Part one of this series analyzed the history of the Bonus Expeditionary Force (BEF) and their actions during the Great Depression, and how its influence dramatically affected how the US government treated its brave men and women that go to war. In this second installment, I will take a look at a key tension that has persisted from the days of the BEF up until our modern era. It is important to consider the historical context of these tensions when attempting to understand how we serve our nations military veterans.
The Public vs Private tension continues to work its way into social welfare discourse in the 21st century, but during the 1930’s it was just as rampant. In regard to social work, public represents services administered by a public agency, while private represents services provided through private charities, individuals, and groups. Previous to the Great Depression, by and large the aid and relief services were provided by private charities and local governments. Once the Great Depression hit, these private agencies were stressed to serve the needs of the millions who were suffering and starving; many of the available services at the time could not even shelter the homeless or feed the hungry.
Before the 1930’s and the Great Depression, issues like poverty and unemployment were primarily viewed as problems with the individual, rather than problems with the environment that individual lived within. Through that perspective, the common approach of the time was to address individual problems through private charity. With millions beginning to suffer from the Great Depression, the perception of social welfare began to shift. More people started to see that issues surrounding poverty had to be elevated to a public issue rather than maintain the narrow scope of a private or individual issue.
During this paradigm shift, it became evident to social workers and policy makers that the rising needs brought on by the Great Depression could only be addressed by public agencies . “Voluntary charity simply could not cope with the situation; only public agencies could deal with the collapse of the economy, mass unemployment, and widespread destitution”(Trattner, 1999) . As a result of this change in perspective, we created the U.S. Social Security Act of 1935, among several other programs. Public assistance worked its way into social policy and between 1929-1940 the number of persons on assistance or work- relief programs rose from less than a million to 9 million.
This tension between Public vs Private assistance took time to play out, and it had a direct impact on the wait time that veterans in the 1930’s seeking their Bonus had to endure. This was due to the observable conflict among political powers during the Bonus March era. President Hoover was adamant that assistance to the needy had no place for the public sector for a variety of reasons: “[f]or him, relief was a moral, not merely an economic, matter; private charity (such as he had distributed in war-ravaged Europe) was fine, but public aid, especially from national government, was a ‘dole’” (Trattner, 1999). As a result of these conflicts, it created several barriers to passing legislation that supported public assistance.
Subsequently, although the Great Depression proved that public agencies were the only group capable of providing adequate aid to those in need, tension existed and continues to this day. Unfortunately, the veterans of the Bonus Expeditionary Force just happened to be caught in the middle of all of it. Present day, those who are in need of services, including veterans, get caught in tension between the power sources who advocate for Public vs Private assistance.
In the next two parts of this series, I will be analyzing Micro vs. Macro and the long term implications of these paradigm shifts. Please stay tuned.
Fisher, J. (1980). Social Work: The thirties as a watershed. In J. Fisher, The response of social work to the Depression (pp. 233-241). Boston, MA: G.K. Hall & Co.
Gordon, L. (1992). Social insurance and public assistance: The influence of gender in welfare thought in the United States, 1890-1935. American Historical Review 97, 19-54.
Trattner, W.I. (1999). Depression and a New Deal. In W. I. Trattner, From poor law to welfare state: A history of social welfare in America (6th ed.) (pp. 273-303). New York: Free Press.
Veterans: Take This Survey!
Learning about military-to-civilian reintegration requires asking the right questions of the right people. A novel, new study is seeking military veteran respondents to learn more about the way service impacts health, civic engagement, and socio-economic outcomes for military-connected men and women. The data collected through this survey are expected to help us answer questions such as:
• Do veterans feel welcome and interested in institutional service groups like the VA and informal groups like VSOs? Do those organizations serve their needs? How are prospective members welcomed and served?
• How does military service impact community involvement and political engagement?
• How does military service impact experiences on the job market (and is this effect conditioned by demographic factors?
• Does military service break the glass ceiling for service women?
