ECHOES OF WAR: COMBAT TRAUMA, CRIMINAL BEHAVIOR AND HOW WE CAN DO A BETTER JOB THIS TIME AROUND Sponsor: Criminal Law Section CLE Credit: 1.0 Wednesday, June 17, 2015 10:40 a.m. - 11:40 a.m. Thoroughbred 4 Lexington Convention Center Lexington, Kentucky A NOTE CONCERNING THE PROGRAM MATERIALS The materials included in this Kentucky Bar Association Continuing Legal Education handbook are intended to provide current and accurate information about the subject matter covered. No representation or warranty is made concerning the application of the legal or other principles discussed by the instructors to any specific fact situation, nor is any prediction made concerning how any particular judge or jury will interpret or apply such principles. The proper interpretation or application of the principles discussed is a matter for the considered judgment of the individual legal practitioner. The faculty and staff of this Kentucky Bar Association CLE program disclaim liability therefore. Attorneys using these materials, or information otherwise conveyed during the program, in dealing with a specific legal matter have a duty to research original and current sources of authority. Printed by: Evolution Creative Solutions 7107 Shona Drive Cincinnati, Ohio 45237 Kentucky Bar Association TABLE OF CONTENTS The Presenter .................................................................................................................. i Echoes of War: Defending Combat Veterans in Criminal Court ...................................... 1 Overview ............................................................................................................. 1 Historical Perspective of PTSD ............................................................................ 3 Links between Combat Trauma and Criminal Behavior ..................................... 11 Defending the Combat Veteran in Criminal Court .............................................. 18 Conclusion: Crisis and Opportunity ................................................................... 29 THE PRESENTER Brockton D. Hunter The Law Office of Brockton D. Hunter, P.A. 3033 Excelsior Boulevard, Suite 550 Minneapolis, Minnesota 55416 (612) 874-1625 [email protected] BROCKTON D. HUNTER is a criminal defense attorney who handles all types of criminal cases in state and federal court. He served as the President and Legislative Chair for the Minnesota Association of Criminal Defense Lawyers (MACDL) and received its Special Achievement Award in 2009. Mr. Hunter also received the 2011 Professional Excellence Award, the Minnesota State Bar Association's highest honor, "in recognition of outstanding efforts to advance the legal profession and the administration of justice," and has been annually selected by his peers as a "Rising Star" (2006 – 2009) and a "Superlawyer" (2011 – 2014). Mr. Hunter is a former U.S. Army Recon Scout who focuses his practice on defending psychologically injured veterans in the criminal courts and advocating for reforms in the way the justice system deals with them. He helped draft and lead passage of Minnesota's Veterans Sentencing Mitigation Act, Minn. Stat. 609.115, Subd. 10., which was subsequently cited in the landmark U.S. Supreme Court case, Porter v. McCollum, 130 S. Ct. 447, at 455, n.9 (2009), the Court's first to address combat trauma in criminal sentencing. Mr. Hunter has since helped pass similar veteran sentencing legislation in other states, has been called on to brief the Obama Presidential Transition Team, and has spoken to leadership of the Department of Defense, and the Department of Veterans Affairs on more effective ways to address troubled veterans who commit crimes. He has trained thousands of attorneys, judges, law enforcement officers, and mental health professionals across the country on these same issues. Mr. Hunter is the lead editor and co-author of the just-released book, The Attorney's Guide to Defending Veterans in Criminal Court. He is also the co-founder and President of the Veterans Defense Project – a non-profit dedicated to advocating and educating for veterans in the justice system (more information available at http://veteransdefenseproject.org/.) i ii ECHOES OF WAR: DEFENDING COMBAT VETERANS IN CRIMINAL COURT 1 Brockton D. Hunter "They carried all they could bear, and then some, including a silent awe for the terrible power of the things they carried." ― Tim O'Brien, The Things They Carried (1990). I. OVERVIEW More than 2.6 million Americans have now served in Iraq or Afghanistan. 2 A government study, released in July 2012 estimated that up to 20 percent, approximately 500,000 of these veterans are suffering from Post-Traumatic Stress Disorder. 3 The same study also noted, however, that the true numbers are likely higher. 4 A 2008 RAND Corporation study found that 320,000 veterans are suffering from Traumatic Brain Injury ("TBI"). 5 Both reports concluded that less than half of these PTSD or TBI-suffering veterans had previously reported or sought help for their condition. 6 Untreated, many of these psychologically injured veterans are acting out in reckless, self-destructive and, sometimes violent ways that bring them into contact with the criminal justice system. History tells us that as the wars in Iraq and Afghanistan wind down, the numbers of troubled veterans flooding into our criminal courts will swell. Our criminal justice system and, particularly, the defense bar can and must be better prepared than previous generations. A. PTSD's Emerging History Emerging historical research reveals a pattern of traumatized combat veterans surfacing in the criminal justice system following every major 1 These CLE materials provide a brief overview of the unique problems facing criminally-involved veterans with service-related disorders and how attorneys can effectively defend their veteranclients. For a much more thorough treatment of these issues, see The Attorney's Guide to Defending Veterans in Criminal Court (Brockton Hunter & Ryan Else, eds., 2014). To learn more about the Defending Veterans book or to order a copy, visit the Veterans Defense Project web site at www.veteransdefenseproject.org. 2 Institute of Medicine of the National Academies, Treatment for Post-traumatic Stress Disorder in Military and Veteran Populations: Initial Assessment 39 (2012). 3 Id. 4 Id. 5 Terri Tanielian et al., Rand Corp., Invisible Wounds of War: Summary and Recommendations for Addressing Psychological and Cognitive Injuries 64 (2008) [hereinafter Invisible Wounds of War]. 6 Id., supra note 2. 1 American conflict. Though many at the time were aware of the problem, open discussion was considered taboo and substantial efforts were often made to sweep the issue under the rug. Unfortunately, veterans of past conflicts were sometimes treated quite harshly when their psychological injuries led them into criminal behavior. This was particularly true in the wake of Vietnam when hundreds of thousands of psychologically injured veterans returned home to a largely hostile American public who had come to blame them for an unpopular war. These veterans were often stigmatized and literally discarded when their psychological injuries led to criminal behavior. Even now, more than thirty years after that war, hundreds of thousands of Vietnam veterans remain incarcerated, homeless, and/or chemically addicted across America. Our society has paid a staggering price for our abandonment of the Vietnam generation. The side effects of their untreated trauma have cost us in many unforeseen ways. Countless families have been destroyed, jobs lost, and taxpayer dollars spent on treatment that came too late to make a difference for many. This is particularly tragic in the criminal justice context where early criminal charges could have been used as the opportunity for intervention before more serious offenses or destruction occurred, using probationary sentences to ensure compliance with treatment. B. Today's Military under Unprecedented Strain After eleven years of war in Iraq and Afghanistan, our military is now under enormous strain. Unlike any other extended conflict in American history, we have not resorted to a draft to ensure a large pool of combatants. Instead, we are fighting this conflict with a relatively small volunteer military force that we are recycling back into combat over and over. Most active duty troops have now served at least two tours. Many, especially our ground combat troops, have served more. Some are now on their sixth, seventh, eighth, even ninth combat tours. Our National Guard and Reserves have also been tapped to an unprecedented level with some now deploying for their second and even third tours. Compare this with Vietnam, in which the vast majority of draftees served only one twelve-month tour. We have no modern precedent with which to compare our current situation. One thing is certain: the levels of combat trauma in our armed forces will continue to rise. A recent Army study found that, not surprisingly, the incidence of PTSD among troops rises significantly with each additional combat tour. 7 This will inevitably lead to more veterans in the criminal justice system, 7 Office of the Surgeon Multi-National Force-Iraq, Office of the Command Surgeon, & Office of the Surgeon Gen. U.S. Army Med. Command, Mental Health Advisory Team (Mhat) V, Operation Iraqi Freedom 06-08: Iraq, Operation Enduring Freedom 8: Afghanistan (2008), http://www.armymedicine.army.mil/reports/mhat/mhat_v/MHAT_V_OIFandOEF=Redacted.pdf) [hereinafter Mental Health Advisory Team (MHAT) V]. 2 …PTSD is commonly associated with substance abuse, unregulated anger, aggressive behavior, and hazardous use of alcohol, all of which are themselves associated with legal problems and incarceration. 8 II. HISTORICAL PERSPECTIVE OF PTSD The term "Post-Traumatic Stress Disorder" was first coined and formally recognized in the context of treating traumatized Vietnam veterans. This relatively recent formal recognition of the condition has led some to believe Vietnam was the first war to produce psychological casualties. In fact, PTSD has been a constant side effect of war for as long as soldiers have been sent into combat. A. Combat Trauma in the Greek Classics, Modern Literature, and Cinema Some of the first known chronicles of the psychological costs of war are found in Greek literary classics. Written approximately 3,000 years ago, Homer's Iliad and Odyssey richly detail the effects of war on soldiers' psyches and souls. Two recent books, Achilles in Vietnam and Odysseus in America, by Dr. Jonathan Shay, M.D., draw insightful parallels between the trauma suffered by Homer's characters and that of modern day combat veterans. 