The U. S. has spent two decades in continuous war. Thus, people with personal military connections have raised public and professional concerns for the mental health of veterans and service members. Alcohol and other drugs are frequently used by veterans and military personnel to help deal with anxiety, stress, depression, and other mental challenges. Increased substance use can lead to serious long-term consequences such as addiction though. That’s why drug rehab for veterans is a necessary program.
Who Is Qualified As A Veteran?
The legal definition of a veteran under Title 38 of the U.S. Code is “a person who served in the active military, naval, air, or space service, and who was discharged or released therefrom under conditions other than dishonorable.” Generally, the individual must have “active military, naval, or air service” to qualify as a veteran for most government purposes.
What Is A Substance Use Disorder (SUD)?
A substance use disorder is usually referred to as an “addiction.” It’s a disease that causes people to have problems controlling their use of alcohol, drugs, and other substances. Left untreated, this disease can negatively influence many parts of a person’s life.
What Are Symptoms Of A SUD?
- An increased urge to use alcohol or drugs
- Being unable to stop using substances despite the negative effects
- A change in relationships because of substance use
- Feeling anxious or depressed about your substance use
- Feeling sick and going through withdrawal symptoms when substance use is stopped or cut back
- Increased tolerance – this refers to the need overtime for more frequent or stronger doses of alcohol or drugs to achieve the initial effects
- Addiction is the most severe stage of SUD which features a loss of self-control that leads to compulsive drug-seeking regardless of a desire to stop using
Substance Use Disorders Among Veterans
SUDs remain a problem among veterans and military members. This is partly due to the fact that in these groups of people, alcohol use is common and is typically used for socializing and stress relief. SUDs are linked to significant negative medical, psychiatric, interpersonal, and occupational outcomes. One study even discovered that about 30% of completed suicides and about 20% of deaths by military personnel caused by high-risk behavior could be attributed to alcohol or drug use, hence the need for drug rehab for veterans.
VA Substance Abuse Programs – Drug Rehab for Veterans
Veteran Affairs (VA) provides a number of rehab options for veterans who need treatment for substance use issues. The services offered by VA depend on the veteran’s needs and can include medication options such as:
- Medically managed detox to stop substance use safely
- Drug substitution therapies and medications to reduce cravings for alcohol and opiates
- Nicotine replacement for stopping tobacco use
Drug rehab for veterans services offered by VA can also include counseling and other therapy choices such as:
- Cognitive-Behavioral Therapy (CBT) — CBT teaches individuals how their faulty beliefs are influencing their behaviors and how to change them.
- Short-term or intensive outpatient therapy
- VA inpatient rehab therapy
- Continuing care
- Marriage and family counseling
- Relapse Prevention – Relapse prevention teaches clients how to cope with cravings and triggers for drugs or alcohol to avoid a relapse
- Special therapeutic programs for veterans with certain specific issues (such as women veterans, returning combat veterans, and homeless veterans)
Further drug rehab for veterans services possibly offered by VA include treatment for specific substance abuse-related disorders and symptoms such as:
- Sleep difficulties
- Post-traumatic stress disorder
What Are The Most Common Mental Health Problems For Veterans?
The most common mental health conditions facing veterans are:
- PTSD (post-traumatic stress disorder)
- Traumatic brain injury (TBI)
However, the most publicized mental health issues facing veterans are PTSD (post-traumatic stress disorder) and depression. Research has estimated that about 14-16% of service members deployed to Afghanistan and Iraq have PTSD or depression.
The effects of these disorders can be far-reaching and may significantly impact veterans and their families. Although combat and deployments are associated with increased risks for these conditions, general military service can also be a cause.
PTSD and SUD – Drug Rehab for Veterans
Research has shown that PTSD and substance use problems are strongly linked in people who served in the military. Many people try to deal with the symptoms of PTSD by drinking heavily, using drugs or alcohol, or smoking too much. Furthermore, people who have issues with drugs or alcohol are also more likely to develop PTSD.
How Common Is Co-Occurring PTSD And SUDs In Veterans?
- More than 20% of veterans with PTSD also suffer from a co-occurring substance use disorder.
- Almost 30% of veterans seeking treatment for a substance use disorder also suffer from co-occurring PTSD.
- The number of veterans who smoke (nicotine) is almost twice as much for those with PTSD (about 6 out of 10 vs. those without PTSD at 3 out of 10).
- In the Iraq and Afghanistan wars, about 1 in 10 returning veterans had a problem with drugs or alcohol.
- War veterans with alcohol problems and PTSD are more likely to binge drink. (Binge drinking is when a man consumes 5 or more within 2 hours or a woman consumes 4 or more drinks within 2 hours).
Depression And Substance Addiction In Veterans
After 20 years of war in Afghanistan, a growing number of veterans with combat and deployment experience are in need of mental health care. Although depression often does not gather the same attention as PTSD, it remains one of the main mental health conditions in the military. The fact is that up to 9% of all appointments for patients who aren’t bedridden in the military health network are related to depression.
The environment of the military can easily spark depression in military personnel. This is particularly true in military personnel that are already biologically susceptible to developing depression.
Elements that increase the risk of depression in active duty and veteran populations include:
- Separation from loved ones and support systems
- The stress of combat
- Seeing oneself and others in harm’s way
Military medical facilities reported an increase from a baseline of 11.4% of members diagnosed with depression to a rate of 15% of military personnel diagnosed with depression after deployments to Iraq or Afghanistan.
Symptoms Of Major Depressive Disorder (MDD)
- Depressed mood
- Loss of interest in activities
- Weight gain or loss
- Difficulty concentrating
- Feelings of worthlessness
- Suicidal thoughts
Half of all depressed patients are not correctly diagnosed by their medical providers. This makes it vitally important to screen for, identify, and follow through with suitable treatments. This is particularly true in the active duty and veteran military community.
How Does A Dual Diagnosis Create Problems?
When a person has a co-occurring mental health and substance use disorder, it is referred to as a dual diagnosis. To effectively treat both disorders within a dual diagnosis, one needs to receive dual diagnosis treatment.
Many people develop co-occurring mental health and substance use disorders because they use drugs or alcohol to help them cope with PTSD and other mental health disorder symptoms. For instance, veterans and military personnel may use drugs to help them relax, sleep, or manage mental illness symptoms that they would rather just avoid. Using substances to handle mental illness symptoms though can actually make the symptoms worse.
Veterans and military personnel that suffer from co-occurring substance use and mental health disorders also frequently have other problems such as sleep issues. In fact, suffering from a mental health or substance use disorder that caused a veteran or military personnel to develop sleep issues, may lead to behaviors that cause such individuals to develop a co-occurring disorder in the first place. This is primarily because mental health disorders often cause sleep problems (difficulty falling asleep or waking up during the night).
As a result, veterans and military personnel may decide to self-medicate with alcohol or drugs because they think doing so will help them sleep. In reality, though, the use of drugs and alcohol will often negatively change the quality of their sleep. This, in turn, often causes such veterans and military personnel to feel less rested.
Furthermore, such substance abuse could lead to the development of a full-fledged substance use disorder. As a result, many former military personnel will need to receive drug rehab for veterans.