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The purpose of the VVA PTSD/Substance Abuse Committee is to support and advocate actively for the health care--diagnoses, clinical practices, clinical research, treatments, specialized programs, and related educational efforts--necessary to meet the needs of veterans with PTSD, substance addictions, and other debilitating psychological reactions to trauma resulting from military service. This advocacy and support also includes health care for family members of such veterans.”  from Policy & Procedures Statement adopted by VVA BOD in April 2004. Because PTSD was one of the key organizing issues around which VVA was founded, the history of VVA and its PTSD/SA Committee are intimately linked together.  At its beginning in the early 1980’s the Committee focused primarily on advocacy for Vet Center PTSD programs and other special in-patient VA PTSD programs, but the focus was soon broadened by the Committee’s earliest spokespersons (including Jack Smith, Steve Bentley and Harold Bryant) to include advocacy for various substance abuse recovery programs as the need and demand for these programs grew.  In 2004 the Committee’s principle focus still remains on advocacy for PTSD and substance abuse issues for veterans and their families, but has again been expanded to now include all military service-connected mental health issues such as those associated with military sexual trauma, for example.  A list of the current Committee members can be found on this page.

PTSD/SA Committee report 

The PTSD/Substance Abuse Committee continues to aggressively pursue prevention; treatment, research and legislation that will assist veterans and activity duty military address the invisible wounds of war.

Attended Veterans Court National Convention in Nashville, TN (summer of 2012).  I spoke to their Executive Director, Matt Stiner, regarding VVA support of the national clearinghouse for Veterans Treatment Court.

Attended DoD/VA Conference on Suicide Prevention in Washington D.C. (summer of 2012).  . I met with Secretary Shinseki at the conference.  I urge others attend future conferences (there is no fee other than room and board, enroll early as slots fill up) as this was a valuable learning experience in the areas of identification, prevention and treatment

Collaborated with local congressional leaders, National office of VVA and local veterans to facilitate a speedy acceptance by the V.A. of Major League Baseball’s desire to leave a legacy project in Kansas City, MO during the All-Star game of 2012.  The project, refurbish and landscape a former medical facility to house a PTSD clinic and Women’s health clinic, was successfully completed.

Delivered keynote speech at dedication of new PTSD/SA and Women's Clinic in Kansas
City. MO.  This was a collaboration of Major League Baseball, the KC Royals, and Bank of America to show tangible support for our veterans.

Met with Secretary Shinseki in Kansas City, MO to review local and national concerns veterans have regarding various V.A. programs and initiatives. This was a positive meeting and the Secretary was given the list of “talking points” I developed with the assistance of the National Office.

Suicide prevention is an ongoing concern.  To this end we are currently working with Jan Kemp of the V.A. and other national stakeholders through Dr. Berger with a potential project to be launched in the spring.

Dan Stenvold reported working with major stakeholders in his state (North Dakota) who continue to express concern and are soliciting ideas to stem the tide of national guard suicides.

Reviewed the current budget and will prepare necessary material for the coming fiscal year.
Discussed the possibility of Personality Disorder, as well as PTSD, being related to MST.

Will investigate inviting Dr. Charles Hoge, author of Once a Warrior – Always a Warrior, to speak on Personality Disorders vs. PTSD at the next Committee meeting.

Reviewed importance of checking for adequate research by recognized research entities, such as the I.O.M, when considering complimentary treatments.
Note: Caution fellow veterans to continue their traditional treatments.

Discussed example of local ideas to help freshly minted veterans feel more welcome in colleges/universities
Example: AT EASE ZONES  a training for educators on military culture.  (Proposed by Spencer Fenton, an Iraq/Afghan veteran working at Kansas City Kansas Community College.)  Upon successful completion of this training, educators will receive a poster or a sticker designating their office as an "At Ease Zone" for veterans.

Discussed concerns regarding the V.A. program, "Housing First", negatively impacting access to meaningful treatment prior to long-term housing and job training.

Request ideas for any new or revision of the  PTSD/SA committees resolutions.

Respectfully Submitted,
Thomas C. Hall, PhD, Chair

For Qualifying Veterans With Exposure to Blast Events &/or Loss of Consciousness

A study of EEG biofeedback, a non-invasive, medication-free therapy, for symptoms associated with Traumatic Brain Injury (TBI) and/or Post Traumatic Stress Disorder (PTSD). Participants need not discuss trauma-related events.

Participation provided at no cost.

[ download details ]

Mental Health for Military Families:
The Path to Resilience and Recovery
August 3, 2010

The nightmares of war don’t always end when our loved ones return home. . . . Sometimes the deadliest wounds are the ones you cannot see, and we cannot afford to let the unseen wounds go untreated.