9 The Iliad tells the story of the great warrior, Achilles, and his psychological unraveling during the Trojan War. Dr. Shay notes that Achilles' profound grief over the loss of a close comrade, his subsequent "berserker" rage as he mutilates the bodies of his enemies, and his eventual self-destructive unraveling closely parallel the experiences of many of his Vietnam veteran patients. The Odyssey picks up at the end of the Trojan War and follows the oftencriminal adventures of another traumatized Trojan War veteran, Odysseus (aka "Ulysses") as he makes his way home to Greece. Along the way, notes Dr. Shay, Odysseus and his men raid and then drunkenly pillage the city of Ismarus, battle drug addiction in "Lotus Land," and rob the Cyclops, among other misadventures. Once he reaches home, Odysseus commits a massive act of domestic violence, slaying dozens of suitors who had been courting his wife during his absence and then killing his wife's maidservants. 8 Institute of Medicine of the National Academies, Treatment for Post-traumatic Stress Disorder in Military and Veteran Populations: Initial Assessment, 322 (2012). 9 See Jonathan Shay, Achilles in Vietnam: Combat Trauma and the Undoing of Character (1994); Jonathan Shay, Odysseus in America: Combat Trauma and the Trials of Homecoming (2002). 3 The primary conclusion of Dr. Shay's scholarship is that, despite the profound changes in warfare brought on by technology, war's effects on the individual soldier, in facing death, taking life and losing comrades, have changed little over the millennia. Dr. Shay' insights have won praise from both military and academic circles. He now regularly lectures at the Navy War College and before other military leaders. He is also the author of Chapter 1 in the Attorney's Guide to Defending Veterans in Criminal Court, directly connecting combat trauma and criminal misconduct. Like Homer's Odyssey, twentieth century literature and cinema have also explored the connection between combat trauma and criminal behavior. After World War I, novels and plays such as What Price Glory?, They Put a Gun in My Hand, All Quiet on the Western Front, and The Road Back described this link. Vietnam-related literature and cinema, such as Taxi Driver, The Deer Hunter, Apocalypse Now, Full Metal Jacket, First Blood, Platoon, and Born on the 4th of July have done the same. The Hurt Locker, Harsh Times, and Restrepo are modern films that depict combat trauma and adjustment disorders head-on in very stark, gritty terms. B. PTSD's Many Names The affliction we now call PTSD has gone by many names over the centuries. The cluster of symptoms was first medically diagnosed in Europe. It was referred to as "nostalgia" among Swiss soldiers in 1678. German doctors during that period called the condition Heimweh, while the French called it maladie du pays – both meant "homesickness." The Spanish called it estar roto, meaning "to be broken." 10 Civil War-era Americans gave PTSD poetic names like "soldier's heart" and "irritable heart." Out of the horrors of World War I, came "shell shock." World War II and Korea ushered in the more clinical term, "combat fatigue." 11 10 Edward Tick, War and the Soul: Healing Our Nation's Veterans from Post-Traumatic Stress Disorder 99 (2005). 11 Id. 4 World War II correspondent and artist, Tom Lea, first coined the term "thousand yard stare" with his painting that was actually entitled "that 2,000 yard stare," depicting a shell-shocked Marine during fighting on Peleliu in the South Pacific. The term has become part of our cultural lexicon and is often used synonymously with PTSD: 12 Many veterans have taken issue with the term, Post-Traumatic Stress Disorder. One modern veteran is quoted as saying "PTSD is a name drained of both poetry and blame." 13 That veteran prefers "soldier's heart," because it connotes "a disorder of warriors, not men and women who were weak or cowardly but . . . who followed orders and who, at a young age, put their feelings aside and performed unimaginable tasks." 14 C. Psychiatric Casualties in 20th Century Wars According to Lieutenant Colonel David Grossman, a West Point professor and recognized expert on the psychological effects of combat, "[c]ombat, and the killing that lies at the heart of combat, is an extraordinarily traumatic and psychologically costly endeavor that profoundly impacts all who participate in it. . . . Psychiatric breakdown remains one of the most costly items of war when expressed in human terms. 15 Indeed, for the combatants in every major war fought in this century, there has been a greater probability of becoming a psychiatric casualty than of being killed by enemy fire". 16 World War I was a watershed period when the effects of "combat stresses" began to be recognized. 17 It was only in World War I that armies first began to experience months of 24-hour combat, leading to vast numbers of psychiatric casualties. 18 12 Tom Lea, That 2,000 Yard Stare, Oil on Canvas, U.S. Army Center for Military History, Washington, D.C. (1944). 13 Tick, supra note 10, at 99 (quoting George Hill, a disabled Marine). 14 Id. 15 Dave Grossman & Bruce K. Siddle, Psychological Effects of Combat (2000). 16 Id. 17 David H. Marlowe, Rand Corp., Psychological and Psychosocial Consequences of Combat and Deployment 32 (2001). 18 Grossman & Siddle, supra note 15. 5 During World War II, 504,000 men were lost from America's combat forces due to psychiatric collapse – enough to man fifty divisions. 19 At one point in World War II, psychiatric casualties were being discharged from the U.S. Army faster than new recruits were being drafted in. 20 A World War II study of U.S. Army combatants who landed on the beaches of Normandy and fought their way into France found that, after sixty days of continuous combat, 98 percent of the surviving soldiers had become psychiatric casualties. 21 The Vietnam War, with its unpredictable "guerrilla" nature and lack of public support is believed to have generated even higher rates of psychological injuries. Though experts debate the numbers, among the 3.5 million Americans who served in Vietnam, estimates of psychiatric casualties range from 1,000,000 to 1,500,000 cases. 22 Twentieth century democracies have been better than most at admitting and dealing with their combat psychiatric casualties. Information from non-Western sources is extremely limited, but we now know that America's experience is representative of a universal cost of modern, protracted warfare. 23 Nations around the world have experienced similar mass psychiatric casualties, but many have simply driven these casualties into battle at bayonet point, shooting those who refused or were unable to continue. 24 D. PTSD Today The psychiatric community and, more importantly, the Veterans Administration did not formally recognize PTSD, until 1980, too late for many psychologically injured Vietnam veterans. Their lives and their trust in the system were often shattered by that time and many refused treatment when and if it was eventually offered. Ultimately, 31 percent of male Vietnam veterans and 27 percent of female Vietnam veterans have had PTSD in their lifetime. 25 19 Id. 20 Id. 21 Id. 22 Id. 23 Id. 24 Id. 25 "Saint Louis Area Iraq War Veterans, Learning from Vietnam – Facts About Trauma, Iraq, and Afghanistan" (2007), http://stliraqwarvets.wordpress.com/2007/03/26/learning=from=vietnam= facts=about=trauma=iraq=and=afghanistan/ (citing National Center for Post-Traumatic Stress Disorder and The U.S. Department of Veterans Affairs). 6 1. PTSD's stigma. Though PTSD has been informally recognized for millennia, approaches to dealing with it have varied widely. After battle, many Native American and other tribal societies segregated their warriors from the rest of the tribe, sometimes for weeks, where they were physically cleansed of the blood from battle, and spiritually cleansed of their traumatic experiences. Some of the rituals were intended to transfer to the stain of "bloodguilt" from the warrior to his people as a whole. This shared responsibility was believed to lift the spiritual weight of combat from the shoulders of the warrior and to ease his transition back into peace. Only when the warrior was ready to reunite with the tribe, and the tribe with the warrior, did the reunion occur. 26 Industrialized nations and their militaries have historically taken a tougher approach with the psychologically injured. Soldiers suffering psychological injuries have often been stigmatized and even punished. During WWII, General George Patton famously struck at least two psychologically injured soldiers he came across in Army hospitals, calling them cowards and malingerers. The press picked up on the story, causing a swell of anger among the American people and Patton was nearly relieved of his command. 27 Some psychologically injured troops received the ultimate punishment. The British government recently issued posthumous pardons to 306 of its soldiers from World War I who were executed without trial at the battlefront for cowardice or desertion, recognizing today that they likely suffered from PTSD. 28 Not only were psychological injured soldiers killed during WWI, they were also tortured. Dr. Lewis Yealland working at a French hospital was taking over treatment of a twenty-four year old private who had received nine months' worth of the following types of treatment for war-related mental illness: "he had been strapped in a chair for twenty minutes at a time while strong electricity was applied to his neck and throat; lighted cigarettes had been applied to the top of this tongue and hot plates had been placed at the 26 Grossman & Siddle, supra note 15, at 210-16. 27 "Private Wrote Family about Being Cuffed," Port Arthur News, Nov. 24, 1943, at 6; "Reprimand for Patton is Denied," Fresno Bee, Nov. 22, 1943, at 1; "Patton Regrets Slapping Soldier," San Antonio Light, Nov. 23, 1943, at 1; "Gen. Patton Slap Haunts Former GI," Charleston Daily Mail, Mar. 25, 1970, at 12; "GI Slapped by Gen. Patton in Sicily Is Dead," Cedar Rapids Gazette, Feb. 2, 1971, at 7. 28 Richard Norton-Taylor, "Executed WWI Soldiers to be Given Pardons," The Guardian, Aug. 16, 2006, at 1. 7 back of his mouth." 29 According to the medical wisdom of the day, such treatment was "necessary to supply the disciplinary element which must be invoked if the patient is one of those who prefer not to recover." 