Southeast Kentucky Behavioral Health, LLC
Supporting Veterans and Their Mental Health: A National Responsibility

Veterans have served their country with dedication and, upon returning to civilian life, often face numerous challenges that require our support and understanding. Many veterans experience significant mental health issues, including post-traumatic stress disorder (PTSD), depression, anxiety, and substance use disorders. These challenges can hinder their ability to reintegrate into civilian life and maintain relationships, employment, and a healthy lifestyle. Recognizing the mental health needs of veterans and implementing effective support strategies is crucial for honoring their service and supporting their well-being.

The Mental Health Landscape for Veterans

Veterans are at a higher risk of mental health issues compared to the general population. A report from the U.S. Department of Veterans Affairs (VA) indicated that approximately 11-20% of veterans who served in Iraq and Afghanistan suffer from PTSD in any given year, and the prevalence is even higher among those who served in the Vietnam War (U.S. Department of Veterans Affairs, 2022). Additionally, veterans are at an increased risk for depression, anxiety, and substance abuse issues, with research suggesting that over 25% of veterans experience symptoms related to depression and other mood disorders (Hoge et al., 2004).

A primary cause of these mental health challenges is the exposure to trauma and high-stress situations during service. Repeated exposure to combat, violence, and injury can leave lasting psychological scars that are difficult to heal. This stress may also exacerbate pre-existing mental health issues, making it even more difficult for veterans to transition back to civilian life.

Barriers to Mental Health Care for Veterans

While the VA and other organizations offer resources for veterans, barriers to accessing mental health care persist. According to the RAND Corporation, veterans may face significant obstacles, such as long wait times for appointments, stigma surrounding mental health, and a lack of providers who understand military culture (Tanielian et al., 2018). This stigma can prevent veterans from seeking help, as they may feel that mental health challenges are a sign of weakness or that others will not understand their experiences.

Rural veterans often face additional obstacles due to the lack of nearby mental health resources. Research has shown that nearly a quarter of all veterans live in rural areas, where specialized mental health services may be limited (Weeks et al., 2008). Telemedicine and virtual counseling have helped bridge some of these gaps, but there remains a need for more accessible, culturally informed care tailored to the unique needs of veterans.

Strategies for Supporting Veterans’ Mental Health

  1. Increasing Access to Mental Health Services:
    Expanding mental health resources specifically tailored for veterans is essential. The VA and other organizations are implementing initiatives to reduce wait times, increase the availability of telehealth services, and provide alternative therapies, such as art therapy, music therapy, and mindfulness practices (U.S. Department of Veterans Affairs, 2022). Community-based programs can also provide veterans with accessible care, particularly in rural areas.
  2. Building a Community of Support:
    Peer support programs can be highly effective for veterans, as they allow veterans to connect with others who have had similar experiences. Programs like the Veterans Crisis Line and the VA’s Peer Support program connect veterans with trained peers, who provide support, understanding, and guidance. Research suggests that peer support reduces PTSD symptoms and increases veterans’ willingness to seek help (Resnick et al., 2012).
  3. Reducing Stigma through Public Awareness:
    Public awareness campaigns can play a crucial role in reducing stigma around veterans’ mental health issues. Campaigns should focus on educating both veterans and the general public about the commonality of mental health challenges, emphasizing that seeking help is a sign of strength. The VA’s “Make the Connection” campaign is an example of an initiative aimed at reducing stigma and encouraging veterans to pursue mental health treatment (U.S. Department of Veterans Affairs, 2022).
  4. Encouraging Family Involvement and Support:
    Family members can be a crucial source of support for veterans dealing with mental health issues. Programs that educate family members about PTSD, depression, and other mental health conditions can equip them to support their loved ones effectively. Involving families in therapy sessions can also create a support network that extends beyond formal mental health services, which may improve outcomes for veterans (Monson et al., 2006).
  5. Employment and Reintegration Support:
    Meaningful employment can significantly impact veterans’ mental health and quality of life. Programs like the VA’s Vocational Rehabilitation and Employment services provide veterans with job training, career counseling, and job placement assistance, helping veterans reintegrate into civilian life (U.S. Department of Veterans Affairs, 2022). Research shows that veterans who find stable employment report higher levels of satisfaction and mental well-being (Resnik et al., 2012).

