By Greg Hadley
While the Defense Department is looking to expand opportunities for service members to seek professional help for #mentalhealthissues, the #DOD is still struggling with institutional policies and norms that wind up hurting those who do get help and discouraging others, lawmakers and advocates say.
These struggles come even as the department has ramped up its #mentalhealth and #suicideprevention efforts in recent years—and as the rate of suicides among service members has remained stubbornly high.
From 2015 to 2020, the total number and the rate of suicides among Active-duty service members has increased by a statistically significant amount, while the rates for the Reserve and #NationalGuard stayed roughly the same, according to the Pentagon’s latest report.
In a hearing before the Senate Armed Services personnel subcommittee, Pentagon leaders acknowledged a lack of progress on the issue.
“Our rates of #suicide are not going in the desired direction. Every death by #suicide is a tragedy and weighs heavily on the military community,” Dr. Richard Mooney, acting deputy assistant secretary of defense for health services policy and oversight, told the panel. “The DOD believes that #suicide rates among our service members and military families are too high.”
Mooney, along with Dr. Karen Orvis, director of the Defense #SuicidePrevention Office, touted the DOD’s initiatives to identify vulnerable service members and provide them with resources to better cope with and manage problems that can lead to #suicidealbehavior such as relationship issues or #financial concerns.
But Dr. Craig Bryan, director of the Recovery and Resilience and #SuicidePrevention Program at The Ohio State University College of Medicine, argued that there are too many programs looking to screen for problems and not enough attention focused on the stigmas codified into rules that discourage service members or recruits from seeking help when needed.
To illustrate his point, Bryan told the committee about a situation in which a young Soldier was forced into a psychiatric evaluation and #mentalhealth program and denied leave to help his family as a matter of policy after he made a reference to #suicide. Instead of helping the Soldier, those actions created a greater problem, Bryan said.
“I suspect the policy cited to justify the coercive transport for involuntary #mentalhealthcare was not a formal policy per se, but rather was an unwritten rule or an organizational norm that had emerged over time due to growing fear and #anxiety about liability,” Bryan said. “‘Better safe than sorry’ rules, though well-intentioned, can paradoxically make things worse. These rules fail because they prioritize liability management at the expense of individual service members’ well-being.”
Sen. Dan Sullivan (R-Alaska) echoed Bryan’s point, citing examples he has heard from constituents who have wanted to join the military or pursue a certain career path within the force, only to be denied after disclosing that they at one point had taken prescribed medicine for #depression.
“So … we’re telling young #Americans right now, if your dream is to be an #AirForce pilot, and you have #depression as a 16 year old #girl, you either need to not go get help, or if you did go get help and were prescribed drugs and then you apply to be an #AirForce pilot, you gotta lie,” Sullivan said. “I think that is so wrong. That’s happening right now.”
For years, the #AirForce took pilots and navigators diagnosed with Major #DepressiveDisorder off flight status and didn’t allow those on flying status to take common antidepressants. That policy was modified in 2013 to allow Airmen to keep flying while on certain kinds of medication, but they still must apply for a waiver, and any diagnoses that last more than 60 days result in the Airman being taken off flight status.
Sullivan’s example demonstrates “another sort of policy institutional barrier to the intended outcome and goal,” Bryan said. “We want, on the one hand, for people to seek out help and at the same time, we, in essence, punish them when they do so.
“There’s no amount of therapy and medication that’s going to solve that problem. This is where, looking at systemic change and reform, institutional policies and practice, that’s where we would need to be able to target in order to open up the pathway for these other ideal, potentially life-saving interventions.”
#James Donaldson notes:
Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.
Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.
Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space. #http://bit.ly/JamesMentalHealthArticle
Order your copy of James Donaldson’s latest book,
#CelebratingYourGiftofLife:
From The Verge of Suicide to a Life of Purpose and Joy
Dr. P. Murali Doraiswamy, a professor of psychiatry at Duke University’s school of medicine, added that the military is one of the few remaining institutions that punishes those who seek help in that way.
“We have more than three decades of experience now with antidepressants,” said Doraiswamy. “There’s no evidence whatsoever to indicate that it impairs performance. … If anything, it’s the reverse.”
Sullivan, who represents a state with one of the highest rates of #depression, said his office is working to address some of these institutional policies in the 2023 National Defense Authorization Act. Such moves, Bryan said, will do more to help service members’ lives than other #suicideprevention efforts.
“We do not need more awareness curriculum, more resilience trainings, more #suicideprevention briefings, more #suiciderisk screening,” Bryan said. “We need to eliminate or remove policies, procedures, and unwritten rules of thumb that degrade quality of life, that strain the #mentalhealthcare system, and increase the use of coercive and potentially harmful practices. #Suicideprevention doesn’t mean that everyone needs to be conducting suicide risk screenings and repeatedly imploring service members to go get #mentalhealthcare. Rather, it means we should be working everyday to create lives that are worth living.”
James Donaldson is a Washington State University graduate (’79). After an outstanding basketball career with WSU, he went on to play professional basketball in the NBA with the Seattle Supersonics, San Diego/L.A. Clippers, Dallas Mavericks, New York Knicks, and Utah Jazz. He also played for several teams in the European Leagues in Spain, Italy, and Greece, and he toured with The Harlem Globetrotters to wrap up his career. James was an NBA All-Star in 1988 while playing center for the Dallas Mavericks. In 2006, James was inducted into the Pac-10 Sports Hall of Fame and also the Washington State University Athletic Hall of Fame. In 2010, James was elected as a board member for the NBA Retired Players Association.
James frequently conducts speaking engagements (motivational, inspirational, educational) for organizations, schools, and youth groups.
In 2010, James was the recipient of the NBA Legends of Basketball ABC Award, awarded for outstanding contributions in Athletics–Business–Community.
He believes in being a role model for success and professionalism to the scores of young people to whom he devotes so much of his time. He currently serves on several boards and committees and is a member of many organizations.
James believes in developing relationships that create a “Win-Win” environment for everyone involved, and in being the best he can be!
For more information about James Donaldson or to request he speak at your event, contact him at:
www.StandingAboveTheCrowd.com
JamesD@StandingAboveTheCrowd.com
1-800-745-3161 (voicemail & fax)
James Donaldson is the author of “Standing Above The Crowd” and “Celebrating Your Gift of Life” and founder of the Your Gift of Life Foundation which focuses on mental health awareness and suicide prevention, especially pertaining to our school aged children and men.
If you’re interested in having James come and speak to your group of young adults, business entrepreneurs, aspiring political and community leaders, and athletic teams, please contact him at jamesd@yourgiftoflife.org and or leave a personal message for him at 1-800-745-3161. Keep up with him and read about how he is reaching out and making a difference in the lives of so many around the world at www.yourgiftoflife.org