30 Dr. Yealland apparently believed that the failures of this young private's treatment were only the result of too little electro-shock therapy. Speaking of his own treatment of the private, he said "after a few more hours of electricity the patient could say ah, then whisper, then stammer. But just when it seemed to be working, the patient developed a tremor in his left arm. This too was attacked by electricity, but before it disappeared it had to be chased from the right arm, left leg, and finally the right leg with each part similarly treated." 31 In the aftermath of WWII, the United States' VA was guilty of similar treatment of our veterans. The VA had 102,000 hospital beds full and 20,700 patients in waiting, 60 percent of which were in need of psychiatric care. 32 Maintaining these patients could cost as much as $35,000 per year, but George Washington University professor Walter Freeman created the ice pick lobotomy to be able to treat certain psychoses. 33 Doctors would use "a hammer to tap a modified ice pick through the patient's eye socket and into the prefrontal lobe, which was then severed from the rest of the brain." 34 World War II's most decorated soldier, Audie Murphy, is credited with forcing the United States government to study PTSD and extend benefits to psychologically injured veterans. Audie returned home an American Hero and went on to become a major Hollywood movie star. He also secretly suffered severe PTSD. He became a chronic alcoholic and prescription drug addict who later admitted he slept with a loaded gun under his pillow every night after the war. His wife reported many incidents of domestic violence including an instance in which he held a gun to her head. Audie eventually sought help for his condition and then broke the taboo against publicly discussing war-related psychological injuries. 29 Ben Shepard, A War of Nerves: Soldiers and Psychiatrists in the Twentieth Century 77 (2001). 30 Id. at 76−77. 31 Id. at 78 (emphasis added). 32 Penny Coleman, Flashback: Posttraumatic Stress Disorder, Suicide, and the Lessons of War 54 (2006). 33 Id. at 54−55. 34 Id. at 54. 8 Today, the military is making strides in removing the stigma of PTSD among its ranks. Troops heading into combat are educated about PTSD and encouraged to seek help if they need it. The military also now deploys "combat stress officers," basically battlefield psychologists, to the front lines to screen and treat troops as they come out of battle. Though the military is making progress in removing the stigma, it still has a long way to go. The military is under unprecedented strain as it struggles to meet the demands of two extended conflicts. Military leaders are often caught between a rock and a hard place. Though they are now trained to recognize and encourage treatment of mental health disorders, they are also under pressure to field combat-effective units. Sometimes they relegate mental health treatment to a secondary priority. A series of 2007 media reports found systemic failures in mental health treatment of psychologically injured troops at Ft. Carson, Colorado. 35 The reports found a pattern by leadership of denying their troops' requests for treatment, stigmatizing those who were getting help and even kicking some out of the military. The reports spurred investigations by Congress and the Department of Defense, which confirmed remaining flaws in the military mental health system. 36 The very culture of the military is also an issue. Military culture, by necessity, puts great value on strength, both physical and mental. Soldiers sent into combat face the most horrific experiences imaginable. Only the strong survive. Over the centuries, military training has become ever more sophisticated in conditioning troops to operate effectively and complete their missions, even when faced with imminent death. A soldier's reputation within a combat unit is largely based on how "cool" they are under fire. This "warrior" mindset becomes deeply ingrained and many psychologically injured warriors deny they have a problem, even to themselves. The RAND Corporation study, cited above, found that, of the one third of Iraq and Afghan vets who admitted PTSD or TBI-related issues, less than half had sought help. According to RAND, those veterans who declined help did so out of fear that they would lose the respect of their comrades, jeopardize their security clearance, or harm their chances of promotion. 37 Many 35 Daniel Zwerdling, "Gaps in Mental Care Persist for Fort Carson Soldiers," Nat'l Pub. Radio, May 24, 2007. 36 Daniel Zwerdling, "Pentagon Report Cites Mental Health Concerns," Nat'l Pub. Radio, June 15, 2007. 37 Invisible Wounds of War, supra note 5. 9 veterans carry this value system with them even after they leave the military and come home. 2. Iraq and Afghan veterans. While the vast majority of Vietnam veterans served a single twelve-month tour in-country, many veterans of Iraq/Afghanistan will have served two, three, four or more tours. "People aren't designed to be exposed to the horrors of combat repeatedly. And it wears on them," General George Casey, then-Army Chief of Staff, stated in a 2008 press conference. 38 General Casey was announcing the results of a recent Army study, which found that levels of PTSD climb significantly with repeated combat deployments. 39 Some believe that because "only" 5,000 American troops have been killed in these conflicts, as opposed to the 58,000 killed in Vietnam, the current conflicts must be less violent. In fact, the lower number of deaths is primarily attributable to today's hightech body and vehicle armor and modern battlefield medicine techniques that have prevented deaths from injuries that would have killed troops in past wars. The wars in Iraq and Afghanistan have been incredibly violent, especially the up-close urban combat in Iraq. Evidence indicates that combat operations in Iraq are very intense. According to a 2004 study conducted by the Walter Reed Army Institute of Research, which surveyed combat infantrymen just back from Iraq: 94 percent reported receiving small-arms fire; 86 percent reported knowing someone who was injured or killed; 68 percent reported seeing dead or seriously injured Americans; 51 percent reported handling or uncovering human remains; 77 percent reported shooting or directing fire at the enemy; 38 Greg Zoroya, "Findings of Army Health Study, Fifth of Soldiers at PTSD Risk," USA Today, Mar. 6, 2008, http://www.usatoday.com/news/world/iraq/2008=03=06=soldier= stress_N.htm?csp=34. 39 Id. (citing Mental Health Advisory Team (MHAT) V, supra note 7). 10 48 percent reported being responsible for the death of enemy combatants and 28 percent reported being responsible for the death of a noncombatant. 40 Note that the above-study was conducted in 2004, early in the war and the troops surveyed in that study had only completed one combat tour. Many of those same troops have now likely served two, three, four or more tours and the statistics cited above would certainly be much higher today. Unfortunately, the Veterans' Administration (VA) was not initially provided sufficient additional funding to handle the large influx of Iraq and Afghan vets seeking PTSD treatment. Several highly publicized scandals, one of which involved a Minnesota Marine who killed himself after reportedly being turned away from a VA hospital, have forced the government to significantly increase resources toward necessary psychological care. 41 Today, care for our psychologically injured veterans is improving. III. LINKS BETWEEN COMBAT TRAUMA AND CRIMINAL BEHAVIOR A. Historic Post-War Spikes in Veteran-Committed Crimes Historical research reveals a pattern of veteran-committed crime waves following every major conflict. Though scientific studies have only recently been conducted on this issue, a look back at history through this lens clearly reveals this pattern. Following the American Revolutionary War, one author noted a marked increase in crime that caused many states to institute new laws and penalties in response. 42 A Revolutionary veteran, describing conditions in South Carolina after the war, wrote, "highway robbery was a common occurrence, and horse-stealing so frequent that the Legislature made it a crime punishable with death." 43 40 Charles W. Hoge et al., "Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care," 351 New Eng. J. Med. 13, 18 (2004). 41 Kevin Giles, "This Marine's Death Came after He Served in Iraq: When Jonathan Schulze Came Home from Iraq, He Tried to Live a Normal Life, But the War Kept that from Happening," Minneapolis Star Trib., Jan. 26, 2007; Charles M. Sennott, "Told to Wait, A Marine Dies: VA Care in Spotlight after Iraq War Veteran's Suicide," Boston Globe, Feb. 11, 2007; Dan Ephron & Sarah Childress, "How the U.S. Is Failing Its War Veterans," Newsweek, Mar. 5, 2007. 42 Allan Nevins, The American States During and After the Revolution, 1775-1789 454 (1924). 43 Id. (citing Joseph Johnson, Traditions and Reminiscences 400 (1851)). 11 Studies conducted after the Civil War, World War I and World War II found a disproportionate number of veterans in the criminal justice system. Following the Civil War a great wave in crime and disorder was documented. 44 One prison in Pennsylvania reported a large influx of prisoners in the last three months of 1865, "most in poor physical condition, and nine-tenths incapacitated and demoralized by the war." 45 In 1866 they reported an unprecedented influx, three-fourths of whom had fought in the war and were "shattered" by their experiences. 46 Nationwide, in 1866 two-thirds of all commitments to state prisons in northern states were men who had seen service in the war. 47 Many Civil War veterans also headed west after the war. In fact they are largely responsible for putting the "wild" in the "wild west." Jesse James and his brother Frank, for instance, served in a Confederate guerilla unit similar to today's special operations forces. When the war ended, they and other members of their unit formed the James Gang and headed west, plying their war-honed skills in robbing trains, stagecoaches and banks. 48 A similar pattern of veteran-committed crimes was noted in Europe following WWI. In 1920, one English writer observed: The war has destroyed with a hand more desolating than the Black Death or the most terrible plagues of history. But its consequences do not end with destruction. The people who have taken serious part in it are not the same people as those who went into it. . . . They are changed peoples. They have passed through an experience which has altered habits, temper, outlook, in five years, more than 44 Edith Abbott, "Crime and the War," 9 J. Am. Inst. Crim. L & Criminology 41 (1918). 45 Id. at 43. 46 Id. 47 E.C. Wines & Theodore Dwight, "The Reformation of Prison Discipline," 105 N. Am. Rev., 580−81 (1867), available at http://books.google.com/books?id=Kn8FAAAAQAAJ&pg=PP7&lpg= PP7&dq=Ticknor+and+Fields,+The+North+American+Review,+Boston,+Vol.