Post traumatic stress

Welcome to our discussion board for post traumatic stress.

Me

There's so much internal pain in us that we hide away so well we forget it ever existed. 

I was so lost and alone for years. Never feeling complete - always searching and wanting to find why when I'm alone I go into a depressive state. There's so many stories here that are so inspiring. It's great to share. Thanks to everyone that swallowed their pride and decided to share their darkest moments. We all have them. 

I was keeping myself to myself for so long. My friends started to talk to me less, and eventually it as just family who made the effort to spend time with me. I always walked past therapy centres but never took notice in the past. I guess nothing mattered enough anymore so I just decided to write a number down for the sake of it. A breakthrough it was... I called up. Months later, I still go there. Each time, I feel it makes me stronger. It's so painful to rewalk the past... I don't know where I'd be without those sessions today. In a gutter, wallowing in my own pity and depression.

All I've learnt is that it just takes a call to turn it all around. Isn't life funny like that.

Who is here reading (response)

August 27, 2011

PEOPLE. There are actual people here? Thank goodness... I seriously thought I was alone.

I have to laugh about the passwords that we'll forget - true for me, too!

Thank you for taking the time to post, all of you!

Here's what I'll throw on the fridge and we'll see if it sticks, by way of beginning a new discussion on PTSD:

I don't have just one area of PTSD. I have many. I wasn't "just" molested or "just" abandoned or "just" put in a dangerous situation. I have spent my life in emotional (and some physical) jeopardy and therefore have a lot of triggers. I am not a drama queen with attention hunger - I have actually been molested, abandoned, abused, etc.

I have joined websites, and have been involved in both group and private counselling - but I still feel alone most of the time. I am afraid to open up about more than one or two areas of my life. If I want to be truly authentic and open up completely, people seem afraid of breaking me. I am stronger than they think! But my experience has been that some people (not all, but most, to be honest) move away from me and my problems or attack and blame me instead.This creates another set of triggers and fears. It feels very circular.

Thoughts, ideas?

ETA: This is posting above the original thread and I don't understand why. I began the original thread. I am "ML" and will sign my posts so I can (at least) keep track of me. This thread formatting is difficult, at best.

For you to know, according to

I jus want to share a fact about  post traumatic stress disorder. According to a brand new study in the Journal of the American Medical Association, the meds aren't working as advertised. Specifically, the most commonly prescribed post-traumatic stress disorder narcotics are apparently no better than placebos at treating the symptoms. The bad unwanted effects are there, though. The proof is here: Antipsychotics fail to alleviate PTSD symptoms in veterans . You must check this out!

July 30th 2011 - Who is here reading?

I've been looking on this site (off and on) for about a year and wish there were more people here reading and writing. Well, actually, I don't know if there are people here reading... is anyone here?

The reason I like discussion boards is because I like discussion: I like commiseration, validation and just the back and forth of conversations.  It can't happen if I'm talking to myself - LOL.

So, I'm putting this out here to test the water, so to speak.

If you're here, please just say hello!

 

 

 

I'm reading too

Hi there -- I've been out of touch with the discussion board. When I was reading the discussion board more regularly, I found the interface for responding too much bother  -- you have to log in with a password first -- and I have so many passwords already, and I had to create a new one just now with high security, which I will probably forget -- and only then can you click to reply to a post. And then your name comes up but I trust that it doesn't appear on the actual post.

The reason I am taking the time to respond is that I understand that feeling of putting something out there and having nothing come back. It is very disappointing. And then frustrating. And then what I usually do is give up, in anger. 

Not getting a response is deeply wounding and familiar, it is like being with the 'dead mother' to use a familiar phrase (Winnicott I think?). Thank you for putting your words out, and I hope you keep checking in and sharing. I will do the same.

reply to who is here?

Hello there, yes, I've noticed also that there seems to be a drop in readers and responders...such amazing information here, that the poster might feel left out because there are no responses to such honesty and pain. I believe that sometimes when stuff is posted that is so intense, it takes the reader some time respond...I would encourage everyone who is reading these posts to respond in some way...it's a scary void out there sometimes, and feeling vulnerable for sharing is not a good feeling....thank you, and I'm here reading too.

My PTSD

I've posted a few posts on this forum today, so I thought I'd introduce myself and discuss what PTSD is (in general) for those that don't really understand it. I go by the pseudonym Pandora.

Here is my story,

Post Traumatic Stress Disorder (PTSD) is a life threatening, debilitating disorder that can break down a sufferer’s body through anxiety and stress. Further it poses a significant suicide risk resulting from the brains neurological imbalance and chemical depression. It seems many do not quite grasp the fact that PTSD is indeed an illness, and a very serious one at that - the most serious of the anxiety disorders, and the most deadly. Many simply do not survive.

PTSD, or Posttraumatic Stress Disorder, is a psychiatric disorder that can occur following the experience or witnessing of a life-threatening events such as military combat, natural disasters, terrorist incidents, serious accidents, or physical or sexual assault in adult or childhood. Most survivors of trauma return to normal given a little time. However, some people will have stress reactions that do not go away on their own, or may even get worse over time. These individuals may develop PTSD. People who suffer from PTSD often relive the experience through nightmares and flashbacks, have difficulty sleeping, and feel detached or estranged, and these symptoms can be severe enough and last long enough to significantly impair the person's daily life.

People with PTSD experience three different kinds of symptoms. The first set of symptoms involves reliving the trauma in some way such as becoming upset when confronted with a traumatic reminder or thinking about the trauma when you are trying to do something else. The second set of symptoms involves either staying away from places or people that remind you of the trauma, isolating from other people, or feeling numb. The third set of symptoms includes things such as feeling on guard, irritable, or startling easily.

