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Juan Bautista

In the text Slaughterhouse Five the main character, Billy Pilgrim, is argued to have PTSD and
he did not travel through time.

Synthesize in a well developed and organized essay 3 or more of the following documents
arguing if patients with PTSD are receiving enough help from the government.

Moran, Rick. "Government Can Do More to Treat Veterans with PTSD." PJ Media. N.p., 9 Feb.
2013. Web. 20 May 2016.

The issue with the government's response to PTSD today is that, put simply, the
problem is bigger than anyone imagined a few years ago and potentially as large as
the number of PTSD cases for Vietnam vets. A study in 1993 found that more than
830,000 Vietnam veterans suffered from symptoms related to PTSD to one degree
or another upon returning home.
Last year, the VA reported that through September 2011, more than
247,000veterans of the Iraq and Afghanistan wars had been treated for PTSD. But
according to the PTSD Foundation of America, that number represents less than
40% of our veterans who need help. A veteran's own personal code of conduct that
refuses to allow him to acknowledge "weakness" and a military culture that
stigmatizes PTSD sufferers have contributed to some startling -- and worrisome -statistics.
There were a record 349 suicides of active duty personnel in 2012. Nearly two in
three marriages of PTSD sufferers end in divorce. The inability of the PTSD patient
to hold a job has contributed to an epidemic of homelessness among combat

veterans. It is estimated that one in three returning vets will exhibit at least some of
the symptoms of PTSD, with between 13-20% of vets needing psychiatric care.
Smith, Melinda, Lawrence Robinson, and Jeanne Segal. "PTSD in Military Veterans:
Symptoms, Treatment, and Self-Help." PTSD in Military Veterans: Symptoms, Treatment, and
the Road to Recovery for Post-Traumatic Stress Disorder. N.p., May 2016. Web. 20 May 2016.
Symptoms sometimes dont surface for months or even years after returning from deployment. While
PTSD develops differently from veteran to veteran, there are four symptom clusters:

Recurrent, intrusive reminders of the traumatic event, including distressing

thoughts, nightmares, and flashbacks where you feel like its happening again. Experiencing
extreme emotional and physical reactions to reminders (panic attacks, uncontrollable shaking,
heart palpitations, etc.).
2. Extreme avoidance of things that remind you of the traumatic event, including
people, places, people, thoughts, or situations you associate with the bad memories.
Withdrawing from friends and family and losing interest in everyday activities.
3. Negative changes in thoughts and mood, such as exaggerated negative beliefs
about yourself or the world and persistent feelings of fear, guilt, or shame. Diminished ability
to experience positive emotions.
4. Being on guard all the time, jumpy, and emotionally reactive, as indicated by
irritability, anger, reckless behavior, difficulty sleeping, trouble concentrating, and

"PTSD | Symptoms & Treatment | Military Veterans | Make the Connection." PTSD |
Symptoms & Treatment | Military Veterans | Make the Connection. N.p., n.d. Web. 23 May
If you show signs of PTSD, you don't just have to live with it. In recent years, researchers
have dramatically increased our understanding of what causes PTSD and how to treat it.
Hundreds of thousands of Veterans who served in the Army, Marine Corps, Navy, Air Force, and
Coast Guard have gotten treatment for PTSD and found significant relief from their symptoms.
Two types of treatment have been shown to be effective for treating PTSD: counseling and
medication. Professional therapy or counseling can help you understand your thoughts and
reactions and help you learn techniques to cope with challenging situations. Research has
shown several specific types of counseling to be very effective for treating PTSD. Medications
can also be used to help reduce tension or irritability or to improve sleep. The class of
medications most commonly used for PTSD is called "selective serotonin reuptake inhibitors,"
but a doctor can work with you to figure out which medication works best for you.