A Call to Action

Supporting veterans’ mental health is not only a moral duty but also a way to ensure the well-being of individuals who have made profound sacrifices. By addressing the barriers veterans face in accessing mental health care, expanding peer support networks, reducing stigma, and providing employment and family support, society can help veterans lead healthier and more fulfilling lives. Moreover, these actions honor their service by providing the respect, care, and compassion they deserve.

We must continue to advocate for policies that support veterans’ mental health, fund research into effective treatments, and raise public awareness about the unique challenges veterans face. Providing veterans with the resources and support they need to thrive is one of the most meaningful ways we can repay them for their service and dedication to our country.

This article has been written by John S. Collier, MSW, LCSW. Mr. Collier has over 25 years of experience in the social work field and is based in London Kentucky through Southeast Kentucky Behavioral Health, LLC. Mr. Collier may be reached by phone at (606) 657–0532 extension 101 or by email at john@sekybh.com.


References

Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351(1), 13-22.

Monson, C. M., Schnurr, P. P., Stevens, S. P., & Guthrie, K. A. (2006). Cognitive-behavioral conjoint therapy for PTSD: Pilot results from a community sample. Journal of Traumatic Stress, 19(3), 289-299.

Resnick, S. G., & Rosenheck, R. A. (2012). Integrating peer-provided services: A quasi-experimental study of recovery orientation, confidence, and empowerment. Psychiatric Services, 63(6), 541-547.

Tanielian, T., Jaycox, L. H., & RAND Corporation. (2008). Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery. RAND Corporation.

U.S. Department of Veterans Affairs. (2022). PTSD: National Center for PTSD. https://www.ptsd.va.gov

Job Opportunity: Person-Centered Coach 

Number of Positions Available: 2

Locations:   Richmond/Lexington Kentucky, and London/Corbin Kentucky 

Organization:  Southeast Kentucky Behavioral Health

Division:  Supports for Community Living Division

Job Summary: 

A Person-Centered Coach is responsible for providing direct support and individualized coaching to adults with developmental and/or intellectual disabilities in the Supports for Community Living (SCL) Waiver Program. The role focuses on promoting independence, community involvement, and self-direction, while adhering to the guidelines of Kentucky Administrative Regulations.

Key Responsibilities:

  • Develop and implement individualized person-centered plans, ensuring that the goals, preferences, and needs of each individual are respected and supported.
  • Provide coaching and guidance to assist individuals in achieving greater independence in daily activities such as personal care, social interactions, and decision-making.
  • Support individuals in accessing community resources, employment opportunities, and recreational activities to promote inclusion.
  • Work collaboratively with individuals, families, and the care team to monitor progress and adjust support plans as needed.
  • Document services and progress according to Kentucky Administrative Regulations and organizational policies.
  • Ensure that all services are provided in compliance with regulatory requirements, including health and safety standards.
  • Advocate for the rights and preferences of the individuals being served, promoting self-determination and choice.
  • Participate in training sessions to stay up to date on best practices and state regulations related to the SCL Waiver Program.
  • Assist in problem-solving, crisis management, and conflict resolution, ensuring a supportive environment for individuals.
  • Facilitate skill-building activities designed to enhance individuals’ capabilities in various areas of life, such as independent living, employment, and social engagement.

Qualifications:

  • Education: High School Diploma or GED (required).
    • Experience: A minimum of 1 year of experience working with adults with developmental and/or intellectual disabilities is required. (Previous Experience as a PCC preferred but not required)
    • Skills:
      • Basic understanding of person-centered care practices. Strong interpersonal and communication skills. Compassionate and patient with a focus on empowering individuals. Ability to work independently and as part of a support team.
      • Organizational skills and attention to detail for documentation and reporting.

  Certifications & Training:

  • Must complete any required person-centered training courses as stipulated by Kentucky Administrative Regulations within 6 months of hire.
    • First Aid/CPR certification (preferred but not required upon hire; can be obtained after).

Working Conditions: 

The Person-Centered Coach will work in community-based settings such as homes, workplaces, and other local facilities. Occasional travel within Kentucky may be required. Flexible working hours, including some evenings and weekends, may be necessary based on the individual’s needs.

Wage/Salary

This position at this time is a part time position leading up to 30-34 hours a week.  Beginning pay starts at 12.00

Regulatory Compliance: 

This role must comply with the Kentucky Administrative Regulations related to the SCL Waiver Program (e.g., 907 KAR 12:010 and 907 KAR 1:145), including requirements for service delivery, documentation, and the protection of individual rights.TO APPLY, email the organization at Apply@sekybh.com or call the office at (606) 657-0532.

