EXECUTIVE ORDER
IMPROVING ACCESS TO MENTAL HEALTH SERVICES FOR VETERANS, SERVICE
MEMBERS, AND MILITARY FAMILIES
There have many stories on how veterans have been “helped” by the VA
and other hospitals. It’s the kind of help no one wants.
Mr. Obama wants to see by the end of this year, a full 50% increase in
Veteran Crisis Line employees. And the funny thing about governments,
they want to see a return on investment. Even if they are running at a
loss.
Further, veterans can let someone know they are having problems by
using insecure means of communication such as phone texts and online
chats.
Sec. 2. Suicide Prevention. (a) By December 31, 2012, the Department
of Veterans Affairs, in continued collaboration with the Department of
Health and Human Services,shall expand the capacity of the Veterans
Crisis Line by 50 percent to ensure that veterans have timely access,
including by telephone, text, or online chat, to qualified, caring
responders who can help address immediate crises and direct veterans
to appropriate care.
Further, the Department of Veterans Affairs shall ensure that any
veteran identifying him or herself as being in crisis connects with a
mental health professional or trained mental health worker within 24
hours. The Department of Veterans Affairs also shall expand the number
of mental health professionals who are available to see veterans
beyond traditional business hours.
The government will also being hiring 2,400 counselors and mental
health professionals, many who would start at about $80k a year, and
would pay off the new employees’ student loans to make this all
happen. Student loans for such professionals would range between
$150,000 to $200,000.
Sec. 4. Expanded Department of Veterans Affairs Mental Health Services
Staffing. The Secretary of Veterans Affairs shall, by December 31,
2013, hire and train 800 peer to peer counselors to empower veterans
to support other veterans and help meet mental health care needs. In
addition, the Secretary shall continue to use all appropriate tools,
including collaborative arrangements with community based providers,
pay setting authorities, loan repayment and scholarships, and
partnerships with health care workforce training programs to
accomplish the Department of Veterans Affairs’ goal of recruiting,
hiring, and placing 1,600 mental health professionals by June 30,
2013.
But the real issue at hand here is one that is generated by the VA
themselves, and not through the “moral weakness” of the veteran.
Suicide is a very serious issue. There are very few people who have
not been affected by a suicide by a family member, friend, or
acquaintance. But many suicides by veterans are preventable.
In a 2004 study (Carr, Hoge, Gardner, & Potter, 2004) it was found by
reviewing non-official records that there were 17% more military
suicides and 4% more military deaths that were suspicious for suicide
than what was reported in the official records. Deaths apparently
hidden to hide a serious problem.
And the media does not help the matter. A 2011 study(Edwards-Stewart,
Kinn, June, & Fullerton, 2011) found that the media violated
established guidelines in nearly all of the 240 reviewed stories from
15 different sources. Stories of suicides by US Service Members
included “more pejorative language and discussion of failed
psychological treatment. Conversely, civilian articles romanticized
the victim and provided more details regarding the suicide.”
A 2012 Study (Hyman, Ireland, Frost, & Cottrell, 2012) showed that:
“Additional research needs to address the increasing rates of suicide
in active duty personnel. This should include careful evaluation of
suicide prevention programs and the possible increase in risk
associated with SSRIs and other mental health drugs, as well as the
possible impact of shorter deployments, age, mental health diagnoses,
and relationship problems.” Emphasis added.

Feeding the veteran’s mental health problem is the VA themselves. It
has been reported since before 2006 that antidepressants, the “Go To”
drug for suicide prevention, have caused people to commit suicide. The
Food and Drug Administration noted in September 2004 that such drugs
may increase suicidal thoughts or behaviors in children and teenagers.
The human brain does not stop developing until middle age. Well within
the age ranges to be affected by antidepressants provided after being
discharged by the military and provided help by the VA.
The drugs on the list that have been shown to increase suicidal
tendencies include:
Celexa (citalopram)     Effexor (venlafaxine)   Lexapro (escitalopram)
Luvox (fluvoxamine)     Paxil (paroxetine)      Prozac (fluoxetine)
Remeron (mirtazapine)   Serzone (nefazodone)    Wellbutrin, Zyban
(bupropion)
Zoloft (sertraline)
Of these, only Lexapro, Luvox, and Serzone are not in the current VA
drug formulary. Bupropion is the first line smoking cessation
medication used by VA and civilian doctors as well.
Celexa has a dirty and questionable past. It was revealed in 2011
Forest Pharmaceuticals paid the principal investigator of a federally
funded antidepressant drug study to fix the results in favor of
Celexa.
But the most amazing part of all this is the VA insistence that
antidepressants are safe. From the study (Gibbons, Brown, Hur, Marcus,
Bhaumik, & Mann, 2007):
CONCLUSIONS: These findings suggest that SSRI treatment has a
protective effect in all adult age groups. They do not support the
hypothesis that SSRI treatment places patients at greater risk of
suicide.
The President wants to help veterans. The best way he can is to cancel
this order, and demand that Veterans are provided more cognitive
therapy and less medication. And leave office.

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