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Veterans:
​

CO US Rep. Mike Coffman Opening the Dialogue on Psychotropic Medications

Colorado Springs Gazette

U.S. Rep. Mike Coffman, a Republican, is working on moving the Department of Veterans Affairs away from prescribing "strong" psychotherapeutic medications to veterans.

He said the department uses the medications as its "primary method of treating" veterans with mental health conditions, and that has Coffman concerned.
"An over reliance on prescription medication may in some instances leave veterans in a more vulnerable state," Coffman wrote Monday to Gene Dodaro, the comptroller general of the United States within the Government Accountability Office.

. .  .   .  .

Coffman highlighted post-traumatic stress disorder as an issue. He expressed concerns around cutting off patients suddenly from medications and addictions that cause "unpredictable or dangerous forms of behavior."
 
"Given these concerns, I write to request that the Government Accountability Office review the VA's psychoactive drug-centric standard of mental health care for our veterans," Coffman wrote.

"Many veterans return from service with PTSD, often referred to as one of the invisible wounds of war," the letter continued. "Buttressing my concerns are a combination of data from the VA's 2016 suicide data report and numerous cases that have come to my attention, including two in particular from the state of Colorado."

Coffman pointed to a veteran from Broomfield, Cory Hixson, who suffers from conditions related to his second tour in Iraq. Hixson fled his family and home. Authorities found him in Erie in a garage looking for food and clothing. His wife reported that the VA repeatedly changed Hixson's medications.

In the second example Coffman gave from Colorado, combat veteran Noah Harter, from Colorado Springs, suffered from PTSD and other issues after two deployments in Iraq and Afghanistan. Coffman cites reports stating that he was prescribed "powerful medications" that may have contributed to Harter dying by suicide. Harter's story was presented in a special report by The Gazette, "An Ideal Marine.
.  . .

The proportion of Veterans Health Administration users with mental health conditions or substance use disorders has increased from about 27 percent in 2001 to more than 40 percent in 2014, according to statistics cited in Coffman's letter.

He called for careful monitoring and raised a series of questions regarding the VA's use of non-pharmacological therapy, and psychotherapeutic drug and opioid procedures.

Specifically, Coffman called to attention concerns around veterans being prescribed stimulants, benzodiazepines, and opioids - in some cases together. The congressman also raised questions on suicide rates.

​"Although I recognize that in many cases the use of psychoactive medications is appropriate for veterans with mental health conditions, I believe that their use is not necessarily the best first resort and that in many instances the alternatives of non-medicated treatment or cognitive-behavioral therapy may prove a preferred option," Coffman wrote.


http://gazette.com/colorados-coffman-tries-to-move-va-away-from-psychotherapeutic-medications/article/1609638
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  • Home
    • About Orchid >
      • Why Orchid?
      • ORCHID'S SYSTEMIC FOCUS & "ROOT CAUSE" ANALYSIS APPROACH TO PROBLEM SOLVING WITH A COMMITMENT TO CREATIVITY & INNOVATION
      • Disclaimers, Limitations and An Invitation
      • Orchid Board
      • Orchid Book Club
      • Conjecture, Science & Translational Research & Medicine
      • Orchid Themes & Symbols
      • The Tipping Point
      • Orchid's Website Advertising Policy
      • Statement for Potential Website Contributors
      • Contact
  • Blogs
    • Val's Blog
    • Val's Blog 2
    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
    • NEURO-DIVERSITY Wednesday
    • Olmstead Law & Order Thursday
    • Translational Medicine Friday
    • Translational Love, Relationships & Neuro-Diversity Saturday
  • Orchid's A-Z Index
    • Crisis Services in CO, the US & Around the World
    • Assertive Community Treatment & Flexible ACT Index
    • Housing & Homelessness Index
    • Criminal Justice
    • Innovation Index
    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Research & Translational Medicine
    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System