| 7 Issues that Inform you about Readjustment, Intervention, Family Support, Diagnosis and A New Life Ahead
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Intervention to Help Your Veteran
"Intervention" is necessary when a veteran is unwilling or unable
to take the necessary action that is required to confront psychological,
medical or readjustment problems that are a cause of Active Duty and are
negatively and progressively affecting the veteran and/or family.
The following is a "check list" in order of steps that can be taken on
behalf of your soldier. Hopefully, you will have immediate support from your
veterans unit, the VA and the healing community, but if not, these steps may
be helpful in finding the support you need to help your veteran. If you have
questions about any of these items, feel free to "contact us" and we will
try to help you.
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Getting Organized |
| 1 |
Start a file tub or cabinet drawer. Suggested files to
label as a start are:
- · VA Medical
· VA Benefits
· Military
· Insurance
· Legal Issues
· Political Correspondence
· Veterans Support Agencies (American Legion, VFW, DAV)
· Social Security
· Misc. Start a large 3-ring binder notebook with plastic page
protectors for:
· DD-214
· Copies of VA Benefit
Rulings (Education, Disability, etc.)
· Copies of VA Medical
Documents
· Other official
documents
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| 2 |
Consider beginning a journal that logs dates, times and
circumstances of important issues affecting your veteran. This can serve
as a helpful guide as you discern ways to help your veteran and family |
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Registering For VA Medical |
| 3 |
If your veteran has just returned from active duty,
insist that he/she registers with the VA Hospital in your region.
This is ESSENTIAL. Your veteran may have other forms of medical
care, but this MUST be done. Go to
www.va.gov and to the "health care" link to find out how to
register.
Your veteran should go when he/she IS NOT SICK or having problems.
The process can be long and frustrating. Do NOT wait for illness to
go to register. It is a benefit they have earned and it will be very important
if later illnesses are discovered. (Note: Many times soldiers
procrastinate with this when coming home. This is to be expected.
However, putting this off can have very negative impact later. Lovingly
ask your veteran to be accountable to you by showing you his/her VA
Hospital Card to validate it has been done and/or offer to go with your
veteran to register).
ALL VETERANS WHO HAVE BEEN IN ACTIVE DUTY SHOULD REGISTER IMMEDIATELY
UPON RETURN. |
| 4 |
If your veteran is eligible for TriCare Reserve Select
or other TriCare Health Insurance benefits, insist that he/she registers
for this insurance as well. Many veterans do not like going to VA and
have civilian options with TriCare. It is low cost and good coverage. (tricare.osd.mil
then click on Reserve Select)
THERE IS A TIME LIMIT TO REGISTER, SO BE AWARE.
SERVICES "CLOSER TO HOME": Veterans who live in areas that are
not close to Regional VA medical offices may be eligible for an
"Outpatient Fee Card" (VA document M-1, Part 1, Chapter 18) which
states, "When appropriate VA officials determine that certain VA
services are unavailable or cannot be economically provided due to
geographic inaccessibility, the veteran with special eligibility may be
authorized fee-basis care, but only as described in this chapter".
Therefore, if you live in a rural area or an area that cannot easily
access VA Medical benefits, make sure that you apply immediately for an
"Outpatient Fee Card."
MEDICATIONS: VA Hospitals can mail medications to Veterans who
have been approved for the services. This is helpful for Veterans that
live in remote areas or who do not have transportation. As will all
medications, they should be distributed and administered with great
care. If your Veteran has a substance abuse disorder, or you are aware
that your Veteran may "loose track" of when/if meds were taken, discuss
this with your Veteran and caseworkers at the VA Hospital. Care and
caution should be paramount.”
CASE MANAGEMENT: It will be important for you to get to know
the social workers/case managers who are working with your Veteran. You
have the right, as much as the Veteran does, to contact them and inquire
about services and your Veterans status. Social Workers/Case Managers
can help pull together all aspects of a Veterans care. They can be the
first line of communication with regard to concerns, assistance,
updates, etc. and you should not hesitate to use them.
