Fighting for Hearts and Minds: New Psychologists Training for Active-Duty Military Service

Article excerpt

We read it in the news and hear it on television: The U.S. is not prepared to meet the growing demands of military personnel for behavioral health services for posttraumatic stress disorders (PTSD) and traumatic brain injuries (TBI). Clearly, the strain on military resources is showing:

* A 2011 Military Times survey of active-duty service members reported that it could take them more than a year to get treatment for mental health problems.

* This same survey reported that access to treatment seems to be increasingly a source of frustration. It's just a sign the systems are overwhelmed.

* There is a shortage of clinical psychologists who have served or who have specialty training and relate to our war veterans.

* As a group, veterans continue to suffer above-average rates of psychological problems, substance abuse, homelessness, and suicide.

In response to increasing needs the last several years, the U.S. Army, Navy and Air Force have significantly increased the number of positions for Licensed Clinical Psychologists - across the active duty, reserve and National Guard components of the armed services.

The Veterans Administration also sees the rising demand for services and increased the budget for behavioral health programs by $1 billion, to a total $6.2 billion in the 2012 budget. The number of behavioral health professionals working in the V.A. system has increased from 14,000 in 2004 to more than 21,000 today. The V.A. also has increased the number of Vet Centers that provide outpatient counseling from 200 in 2007 to 300 this year.

Preparing psychologists to treat military personnel

Responding to the needs of the military, and of interest by a group of students who created an interest group, and after discussion with faculty, in 2010 the Adler School of Professional Psychology (Chicago, Ill.)proceeded to establish an elective course of study in military clinical psychology within the School's doctoral program in Clinical Psychology. Our first class of 21 students, including a number of students with military experience, began in fall 2011.

The Military Clinical Psychology track of the Adler School's Psy.D. program prepares students to work as clinical psychologists, either as members of the uniform services (Army, Navy, Air Force or Public Health Corps), or as civilians in the Departments of Defense, Veterans Administration, or in public and private-sector programs serving active-duty military, retirees, veterans, and their families.

The track's coursework includes a general survey course which is an introduction to the field of military psychology. The next two courses in the track examine the psychological and physical impact of combat, conflict, and terrorism. In preparing students to work in the various health care systems they are given an introductory course in defense and veteran's healthcare systems. It is also important for them to understand both mental health law and the military's Uniform Code of Military Justice (UCMJ) which is addressed in its own course instructed by a faculty member who is both a Vietnam veteran and an attorney. The final course in the track is specific education in mental health disaster response.

Apart from the academic coursework, graduate students engage in community and clinical training practicum. Some of these training settings provide direct work with the veterans' community, while others are clinical settings that include inpatient psychiatric hospitals, community mental health centers, or primary care settings where students might well find themselves working in the future. …