The impact of extraordinarily stressful and traumatic events on active-duty service members, veterans, and their family members is a critically relevant topic when providing services to those who have a combination of mental and physical disabilities. Recent conflicts in Iraq, Afghanistan, and other countries in the Middle East have spurred the expansion of programs and services for veterans, including those with disabilities. To inform the provision of mental health interventions for Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF)/Operation New Dawn (OND), veterans, a thorough understanding of the mental health problems in this population is a necessary first step. This chapter reviews research on the prevalence and types of mental health problems among OEF/OIF/OND veterans, associated risk factors, and other psychosocial issues and provides empirical evidence for treatment in this population. This material provides guidance to clinicians working with mental health and psychosocial problems of veterans of the OEF/OIF/OND conflicts.

This chapter provides the reader with an overview of (a) the dynamics (i.e., process) of psychosocial adaptation to chronic illness and disabilities (CID), (b) methods commonly used to assess psychosocial adaptation to CID, and (c) intervention strategies applied to people with CID. The chapter groups the psychosocial adaptation to CID under three headings: basic concepts such as stress, loss and grief, and quality of life, CID-triggered reactions, and CID-related coping strategies. The literature on CID-related coping strategies is vast. The chapter describes only a cursory overview of the most commonly reported strategies, directly related to coping with CID. It first briefly discusses the concept of coping and illustrates its relevance to CID. Over the past half century, a large number of measures of psychosocial adaptation to and coping with CID have been reported in the literature. The chapter reviews only those psychometrically sound measures most frequently reported in the literature.

The skills of working with the psychosocial aspects of grief, death, dying, and loss are essential, particularly in working with persons who have acquired chronic illness and disability. This chapter helps elucidate important psychosocial issues in death and dying as it relates to how individuals experience and express grief within the context of the person’s physical, psychological, cognitive, emotional, social, cultural, and spiritual well-being. Recognition in the new Diagnostic and Statistical Manual of Mental Disorders (DSM- 5) of the Persistent Complex Bereavement Disorder diagnostic category provides legitimacy for the individual’s sense of loss and mourning based on multiple events related to death and dying. It is essential that counselors address such psychosocial concerns clients because of the added therapeutic value and ethical obligation to guide the individual and his or her family in important decisions regarding death and dying.