Combat Social Work in Vietnam, 1968–1969
This chapter presents combat social work in the U.S. Vietnam war. The author discusses his military career, the special challenges and lessons from his year-long tour of duty and a combat social worker’s view of the realities on the ground. This chapter provides a case study of how behavioral health practitioners in-country were confronted with what the author refers to as the psychiatric paradox—Was a psychiatric casualty “too sane” to be medially evacuated or “too sick” to be returned to duty?—coupled with significant pressure to return psych casualties to duty. The author describes his personal experiences and how he came home changed and interested in helping fellow combat veterans. He describes the lessons learned from his further mental health services to hundreds of war veterans postwar and the pervasive impact of war on those exposed to war, directly or indirectly, and their long-term recovery.