Army Health Promotion Risk Reduction Suicide Prevention Report - The Chiarelli Report

Army Health Promotion Risk Reduction Suicide Prevention Report - The Chiarelli Report PDF

Author: United States Government US Army

Publisher: CreateSpace

Published: 2013-06-22

Total Pages: 348

ISBN-13: 9781490499239

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This report reflects a year's worth of work at the direction of the Army's Senior Leadership to provide a "directed telescope" on the alarming rate of suicides in the Army. It represents both initial findings of the Army Suicide Prevention Task Force and informs the future of Suicide Prevention within the Army. Suicide is a devastating event. What was once considered a private affair or family matter now threatens our Army's readiness. Equally alarming to the rising rate of suicide in the Army is an increasing number of Soldiers who engage in high risk behavior. Equivocal deaths,1 deaths by drug toxicity, accidental deaths, attempted suicides, and drug overdoses are reducing the ranks and negatively effecting the Army's ability to engage in contingency operations in Iraq and Afghanistan. These deaths further strain efforts to sustain institutional operations. No one could have foreseen the impact of nine years of war on our leaders and Soldiers. As a result of the protracted and intense operational tempo, the Army has lost its former situational awareness and understanding of good order and discipline within its ranks. This report's comprehensive review exposes gaps in how we see, identify, engage and mitigate high risk Soldiers. These gaps exist in our systems and processes due in part to Army Transformation and nearly a decade of war. Policy, process, structure and programs have not kept pace with the expanding needs of our strained Army. While leadership schools emphasize battlefield skills, leaders are not as adept at negotiating the art of leadership in a garrison environment as they were prior to OEF and OIF. Failure to execute policies designed to ensure good order and discipline in garrison sends a message of permissive complacency. Failure to refer a Soldier with a drug positive urinalysis to the Army Substance Abuse Program (ASAP); initiate administrative separation for positive urinalysis; administratively separate Soldiers committing multiple instances of misconduct; and report unlawful activity all contribute to a breakdown in good order and discipline. This, in turn, has led to an increasing population of high risk Soldiers whose transmittable behavior can erode Army values and unit readiness. Additionally, our units, Soldiers and Families are feeling the strain and stress of nine years of conflict. The cumulative effect of transitions borne of institutional requirements (professional military education, PCS moves, promotions) coupled with family expectations/obligations (marriage, child birth, aging parents) and compounded by deployments is, on one hand, building a resilient force while on the other, pushing some units, Soldiers and Families to the brink.

Army Health Promotion Risk Reduction Suicide Prevention Report 2010

Army Health Promotion Risk Reduction Suicide Prevention Report 2010 PDF

Author: Peter W. Chiarelli

Publisher: DIANE Publishing

Published: 2010-11

Total Pages: 350

ISBN-13: 1437937152

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This candid report is the result of a focused 15-month effort to better understand the increasing rate of suicides in U.S. Army. Key findings include: gaps in the current policies, processes and programs necessary to mitigate high risk behaviors; an erosion of adherence to existing Army policies and standards; an increase in indicators of high risk behavior including illicit drug use, other crimes and suicide attempts; lapses in surveillance and detection of high risk behavior; an increased use of prescription anti-depressants, amphetamines and narcotics; degraded accountability of disciplinary, admin. and reporting processes; and the continued high rate of suicides, high risk related deaths and other adverse outcomes. Charts and tables.

Army Health Promotion, Risk Reduction, Suicide Prevention

Army Health Promotion, Risk Reduction, Suicide Prevention PDF

Author:

Publisher:

Published: 2010

Total Pages: 0

ISBN-13:

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This report reflects a year's worth of work at the direction of the Army's Senior Leadership to provide a "directed telescope" on the alarming rate of suicides in the Army. It represents both initial findings of the Army Suicide Prevention Task Force and informs the future of Suicide Prevention within the Army. Suicide is a devastating event. What was once considered a private affair or family matter now threatens our Army's readiness. Equally alarming to the rising rate of suicide in the Army is an increasing number of Soldiers who engage in high risk behavior. Equivocal deaths, deaths by drug toxicity, accidental deaths, attempted suicides, and drug overdoses are reducing the ranks and negatively effecting the Army's ability to engage in contingency operations in Iraq and Afghanistan. These deaths further strain efforts to sustain institutional operations. No one could have foreseen the impact of nine years of war on our leaders and Soldiers. As a result of the protracted and intense operational tempo, the Army has lost its former situational awareness and understanding of good order and discipline within its ranks.

Signature Wounds

Signature Wounds PDF

Author: David Kieran

Publisher: NYU Press

Published: 2019-04-02

Total Pages: 543

ISBN-13: 1479824003

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The surprising story of the Army’s efforts to combat PTSD and traumatic brain injury The wars in Iraq and Afghanistan have taken a tremendous toll on the mental health of our troops. In 2005, then-Senator Barack Obama took to the Senate floor to tell his colleagues that “many of our injured soldiers are returning from Iraq with traumatic brain injury,” which doctors were calling the “signature wound” of the Iraq War. Alarming stories of veterans taking their own lives raised a host of vital questions: Why hadn’t the military been better prepared to treat post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI)? Why were troops being denied care and sent back to Iraq? Why weren’t the Army and the VA doing more to address these issues? Drawing on previously unreleased documents and oral histories, David Kieran tells the broad and nuanced story of the Army’s efforts to understand and address these issues, challenging the popular media view that the Iraq War was mismanaged by a callous military unwilling to address the human toll of the wars. The story of mental health during this war is the story of how different groups—soldiers, veterans and their families, anti-war politicians, researchers and clinicians, and military leaders—approached these issues from different perspectives and with different agendas. It is the story of how the advancement of medical knowledge moves at a different pace than the needs of an Army at war, and it is the story of how medical conditions intersect with larger political questions about militarism and foreign policy. This book shows how PTSD, TBI, and suicide became the signature wounds of the wars in Iraq and Afghanistan, how they prompted change within the Army itself, and how mental health became a factor in the debates about the impact of these conflicts on US culture.

