VA Programs Seek to Keep Troubled Veterans Out of Jail

by U.S. Medicine

June 6, 2014
Unmet Mental Health Needs Usually At Issue By Annette M. Boyle COLUMBIA, MO – For some veterans with unmet mental health needs, readjusting to civilian life can rapidly put them on the wrong side of the criminal justice system. In the past few years, partnerships between the courts and the VA have kept many veterans from continuing a downward spiral into prison by identifying and addressing these issues. The need is huge. The Department of Justice estimated that more than 700,000 veterans in 2004 were under criminal justice supervision. In 2008, a veteran treatment court was established in Buffalo, NY, and quickly became a model for other jurisdictions. Today, 172 such courts or special dockets aim to provide services and oversight to veterans to help them reintegrate into society and stay out of the criminal justice system. By addressing the underlying causes of criminal involvement, the courts aim to reduce recidivism through treatment, intensive supervision and behavioral reinforcement.

A veterans treatment court. Photo from the VAntage Point Blog.

It’s hard to tell in advance who will need the highly structured support offered by the specialty courts, said Kelli Canada, an assistant professor at the University of Missouri School of Social Work. “It’s not like they’re discharged and in the criminal justice system the next day. There’s a lag time and an accumulation of violations.”
Kelli Canada

Kelli Canada

Veterans at risk of arrest and incarceration share characteristics with those in the general population. They tend to be male, minorities, single, young, anti-social and have unmet mental health needs, according to Canada’s research. That last factor drives much of the work of the specialty courts and the social workers who lead the interventions. In the past decade, the number of veterans treated for mental illness and substance-use disorders has risen 38%. Nearly 20% or 460,000 veterans of the wars in Iraq and Afghanistan suffer from post-traumatic stress disorder (PTSD) or major depression. Approximately 345,000 veterans of Operations Enduring Freedom, Iraqi Freedom and New Dawn have a substance abuse problem. “Many mental disorders, including PTSD can co-occur with substance use problems and uncontrolled anger or aggression, which can contribute to criminal conduct,” noted Canada and coauthor David Albright, also of the University of Missouri, in a study recently published in the Journal of Forensic Social Work. 1 The researchers point out that, while “there is no empirical support suggesting that mental illness causes criminal justice involvement, recent research does conclude that incarcerated veterans report more psychiatric and substance use problems prior to arrest and high rates of lifetime trauma.” In addition, imprisoned veterans have higher rates of psychiatric disorders than veterans in the general community. Despite widespread publicity about violence and criminal behavior in returning veterans, other recent research indicates that, overall, the most recent generation of veterans has about half the risk of incarceration compared with older cohorts and constitutes less than 4% of the total number of veterans in prison today. Those who are incarcerated, however, were three times more likely to have PTSD.2 PTSD also has been associated with higher rates of post-deployment arrest, and 1 in 4 incarcerated veterans were using drugs or alcohol when arrested, suggesting that addressing these two issues, in particular, might be especially helpful for veterans. Social workers might be singularly well suited to offer this assistance, Canada suggested. “Social workers are equipped to provide support to veterans through research, education, outreach and advocacy, which allows social workers to connect veterans with helpful resources rather than criminalizing them,” she said, adding, “There are multiple points of intervention available before and along the continuum of the criminal justice system. We can provide preventative services to veterans when they are leaving the service. But for many there is too much going on at discharge. We need checkpoints along the first year to make sure veterans are readjusting well.” Even when they’re suffering, many veterans still feel a stigma is associated with seeking mental health treatment. Consequently, “social workers in community settings should ask clients about military service status, combat exposure, trauma and barriers to adjustment as part of initial evaluations to provide the most appropriate services,” the Missouri researchers wrote. Assessing veterans for PTSD, traumatic brain injury (TBI) and substance abuse is particularly important, they note. If upfront contact doesn’t occur or fails to connect an at-risk veteran to needed services, there’s another opportunity following arrest. “Veteran Justice Outreach Specialists (VJOs) work with jail administrators and police to help the veteran and family navigate the system, figure out what happens to benefits and determine what help is available,” Canada told U.S. Medicine. While factors such as PTSD and TBI that arose during military service might put some individuals at greater risk of criminal justice involvement, aspects of that same service can be very helpful in helping them get their lives back on track. The courts are a direct treatment model with a twist, Canada noted. “The theory behind the veteran treatment courts is that using the group mentality and the military culture can help veterans,” she pointed out. “In many of the specialty courts, everyone has had military involvement — the judge, the social workers, even the parole officers.” As a result, the entire team understands the military life and structure the veteran has experienced and speaks the same language. The veteran treatment courts offer an alternative to serving jail time for non-violent crimes. Veterans are matched with teams including social workers who assess their needs and develop individualized treatment plans. By helping veterans overcome barriers to access and the perceived stigma of mental health services, Canada said, “social workers have the ability to re-create the narrative surrounding mental health and veterans in the criminal justice system and help to ensure that veterans get the assistance they need.” 1Canada KE, Albright DL. Veterans in the Criminal Justice System and the Role of Social Work, Journal of Forensic Social Work. 2014;4(1):48-62. 2Tsai J, Rosenheck RA, J Kasprow W, McGuire JF. Risk of incarceration and other characteristics of Iraq and Afghanistan era veterans in state and federal prisons. Psychiatr Serv. 2013 Jan;64(1):36-43.