OUTPATIENT TREATMENT: This is the type of treatment a veteran
receives when they are NOT hospitalized, which is referred to as
in-patient treatment. In many regional VA Hospitals, veterans do not
make their own appointments, they are assigned appointments and notified
by mail. Many times the notification does not include specific
information, like why or what the appointment is for. You and your
veteran have a right to this information and should call the case
manager or appointment desk to inquire if you do not understand. It is a
good idea to take notes about what is said so that you can refer to them
later if needed. |
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Getting The Help You Need |
| 5 |
If your veteran begins to get sick and it begins to
worsen AND if he/she shows resistance to help, AND if the veteran is
still enlisted, call and his COMMAND. If you DO NOT KNOW the phone
number of name of the Command Unit, you can contact Military One Source
at 1-800-342-9647 or at
www.militaryonesource.com . Ask to speak with someone who can help
you locate the phone number of your veterans Command Unit.
BE ADVISED that, if the soldier is still in the military, and
the Commanding Officer becomes aware that the soldier has a problem,
then the Commanding Officer will probably begin steps to Separate the
Veteran. This means that your veterans unit will begin taking action to
get your veteran out of active duty. This will end your veterans status
and pay and may have many consequences that need to be addressed very
carefully and not quickly.
Therefore, you may want to call and speak with the Chaplain
initially. This intervention may be an indirect way of addressing issues
and may be considered if the problem is mild to moderate in nature.
The veteran will be very resistant to this intervention and it is not
meant to be a threat, but if the veteran is sick and needs help, it is
the RESPONSIBILITY OF THE MILITARY to intervene if the veteran is still
enlisted. The command has rights that YOU DO NOT have with regard to
your veteran’s welfare.
Regardless, do not be uncomfortable or intimidated if you need to
call the Chaplain or Commanding Officer. If your veteran’s life is at
stake and the well being of your veteran or family is threatened, then
this is a necessary step. |
| 6 |
It is important at this point (if not
before) to seek help for yourself/family. See
Helpful Tips for Families in Crisis.
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| 7 |
If the phone call to the Commanding Officer is not
effective, then you may choose to WRITE a letter to the Commanding
Officer stating the concerns that you have and the need for
intervention. You do not need to be specific, but can mention that your
veteran needs help and that you believe that help is necessary for the
well being of your family and ASK FOR A RESPONSE and KEEP A
COPY OF ALL LETTERS THAT YOU SEND and date and sign all letters.
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| 8 |
If the veteran does not respond and the Commanding
Officer does not respond, then seek the help of the next highest in
command and ASK FOR A RESPONSE. Always communicate in writing (and log
all calls-use your cell phone if you have one. Keep copies of the cell
phone bill in which all calls are listed by date, time and duration of
the call) and keep a copy of what you have written. |
| 9 |
If your veteran continues to regress (get worse) then
it may be essential to take further and more direct action. Most of the
time, veterans who are exhibiting psychological and readjustment
symptoms may not even recognize how sick they are becoming. If it gets
to a point that their judgment is deeply affecting their own well-being
and the family, then more direct action may need to be taken. So, if
you DO NOT get timely response from your veteran or his/her commanding
officers, then you may need to seek legal counsel. You may try obtaining
JAG (Judge Advocate General-legal help for veterans). You may inquire
about this service also through Military One Source at
www.militaryonesource.com
or 1-800-342-9647.
If you seek civilian legal counsel, this may be a costly and
time-consuming task. There are often attorneys that will offer to help
"pro bono" or at no cost as a public service offering. Do not be afraid
to ask. Call your local American Bar Association to get referrals to
attorneys that may be able to assist you. Or you may email Deployment
Cycle Support (DCS) that provides legal services, family readjustment
and counseling and mental health support
http://www4.army.mil/ocpa/read.php?story is key=182)
Legal counsel can help you to determine what actions that you can
take on behalf of and for the welfare of your veteran and your family.
