Posted on Mar 24, 2014
SFC Kayla Sondrol
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What I am pretty much asking is what have you done as an NCO / O or lower enlisted in order to lessen the amount of mental health stigma that is seen in the Military? Myself, I have made an absolute open door policy that even if you're not my soldier, you can come see me for any mental health issues, so I can give you the resources you need in order to get the proper care with zero judgement.

 

Overall I want to figure out the best way to get military personnel together to end the stigma of mental health issues. In fact this is almost too difficult for me to word for some reason, so I hope you all get what I am trying to say.

 

For people who have already tried to end the stigma as well, please post about how you have been going about it. If that means talking to CoC to teach them to have better judgment and leniency when it comes to personnel seeking mental health help. Or that you end up helping the person yourself.

 

Thank you for your time and I hope to gain additional information from others who are also doing this as well.

Posted in these groups: Healthheart HealthB7085196 Stigma
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Responses: 5
Maj Chris Nelson
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There are a couple aspects to this.  There are 2 ways to get to mental health... 1) voluntary.  2) command directed.  Command directed is generally associated with negitive consequences (similar to DUI or ETOH related incident getting you a ticket to alcohol evaluation).  The voluntary is just that....voluntary. 


 


For Voluntary to work a few things have to line up:  1) member must self identify that he/she has a problem. 2) needs to gain the courage to accept responsibility for the issue, 3) schedule an appointment/walk in.  Where a good leader (and even better then leader, a great friend) falls into play is in providing the support to the member... This may be in helping them SEE that there is a problem.  If the member already sees there is a problem, it may be giving them the "lets go there together" for the strengh or confidence to go.  Sometimes, baby steps are needed.....starting with a chaplain or an "off the record" MFLC (Military and Family Life Consultant) will get the ball rolling.  In the end, you can only do so much...the member will have to take the final step.  Not always easy. 


 


The last way is the least desireable... You could just let them slide until they screw up enough to gain the command directed, but that will generally kill a career...or at least impact it....even while getting help.  This last method should be a last ditch effort.

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SFC Kayla Sondrol
SFC Kayla Sondrol
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I agree with you on the command directed because it CAN be a career killer. However, I have also seen even voluntarily seeking help has also in some instances become a career killer. IE seeking help for PTSD or ongoing depression. That is why I want to help work on ending any type of stigma associated with mental health and seek the advice from other personnel.
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Maj Chris Nelson
Maj Chris Nelson
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Of course, you are correct. There are some mental health diagnosis' that are non-conducive to military life. But for most, it is not a career killer.
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MAJ Population Health Nurse
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SGT Sondrol, I have seen command directed mental health care used appropriately and as, what I perceived, a weapon for a Soldier that is not at 100%.  It is current reality that reaching a senior E or O leadership position does not have the prerequisite of understanding behavioral healthcare and that leaders may view a temporary condition as a disciplinary problem.  The Army has worked to remove the stigma but we are not where we need to be.  We need to evolve.  We owe it to the men and women who serve. 

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SSgt K Ehlers
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I think it's important to talk about it at all levels. A direct supervisor has the most impact on reducing stigma through day-to-day interactions. However, if direct supervisors don't have the support of their command then it's hard to back up words with actions. A hypothetical example: I can tell my troops all day long that it is not weak to have a mental health issue and that it takes strength to admit when we are suffering and to seek help. If my commander doesn't give me leeway to allow my troops to take the time they need to get better, then it's pointless. Also, to reduce stigma we need to TALK about mental health in front of each other. We need to normalize mental health as much as possible. And when our troops scoff and make snide comments about mental health we need to correct it in front of everyone to set the standard. I commend you SFC Kayla Sondrol for bringing this issue to light. We need more NCO's like you!
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SFC Kayla Sondrol
SFC Kayla Sondrol
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You said exactly what I ended up wanting to say. You are more than correct that the command also needs to be understanding in order for stigma to be reduced, because if people can't take off the time in order to go to counseling to work out their issues and save their career - what kind of additional issues will ultimately develop because of that?

I also like your idea of openly talking about mental health issues, it is perfectly valid tool to use in order to desensitize others and make it a norm. Thank you!
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MAJ Population Health Nurse
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I am a former Combat Medic (92B20), a former LPN (92C20), and I am currently an Army Nurse, (RN) with >24 years in health care and >27 years in service.  I've seen the military shift from mental health being a career ending situation to becoming more accepted by the command.  One thing that I believe helped me look at mental health in a whole new light is 3 1/2 years experience working on in-patient acute locked psychiatric wards.  Some of the patients that I worked with were fine human beings that were experiencing a temporary condition and I recognized them for being insightful enough to seek therapeutic care.  I will tell you that there are some conditions that, although they may be manageable, are not well suited to an armed service.  I will also tell you that many conditions are manageable with proper compassion and care.  A couple decades ago I learned that my reaction to those individuals who need care can have a life long effect on them and I voluntarily chose to be part of the healing process, not a barrier.  I've run clinics in the WTU where people have been placed to receive care focused on meeting their needs to RTD or to move onto civilian life as functional as we could aid them to be.  If they were transitioned out of the Army we set them up with follow on care from the VA of their choosing.  I believe that Army healthcare is to provide confidential healthcare and the active support the patient needs to become as healthy, physically and mentally, as we have the ability to provide.   We work with America's sons and daughters and that carries a great responsibility that should never be forgotten by those in leadership positions at any rank or by the professionals who provide care.
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SFC Kayla Sondrol
SFC Kayla Sondrol
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I commend your response, I posted this question because my overall knowledge of Mental Health is not as vast as say psychologists, psychiatrists, LCSW, psyche nurse, etc etc. However, I am always willing to learn and see the views of others. And seeing answers, especially like this allow me to see the much bigger picture in the military or even in the civilian world. Overall what I have seen with soldiers seeking help has led to increased problems with the command, especially PTSD. Since depending on the unit (a lot), they automatically put an S3 or higher profile tacked to the soldier and having their weapon taken away and no longer allowed to participate in combat-like scenarios, and triggering a board to see if you're retainable. I do realize there are definitely quite a few mental illnesses that are counterproductive to being in the military and yes I do agree they should be removed for their own safety and the safety of others. Technically my question was more based on the overall increase of PTSD in soldiers from the wars, but I made a slip up when I posted the question. I still thank you for your answer though!

 

Much respect sir!

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MAJ Population Health Nurse
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SGT Sondrol,  I thank you for your kind words.  PTSD can range in symptoms from mild to intensively consuming.  Since we have greater knowledge and surveillance for PTSD we will find it more.  I'm not convinced there's been an actual increase but I am convinced there is better reporting.  I agree that there can be a command push to remove Soldiers with PTSD from their ranks so they can replace them with a Soldier without known issues.  I wish I had the answer.

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