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AJPH First Look, published online ahead of print Oct 30, 2007
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December 2007, Vol 97, No. 12 | American Journal of Public Health 2143-2145
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2007.115436

RESEARCH AND PRACTICE

US Department of Veterans Affairs Disability Policies for Posttraumatic Stress Disorder: Administrative Trends and Implications for Treatment, Rehabilitation, and Research

B. Christopher Frueh, PhD, Anouk L. Grubaugh, PhD, Jon D. Elhai, PhD and Todd C. Buckley, PhD

B. Christopher Frueh is with the University of Hawai’i, Hilo. Anouk L. Grubaugh is with the Medical University of South Carolina, Charleston, and the Ralph H. Johnson Veterans Affairs Medical Center, Charleston. Jon D. Elhai is with the Disaster Mental Health Institute, University of South Dakota, Vermillion. Todd C. Buckley is with the Blackstone Center for Cognitive and Behavioral Therapy, Hopkinton, Mass.

Correspondence: Requests for reprints should be sent to B. Christopher Frueh, PhD, Department of Psychology, University of Hawai’i, 200 W Kawili St, Hilo, HI 96720 (e-mail: frueh{at}hawaii.edu).

An accumulating body of empirical data suggests that current Department of Veterans Affairs (VA) psychiatric disability and rehabilitation policies for combat-related posttraumatic stress disorder (PTSD) are problematic. In combination, recent administrative trends and data from epidemiological and clinical studies suggest theses policies are countertherapeutic and hinder research efforts to advance our knowledge regarding PTSD. Current VA disability policies require fundamental reform to bring them into line with modern science and medicine, including current empirically supported concepts of resilience and psychiatric rehabilitation.




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