PTSD is marked by clear biological changes as well as psychological symptoms. PTSD is complicated by the fact that people with PTSD often may develop additional disorders such as depression, substance abuse, problems of memory and cognition, and other problems of physical and mental health. The disorder is also associated with impairment of the person's ability to function in social or family life, including occupational instability, marital problems and divorces, family discord, and difficulties in parenting.

More than half of persons with PTSD also have problems with alcohol. The next most common co-occurring problems in men and women are depression, followed by conduct disorder, and then problems with drugs.

According to the American Psychiatric Association (1994), post traumatic stress disorder develops after someone is exposed to an extremely traumatic event and they reacted to the event with intense fear, horror or helplessness. Such traumatic events include:

  • war
  • torture
  • rape
  • child sexual or physical assault
  • physical assault
  • being kidnapped
  • terrorism
  • a natural disaster (e.g. a bushfire, flood or cyclone)
  • a major car accident
  • being diagnosed with a potentially fatal illness, e.g. cancer
  • finding the body of someone who has committed suicide or been murdered

    (Personally, I have suffered torture, rape, child sexual assault, being kidnapped, terrorism, finding the body of someone who has committed suicide as well as those who have been murdered and much more)

A simple analogy -
PTSD is an entirely normal reaction to an abnormal amount of stress. Having PTSD does not mean one is mentally ill, nor does it mean that one is weak or somehow deficient. Instead, think of it this way; no matter how strong your leg bones, if enough force is applied, they will break. Given the proper care, they will heal; and so can the person with PTSD.

This is my illness. So you can understand a little bit more of what I live with every day.

Pandora

PTSD

A Must Read Book.....

 

Book: The Shack Author: William P. Young http://www.theshackbook.com/ This book has the potential to change your life. It's been a #1 bestseller for years, and is available in paperback everywhere! Check out the website to read some reviews.

Book: The Shack

Author: William P. Young

http://www.theshackbook.com/

This book has the potential to change your life. It's been a #1 bestseller for years, and is available in paperback everywhere!

Check out The Shack website to read some reviews.

 

Posted by Pandora

Deleted

Deleted

Poignant Song - Can you Relate?

Restless Heart Syndrome by Green Day (lyrics)
- listen to the song if you can.

I've got a really bad disease
It's got me begging
On my hands and knees
Take me to the emergency
'Cause something seems to be missing
Somebody take the pain away
It's like an ulcer bleeding in my brain
Send me to the pharmacy
So I can lose my memory

I'm elated
Medicated
Lord knows I tried to find a way to run away.

I think they found another cure
For broken hearts and feeling insecure
You'd be surprised what I endure
What make you feel so self-assured?

I need to find a place to hide
You never know what could be
Waiting outside
The accidents that you could find
it's like some kind of suicide

So what ails you is what impales you
I feel like I've been crucified to be satisfied

I'm a victim of my symptom
I am my own worst enemy
You're a victim of you're symptom
You are your own worst enemy
Know your enemy

I'm elated
Medicated
I am my own worst enemy
So what ails you is what impales you
You are your own worse enemy
You're a victim of the system
you are your own worst enemy
You're a victim of the system
You are your own worst enemy

Pandora

Another Good Book

Fascinating read, by Sen. Romeo Dallaire, "Shake Hands with the Devil." He also suffers from severe PTSD and this book details the journey that took him there. He is also the Honourary Chair of Canadian Organization for Post Traumatic Stress Disorder Awareness and Research.

Pandora

Bruce Kruger's Story (from Toronto Sun)

Reposted here by Pandora.

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Officer down: The dark demons of policing

April 11, 2010

By MARK BONOKOSKI, QMI Agency

   

BRACEBRIDGE, Ont. — >From the outside looking in, Bruce Kruger would appear to have an idyllic life.

Retired from the OPP within the top 4% of its hierarchy, his final rank after almost four decades being a detective inspector, he lives in a perfect-setting, bed-and-breakfast home on the banks of the Muskoka River, and owns a successful Swiss Chalet-Harvey’s franchise in the heart of town as well as in Huntsville.

He has been married 40 years to wife, Lynda, has four children, one a cop, and 13 grandchildren.

He has both the Canada Medal of Bravery and the Ontario Medal of Bravery, as well as a number of valour certificates and commendations, and with nary a recorded blemish on his career.

He’s Bracebridge’s Town Crier, and award-winning one at that, and has served on more municipal boards, organizing committees, and charitable groups than one can imagine.

Back in December, he was an official Olympic torchbearer, one of his last public functions before going to ground.

Bruce Kruger, as it turns out, had a dark secret.

And now he wants it out.

A few days ago, Bruce Kruger returned from an eight-week, in-house stay at the Homewood Health Clinic in Guelph where, partially at his own expense, he finally dealt with the post-traumatic stress disorder (PTSD) that plagued him most of his life as a cop, and throughout the entire 10 years he has been in retirement.

Of the 36 people in his therapy group, a third were either police or military personnel — the $15,000 to $20,000 costs for treatment partially borne by many of the participants.

For Bruce Kruger, the test of his psyche, and the load he was forced to emotionally carry, began early.

On June 28, 1977, while still a young constable, he was forced to shoot and kill James William McGrath, an escapee from the Joyceville Penitentiary with a 37-year criminal record who was about to blow away his partner, Const. Mark Murdoch, then only 22, with a sawed-off shotgun while Murdoch was trapped in his cruiser.

