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Moral Injury Symposium swords-to-plowshares.org combattocommunity.org INSTITUTE FOR VETERAN POLICY Women Veterans

Moral Injury Women Veterans

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Page 1: Moral Injury Women Veterans

Moral Injury Symposium

swords-to-plowshares.org combattocommunity.org

INSTITUTE FOR VETERAN POLICY

Women Veterans

Page 2: Moral Injury Women Veterans

Women Veterans

Women veterans share many of the short- and long-term physical and emotional consequences and needs that their male counterparts face as a result of serving their country. In addition, as women veterans they have unique experiences and needs.

Page 3: Moral Injury Women Veterans

Women Veterans

WHY WOMEN JOIN THE MILITARY Duty to their country. Look for adventure and travel. Seeking a career. A way to earn a college degree or technical skills. To provide for their families. To become independent. To escape abusive and violent home environments.

Page 4: Moral Injury Women Veterans

Women in the Military

Women have served their country in every war and conflict since the American Revolution.

In the early 1900s they formally joined the U.S. Armed Forces through the newly established Army Nurse Corps, Women’s Army Corps, Navy Nurse Corps and Women in the Air Force.

By the late 1970s women were assimilated into the regular branches of the military.

The 1980 census was the first time women were asked if they had ever served in the Armed Forces.

Page 5: Moral Injury Women Veterans

Women in the MilitaryBY THE NUMBERS*

15%: Active duty enlisted & 16.8% Active duty officers.

18%: National Guard and Reserves.

20%: New recruits.

10%: Veterans (projected to double over next 20 years).

12% of active duty women and 16% of Guard and Reserves women are single mothers, compared to 4% who are single fathers.

* DoD, Demographics 2010: Profile of the Military Community.

Page 6: Moral Injury Women Veterans

Women in the Military: Combat

2.7 million troops have deployed in support of Global War on Terror (GWOT)

280,000 are women (41,000 in Gulf War). 161 women have been killed in combat. > 18,600 have been wounded in action. > 9000 received Combat Action Badges

*CTS Deployment File Baseline Report, Defense Manpower Data Center, as of March 2013; Defense Casualty Analysis System, as of April 2012.

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Women in the Military: Combat

1994 COMBAT EXCLUSION POLICYStates that women shall be excluded from assignment to units whose primary mission is to engage in direct combat on the ground.

FEBRUARY 2012 REVISED COMBAT EXCLUSION POLICYWomen fly combat aircraft, serve on combat ships, combat medics, military police, etc., but are still banned from serving in the infantry; 30% of positions still remain restricted to men.

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Women in the Military: Combat

LIONESS DOCUMENTARYTRIGGER WARNING: GRAPHIC CONTENT DEPICTING SCENES OF WAR

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Women in the Military: Combat

FIRST FEMALE SOLDIERS GRADUATE FROM ARMY RANGER SCHOOL

Page 10: Moral Injury Women Veterans

Women in the Military: Combat

JANUARY 2013 RESCIND DIRECT COMBAT EXCLUSION RULE

Ensuring the success of our nation’s war fighting forces by preserving unit readiness, cohesion and morale.

Ensuring all service men and women are given the opportunity to succeed and are set-up for success with viable career paths.

Retaining the trust and confidence of the American people to defend this nation by promoting policies that maintain the best quality and most qualified people.

Page 11: Moral Injury Women Veterans

Women Veterans: Homecoming

Idealistic and unrealistic expectations in family roles as a partner, spouse, mother, daughter and sister.

When a male service member comes home, he often has help from a wife or mother. When a woman returns home, sheis often expected to handle childcare, work around the house and hold down a job.

DEPLOYMENTS / HOMECOMING STRESS

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Women Veterans

LIONESS DOCUMENTARYTRIGGER WARNING: GRAPHIC CONTENT DEPICTING SCENES OF WAR

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California Veterans

U.S. Veteran Population: 22 million

U.S. Women Veteran Population: 2.3 million

CA Veteran Population: 1.9 million (highest # of veterans)

Bay Area and Southern CA have highest # in CA

CA Women Veteran Pop.: 185,269 (10% of all women veterans)

*VetPop, 2011.