+CV,+1867&source= bl&ots=5JWYeUkEQ4&sig=01A0d6Lbo61dQYVxwFXhEvCXwYc&hl=en&sa=X&ei=_0SDT=S8Bo qk8AST6PjsBw&ved=0CEIQ6AEwBQ#v=onepage&q=Ticknor%20and%20Fields%2C%20The%2 0North%20American%20Review%2C%20Boston%2C%20Vol.%20CV%2C%201867&f=false. 48 William A Settle, Jesse James Was His Name (1977); Amy Shafer, "Visitors Drawn to Jesse James' Hometown;" Deseret News; July 2000: http://www.deseretnews.com/article/772331/ Visitors=drawn=to=Jesse=James=hometown.html; PBS: "Interview: Guerilla Tactics": http://www.pbs.org/wgbh/americanexperience/features/interview/james=guerrilla/; PBS: "Biography: Jesse James": http://www.pbs.org/wgbh/americanexperience/features/biography/ james=jesse/; The State Historical Society of Missouri: Jesse James (1847=1882): http://shs.umsystem.edu/famousmissourians/folklegends/james/; James M. McPherson, "How the Civil War Shaped Jesse James;" US News, Jun. 24, 2007; http://www.usnews.com/news/articles/ 2007/06/24/how=the=civil=war=shaped=jesse=james 12 fifty years of ordinary life would have altered them. Some of the consequences of that experience are obviously bad. The epidemic of crimes of violence is the natural sequel of war, for men learn in that school to think little of life. The same increase of crime of this kind followed the Napoleonic Wars both here and in France. 49 In the United States, post-WWI veteran-committed crimes were also a cause for grave concern. The President of the Institute of Criminal Law and Criminology, in his annual address in 1919, stated: Last year saw the ending of the War. From England to France, and in our own country, statistics have been gathered which show that serious crime, which had been on the decrease during the period of the War was again stalking in the foreground. . . . The newspapers are filled with accounts of crimes of such daring and boldness as to make the average citizen stand aghast at the manner in which the security of life and rights of property are ruthlessly disregarded and imperiled." 50 A study entitled Military Service and Criminality, 51 published in 1952, a few years after WWII, tallied the number of men committed to eleven prisons in the upper-Midwest during 1947, 1948 and 1949 and found that fully one third of them were veterans. Similarly, a study of Vietnam veterans receiving care for PTSD in the VA system during the mid-1980s found that almost half of all Vietnam veterans suffering from PTSD had been arrested or in jail at least once, 34.2 percent more than once, and 11.5 percent reported being convicted of a felony. 52 In the case of the Vietnam generation, involvement in the criminal justice system has lingered for decades. A 1998 Department of Justice study found that more than twenty years after the war, approximately a quarter million veterans, a large portion from the Vietnam era, were still housed in our nation's prisons. 53 49 Edith Abbott, The Civil War and the Crime Wave of 1865-70, 1 Soc. Serv. Rev. 212 (Jun., 1927) (citing The Nation, XXVI, 498 (Jan. 10, 1920). 50 Betty Rosenbaum, "The Relationship between War and Crime in the United States," 30 J. Crim. L. & Criminology, 730 (1940) (citing Hugo Pam, "Annual Address of the President of the Institute of Criminology," 10 J. of Am. Inst. of Crim. L. & Criminology 327 (1919)). 51 Walter A. Lunden, "Military Service and Criminality," J. Crim. L., Criminology, & Police Sci., 766−73 (1952). 52 Richard Kulka, et al., National Vietnam Veterans Readjustment Study, VII-21-1 (1990). 53 Christopher J. Mumola, Bureau of Justice Statistics, Veterans in Prison or Jail, NCJ 178888 (2000), http://www.ojp.usdoj.gov/bjs/. 13 Those who attempt to deny the link between war trauma and crime often cite this same 1998 Department of Justice study, pointing out that veterans are imprisoned in smaller percentages than the civilian population. What they overlook, however, is that since WWI, the military has aggressively screened out those it deems psychologically or morally unfit. During the call-up for World War II, for instance, 1,681,000 men were rejected and excluded from the draft for emotional, mental, or educational disorders or deficiencies. 54 Another 500,000 were subsequently separated from the Army during training on psychiatric or behavioral grounds. 55 This recruit screening continued through Vietnam and into our current conflicts. Thus, any direct comparison of incarceration rates between veterans and the civilian population is flawed. Given the military's screening, the fact that veterans are incarcerated at even close to the same rates as the civilian population is alarming and is prima facie evidence that military service, itself, played a role. The most recent and definitive tie between combat trauma and criminal behavior comes from the military, itself. In 2009, following a highlypublicized wave of homicides and other violent crimes committed by recently-returning combat soldiers on and around Fort Carson, Colorado, the Army commissioned a study called the Epidemiological Consultation, or EPICON, for short. 56 Epidemiology is the branch of medicine that seeks to study the factors affecting the health and illness of entire populations. Most of the time, epidemiologists focus on infectious disease, but increasingly the Army has used its experts to look at behavioral health issues. A team of twentyfour physicians and Ph.D.s from Walter Reed Institute of Research descended on Ft. Carson, studying soldiers who had acted out violently, looking for common factors. The EPICON team, first, found that violent crime among the soldiers at Ft. Carson was well outside normal levels of crime in civilian society. The murder rate for Ft. Carson had doubled since the start of the Iraq war. Rape arrests had tripled and stood at nearly twice the rate of other Army posts. 57 Second, the EPICON team ruled out the "bad seed" theory. Long a favorite of military commanders, the "bad seed" theory posits that the only troops acting out criminally were troubled before their military service and would have acted out whether they had served or not. The EPICON team 54 Marlowe, supra note 17, at 48. 55 Id. 56 U.S. Army Center for Health Promotion and Preventive Medicine, Epidemiologic Consultation No. 14-HK-OB1U-09: Investigation of Homicides at Fort Carson, Colorado November 2008–May 2009, ES-1 (2009). 57 Id. at 10-11. 14 found no such common tie. Soldiers who had acted out had disparate pre-service criminal backgrounds and mental health issues. They also came from diverse racial, socioeconomic, and educational backgrounds. The common thread among all those who had committed violent crimes was that they had seen serious combat. From a public health standpoint, combat seemed to be a contagion. PTSD, drug and alcohol abuse, violence, and murder were just the symptoms. The more soldiers were exposed to combat, the more they showed the effects. The EPICON study also concluded that the crimes reported on and around Ft. Carson were just the tip of the iceberg. Of the Ft. Carson soldiers surveyed, 40 percent reported choking, beating, kicking, or pointing a gun at someone – in other words they had committed some kind of felony assault. 58 In the end, the EPICON team found two major factors contributed to postdeployment violent behavior: (1) repeated deployments and (2) the intensity of combat in those deployments. The study concluded with a carefully worded assertion that "[s]urvey data from this investigation suggest a possible association between increasing levels of combat exposure and risk for negative behavioral outcomes." 59 In other words, the military finally confirmed what civilian sociologists had long believed: combat contributes to crime. Soldiers come home different. By sending young men and women to war, a country is unintentionally bringing violence back on itself. Closely linked to the criminal justice system is the homeless population. A 2006 study found that fully 24 percent of Minnesota's male homeless population are veterans. More than half of those homeless veterans were deemed to have a "serious mental illness." 60 Nationally, An estimated 136,334 veterans spent at least one night in an emergency shelter or transitional housing program between October 1, 2008 and September 30, 2009. This accounts for one of every 168 veterans in the U.S. or one out of every ten veterans living in poverty. 61 58 Id. at 12-13. 59 Id. at 18. 60 Wilder Research, Overview of Homelessness in Minnesota 2006, 40-41 (2007). 61 U.S. Dep't of Hous. & Urban Dev., Office of Cmty. Planning & Dev., Veteran Homelessness: A Supplemental Report to the 2010 Annual Homeless Assessment Report (AHAR) to Congress i (2009). 15 This statistic illustrates just how difficult it can be for veterans to make the transition from military to civilian life. B. Modern Combat Conditioning and the Total Military Institution In addition to the psychological toll of warfare, the training and conditioning used to prepare our veterans for combat may also be relevant to criminal behavior, In order to fully understand the complexities associated with a veteran's risk for chronic mental health problems (e.g., PTSD) it is necessary to consider the role and function of military training and the total institution (an area that has enjoyed research immunity in the area of PTSD), contributing static variables, and the more opaque dynamic variables, which include the psychological "software" installation and manipulation procedures employed during the training processes in the military total institution. 62 In order to ensure success and survival on the battlefield, the U.S. military has a culture and training program that encourages immediate and violent reactions to threats. Nowhere is this clearer than the military's attitude toward killing, "Killing another human being, for example, is considered an unnatural act in the civilian environment. In the military, killing is viewed differently – killing becomes a more natural act that enhances the likelihood of survival and advances the probability that the military will succeed in its mission." 