U.S. President Barack Obama (2009)

What systems-level and policy changes need to be implemented to increase U.S. service members’ and their families’ access to the mental health services, supports, and treatment they need? What resilience-building, self-care, or preventive measures, on an individual or systems level, should be considered and implemented prior to deployment to reduce the frequency and/or severity of mental health problems during and after combat? What solutions might increase the likelihood of successful community reintegration upon a service member’s return home?

[ Get more information ]

Examining the Progress of suicide prevention Outreach to Efforts at the Va

july 14, 2010

The subject of suicide is extremely difficult to talk about and is a topic that most of us would prefer to avoid.  Although statistics on suicide deaths are not as accurate as we would like because so many are not reported, as veterans of the Vietnam War and those who care for them, many of us have known someone who has committed suicide and others who have attempted it.  But as uncomfortable as this subject may be to discuss, VVA believes it to be a very real public health concern that needs solutions now.

Suicide is most often the result of unrecognized and untreated mental health injuries. Depression, Post-Traumatic Stress Disorder (PTSD) and Traumatic Brain Injury (TBI) are three of the most common mental health injuries and conditions that can lead to suicide. The three conditions in particular are medical conditions that can be life-threatening. 

[ Read full testimony ] [ See VA video ]

V.A. Is Easing Rules to Cover Stress Disorder

The government is preparing to issue new rules that will make it substantially easier for veterans who have been found to have post-traumatic stress disorder to receive disability benefits, a change that could affect hundreds of thousands of veterans from the wars in Iraq, Afghanistan and Vietnam.

[Read full aticle]

A psychology graduate student at Purdue University is looking for Vietnam, Persian Gulf and OIF/OEF veterans to participate in a doctoral study, which will examine veterans’ help-seeking attitudes related to PTSD and suicide that will be used to develop model interventions for decreasing stigma.  If you are interested in participating, please contact Azi Ghaffari at

NOTE: this study’s I.R.B. documentation has been filed and reviewed by VVA’s I.R.B. research officer and judged to be in compliance with all applicable human subjects research guidelines.

The VVA Veteran March/april 2010
by thomas c. hall, ph.d, chair

The PTSD/Substance Abuse Committee, as required by the VVA National Board of Directors, provides this yearly report on its mandated Resolutions to the membership.

Vietnam Veterans of America shall continue to press Congress to take whatever measures are necessary to ensure accountability for the organizational capacity and funding for the diagnoses and evidence-based treatments of the neuropsychiatric wounds of war, particularly for post-traumatic stress disorder (PTSD), substance abuse, and traumatic brain injury (TBI).

Vietnam Veterans of America shall continue efforts to extend the authority of the Vet Centers to treat all veterans and their families and to increase the number of staff at each existing Vet Center.

Vietnam Veterans of America shall continue its congressional efforts to ensure that the Departments of Defense and Veterans Affairs develop, fund, and implement evidence-based, integrated psychosocial mental-health and substance-abuse recovery treatment programs through the Vet Centers for all veterans and their families, active-duty troops and their families, as well as for those Reservists and members of the National Guard released from active duty.

Your comments and suggestions are always welcome.

The PTSD/Substance Abuse Committee: Thomas C. Hall, Ph.D, Chair; Fr. Phil Salois, Vice Chair; Sandy Miller, Secretary. Members: Peter Bessigano, Frances Cartier, Tom Devlin, Warren Digel, Marsha Four, Dee Hagge, Henry Illelio, Dave Johnson, Joseph Morgan, Wayne Reynolds, Francis Rowan, Ed Ryan, Ph.D., James Shott, and Dan Stenvold. Special Advisor: Sharon Hobbs. Staff Liaison: Tom Berger, Ph.D.

What's New

Force Readiness


Suicide rates in the active military and among veterans are on the rise. Military Sexual Trauma (MST) continues at epidemic proportions, and under-diagnosed traumatic brain injury (TBI) ensures a future of pain for veterans and their families. Homelessness and incarceration await too many of our returning troops.

The Department of Defense assures us that new research initiatives will be funded to find out how to address the rising suicide rates in the military. Studies continue to investigate the causes and treatment of MST, TBI, PTSD, and all the substances used to self-medicate the many symptoms that come with each.

[ read full article ]

  • Vets in Legal Trouble Find Help in Buffalo Court

  • Earlier this year, Robert Russell, a judge in Buffalo New York, decided to address the increasing number of veterans he saw entering the criminal justice system. Russell established a special court that considers the experience of war before sentencing and helps former soldiers find treatment.

    Hank Parowski, project director for Buffalo City Court
    Libby Lewis, NPR's national desk correspondent
    Tom Berger, national chair of Post Traumatic Stress Disorder and Substance Abuse for Vietnam Veterans of America
    [ Read article and listen to radio program ]

  • Remarks by Thomas J. Berger, Ph.D., Chair, National PTSD & Substance Committee, Vietnam Veterans of America, before The U.S. Medicine Institute for Health Studies Interactive Roundtable Discussion “Mental Health Care for Returning Veterans: Maximizing Professional Resources”

    Friday, April 11, 2008

Good morning, ladies and gentlemen – my name is Tom Berger, Chair of the National PTSD & Substance Abuse Committee for Vietnam Veterans of America (VVA).  I am a Vietnam combat veteran, having served as a Fleet Marine Force Navy corpsman with the 3rd Marine Division, 1966 – 68.  I am also a recovering academic.

