Finding Peace in the Adirondacks

In 2010, Garry Trudeau, whose family has a long history of healing in the Adirondacks, visited returning veterans at Walter Reed Hospital. Moved by their stories, he imagined continuing that legacy of care in the Adirondack Mountains—this time for veterans coming home from deployments, combat, and years of military service.

Today, Homeward Bound Adirondacks (HBA) brings that vision to life. Through wilderness therapy, HBA helps veterans navigate the challenges of post-traumatic stress, depression, and the often difficult transition back to civilian life.

For many veterans, the sense of peace found in the Adirondacks is life changing. Shane Holmes, HBA’s Retreat Coordinator, described his journey: “What I found on my own is that spending time in the outdoors was more therapeutic to me.”

“It’s just so tranquil, it’s so still,” added Executive Director Valerie Ainsworth, recalling veterans who have described the Adirondacks as a place of warmth despite freezing temperatures. “Even when it’s 10 [degrees] below zero, it feels like the mountains are wrapping me up in warmth and support.”

HBA’s peer-to-peer model is at the heart of every retreat, creating space for veterans to connect with others who share similar experiences. Holmes first discovered HBA in Adirondack Life magazine and recognized a familiar face: “There was a full-page picture of a veteran I knew from my unit doing equine therapy. The article talked about the three-day nature retreat, and I said to my wife, ‘This is what I need—this is what I’m looking for. We need to find these people.’”

With support from the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program and the New York Health Foundation, HBA has expanded its reach across five counties. Case managers now provide crisis outreach, suicide prevention, and transportation for veterans who might otherwise struggle to reach the nearest VA hospital.

NYHealth’s funding allows HBA to help veterans who fall between the cracks; those who may not meet narrow eligibility requirements but are still in need of immediate support. “Sometimes veterans won’t say [they’re at risk] in the first meeting,” said Ainsworth. “As we build trust, we often learn more—and that’s where having flexible funding makes all the difference.”

HBA has built strong partnerships with law enforcement, local hospitals, and organizations such as St. Joseph’s Addiction Treatment Center to help identify veterans in crisis before it’s too late. “The law enforcement connection has allowed Homeward Bound to reach veterans who are at risk for substance abuse–related arrests or PTSD-related incidents,” said Ainsworth. “Law enforcement has often contacted us directly and seen veterans succeed through this partnership.”

HBA’s work is also changing how North Country communities view veterans’ mental health “People here are used to isolation—they don’t want to say they’re struggling,” Ainsworth shared. “But we’ve become part of the community. We’re being recognized, and that’s a huge step.”

Looking ahead, HBA is developing a permanent retreat property to welcome even more veterans into the Adirondacks and continues to create new ways for them to heal—through nature, connection, and community.

Learn more about Homeward Bound Adirondacks’ work here.

Veterans Find Help and Hope Through Supportive Services

For Andy*, a New York combat veteran of the wars in Iraq and Afghanistan, chronic back pain was becoming so severe that he was frequently calling out sick from his job.

Depression also was compounding his problems, causing him to withdraw from friends and family and lose motivation in his work. After seeking help from a program that connects veterans to a variety of supports and services, Andy was able to take the first steps in reclaiming his life.

Iraq and Afghanistan Veterans of America’s (IAVA) Rapid Response Referral Program (RRRP) provides free individualized case management support and referral services to veterans and their families in need of help, from dealing with depression and stress to getting connected to health care, mental health, legal, housing, and employment services. Initially serving veterans in New York City, RRRP expanded its services across New York State with NYHealth support in 2013.

Andy was open to getting help for his physical problems, but he was reluctant to seek help for his mental health issues; he had tried counseling in the past and had not found it effective. With encouragement from an IAVA case manager, Andy agreed to pursue weekly physical treatments for his back; soon afterwards, his back pain improved. Andy’s IAVA case manager also connected him to a nonprofit that provides free services for combat veterans, including group counseling related to combat trauma. After being introduced to several other veterans who were participating in the counseling, Andy decided to attend the group. He later told his IAVA case manager that, for the first time since he had been home from deployment, he felt able to begin addressing his trauma and depression.

Veterans and family members seeking support can contact the RRRP by sending an e-mail, calling its toll-free phone number, or filling out an online inquiry firm. IAVA staff members follow up within one business day—sooner if it’s an emergency situation—to conduct an initial assessment of the problem (e.g., eviction proceedings, mental health issues, employment and education questions). Based on the intake assessment, the veteran then is assigned a case manager who works with the veteran or family member one-on-one for however long it takes to resolve the issue.

The case manager draws upon RRRP’s existing database of resources and services or researches new ones to link the veteran to the best sources of help, whether through the VA system or through community- or social service-based organizations. “We help them navigate a very complex system—one that vets don’t always know or understand their options,” says Jason Hansman, Director of External Program Relations, IAVA.

Whether it’s addressing a crisis moment or taking a more long-term approach, RRRP has helped veterans troubleshoot and resolve a wide range of problems. In one instance, a case manager linked up a veteran to a resource for emergency financial aid that enabled the veteran to pay his rent and prevented him from becoming homeless. In another case, a disabled veteran was able to get help with VA paperwork that allowed him and his wife to obtain a mortgage-free ADA-accessible home. And when one veteran expressed thoughts of suicide through Twitter, a case manager responded by immediately connecting the veteran to the services of Veterans Crisis Line, and then followed up to help the veteran address the underlying issues causing his stress.

“And it’s not just veterans-based programs we’re working with, but everything and anything that will help people, so we’re looking outside the vets’ space as well,” says Mr. Hansman. “We get them to a trusted provider they feel comfortable with, including non-VA resources.” A 2011 NYHealth-supported study, conducted by RAND Corporation, found that nearly

RRRP’s expansion across New York State allowed it to connect with veterans in hard-to-reach areas, especially in rural communities and upstate. IAVA staff members also did targeted outreach about the program in Buffalo, Syracuse, Rochester, and Fort Drum—cities with high numbers of returning veterans and families of servicemembers. Spouses, parents, and other family members also can get in touch with RRRP for help if the veteran can’t advocate for him- or herself or if they need resources themselves. Over the course of NYHealth’s grant support, RRRP worked with 125 veterans and family members statewide and made more than 160 referrals linking clients to services and resources in their communities. IAVA continues to offer RRRP to veterans and their families throughout New York State.

RRRP’s accessibility by phone or e-mail also has helped remove a major stumbling block for many veterans. While some live far from VA resources or are otherwise geographically isolated from services, others suffer from post-traumatic stress disorder or other mental health conditions and often have difficulty leaving the home for help. “Mental health is the backdrop to a lot of the issues we’re seeing,” says RRRP Supervisor Kimberly Ahearn Young. “When veterans and their families contact us, barriers can feel a little lower and it’s less scary.”

*Name changed to protect privacy

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