The Veterans Health Administration has contributed to an epidemic of suicide and criminal behavior among veterans, leaving state and local communities to pick up the pieces. It is time for Congress to investigate. (The Veterans Health Administration is a part of the Department of Veterans Affairs.)
We also know from the VA’s own analysis that as many as 30 percent of veterans being treated for PTSD by the VHA are still being prescribed these dangerous drugs, in direct violation of the VA’s guidelines. Further, we now know that prescribing benzodiazepines as a cocktail with opioids results in grotesquely higher rates of suicide among veterans.
It seems obvious that increases in aggression and substance abuse combined with reduced impulse control must have resulted in (often violent) criminal conduct on the part of veterans. After all, the effects of addiction are well understood. Add these other symptoms and you have a clear recipe for disaster. Unfortunately, no reputable studies have explored this connection, thus leaving veterans, the justice system, and even potential crime victims uninformed about the root causes of this uncharacteristic behavior.
Many Veterans Are Going to Experience Worsening Violent Symptoms
Let’s follow the logic. Veterans suffering from PTSD go to the VHA seeking help. According to the DSM-V, Criterion E, Irritability, Aggression, and Risky or Destructive behavior are among the criteria for diagnosing a patient with PTSD. This means many veterans suffering from PTSD are more likely than healthier people to have trouble controlling violent symptoms. Then, a VHA provider prescribes them benzodiazepines (often as part of a psychotropic cocktail) in direct contravention of the VHA’s own clinical guidance.
It is now logical, even predictable, that many of these veterans are going to experience worsening (and totally out of character) violent symptoms. And, for many, these symptoms will be acted upon. Tragically, the statistics bear this out.
Given what we know about the VHA’s prescribing practices, it becomes obvious that a significant number of veterans are incarcerated for crimes that would have never occurred if VHA providers had followed the VA’s own guidance. But once these vets are charged with a violent crime, they are often no longer eligible to be tried in veteran treatment courts or mental health courts.
The First Step to Having an Informed Discussion
This irony is not simply mind-boggling; it is self-defeating on the part of local communities.
The VHA’s reckless behavior is inexcusable. And to make things worse, the VHA (and VA writ large) wash their hands of these veterans once they are incarcerated, thus leaving the burden for treatment on our woefully ill-equipped and even dangerous state and local corrections systems. Nothing about this makes for good policy and nothing about this makes us safer — or our veterans healthier. It is time to change that.
We aren’t arguing that any given individual is innocent. That is for judges and forensic experts to decide on a case-by-case basis. But justice demands that all of the scientific information be available to them, and our veterans certainly deserve nothing less.
We are calling on Congress to conduct an investigation, hold hearings, and direct the Government Accountability Office to study the impact that VA prescribing practices have had on criminogenic behavior among veterans. Our veterans deserve better care, the victims of these crimes deserve answers, and our communities deserve better support for problems initiated by the VHA.
About the Authors
Rob Maness is executive director of Military Veterans Advocacy (MVAdvocacy.org). Brian O’Callaghan is director of At-Risk Veterans Outreach for Military Veterans Advocacy. They wrote this for InsideSources.com.