"Accommodation and Compliance Series: Employees with Post Traumatic Stress
Disorder (PTSD)." Accommodation Ideas. JAN, 8 Oct. 2015. Web. 24 May 2016.
An administrative assistant with PTSD works at a museum, which is currently under
construction. Construction workers, who were strangers, caused the employee extreme anxiety.
As an accommodation, a JAN consultant suggested temporarily relocating the employees work
space away from the construction area. The museum also developed an ID badge for
construction workers and required them to sign in at their job locations.
A prison guard, recently attacked by an inmate, has PTSD and anxiety. The prison guard was
fearful of returning to the worksite, even to discuss her return-to-work options. A JAN consultant
offered the following suggestions: allow the employee to bring a support person or support
animal to the meeting, move the meeting to an alternative location, or allow the employee to
attend the meeting via telephone.
An office worker who was stalked and harassed by a former employee now has a panic
disorder. She is fearful of answering her office telephone. JAN suggested these
accommodations to her employer: use telephone with a caller ID function and/or call blocking
function, change the tone or frequency of telephone ringer to reduce panic reaction, route all
calls through a switchboard or receptionist, and disable this employees direct extension to
prohibit direct calls.
A vocational school teacher with PTSD requested accommodations due to anxiety and
flashbacks. She taught in a building separated from the main school, and she had difficulty
dealing with large classrooms of unruly students. As an accommodation, JAN suggested
training the teacher on special behavior management techniques and providing administrative
support for student disciplinary actions. The school also provided the teacher a two-way radio,
which allowed her to contact an administrator quickly when she needed immediate assistance in
her classroom.
A postal employee with PTSD requested accommodations to help him deal with recurring
flashbacks. His flashbacks were triggered by the smell of gasoline and the noise from the mail
truck. The employee tried wearing a respirator to give him a clean air supply. He also tried
wearing headphones to reduce the noise from the truck, but he still experienced stress and
edginess. JAN suggested a position transfer as an accommodation. JAN also suggested
allowing this employee to take a break when he experiences extreme anxiety and allow him to
use relaxation and visualization techniques in a private space on the job.
A veteran who is now an office employee has PTSD and anxiety. He is easily frightened when
being approached unsuspectingly. This employee works in a structured cubicle environment

facing his computer and cubicle walls, with his back to the cubicle entrance. He wants to be
alerted when a coworker or supervisor walks into the cubicle behind him. JAN suggested using
a monitor-mounted mirror, so he could see the entrance behind him. JAN also suggested
placing a sensor mat at the entrance of the cubicle, which will make an audible alert when
someone steps on it.

Hamblen, Jessica L., PhD, and Daniel Kivlahan, PhD. "PTSD: National Center for PTSD."
PTSD and Substance Use Disorders in Veterans -. N.p., 23 Feb. 2016. Web. 24 May 2016.
Over three-quarters of men and women with lifetime PTSD have another comorbid lifetime
diagnosis (2). Often PTSD co-occurs with substance use. According to one national
epidemiologic study, 46.4% of individuals with lifetime PTSD also met criteria for SUD (3). In
another national epidemiologic study, 27.9% of women and 51.9% of men with lifetime PTSD
also had SUD (2). Women with PTSD were 2.48 times more likely to meet criteria for alcohol
abuse or dependence and 4.46 times more likely to meet criteria for drug abuse or dependence
than women without PTSD. Men were 2.06 and 2.97 times more likely, respectively (2).
There are few comparable population prevalence estimates among Veterans. A substantial
majority of Veterans with PTSD have met criteria for comorbid substance use at some point.
The National Vietnam Veterans Readjustment Study, conducted in the 1980s, found 74% of
Vietnam Veterans with PTSD had comorbid SUD (4). Whether these findings generalize to other
cohorts is unknown. One might expect that the prevalence of co-occurring SUD would be higher
in Veterans than civilians because some studies suggest that Veterans have poorer mental
health (e.g., 5,6).
Studies of treatment-seeking samples have tended to report on current rather than lifetime
diagnoses and to focus on the prevalence of PTSD in patients seeking SUD treatment. These
studies show that up to half of patients seeking treatment for substance use meet criteria for
current PTSD (7), but the estimates are highly variable--possibly due to heterogeneity in sample
characteristics. Much information about treatment-seeking Veterans comes from VA
administrative data. During the past 10 years, the number of Veterans with comorbid SUD and
PTSD in VA care has increased over three-fold; in 2012, the prevalence of PTSD among
Veterans receiving specialized SUD care was 32% (8).