63 To overcome the human aversion to killing and ensure performance under the stress of combat, the armed forces must condition the service members to follow orders even in the most tragic situations. To this end, the military has grown to be what the sociologist Erving Goffman coined as a "total institution," which is a place of work and residence where a great number of similarly situated people, cut off from the wider community for a considerable time, together lead an enclosed, formally administered round of life. As experienced by service members, The United States military system meets many of the criteria set forth in Goffman's total institution model. The individual's entire being is devoured and controlled in a total institution environment. This environment undercuts the person's individuality, disregards the individual's dignity, and results in a regimentation of life that typically disregards his or her desires or inclinations. Short of going AWOL (Absent Without Leave) or desertion, the total 62 William Brown, "Another Emerging Storm: Iraq and Afghanistan Veterans with PTSD in the Criminal Justice System," Just. Pol'y J., Vol. 5, No. 2, 17-18 (2008). 63 Id. at 18. 16 institution significantly restricts the options for military personnel until their contractual agreement expires (discharge) – or until she or he is dead. 64 Given this military total institution, the training and conditioning the military puts the service member through has powerful and lasting effects. This training often is expertly designed to overcome the service members' reluctance to commit violent or aggressive acts in order to ensure they will kill the enemy or take other aggressive action when the need arises. This is good for the service member because it helps ensure survival in combat. But, since veterans are not deprogrammed as they leave the military, this will, of course, lead some veterans to rely on these violent and aggressive instincts even after they have left the military, causing terrible problems in their civilian lives. The power of these effects are so significant that, through thorough sociological research, Dr. William Brown found that there is very little dissimilarity between criminally-involved veterans and veterans with no criminal offenses in terms of alcohol use, attitudes about killing, relational problems, and illegal behavior. 65 C. How Combat Trauma Sometimes Manifests in Criminal Behavior Combat trauma can be linked to criminal behavior in two primary ways. First, symptoms of PTSD can incidentally lead to criminal behavior. Second, offenses can be directly connected to the specific trauma that an individual experienced. 66 Many symptoms of PTSD can lead to behaviors likely to result in criminal behavior and/or sudden outbursts of violence. Individuals with PTSD are often plagued by memories of the trauma, chronically anxious, and unable to sleep without terrifying nightmares. They often self-medicate with drugs and alcohol in an attempt to calm their nerves and sleep. The emotional numbness many trauma survivors experience can lead the survivor to engage in sensation-seeking behavior in an attempt to experience some type of emotion. Some combat veterans also may seek to recreate the adrenaline rush experienced during combat. "Hypervigilance," feeling the need to be always "on guard" can cause veterans to misinterpret benign situations as threatening and cause them to respond with self-protective behavior. Increased baseline physiological arousal results in violent behavior that is out of proportion to the perceived threat. It is common for trauma survivors to feel guilt and to resort to self-destructive behaviors, which can sometimes lead them to 64 Id. at 18-19 (citing, Erving Goffman, Asylums: Essays on the Social Situation of Mental Patients and Other Inmates (1961)). 65 William Brown, "Spinning the Bottle: A Comparative Analysis of Veteran-Defendants and Veterans Not Entangled in Criminal Justice," The Attorney's Guide to Defending Veterans in Criminal Court (Brockton Hunter ed., 2012). 66 Claudia Baker & Cessie Alfonso, PTSD and Criminal Behavior: A National Center for PTSD Fact Sheet, http://www.criminalprofiling.com/PTSD-and-Criminal-Behavior_s291.html. 17 commit crimes that will likely result in their apprehension, punishment, serious injury, or death. 67 A particular traumatic stressor can lead an individual suffering combat trauma to commit a specific crime in three primary ways. First, crimes at times literally or symbolically recreate important aspects of a trauma. The second way that traumatic stressors can be linked to specific crimes is that environmental conditions similar to those existing at the time of the trauma can induce behavior similar to that exhibited during the trauma, in particular, violent responses. The final way that traumatic stressors can be linked to specific crimes is that life events immediately preceding the offense can realistically or symbolically force the individual to face unresolved conflicts related to the trauma. This creates a disturbed psychological state in which otherwise unlikely behaviors emerge. 68 IV. DEFENDING THE COMBAT VETERAN IN CRIMINAL COURT There are opportunities to make the veteran's service and service-related trauma relevant throughout the case, from pre-charge to sentence mitigation. If possible, before charges are even filed the prosecutor should be made aware of the veteran's service, any service-related mental health problems, and available treatment options to allow this to be considered in the charging decision. The veteran's service, connection to the community, available treatment resources, and veterans' organizations that may supervise the release can all be used to argue for pretrial release. If the veteran is suffering from service-related PTSD or TBI, the need for treatment and available treatment resources can be used both in plea negotiations and sentencing. When such conditions are present to an extreme degree, they may even be exculpatory in negating the mens rea requirements of the crime. These materials will provide an introductory overview of the strategies in defending the military veteran, which are fully addressed in The Attorney's Guide to Defending Veterans in Criminal Court. A. The Changing Terrain: State Statutes and Veterans Courts Fortunately, federal, state, and local governments are beginning to recognize the unique situation of combat veterans in criminal courts. To prevent reliving the mistakes made with the Vietnam generation of veterans, the federal government has made military service a relevant consideration for departures in sentencing; 69 a few states have passed legislation to expressly allow the Court to consider the Defendant's service and service-related mental illness at sentencing; and many counties have created veterans specialty courts to directly address 67 Id. 68 Id. 69 U.S. Sentencing Guidelines Manual, §5H1.11 (2010) (stating that "[m]ilitary service may be relevant in determining whether a departure is warranted, if the military service, individually or in combination with other offender characteristics, is present to an unusual degree and distinguishes the case from the typical cases covered by the guidelines"). 18 veterans' unique situations and to supervise the veterans rehabilitation. These are all evidence of a changing legislative intent that pervades at all levels of government, showing any court that there is a popular-public interest in providing veteran-defendants special consideration and, when necessary, the treatment resources necessary to ensure their combat service does not lead into a perpetual cycle of incarceration. In 2007 and 2008, along with other Minnesota veterans advocates, I, Brockton Hunter, led an effort to draft and pass legislation that addresses deficiencies in the way the Minnesota's criminal courts deal with psychologically-injured veterans. 70 The law is designed to ensure that mental health diagnoses and available treatment options are taken into account in sentencing a veteran whose combat trauma played a role in his or her criminal offense. The law does not force a judge to do anything in a particular case. Rather, it gives the judge the tools to make an informed decision, recognizing that probationary treatment is often preferable to a single stint of incarceration in getting to the root of the problem and ensuring long-term public safety. This is not a "get out of jail free card" for veterans. Completion of treatment is a condition of probation and failure to follow through can result in execution of a jail or prison sentence. In 2007, California also updated past legislation that had been found ineffective at dealing with the veterans returning from wars in Afghanistan and Iraq. 71 Like the Minnesota statute cited above, California has given judges the express authority to utilize treatment over incarceration while not mandating that the Courts follow any particular type of sentence. What the Minnesota and California statutes do, in effect, is make the veteran's service a relevant sentencing consideration, just as the United States Sentencing Guidelines §5H1.11 did in 2010 in stating that "Military service may be relevant in determining whether a departure is warranted, if the military service, individually or in combination with other offender characteristics, is present to an unusual degree and distinguishes the case from the typical cases covered by the guidelines." This multi-state and federal push for such sentencing mitigation guidelines shows that the public's interests have shifted towards placing a higher priority on the treatment of a veteran's service-related impairment and less of a priority on a strictly punitive approach to veteran-defendants. It seems that, amidst the recent wars in Iraq and Afghanistan, the American public and the policy makers working on their behalf have made an affirmative decision not to relive the mistakes made when the Vietnam generation of veterans first came in contact with the criminal justice system. 70 Minn. Stat §609.115 Subd. 10. 71 Adam Caine, "Fallen from Grace: Why Treatment Should Be Considered for Convicted Combat Veterans Suffering from Post-Traumatic Stress Disorder," 78 U.M.K.C. L. Rev. 215, 225-29 (2009). 19 Veterans treatment courts are further evidence of this trend in changing policy interests and show that this trend is not limited to the legislative branch. As of June 2, 2011, there were at least sixty-two county veterans courts in twenty-six different states. 72 In December 2011, The Atlantic reported that "[n]early eighty veterans courts have sprung up across the country over the past four years, and twenty more are expected to open by the end of this year," 73 showing a rapid growth of these courts across the country that signals a national acceptance of their underlying principles. Texas, California, Colorado, Illinois, Oregon and Virginia have passed legislation specifically permitting the establishment of county veterans treatment courts. 