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Vermont National Guard to expand outreach program for soldiers
(February 2008 Issue)

By Ami Albernaz

A $3 million grant received by the Vermont National Guard will expand an outreach program that may serve as a model for the rest of the country in helping soldiers returning from Iraq and Afghanistan. The grant, announced in November, will help Guard members broaden access to mental health counseling and therapy for traumatic brain injury stemming from soldiers' tours of service.

"At a time when returning soldiers across the country are suffering from extremely high rates of posttraumatic stress disorder and traumatic brain injury, we are trying to develop a model outreach program which connects service members and their families who need assistance to programs that can provide help," US Sen. Bernie Sanders, (I-Vt), who advocated for the funds, said in a statement. "We all know that service members and their families, especially those from the National Guard and Reserves, often are not aware of the services and benefits available to them or do not know how to access them. This program provides some of that education."

The grant should go a long way in enabling much-needed services at a time when Guard counselors are tasked with helping returning soldiers adjust to civilian jobs, says Colonel John Coffin, M.S., a National Guard psychologist. It will increase from five to nine the number of outreach workers informally called "door knockers," who check in on Guard members after they have had time to re-acclimate to life back home.

The money will also help the Guard provide evaluation and therapy to soldiers suffering traumatic brain injury (TBI). Some surveys have indicated that as many as 10 to 20 percent of returning soldiers might have suffered a brain injury of some sort.

"This is a TBI war, one in which people's heads have been banged around more than any other conflict," Coffin says, citing improvised explosive devices as one major cause. "Many people have symptoms that are rather unique in a way that we don't have experience dealing with."

The Guard is working with the state's Veterans Affairs centers to set up evidence-based therapy programs for improving brain functioning. It also plans to increase the number of TBI specialists in the state. Currently, the VA Medical Center in White River Junction has one half-time doctor and some therapists for brain injury cases, Coffin says.

As some of its returned members anticipate returning overseas, the Guard hopes to bolster psychological and case management services for those who are redeployable. "We're working hard to see who's available for mobilization again and what kind of shape they're in," Coffin says. "We're trying to guide soldiers to the correct resources and to make it easier for partners and families of deployed soldiers to get services."