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Veterans Affairs addresses growing demand of women needing care

Roughly 6,000 female veterans in Dallas-Fort Worth get medical care from Veterans Affairs.

They represent 6 percent of the patients in the Fort Worth outpatient clinic and Dallas hospital, but the trend is definitely heading north. The VA expects to serve 18,000 North Texas women within five to 10 years, in part because Texas has the second-most female veterans of any state.

The growing number of female veterans, including many with combat experience and some with debilitating injuries, has led the Veterans Affairs Department to re-engineer some of its services to a population that was largely unfamiliar to the VA system in the past.

The Fort Worth outpatient clinic, for example, opened a women's clinic, led by a female internist, in its new building last fall and has integrated cervical exams, mammography and sexual trauma therapy into its clinical options.

"Certainly there is demand," said Assistant VA Secretary L. Tammy Duckworth. "For the first time in our nation's history, we have combat veterans giving birth. We have found that women veterans of Iraq and Afghanistan use the VA at far higher rates than any other demographic group. ... We've come a long way in the last two years. We have a lot more work to do, but we've made tremendous progress."

Duckworth, 43, herself is Exhibit A of the changing face of the warrior and veteran. She flew UH-60 Black Hawk helicopters in the Illinois National Guard and was grievously wounded in Iraq in 2004 when a rocket-propelled grenade struck the cockpit. She had both legs amputated and lost partial use of one arm.

She was in North Texas last week for a national VA conference on equal employment and spoke with the Star-Telegram for about 40 minutes.

More on the agenda

Duckworth and her boss, VA Secretary and retired Army Gen. Eric Shinseki, make a point of asking about women's programs as they visit VA facilities, occasionally dragging a hesitant local director along on the issue, she said.

"More than once I've embarrassed someone at a VA health clinic, especially when I first came on board," Duckworth said. "I've put hospital directors on the hot seat. It's about personally reaching out and communicating our dead seriousness that this is an important issue."

For all the good the VA is accomplishing in ramping up women's access to care, retired Air Force Col. Kim Olson of Weatherford would like it to happen faster. Olson, executive director of the nonprofit Grace After Fire, characterizes the VA as "great, but it's such a huge bureaucracy that it's difficult to move quickly."

"If the VA still takes the stance of 'build it and they will come,' they will never get the numbers," said Olson, who receives VA care. "They've got to build a rock-solid outreach program with this generation. If you take that old VA approach and wait, these young women will never try the VA. The VA needs to step it up. These women need help yesterday."

Vicki Fulwiley, a Navy veteran who lives in Fort Worth, illustrates that point.

She only found out about the clinic a month ago, after having been told about it through the Texas Workforce Commission.

"I didn't even know this was here," she said.

Average age lower

Fourteen percent of the active-duty military and 17 percent of the National Guard and reserves are women. Although they are still barred from infantry and armor jobs, they are far from strictly rear-echelon support personnel. In Iraq and Afghanistan, 140 women have died, compared with eight during the Vietnam War.

Within the VA system this startling dichotomy reflects the times: The average male veteran who receives care is in his early 60s; the average age of female veterans is close to 40.

Some of those women want separate entrances and waiting areas for their clinics. Others, like Duckworth, would prefer to be in the mix with men. She said the VA is trying to listen to women as they make their wishes known. She said the VA has hired a women's health coordinator at every location nationwide to "advocate, listen and coordinate" care.

The Fort Worth clinic handles many gender-specific tests and exams in-house but contracts out for obstetrics services to civilian providers.

"We used to get three [pregnancies] a quarter, but I've had three this week," said Kim Rice, a registered nurse who is the acting women's program manager. "When the veterans are young like those we're getting now, they're continuing their families."

Group therapy

One of the biggest differences between the genders may well be in post-traumatic stress. A VA Office of Inspector General report in January discovered that women returning from Iraq and Afghanistan are more likely to be diagnosed with mental-health conditions than men, yet men are far more likely to receive financial benefits for those problems.

Because of the overwhelming demand for counseling and a shortage of therapists, the VA conducts much of its therapy in group sessions. But Olson said that won't work for many women.

"I'm painting in generalizations, but group therapy doesn't work for women," she said. "You think a woman is going to go into a room full of men and say, 'Hi, I'm Sally and I ran over a child trying to get out of the kill zone.' Women veterans want one-on-one counseling, not to mention that it usually takes a woman an hour to get to the point of her problem. Therapy needs to be different for gals."

Duckworth said female veterans can ask to see a female therapist, attend a women-only group session or, in some cases, request to be seen by a civilian provider paid by the VA.

"The key is listening and providing those services and understanding that it may be different," she said. "It's about being flexible. ... We don't want women to walk through the doors and turn on their heels and leave. Because once they leave, it's 10 times more difficult to get them to come through a second time."

Chris Vaughn, 817-390-7547

Dallas Morning News Article May 2011

Nonprofit group meets needs of female veterans, growing demographic


Staff Writer

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Published 29 May 2011 11:03 PM

Related items

RICHARDSON — It’s been more than 15 years since Kimberly Allen of Dallas completed her service with the Navy, but she is often haunted by memories from Desert Storm.

Allen still doesn’t like talking about her past, but for the first time since she joined the military she’s found a network of veterans and volunteers who understand her problems in Grace After Fire, the only nonprofit in Texas that focuses on the needs of female veterans.

“I’ve been through some things I’ve kept repressed for so long,” Allen said. “[Grace After Fire] made it easy for me to talk with someone and come out of my shell.”

Grace After Fire offers online resources and support groups across Texas for female veterans, who make up about 8 percent of the U.S. veteran population, according to the National Center for Veterans Analysis and Statistics. That number is expected to double by 2035.