74 Other states have done so directly through county court systems. These courts follow a variety of models, but all offer a defense attorney a way to lessen their client's exposure to incarceration and, sometimes, conviction through diversion to judicially supervised rehabilitation programs if the veteran is willing to accept responsibility for his actions and get help for his underlying conditions, usually PTSD and/or substance abuse. This structure is quite similar to long-used drug and mental health specialty court models, but, by using the existing structure and resources of the VA, these courts are an attractive option to districts that are under budget strains. Even in districts where there is not a veterans problem-solving court, this fiscal reasoning is a strong argument in favor of probationary treatment that is unique to veteran-defendants. These courts are not "get out of jail free" courts that are showing veterans a preferred status. Rather, these courts often use longer terms of probation than the defendant would be exposed to in a standard criminal court in order to provide the court with the proper leverage to ensure the veteran stays committed to the treatment program until rehabilitated. The level of oversight and accountability is often very demanding. By having other veterans hold the veteran-client accountable, these courts "offer the most easily accepted 'tough love' support." 75 Both the statutes and the veterans courts have arisen out of the public's recognition that when our Nation is sending young men and women to 72 Nat'l Ass'n of Drug Court Prof'ls, Justice for Vets: The National Clearinghouse for Veterans Treatment Courts, http://www.nadcp.org/JusticeForVets (last visited June 1, 2011). 73 Kristina Shevory, "Why Veterans Should Get Their Own Courts: As Troops Surge Back into Domestic Life, Incarceration Isn't Always the Answer," The Atlantic, Dec. 2011, http://www.theatlantic.com/magazine/archive/2011/12/why=veterans=should=get=their=own=cour ts/8716/. 74 Nat'l Ass'n of Drug Court Prof'ls, Veterans Treatment Court Legislation, http://www.nadcp.org/ JusticeForVets-Legislation (last accessed June 1, 2011); Cal. Penal Code, §1170.9 (2010); Col. Rev. Stat., §§13-3-101; 13-5-144 (2010); 730 Ill. Comp. Stat. Ann. 167 (2010); Or. Rev. Stat. §135.886(2)(j)(3) (2010); Tex. Health & Safety Code, §617 (2010); Va. Code, §2.2-2001.1 (2010). 75 Judge Michael Daly Hawkins, "Coming Home: Accommodating the Special Needs of Military Veterans to the Criminal Justice System," 7 Ohio St. J. Crim. L. 563, 570 (2010). 20 prepare for and fight wars, as San Diego Prosecutor William C. Gentry so eloquently stated, "you are unleashing certain things in a human being we don't allow in civic society, and getting it all back in the box can be difficult for some people." 76 The public and courts nationwide are recognizing that the responsibility for these veterans falls on all of the American public. Thus, even where these statutes are not applicable and these courts are not available, this change in public sentiment should be used to argue to the Court that it, as well, has a duty to show compassion toward, and promote the rehabilitation of, veteran-defendants. B. Pre-Trial Strategies Even before charges are filed by the State, there is an opportunity for the Defendant's military service to become relevant and maybe even dispositive. Prosecutors have incredible discretion to not charge or undercharge an offense. A veteran-client's military service may be relevant to many of the National District Attorneys Association's (NDAA) factors for screening whether to charge or what to charge: doubt as to accused's guilt; the availability of suitable diversion and rehabilitative programs; the attitudes and mental status of the accused; "any mitigating circumstances;" and the characteristics of the offender. 77 These factors show there are various reasons why a prosecutor should consider a veteran-defendant's military service in the charging decision or in the context of a plea agreement. Prosecutorial sympathy for veterans has been tested and shown as significant, in at least minor offenses, through social science research as well. 78 A University of Alabama study polled a sample of thirty-five active prosecutors from Alabama, Mississippi, California, and Kansas regarding a charged assault with consistent fact patterns and four types of defendants: veterans with PTSD, veterans without PTSD, non-veterans with PTSD, and a control group that was neither a veteran or had PTSD. 79 The veteran-defendant with PTSD had been in a blast that struck his vehicle, injuring him and killing two others from his unit; and the non-veteran with PTSD had been in a car accident that injured him and killed a passenger. 80 The following findings suggest a significant sympathy for both veteran groups amongst prosecutors: 76 Id. at 569 (quoting Deborah Sontag & Lizette Alvarez, "Across America, Deadly Echoes of Foreign Battles," N.Y. Times, Jan. 13, 2008). 77 Nat'l Dist. Attorneys Ass'n (NDAA), National Prosecution Standards, Standard 4-1.3, Screening Factors to Consider (3d. ed. 2009); Hans Sinha, "Prosecutorial Ethics: The Charging Decision," 41 Prosc. 32, 39 (2007). 78 Jennifer Kelly Wilson, Stanley L. Brodsky, Tess M.S. Neal, & Robert J. Cramer, "Prosecutor Pretrial Attitudes and Plea Bargaining Behavior toward Veterans with Posttraumatic Stress Disorder," 8 Psychol. Servs. 319 (2011). 79 Id. 80 Id at 322. 21 Overall, prosecutors viewed veterans as less blameworthy for the low-level offense than nonveterans. As hypothesized, prosecutors were significantly more likely to empathize and identify with veteran defendants, as well as find them less criminally culpable, than with nonveteran defendants . . . We anticipated that prosecutors would recommend similar sentences and dispositions to veterans and nonveterans alike, but sentencing leniency for veterans almost reached statistical significance. A further important finding was that veterans were offered significantly more treatment-focused diversion programs than nonveteran defendants, as opposed to simply jail or probation. 81 The study found that veterans overall, both with and without PTSD, were perceived by prosecutors as less culpable, "The hierarchy of least to most culpable was veterans with PTSD, veterans without PTSD, nonveterans with PTSD, and nonveterans without PTSD; however, the absolute differences were small between conditions." 82 The authors of the study hypothesized that the reason for this is that "in the case of defendants who are military veterans, prosecutors may recognize that some experience significant practical and psychological barriers to readjustment to civilian life. Thus, veterans may be found somewhat less culpable for committing crimes and may receive a treatment approach from the courts, instead of retribution. 83 Among prosecutors who resist mitigated charges or sentences for combat veterans, a common concern is their perception of the veterandefendant's dangerousness. After long experience, I have found the best response is: Yes, my client is potentially dangerous. In fact, you probably don't realize just how dangerous our government has made him and all other veterans like him. I am not seeking this treatment-based resolution in spite of the danger he poses. I am seeking this resolution because of his potential danger if he does not get the help he needs. This is not just about doing right by my client, in recognition of his service and sacrifice on our behalf. This is also about better protecting public safety. If you take that duty seriously then treatment is the best way to accomplish it. 81 Id at 326. 82 Id at 327. 83 Id. 22 C. Voir Dire Studies conducted on public attitudes toward military service-connected PTSD indicate potential jurors are more empathetic in this context than toward other mental health issues. For example, in a 1988 study of the effects of various stigmas, Participants viewed service-related PTSD as highly treatable and having an uncontrollable onset and thus attributed low responsibility for the illness and low blame in general. The diagnosis of PTSD elicited greater liking and pity and less anger than any other mental-behavioral stigma in the study. Participants who viewed veterans with PTSD as less blameworthy also exhibited charitable attitudes and a tendency toward helping behavior with such individuals, pointing to a possible link between attitudes and behavior. 84 A 2003 study had similar findings when applied directly to excuse defenses in the criminal justice context: Not surprisingly, mock jurors viewed the PTSD defense as highly excusable, with low criminal culpability and control over illness relative to other defenses. Thus, jurors generally tend to view people with PTSD as less responsible for criminal offenses. Such beliefs, together with feelings of sympathy, could influence verdicts and sentencing behavior of judges, jurors, and prosecutors. 85 Finally, a 2011 study found a "positive juror bias toward veterans with PTSD [that] represents a strong indicator of community support for this group of individuals, support documented by various public surveys." 86 When these findings are taken with the fact that "research has revealed a generally high level of public support for troops in recent years," 87 the 84 Jennifer Kelly Wilson, Stanley L. Brodsky, Tess M.S. Neal, & Robert J. Cramer, "Prosecutor Pretrial Attitudes and Plea-Bargaining Behavior toward Veterans with Posttraumatic Stress Disorder," 8 Psychol. Servs. 319 (2011) (discussing B. Weiner, R. Perry, & J. Magnusson, "An Attributional Analysis of Reactions to Stigmas," J. Personality & Soc. Psychol., 55, 738-48 (1988)). 85 Id. (discussing Wendy P. Heath, Jeff Stone, John M. Darley, & Bruce .D. Granneman, "Yes I Did It, but Don't Blame Me: Perceptions of Excuse Defenses," 31 J. Psychiatry & L., 187-226 (Summer 2003)). 