Health Care Providers Expand Substance Use Disorder Resources For Veterans

As fentanyl overdose deaths rise nationally, West Virginia health care providers are looking for new ways to support veterans struggling with substance use disorder or mental health issues.

As fentanyl overdose deaths rise nationally, veterans face new challenges overcoming historic barriers to health care.

Mark Mann, chief of staff for mental health services at the Martinsburg VA Medical Center (VAMC), said that West Virginia’s veteran community has been no exception to this struggle.

“The VA is doing a good job of curbing that, but we still are losing veterans every year to poisoning from fentanyl and other things that are mixed into the drugs,” he said.

Veterans have long faced bureaucratic difficulties and stigma when seeking support for substance use disorder. But the rising prevalence of fentanyl has also tested current mental health resources for veterans, requiring new strategies. 

In response, health care providers at the VAMC are working to expand current resources to better serve veterans struggling with substance use disorder and other forms of mental illness.

On Friday, medical professionals and members of the local community gathered at the facility for a summit on substance use disorder among veterans.

The event featured discussions from both national and local medical professionals, who discussed substance use disorder among veterans at large and specific services at the VAMC supporting veterans’ mental health needs.

Those resources include traditional medical resources, like residential inpatient services, intensive outpatient programs and medication-assisted therapies, Mann said.

But it also includes providing a full “continuum of care,” supplementing medical services with social interventions and support.

In 2022, Mann said staff members at the VAMC helped advocate for the creation of a three-digit hotline number for suicide and mental health crisis intervention, 988.

Joseph Liberto, national mental health director for substance use disorders at the Department of Veteran Affairs Office of Mental Health and Suicide Prevention, answers audience questions.

Photo Credit: Jack Walker/West Virginia Public Broadcasting

Some veterans who contact the hotline are put in touch with the VAMC, who can then provide follow-up services and ensure they are safe.

Mann said providing a simple and remote resource like this has helped the VAMC provide more immediate support to veterans in need, and keep lines of communication open once patients step off the facility’s Martinsburg campus.

The VAMC has also created on-campus resources that provide counseling, like a chaplain assigned specifically to support veterans with difficulties surrounding mental health or substance use.

Roosevelt Brown, chief chaplain at the VAMC, said that the creation of this position allowed the VAMC to directly help local veterans, and point them to resources specific to their mental health needs.

“Part of what we’re doing now is trying to say, ‘Hey, how can we make sure we open the door and let them know that we have services available for them?’” he said.

As chaplains, Brown said that he and his colleagues offer spiritual or emotional guidance to patients at the VAMC, and also encourage them to access specific resources that could support them through periods of difficulty.

Brown said that fewer people used the VAMC’s chaplain services during the COVID-19 pandemic, but that turnout has returned to pre-pandemic levels with the creation of these new resources.

He added that he hopes this trend will continue, and that the VAMC will be able to further support veterans struggling with substance use disorder.

“We’re motivated to do something about those who need help,” he said. “My hope is that what we can do is [bring] a better quality of life [to] veterans.”

New Program Addresses Military Sexual Trauma Among Women Veterans

The Department of Veterans Assistance launched a new program that aims to support women veterans, especially those who have experienced military sexual trauma.

People of all backgrounds experience sexual violence, but sexual harassment and assault against women veterans is especially pervasive.

According to the United States Department of Veteran Affairs, one in three women veterans report experiencing sexual violence during their military service.

To provide resources that better address military sexual trauma, the West Virginia Department of Veterans Assistance has launched a new Women Veterans Program.

The program will be led by Jessica Lynch, a West Virginia resident who was taken as a prisoner of war in Iraq in 2003.

Lynch joined Gov. Jim Justice’s virtual press briefing Wednesday to share news of the program’s launch, and her hopes for what it can accomplish.

“It’s going to be a very exciting job that I’m willing to take on, and I hope that we are able to reach more women veterans across the state,” she said.

Edward Diaz, cabinet secretary for the Department of Veterans Assistance, said addressing gaps in resources for survivors of military sexual abuse was a top priority entering his current position.

Women veterans are “just so much more likely to have experienced sexual harassment, sexual assault and, of course, unfortunately, rape,” he said. “It needs to be addressed not only on a national level, but also within our home state here.”

Diaz said that social stigma surrounding sexual violence often discourages survivors from coming forward and seeking the resources they need.

“A lot of the women who have gone through this — and even men who have gone through this — they aren’t as comfortable talking to male veterans,” he said. “They’re reluctant to come into our offices. They’re reluctant to come in for assistance.”

Plans for program outreach remain under development. But the Department of Veterans Assistance plans on hosting community events, and directly contacting local veteran communities around the state.

The goal is to spread awareness about the resources available to survivors, and help them to access support.

“There are initiatives across every state and territory in the U.S. trying to address this problem — trying to make sure that women are heard,” Diaz said. “From a state level, I wanted to bring this forward.”

Diaz said that Lynch has remained an important and passionate supporter of women veterans in West Virginia since her military service.

When looking for someone to lead the program, this made Lynch an obvious choice.

“Over the past several weeks getting to know her on a personal level, I’m in awe. I’m truly amazed of her character … being able to empower women veterans across the state,” he said.

Justice applauded the Department of Veterans Assistance for their new program, and Lynch for her work leading the project.

“You’re stepping up for West Virginia again, and you’re stepping up for our women’s veterans and everything that need help, need help, need ambassadors,” he told Lynch.

Health care providers have also made recent steps toward advancing resources available to women veterans. Earlier this month, the Berkeley VA Medical Center opened a new clinical space to specifically address the needs of women veterans.