The project was developed by an interdisciplinary research team with experience, training, and connections to the military community. Dr. Kyleanne Hunter is a Marine Corps Cobra pilot and political science researcher. Dr. Rebecca Best is an experienced security studies researcher with a focus on service women. Dr. Kate Hendricks Thomas is a public health researcher and Marine Corps veteran. Each has specific training in community-based, participatory research and is invested in filling current gaps in what we think we know about the transition from service member to civilian.
Access the survey online here: https://udenver.qualtrics.com/jfe/form/SV_572AiK5P3P75KQt
Will Veteran Suicide and Mental Illness Rate Improve?
It was about 9 years ago. I decided to put down the rifle and pick up the DSM. You see, I was an infantryman since I was age 17. That means, since I was a child, I was literally trained to kill people. Looking back at it, that sounds like a profound concept.
I am proud of my time in the military. I am proud of my brothers and sisters who have ever answered the call. But… I am also worried.
As I said, 9 years ago, I decided to change my path. I didn’t realize where that path would lead. I seen multiple traumas and death happen to my fellow comrades. I went through some trauma myself, but I still worried about others more than myself. So, I decided to become a Mental Health Specialist in the military.
It’s been a long road going from Infantryman to Social Worker. There are a lot of learned attitudes and behaviors I had to change. Can you believe it? I literally had to learn empathy. And that took a long time.
Just about anyone in the military knows that drinking alcohol is a part of the lifestyle. Everyone I looked up to drank and considered me a p**sy if I didn’t. So… when I was sent to Germany back in the early 2000’s as a 19 year old kid, you better believe I drank. It was legal!
Looking back at my adventures between then and now, I don’t regret a thing. Yes, there were many embarrassing moments, and I have lost many friends along the way. I also met some great people. My alcohol use made my path rockier than anything else.
Many others have had this experience as well. Between 1998 and 2008, binge drinking went from 35% to 47% of veterans, and 27% of that 47% experienced combat.
Between 2002 and 2008, misuse of opiate prescriptions went from 2 percent to 11 percent in the military. These prescriptions were mostly due to injuries sustained in combat, as well as the strain of carrying heavy equipment.
This concerns me. When I was young, I had a good time. Looking back, maybe it wasn’t.This might not be every veteran’s experience, but the culture encouraged substance use and discouraged getting help. There are others that would agree with me.
This could explain why 20 veterans a day on average commit suicide. This is actually down from 22 a day before the 2014 study from the VA. However, it is a 32% increase since 2001. In 2014, veteran suicides accounted for 8.5% of U.S.’s adult suicides, and the rates were especially high among 19-29 year old compared to the older generation.
Let’s not forget about the infamy of PTSD. Up to twenty percent of veterans have suffered from this. Of course, those who suffer are more likely to admit their distress to a computer program than a battle buddy or their superior. This, again, goes with the constant culture that causes our military to fear judgment.
These wars have been a constant the last two decades, and have cost all U.S. citizens a pretty penny. According to one report, the VA spends $59 billion a year on health care. This number is 3 times as much as it was since before 2002.
And let’s not forget the cost this country has incurred for being in war for this long. Well, we don’t really know an exact number. The cost is estimated by many to be in the billions or even trillions. This isn’t including the interest from borrowed money.
So, after looking at all these figures, I am overwhelmed. How can I even make a dent in helping our nation’s veterans? The current administration is planning on increasing our presence in war zones. I am expecting the rate of PTSD and suicide to increase once again. Also, our country will continue to spend. It seems to me that we are all participating in a death and mental illness factory. The thing is, I didn’t even get to the physical injuries many of our combatants have suffered from.
I love our nation’s military. I want every one of them to know that I am here to support them. But most of all, we all need to be here to support each other.
UA Study to Take ‘Deep Dive’ into Risk Factors for Veterans, Suicides
University of Alabama researchers, America’s Warrior Partnership and The Bristol-Myers Squibb Foundation have partnered on a four-year, $2.9 million study to explore risk factors that contribute to suicides, early mortality and self-harm among military veterans.