Most of the nonprofit’s 10 staff members are female veterans, including outreach coordinator Stacy Keyte of Waxahachie, who served in the Army for 12 years. She reaches out to veterans in seven counties, including Dallas, Collin and Rockwall  , to identify their needs and find ways for Grace After Fire to help address them. She coordinates peer support groups in Far North Dallas and Waxahachie.

Keyte said childcare is one of the biggest issues women veterans face when they return home.

“You immediately get your child back, and you never really get any time to readjust,” she said. “[You go from] being the primary caregiver to trying to transition into that soldier mentality and then straight back into being that nurturing, loving mother. It can be a very big stressor.”

She also said many female veterans seek help with childcare as they attempt to find a new job or go to school. Grace After Fire’s online database also provides information for dealing with domestic violence, substance abuse, sexual assault, depression and other issues.

The nonprofit’s outreach coordinators serve 74 counties in Texas, but the website has been used by military personnel and veterans across the world.

Allen said she’s not ready to move beyond one-on-one counseling yet, but Grace After Fire has helped her take the first steps toward recovery.

“Grace After Fire has something for every female veteran,” she said. “They can head you in the direction you need to go for healing.”

Veterns Healing Iniative Nov 2010

Nation's First-Of-Its-Kind Veterans Organization Awards Samaritan Village, Grace After Fire and Loyola Recovery Foundation with Inaugural Round of Grants

New York, NY (November 12, 2010) The Veterans Healing Initiative (VHI) announced today that Samaritan Village of New York, Grace After Fire and Loyola Recovery Foundation will receive funding from the organization's inaugural round of grants. Each program was selected based on a comprehensive review process by the VHI board that included clinical evaluations, site visits and an analysis of the programs effectiveness based on the outcomes of both male and female veteran patients.

"The need for immediate and comprehensive treatment programs for veterans that address both substance abuse and co-occurring trauma, including sexual trauma, is unprecedented," said VHI Chairman and Co-Founder Margaret Stone. "It is with great pleasure that we can support these three organizations whose hard work and dedication bring hundreds of veterans’ one step closer towards healing from these profound and invisible wounds of war."

VHI is the nation's first and only charitable organization dedicated solely to providing independent financial support for veterans seeking treatment for substance abuse and Post Traumatic Stress Disorder (PTSD). Samaritan Village, a residential, four-phase, therapeutic community based in New York that provides dual-diagnosis treatment and a continuum of care; Grace After Fire, a national organization serving female veterans of all eras for the treatment of PTSD, addiction, and military sexual trauma; and Loyola Recovery Foundation, an addiction recovery center partnering with the Veterans Administration (VA) in New York State, all provide programs and services in alignment with the VHI mission.

Ms. Stone continued, "The level and intensity of physiological and psychological stressors our men and women have endured overseas - and continue to struggle with back home - are staggering. Government programs are operating beyond capacity and a significant number of our vets don't know where to turn for help. Veterans Healing Initiative is committed to doing everything it can to provide veterans with access to treatment programs, regardless of economic, geographic or military status." For additional information on VHI, including information on programs and grant eligibility, you can visit the organization's Web site at

Texas Veterans Commission grants $250,000 to Women Veterans Organization

TVC DonationOn May 20, 2011, in its ongoing efforts to help women Veterans returning home from service, the Texas Veterans Commission Fund for Veterans’ Assistance presented a $250,000 check to Grace After Fire.

The grant will help fund the women Veterans organization’s mission to aid women suffering from Post-traumatic Stress Disorder (PTSD) and those having a difficult time readjusting to civilian life.

The grant will help fund the women Veterans organization’s mission to aid women suffering from Post-traumatic Stress Disorder (PTSD) and those having a difficult time readjusting to civilian life.

Texas Veterans Commission Executive Director, Tom Palladino, and the Director of the Fund for Veterans’ Assistance, Bill Wilson, presented Grace After Fire’s Executive Director, Kim Olson, Director of Operations, Lil Serafine, and Outreach Coordinator, Erica Richardson, a recently discharged Army Medic, with the check at Texas Veterans Commission headquarters in Austin.

"About 10 percent of the U.S. Forces currently serving in Afghanistan and Iraq are women," said Wilson.

The population of female Veterans in Texas is expected to reach 163,249 by the end of 2013, and organizations like Grace After Fire will be needed by these women Veterans.

"We are honored by the Texas Veterans Commission’s commissioners and the citizens of Texas who made this generous donation possible and for their support of women  Veterans in our community," said Olson.


This program is made possible by a grant from the Texas Veterans Commission Fund for Veterans' Assistance. The Fund for Veterans' Assistance provides grants to organization serving Veterans and their families. Funding for these grants comes from a portion of Veterans scratch-off lottery ticket sales



Texas Veterans Commission website URL:
Texas Veterans Commission toll-free number; 1-800-252-VETS (8387)


Texans Helping Texans Program Launch

Texans Helping Texans logo

Texans Helping Texans is a service developed by Grace After Fire to provide supportive services for Veterans and their families. As home to the second most active duty military families in the nation, Texas has a responsibility to support military families, welcome military members home when they return and ease their transition back to stateside service.

Texans Helping Texans hopes to address gaps in behavioral health services for these individuals, by providing referrals and links to resources in the following areas:

  • Services needed
  • Training needs
  • Resources for appropriate evidence-based practices
  • Eligibility
  • Outreach

Texans Helping Texans is a program made by possible by a grant from the Texas Veterans Commission Fund for Veterans’ Assistance. The Fund for Veterans’ Assistance provides grants to organizations serving Veterans and their families. Funding for these grants comes from a portion of Veterans scratch-off lottery ticket sales.
Texas Veterans Commission:
toll free: 1-800-252-VETS (8387)