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AJPH First Look, published online ahead of print Oct 30, 2007
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American Journal of Public Health, 10.2105/AJPH.2007.115436

Research and Practice

US Department of Veterans Affairs Disability Policies for Posttraumatic Stress Disorder: Administrative Trends and Implications for Treatment, Rehabilitation, and Research

B. Christopher Frueh 1*, Anouk L. Grubaugh 2, Jon D. Elhai 3, Todd C. Buckley 4

1 University of Hawaii at Hilo
2 Medical University of South Carolina and Veterans Affairs Medical Center, Charleston, SC
3 University of South Dakota, Vermillion, SD
4 Blackstone Center for Cognitive-Behavioral Therapy

* To whom correspondence should be addressed. E-mail: frueh{at}hawaii.edu.


  Abstract

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.

Key Words: Government, Health Care Facilities/Services, Health Policy, Mental Health, Social Science




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