Justice said it is important to continue advancing resources for women veterans.

“Let’s try to do any and everything we can to salute and help our women veterans,” he said.

VAMC Expands Women’s Health Care Options

Women are the fastest-growing population of veterans and the Beckley VA Medical Center is staying ahead of the curve with its new offerings.

The Beckley VA Medical Center’s Women’s Health Program expanded to include a new clinical space specifically made for women veterans’ health needs.

Wanda Richmond, veteran program manager, said women have their own unique health care needs and the focus of the Women’s Health Program is to meet those needs.

“The main focus is that it is just much more convenient for the veteran,” Richmond said. “They can be here for a primary care appointment and have an issue that they would like to discuss, or be seen by a gynecologist for, they can have that done at the same visit without having to come back for a second visit.”

Dr. Roy Wolfe, the gynecologist at Beckley VAMC and the women’s health medical director, joined the program in August of 2023 and tends to patients at clinics in Raleigh, Greenbrier and Mercer Counties.

“We see probably about 15 patients a week, which is a luxury for me having come from private practice,” Wolfe said. “I can spend as much time as I need to with all those patients.”

Wolfe said veterans need specialized care, as they are different from the civilian population, all of those health needs can be addressed at the VA.

“There are some specific issues that they have that we’re uniquely qualified to deal with that the civilian providers probably would not be,” he said.

Since bringing on Wolfe, the program has only continued to grow with the addition of Nurse Practitioner Christian St. Clair serving as the women’s health Primary Care Provider.

“We are very excited to have her here,” Richmond said. “She is experienced in women’s health. She is very much interested in women’s health. And we feel it’s important that you have a stable provider that you can develop a relationship with that when you come in, you’re not having to tell a new provider, all of your history and everything over and over again.”

Procedures available in the clinic include annual wellness exams, cervical cancer screenings, birth control options and treatment for menopausal symptoms, among other services.

Some surgical procedures are also available at the clinic including hysteroscopy, management of cysts of abscesses and more.

Richmond said she thinks women tend to neglect their own health for the betterment of their families and other obligations and encouraged women veterans to seek health care at the VA.

“We want all of our women veterans to know they served, they deserve the care,” Richmond said. “And we at the VA welcome them and we want to ensure that they get the care that they need and definitely deserve.”

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Marshall Health.

Active Duty And Retired Military Eligible For Emergency Prescriptions Due To Storms

Uniformed service members, military retirees and their families served by TRICARE are eligible for emergency prescription refills due to recent inclement weather.

The Defense Health Agency announced Thursday that TRICARE beneficiaries in four counties in West Virginia may receive emergency prescription refills now through April 13, 2024, due to storm damage.

The Defense Health Agency and TRICARE serve uniformed service members, military retirees and their families. 

Beneficiaries in Fayette, Kanawha, Lincoln and Nicholas counties are eligible for the emergency waiver.

On Thursday afternoon, Gov. Jim Justice amended his State of Emergency to include Barbour, Brooke, Hancock, Marshall, Ohio, Wetzel and Wood counties. 

The Defense Health Agency told West Virginia Public Broadcasting via email that the waiver will not be extended to those counties at this time.

To receive an emergency medication refill, TRICARE beneficiaries should take their prescription bottle to any TRICARE retail network pharmacy. Patients are advised to visit the pharmacy where the prescription was originally filled.

To find a network pharmacy, beneficiaries may call Express Scripts at 1-877-363-1303 or search the network pharmacy locator.

Record Number Of Veterans Enrolled In Health Insurance

A record number of West Virginia veterans have enrolled in VA healthcare in the last year.

The Department of Veterans Affairs announced that it has enrolled more than 2,000 West Virginian veterans in VA health care over the past 365 days, a 23 percent increase from previous years.

A press release from the VA credits the increased enrollment to the expansions in the PACT Act, which allowed the VA to expand health care and benefits to millions of veterans.

As of March 5, 2024 all veterans who were exposed to toxins and other hazards while serving in the military and meet certain requirements became eligible to enroll directly in VA health care.

“We want every eligible veteran to enroll in VA health care for one simple reason: Veterans who come to VA are proven to have better health outcomes – and pay less – than veterans who don’t,” said VA Secretary Denis McDonough. “That’s why we’ve spent the past year meeting veterans where they are – hosting thousands of events, sending millions of texts, advertising on every corner, and much more – to get them to come to VA. This aggressive outreach campaign has led more Veterans to enroll in VA care than during any year in at least a decade, and we’re not slowing down now.” 

Nationally, rates of enrollment increased by 30 percent. This is the most yearly enrollees in at least five years at the VA and a nearly 50 percent increase over pandemic-level enrollment in 2020.

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Marshall Health.

Veterans Counselors Have Opportunity To Collaborate

Mental health providers and substance use disorder counselors are coming together to share information between those who may work with veterans in the community.

The Martinsburg VA Medical Center Mental Health Program is hosting a community mental health and substance use disorder summit virtually and in person.

On Friday, April 19 at the Martinsburg VA Medical Center, health professionals will gather to discuss treatment methods and interventions for veterans suffering from mental illness or substance use disorder.

The event will bring together mental health providers and substance use disorder counselors to share information and provide educational tools to those who may work with veterans in the community.

According to the National Institute on Drug Abuse, more than one in 10 veterans have been diagnosed with a substance use disorder.

Participants wishing to earn their Continued Medical Education (CME) certification will need to email Theresa Crawford at theresa.crawford@va.gov.

Those who will not be earning a certification are not required to register.

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Marshall Health.

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