86 Jennifer Kelly, Veterans on Trial: Juror Attitudes and Behaviors toward Veterans with Posttraumatic Stress Disorder 28 (2011) (unpublished M.A. thesis, University of Alabama), available at http://acumen.lib.ua.edu/content/u0015/0000001/0000579/u0015_0000001_ 0000579.pdf. 87 Wilson, Brodsky, Neal, & Cramer, supra note 86 (citing D.L. Leal, "American Public Opinion Toward the Military: Differences by Race, Gender, and Class," Armed Forces & Soc., 123-38 23 defense for the veteran-client can afford to be slightly more cautiously optimistic about trial than with a non-veteran client and perhaps push the envelope on the above defenses a little bit further. In addition to seeking jurors who are open and empathetic towards PTSD, an obvious choice would be jurors who have served in the military. A veteran on your jury can be your best friend or your worst enemy. Some veterans, particularly higher ranking officers may have a rigid attitude towards PTSD and those who profess to suffer from it, particularly if they never served in combat, themselves. Great caution is warranted here. Look for veterans from the lower ranks who served as close as possible to the front lines. Even then, beware of those who may have served in such a capacity and may be in denial about their own combat trauma. Veterans, regardless of their attitudes toward PTSD, are likely to assume a leadership role among other jurors who did not serve, so be very careful. When you pick a veteran, you are very likely picking the foreman of your jury. Choose wisely. Family members and friends of veterans are often a safer bet. They will be familiar with the service and sacrifice of veterans, in general, and their own stories and experiences with those veterans may play a large educational role with other jurors. Jurors who are familiar with and sensitive to mental health issues, in general, are also often good choices. They will understand these issues are real and can often educate their fellow jurors on these issues during deliberation. Emphasize during voir dire that you are seeking a "few good men and women" for your particular case. Emphasize that some of the information about your client's military service and actions that led to the criminal charges may be difficult to hear. That is ok. They just need to be honest if they don't think they can hear them weigh the evidence fairly. D. Trial Defenses: Insanity and Self Defense Sometimes, trial will be necessary. In cases of extreme service-related disorders, the veteran's service may be relevant to the determination of guilt or innocence because the disorder may negate the requisite intent of the crime or mitigate the veteran's culpability. 88 PTSD meets the scientific criteria of admissibility requirements laid down in Daubert v. (2005); PEW Research Center for People and the Press, Trends in Political Values and Core Attitudes: 1987-2007 (2007); Brad Knickerbocker, "This Time, Vets Return to Welcome," Christian Sci. Monitor 1-4, Nov. 9, 2007. 88 See also Marku Sario's description of the Jessie Bratcher case in Chapter 19 of The Attorney's Guide to Defending Combat Veterans in Criminal Court, in which he successfully asserted an insanity defense in a murder trial based on the Defendant's PTSD and conditioned stimulusresponse based on his combat training. 24 Merrell Dow Pharms., Inc., 509 U.S. 579 (1993) and Federal Rule of Evidence 702.89 89 PTSD or TBI-related defenses can be separated into four categories: (1) insanity defenses, negating all culpability; (2) self-defense defenses based on the veteran's altered belief of the amount of force necessary to protect him or herself; (3) an automatism defense when the veteran is acting out of reflex, sleep-walking, or conditioned stimulus response; and (4) mens rea defenses other than insanity defenses, mitigating the veteran's culpability in order to reach a lesser-included- offense. 90 A brief overview of each is provided below. For more detailed discussion of these defenses, see Brockton Hunter & Ryan Else, "Legal Strategies for Defending the Combat Veteran in Criminal Court," The Attorney's Guide to Defending Veterans in Criminal Court (Brockton Hunter ed., 2012). 1. Insanity defenses. The applicability of insanity defenses "will vary depending on the jurisdiction's applicable insanity test and the severity of the individual's [disorder]." 91 To meet the minimum threshold of any of the four insanity tests used in the U.S., 92 the Defendant must make a prerequisite showing that the criminal activity was the result of a "mental disease," which typically requires a psychotic disorder involving a "gross impairment in reality testing." 93 Most, but not all, of the successful service-related-PTSD insanity defenses have been cases of dissociative flashbacks, in which the Defendant had believed he was back in combat, where violence was not only acceptable but rewarded, when he committed the crime, thus did not appreciate the wrongful nature of his actions. 94 89 Edgar Garcia-Rill & Erica Beecher-Monas, "Gatekeeping Stress: The Science and Admissibility of Post-Traumatic Stress Disorder, 24 U. Ark. Little Rock L. Rev. 9, 30 (2001). 90 Thomas Hafemeister & Nicole Stockey, "Last Stand? The Criminal Responsibility of War Veterans Returning from Iraq and Afghanistan with Posttraumatic Stress Disorder," 85 Ind. L.J. 87, 107−132 (2010); see also Daniel Burgess, Kara Coen & Nicole Stockey, "Reviving the 'Vietnam Defense': Post-Traumatic Stress Disorder and Criminal Responsibility in a PostIraq/Afghanistan World," 29 Dev. Mental Health L. 59, (2010); Alyson Sincavage, "The War Comes Home: How Congress' Failure to Address Veterans' Mental Health Has Led to Violence in America," 33 Nova. L. Rev. 481, 496 (2010). 91 Hafemeister & Stockey, supra note 90, at 112. 92 There are four insanity tests currently used in U.S. jurisdictions: (1) The M'Naghten Rule, or Cognitive Test; (2) the Product Test; (3) the American Law Institute (ALI)/Control Test; and (4) the Model Penal Code (MPC) Rule. 93 Hafemeister & Stockey supra note 90, at 113 (quoting Am. Psychiatric Ass'n, Diagnostic and Statistical Manual of Mental Disorders 297 (4th ed. 2009)). 94 Michael Davidson, "Post-Traumatic Stress Disorder: A Controversial Defense for Veterans of a Controversial War," 29 Wm. & Mary L. Rev. 415, 424-29 (1988). 25 2. Self-defense: A parallel with Battered Women's Syndrome. A veteran-defendant's service-related disorder can also support a claim of self-defense in a situation that the Defendant's conduct would not normally be "reasonable" in reacting to a perceived threat but for the effect of the military experience on his perception of and reaction to threats. Model Penal Code (MPC) §3.04(1) states that, "a person is justified in using force upon another person if he believes that such force is immediately necessary to protect himself against the exercise of unlawful force by the other on the present occasion." The defendant's service is relevant to a self-defense claim because the defendant's combat service altered what defendant reasonably believed was the immediately necessary amount of force to protect himself, much like battered women's syndrome is invoked to claim that past violent trauma "can alter an individual's perception of the surrounding environment and cause the individual to react unexpectedly to certain cues or events that are perceived to be threatening." 95 Limited case law is available, but what is available shows that war veterans in some jurisdictions can raise self-defense claims when there is a diagnosis of PTSD, "supported by findings that the disorder impacted a defendant's cognitive and emotional state and causes him or her to react to a situation differently than would otherwise be expected" in a reasonable person. 96 In State v. Mizell, the District Court of Appeal for Florida held that the Defendant's service-related PTSD was admissible as state of mind evidence, as opposed to diminished capacity evidence, and expert testimony of PTSD is relevant to the defendant's actual belief that the danger was real in the same way that battered women's syndrome is admissible and relevant. 97 3. Unconsciousness/automatism during the criminal act. Although seldom used, the defense of unconsciousness or automatism may be available to veteran-defendants who have an unconscious dissociative flashback, act reflexively, or are sleepwalking while committing the offense. 98 This defense is operative when the Defendant was not acting voluntarily, will result in full acquittal, and is recognized in "virtually all jurisdictions." 99 Because this defense is based upon the 95 Hafemeister & Stockey, supra note 90, at 128-29. 96 Id. at 127. 97 State v. Mizell, 773 So. 2d 618, 620-621 (Fla. Dist. Ct. App. 2000). 98 Burgess, Coen & Stockey, supra note 90, at 71. 99 Id. 26 defendant's inability to control his or her actions, it is close to the ALI standard's control test for an insanity defense, but is not dependent on an established mental illness. Though rare, this defense may be more relevant in the representation of combat veterans than the civilian population. Chronic traumatic brain injury (TBI) has been proven to contribute to the development of REM behavior disorder (RBD), 100 in which sufferers appear to be unconsciously acting out their dreams in ways that can be violent in nature and in some cases will result in injury to either the patient or their bed partner. PTSD can cause dissociative flashbacks that cause a person to believe they are in a situation similar to the combat trauma. 101 Sleep-related violence during dreaming, similar to the RBD experienced by TBI sufferers, is also a problem for PTSD sufferers. 102 Since TBI and PTSD are more common in the veteran population than the civilian population, it stands to reason that these issues will be more common among veteran clients than non-veteran clients. 4. Mens rea mitigation of culpability. Even if complete acquittal cannot be secured, a veteran's servicerelated disorder may be used to mitigate culpability and reach a lesser-included offense because the disorder may have made the defendant incapable of forming the requisite specific intent of the offense. 103 Such an approach will be widely available to defendants because "the defendant claiming a lack of mens rea is not limited to when the PTSD induced a psychotic state – as is typically required for an insanity defense – but can include various other PTSD symptoms." 104 Such a defense may be the difference between a conviction of first-degree murder and manslaughter, so it is worth considering as a trial strategy. 100 Arunima Verma, Vivek Anand, & Narayan P. Verma, "Sleep Disorders in Chronic Traumatic Brain Injury," 3 J. Clinical Sleep Med. 357, 357-62 (2007). 101 Arturo Silva, Dennis Derecho, Gregory Leong, Robert Weinstock, & Michelle Ferrari, "A Classification of Psychological Factors Leading to Violent Behavior in Posttraumatic Stress Disorder," 46 J. Forensic Sci. 311, 311-312 (2001). 102 Id. at 312 (citing J.A. Silva, G.B. Leong, C. Gonzales, & J. Ronan, "Dangerous Misidentification of People Associated with Post-Traumatic Stress Disorder," 19 Am. J. Forensic Psychiatry 17, 17-32 (1988); C.N. Scherick, S.R. Bundlie, M.G. Ettinger, & M.W. Mahowald, "Chronic Behavioral Disorders in Human REM Sleep: A New Category of Parasomnia," 9 Sleep 293, 293-308 (1986); I. Oswald & J. Evans, "On Serious Violence During Sleepwalking," 147 Brit. J. Psychiatry 688, 688-91 (1985)). 103 Hafemeister & Stockey, supra note 90, at 126. 