Navigating the Transition: How Men Can Use Ways to Cope with Adjusting to Life After Retirement

Retirement marks a significant milestone in a man’s life, signaling the end of a long and fulfilling career and the beginning of a new chapter filled with opportunities for leisure, personal growth, and exploration. While retirement can bring about a sense of freedom and relaxation, it can also present challenges as men adjust to a life without the structure and routine of work. Just as Ways helps drivers navigate unfamiliar roads, men can utilize strategies and tools to help them navigate the transition to retirement successfully. Each topic in this article will spark a new article each week in this series on men “Navigating the Transition”

1.  Set New Goals and Priorities: 

Similar to setting a destination in Waze, men should establish new goals and priorities for their retirement years. Whether it’s pursuing a long-held passion, traveling to new destinations, or spending more time with family and friends, having clear goals can provide a sense of direction and purpose in retirement.

2.  Create a Routine

Retirement can disrupt the daily routine that many men are accustomed to during their working years. Establishing a new routine can help create structure and stability in retirement. Setting aside time for exercise, hobbies, social activities, and relaxation can help men adjust to their new lifestyle and maintain a sense of balance.

3.  Stay Socially Connected:

Social connections play a crucial role in mental and emotional well-being. Just as Ways provides real-time updates and traffic information, staying connected with friends, family, and community groups can help men navigate the social landscape of retirement. Joining clubs, volunteering, or participating in group activities can provide opportunities for social interaction and support.

4.  Explore New Opportunities:

Retirement offers a unique opportunity for men to explore new interests and experiences. Just as Ways suggests alternative routes, men should be open to trying new things and stepping outside their comfort zone. Whether it’s learning a new skill, volunteering for a cause they are passionate about, or embarking on a new adventure, embracing new opportunities can enrich their retirement years.

5.  Manage Finances Wisely:

Financial planning is essential for a smooth transition into retirement. Men should review their financial situation, create a budget, and make informed decisions about their retirement savings and investments. Seeking guidance from a financial advisor can help men navigate the financial aspects of retirement and ensure their financial security in the years ahead.

6.  Prioritize Self-Care:

Taking care of one’s physical and mental health is crucial during the retirement years. Just as Ways helps drivers reach their destination safely, men should prioritize self-care activities such as exercise, proper nutrition, adequate sleep, and stress management. Engaging in activities that promote well-being can help men maintain their health and vitality in retirement.

Adjusting to life after retirement is a significant transition for men that requires careful planning, adaptability, and a willingness to embrace new experiences. By utilizing strategies and tools like Ways to navigate the challenges of retirement, men can successfully transition into this new phase of life with confidence and purpose. Retirement is not the end of the road but a new beginning—a time to explore, grow, and enjoy the journey ahead.

This article has been written by John S. Collier, MSW, LCSW. Mr. Collier has over 25 years of experience in the social work field and is based in London Kentucky through Southeast Kentucky Behavioral Health, LLC. Mr. Collier may be reached by phone at (606) 657–0532 extension 101 or by email at john@sekybh.com.

Sources:

  1. Ryan, R. (2019). Retirement reinvention: Make your next act your best act. McGraw-Hill Education.
  2. Zelinski, E. J. (2019). How to retire happy, wild, and free: Retirement wisdom that you won’t get from your financial advisor. Ten Speed Press.
  1. Journal of Aging & Social Policy. (n.d.). Retrieved from https://www.tandfonline.com/journal/wasp20
  2. The Gerontologist. (n.d.). Retrieved from https://academic.oup.com/gerontologist
  1. AARP. (n.d.). Retrieved from https://www.aarp.org
  2. National Institute on Aging. (n.d.). Retrieved from https://www.nia.nih.gov
  1. Society of Behavioral Medicine. (n.d.). Retrieved from https://www.sbm.org
  2. American Psychological Association. (n.d.). Retrieved from https://www.apa.org
  1. Employee Benefit Research Institute. (2022). The retirement transition: Insights and strategies. Retrieved from https://www.ebri.org
  2. Psychology Today. (2023). Adjusting to retirement: Psychological perspectives. Retrieved from https://www.psychologytoday.com
  3. U.S. Department of Health & Human Services. (n.d.). Retrieved from https://www.hhs.gov