graduated from Barringer High School in Newark not sure what he wanted to do – to a Marine running a platoon and working in a war room. “I was 21 years old and I’m wondering what happened to my life,” said Taylor, of Flemington, who has been involved in veteran organizations including the commander of the New Jersey chapter of the Military Order of the Purple Heart. “I never dreamed I would be leading men in combat, let alone a recon team.”
Newswise — Racial disparities are not present among military members and their dependents, a testament to the equality that exists in the armed services, according to a recent longitudinal analysis published by researchers at the Uniformed Services University of the Health Sciences (USU) online in the Journal of Trauma and Acute Care Surgery. The first of its kind to find such data, the analysis was a collaborative effort between USU and Brigham and Women’s Hospital in Boston, Mass. The researchers found racial disparities within the U.S. health system are estimated to account for more than 83,000 deaths and an average of more than $57 billion per year, and that disparities in outcomes persist in minority populations, even with the passage of the Affordable Care Act and an increase in insurance coverage and access to care. Researchers analyzed five years (2006-2010) of TRICARE data, which provides health care insurance to the military, retirees, and their beneficiaries. In particular, they looked at Emergency General Surgery (EGS) conditions. These include a wide spectrum of procedures for the upper and lower gastrointestinal tract, pancreatic disease, soft tissue infections, and hernias, primarily because of their emergent nature, which are thought to lessen subjective external factors. They looked at mortality, major morbidity, and readmission rates for more than 101,000 EGS patients representing four racial groups (White, Black, Asian, or Other), a population which is broadly representative of the insured American public. They found no differences in mortality and readmission rates at 30, 90 or 180 days for patients across racial groups, and only minimal differences in major morbidity between black and white patients. These findings are a stark contrast to the gaping disparities which have been demonstrated among those in the general (civilian) population. “This is the first in a series of disparities studies using data from the Military Health System. We and our partners from Brigham and Women’s Hospital are seeing that this equity in care within the MHS is potentially a model for the nation,” said USU’s Tracey Perez Koehlmoos, PhD, associate professor of Preventive Medicine and Biostatistics at the F. Edward Hébert School of Medicine. Koehlmoos is the principal investigator of the Comparative Effectiveness and Provider Induced Demand Collaboration (EPIC Project), which is funded by the Defense Health Agency. “We hope that these findings will inform policy decisions both inside and outside the Department of Defense,” added Air Force Lt. Col. (Dr.) Peter Learn, assistant professor of Surgery at USU. “In the meantime, we look forward to continuing this collaboration, and working to better understand the impact that universal insurance has for racially diverse patients.” # # #
U.S. Army Gen. Peter Chiarelli (ret.), UCLA Chancellor Gene Block, Ann Brown, medical center director of VA Greater Los Angeles Healthcare System, Operation Mend staff and patients look on as U.S. Army CPL (ret.) Pablo Mena cuts the ribbon at a ceremony to officially open the doors the new UCLA Operation intensive mental health program. UCLA Operation Mend Launches New Program for Wounded Veterans Newswise — Veterans suffering from mild traumatic brain injury and post-traumatic stress disorder — as well as their families — now have access to highly individualized, intensive treatment that draws on UCLA’s nationally recognized expertise in neurology, neurosurgery, psychiatry and integrative medicine. A new mental health program provided by UCLA Operation Mend is designed to heal the hidden, yet lingering, wounds of war. UCLA Operation Mend launched the program today with a ribbon-cutting at the UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior. The larger program has provided advanced surgical and medical treatment, as well as comprehensive psychological support, for post-9/11 veterans and their families since 2007. The expanded offerings are part of a new national network called Warrior Care Network, which is funded in part by Wounded Warrior Project. Among the hidden wounds of war are PTSD and traumatic brain injury. PTSD can develop in people who have seen or lived through a shocking or dangerous event, causing them to feel stressed or frightened long after the event itself. Traumatic brain injury can be caused by an object striking the head, a shock wave from the blast of an explosive device or an object piercing the skull and entering the brain tissue. "The percentage of those returning home from post-9/11 conflicts with traumatic brain injury and post-traumatic stress is staggering," said retired Gen. Peter W. Chiarelli, an executive advisor to the Ronald A. Katz Center for Collaborative Military Medicine at UCLA and the former vice chief of staff of the U.S. Army. "The addition of this program to the Operation Mend portfolio makes UCLA the civilian leader in providing needed care to post-9/11 veterans. If every institution were doing the same, we could satisfy the unmet needs of veterans and their families for this critical care. "The six-week program is designed for patients who require more than regular outpatient care. It takes a holistic approach and includes four main components: evidence-based treatment for psychological health, healing arts, wellness and community engagement" Our goal is to help our wounded veterans regain a sense of normalcy in their lives," said