"Mental Health Residential Rehabilitation Treatment Programs." Welcome to VHA, n.d. Web. 25 May 2016.
Mental Health Residential Rehabilitation Treatment Programs (MH RRTPs) (including
Domiciliary and RRTPs) provide residential rehabilitative and clinical care to Veterans who have
a wide range of problems, illnesses, or rehabilitative care needs which may include mental
health and substance use disorders, co-occurring medical conditions and psychosocial needs
such as homelessness and unemployment. All of these programs provide a 24/7 therapeutic

setting utilizing both professional and peer supports. Treatment focuses on the Veteran's needs,
abilities, strengths, and preferences.
There are several types of programs which include the following:
Domiciliary Residential Rehabilitation Treatment Programs (DRRTP). A DRRTP provides a
residential level of care for Veterans with issues related to medical, mental health, substance
use disorders, Post-Traumatic Stress Disorders, and homelessness. These programs are larger
residential programs with multiple units serving various Veteran populations based on need.
Domiciliary Care for Homeless Veterans (DCHV). A DCHV provides a residential level of care
for a homeless Veteran population. A DCHV may be a standalone program or a unit within a
larger DRRTP.
Health Maintenance Domiciliary. Health Maintenance Domiciliary beds provide a residential
level of care for Veterans. Health Maintenance Domiciliary programs focus on symptom
reduction and stabilization as part of the rehabilitative approach to facilitating community
integration. A Health Maintenance Domiciliary may be a standalone unit or part of a larger
General Domiciliary (General Dom) or Psychosocial Residential Rehabilitation Treatment
Programs (PRRTP). These programs provide a residential treatment level of care for a general
Veteran population with a variety of needs. General Dom beds are a part of a larger DRRTP
while PRRTPs are standalone units Domiciliary PTSD (Dom PTSD) or Post-Traumatic Stress
Disorder Residential Rehabilitation Treatment Program (PTSD-RRTP). These programs provide
residential level of care to Veterans with Post Traumatic Stress Disorder including provision of
services for Veterans who have experienced Military Sexual Trauma. Dom PTSD may be part of
a larger DRRTP while a PTSD-RRTP is a standalone unit .
Domiciliary SA (Dom SA) or Substance Abuse Residential Rehabilitation Treatment Program
(SARRTP). These programs provide a residential level of care to Veterans with Substance Use
Disorders. Dom SA beds may be part of a larger DRRTP while a SARRTP is a standalone
Compensated Work Therapy (CWT)-Transitional Residence (TR). General CWT-TR offers
therapeutic work-based residential rehabilitation services designed to facilitate successful
community reintegration for Veterans. The program does not target any particular mental health
diagnosis. The program requires concurrent enrollment in the Compensated Work Therapy

Juan Bautista
Mrs. Miklusak
Per: 1

Many individuals that suffer from post traumatic stress disorder get the proper
treatment needed to continue their regular lifestyle. PTSD primarily affects a victims
emotions, causing him or her to repeatedly change his or her behavior but generating
many to believe that patients suffering from PTSD do receive enough help from the
Common residents of the United States as well as war veterans can both
develop Post Traumatic Stress Disorder, or PTSD, even though common people are
not engaged in violent warfare on enemy lines. A tragic car accident can cause a person
to have anxiety from driving cars and develop a form of PTSD which disallows the
individual to feel safe when behind the wheel or just sitting in a car. In accordance with
document 4, all kinds of regular people with different job occupations can have a life
changing experience in their life that conjures a form of PTSD, whether it be an extreme
case of anxiety or constant triggering of flashbacks to that traumatic event. The
government does more than enough to help, specifically, the PTSD war veteran
patients. In most cases for veterans with PTSD document 3 supports the argument in
that Hundreds of thousands of Veterans who served in the Army, Marine Corps, Navy,
Air Force, and Coast Guard have gotten treatment for PTSD and found significant relief
from their symptoms. First the soldiers enlist and serve the government and its people
and then the government treats the veterans to their needs. Which in this case its to

treat the symptoms of PTSD. According to document 6, there are many government
funded organizations that help treat and engage on helping veterans with a variety of
problems or illnesses. The government provides care for co-occurring medical
conditions and psychosocial needs for the veterans in which they also endow the
organizations to continue their treatment and rehabilitation strategies to further provide
for the patients and their needs.
In conclusion, the government of the United States does indeed contribute
enough to help patients with PTSD. The strategies used from the organizations that the
government provides are engulfing the symptoms of the PTSD patients. War veterans,
especially since they are the majority in terms of PTSD patients, are greatly being aided
in their troubles.