WASHINGTON—U.S. Senators Chris Murphy (D-Conn.), Richard Blumenthal (D-Conn.) and 18 Senators sent a letter to the U.S. Department of Defense (DOD), urging the agency to put in place a comprehensive mental health care plan to ensure the well-being of servicemembers and their families during and after the pandemic.

“We urge you to develop a plan to protect and promote mental health and wellbeing, assess and reform current policies, and conduct outreach to the military community to identify resources and TRICARE-covered services that are available to them during this stressful time,” the senators wrote.

Noting that social isolation and travel restrictions - compounded with often serving on the frontlines of fighting this outbreak - have created acute hardships for servicemembers and their families, the Senators stressed the need for a “coordinated, comprehensive plan to ensure access to high-quality mental health care and continuity of care.” 

In developing and implementing this plan, they urged the DOD to address existing mental health treatment stigma, provide guidance on mental health ramifications stemming from this crisis, and provide additional training and support for mental health professionals. The Senators emphasized the need for an assessment of TRICARE telehealth policies and subsequent improvements to ensure that the needs of servicemembers and their families are met, and that services are on par with or better than civilian health care.

The letter was also signed by U.S. Senators Chuck Schumer (D-NY), Elizabeth Warren (D-MA), Bob Casey (D-PA), Kamala Harris (D-CA), Sherrod Brown (D-OH), Catherine Cortez Masto (D-NV), Tina Smith (D-MN), Kirsten Gillibrand (D-NY), Debbie Stabenow (D-MI), Jacky Rosen (D-NV), Doug Jones (D-AL), Chris Van Hollen (D-MD), Brian Schatz (D-HI), Amy Klobuchar (D-MN), Dick Durbin (D-IL), and Mazie Hirono (D-HI).

The full text of the letter is included below and here.

Dear Secretary Esper:

We write to emphasize the importance of mental health care for servicemembers – including National Guard and Reserve personnel – and their family members throughout and following the novel coronavirus (COVID-19) pandemic. While we acknowledge the Department of Defense (DoD) response to COVID-19 is multifaceted and the challenges unprecedented, mental health services are critical to preserving military readiness. We urge you to develop a plan to protect and promote mental health and wellbeing, assess and reform current policies, and conduct outreach to the military community to identify resources and TRICARE-covered services that are available to them during this stressful time.

While it may take years to fully understand the impact of the COVID-19 pandemic on mental health, early research paints a deeply concerning picture. According to a recent poll by the American Psychiatric Association, more than one third of Americans say the pandemic is seriously impacting their mental health.[5]  Servicemembers and military family members are already exposed to noted risk and socio-demographic factors for suicide, including reluctance to seek help, perceived stigma around treatment, and access to lethal means.[6] Further, strong interpersonal connections–a protective factor against suicide—are being strained by essential social distancing measures necessary to combat the outbreak.

The social isolation and travel restrictions required to confront this pandemic disproportionately impact servicemembers and military families, and could quickly exacerbate the demands of military service and the symptoms of any underlying mental health conditions. Necessary travel restrictions and changing mission requirements have extended deployments and family separations. Some military families were caught in limbo between permanent changes of station and face continued uncertainty. These restrictions, as well as the potential loss of civilian spouse employment, have created financial hardships for some military families, which can significantly impact mental and behavioral health. All the while, servicemembers—including National Guard and Reserve personnel—are on the frontlines of fighting the outbreak, providing medical care and building much-needed infrastructure, among other critical roles. Military families also face significant stress when their servicemember is serving on a ship, at a base overseas, or in a unit with confirmed COVID-19 cases and the subsequent possibility of exposure. These stresses and challenges require increased and focused support from DoD.

The military community deserves a coordinated, comprehensive plan to ensure access to high-quality mental health care and continuity of care. We urge you to include in this plan a strategy to combat servicemembers’ existing stigma surrounding mental health conditions that deter individuals from seeking care, guidance on the mental health ramifications of this crisis to commanding officers at all levels, and additional training and support for mental health care professionals on supporting individuals concerned for the health of family members or grieving the loss of loved ones due to COVID-19. Within this plan, we encourage you to leverage telemedicine to the greatest extent possible. To this end, we request an assessment of existing TRICARE policies pertaining to the use of telemedicine for behavioral and mental health services to determine if updates are necessary to ensure that these policies meet military family needs and are on par with, or exceed, options and quality available in civilian health care. We also encourage the use of innovative family services policies and frequent communication with military families to highlight available services and to assess their needs.

The COVID-19 impact on mental health will be long-term, and immediate action as well as a long-term response plan are necessary to combat the mental health implications of this crisis. We look forward to your response and to working with you to ensure you have all the necessary authorities and resources to provide augmented mental health services for servicemembers and their families.

Sincerely,

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