Two hours before the shooting, during which McGrath, 52, was hit with four bullets, he had busted into the home of Gord Smith, then an Orillia-area MPP, and had terrorized his wife, Jean, as he looted their home and stole their Volkswagen.

Then, in the summer of 1980, Kruger recovered two bodies floating in a lake. He knew both victims personally — the six-year-old boy, a playmate of his own son, and the father who had tried in vain to rescue his only child.

Four adults had watched them drown, according to reports at the time, and had done nothing and reported nothing.

Bruce Kruger rowed the victims back to shore, the boy was lying at his feet with his dead eyes staring up at him, the father’s body dragging behind the boat with his legs secured with a rope.

“I’ll never shake the look in that little boy’s face,” says Kruger. “It has been with me forever.”

On Jan. 2, 1981, it was Bruce Kruger’s luck of the draw to find the body of 35-year-old Huntsville OPP Const. Rick Verdecchia — frozen in a snowbank, two bullet holes between the eyes — and then be assigned to stay with the body until the scene was photographed and cleared several hours later.

Verdecchia’s killers, two young men who had robbed a gas station at Burks Falls and killed the attendant, shot Verdecchia after sliding their car into a snowbank during the pursuit.

Seven hours later, now down in Orillia, they shot another cop five times before leaving him for dead.

The triggerman, 19-year-old Gary Fitzgerald of Windsor was eventually convicted of two counts of murder and, over the course of time, escaped twice from minimum-security prisons.

Last reports had him eligible for parole in 2006.

His whereabouts today, however, is uncertain.

OPP Const. Neil Hurtubise, 29 when he was shot point-blank by Fitzgerald, spent four months in hospital before returning to patrol duty and, for years, worked as a volunteer with a fledging OPP trauma team counselling other police officers who had survived a shooting, but only a shooting.

PTSD had not yet been defined as a diagnosis, let alone anything beyond burnout — the attitude being “suck it up, get over it, move on.”

But it was cooking inside Bruce Kruger.

PTSD, by definition, is a severe anxiety disorder that can develop after exposure to any event which results in psychological trauma — the threat of death to oneself or to someone else, or to one’s own or someone else’s physical, sexual, or psychological integrity, all which overwhelms the individual’s ability to cope.

It can develop as exposure to a single, traumatic event or the accumulative effect of being witness to years of human pain and horrors. Routinely PTSD and depression run together, and isolation at home for months on end — away from the job, friends and colleagues — can throw the recovery process off track.

Shooting death

Kruger’s case, for all intent and purpose, is textbook. In 1991, while commander of the Bracebridge detachment, Kruger heard that “person or persons unknown” were searching him out, all to do with his involvement in the shooting death years earlier of James McGrath.

“Due to the serious nature of the incident and the difficulties I had dealing with it, I immediately asked for assistance to protect myself and my family, fearing the worst might occur,” says Kruger.

“I was told to deal with it myself.”

“My fear was so intense that I sat with my gun in my open drawer of my desk when the person came to my office,” he recalls. “An armed plainclothes officer posed as a secretary nearby with a gun by the typewriter.

“Luckily, no action was required.” he says. “It was the son of the deceased who was trying to find some redeeming qualities of his dead father to cling to.

“But OPP command had refused to assist in defusing my concerns.”

It was all adding up — “numerous suicides,” he says, “children’s deaths, murders, horrific motor vehicle collisions, sexual assaults, the burning of my boat by drug dealers, and on and on and on” — without an iota of assistance, he insists, in dealing with the stress that had ramped up rage, nightmares, fits of anxiety, crippling hyper-vigilance, bouts of crying, compassion fatigue, mental breakdown and depression.

Depression, say experts, means a more complicated and risky recovery, although Homewood is recognized as one of the very few centres in Ontario and Canada with the expertise to treat PTSD singularly or when it occurs with depression.

“(But) at no time (while on the force) did I receive any counselling for any of the situations I faced,” says Kruger. “With the exception of being cautioned not to ‘brag’ about the shooting incident.”

When a peer program was commenced by the OPP in the early ’80s, Kruger approached a peer counsellor for assistance.

“I was provided a cup of coffee, discussed my problems with the counsellor in a coffee shop for about a half hour, and was given the recommendation not to divulge any of these difficulties since it was not a positive step towards any promotion,” he says.

“This concluded the therapy provided by the force.”

And so Kruger “sucked it up,” and the promotions followed, even to the point of being named provincial co-ordinator of the OPP’s elite TRU team — Tactics and Rescue Unit — that involves itself in high-risk takedowns.

Following that, he was commander of the OPP’s Bracebridge detachment. Then he was promoted to inspector overseeing community policing at the force’s headquarters in Orillia. Then up until retirement on the last day of 1999, he was a detective inspector with the major crimes unit.

And, all the while, he kept mum.

In December 2008, long before Homewood, Kruger wrote a letter to OPP Commissioner Julian Fantino in which he bared his soul in outlining the plight that had followed him into retirement — the excessive drinking, the depression, the nightmares, the fear — and what the force should be doing to help the untold number of sufferers within its ranks.

Fantino knows the price of PTSD.

In fact, there’s not much he has not seen.

“In my 40 years of policing I have witnessed and been personally involved in an endless number and variety of traumatic events,” he said in response to a query on PTSD.

“Being better informed and educated about these issues have helped the policing profession as a whole to recognize the issues and develop very effective programs to support our people when they become directly or indirectly involved in traumatic events,” he said.

