By: Rebecca Joseph and Amy Minsky, Global News
Canada’s approach to transitioning Canadian Forces members out of service is fundamentally flawed — and, if it’s not addressed, could lead to national security problems, said Canadian Armed Forces ombudsman Gary Walbourne.
The root of the problem is the fact many Forces members are released before adequate support is set up, he said in an interview on The West Block.
“I think … the service delivery model we’re using for the transitioning member, I think it’s fundamentally flawed,” Walbourne said. “And I think the major flaw is that we release people before they’re ready or before the systems are in place to help them.”
READ MORE: Family ‘trying to hang in there’ following Nova Scotia murder-suicide
He says he’s already recommended that no member of the armed forces be released until all benefits, including pension and their contact with Veteran’s Affairs, are put in place.
“If we don’t change the position and the approach we have, I think the conversation is going to change away from transitioning members to national security,” he said.
“I do believe that if we could get back to that one recommendation of holding the member until everything was in place, I think we could have a different conversation next year.”
The apparent murder-suicide of a Nova Scotia veteran and his family last week left the country reeling.
Lionel Desmond shot and killed his wife Shanna, 10-year-old daughter Aaliyah and mother Brenda, before turning the gun on himself, RCMP say.
Canada’s approach to transitioning Canadian Forces members out of service is fundamentally flawed — and, if it’s not addressed, could lead to national security problems, said Canadian Armed Forces ombudsman Gary Walbourne.
The root of the problem is the fact many Forces members are released before adequate support is set up, he said in an interview on The West Block.
“I think … the service delivery model we’re using for the transitioning member, I think it’s fundamentally flawed,” Walbourne said. “And I think the major flaw is that we release people before they’re ready or before the systems are in place to help them.”
READ MORE: Family ‘trying to hang in there’ following Nova Scotia murder-suicide
He says he’s already recommended that no member of the armed forces be released until all benefits, including pension and their contact with Veteran’s Affairs, are put in place.
“If we don’t change the position and the approach we have, I think the conversation is going to change away from transitioning members to national security,” he said.
“I do believe that if we could get back to that one recommendation of holding the member until everything was in place, I think we could have a different conversation next year.”
The apparent murder-suicide of a Nova Scotia veteran and his family last week left the country reeling.
Lionel Desmond shot and killed his wife Shanna, 10-year-old daughter Aaliyah and mother Brenda, before turning the gun on himself, RCMP say.
Showing posts with label Veterans Affairs. Show all posts
Showing posts with label Veterans Affairs. Show all posts
Tuesday, January 10, 2017
Thursday, June 16, 2016
The Case to Merge VAC and DND
By: Ryan Olshansky, CDA Institute
CDA Institute Analyst Ryan Olshansky makes the case to merge Veteran Affairs Canada and the Department of National Defence.
Transition has been an ongoing issue for veterans who have to deal with both the Department of National Defence (DND) and Veterans Affairs Canada (VAC). Our sacred obligation to veterans requires seamless transition to civilian life. Yet, with the rocky transition between VAC and DND remaining rampant, I suggest veterans would be better served if the two departments merged.
Veterans who begin their transition to civilian life jump through several hurdles to receive the benefits and services to which they are entitled. Once they are released by the military, veterans participate in a transition interview with VAC, where all the requirements for benefits and services are made clear. Responsibility is put on the veteran to collect the necessary medical records and to submit them alongside a completed application form. Given the sheer volume of applications, and the fact that many applications are incomplete or are missing records, decisions often take a few months.
Admittedly, VAC has made improvements to transition over the past couple of years. For example, VAC recently hired 101 more staff in disability benefits processing to support veterans with applications and to render decisions more quickly. Budget 2016 provided $78.1 million over five years to hire more case managers. VAC also recently created MyVAC Account, an online portal in which veterans can apply for benefits and services and track their applications online in the comfort of their own homes. Indeed, ever since the Auditor General issued a report in 2014 that said the Disability Benefits Program is “slow, and the application process is complex,” the Department has made tangible efforts to make transition easier and less stressful.
