Mental Illness No Bar to Military Service

One step forward and two steps back:

U.S. military troops with severe psychological problems have been sent to Iraq or kept in combat, even when superiors have been aware of signs of mental illness, a newspaper reported in its Sunday editions.

The Hartford Courant, citing records obtained under the federal Freedom of Information Act and more than 100 interviews of families and military personnel, reported numerous cases in which the military failed to follow its own regulations in screening, treating and evacuating mentally unfit troops from Iraq.

In 1997, Congress ordered the military to assess the mental health of all deploying troops. The newspaper, citing Pentagon statistics, said fewer than 1 in 300 service members were referred to a mental health professional before shipping out for Iraq as of October 2005.

Twenty-two U.S. troops committed suicide in Iraq last year. That number accounts for nearly one in five of all noncombat deaths and was the highest suicide rate since the war started, the newspaper said.

The paper reported that some service members who committed suicide in 2004 or 2005 were kept on duty despite clear signs of mental distress, sometimes after being prescribed antidepressants with little or no mental health counseling or monitoring. Those findings conflict with regulations adopted last year by the Army that caution against the use of antidepressants for "extended deployments."

Although Defense Department standards for enlistment disqualify recruits who suffer from post-traumatic stress disorder, the military also is redeploying service members to Iraq who fit that criteria, the newspaper said.

Here is the Army's "top mental health expert" on why men and women with clear signs of severe depression, post-traumatic stress disorder, suicidal ideation, or all of the above, are being sent to Iraq anyway, or kept there instead of being sent home:

... Col. Elspeth Ritchie, the Army's top mental health expert, and other military officials said they believe most commanders are alert to mental health problems and are open to referring troubled soldiers for treatment.

Ritchie acknowledged that some deployment practices, such as sending service members diagnosed with post-traumatic stress syndrome back into combat, have been driven in part by a troop shortage.

"The challenge for us ... is that the Army has a mission to fight. And, as you know, recruiting has been a challenge," she said. "And so we have to weigh the needs of the Army, the needs of the mission, with the soldiers' personal needs."
[...]
Maj. Andrew Efaw, a judge advocate general officer in the Army Reserves who handled trial defenses for soldiers in northern Iraq last year, said commanders don't want to send mentally ill soldiers into combat.

"But on the other hand, [the commander] doesn't want to send a message to his troops that if you act up, he's willing to send you home," Efaw said.

So let me get this straight: The Army is sending mentally ill soldiers into combat because they are faking it. And because the Army does not know how to distinguish soldiers who are suicidal and suffering from severe depression or PTSD from soldiers who are "acting crazy" so they can have an excuse to go home.

Maybe the Army's "top mental health expert" needs to go back to school.