Showing posts with label DOD. Show all posts
Showing posts with label DOD. Show all posts

Wednesday, July 18, 2012

A Wounded Warrior Parent Caregiver - One Perspective


I am the Parent Caregiver of a Wounded Warrior.  This blog is written and directed to those in charge of the Wounded Warrior service programs, the hospitals, the care teams, the Department of Defense, and the Department of Veteran Affairs, referred to here as “you” or the System.  Thank you for your consideration of our experiences.

The Experience

As parent Caregivers in the greater Washington, D.C. area, we help assist in the recovery of our Wounded Warrior children. Our group comes from the old Walter Reed, Bethesda, Ft. Belvoir, and Ft. Meade facilities.

We have issues that spousal caregivers do not have and we are tired and frustrated by the continued lack of communication by the service branches, DoD, VA, and our care teams to address them. (Note that we stand by our fellow caregivers, all, but bring our specific needs to light here.)

As Parent Caregivers, our issues are many, but here are a few we want to share:

1) Healthcare is not readily available (or communicated if available) since we are not a dependent of a service member. We are civilians thrown into a maze of military bureaucracy.

2) Badly need mental health support groups are nonexistent to help parents cope with their unique issues.

3) Unilateral decisions are made by Triads about Wounded Warriors without input or consulting with Caregivers or family members who live with them 24/7.

4) NMA (Non-Medical Attendant) orders are stopped without notification. As a spouse, when NMA orders are stopped, you can continue to care for your warrior and receive benefits or a spouses’ paycheck. However, as a parent - when your small daily stipend ends, there is no means of support while you continue to advocate for your child.  

5) We receive no feedback on warrior or life issues. When we raise our legitimate questions in meetings, there is no mechanism of feedback. And when we follow up, no one provides answers or resolution to the questions. Clinical retaliation often follows, however.  Suddenly, our warriors have medical appointments cancelled, their benefit ratings threatened, or their activities are suddenly halted or forbidden if we continue to ask for help.

6) Personal outside expenses continue to mount. Mortgages don’t go away, nor do utilities, car/health insurance premiums or taxes. We must dip into savings or 401Ks (if we have them) to supplement the small stipends given.

7) Most of us have lost our careers or jobs. Our majority is not covered by the Family Medical Leave Act (FMLA). (FMLA pertains to companies with 50 or more employees offering six months’ non-paid leave). Warriors who suffer catastrophic injuries require years of rehabilitation.

With lost jobs comes lost buying power, and loss of hopes of re-building our savings/retirement for the future.

8) Where are our employment opportunities?  As Care.com put it last week, I guess we could run errands or make gift baskets as they suggested to military spouses, but we were and still are professionals, many holding degrees (bachelor/masters/Ph.Ds, JDs) in a poor job market. Jobs in many of our communities are non-existent.

How much more do you want? 

Our children answered the call to perform a patriotic duty that 99% of other Americans do not answer. They swore an oath of allegiance to defend this country because of their belief in it and what it represents to them. 

And when they were critically injured doing their jobs, you sent them back home asking family members (civilians) to step in to help take care of them. 

We rushed to their bedsides, and did everything in our power to take care of the horrific injuries of our children. We were asked to sacrifice and we did so without complaint. We changed bandages, gave shots, cleaned them, fed them and administered drugs to ease their pain. We teach them to walk, talk, and read again, and to feel valued again.

But somewhere along the way, the System turned on us. We, the parents, unselfishly gave up our time, jobs, friends and families back home. We did not know what was expected of us, were never trained to manage injuries, had no plan or communication to understand what we faced, yet we worked 24/7 by the bedside of our children nursing them back to health.

We watched them suffer the pain of operation after operation and go through the excruciating pain of physical therapy.  We witness their Invisible Injuries of PTSD and TBI. We suffer in our hearts, minds and alongside them.

Here are the realities:

You are worried about suicide? Well, so are we. First, we need mental health help even as we provide the psychological encouragement to our children and to your warriors, needed to overcome the tough times. We have continued to fight the System on their behalf for medical and psychological treatment. We worked hard and never complained. Yet we felt abused and used by a System that didn’t care about our recovering Wounded Warriors or us. See the May 28, 2012, Newsweek article, “We Pretend the Vets Don’t Even Exist,” for a glimpse of what’s happening to our soon-to-be Veterans in the civilian world.

You encourage support of Invisible Injuries. Well, we were there to comfort our children and your warriors when you paraded them in front of the public to show our “heroes” and their visible war injuries. We are here when you no longer needed them because they don’t still show some of the ravages of war as they healed.  We have watched while the top leadership of this country looked directly at our warriors and then walk past them to a service member who had a Visible Injury.  The emotional injury to a warrior who feels their leadership deems them unworthy of recognition because their injury is invisible is deep.  If you don’t acknowledge PTSD or TBI, how do you expect the civilian world to?

