A Civilian Hand for Veterans: Insights into the Military System Can Prepare Counselors for Effective Treatment Planning

By Hurst, Michael R. | Addiction Professional, December 2007 | Go to article overview

A Civilian Hand for Veterans: Insights into the Military System Can Prepare Counselors for Effective Treatment Planning


Hurst, Michael R., Addiction Professional


According to the U.S. Department of Defense Manpower Data Center, more than 1 million Americans have served overseas in operations supporting the Global War on Terrorism. Adding that number to the number of veterans from prior wars, conflicts, and service, the Department of Veterans Affairs places the total number of living veterans at about 25 million. Research has demonstrated that military service takes a toll on veterans and their family members, with issues of alcohol and drug abuse among those that have a dramatic impact.

[ILLUSTRATION OMITTED]

According to the National Center for Posttraumatic Stress Disorder, 75% of veterans with lifetime PTSD have a substance abuse disorder. A 2005 report from the Substance Abuse and Mental Health Services Administration, based on 2003 data from the National Survey on Drug Use and Health, states that an estimated 200,000 veterans received specialty treatment for substance abuse in 2003. Given today's level of military involvement and well-publicized concerns over the adequacy of health services for veterans, it is reasonable to expect that the civilian counseling community will be overwhelmed with veteran clients.

The addiction professional attempting to serve the client who is a veteran must use all available resources in conducting a clinical evaluation. The counselor's effectiveness depends on adhering to all dimensions of addiction counseling, with the clinical evaluation being the first. The clinical evaluation provides extensive information on the client's history. Every military veteran, regardless of the branch in which service is performed, receives a DD Form 214 (Report of Separation). The DD Form 214 (www.archives.gov/veterans/military-service-records/dd-214.html) provides important information about a veteran's military service--information that an addiction professional can use to construct the veteran's military history and then to develop an effective treatment plan.

Information about a veteran's military service on the DD Form 214 includes:

* Date and place of entry into active duty;

* Home address at time of entry;

* Date and place of release from active duty;

* Last duty assignment;

* Military job specialty;

* Military education;

* Decorations, medals, badges, citations, and campaign awards;

* Total creditable service;

* Foreign service (overseas and combat tours); and

* Separation information (honorable, dishonorable, etc.).

The addiction professional who uses the information provided by the DD Form 214 gains a valuable edge in unlocking a significant amount of historical information at the center of many issues surrounding a veteran client. The addiction professional conducting the clinical evaluation will be able to establish rapport and trust from a veteran client--not a small accomplishment considering the vast differences between the military and civilian cultures.

One veteran's progress

The actual case-study example of "Jim" offers evidence of how data can inform treatment. Jim was a Vietnam-era and Gulf War veteran who was medically discharged from the U.S. Army. He was on probation after serving a five-year prison sentence for possession of crack cocaine with intent to distribute. He was enrolled in an inpatient substance abuse treatment program as part of a court-ordered sanction imposed for his testing positive on a drug screen. On his intake assessment, he answered "no" to the question on military service (this is a common occurrence often resulting from guilt/shame). The client presented as an angry, defensive, and subdued individual.

Jim had been in the inpatient substance abuse program for about three weeks when I met him. During an initial discussion, Jim noticed a military badge lapel pin on my jacket. This turned the discussion to military topics. Jim talked about how he had a successful military career until his return from the Gulf War.

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

A Civilian Hand for Veterans: Insights into the Military System Can Prepare Counselors for Effective Treatment Planning
Settings

Settings

Typeface
Text size Smaller Larger
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.