“Operation Deep Dive,” funded by the Bristol-Myers Squibb Foundation, aims to create better understanding of the risk-factors, particularly at the organizational and community level.
Drs. Karl Hamner, director of the Office of Evaluation for the College of Education, and David L. Albright, Hill Crest Foundation Endowed Chair in Mental Health and associate professor in the School of Social Work, are the principal investigators for UA on the study.
Recent research has shown that neither PTSD nor combat exposure are good predictors of veterans and suicide, so researchers must cast a wider net, Hamner said.
“Previous research has focused primarily on individual-level risk factors, like prior suicide attempts, mood disorders, substance abuse and access to lethal means, but suicide is a complex phenomenon, and those factors don’t paint the whole picture,” Albright said.
The study is innovative in that it focuses on veterans across the spectrum of service, gender and lifespan, utilizing data from America’s Warrior Partnership and the U.S. Department of Veterans Affairs, new data collected during the study, and data from the Department of Defense.
For instance, female veterans, who are 2.5 times more likely to commit suicide than civilian women, will be spotlighted in the study.
Both the DOD and the VA will be vital in identifying veterans with varying medical histories, combat experiences and discharges from military services. America’s Warrior Partnership will also help fill the gaps in identifying veterans who don’t fit criteria for VA benefits, like National Guard or Reserve personnel who aren’t activated, or anyone who has a dishonorable discharge, which could be for a variety of reasons.
“The scope of this study is timely and so needed that we really believe we can move the needle,” Hamner said.
The first phase of the study is a five-year retrospective investigation of the DOD service use and pattern of VA care utilization to examine the impact of less-than-honorable discharges on suicides and suspected suicides, and the differences in suicides between those who receive and do not receive VA services.
“Helping to identify the trends or predictors of veterans’ suicide could help immensely in reducing suicide rates and provide much needed interventions for this community,” says John Damonti, president of the Bristol-Myers Squibb Foundation. “This project will take a deep dive to better understand what was happening at the community level to design better, more targeted intervention programs.”
The second phase will incorporate these findings into a three-year study that will include input from medical examiners, mental health experts, veterans and family members, and the community to conduct a “sociocultural autopsy” of all new or suspected suicides in America’s Warrior Partnership’s seven partnership communities, as well as in comparison communities.
The results will explore how community context and engagement affect prevention of suicides in veterans and “why some former service members commit suicide, while others do not.
“The overarching goal of the study is to understand triggers of suicide in order to prevent potential suicides before they occur,” said Jim Lorraine, president and CEO of America’s Warrior Partnership. “With each organization bringing its own areas of expertise and data, we can make a difference in the lives of our nation’s warriors, particularly the most vulnerable veterans.”
Both Hamner and Albright are committee chairs for the Alabama Veterans Network, or AlaVetNet, which connects Alabama veterans to resources and services. Alabama Gov. Kay Ivey recently signed Executive Order 712, which tasks the group in helping reduce and eliminate the opioid crisis as well as reducing the high veteran suicide rate.
Military Service Boosts Resilience, Well-Being Among Transgender Veterans
Transgender people make up a small percentage of active-duty U.S. military personnel, but their experience in the service may yield long-term, positive effects on their mental health and quality of life.
A study from the University of Washington finds that among transgender older adults, those who had served in the military reported fewer symptoms of depression and greater mental health-related quality of life. The findings were published in a February special supplement of The Gerontologist.
The paper is part of a national, groundbreaking longitudinal study of LGBT older adults, known as “Aging with Pride: National Health, Aging, Sexuality/Gender Study,” which focuses on how a range of demographic factors, life events and medical conditions are associated with health and quality of life.
Estimated numbers of U.S. military personnel who are transgender vary widely, but range between one-tenth and three-quarters of 1 percent of the roughly 2 million active-duty and reserve forces. A study from UCLA estimates about 134,000 transgender veterans in the United States.