The System talks of listening to our needs in order to develop supportive programs. Yet, we were and are ignored. As parents, we have had many years of real world and life experiences (from birth to death) to share. Instead, we have been dismissed, intimidated, bullied, and told to “stop whining”, and are now being labeled as “malingerers” as we speak up against the broken System.  Really? Well, we are tired of you not listening.

We have tried working through the Chain(s) of Command as instructed to do so. And, we have only found frustration and lack of accountability. There is very little to no communication with you. We have formed our own network, so we can learn from each other. We care about our children unconditionally and demand fair and equal treatment for them. Yet you dismiss our concerns.

You, the System have abused your power and have used us. You made us live in some of the most unimaginable living conditions in the past and under the stress of your constant demands and demeaning comments.

We are now starting to see high rates of suicide daily that will only escalate.  One suicide a day in 2012!  How many lives will this experience have changed, and that no study can ever measure? As Caregivers, we watch and evaluate your performance and interactions daily.

In summation, you are not meeting the needs of our Wounded Warriors with the overburdened and bureaucratic system of medical care provided. It appears you are not focused on the Wounded Warriors or families. It also appears that your focus is to move our Wounded Warriors through the DoD system as quickly as you can even if it means not completing their medical treatment. It then appears that your focus is to dump them into the equally or even more broken VA medical system. Thus, the burden of care is kept on the family members who have already sacrificed so much.

As for our Wounded Warriors, you have abandoned them along with the values that you supposedly purport. The words once etched in the walls of the old Walter Reed Army Medical Center have no meaning when it comes to our Wounded Warriors’ medical treatment:  loyalty, duty, respect, self-less service, honor, integrity, and personal courage.

For shame…

Parent Caregiver of OIF/OEF Warrior

Friday, February 3, 2012

White House Caregiver Event

Greetings!

On Monday, January 30th, we were privileged to join the First Lady at the Department of Labor as she announced proposed extended benefits to Caregivers of the nation’s wounded, ill, or injured service members and veterans.  Many Caregivers and vets from VeteranCaregiver were present, as well as many of the Caregivers and service members we assist at Bethesda.  To have these amazing Caregivers in one room together was a rare opportunity for face to face camaraderie! 

Caregiving is not sexy. The role of Caregivers is very hard to define to the general public.  It is not a photo op with a service dog or a golf tournament.  It is instead, a quiet, relentless, worthy, and necessary adjunct to recovery for our service members and veterans.  It takes courage, passion, strength of purpose, and grit to navigate the complex medical system, and to advocate and coordinate efforts for their family member every single day.  The recovery continuum is unimaginable without Caregivers.

This event signified the importance and priority of Caregivers in a quiet, but powerful way by the attendee list, and joining the First Lady were: 

-      The Secretaries from the Departments of Defense, VA, and Labor
-      The Secretaries of the Army, Navy, and Air Force, and
-      The Chairman of the Joint Chiefs and all the members of the Joint Chiefs of Staff.

Specifically, the First Lady spoke of a proposed rule to extend the Family Medical Leave Act (FMLA) to qualifying family members of veterans dealing with a serious injury or illness for up to five years after leaving the service.  This is a change from supporting only family members of “currently serving” service members.  This proposed rule would also cover those in the regular armed forces instead of the current entitlement for only those in the Guard or Reserves.  And, addressing one of the most critical challenges facing Caregivers, Mrs. Obama also spoke of new programs to address critically high unemployment among Caregivers and veterans by announcing 14 hiring fairs with the Chamber of Commerce, including one to be held at Bethesda.

Caregiving defines love in new ways under new circumstances.  And, most Americans are completely unaware of the significant, vital role that Caregivers fulfill day in and day out.  We hope that this event will be the beginning of recognition of the essential role of Caregivers to our service and veteran families.  As always, honor and praise go to all Caregivers, you are recognized daily by this VCG Community!

Very respectfully,

Linda 

Friday, November 11, 2011

VA and DoD Caregiver Program Update

Here is the latest information directly from VA and DoD staff yesterday on the status of the VA Caregiver Program and the DoD Recovery Care Coordinators (RCC’s) for you:

The Veterans Caregiver Program now:
-   To date, 1,884 Primary Caregivers are assigned and receiving stipends
-   $10.7MM have been distributed to date
-  Caregivers are 69% spouses, 9% parents, and 22% Other
-   The age distribution is 28% 26-40yrs, 34% 41-64yrs, and 34% >65yrs
-   Caregiver Website has 868 hits/day, 2.9 page views/user for 2077 page views/day
-  Caregiver Helpline has taken 19,000 calls to date equaling 150 calls/day
-  Caregiver Support Coordinators are assigned to 153 VA facilities as clinical experts for CG’s
-  CG Coordinators’ role is to “Ensure Caregiver sensitivity into all VA programs”

The Caregiver Education and Training components by VA and Easter Seals have distributed 2,000 Handbooks (77 of them in Spanish), held 21 two-day trainings, and of the 100 Caregivers trained, 76 completed both days of training.  Six hundred fifty (650) Caregivers have taken the online training, with 544 completions.   Education and training was not originally designed to be disease/condition specific, but beginning in the summer of 2012, modules will be begin to be released for PTSD, then dementia, spinal cord injury, and TBI.  A Peer Support Mentoring Program will be rolled out in January for Caregivers of all eras, with mentor training and ongoing support for this new role.