“That’s where over the years we have made a great deal of progress.”

Although Fantino did not respond personally to Kruger, he passed on his letter to the civilian authority within the force where it languished for more than a year, purportedly falling through the cracks because of personnel movements.

Then came a one-page letter from Mary Silverthorn, now civilian commander of the career development bureau, written on Jan. 12, who, after apologizing for “the oversight of not responding to your original letter dated Dec. 19, 2008,” promised a proper response to his letter by the end of February — admitting that PTSD is a “very real and concerning risk to those choosing a career in emergency response services.”

In early March, he got that promised letter.

After telling Kruger she is not privy — because of confidentiality issues — to how many OPP officers suffer from PTSD, Silverthorn then advised Kruger to contact the OPP union “to understand their strategy” in informing retired members of available support.

To Bruce Kruger, it was just another slough off.

Another abandonment. mark.bonokoski@sunmedia.ca or 416-947-2445

 

*****************************************************************

Ombudsman to look at trauma afflicting police

Investigation follows Sun series on psychological toll facing officers

 

 

BY MARK BONOKOSKI ,QMI AGENCY

FIRST POSTED: SATURDAY, MAY 1, 2010 7:00:00 EDT PM

In the wake of the Sun's recent stories on post-traumatic stress disorder (PTSD) within the police ranks, it has been learned that an investigator within the office of Ontario Ombudsman Andre Marin has begun a hard review of the file submitted by Bruce Kruger, the retired OPP detective-inspector whose profile launched the series.

This has been confirmed by the ombudsman's office, although privacy issues prevent it from disclosing details.

"Our normal process starts with assessing a complaint to see if it involves something that can be quickly and informally resolved," says ombudsman spokesman Linda Williamson.

"We also look at whether the issue could be systemic, or symptomatic of a larger problem.

"If an issue is determined to be serious and not easily resolved, we may decide to proceed to a formal investigation," she says. "Then the next step is to notify the organization being investigated, after which we can gather evidence - obtain documents, interview witnesses."

Back in early April, Bruce Kruger had just returned from an eight-week stay at the Homewood Health Clinic in Guelph where, partially at his own expense, he finally dealt with the post-traumatic stress disorder (PTSD) that plagued him most of his life of a cop, and throughout the 10 years of his retirement.

Of the 36 people in his therapy group, a third were either police or military personnel.

For Bruce Kruger, the test of his psyche, and the load he was forced to emotionally carry, began early when, as a young constable, he was forced to shoot and kill a lifelong criminal who was about to shoot his partner with a sawed-off shotgun.

And that's where the downward spiral began.

In the end, Kruger claims that he was both ignored and abandoned by the force from the onset when it came to dealing with the stress issues that evolved into full-blown PTSD.

Promoted yes; but left floundering.

"I did not go to the ombudsman's office for me," says Kruger, reached at his home in Bracebridge. "I did it for all the others like me, the ones still on the job, and the ones fighting PTSD in their retirements.

"And I did it for all the ones about to enter policing."

According to Kruger, whose professional career has seen him presented with both the Canada Medal of Bravery and the Ontario Medal of Bravery, the only "remedy" is a full public inquiry into how police forces across the province and the country handle stress issues.

"It's a problem," says Kruger. "And it's systemic."

Throughout the series, high-ranking officers and staff psychiatrists spoke of advances being made to ensure that first responders get the help they need in dealing with the trauma of the moment.

"This is all well and good," says Kruger. "But PTSD - the affliction that takes time to build, often years of time - is being totally overlooked.

"It's the stuff that builds up over years."

"For OPP management to slough off concerns by directing people like me to the OPP Association - (the rank and file's union) is a travesty," says Kruger.

"What's the hierarchy saying? That they're not responsible for the health and well-being of the officers?"

At the brass level, Kruger argues to the ombudsman that no support group is provided for officers or families for ongoing assistance.

"They have no statistics or information to verify the number of members suffering from PTSD and no designated person responsible for initial contact and follow-up with PTSD members.

"And there is no follow-up or support for retirees who may develop PTSD after leaving the force," says Kruger.

As for the police association, Kruger maintains there is no co-ordinated effort within their office to address member concerns, with very limited PTSD information being disseminated to members or their families.

"There is total confusion amongst the association's departments pertaining to who is doing what for members," says Kruger, indicating that the union even fails to follow up on members who are known to be suffering PTSD.

<>But Kruger does not end it there.

He takes shots at the Police Association of Ontario, the Ontario Association of Chiefs of Police, The OPP Commissioned Officers Association, the Workplace Safety and Insurance Board, and the Ministry of Community Safety - all for basically punting the ball on first down when it comes to dealing with PTSD within police ranks.

Whether the ombudsman launches a full-scale investigation as a result of its review remains to be seen.

But at least there is now some public light.

 

PTSD And Emergency Service Personnel

A friend of mine, Bruce Kruger, has been lobbying, trying to get PTSD support and services for emergency personnel. Even if you aren't in those professions, you can see the dire need they are in for help. If you know anyone in the profession(s), he would appreciate you circulating his paper, to let them know, there is help being sought. (It may seem like a long read, but it's worth it!)

Pandora
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You’re Opinion is Requested

 

THE ONTARIO OMBUDSMAN’S INVESTIGATION

Regarding

 

PTSD & Law Enforcement

 

The Ombudsman is conducting an investigation into Post Traumatic Stress Disorder / Operational Stress Injuries

 to determine what is required within the Ontario Provincial Police to properly address this issue.