But these solutions still ignore a fundamental problem: silos between departments. Interdepartmental client-exchange has proven to be a thorn in the side of veterans and the government alike. It has compromised standards of care, compounded wait times and added additional stress to veterans.
I do not think we should be surprised that standalone veterans’ affairs departments are mired in controversy around the world. Obviously, VAC has dealt with a number of issues the past few years. The United States Department of Veterans Affairs has been under intense scrutiny for long wait times. While the reasons are obviously multifold, it is clear that the transition of mentally and physically debilitated veterans into separate departments is difficult. The French government has paved a different path, where veterans’ affairs is administered by the Ministry of Defense. In France, the Minister of Defence is advised on veterans’ affairs policy by the Secretary of State for War Veterans. The Secretary of State is held to account politically, and French veterans enjoy the benefits of tightly integrated military and post-military administrations.
One way to reduce these silos in Canada is to have an interdepartmental committee that standardizes and synthesizes all health-related policies, processes and IT programs between VAC and DND. This would be a huge undertaking at which successive governments have not proven to be very good. A simpler way to deal with these silos is to eliminate them altogether and merge the two departments. Former Senator and retired general Romeo Dallaire posited in the Senate Committee on National Defence that VAC should be absorbed as a sub-department in DND and be represented by an associate minister. He has a point. One soldier served under a single roof for their entire life makes eminent sense. A move to DND would simplify the points of contact for veterans and it would consolidate service providers. Veterans would get access to all health and wellness services offered to serving members. A merger would also benefit serving members; a single department with the goal of equality for all soldiers and veterans has the mandate to do away with the outdated policy of excluding many modern-day veterans from guaranteed beds in long-term care facilities.
Most importantly, it would provide for near immediate information sharing and consistent decisions. A medically released soldier would straightaway qualify for benefits that are equal to the injury that caused their release. Too many times a soldier is medically released from the military with a seriously debilitating injury – let’s say 70 percent, only to discover that it was measured by VAC at a lesser mark – maybe 35 percent. How is that fair? A merged department would be able to use consistent calculations when deciding benefits.
VAC’s mandate also includes commemoration, but they exercise that mandate in conjunction with DND and Heritage Canada, both of which are capable of growing their departments to celebrate veterans and historic battles, especially since VAC’s budget last year allocated less than one percent to commemoration.
There would be pushback from VAC staff located in Charlottetown; a move to National Defence or a separate merged department would require a good many to relocate to Ottawa. This is why a VAC-DND merger will require a dose of good faith and political will, both of which the current government has in spades. It is not coincidental that Prime Minister Trudeau made the dual appointment of Minister Hehr to VAC and DND to deal with transition. To the Prime Minister’s credit, the first step in solving a problem is recognizing there is one.
Minister Hehr would be wise to heed the advice of General Dallaire, and if this government isn’t bold enough to swallow the pill and face internal backlash from public officials at VAC, then cries about the treatment of our veterans will amount to nothing more than crocodile tears.
CDA Institute Analyst Ryan Olshansky makes the case to merge Veteran Affairs Canada and the Department of National Defence.
Transition has been an ongoing issue for veterans who have to deal with both the Department of National Defence (DND) and Veterans Affairs Canada (VAC). Our sacred obligation to veterans requires seamless transition to civilian life. Yet, with the rocky transition between VAC and DND remaining rampant, I suggest veterans would be better served if the two departments merged.
Veterans who begin their transition to civilian life jump through several hurdles to receive the benefits and services to which they are entitled. Once they are released by the military, veterans participate in a transition interview with VAC, where all the requirements for benefits and services are made clear. Responsibility is put on the veteran to collect the necessary medical records and to submit them alongside a completed application form. Given the sheer volume of applications, and the fact that many applications are incomplete or are missing records, decisions often take a few months.
Admittedly, VAC has made improvements to transition over the past couple of years. For example, VAC recently hired 101 more staff in disability benefits processing to support veterans with applications and to render decisions more quickly. Budget 2016 provided $78.1 million over five years to hire more case managers. VAC also recently created MyVAC Account, an online portal in which veterans can apply for benefits and services and track their applications online in the comfort of their own homes. Indeed, ever since the Auditor General issued a report in 2014 that said the Disability Benefits Program is “slow, and the application process is complex,” the Department has made tangible efforts to make transition easier and less stressful.