This is especially important when a sick veteran begins to make poor
financial decisions that may put the family at risk.
Be aware that if your veteran is single, you will have NO LEGAL
RIGHTS to access medical or financial information. You will not be
able to check insurance eligibility, payment balances, medical history,
etc. You will not be able to call on behalf of the veteran to inquire
about any of the above or any information protected under the Privacy
Act. It can be very difficult to advocate for your veteran if he or she
has become seriously ill without obtaining shared rights.
You CAN ask your veteran to sign a "release of information" so be
sure and ask EVERY entity (insurance, medical providers, etc.) for a
Release Form which will allow you to have access. |
| 10 |
Write your State Senator and Representative and your
United State Senator and Congressman. Tell them what is happening and
ASK for intervention. (http://www.senate.gov
for Senator and http://house.gov/ for
Congressmen) Ask for a RESPONSE on how they can help you help your
veteran. |
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Registering For VA Benefits |
| 11 |
Contact the Veterans Administration Benefits branch at
www.va.gov/health_benefits/.
This branch should give you information needed to begin to file for VA
disability and other benefits.
It is VERY difficult to understand and
you may need the help of the American Legion at
www.legion.org then go to the
"About Us" link and then to "Posts" to find an American Legion office
near you. You can also look at the "Veteran" link that shows the
services they can provide Veterans.
Or you may go to
www.vfw.org for the Veterans of
Foreign War website. Go to "Programs and Services" to find how they can
help you apply for Veterans benefits. Another source is the Disabled
American Veterans at www.dav.org.
Any of these organizations should be able to help you understand and
file for VA Disability Benefits.
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| 12 |
When you are able to get your veteran to agree to go to
appointments for medical and psychological attention, whether at the VA
or with private physicians/mental health practitioners, TAKE THEM TO
THE APPOINTMENTS OR ASK SOMEONE TO GO WITH THEM. As mentioned many
times, soldiers often do not understand the severity of their problems.
They have learned to "numb" and "minimize" their symptoms and the
consequences to themselves and their family.
They NEED support and input from you, even if they are resistant, YOU
are involved in this too and have a right to be a part of the solution..
If you cannot go with them, call Disabled American Veterans (www.dav.org),
the American Legion (www.legion.org)
or Veterans of Foreign War (www.vfw.org)
and ask for their help (look for "local chapters" to call). There are
MANY Veterans who are willing to help other Veterans and many volunteers
that can help. |
| 13 |
If your veteran has a disability determination (this
would include a diagnosis from a military recognized and approved
medical practitioner), the your Veteran may apply for VA Disability
Benefits. VA Disability Benefits take a long time to receive and there
is a lot of paperwork involved. It can take from 1 to 4 years to receive
benefits, BUT the sooner that you make OFFICIAL application, IF the
veteran is deemed disabled, the disability payments will be retroactive
to the DATE of the OFFICIAL filing.
The most important thing is to file immediately for VA Disability
Benefits. Your veteran will need an advocate to have Power of Attorney
over the disability process that is recognized by the VA Benefits
Branch. This can be The
American Legion (www.legion.org),
the Disabled American Veterans (www.dav.org)
or Veterans of Foreign war (www.vfw.org)
For veterans with physical disabilities/dismemberment, there are
emergency funds available.
Be aware that almost all psychological VA Disability Benefits are
REFUSED by the VA "the first round". Be prepared for a very long and
anxiety laden process. |
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Receiving Disability Benefits |
| 14 |
FINALLY, if your veteran is awarded Disability Benefits
AND has been found incapacitated (unable to manage his/her own money)
it is suggested that you DO NOT ASSUME FIDUCIARY RESPONSIBILITY.