104 Id. 27 D. Sentencing Mitigation In 2009, the United States Supreme Court stated that, Our Nation has a long tradition of according leniency to veterans in recognition of their service, especially for those who fought on the front lines as [the Defendant] did. Moreover, the relevance of [the Defendant's] extensive combat experience is not only that he served honorably under extreme hardship and gruesome conditions, but also that the jury might find mitigating the intense stress and mental and emotional toll that combat took on [the Defendant]. 105 In fact, Porter held that for a defense attorney to fail to present the Defendant's combat service and its related trauma as a mitigating factor at sentencing in a capital case is proper grounds for a Strickland 106 claim of prejudicially ineffective assistance of counsel. 107 As discussed in the section on statutes and veterans courts above, this "leniency" is often coupled with a desire to provide veterans with rehabilitative treatment to ensure they do not reoffend and there are an increasing number of creative options to structure such treatment. Of course, no matter what the Court wants to do, it must also know it has the authority and public support to do so. There is a three-step process that has worked well in our office for arguing at a veteran-defendant's sentencing: (1) make the court want to be lenient toward this veteran in particular and veterans in general; (2) provide the Court with a structured treatment or rehabilitation plan that will ensure the Defendant is well supervised and has a likelihood of not reoffending; and (3) provide the Court with the history of public, judicial, and legislative support for leniency towards combat veterans, and any law on the matter that gives the court the authority to act on the desires seeded in steps one and two. An essential element of arguing to the Court for a lenient or treatmentbased sentence is to let the Court get to know the veteran, his or her service history, and the history of veterans with combat trauma in the 105 Porter v. McCollum, 130 S.Ct. 447, 455 (2009). 106 Strickland v. Washington, 466 U.S. 668, 687 (1984) (stating that "[a] convicted defendant's claim that counsel's assistance was so defective as to require reversal of a conviction or death sentence has two components. First, the defendant must show that counsel's performance was deficient. This requires showing that counsel made errors so serious that counsel was not functioning as the 'counsel' guaranteed the defendant by the Sixth Amendment. Second, the defendant must show that the deficient performance prejudiced the defense. This requires showing that counsel's errors were so serious as to deprive the defendant of a fair trial, a trial whose result is reliable. Unless a defendant makes both showings, it cannot be said that the conviction or death sentence resulted from a breakdown in the adversary process that renders the result unreliable”). 107 Porter v. McCollum, 130 S.Ct. 447, 455 (2009). 28 criminal justice system. By the time the case reaches sentencing, the Court will already know that the Defendant is a veteran, so the argument needs to make the Defendant a unique veteran by focusing in detail on exceptional service records, combat experiences, personal hardships caused by service, readjustment issues, service to the community, support of friends from the military, or any other evidence that will separate this veteran-defendant from the pack. The A+ versions of the veteran-defense-counsel's arguments often become more than forty-page-long memoranda, half of which is devoted to providing this evidence of the veteran as an individual service member in a chronological story format. 108 Of course, this story should be supported by official service documents, such as the veteran's DD-214; corroborating letters or affidavits from people that served with the veteran; and any relevant medical treatment records. The veteran's individual story should then be put in context with the plight of combat-stress inflicted veterans historically and the medical/psychological significance of the veteran's disorder, if any. Once the court is convinced that it wants to help this veteran, it is the defense attorney's job to structure a treatment or supervised release program that will make it feasible for the court to, at the same time, not imprison the defendant and still not endanger public safety. V. CONCLUSION: CRISIS AND OPPORTUNITY As the discussion above makes clear, there is a looming crisis in the criminal justice system as the wave of new veterans return home bearing the psychological burdens of our wars. This crisis is also an amazing opportunity because it is rare that the criminal justice system can bring its resources to bear on a population that is as highly motivated and disciplined as these military veterans. If properly reintegrated with society, these men and women can go on to do things just as great at home as they did on distant combat deployments. The poster child for what is possible in this regard is a close friend and colleague of mine named Hector Renee Matascastillo. Hector is a former Army Ranger, Special Operator, and Infantry 1st Sergeant with thirteen combat deployments, many of them still classified. In 2004, Hector's undiagnosed PTSD led to a dissociative flashback and an armed standoff with the police, resulting in multiple felony charges. Hector's case was handled very well by all involved. In return for his agreement to undergo treatment for his psychological injuries, all of his felony charges were dismissed. Two years later, after completing treatment and probation, Hector was cleared to return to active military duty. He volunteered to return to Iraq and was assigned as 1st Sergeant of a 167-man infantry rifle company bound for Al-Anbar Province at the height of the insurgency. Hector brought all of his men home alive and was awarded the Bronze Star for his 108 See Andrea George, Position of Def. with Respect to Sentencing, U.S. v. Carson, Criminal No. 10-26 PJS-AJB, Doc. 31, Jun. 11 (U.S. Dist. Ct. Minn. 2010); Brockton Hunter, Mem. of Law in Supp. of Mot. for Sentencing Departure, Minn. V. Klecker, Dakota Co. File No.: 19-K7-06-003438 (First Judicial Dist. Minn. June 21, 2007). 29 leadership. Upon returning home, Hector left the military to pursue a new mission. In May 2010, he graduated with his Masters Degree in Social Work and is now a licensed therapist, working with other combat trauma-suffering veterans. In addition to his clinical work with veterans, Hector has worked with me in training thousands of judges, attorneys, law enforcement officers, mental health providers and community leaders on the reality of PTSD, its ties to criminal behavior and how much a veteran can accomplish when given a second chance. Fortunately, in Hector's case, the criminal justice system got it right by using his offense as an opportunity for rehabilitation and redemption rather than punishing a hero that served our nation bravely and honorably. Alternatively, I have witnessed firsthand what happens when the criminal justice system gets it wrong. One of my former clients, Arthur, "Artie" Torgesen, is a Vietnam war veteran who served in C Company, 1st Battalion (Mechanized), 5th Infantry Regiment, 25th Infantry Division in 1968, the bloodiest year of the Vietnam war. His unit was decimated in an ambush on August 21, 1968 in the Ben Cui rubber plantation. To illustrate the intense violence of this battle: in a thirty minute firefight, his company of sixty men suffered seventeen killed and twenty-one seriously wounded; one man earned the posthumous award of the Congressional Medal of Honor; one earned the Silver Star; and the unit earned the Presidential Unit Citation for "extraordinary heroism." 109 Artie's closest friend, Specialist Michael Mangan, was posthumously awarded the Distinguished Service Cross for, among other acts of valor, covering the unit's retreat, saving Artie's life. 110 Artie would later name his only son after Mr. Mangan for this act. Artie was injured during this battle, earning his second Purple Heart. Despite physically surviving the war, Artie never fully returned home. He suffered from severe PTSD, including dissociative states in which his wife would find him low crawling through the house, and he heavily self-medicated with alcohol. In the years following his return, Artie was arrested at least thirteen times for DUI, once for theft, and another time for fleeing the police, 111 but none of these offenses were leveraged to force him into treatment. In July of 2008, approaching the forty-year anniversary of the Battle of Ben Cui, Artie was having what he called "Vietnam problems," with intensified intrusive memories, dissociative states, and alcohol abuse. On July 18, 2008, Artie called his son and left a voice message saying "everything is over for me." 112 That night, Artie decided to kill himself, but did not want to leave the wife he loved alone. While his wife slept, he kissed her goodbye and stabbed her repeatedly with a kitchen knife. 113 He then tried to kill 109 Samuel Martin Kier, Two Centuries of Valor: The Story of the 5th Infantry Regiment 347-53 (2010). 110 Id. 111 Paul Levy, "'Everything Is Over for Me,' Distraught Vet Said," Minneapolis Star Trib., July 22, 2008 [hereinafter "Everything Is Over"]. 112 Paul Levy, "He Escaped Vietnam, but Not His Demons," Minneapolis Star Trib., July 28, 2008. 113 Id. 30 himself by covering himself and his wife's body in a mix of gasoline and lacquer and lighting himself on fire. He could not endure the pain, so he stripped himself naked to escape the flames and called 911, stating "I started a fire. I tried to kill myself. I killed my wife." 114 Artie was found by his neighbors "sitting naked on a living room couch as smoke filled the house." 115 I defended Artie on charges of first-degree murder and first-degree arson, ultimately reaching a plea agreement for civil commitment. When I think of his case, I cannot help but think that this terrible tragedy could have been avoided if any one of his fifteen prior offenses had been used as an opportunity to leverage Artie into facing his demons and completing a course of treatment for his servicerelated mental health problems. The present generation of veterans will certainly have their Arties that will present a crisis to the criminal justice system. Fortunately, we now know that this crisis also presents an amazing opportunity for the criminal justice system to help rehabilitate and reintegrate veterans, leading to success stories like Hector's. Thus, we can now choose exactly what the echoes of our wars will be and we cannot fail to make the correct choice with the coming wave of returning veterans. 114 "Everything is Over," supra note 111. 115 Id. 31 32 NOTES 33 34
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