But these solutions still ignore a fundamental problem: silos between departments. Interdepartmental client-exchange has proven to be a thorn in the side of veterans and the government alike. It has compromised standards of care, compounded wait times and added additional stress to veterans.
I do not think we should be surprised that standalone veterans’ affairs departments are mired in controversy around the world. Obviously, VAC has dealt with a number of issues the past few years. The United States Department of Veterans Affairs has been under intense scrutiny for long wait times. While the reasons are obviously multifold, it is clear that the transition of mentally and physically debilitated veterans into separate departments is difficult. The French government has paved a different path, where veterans’ affairs is administered by the Ministry of Defense. In France, the Minister of Defence is advised on veterans’ affairs policy by the Secretary of State for War Veterans. The Secretary of State is held to account politically, and French veterans enjoy the benefits of tightly integrated military and post-military administrations.
One way to reduce these silos in Canada is to have an interdepartmental committee that standardizes and synthesizes all health-related policies, processes and IT programs between VAC and DND. This would be a huge undertaking at which successive governments have not proven to be very good. A simpler way to deal with these silos is to eliminate them altogether and merge the two departments. Former Senator and retired general Romeo Dallaire posited in the Senate Committee on National Defence that VAC should be absorbed as a sub-department in DND and be represented by an associate minister. He has a point. One soldier served under a single roof for their entire life makes eminent sense. A move to DND would simplify the points of contact for veterans and it would consolidate service providers. Veterans would get access to all health and wellness services offered to serving members. A merger would also benefit serving members; a single department with the goal of equality for all soldiers and veterans has the mandate to do away with the outdated policy of excluding many modern-day veterans from guaranteed beds in long-term care facilities.
Most importantly, it would provide for near immediate information sharing and consistent decisions. A medically released soldier would straightaway qualify for benefits that are equal to the injury that caused their release. Too many times a soldier is medically released from the military with a seriously debilitating injury – let’s say 70 percent, only to discover that it was measured by VAC at a lesser mark – maybe 35 percent. How is that fair? A merged department would be able to use consistent calculations when deciding benefits.
VAC’s mandate also includes commemoration, but they exercise that mandate in conjunction with DND and Heritage Canada, both of which are capable of growing their departments to celebrate veterans and historic battles, especially since VAC’s budget last year allocated less than one percent to commemoration.
There would be pushback from VAC staff located in Charlottetown; a move to National Defence or a separate merged department would require a good many to relocate to Ottawa. This is why a VAC-DND merger will require a dose of good faith and political will, both of which the current government has in spades. It is not coincidental that Prime Minister Trudeau made the dual appointment of Minister Hehr to VAC and DND to deal with transition. To the Prime Minister’s credit, the first step in solving a problem is recognizing there is one.
Minister Hehr would be wise to heed the advice of General Dallaire, and if this government isn’t bold enough to swallow the pill and face internal backlash from public officials at VAC, then cries about the treatment of our veterans will amount to nothing more than crocodile tears.
----
Ryan Olshansky is a former advisor to the Veterans Affairs Minister and the Associate Defence Minister. He recently graduated from Carleton University and is an Analyst at the CDA Institute. (Image courtesy of Justin Tang/Canadian Press.)
Ryan Olshansky is a former advisor to the Veterans Affairs Minister and the Associate Defence Minister. He recently graduated from Carleton University and is an Analyst at the CDA Institute. (Image courtesy of Justin Tang/Canadian Press.)
Wednesday, December 2, 2015
Ottawa to Track Veteran Suicides
Ever since the Globe and Mail investigation; The Unremembered which conclusively showed that 54 CAF members committed suicide following deployments to Afghanistan, nearly 1/3 of all combat related deaths within Afghanistan - there has been a greater call for Veterans Affairs to take a closer look at Veterans and current serving CAF members following deployments.