On behalf of Vietnam Veterans of America, I thank you for the opportunity to share our views on the availability of care for our nation’s veterans.  Obviously “availability of care” can be applied to a broad spectrum of elements, including for example, specific medical conditions resulting from substance abuse and addiction, to more generalized ones such as homelessness, compensation and benefits, and employment issues.  But as we don’t have enough time today to cover all the elements that can be linked to “availability of care”, I shall try and limit my remarks to – surprise – mental health, as PTSD in particular, played such a pivotal role in the helping establish VVA as a congressionally chartered veterans service organization. [ Read summary ]

  • Before the U.S. House of Representatives Committee on Veterans’ Affairs Subcommittee on Health Regarding Substance Abuse/Co-morbid Disorders:  Comprehensive solutions to a Complex Problem

    March 11, 2008 - Each month hundreds of active duty troops, reservists and National Guard members return to their families and communities from deployment in Iraq and Afghanistan.  Given the demanding and traumatizing environments of their combat experiences, many veterans experience psychological stresses that are further complicated by substance use and related disorders.  In fact, research studies indicate that veterans in the general U.S. population are at increased risk of suicide.

    complete testimony Read or Print Complete Testimony

  • 7/07/07 - Attention: Female Veterans of Iraq and Afghanistan (OIF/OEF)

A research study examining potential barriers to mental health access is being conducted by Dr. Gina Owens, Department of Psychology, the University of Tennessee-Knoxville. The online survey assesses mental health needs and difficulties encountered in accessing mental health services. Questions also ask about combat exposure and possible experiences of sexual harassment or assault during military service. If you are a female veteran of Iraq and/or Afghanistan who is 18 years or older, you are eligible to participate. Click here for more information

  • To view the pioneering works of Dr. Joe Boscarino and Dr. Charles Figley about the relationships among PTSD and other war-related illnesses, click here:

Featured Reading:
Journal of the American Medical Association

Mental Health Problems, Use of Mental Health Services, and Attrition From Military Service After Returning From Deployment to Iraq or Afghanistan

The above link will take you to a login page for the Journal of American Medicine. If you want to read the article, you must register. The article is available, free of charge, for 6 months.

New England Journal of Medicine
Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care

This article requires Adobe PDF reader software.
Click here for free download

Get Adobe Reader

American Psychological Association - Journal of Consulting and Clinical Psychology
A Longitudinal Analysis of PTSD Symptom Course: Delayed-Onset PTSD in Somalia Peacekeepers

Veterans' Emerging  Mental Health Crisis

Coming Home - Readjusting to Civilian Life After War Two months ago, Caleb Catron lived worlds apart from the quiet rural town of Onalaska where he grew up. The 22-year-old was immersed in the bustle of Baghdad, Iraq’s capital, where he was stationed as a U.S. Army military police officer for a year. (more)

Emotional Toll Can Weigh Heavily on a Soldier's Mind "Hateful." That's the word Lois Edwards uses to describe her husband's behavior when he returned home from Iraq. (more)



In The News

New Brochures
What Every Veteran -- And Every Veteran's Family -- Should Know

Suicide Risk & Prevention


VVA Legislative Testimony
Before the U.S. House of Representatives Committee on Veterans’ Affairs Subcommittee on Health Regarding PTSD Treatment and Research: Moving Ahead Toward Recovery


VVA Legislative Testimony
Before the Subcommittee on PTSD of the Committee on Gulf War & Health: Physiologic, Psychologic,
And Psychosocial Effects of Deployment-Related Stress Institute of Medicine Of the
National Academy of Sciences Regarding
Post Traumatic Stress Disorder (PTSD)
Diagnosis, treatment, and Compensation

Read the latest on the IOM sub- committees No Across-the-Board Review of PTSD Cases Vietnam Veterans of America Says VA Review Will Penalize PTSD Veterans

VVA's Self-Help
Guide on PTSD

PTSD Does Not Mean You're Crazy! Get the brochure in PDF format.

Study Results The results of a study entitled "Spirituality and PTSD in Vietnam Combat Veterans" can be found by clicking on the name of the study.

Special Report “Never Shall One Generation of Veterans Abandon Another…”   Steve Robinson, Executive Director of the National Gulf War Resource Center*, has just released an excellent report on mental health and the military in Iraq.  The report includes a great deal of information that has not received very much press coverage to date.  Go to the report - Hidden Toll of the Iraq War: Mental Health and the Military





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