The Other Victims of Battlefield Stress; Defense Contractors’ Mental Health Neglected
Posted by defensebaseactcomp on February 26, 2010
by T. Christian Miller, ProPublica – February 26, 2010
On the one-year anniversary of her husband’s suicide, Barb Dill breaks down at her husband’s tombstone. Wade Dill, a Marine Corps veteran, took a contractor job in Iraq. Three weeks after he returned home for good, he committed suicide (Francine Orr / Los Angeles Times / Redding, CA / July 16, 2007).
REDDING, Calif. — Wade Dill does not figure into the toll of war dead. An exterminator, Dill took a job in Iraq for a company contracted to do pest control on military bases. There, he found himself killing disease-carrying flies and rabid dogs, dodging mortars and huddling in bomb shelters.
Dill, a Marine Corps veteran, was a different man when he came back for visits here, his family said: moody, isolated, morose. He screamed at his wife and daughter. His weight dropped. Dark circles haunted his dark brown eyes.
Three weeks after he returned home for good, Dill booked a room in an anonymous three-story motel alongside Interstate 5. There, on July 16, 2006, he shot himself in the head with a 9 mm handgun. He left a suicide note for his wife and a picture for his daughter, then 16. The caption read: “I did exist and I loved you.”
More than three years later, Dill’s loved ones are still reeling, their pain compounded by a drawn-out battle with an insurance company over death benefits from the suicide. Barb Dill, 47, nearly lost the family’s home to foreclosure. “We’re circling the drain,” she said.
While suicide among soldiers has been a focus of Congress and the public, relatively little attention has been paid to the mental health of tens of thousands of civilian contractors returning from Iraq and Afghanistan. When they make the news at all, contractors are usually in the middle of scandal, depicted as cowboys, wastrels or worse.
No agency tracks how many civilian workers have killed themselves after returning from the war zones. A small study in 2007 found that 24 percent of contract employees from DynCorp, a defense contractor, showed signs of depression or post-traumatic stress disorder, or PTSD, after returning home. The figure is roughly equivalent to those found in studies of returning soldiers.
If the pattern holds true on a broad scale, thousands of such workers may be suffering from mental trauma, said Paul Brand, the CEO of Mission Critical Psychological Services, a firm that provides counseling to war zone civilians. More than 200,000 civilians work in Afghanistan and Iraq, according to the most recent figures.
“There are many people falling through the cracks, and there are few mechanisms in place to support these individuals,” said Brand, who conducted the study while working at DynCorp.”There’s a moral obligation that’s being overlooked. Can the government really send people to a war zone and neglect their responsibility to attend to their emotional needs after the fact?”
The survivors of civilians who have committed suicide have found themselves confused, frustrated and alone in their grief.
“If I was in the military, I’d at least have someone to talk to,” said Melissa Finkenbinder, 42, whose husband, Kert, a mechanic, killed himself after returning from Iraq. “Contractors don’t have anything. Their families don’t have anything.”
Some families of civilian contractors who have committed suicide have tried to battle for help through an outdated government system designed to provide health insurance and death benefits to civilian contractors injured or killed on the job.
Under the system, required by a law known as the Defense Base Act , defense firms must purchase workers’ compensation insurance for their employees in war zones. It is highly specialized and expensive insurance, dominated by the troubled giant AIG and a handful of other companies. The cost of it is paid by taxpayers as part of the contract price.
But the law, which is designed to provide coverage for accidental death and injury, blocks payment of death benefits in the case of almost all suicides. Cases linked to mental incapacity are the lone exception, judges have ruled.
A joint investigation last year by ProPublica, ABC News and the Los Angeles Times  revealed that contract workers must frequently battle carriers for basic medical coverage. While Congress has promised reforms, there has been no discussion of changing the law when it comes to suicides involving civilian defense workers.
The military, by contrast, allows survivors to receive benefits in cases in which a soldier’s suicide can be linked to depression caused by battlefield stress.
Hundreds of soldiers have committed suicide since the war in Afghanistan began in 2001, according to studies by the Army and the Department of Veterans Affairs. In response, the Defense Department has become more active in trying to prevent suicide than its hired contractors, military experts said.
The military is “aggressively trying to reach people and do intervention beforehand and set up suicide awareness programs,” said Ian de Planque, a benefits expert at the American Legion, the nation’s largest veterans group. “Awareness of it has increased. I don’t know that it’s transferred over to the civilian sector at this point.”
Birgitt Eysselinck has spent years trying to prove that her husband’s death in Iraq was related to stress from his job with a company specializing in the removal of land mines and explosive ordnance. So far, courts have sided with the insurance firm, Chicago-based CNA, in denying Eysselinck’s claim. (CNA declined to comment, citing privacy reasons.)
Eysselinck, 44, said that neither federal judges nor insurance adjusters understand that civilian contractors face many of the same risks in Iraq and Afghanistan that soldiers do. Her husband, Tim Eysselinck, endured mortar attacks and frequently traveled across Iraq’s dangerous highways, she said.
“There is a huge percentage of contractors who are silently suffering,” Eysselinck said. “That obviously puts them and their families at risk. Communities are bearing the brunt of this, especially the families.”