The new paper, by researchers from the UW School of Social Work, explores how military service affects transgender people because previous data indicated that, among LGBT people over age 50, those who identified as transgender were more likely to be veterans than lesbians, gay men or bisexuals.
Reports have indicated that transgender individuals serve in the military at higher rates than people in the general population. In the 2015 U.S. Transgender Survey of 28,000 individuals, 15 percent said they had served, compared to about 9 percent of the U.S. population overall. And yet, little is known about how military service influences the well-being of transgender veterans later in life.
Other studies have shown that transgender veterans suffer higher rates of depression than other veterans. UW researchers were somewhat surprised, then, to learn that the transgender veterans they surveyed tended to have better mental health than transgender people who hadn’t served, said lead author Charles Hoy-Ellis, a former UW doctoral student who is now an assistant professor at the University of Utah College of Social Work.
The traditionally masculine culture of the U.S. military would seem to be a potentially difficult environment for someone who doesn’t identify with the gender they were assigned at birth, he said.
But military service creates its own kind of identity, the authors said, because it presents often dangerous and traumatic challenges; overcoming those challenges builds resilience. And that’s where the identity as a transgender person enters the picture.
“Many people develop an identity as a military person — that it’s not just something they did but something that they are,” said Hoy-Ellis. “If transgender people, who are among the most marginalized, can successfully navigate a military career, with so many of the dynamics around gender in the general population and in the military, then that experience can contribute to a type of identity cohesiveness.”
The internalizing of negative stereotypes, such as those around sexual orientation, is considered a risk factor for poor mental health, added co-author Hyun-Jun Kim, a UW research scientist in the School of Social Work. Military service could be the opposite — a protective factor.
“Often when people think of the transgender population, they focus on the risk factors, but it’s equally important to focus on the protective factors and nourish those resources. In this case, what aspects of military service contribute to being a protective factor?” Kim said.
Researchers said they were somewhat limited by the size of their study sample: Out of the 2,450 people ages 50 to 100 who were surveyed for Aging with Pride, 183 identified as transgender. Of those nearly one-fourth, or 43, had served in the military. Of those who had served, 57 percent identified as female. People of color made up 29 percent of the transgender veterans in the study.
But as awareness grows about gender-identity issues, there is an opportunity to address support services for transgender veterans at the federal level and in the community, Hoy-Ellis said.
“This is a population that has served the country very proudly, and it’s important that we recognize that service,” he said. “Learning what we can about transgender older adults with military service may help us develop and implement policies and programs for people who are serving today.”
Other co-authors were Chengshi Shiu, Kathleen Sullivan, Allison Sturges and Karen Fredriksen-Goldsen, all in the UW School of Social Work. Funding was provided by the National Institutes of Health’s National Institute on Aging.
More Veterans Have Enrolled in College with Post-9/11 G.I. Bill
The Post-9/11 G.I. Bill, which covers educational costs for veterans beyond tuition, has boosted college enrollment rates among veterans by 3 percentage points compared with the earlier G.I. Bill, finds a new study by NYU’s Steinhardt School of Culture, Education, and Human Development. However, the increase in enrollment was much larger immediately after the bill’s adoption and has waned in recent years.
The study, published online in the journal Educational Evaluation and Policy Analysis, a journal of the American Educational Research Association, comes days after Congress passed a major expansion to the G.I. Bill, which – if signed into law – will provide additional educational benefits to veterans.
The Servicemen’s Readjustment Act of 1944, commonly known as the G.I. Bill, helped pay for college and other training for millions of World War II veterans. Since its inception, the G.I. Bill has been updated to continue providing educational benefits, with the most recent expansion being the Post-9/11 Veterans Educational Assistance Act of 2008, or Post-9/11 G.I. Bill.
“The original G.I. Bill not only significantly improved the human capital in the United States after World War II, but also democratized American higher education and created a robust middle class. Education benefits provided by the bill allowed veterans to go back to college and obtain necessary knowledge and skills, while also serving as an important entry point back to civilian life,” said Liang Zhang, the study’s author and a professor of higher education at NYU Steinhardt.