Dr. Jo Sornborger, director of psychological health programs for Operation Mend. "A major component is to include family members so they can learn how to understand their loved ones’ challenges. We also believe that it is important to help the veterans learn how to access and engage with their community resources. This foundation of family and community support is essential to building a healthy environment that will help the veteran succeed. "Prior to enrolling in Operation Mend, potential participants spend two to five days at UCLA consulting with specialists from various disciplines to ensure that the program will address their needs. Once the program begins, the veteran and family spend three weeks at UCLA receiving cognitive training for challenges related to symptoms of mild traumatic brain injury. The patient also undergoes one-on-one cognitive processing therapy sessions for post-traumatic stress that address war-related psychological trauma and symptoms related to challenges with memory and concentration. In addition, the patient and family take wellness programs including psychotherapy in which people interact with horses, qi gong (an ancient Chinese practice focused on breathing and movement), acupuncture, acupressure and meditation. They also participate in healing arts therapy, life tools sessions, social activities and more. After three weeks, the patients and family members return home and continue their care by phone and over the internet for three more weeks. All care, travel and accommodations are arranged for and provided at no cost to the patients and family members. Four patients and their families participated in a test of the new program in January and had overwhelmingly positive reactions. The program will welcome its next group of six to 10 patients and family members in May. "Through highly personalized care focused on the needs of each individual veteran, the Operation Mend expansion will advance the care of wounded veterans and, in doing so, potentially create new standards for the treatment of brain injuries," said Dr. Thomas Strouse, professor of clinical psychiatry at the David Geffen School of Medicine at UCLA and medical director of the Resnick Neuropsychiatric Hospital at UCLA. The expansion of Operation Mend’s services is part of a first-of-its-kind initiative called Warrior Care Network that connects wounded veterans and their families with world-class, individualized mental health care. The Warrior Care Network includes three other programs based at academic medical centers — the Veterans Program at Emory Healthcare in Atlanta, the Red Sox Foundation and Massachusetts General Hospital Home Base Program in Boston and the Road Home Program at Rush University Medical Center in Chicago. "Treating and serving our wounded veterans today requires a team effort," said John Roberts, warrior relations executive vice president of Wounded Warrior Project. "WWP is proud to partner with UCLA and other leading medical centers to help ensure no veteran or family member is turned away from care and support. "Wounded Warrior Project and Warrior Care Network partners are committing a total of $100 million over three years to fund the initiative, including $7.5 million each that the medical centers will contribute through their own fundraising efforts. "As a veteran who served in Afghanistan, I have seen firsthand many of my military buddies and their families who are suffering as a result of these invisible wounds," said retired Army Spc. Joey Paulk, an Operation Mend patient who underwent reconstructive surgeries for his physical injuries after surviving a blast from an improvised explosive device in 2007. "Operation Mend has been there for me and my family in so many ways over the years. I’m hopeful that this expansion of the program with Warrior Care Network will bring that same hope to my brothers and sisters still trying to heal from the wounds on the inside that you cannot see. "The new mental health program operates under UCLA’s Semel Institute. Service members or their family members interested in learning more about the program or any of the health care services offered through UCLA Operation Mend can visit www.operationmend.ucla.edu or call 310-267-2251. Operation Mend was established in 2007 as a groundbreaking partnership among UCLA Health, the U.S. military and the Department of Veterans Affairs. The program provides advanced surgical and medical treatment, as well as comprehensive psychological health support for post-9/11–era service members, veterans and their families. In 2010, Operation Mend began offering advanced diagnostics and treatment planning for patients with symptoms of mild traumatic brain injury and PTSD. Warrior Care Network is a groundbreaking collaboration between Wounded Warrior Project and its academic medical center partners, Emory Healthcare, Massachusetts General Hospital, Rush University Medical Center and UCLA Health, to create a nationwide, comprehensive care network that will enhance access and provide clinical and family centered treatment to warriors suffering from post-traumatic stress disorder, traumatic brain injury and other related conditions. WCN will offer specialized clinical services through either a regionalized outpatient program and/or an innovative intensive outpatient program. Through this cutting-edge initiative, WWP and its partners plan to serve thousands of wounded veterans and family members over the next three years. The mission of Wounded Warrior Project is to honor and empower Wounded Warriors. WWP’s purpose is to raise awareness and to enlist the public’s aid for the needs of injured service members, to help injured servicemen and women aid and assist each other, and to provide unique, direct programs and services to meet their needs. WWP is a national, nonpartisan organization headquartered in Jacksonville, Florida.