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Women Veterans in Transition

Women veterans do not always receive the

recognition and respect for their military service,

especially their combat experiences – they may feel

invisible.

“I always get challenged on my veteran status because of my gender. People still seem to have the idea that only men can be combat veterans.” -current-era woman veteran

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Women Veterans

MENTAL HEALTH

Post-Traumatic Stress Disorder (PTSD) Traumatic Brain Injury (TBI)* Moral Injury Depression Substance Abuse (coping mechanism) Suicide

*Although considered a cognitive injury, TBI can affect mental health and often intersects with PTSD.

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Women Veterans

POST-TRAUMATIC STRESS DISORDER Men and women = chance of PTSD after exposure trauma.

Physically injured women veterans: more likely to have PTSD than men.

Higher proportions of women veterans are diagnosed with mental health conditions by the VA, but lower proportions are diagnosed with PTSD.

* Maguen et al, “Gender differences in traumatic experiences and mental health in active duty soldiers redeployed from Iraq and Afghanistan.” 2012; OIG, “Review of Combat Stress in Women Veterans Receiving VA Health Care and Disability Benefits.” Dec 2010.

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Women Veterans

DEPRESSION

Top 3 diagnostic category for women veterans treated by the VA.

risk for depression (than men).

2X as likely to experience a major depressive episode.

*VA, Women Veterans Health Care, www.oefoif.va.gov/womenvets.asp; Maguen et al, “Gender differences in traumatic experiences and mental health in active duty soldiers redeployed from Iraq and Afghanistan.” 2012.

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Women Veterans

SUBSTANCE USEBinge Alcohol = 2X the community rate.Tobacco Smoking = 2.5X the community rate.Opiate Use = 3X the community rate.

Women who go through trauma have risk for drinking problems.

National Center for PTSD, www.ptsd.va.gov/public/pages/ptsd-alcohol-use.asp.

Golub and Bennett, 2013.

Page 19: Moral Injury Women Veterans

Women Veterans

HOMELESSNESS 3-4X greater risk of homelessness for women veterans than for non-veteran women. VA data show the number of women veterans identified as homeless has doubled in

the last five years. Women veterans with TBI are seven times more likely to be homeless than veteran

men with TBI. A disproportionate amount of homeless women veterans have experienced MST.

Gamache et al, 2003; GAO, 2011; photo: veteranstoday.com

Stanford University, 2013.

GAO, 2011

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Women Veterans

22 veterans commit suicide a day. 1,000 suicide attempts per month among all veterans

seen at VA medical facilities. Women veterans are 2 - 3X more likely to commit

suicide than non-veteran women.

SUICIDE

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Women Veterans

WOMEN VETERANS CALL CENTER Receives and responds to questions from women veterans, their families and caregivers across the nation about

available VA services and resources.

(855) 829-6636(855) VA-WOMEN

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Additional ResourcesBOOKS

Band of Sisters: American Women at War in Iraq by Kirsten Holmstedt

The Girls Come Marching Home: Stories of Women Warriors Returning from the War in Iraq by Kirsten Holmstedt

When Jane Comes Marching Home: Portraits of Women Combat Veterans by Browder Laura/Pflaeging Sascha

Love My Rifle More than You: Young and Female in the U.S. Army by Michael E. Staub and Kayla Williams

The Lonely Soldier: The Private War of Women Serving in Iraq by Helen Benedict

Women At War by Scott Baron and James Wise

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Additional Resources

. DOCUMENTARIES Lioness by Meg McLagan and Daria

Poster Girl by Sara Nesson

Service: When Women Come Marching Home by Marcia Rock and Patricia Lee Stotter

The Invisible War by Helen Benedict

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Thank You for Your Attendance

Copyright © 2014 by Swords to PlowsharesAll rights reserved, including the right of reproduction in whole or in part in any form.

Swords to PlowsharesInstitute for Veteran Policy1060 Howard StreetSan Francisco, CA 94103Star LaraWomen Veteran Program [email protected]