The Post-9/11 G.I. Bill, which took effect in August 2009, offers more generous educational benefits than the previous version of the bill. It covers full tuition and fees at in-state public schools (or up to a set amount for tuition and fees at private institutions), a monthly housing allowance, and up to $1,000 a year for books and supplies. All veterans who have served since September 2001 are eligible for the Post-9/11 G.I. Bill, meaning that those who did not take advantage of benefits under the previous bill were retroactively eligible.
In this study, Zhang examined the impact of the Post-9/11 G.I. Bill – including its monthly housing allowance and stipend to cover miscellaneous educational costs – on veterans’ college participation.
Zhang used 11 years of data (2005 to 2015) from the American Community Survey, which resulted in a sample of approximately 200,000 veterans who have served in the post-9/11 era. This sample enabled a comparison between data from before and after the 2009 adoption of the Post-9/11 G.I. Bill in order to determine how veterans might have reacted differently to the bill over time.
Zhang found that the Post-9/11 G.I. Bill increased overall college enrollment by about 3 percentage points when compared with enrollment prior to the bill’s adoption. However, the effect was much larger immediately after the bill’s adoption (approximately 4 percentage points) and has waned in recent years (to about 2 percentage points), suggesting that part of the initial enrollment burst was due to the retroactive nature of the bill.
Despite the increase in enrollment, Zhang noted that the effect of the Post-9/11 G.I. Bill is much smaller than the effects of typical financial aid programs, which have been shown to improve enrollment by about 3 to 6 percentage points for every $1,000 reduction in college costs.
In addition, Zhang examined how the bill affected college enrollment among veterans ranging from 20 to 60 years old, given that veterans typically follow a different educational trajectory than that of nonveterans. He found that the Post-9/11 G.I. Bill has had a consistent and positive impact on college enrollment among veterans of all ages, even among older veterans who are usually considered less likely to enroll in college.
“This suggests that older veterans may be more responsive to financial incentives, echoing previous research findings that older students are more responsive to financial aid than younger students,” Zhang said.
Finally, Zhang looked at the levels of existing educational attainment among veterans, since the Post-9/11 G.I. Bill can be used for a variety of educational and training programs, including both undergraduate and graduate education. He found consistent and positive enrollment effects across veterans with all levels of education, with those already holding master’s degrees taking the most advantage of the bill’s educational benefits.
Zhang concluded that it is both important to evaluate the effect of veterans’ programs on college enrollment, as well as to consider the social impact of the bill – which is broader and more profound than any college-related outcomes could possibly measure.
“While providing generous education benefits to veterans could ease the financial burden of going to college, research shows that veterans can face additional challenges associated with service-related injuries and disabilities, as well as being older students. Higher education institutions must continue to better understand and support this growing, yet potentially vulnerable student population, to best serve those who served the country,” said Zhang.
What Do Service Women Need: Invisible Veterans but Resilient Leaders
As a military health researcher, I hear veteran women tell me all the time that they sometimes feel invisible. The Service Women’s Action Network is calling for active duty, reserve, Guard, and veteran women to help change that.
Take our 2017 needs assessment and help government, community, and advocacy groups develop THE RIGHT programs to meet the needs of military women past, present, and future. The survey is short and easy, and it will help us make our community’s diverse voices heard.
Our assessment last year helped us understand and share information about belonging and support – it shed interesting light on the need for service organizations to open their doors to women in new, inclusive ways.
You see, women veterans share many of the exact same concerns of our male colleagues; yet we also face unique issues, especially when it comes to accessing services after we leave active duty.
Some of the most important places veterans connect, network, and socialize while transitioning are Military and Veteran Service Organizations (MSOs/VSOs). However, our team’s latest research in the Journal of Veterans Studies indicates that women veterans participate less and even report feeling unwelcome in those very spaces.
Be part of the solution this year by taking the survey! Military women are some of the most resilient leaders you’ll meet, and you can change our reintegration experiences if you help make that visible.
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