In the first of a series of reports called “The Last Battle”, the Fayetteville (NC) Observer (9/23, Barnes) noted, “The rising suicide rate and the increasing number of service members and veterans dealing with post-combat stress or substance abuse show that the military’s mental health programs are not getting the job done.” Veterans Affairs, meanwhile, has a claims backlog that in part stems from the many Iraq and Afghanistan veterans who are filing for VA benefits. In order to help decrease the backlog, VA Secretary Eric Shinseki and Defense Secretary Leon Panetta “met in May to reaffirm their commitment to a fully operational health records system that would allow the VA and DOD to share medical records of soldiers and veterans electronically.” Some lawmakers, however, feel that project is not coming along quickly enough.

In a related story, the Fayetteville (NC) Observer (9/24, Ramsey) says VA “has promised to eliminate its entire backlog — more than 820,000 claims nationwide — by 2015.” The agency “has hired more than 3,000 claims processors and bought a $300 million computer system. But the wait times in North Carolina — and in the other areas across the country that process the most claims — are getting worse.” Patrick Bellon, executive director of Veterans for Common Sense, thinks VA should change its claims system so that follows the IRS model, in that VA would grant claims and then do audits of the claims granted. As it is now, says Bellon, vets are waiting for money from VA and “while they’re waiting for the money, their financial situations are deteriorating.”

Panetta Says VA And DoD Are Devoting More Funding To PTSD Research. As part of its “The Last Battle” series of reports, theFayetteville (NC) Observer (9/23) interviewed Panetta, who said, “We just had another $100 million in joint funding by DoD and VA to try to develop some consortia to look at diagnosis and treatment” of post-traumatic stress disorder (PTSD) in service members and veterans. Panetta added, “We’ve really been pushing on trying to open up access to quality mental and behavioral health care, trying to expand access, so we’ve got some 9,000 new psychiatrists and psychologists, social workers and nurses.” The Observer, however, took note of VA’s “huge” claims backlog. In response, Panetta said preventing suicides by service members and veterans requires a “fundamental and deep commitment on the part of everybody to address this issue.”

VA Mental Healthcare System Urged To Partner With Private Sector. In a Wall Street Journal (9/24, Subscription Publication) op-ed, attorney Robert M. Morgenthau criticizes the care that 63-year-old Vietnam veteran Peter Wielunski got from Veterans Affairs before committing suicide in May. Morgenthau praises VA for trying to improve its mental healthcare system by increasing the system’s budget and by hiring more mental healthcare employees. He argues, however, that VA can only properly care for suicidal veterans by partnering with private-sector hospitals and universities.

Related Links:

— “The Last Battle: Is the Army doing enough to help soldiers suffering from mental health problems?, “Greg Barnes, Fayobserver, September 23, 2012.

On its front page, the New York Times (9/21, A1, Borden, Subscription Publication) reports that despite the National Football League’s rules and restrictions on uniforms and accessories, the league leaves it up to players to decide what kind of helmet to wear. “Even as head injuries have become a major concern, the NFL has neither mandated nor officially recommended the helmet models that have tested as the top performers in protecting against collisions believed to be linked to concussions.” Players choose helmets based on comfort, habit, or appearance. “As a consequence, despite lawsuits related to head injuries and the sport’s ever-increasing speed and violence, some players are using helmets that appear to place them at greater risk.”

Related Links:

— “Despite Risks, N.F.L. Leaves Helmet Choices in Players’ Hands, “Sam Borden, The New York Times, September 20, 2012.

Bloomberg News (9/21, Ostrow) reports, “Patients with Alzheimer’s disease, the most common form of dementia, and their caregivers say the illness leaves them feeling isolated and apart from family, friends and life’s typical connections,” according to the World Alzheimer Report 2010 (pdf), released yesterday by Alzheimer’s Disease International, an organization based in London, UK. “About a quarter of people with dementia hide or conceal their diagnosis because of the stigma surrounding the disease and 40 percent say they are excluded from everyday life,” the report found. Currently, approximately “36 million people worldwide are living with dementia and the numbers will more than triple to 115 million by 2050, according to the report.”

Loneliness May Put Seniors At Risk For Health Problems. The Houston Chronicle (9/21, Morgan) reports, “According to the Department of Health and Human Services, approximately 30 percent of senior citizens live alone, the majority being women. Loneliness” may increase the risk for certain health problems in seniors. For some seniors, “Meals on Wheels delivers nutrition and socialization, said Janice Sparks, manager of the Aging and Disability Resource Center in Houston, a branch of the Harris County Area Agency on Aging.” And, “keeping in mind eating is often a social activity, the agency also offers a ‘congregate nutrition program,’ which is a network of congregate and home-delivered meal providers throughout Harris County.”

Related Links:

— “Alzheimer’s Leaves Patients, Caregivers Feeling Isolated, “Nicole Ostrow, Bloomberg, September 20, 2012.

The New York Times (9/21, Parker-Pope) “Well” blog notes that although previously rejected, the “notion that food can be addictive” is beginning to gain ground among experts. This spring, HHS Secretary Kathleen Sebelius “said that for some, obesity is ‘an addiction like smoking'”; and National Institute on Drug Abuse Director Nora Volkow, MD, “gave a lecture…making the case that food and drug addictions have much in common.” Additionally, researchers at Princeton University and the University of Florida “have found that sugar-binging rats show signs of opiate-like withdrawal when their sugar is taken away”; and scientists in Italy and California “reported that the digestive systems of rats on a fatty liquid diet began producing endocannabinoids, chemicals similar to those produced by marijuana use.”