 

Please advise what YOU think is required by government and police services

to assist police officers and their families who are injured by PTSD / OSI.

 

On December 15th, 2009, I submitted a complaint to the Ontario Ombudsman requesting a full and comprehensive investigation into the totally inadequate response from government and police services provided to many injured police officers throughout Ontario who have been abandoned by their police services as a result of suffering from Post Traumatic Stress Disorder.   I and many other officers suffering from PTSD have taken various paths in an attempt to address their difficulties.... some resulting in addictions, rage, depression, assaults, family violence, withdrawal, hypervigilance and some, unfortunately, have ended in suicide.  Families, in many cases have been totally neglected while their loved one endures PTSD/OSI within the law enforcement environment.  This mental illness adversely affects spouses, and other family members in addition to their fellow officers, superiors, and the general public for whom they serve.

 

Fortunately, the Ontario Ombudsman, Mr. Andre Marin and his Special Ombudsman Response Team (SORT) have undertaken an extremely serious and compassionate investigation into the needs of the Ontario Provincial Police officers and their families facing this destructive mental illness resulting from traumatic experiences while performing police duties.  The Ombudsman has the legislative right to investigate the Ontario Provincial Police but may also recommend how both the OPP and municipal police services within Ontario should deal with PTSD and OSI.

 

Sadly, far too many officers are currently charged with serious criminal and/or police act charges resulting from their conduct while suffering from a mental illness caused by their police duties.  In some cases, families separate and yes... some officers have committed suicide to escape this horrific mental illness.  If police services, including peers and/or supervisors understood the enormity of PTSD and Operational Stress Injuries (OSI), they may have intervened before such destruction.  

 

The Ontario Association of Chiefs of Police has publicly announced that Post Traumatic Stress Disorder will cause a “Financial Tsunami” for police services and a create hardship for the current labour force if accommodations and WSIB rights are extended to these injured officers. This realistically indicates why the provincial government is not supporting required changes; thus they are failing those in need.

 

             THIS IS YOUR OPPORTUNITY TO EXPRESS YOUR OPINION... PLEASE...  DO NOT SIT IDLE AND LET THIS SUFFERING CONTINUE!

 

Below, I have listed numerous recommendations to the Ontario Ombudsman that I believe needs to be addressed at various levels.  I am not naïve to believe that I have all the answers or... all the correct ones.  In view of this, I ask that you please review the list below.  Please add, change or delete any or all of my comments.   Make a difference... either let me know your thoughts that can be forwarded confidentially to the Ombudsman or... even better... go direct to the Office of the Ombudsman with your concerns and comments.   If you or someone that you know may benefit from your suggestions please... please submit your thoughts!  Please disseminate this to as many officers, Auxiliary members and police civilians as possible for their input.

 

The Office of the Ombudsman Chief Investigator contact information is:

 

            Mr. Adam Orfanakos

           

            Office of the Ombudsman

            416-586-3357 

            483 Bay Street 10th Floor, South Tower

            Toronto, ON M5G

            aorfanakos@ombudsman.on.ca

 

 

Best regards,

 

Bruce C. Kruger

Detective Inspector, (retired)

Ontario Provincial Police

 

SUGGESTED RECOMMENDATIONS TO THE ONTARIO OMBUDSMAN

 

Policing Issues Pertaining to Post Traumatic Stress Disorder

 

(This list is not in any order of importance) 

 

  1. Assign a Designated Ministry Representative

A designated representative within the Ministry of Community Safety and Correctional Services who is interested in the subject of PTSD & OSI should be specifically appointed to conduct research, attend forums/seminars on these subjects, disseminate information on a regular and timely manner to police services pertaining to new developments and continuously remind all levels of  command regarding consequences/symptoms of PTSD/OSI and methods of dealing with these issues.

 

  1. 2.      Removal of Restrictive Date of Occurrence for Incidents Causing PTSD

Currently, January 01, 1989 is the cut off date for when an incident is considered for causing PTSD to be considered by Workers Safety and Insurance Board.  Any incident prior to this date is not permitted to be considered for any WSIB claim.  This prevents many officers from seeking medical assistance or benefits from the Ontario Government.  Older officers and retirees should not be excluded from treatment or benefits due to an arbitrary time frame disallowing incidents that created PTSD for them prior to 1989.  Legislation must be created to eliminate any time period for when traumatic policing matters created mental health issues, especially PTSD affecting any police employee. The only criteria should be whether the PTSD developed because of policing duties.    No one can predict when PTSD will strike or was caused; either within months or later on in life after retirement.

 

  1. Presumptive Legislation

The Police Association of Ontario have attempted without success to date to have “Presumptive Legislation” introduced to ensure that officers no longer have to prove that they developed PTSD as a result of their policing duties.  Presumptive Legislation would mean that the government would have to disprove it and thus relieve the burden of proof from the injured member.  This should become receive immediate government approval.

 

  1. Timely Assistance

Critical Incident Response is extremely important for all police officers to receive who have responded to serious situations but it must be clearly understood that this issue alone does not address the belated concerns created by PTSD.  These are two completely separate issues.  PTSD is long-term requirement that currently is not addressed adequately within policing.

 

Reasonable time frames should be in place to ensure that all PTSD cases are given high priority for investigation and adjudication by the individual police services and WSIB to ensure that treatment is commenced as soon as possible.  Investigations of claims and adjudication should not linger and must be conducted within reasonably set time frames.