There is TREMENDOUS stress involved in caring for a veterans Disability
Benefits. You are help accountable for every penny that must be spent
exactly as determined by the initial budget and you must write checks
for everything. This is a huge burden and one in which your veteran may
become resentful and feel even more helpless.
The VA Disability Branch can hire specific people to be appointed as
your veteran’s fiduciary agent. These agents are paid OUT OF THE veteran’s DISABILITY funds to
manage his/her money. YOU ARE NOT PAID and the burden and accountability
is tremendous. VA Disability requires a yearly accounting of every penny
and they audit it more closely than the IRS.
If you have questions about this process, please
feel free to contact us. |
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Incapacitation Pay |
| 15 |
If your veteran has become so ill that he/she cannot
work AND he/she is unable to attend drill AND he/she IS NOT YET
RECEIVING benefits, you may also want to review the possibility of
FILING FOR INCAPACITATION PAY. This pay is described as "when a soldier
has incurred or aggravated an injury, illness, or disease during active
duty or inactive duty that renders the Soldier unable to perform
military duties and/or demonstrates a loss in nonmilitary earned income,
he/she is RESPONSIBLE for initiating an incapacitation pay claim." (DA
PAM 135-381, 29 Sept 2005)
In most cases, the veteran will be too ill to initiate the claim,
therefore it will be the responsibility of the family/loved ones to
follow through. Sometimes the veterans unit and/or DAV, American Legion
or VFW can be of assistance, but ultimately, this is left up to the
soldier, which means it is left up to the family. This could be a
substantial amount of income that the veteran has a right to receive. It
will take a LONG time to receive these benefits, but this should be
considered as it may take a LONG time for the soldier to heal. |
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Social Security Benefits |
| 16 |
If your veteran is found to have a significant
disability assigned by the VA, your veteran may also be eligible for
Social Security Disability Benefits. You will need to go to your local
Social Security office to make application. Your veteran must do this
personally, or you may go with him/her and sign a consent to release
information, and/or you must have a legal document that indicates that
you have rights to help/support your soldier. Always take the DD-214, VA
Medical and Disability Benefits rulings with you to these appointments
(3 ring binder notebook with page protectors help keep it all together). |
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Separation Benefits |
| 17 |
If your veterans is SEPARATED from the military, PRIOR
TO SEPARATION, visit the Army, Air Force, Navy and Marine programs
designed to provide assistance to service members who are severely
injured due to combat or terrorism.
Typical qualifying injuries are those resulting in loss of
limbs or sight, spinal cord injuries, traumatic brain injuries, and
post-traumatic stress disorder.
The Marine program assists any current
or former Marine who was injured, regardless of where or how the injury
was suffered. More information on these programs is available at the
following websites: U.S. Army Wounded Warrior Program (http://www.army.com/resources/item/878)
, Navy Safe Harbor and Marine is Marine for Life (the link for this is
difficult to traverse for this specific resource). |
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VET Centers And PTSD Programs |
| 18 |
Be advised that the VA Medical has programs for PTSD
and Depression and the Vet Centers (http://www.va.gov/rcs/)
in your area also have programs.
Some veterans are willing to go to these programs. Others are too
upset to go to military or government related programs. |
No matter what, encourage your veteran to connect with others who are
supportive. Isolation and/or ignoring unhealthy behavior only makes things
worse for both the veteran and the family. If the veteran is NOT willing to
"connect", the family and friends will need to seek help for themselves to
support them and help them find healthy boundaries.
DO NOT settle for "no action" being taken.
As mentioned earlier, these problems do NOT get better on their own,
so do not be afraid to seek help. Recognize that the soldier may not be
willing or able to advocate for him/herself. Seek as much assistance as
possible, but recognize that ultimately, YOU may be responsible for
initiating and following up on all these issues.
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Disclaimer: Veterans' Families United Foundation does not guarantee
results or outcome of the information provided in any of its materials. |