1. Veterans KNR 365

2. Disabilities More than 23 million veterans have physical and mental disabilities sustained during service in Iraq & Afghanistan (May, 2012) – Spinal cord injuries – Auditory and visual limitations – Amputations – Burns – Traumatic brain injury (TBI) – PTSD – Polytrauma

3. Polytrauma Polytrauma" was termed by VA to describe injuries to multiple body parts and organs occurring as a result of blast-related wounds seen in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF). Traumatic brain injury (TBI) frequently occurs in polytrauma in combination with other disabling conditions, such as amputation, auditory and visual impairments, spinal cord injury (SCI), post-traumatic stress disorder (PTSD), and other medical conditions. Due to the severity and complexity of their injuries, Veterans and Service members with polytrauma can require an extraordinary level of coordinated and integrated clinical and other support services. United States Department of Veteran Affairs

4. IED: Improvised Explosive Device A device placed or fabricated in an improvised manner incorporating destructive, lethal, noxious, pyrotechnic, or incendiary chemicals and designed to destroy, incapacitate, harass, or distract. About.com US Military Anyone within 500 yards of these explosions may experience this type of TBI

5. Other Issues ATRA Network: Bert Gillette (2012) Impact on family Divorce rate Suicide Addiction Joblessness Lack of continuity of care Challenges of successful reintegration Homelessness Returning Home form Iraq and Afghanistan (2013) Problems with social relationships Problems with parenting Family stress Outbursts Unemployment / Underemployment Sexual trauma

6. TRIBUTE TO WOUNDED SERVICE MEMBERS AND VETERANS (4:20) Amputation and other:

7. J. R. MARTINEZ & KARINA – RUMBA – DWTS 2011 FULL (7:00) Burns:

8. MILITARY FAMILIES COPE WITH TRAUMATIC BRAIN INJURY AT WEST ORANGE HOSPITAL (8:11) TBI:

9. SOLDIER COPING WITH PTSD (3:39) PTSD:

10. MST: MILITARY SEXUAL TRAUMA (2:25)

11. IN SUPPORT OF OUR HOMELESS VETERANS (6:29)

12. Real Warriors * Real Battles Real Strength The Real Warriors Campaign promotes help- seeking behavior among service members and veterans with invisible wounds – Active Duty – National Guard & Reserve – Veterans – Families Psychological health & TBI

13. Real Warriors * Real Battles Real Strength http://www.realwarriors.net/ 24/7 crisis line Live chat Podcasts Message boards Available on Smartphone

14. Interventions Animal assisted therapy – Pet therapy – Equine therapy BraveHearts http://www.braveheartsriding.org/ Outdoor adventure therapy Adapted sports Indoor rock climbing – High risk activities

15. Interventions Adaptive fly fishing Golf Fishing White water rafting Hand cycling Skiing Snowboarding Higher Ground Program – 1 week programs – 6-8 vets & family or close friends Lundberg, Bennett, & Smith – TRJ, 2011 – Increase perceived competence & vigor – Decrease depression, tension & anger

16. Interventions Six Strings Heroes Guitar Clinic at Jefferson Barracks AllenForce

17. Interventions Rand Invisible Wounds of War Project – http://www.rand.org/multi/military/veterans.html http://www.rand.org/multi/military/veterans.html United States Department of Veteran Affairs – http://www.va.gov/ http://www.va.gov/ PTSD Pilots PTSD Database Professional Assistance Special Events (Media Room) Sports Clubs Finder (IL) Therapeutic Recreation Journal (+ others) Returning Home from Iraq and Afghanistan: Assessment of Readjustment Needs of Veterans, Service Members, and Their Families (2013) – http://books.nap.edu/openbook.php?record_id=13499 http://books.nap.edu/openbook.php?record_id=13499