Comments are closed here.

Related Articles

History of Abuse, PTSD Worsen Menopausal Symptoms

SAN FRANCISCO—Emotional abuse from a partner or spouse can increase the risk of heightened menopause symptoms, as can post-traumatic stress disorder, according to a VA-led study. Little is known about the prevalence of traumatic exposures... View Article

VA Announces Proposed Standards for Access to Mission Act Outside Care

WASHINGTON—VA has released its proposed new access standards, defining new eligibility criteria for veterans seeking care by non-VA providers. The standards are part of the VA MISSION Act signed into law in June 2018, and... View Article

U.S. Medicine Recommends

More From department of veterans affairs

Department of Veterans Affairs (VA)

VA Announces Proposed Standards for Access to Mission Act Outside Care

FORT BRAGG, NC—Immunization rates of human papilloma virus (HPV) have risen among active duty forces, but many fail to complete the full vaccine series, despite recommendations from the Defense Health Agency.   “DHA fully endorses... View Article

Department of Veterans Affairs (VA)

VA Announces New Partnerships to Expand Telehealth Services

FORT BRAGG, NC—Immunization rates of human papilloma virus (HPV) have risen among active duty forces, but many fail to complete the full vaccine series, despite recommendations from the Defense Health Agency.   “DHA fully endorses... View Article

Department of Veterans Affairs (VA)

VA Fails to Use All Outreach Resources to Combat Veteran Suicide

Despite declaring veteran suicide as its No. 1 clinical priority, VA’s suicide prevention outreach efforts dropped off in 2017 and 2018, and a lack of clear goals and inconsistent leadership has impacted its success, according to a Government Accountability Office report.

Department of Veterans Affairs (VA)

Disabled Veteran Helps Others Like Her Get Back Into the Workforce

Ten years ago, Coniece Washington was walking through the Washington, DC, VA Medical Center when she saw a job notice tacked to a board: certified rehabilitation counselor.

Department of Veterans Affairs (VA)

Senate Blocks Agent Orange Exposure Extension to Blue Water Veterans

Blue Water Navy veterans who claim to be impacted by toxic exposure while serving off the coast of Vietnam were forced to grapple with disappointment once again as the 115th Congress ended without passing legislation addressing their VA benefits.

Subscribe to U.S. Medicine Print Magazine

U.S. Medicine is mailed free each month to physicians, pharmacists, nurse practitioners, physician assistants and administrators working for Veterans Affairs, Department of Defense and U.S. Public Health Service.

Subscribe Now

Receive Our Email Newsletter

Stay informed about federal medical news, clinical updates and reports on government topics for the federal healthcare professional.

Sign Up