The Globe and Mail released today that Ottawa will now regularly track veteran suicides.
Here is the article written by RENATA D’ALIESIO
Veterans Affairs is taking steps to solve a crucial statistical gap by planning to report on suicides of former military members annually starting in late 2017 – a move that will disclose, for the first time, how many vets are taking their lives each year in Canada.
While the coming change is taking too long for some veterans advocates, it will mark a milestone when implemented: Suicides of released military members have never been regularly tracked in Canada, even after intense combat missions, such as the Second World War and Korea.
INVESTIGATION
The Unremembered
158 Canadian soldiers died in the Afghanistan mission. But the losses did not end there. A Globe and Mail investigation reveals a disturbing number the military has kept secret: that at least 54 soldiers and vets killed themselves after they returned from war
In a statement Tuesday, Veterans Affairs Minister Kent Hehr said that “better tracking and reporting on suicides will help inform our suicide prevention actions.” He added that the Canadian Forces and Veterans Affairs must continue to address the stigma of mental health and encourage those in need to seek treatment.
“Even one soldier, sailor, airmen or women suffering from the invisible wounds of a mental health injury or committing suicide, is one too many,” Mr. Hehr said.
The lack of monitoring was one of several failings highlighted in a Globe and Mail investigation of suicides of soldiers who died after serving in the 13-year Afghanistan war. Through an Access to Information request to National Defence and poring over more than a decade’s worth of death notices, The Globe found that at least 48 active-duty soldiers and six veterans had taken their lives after returning from the Afghanistan operation.
The Canadian Forces released an updated number soon after The Globe’s investigation was published in late October, raising the suicide count to at least 59 military members and veterans – more than one-third of the number of soldiers who died in the war. There were 158 Canadian military deaths in theatre during the NATO-led combat operation that began in 2001 and ended last year.
Since The Globe’s series of stories, Prime Minister Justin Trudeau has instructed the ministers of Veterans Affairs and National Defence to make a new suicide-prevention strategy a priority. Defence Minister Harjit Sajjan, a veteran of the Afghanistan war, has directed the Chief of the Defence Staff, General Jonathan Vance, to examine the military’s mental-health services and efforts to reduce suicides.
The Globe’s series also drew attention to the fact that soldiers who died by suicide after returning from Afghanistan are not recognized in the same way as those who perished in the mission, even when their suicides were deemed attributable to military service. On Remembrance Day, Mr. Hehr, who is also associate minister of national defence, told The Globe he wants to ensure these soldiers and vets are commemorated.
The minister is meeting with representatives of about 30 stakeholder groups in Ottawa on Wednesday. The groups have been asked to provide him with feedback on priorities outlined in Mr. Trudeau’s mandate letter.
Gen. Vance applauded the department’s plans to improve the monitoring of former military members. In a statement, he said: “I remain committed to ensuring the well-being of all members of the Canadian Armed Forces, whether they are currently serving or veterans.”
Veterans advocates have long vented frustration at Canada’s lack of suicide tracking of former soldiers. The Canadian Forces keeps tabs on the number of active-duty military members who kill themselves, although its data on reservists are incomplete. A recent report released by the military’s surgeon-general revealed that suicides have increased in the army in recent years and the impact of overseas deployment may be emerging as a risk factor.
Canada’s only comprehensive look at veterans’ suicides showed that former members make up the lion’s share of military suicides in Canada. The Canadian Forces Cancer and Mortality Study, released in 2011, was done in partnership with Statistics Canada, National Defence and Veterans Affairs. It revealed that 78 per cent of 934 military suicides documented from 1972 to the end of 2006 involved vets. Male veterans were 1.5 times more likely to die by suicide than Canadian men of the same age – an increased risk that translated into 231 more vet deaths than expected.
David Pedlar, director of research for Veterans Affairs, said the department will be watching to see if vet suicides remain elevated. Officially known as the Veteran Suicide Mortality Study, the examination will involve linking National Defence data – which includes whether a member was released from the military – with Statistics Canada’s database of deaths from all provinces and territories. (Names of military members will be removed after the data are linked.)
