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UPDATE: SOME VETS FEEL NORMA J. PEREZ WAS JUST
THE MESSENGER WHEN SHE TOLD STAFF TO MISDIAGNOSE
PTSD -- The VA is refusing interview requests and
Perez has
been reassigned, but the VA won't say to where.

Click on email to view in larger size...
For the previous story about this email (with
backlinks), click here...
http://www.vawatchdog.org/08/nf08/nfMAY08/nf051708-1.htm
Be sure to listen to the audio version on this
story at the link below.
Latest story here...
http://www.npr.org/templates/story/story.php?storyId=90744878
Story below:
-------------------------
Advice to Stop PTSD Diagnoses Triggers Probe
by Libby Lewis
Morning Edition · More and more military veterans returning from
Iraq and Afghanistan are seeking help and compensation for post-traumatic
stress disorder. That has created concern by veterans and others that the
government could try to minimize the problem of PTSD to save money. An
incident at a veterans' hospital near Fort Hood, the Army post in Texas
that is one of the nation's largest military bases, has stoked that
concern.
In an e-mail, a psychologist at the Olin E. Teague Veterans' Center in
Temple, Texas, advised her staff to stop diagnosing veterans with PTSD to
save money. The e-mail became public last week.
The head of the Department of Veterans Affairs insists that's not VA
policy.
Psychologist Norma Perez was hired last summer to
help coordinate a PTSD program at the center, which draws a lot of
veterans. Not long afterward, Perez announced she would disband a dozen or
so PTSD therapy groups, in which about 140 veterans met monthly with a
clinical counselor. Perez wanted to replace the long-term groups with
short-term plans — lasting no longer than three months — that focus on
coping skills and cognitive processing therapy. The VA uses a broad range
of therapies for PTSD, including group therapy.
Some veterans in the program said Perez told them that long-term group
therapy doesn't work. Some vets accused Perez of personally trying to
destroy their groups.
But
Kim Larsen, a former Army medic and Vietnam vet with PTSD, who attended
two VA forums about the plan to disband the groups, had a different
impression. He thought Perez was simply the messenger. Then he saw an
e-mail from Perez to her staff, advising them to "refrain from giving a
diagnosis of PTSD straight out...." It was dated March 20.
Incensed, Larsen shared the e-mail and it wound up with Citizens for
Responsibility and Ethics, a watchdog group, and VoteVets.org, a veterans
advocacy group. Last week, the groups posted the e-mail on the Internet,
setting off a tempest.
Congressional leaders and Democratic presidential candidate Sen. Barack
Obama called for an investigation, and the inspector general of the VA has
begun one.
Rep. Bob Filner, a California Democrat who heads the House Veterans
Affairs Committee, said of Perez: "I can't believe that someone at that
level position is doing this on her own. Somewhere in the hierarchy people
are saying, 'It's costing us too much with these PTSD diagnoses. Cool
it.'"
The VA has refused interview requests about the incident. In a statement,
Secretary James Peake characterized the e-mail as an isolated example: "A
single staff member, out of VA's 230,000 employees, in a single medical
facility, sent a single e-mail with suggestions that are inappropriate and
have been repudiated at the highest level of our health care
organization."
The VA's inspector general's office is headed to Temple to find out if
anyone higher up is telling the VA to "cool it."
Meanwhile, the VA has reassigned Perez from the PTSD clinic, but it won't
say where.

-------------------------
posted by Larry
Scott
Founder and Editor
VA Watchdog dot Org
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