Related Links:

— “Craving an Ice-Cream Fix,”Tara Parker Pope, The New York Times, September 20, 2012.

The Huffington Post (9/21, Wood) reports, “After more than a decade of war, the US military cannot precisely diagnose concussion-related brain injuries resulting from the bomb blasts that are the most common cause of combat casualties.” Earlier this week, however, Veterans Affairs and the Defense Department “announced a new $100 million research effort to find better ways to diagnose and treat” mild traumatic brain injury (mTBI) and post-traumatic stress disorder (PTSD), a “form of combat trauma with many of the same symptoms as mTBI.”

The Warner Robins (GA) Patriot (9/21, Rector) says Veterans Affairs and the Defense Department have “announced…that more than $100 million will be invested in research to improve diagnosis and treatment” of mild traumatic brain injury (mTBI) and post-traumatic stress disorder (PTSD). In a Pentagon statement, Assistant Secretary of Defense for Health Affairs Dr. Jonathan Woodson said the research will “bring together leading scientists and researchers devoted to the health and welfare of our nation’s service members and veterans.”

Related Links:

— “Traumatic Brain Injury Treatment, Diagnosis Continues To Elude Military Doctors, “David Wood, Huffington Post, September 20, 2012.

HealthDay (9/21, Reinberg) reports, “More Americans now commit suicide than die in car crashes, making suicide the leading cause of injury deaths,” according to a study published online Sept. 20 in the American Journal of Public Health. “In addition, over the last 10 years, while the number of deaths from car crashes has declined, deaths from poisoning and falls increased significantly, the researchers” reported. Study author Ian Rockett, a professor of epidemiology at West Virginia University, believes “there may be 20 percent or more unrecognized suicides,” possibly from intentional overdosing on prescription medications.

WebMD (9/21, Warner) reports, “In the study, researchers looked at cause of death data from the National Center for Health Statistics from 2000 to 2009.” They found that “the top five leading causes of injury-related deaths were: suicide, motor vehicle crashes, poisoning, falls, [and] homicide.” The study authors “say the findings demonstrate that suicide is now a global public health issue.”

Related Links:

— “Suicide Now Kills More Americans Than Car Crashes: Study, “Steven Reinberg, HealthDay, September 20, 2012.

MedWire (9/19, Cowen) reports, “Children with a parental history of bipolar disorder (BD) or major depressive disorder (MDD) are at increased risk for any mood or anxiety disorder,” according to a study published in the September issue of the journal Bipolar Disorders. For the study, researchers examined “a total of 376 children, aged 6.0-17.9 years, of whom 139 had a parental history of BD (72 parents), 110 had a parental history of MDD (56 parents), and 127 (controls) had mentally healthy parents.” Investigators “also found that children with a parental history of BD were more likely to develop recurrent MDD than the children of parents with MDD and those of mentally healthy parents.”

Related Links:

— “Mood disorder, anxiety risk elevated in children with mood disordered parents, “Mark Cowen, MedWire News, September 19, 2012.

HealthDay (9/19, Dallas) reports that a study published online in the journal Medicine and Science in Sports and Exercise “found that moderate exercise can help people manage future stress and anxiety, and the emotional and mental health benefits of exercise may last long after a workout ends.” For the study, investigators “compared the effects of 30-minute periods of quiet rest and moderate-intensity cycling on the anxiety levels of healthy college students.” Researchers found that “after viewing 90 stimulating photos from the International Affective Picture System, a database of images used in emotion research, for 20 minutes…only the students who exercised maintained a lower level of anxiety.”

Related Links:

— “Exercise May Prevent Stress and Anxiety, Study Suggests, “Mary Elizabeth Dallas, HealthDay, September 18, 2012.

Reuters (9/18) reports on a study published online Sept. 17 in the journal Pediatrics that found that one in every seven high schoolers in Los Angeles with a mobile phone has sent a sexually explicit photo or text message. The study found that the teens who had engaged in “sexting” were seven times more likely to be sexually active than those who never sexted.

The Los Angeles Times (9/18, Lynch) “Nation Now” blog reports that “the study polled more than 1,800 Los Angeles high school-age students. Of those polled, 15% acknowledged sexting, and 54% reported knowing someone who had sent a sext.” Lead researcher Eric Rice said that “there is an emerging sense of normalcy around sexting behavior,” adding that “if you have friends that sext, you are 17 times more likely to sext.”

Related Links:

— ““Sexting” again linked to risky sex among teens, “Genevra Pittman, Reuters, September 17, 2012.

US Medicine (9/18, Basu) reports, “The Army will no longer use forensic psychiatry to evaluate soldiers diagnosed with PTSD in the disability evaluation system, military officials” recently announced. The “announcement came after a firestorm of controversy erupted earlier this year” at the Madigan Army Medical Center. According to US Medicine, a “number of soldiers there had PTSD diagnoses overturned in the disability evaluation system, which used forensic psychiatry methods instead of those typically used in military evaluations.”

Related Links:

— “Army: Forensic Psychiatry No Longer Used for PTSD Disability Evaluations, “Sandra Basu, U.S. Medicine, September 18, 2012.