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ABSTRACT
Substance use disorder (SUD) treatment staff from the Brooklyn Veterans Administration Hospital and Samaritan Village describe current practices and challenges in treating the increasing Veteran population with SUD. Article addresses best practices for treating Veterans with SUDs, posttraumatic stress disorder, and traumatic brain injury complications; military sexual trauma; combat versus noncombat status; significance of period served (WW II, Korea, Vietnam, Kuwait/Iraq I, Iraq II, Afghanistan); active service obligations; treatment interventions for trauma survivors; gender treatment differences; medically assisted treatments, especially for those with pain issues; family involvement; benefit seeking; self-help Step 1’s “surrender” and “powerlessness” terms; access to treatment issues; returning home adjustment; and coordinating interdisciplinary treatment services.
KEYWORDS:
- Veterans
- posttraumatic stress disorders
- traumatic brain injuries
- trauma-informed treatment
- abstinence
- harm reduction
- evidence-based practices
- ecological dysfunction model
- medical model
- integrated
- holistic
- comprehensive treatment
- substitute therapies and other medically assisted treatments
- surrender and powerlessness concepts
- gender treatment differences
- spirituality issues