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Home Base, a free Red Sox Foundation and Mass General Hospital program, started small, but then and now—as it has grown to help 1,000s of veterans and service members nationwide—it remains a passion for many. The program focuses on treating the invisible wounds of war like TBI and PTSD. With evidence-based treatments in all domains like behavioral therapy, physical therapy, health and wellness, and medications, providers help these warriors with issues that run the gamut from sleep apnea and cognitive function to depression and physical pain.
A family member or support person at home plays a key role as part of the treatment plan for a service member or veteran. An adjunct in their loved one’s care, the family member collaborates with the team of providers to help their loved one follow through with appointments, medications, and health regimens. They often serve as the more impartial eyes and ears to their loved one’s challenges and improvements.
Changes don’t happen 0-60 mph, rather they occur incrementally. Providers know that barriers can impede improvement to healing, but by setting a series of step-by-step goals—whether treatments for better sleep, pain relief, or relationship strategies— service members and veterans can see improvements to their physical, behavioral, and emotional issues and build on them from there.
Like so many other brain injury survivors, I appear to be okay. And while many know of my past history, many others think I am well beyond my brain injury challenges and struggles. Why wouldn’t they?
The Road Home Program has had great success treating both female and male survivors of military sexual trauma. Through cognitive processing therapy and other therapies like mindfulness and therapeutic arts—working with providers and alongside peers who have had similar experiences—survivors of military sexual trauma can transform their feelings of powerlessness into a stronger sense of self.
There is great hope and are effective cures to treat people who experience symptoms from trauma or PTSD. Often people have the misperception that PTSD is a chronic, life-time condition. Not so; with treatment, most people can be cured or helped to manage their symptoms so as to return to a productive life.
Telling your loved one with PTSD that you cherish them, you care about them, and that you will help them if they will let you is a powerful first step toward getting that person needed treatment. You can’t take on someone else’s suffering—unproductive, anyway—but you can steer them toward the resources and providers who can help them.
Two-week intensive outpatient programs that implement a comprehensive, holistic approach to treatment, The Road Home Program includes two treatment arms for veterans and their families—one for veterans who experience battlefield PTSD, the other for survivors of military sexual trauma. Their data reveal high success rates during the program and in the long-term, post-program.
Often feelings of lost connection with family members—whether with a spouse, children, parents, or siblings—is what finally catalyzes a veteran or service member to seek treatment for TBI and/or PTSD. For example, a Special Ops veteran who had deployed 10 times during a 35-year military career finally sought treatment through the Home Base program because his child told his wife that he was afraid of him. He did not want the effects of TBI and/or PTSD to create irreparable damage to his whole, multigenerational family.
Oftentimes, a family member is the first to recognize symptoms of TBI and/or PTSD in their loved one who has returned from military service. At the Home Base program, veterans and service members are accompanied by a family member for part of the two-week intensive so upon returning home, the family knows better how to help their loved one understand their symptoms and aid with and ongoing treatments, interventions, medications, and general support.
Once upon a time, researchers and doctors treated all traumatic brain injuries the same, but they now know that the mechanism of injury plays a key role in diagnosis and treatment. There are many parallels for civilians and service members who sustain a traumatic brain injury, but the people are very different. Athletes who sustain a TBI most likely will not have the overlapping emotional challenges that service members may who sustained their injury in combat or in a more threatening setting. Helping service members and veterans often includes treating them for both TBI and PTSD simultaneously.
The many months of the coronavirus pandemic have added a new burden on top of a caregiver’s current caregiving requirements for their loved one with TBI or other physical or mental health issues. The Wounded Warrior Project’s Independence Program offers not only a $3,000 grant to caregivers to help support their own health and well-being, but also aid in the form of more mental telehealth care, meal prep, and other resources to help caregivers take care of themselves while juggling the many people and parts of family life.
Treating PTSD in post-9/11 and other veterans is best undertaken with experts in prolonged exposure and cognitive processing therapy. Experts in these therapies can be found in person or via telehealth through the Warrior Care Networks. WCN providers also share their treatment models with primary care doctors and buddy system programs to expand their reach.
Three LSU Health New Orleans licensed professional counselors and registered play therapists have created a new book to help children cope with the experience and aftermath of Hurricane Ida. A couple of very talented children, Susanna (age 8) and Ellie (age 6) Frischhertz, drew the illustrations.
Experiencing PTSD and chronic pain simultaneously can sometimes lead to suicidal thoughts. But with guidance from family and friends to find the right resources and professionals, people can access highly effective combined treatments that help them return to a full life—physically and emotionally.
Most people who experience a trauma will not develop PTSD. But whether from a natural disaster, car crash, combat exposure, or sexual assault, those who develop PTSD tend to avoid dealing with the trauma’s “stuck memories” or feel unable to handle negative emotions and experiences.
PTSD develops from a traumatic “stuck memory” and all the consequences of that memory not getting processed, resolved, or grieved. But it can be effectively treated, not simply managed.
Last month, I marked a significant milestone in my life as I celebrated 30 years of sobriety. And, in what amounts to a “whoever would have thought it,” moment, being a sober person in recovery has made my brain injury journey easier. In fact, it literally saved my life.
I’ve lost several battle buddies to suicide. I didn’t know it was that bad for them. How could I have helped them? What do I do when I start to feel that there is no other option?