Dr. Pedlar, who is leading the project that began late last year, said the methodology is still being ironed out. At the moment, it’s unclear how far back the first annual suicide report will go. Initial analysis will not include deployment history, Dr. Pedlar said, but both vets who were clients of Veterans Affairs and those who were not will be captured in the study.
“Right now the focus is on being able to get a high-quality suicide number and rate for release to Canadians on an annual basis,” Dr. Pedlar said. The study, he added, will give “us trends over time, which is something we don’t have right now. … That will be important information for us.”
The study has taken a lot of time to put together because it involves two departments and a federal agency, Dr. Pedlar said. Data quality has been an issue, too. The 2011 study that showed an increased suicide risk among veterans relied on National Defence human-resources information that did not accurately capture deployment history, said Elizabeth Rolland-Harris, a senior epidemiologist with the military’s directorate of force health protection.
“It was clear that we needed to find better data,” she said in an interview at a military health-research conference in Quebec City last week.
Dr. Rolland-Harris is leading the second run of the Canadian Forces Cancer and Mortality Study, which will produce a separate report from the veteran suicide study. She said the new examination will use member pay data, which is more reliable, and include those who enrolled in the military between January, 1976, and mid-2015.
The pay data will allow researchers to look at deployment and occupational history and to include Class C reservists who served full-time at some point during the nearly 40-year period. Class C designations are applied when reservists deploy to missions such as Afghanistan. Reservists were excluded in the 2011 study.
Initial results from the new cancer and mortality study are expected in 2017. Dr. Rolland-Harris said the examination will be one of the most comprehensive military suicide studies ever done in the world.
Still, former veterans ombudsman Pat Stogran is frustrated that the public will have to wait another two years to get a clearer picture on how many vets are taking their lives annually. He believes regular tracking of vet suicides could already be happening, if there had been a will to do so.
“This is a demographic that the federal government has complete control over,” said Mr. Stogran, a retired colonel. “We got to start demanding transparency and accountability and value for money.”
Follow Renata D’Aliesio on Twitter: @renatadaliesio
The Globe and Mail released today that Ottawa will now regularly track veteran suicides.
Here is the article written by RENATA D’ALIESIO
Veterans Affairs is taking steps to solve a crucial statistical gap by planning to report on suicides of former military members annually starting in late 2017 – a move that will disclose, for the first time, how many vets are taking their lives each year in Canada.
While the coming change is taking too long for some veterans advocates, it will mark a milestone when implemented: Suicides of released military members have never been regularly tracked in Canada, even after intense combat missions, such as the Second World War and Korea.
INVESTIGATION
The Unremembered
158 Canadian soldiers died in the Afghanistan mission. But the losses did not end there. A Globe and Mail investigation reveals a disturbing number the military has kept secret: that at least 54 soldiers and vets killed themselves after they returned from war
In a statement Tuesday, Veterans Affairs Minister Kent Hehr said that “better tracking and reporting on suicides will help inform our suicide prevention actions.” He added that the Canadian Forces and Veterans Affairs must continue to address the stigma of mental health and encourage those in need to seek treatment.
“Even one soldier, sailor, airmen or women suffering from the invisible wounds of a mental health injury or committing suicide, is one too many,” Mr. Hehr said.
The lack of monitoring was one of several failings highlighted in a Globe and Mail investigation of suicides of soldiers who died after serving in the 13-year Afghanistan war. Through an Access to Information request to National Defence and poring over more than a decade’s worth of death notices, The Globe found that at least 48 active-duty soldiers and six veterans had taken their lives after returning from the Afghanistan operation.
The Canadian Forces released an updated number soon after The Globe’s investigation was published in late October, raising the suicide count to at least 59 military members and veterans – more than one-third of the number of soldiers who died in the war. There were 158 Canadian military deaths in theatre during the NATO-led combat operation that began in 2001 and ended last year.
Since The Globe’s series of stories, Prime Minister Justin Trudeau has instructed the ministers of Veterans Affairs and National Defence to make a new suicide-prevention strategy a priority. Defence Minister Harjit Sajjan, a veteran of the Afghanistan war, has directed the Chief of the Defence Staff, General Jonathan Vance, to examine the military’s mental-health services and efforts to reduce suicides.
