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I will admit when I first watched Encanto I was not terribly impressed, though the songs in Miranda’s signature style are quite catchy. I have two little girls, 3 and 5, and for those of you with children or grandchildren, you know that they must watch something like Encanto again and again and again. So, suffice it to say, I had the opportunity to really listen and pay attention to the story more than once.
It’s not a stretch to say that without my sife, Sarah, I never would have made it. While I can be overly dramatic — as she can attest — I need to get serious for a moment. No kidding around: the early years after my brain injury sucked. In fact, they were the worst years of my life.
In the past, Russ and I would celebrate across oceans and time zones, sometimes a half hour off. Yes, really. Afghanistan is nine-and-a-half hours ahead of the east coast, 10-and-a-half from Texas. It was wild trying to sync up schedules but I would never turn down a 3AM-my-time video chat. I am grateful we don’t have to contend with that any longer. But Russ being home hasn’t made the transition from 2021 to 2022 any easier.
Caring for a recovering service member can be hard. It can take on an added level of difficulty and stress when, as is often the case, that person is a friend, family member or loved one. Without time to recharge, burnout is a very real risk.
Businesses, restaurants, and other establishments including, ironically, the VA, should become more educated about service dogs and the Americans with Disabilities Act.
Being organized and having a routine makes each day smoother for Natalie Vines who has TBI and PTSD and for her caregiver husband and fellow vet, Brian Vines who also has PTSD.
Many non-profits have helped Brian Vines, a military veteran with PTSD and fulltime caregiver for his veteran wife with TBI and PTSD, over the last decade.
Natalie Vines—who sustained several TBIs in combat and who has PTSD—found great strength from attending a two-week immersive PTSD program through the Wounded Warrior Project.
People often say that Brian and Natalie's story of injury, caregiving, and retirement from the military is a tragedy. But for them, it's more of a love story.
During their time apart on deployments, Brian and Natalie Vines stayed connected via skype, social media, and hand-written letters, which helped their love endure and burgeon.
If I could tell civilian providers working with veterans and service members with PTSD and other mental health challenges one thing, it would be that this population includes some of the most resilient people on the planet. I think we do a disservice to them by fragilizing them, treating them as if going through these intense therapies—cognitive behavioral therapy, prolonged exposure therapy, and discussions around moral injury and military sexual trauma among others—will break them. On the contrary, during Road Home's two-week intensive program, I have seen undue strength and resiliency demonstrated, which often lead to significant healing.
Originally, the Home Base program focused primarily on the brain injury, itself, of service members and veterans. With time, experience, and research, the program now approaches treating brain injury from a holistic method as other issues affect brain health—neurological, cognitive, and psychological functions—like sleep deprivation, chronic pain, or co-occurring substance abuse. Treating the whole person with an individually tailored plan has provided far better outcome.
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.
A traumatic brain injury or repeated brain traumas can sometimes lead to chronic traumatic encephalopathy, Parkinson’s, multiple sclerosis, astrogliosis, or other neurogenerative conditions. Since researchers are still learning about the progression of these diseases, which can stem from repeated TBIs, providers are currently trying to plan and address how to change their model of care to best help veterans and their families in the long term.
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.
The core services of Wounded Warrior Project’s Independence Program include case management, resource management, care coordination, home health aide, alternative therapies, and more, with the primary goal of helping service members and their families rebuild a normal routine, plan for and succeed in the long-term, independently. But the program is always there as a safety net if new challenges arise.
Wounded Warrior Project’s Independence Program does not have a protocol to work with service members and their families when they transition home from a clinical facility, but they do have a highly successful formula for independent programing that caters to the individual needs of their clients whether those needs arise from the vet’s neurological trauma or from emotional or psychological challenges that result from that trauma.