Losing Our Way

Losing Our Way PDF

Author: Bob Herbert

Publisher: Anchor

Published: 2014-10-07

Total Pages: 297

ISBN-13: 0385535899

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From longtime New York Times columnist Bob Herbert comes a wrenching portrayal of ordinary Americans struggling for survival in a nation that has lost its way In his eighteen years as an opinion columnist for The New York Times, Herbert championed the working poor and the middle class. After filing his last column in 2011, he set off on a journey across the country to report on Americans who were being left behind in an economy that has never fully recovered from the Great Recession. The portraits of those he encountered fuel his new book, Losing Our Way. Herbert’s combination of heartrending reporting and keen political analysis is the purest expression since the Occupy movement of the plight of the 99 percent. The individuals and families who are paying the price of America’s bad choices in recent decades form the book’s emotional center: an exhausted high school student in Brooklyn who works the overnight shift in a factory at minimum wage to help pay her family’s rent; a twenty-four-year-old soldier from Peachtree City, Georgia, who loses both legs in a misguided, mismanaged, seemingly endless war; a young woman, only recently engaged, who suffers devastating injuries in a tragic bridge collapse in Minneapolis; and a group of parents in Pittsburgh who courageously fight back against the politicians who decimated funding for their children’s schools. Herbert reminds us of a time in America when unemployment was low, wages and profits were high, and the nation’s wealth, by current standards, was distributed much more equitably. Today, the gap between the wealthy and everyone else has widened dramatically, the nation’s physical plant is crumbling, and the inability to find decent work is a plague on a generation. Herbert traces where we went wrong and spotlights the drastic and dangerous shift of political power from ordinary Americans to the corporate and financial elite. Hope for America, he argues, lies in a concerted push to redress that political imbalance. Searing and unforgettable, Losing Our Way ultimately inspires with its faith in ordinary citizens to take back their true political power and reclaim the American dream.

Handbook on Gender and War

Handbook on Gender and War PDF

Author: Simona Sharoni

Publisher: Edward Elgar Publishing

Published: 2016-07-27

Total Pages: 615

ISBN-13: 1849808929

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This interdisciplinary Handbook offers a comprehensive and detailed overview of the relationship between gender and war, exploring the conduct of war, its impact, aftermath and opposition to it. Offering sophisticated theoretical insights and empirical research from the First World War to contemporary conflicts around the world, this Handbook underscores the centrality of gender to critical examinations of war.

Big Food, Big Pharma, Big Lies

Big Food, Big Pharma, Big Lies PDF

Author: Martha Rosenberg

Publisher: Rowman & Littlefield

Published: 2023-10-15

Total Pages: 397

ISBN-13: 1633889793

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This hard-hitting exposé by leading national muckraker Martha Rosenberg blows the lid off of everything you thought you knew about Big Pharma and Big Food. What goes on behind the scenes in these industries is more suspicious, more devious, more disreputable than you could have ever imagined. Rosenberg’s message is clear: the pharmaceutical and agricultural industries are tainting public health through marketing disguised as medical education and research, aggressive lobbying, and high-level conflicts of interest. If you’re concerned about the safety of the drugs you take and the food you eat, you owe it to yourself to read this important book. Having gained the trust of more than twenty doctors, researchers, and experts who were willing to come forward and finally tell all, reporter and editorial cartoonist Martha Rosenberg presents us with her shocking findings. Explosive material from whistle-blowers, scientists, unsealed lawsuits, and Big Pharma’s and Big Food’s own marketers exposes how these industries put profits before public safety and how the government puts the interests of business before the welfare of consumers, creating a double whammy that “pimps” the public health. What Rosenberg reveals about government complicity, regulatory food- and drug-safety lapses, and legislative injustices will both shock and appall. Why have federal meat inspectors become pathetic figureheads in the nation’s slaughterhouses, laughed at by plant managers? Why are medical articles that have been exposed in lawsuits as fraudulent still standing and not retracted? Why was meat possibly containing the United States’ first mad cow sold to five California restaurants when the government said it wasn’t? And why are parents giving their one-year-olds acid reflux medications and their three-year-olds bipolar disorder medications? You’ll find the answers to these and many more disturbing questions in this revealing book.

Accountability for Killing

Accountability for Killing PDF

Author: Neta Crawford

Publisher: Oxford University Press

Published: 2013-10

Total Pages: 503

ISBN-13: 0199981728

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A sophisticated and intellectually powerful analysis of culpability and moral responsibility in war, This book focuses on the causes of many episodes of foreseeable collateral damage. Trenchant, original, and ranging across security studies, international law, ethics, and international relations, Accountability for Killing will reshape our understanding of the ethics of contemporary war.