 

  1. Responsibilities for Educating or Assisting Officers and Families

The previous Commissioner of the OPP stated that any information and assistance for officers and families affected by PTSD should be disseminated and/or provided by the Ontario Provincial Police Association.   Under no circumstances should the Ontario Provincial Police assign or transfer their responsibilities to any outside agency... it is solely the responsibility of the policing service to properly address.

 

  1. Adequate Resources

Sufficient funding by government is required to have properly trained psychiatrists/psychologists available to review police cases of concerns or suspected problems relating to PTSD/OSI within Ontario Police Services and to:

  1.  
    1. organize appropriate responses to members including civilian staff who may exhibit signs of PTSD. 
    2. conduct long term research into the root causes and concerns of members experiencing either signs/symptoms of PTSD/OSI
    3. follow-up on those exposed to serious situations and any resulting health consequences.

 

  1. Need to Coordinate Police Forces Across Ontario & Canada

The Ministry of Community Safety and Correctional Services plus the Ministry of Labour must gain insight into how other Canadian/USA Police Services address PTSD/OSI issues and how they coordinate research and responses.  Approximately 22000 uniformed RCMP personnel & civilian staff reported 163 cases of PTSD last year.  It would stand to reason that within Ontario, which has approximately 31000 + uniformed officers & civilian personnel, the Province would therefore have at least that many incidents of PTSD also.  Currently, no one can answer this question pertaining to the numbers involved in Ontario since no statistics are obtained.

 

Research, must study the number of police suicides, domestic violence and divorces to ascertain whether PTSD was at the root of such matters.  As you may be aware such was the case involving an ETF Member of Toronto Metro Police.  An officer was involved in a shooting incident in 1981 and killed himself as a direct result of this incident over twenty years later.  Workers Safety and Insurance Board (WSIB) records were changed to list his death finally as PTSD brought on by police duties rather than “suicide”.  How many more police deaths in Ontario have occurred like this?  It should be noted that within the USA, it is estimated that one officer commits suicide approximately every 24 to 36 hours!

 

This is such a pervasive concern within the United States that organizations have been formed strictly to address police suicides created by On-the-Job stresses and Post Traumatic Stress Disorder such as “The Badge of Life” (USA & Canada); Tears of a Cop” (TOAC); etc.  Officers within Canada are no different.  The Ministry should be a leader in organizing and/or supporting such a group.  It should be noted that “The Badge of Life” has recently developed a Canadian component.

 

  1. Liaise with Canadian Armed Forces

Have ongoing contact with the Post Traumatic Stress Disorder Unit of the Canadian Armed Forces to learn how the Armed Forces continuously deal with soldiers developing this disorder.  It’s interesting to note that considerable networking for families, treatment facilities, medical staff in place and long term studies in the Armed Forces are significantly  advanced to that of any Police Services within Canada.  

 

  1. Confidential Survey of Police Services Personnel

An immediate independent, confidential survey should be completed to determine the extent that PTSD/OSI and other mental disorders that are occurring within police services in Ontario including active members, Auxiliary police members, civilian personnel and OPP retirees.  The effects and aftermath of PTSD/OSI are not restricted only to police personnel but become an overwhelming concern for many of their families.  

 

  1. EAP Call Takers Training

Call Takers for the Ministry Employee Assistance Program (EAP) should receive significantly improved and specific training for mental health issues in particular for PTSD/OSI.  These call takers should be very knowledgeable to deal with personnel or family members seeking help.   No police officer, active or retired, should ever be advised again that the Ministry or a Police Service cannot help the caller as presently occurs especially and specifically for retirees!

 

  1. Police Serving in Foreign Countries

What short term / long term preparedness, treatment and studies are being done for these police personnel returning to Canada?  This should not be left only to the military but should be encompassed in a proper police organized response.

 

  1. Encouragement to Report

More education to recognize PTSD/OSI must be provided to officers permitting them within a safe environment to disclose their mental health problems in order to obtain help without adverse ramifications.  The current attitudes amongst senior personnel, in particular, are not conducive for such disclosure due to perceived or real concerns of being stigmatized or branded “mentally ill”.  Fears of a lost of promotional opportunities, removal from specific duties, seizure of their police weapon, lack of confidentiality or other reprisals are always present.  These concerns need to be continuously addressed at all levels.

Sufficient psychiatrists, psychologists and mental health workers should be available directly from the Ministry for police personnel and their families to confidentially seek assistance, treatment and/or guidance in dealing with PTSD/OSI and other mental health issues caused within the context of policing.

All personal dealing with serious incidents in their lives such as marriage breakups, inappropriate behavior, e.g. anger concerns, alcohol abuse, etc. should be automatically referred for a psychiatric/psychological review which would include a review of their staff personnel files. If “flagging of files” were in place, it would bring focus quickly to susceptible police personnel suffering from PTSD and other mental health issues.. This would assist in revealing whether there was a history of previous serious policing incidents which may guide professionals in determining if these matters are PTSD related.

  1. Goals of Treatment

Once diagnosed, the member should be fully advised that the goal is to return him/her to full active service rather than reassigning the member to other tasks unless this is the desire of the officer.  Dr. Belliveau’s research for the Canadian Armed Forces revealed:

 

"Research has demonstrated that people who are actually treated for PTSD and OSI are good to go back to theatre. They know what it is, they know how to handle it they and know

what to do in the situation. It's a treatable disorder; people can go into remission, we don't say they're cured but they go into remission and with proper therapy they're given all sorts

of tools to stabilize, to deal with the traumas and, as they say, they're 'Good to go,' and they are."

