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WASHINGTON D.C.โ – A Departmentโค of Defense security specialist, โคidentified as robert, is facing ongoing โขchallenges accessing adequate mental healthcare through teh Department of Veterans Affairs (VA) despite suffering from worsening Post-Traumatic โStress Disorder (PTSD). His caseโฃ highlights systemic issues withinโข the VAโ mental health system, recently brought to light by reports of pressure on providers to limit care.
Robert‘s PTSD symptoms were exacerbated by hisโข return to office work, where the proximity of a firingโ range to his building triggered his anxiety. The constantโ noise and vibrations reportedly rattled his โฃnerves and worsened his condition. He now โlimits trips into town to once or twiceโข a month, utilizing groceryโ delivery services like Walmart โwhenever possible to avoid โcrowded โplaces. “I don’t โฃlike to go into โcrowded places,” he stated, adding, “I wouldn’tโข do that ifโฃ I could get Walmart toโ deliver my groceries.”
The veteran expressed โฃfrustration with the initial care offered by the VA,โ specifically when heโข was mistakenly “steppedโค down” to group therapy. He declined the offer, stating, “You want โme to be honest? โYou want me to rip offโข Band-Aids andโค scabs? I ain’t doing it โคin the middleโค of a group.” This refusal stemmed from a desire for individualized treatment,โ a common need for those experiencing trauma.
Following inquiries from The War Horse, โขPeter Kasperowicz, โthe VA’s press secretary, acknowledged โshortcomings in robert’s care. Kasperowicz stated, “It’s clear episodesโ of care bestโค practices were not properly followedโฆand VA has contacted him to correct the situation and apologize.”
Robert โconfirmed receiving โขfollow-up contactโ fromโ a VA social worker offering an appointment with a new therapist in several weeks. Heโ also received a letter detailing options for community-based psychological care covered by the VA. This comes โafter a recent VA โฃannouncement extendingโข authorizations for community care mental health services forโ a year,aiming โto provide veterans with more consistent access โto providers outside theโ VA system.
Despite these offers,โ Robert remains uncertain about his path forward. “I’m not โคgonna say I’m surviving just โfine,” he said, characterizing the โคsystem as “broken.”
Context: VA Mental Health System Under Strain
Robert’s experience occurs against a โขbackdrop ofโ increasing demand for VA mental health โฃservices and recent allegations that VA โฃproviders are facing pressure to โคlimit โthe duration andโค intensity of care. The VA โhas faced โlongstanding challenges in providing timely and effectiveโ mental โฃhealthcare to veterans,โ particularly โthose returning fromโฃ the โwarsโฃ in Iraq and Afghanistan. Factors contributing to these challenges includeโ staffing shortages, bureaucratic hurdles, and the complex nature of PTSD and other mental health conditions. โ The extended community care authorizations are aโ recentโฃ attempt to address access issues, but concerns remain โabout the quality and consistency of care available throughโค community providers.
Are you a VA mental health provider or patientโฃ who โwould like to share โyourโข story? Reach out โฃto our reporter โvia emailโฃ at leah