Federal Recovery Coordinators have grown to 55 strong, and the Caregiver Program and the FRC/RCC programs are physically on the same floor at VACO which enhances the collaborative effort.  The Washington Post is conducting interviews this week regarding the DoD/VA efforts to support transition.

On the DoD side of the continuum of care:
-   Recovery Care Coordinators (RCC’s) are made available and/or assigned to wounded warriors
-   Of those in the program, 122 of the 188 service members are Marines.  It is anticipated the Army will soon grow their numbers and participation.
-  Army currently has 14,280 in the WTU nationwide with a cadre of 4,000 support staff.  Of the 14,280, 10,000 soldiers are Reservists.
-  The WTU has ensured that “the family aspects are well taken care of”

We’ll pass on fresh information as it is provided.

VeteranCaregiver Team


Thursday, August 18, 2011

Have You Experienced 'The Shrug'?

Greetings, friends,

If actions speak louder than words, it appears the road ahead is rocky indeed. However, there IS hope if we persist in idea exchange and candid communication.

In this context, The Shrug is the non-verbal equivalent of "whatever". Every example below comes directly from VCG families.  Do you recognize any of the following examples of The Shrug as you've traveled the Care Continuum? 


You're a caregiver for an active duty service member (DoD side) and after a year, you don't have a stable Triad, you are chastised for missing appointments you didn't know about, and you work to dress your soldier with severe pain and depression for morning formation, and when you ask why? Shrug.

As the Caregiver, you're moving into the rehabilitation phase of the service member's injury. You have no Comprehensive Care Plan, your daily load is very heavy, and you're living at the hospital/medical center with your spouse, adult child, sibling. You may be a single service member and you lack a Caregiver to advocate for you and your visible and invisible injuries. Both of you ask for help or resources that don't function as the brochure, website, or briefing said they would. Shrug.

As the Caregiver, you're trying to make ends meet, you've lost your job (by email), the household bills don't stop, and you're full-time caregiving while living away from the home you're trying to keep, children who need to start school in a week, and you ask for assistance. Very little exists unless you fit a particular set of circumstances for a specific NPO. Shrug. If you are in the DC area, also get ready to move with your service member to a new facility where you begin anew and now need to carry a map along with the new staff. Shrug.

As the Caregiver, you're finally home and in the VA system, your Vet has serious medical and emotional conditions and you know you cannot work, nor are you finding it smoother to communicate with the new medical professionals at the VA Medical Center. You're still requesting a Comprehensive Care Plan... You are now an expert at leaving voicemail and writing succinct emails. Shrug. The bills continue to mount, the ratings and funds are greatly delayed, your family wonders why you put up with your spouse or child's now-unfiltered behavior (PTSD/TBI), and your neighbors forgot you after the welcome home cookout. Shrug.

As the Caregiver, you're home after a serious suicide attempt by your Vet, you have sheltered your children or other family, but now those invisible wounds of war are exposed -- and you're really very scared and scarred yourself. Your calls to various coordinators are not returned for many days and when they are, they are either unable to assist or cannot until/unless you fill out more or duplicative paperwork. HIPAA is used as a barrier when you hold the medical and general POA's for your Vet. The helplines you call refer you to your local facilities, but you've already been down that road, or why would you call them? Shrug.

Continuing on, your Veteran is angry and depressed at the caregiving toll on you. Or, the Vet could also be angry with you for not making their world what it once was. (BTW, no one could ever fit in those tight shoes...) Personal counseling is impossible to schedule with your caregiving responsibilities, though you now feel as though you have secondary PTSD/anxiety/depression. Your world is closing in on you and you're merely coping, numb, or ready to quit. You have enlisted a good VSO, your state Dept. of VA, and your U.S. Senator and Congressman, and the machinations still go in a circle. You are adrift, feel overwhelmed, a wee bit furious, and very, very exhausted. Shrugs aplenty.

You're a single Veteran and you have done your level best to find a way to quietly obtain information, care, and resume your life to the best of your ability. You advocate for yourself and you feel isolated and forgotten. You may have experienced MST, homelessness, loss of your buddies, your ability to return to work or school, and you aren't sure who you really are anymore. Unreturned calls, ignored pleas for help, and a shrunken world only reinforce your perception of being "disposable". Shrug?

Most of life's successes result from great communication. So too the worst failures.

Let's replace The Shrug with respectful, two-way communication and understanding, shall we?  With open minds, logic, and compassionate care, this change is very possible.  Here's working toward that change together!

Linda