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B. Christopher Frueh, PhD, Anouk L. Grubaugh, PhD, Jon D. Elhai, PhD and Todd C. Buckley, PhD

B. Christopher Frueh is with the University of Hawai’i, Hilo. Anouk L. Grubaugh is with the Medical University of South Carolina, Charleston, and the Ralph H. Johnson Veterans Affairs Medical Center, Charleston. Jon D. Elhai is with the Disaster Mental Health Institute, University of South Dakota, Vermillion. Todd C. Buckley is with the Blackstone Center for Cognitive and Behavioral Therapy, Hopkinton, Mass.

Correspondence: Requests for reprints should be sent to B. Christopher Frueh, PhD, Department of Psychology, University of Hawai’i, 200 W Kawili St, Hilo, HI 96720 (e-mail: frueh{at}hawaii.edu).

An accumulating body of empirical data suggests that current Department of Veterans Affairs (VA) psychiatric disability and rehabilitation policies for combat-related posttraumatic stress disorder (PTSD) are problematic. In combination, recent administrative trends and data from epidemiological and clinical studies suggest theses policies are countertherapeutic and hinder research efforts to advance our knowledge regarding PTSD. Current VA disability policies require fundamental reform to bring them into line with modern science and medicine, including current empirically supported concepts of resilience and psychiatric rehabilitation.

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				B. C. Frueh, A. L. Grubaugh, D. E. Yeager, and K. M. Magruder Delayed-onset post-traumatic stress disorder among war veterans in primary care clinics The British Journal of Psychiatry, June 1, 2009; 194(6): 515 - 520. [Abstract] [Full Text] [PDF]

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				B. C. Frueh, T. C. Buckley, A. L. Grubaugh, and J. D. Elhai FRUEH ET AL. RESPOND Am J Public Health, May 1, 2008; 98(5): 774 - 775. [Full Text] [PDF]

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