The Globe’s series also drew attention to the fact that soldiers who died by suicide after returning from Afghanistan are not recognized in the same way as those who perished in the mission, even when their suicides were deemed attributable to military service. On Remembrance Day, Mr. Hehr, who is also associate minister of national defence, told The Globe he wants to ensure these soldiers and vets are commemorated.
The minister is meeting with representatives of about 30 stakeholder groups in Ottawa on Wednesday. The groups have been asked to provide him with feedback on priorities outlined in Mr. Trudeau’s mandate letter.
Gen. Vance applauded the department’s plans to improve the monitoring of former military members. In a statement, he said: “I remain committed to ensuring the well-being of all members of the Canadian Armed Forces, whether they are currently serving or veterans.”
Veterans advocates have long vented frustration at Canada’s lack of suicide tracking of former soldiers. The Canadian Forces keeps tabs on the number of active-duty military members who kill themselves, although its data on reservists are incomplete. A recent report released by the military’s surgeon-general revealed that suicides have increased in the army in recent years and the impact of overseas deployment may be emerging as a risk factor.
Canada’s only comprehensive look at veterans’ suicides showed that former members make up the lion’s share of military suicides in Canada. The Canadian Forces Cancer and Mortality Study, released in 2011, was done in partnership with Statistics Canada, National Defence and Veterans Affairs. It revealed that 78 per cent of 934 military suicides documented from 1972 to the end of 2006 involved vets. Male veterans were 1.5 times more likely to die by suicide than Canadian men of the same age – an increased risk that translated into 231 more vet deaths than expected.
David Pedlar, director of research for Veterans Affairs, said the department will be watching to see if vet suicides remain elevated. Officially known as the Veteran Suicide Mortality Study, the examination will involve linking National Defence data – which includes whether a member was released from the military – with Statistics Canada’s database of deaths from all provinces and territories. (Names of military members will be removed after the data are linked.)
Dr. Pedlar, who is leading the project that began late last year, said the methodology is still being ironed out. At the moment, it’s unclear how far back the first annual suicide report will go. Initial analysis will not include deployment history, Dr. Pedlar said, but both vets who were clients of Veterans Affairs and those who were not will be captured in the study.
“Right now the focus is on being able to get a high-quality suicide number and rate for release to Canadians on an annual basis,” Dr. Pedlar said. The study, he added, will give “us trends over time, which is something we don’t have right now. … That will be important information for us.”
The study has taken a lot of time to put together because it involves two departments and a federal agency, Dr. Pedlar said. Data quality has been an issue, too. The 2011 study that showed an increased suicide risk among veterans relied on National Defence human-resources information that did not accurately capture deployment history, said Elizabeth Rolland-Harris, a senior epidemiologist with the military’s directorate of force health protection.
“It was clear that we needed to find better data,” she said in an interview at a military health-research conference in Quebec City last week.
Dr. Rolland-Harris is leading the second run of the Canadian Forces Cancer and Mortality Study, which will produce a separate report from the veteran suicide study. She said the new examination will use member pay data, which is more reliable, and include those who enrolled in the military between January, 1976, and mid-2015.
The pay data will allow researchers to look at deployment and occupational history and to include Class C reservists who served full-time at some point during the nearly 40-year period. Class C designations are applied when reservists deploy to missions such as Afghanistan. Reservists were excluded in the 2011 study.
Initial results from the new cancer and mortality study are expected in 2017. Dr. Rolland-Harris said the examination will be one of the most comprehensive military suicide studies ever done in the world.
Still, former veterans ombudsman Pat Stogran is frustrated that the public will have to wait another two years to get a clearer picture on how many vets are taking their lives annually. He believes regular tracking of vet suicides could already be happening, if there had been a will to do so.
“This is a demographic that the federal government has complete control over,” said Mr. Stogran, a retired colonel. “We got to start demanding transparency and accountability and value for money.”
Follow Renata D’Aliesio on Twitter: @renatadaliesio
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