 

            It must be recognized that in some cases, the individual officer may not be able to return to the same duties that contributed to their PTSD.  Their opinions, in conjunction with medical

judgment must be given serious consideration into the type of placement back into the workforce.

 

A mentoring program must be implemented in conjunction with an independent Peer Support Program to ensure the reintegration of the employee recovering from PTSD/OSI is

introduced back into a healthy work environment.

 

  1. Organize a Provincial Task Force Study Committee to Address  PTSD Needs

A “Provincial Committee for Mental Health Issues Amongst Police Personnel” must be developed under the Ministry of CS & CS to continuously review, analyze and take action upon treads and issues of mental health matters involving police personnel.  This committee must have full participation including officers who have actually experienced job-related Post Traumatic Stress Disorder in addition to medical professionals, police leaders, police associations and interested parties.  This committee should report directly to the Deputy Minister of Community Safety and Correctional Services to demonstrate its level of importance and to ensure swift action is taken for any recommendations submitted and approved. 

 

A similar committee for the OPP should also be commenced to ensure input from the OPP membership reporting directly to the Commissioner.  It should be made up of personnel from all segments of the Force including Auxiliary and Civilians in addition to OPP Association and the Commissioned Officers’ Association.  This Committee could also be utilized as extended/alternate contact by Force personnel for confidential help and guidance.

 

  1. PTSD Support Group

The Ministry should undertake to form a confidential independent support group and/or groups networking across the Province for guiding, supporting, educating all police personnel (active & retired) and their families.  It should be noted, that family members are more prone to recognize problems developing before the actual sufferer.  This would not be a replacement for the current EAP but greatly assist families seeking support and guidance in particular similar in style to what the Canadian Armed Forces Operational Stress Injury Social Support  (OSISS) program does for the military.

Peer Support personnel and Group Support for families must be provided on a provincial basis to offer long term guidance for those suffering from PTSD/OSI.  Currently, officers may attend a facility for mental health treatment and yet little to no follow-up is provided afterwards by these facilities.  The individual PTSD suffers from isolation and/or the family feels completely ignored by police leadership and their police associations. 

  1. Family Support

Support for police families must be immediately implemented on a provincial basis by the Ministry:

a.    to provide continuous educational information on PTSD to spouses, children, parents which would allow them to recognize what is happening to the officer or police personnel within their family when signs and symptoms of PTSD present;  This may be by means of a website, brochures, mail-outs.

b.    to provide support to the family for their personal needs due to the effects of PTSD on them;

c.    to ensure follow-up assistance is provided overall to the families on a long term basis. 

 

  1. Determine How Extensive is PTSD to Policing

It is estimated that up to 28 percent of Canadian Armed Forces returning from war regions face mental health issues including high-risk drinking, PTSD, OSI and depression.  Similar long term studies are needed by the Ministry to determine not only how many personnel are currently suffering from PTSD/OSI but also look at how many have suffered within the ranks of the retirees.

 

New recruits, possibly through the Ontario Police College should be utilized in a confidential study for long term study to determine the affect of not only serious incidents causing PTSD/OSI but also how cumulated incidents creates detrimental aspects to their health.

 

  1. Police Support to Retirees

Police Services/OPP should ensure that all retirees who are having mental health issues related to their years of policing service are notified that they too are eligible for coverage by WSIB and group assistance by each individual police service. 

 

  1. Right to Proper Compensation

It should be noted that reasonable compensation for soldiers is provided by the Canadian Armed Forces and yet paltry amounts are provided to injured police suffering from PTSD/OSI within Ontario.  This must be revisited by both the Ministry of Community Safety and Correctional Services and the Ministry of Labour. The Ministry of Labour must provide fair compensation for all members who have legitimately been diagnosed with PTSD as a direct result of their employment, including those retirees who were neglected for diagnosis, late in life presenting symptoms, etc.  The Ministry should ensure that these members also are fairly compensated for medical expenses, travel expenses, other benefits, etc not covered in any other manner if it was the result of diagnosed PTSD.   To date, compensation is negligible and insulting!

 

  1. Mandatory Review of Serious Incidents

All officers associated with serious incidents of shooting deaths; witness to the death of fellow officers; involved in grievous child abuse or deaths; etc. should automatically have their staff personnel file flagged for future oversight by an outside agency to ensure confidentiality in the event of difficulties months or years later.  This information must not be permitted to be utilized in any punitive or negative matter for any situations such as promotions, police act hearings, etc.

 

A trained medical doctor specializing in PTSD/OSI such as a police psychiatrist should be made aware of all serious incidents involving police officers.  An ongoing review and/or counselling should be conducted to ensure over several months/years that no adverse problems develop with the officer involved.  This would relieve much of the stigma resulting from the individual reporting difficulties.  If everyone was required to do so under specific causes, it greatly would reduce this stress of reporting.  This would especially go a long way to fighting the “macho” image of police officers.

