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 <subject>Health care services</subject>
 <subject>Mental health care services</subject>
 <subject>Veterans</subject>
 <subject>Veterans benefits</subject>
 <subject>Mental illnesses</subject>
 <subject>Warfare</subject>
 <subject>DOD Operation Iraqi Freedom</subject>
 <subject>Operation Enduring Freedom</subject>
 <subject>Post-Traumatic Stress Disorder</subject>
 <subject>Iraq</subject>
 <subject>Afghanistan</subject>
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<titleInfo>
 <title>VA Health Care: VA Should Expedite the Implementation of Recommendations Needed to Improve Post-Traumatic Stress Disorder Services</title>
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<abstract>Post-traumatic stress disorder (PTSD), which is caused by an
extremely stressful event, can develop after military combat and 
exposure to the threat of death or serious injury. Mental health 
experts estimate that the intensity of warfare in Iraq and	 
Afghanistan could cause more than 15 percent of servicemembers	 
returning from these conflicts to develop PTSD. Symptoms of PTSD 
can be debilitating and include insomnia; intense anxiety; and	 
difficulty coping with work, social, and family relationships.	 
Left untreated, PTSD can lead to substance abuse, severe	 
depression, and suicide. Symptoms may appear within months of the
traumatic event or be delayed for years. While there is no cure  
for PTSD, experts believe early identification and treatment of  
PTSD symptoms may lessen their severity and improve the overall  
quality of life for individuals with this disorder. The 	 
Department of Veterans Affairs (VA) is a world leader in PTSD	 
treatment and offers PTSD services to eligible veterans. To	 
inform new veterans about the health care services it offers, VA 
has increased outreach efforts to servicemembers returning from  
the Iraq and Afghanistan conflicts. Outreach efforts, coupled	 
with expanded access to VA health care for these new veterans,	 
are likely to result in greater numbers of veterans with PTSD	 
seeking VA services. Congress highlighted the importance of VA	 
PTSD services more than 20 years ago when it required the	 
establishment of the Special Committee on Post-Traumatic Stress  
Disorder (Special Committee) within VA, primarily to aid	 
Vietnam-era veterans diagnosed with PTSD. A key charge of the	 
Special Committee is to make recommendations for improving VA&apos;s  
PTSD services. The Special Committee issued its first report on  
ways to improve VA&apos;s PTSD services in 1985 and its latest report,
which includes 37 recommendations for VA, in 2004. The Special	 
Committee reports also include evaluations of whether VA has met 
or not met the recommendations made by the Special Committee in  
prior reports. The Department of Veterans Affairs (VA) is a world
leader in PTSD treatment and offers PTSD services to eligible	 
veterans. To inform new veterans about the health care services  
it offers, VA has increased outreach efforts to servicemembers	 
returning from the Iraq and Afghanistan conflicts. Outreach	 
efforts, coupled with expanded access to VA health care for these
new veterans, are likely to result in greater numbers of veterans
with PTSD seeking VA services. Congress asked us to determine	 
whether VA has addressed the Special Committee&apos;s recommendations 
to improve VA&apos;s PTSD services. We focused our review on 24	 
recommendations related to clinical care and education made by	 
VA&apos;s Special Committee on PTSD in its 2004 report to determine	 
(1) the extent to which VA has met each recommendation related to
clinical care and education and (2) VA&apos;s time frame for 	 
implementing each of these recommendations.</abstract>
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<identifier type="preferred citation">GAO-05-287</identifier>
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 <searchTitle>GAO-05-287; VA Health Care: VA Should Expedite the Implementation of Recommendations Needed to Improve Post-Traumatic Stress Disorder Services;
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<subject>
 <topic>Health care services</topic>
 <topic>Mental health care services</topic>
 <topic>Veterans</topic>
 <topic>Veterans benefits</topic>
 <topic>Mental illnesses</topic>
 <topic>Warfare</topic>
 <topic>DOD Operation Iraqi Freedom</topic>
 <topic>Operation Enduring Freedom</topic>
 <topic>Post-Traumatic Stress Disorder</topic>
 <topic>Iraq</topic>
 <topic>Afghanistan</topic>
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