 

 

Prepared by:

Bruce  C. Kruger
Retired/OPP
Home    705-645-5814
Cell       705-706-2834
Email    kruger@muskoka.com

 

A very poignant article I found regarding a mother and PTSD

It seems many do not quite grasp the fact that PTSD is indeed an illness, and a very serious one at that - the most serious of the anxiety disorders, and the most deadly. Many simply do not survive; this is sadly the case in my family, as two of my PTSD sufferers are deceased - one from suicide, and the other from drunk driving as a direct result of PTSD. My third PTSD sufferer, my daughter, is still living; however we have had some close calls with her. Though doing well at the moment, in the past she has engaged in risk-taking behaviours which could have proved deadly, and additionally she has made several suicide attempts. She works very dilligently upon herself, and we give her full credit for that. However, part of the reason she is doing well now is also because of my husband and I, and other family. We are supportive of her. We certainly do not try to sabotage her healing nor exact revenge upon her for having hurt us, and believe me, she has hurt us, very deeply at times. She ran away from us for several years, we lost contact with her completely, and at one point we thought her dead. It was most difficult, and we were both angry and frightened for her. However, now that we are reunited, it is water under the bridge. She has an illness, we accept that, and we do not wish to make matters worse for her by constantly reminding her of her past transgressions. She carries far too much guilt on her own; we needn't add to it. No matter how upset you are with your PTSD sufferer, no matter what they have done to you and your family in the past, if you truly care about them, please do not make matters worse for them. Doing so is playing with fire. You may think you have the right to revenge, however; your sufferer, no matter what they have done, is already in extreme pain - guilt, depression, extreme stress, not to mention flashbacks, nightmares, hypervigilance and other anxiety symptoms in the extreme. Any anxiety which you yourself feel currently, they feel tenfold. There is no comparison. This is why they are diagnosed with an illness and you are not. Ask yourself the following: Do you really wish to push your sufferer to the point of self-harm? How would you feel if they attempted suicide after being pestered or pushed by you? This is a very real possibility if you push them too far. Yes, it is their choice to end their own life; however, do you honestly wish to have a part in that? What if your sufferer is the father or mother of your children? How will your children will feel in future if you have helped to destroy the life of their parent, and intentionally so? If you still feel justified in getting your revenge against them, then my suggestion is no contact until such time as you are able to control yourself. Yes, you have been hurt, some of you have been hurt very badly, and I comprehend that as it has happened to me as well. However, from sad experience, I know that being right and getting even is not worth the life of my PTSD sufferer. When they are gone forever, it is too late. My daughter recently quoted Dr. Phil, and I will as well: "Do you want to be right or do you want to be happy?" Do you wish to be part of the problem, or part of the solution? Do you wish to wallow in self-pity, or do you wish to take the high road and make a positive difference in your family? Your choice.

PTSD: affects my life at work

Due to a violent childhood, I have quite a bit of trouble over reacting/ under reacting to situations that happen in my workplace. I am concious that I almost seem to be a target for the bullies that I deal with in my organization. I no sooner resolve one situation (and the last one I dealt with very well to a satisfactory resolution), than another situation is presented to me, and then another. It is very discouraging and drains my energy, depite all that i do to take care of myself. Therapy has helped me greatly, but I still struggle with sending out the wrong subterranean messages. Much peace and healing to all of you who suffer from this disorder.

I can really relate to how it

I can really relate to how it feels imprinted in your cells.

This has been my story. My mother would sometimes beat me and my brother when she was angry. Not every time, or on the same level of intensity.  The times that she didn't were just as terrifying however, because of the potential of what could happen. When she didn't beat me, she beat my brother, and that was just as traumatic in a different way. I wanted to protect him, and I didn't want to become the victim. The fear in me was the same. The most severe beatings occurred when we were young - under the age of 6.

The fact that our physical beatings stopped as we got older didn't make a difference to the way I react in life. I have two reactions to even the hint of a threat. Either I over-react – and become extremely aggressive (verbally and sometimes physically). Or I have the opposite reaction, and my body and memory shut down. When this happens it is as if I completely space out. I don’t see or hear what is right in front of me. I have learned that this is a form of dissociation.

I can feel now how my experience in childhood caused deep trauma. Deeply imbedded in me is a kernel of fear that affects the way I am in relationship to other people. I am still working on being able to let it go, or at least be able to be myself with it still in me. It is so deep in my body though that I don’t know how to change. Knowing that it is there makes me more conscious, sometimes, but still hasn't taken away 'my deer in the headlights' reaction to some situations. I am hopeful, but I am also finding it difficult and challenging work to heal and become stronger and more confident.

The struggle with symptoms of PTSD

Quite a number of years ago I was working with my therapist on having been raped - in an emotional moment as I was sharing with her the events that took place - I was struck by intense physical pain that doubled me over...it scared me terribly.  We stopped working with the event and she talked me through breathing through the pain.  When I was able to be in the room with her, in the present...she explained to me about PTSD.

It felt so strange, I had spent so many years minimizing the impact of this event (one among a few expereinces of rape and sexual abuse), it was hard for me to really believe that my body had internalized the trauma.  Although it began to help me make sense of other symptoms I had expereinced for years - like an uncontrollable and intense startle response that makes me feel terribly ashamed.  Even today I hate it when I am unable to control my body's response in that way.

It can be hard for me to believe that I will ever get my body back - if that makes any sense...somehow it feels imprinted in my cells.

 

Good book about PTSD

I noticed there weren't any posts yet about PTSD and thought that it might stimulate discussion to post about this book, The Boy Who Was Raised as a Dog, by Bruce D. Perry and Maia Szalavitz. This is a very readable book by a child psychiatrist who works with children who have experienced trauma. His insights into the neurological, developmental and emotional impact of trauma on children are illuminating and so is his compassion for the grown-ups in the lives of these children. Dr. Perry sees how trauma is sometimes inflicted through ignorance or an inability to nurture, rather than through malevolence or intentional cruelty. I found this book interesting and informative.

Thanks for the info

It sounds like a compelling book. When I think of PTSD, I usually imagine a very defined and devastating traumatic event. It interests me to learn about how this condition is brought on through ignorance or a lack of nurting.

Thanks for passing this along.