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Grief, loss, Transitions , Veterans, First Responders

Veteran Death Benefits

As hard as it may be to think about, one day your beloved family member will pass away. We hope it will not be for a long time, but we know that one day we all must face this great loss. This handout gives a brief overview of information for veterans’ families.
If you have questions about veteran’s death benefits, call: The U.S. Dept. of Veterans Affairs’ toll-free number (800) 827-1000. In some cases, the date of application determines when benefits may be received, so it is important to submit applications on time.
Important Documents
Families should have access to these papers and documents:

• Family insurance policies
• Birth certificates of the spouse and children
• The veteran’s service discharge paper (DD-214)
• The veteran’s Social Security number
• VA document(s) showing the veteran’s VA claim number. Since 1974, a VA number is assigned to every veteran as soon as he/she files for any VA benefit.
• A copy of the family will (not required for VA benefits)
• A copy of all marriage certificates and divorce decrees
• Location of any safety deposit box (not required by VA)

National Cemeteries: Any veteran discharged under conditions other than Dishonorable is entitled to burial in any National Cemetery, provided space is available. Burial in a National Cemetery may be arranged by contacting the superintendent of the cemetery. Family members eligible for burial in a VA cemetery include the spouse or minor child of an eligible veteran or service member. There is no charge for burial, but the government does not pay the cost of transportation for the family members who will attend the funeral.
Burial Flags: VA provides an American flag to drape the casket of a veteran and to a person entitled to retired military pay. After the funeral service, the flag is usually given to the next of kin. Flags are issued at VA Regional Offices, National Cemeteries, and most Post Offices. Some funeral homes that specialize in Veterans will provide additional flags for family members upon request.
Headstones and Markers: The VA will provide a government headstone or marker for a veterans’ grave. The VA will inscribe free of charge the name of the deceased, the years of birth and death, the highest rank held, and the branch of service. The VA will ship the headstone or marker anywhere in the world. There cannot be any headstone or marker already on the grave. When burial is in a National Cemetery, the grave marker is provided and set in place by the government.
Reimbursement of Burial Expenses: If the veteran’s death was service connected, the VA currently will pay limited fees for burial expenses and for transportation of the veteran’s body to the nearest National Cemetery.
Social Security
The Social Security Administration provides a burial benefit in some cases. A lump sum death payment can be made only if an eligible husband or wife survives, or if there is a child entitled to benefits. When a veteran dies, the spouse and family may be entitled to survivor’s benefits. After a veteran’s death, contact the nearest Social Security Office to apply for benefits. The requirements for eligibility for Social Security benefits and for VA benefits are different, and separate applications must be filed for each.
Insurance
If the veteran has any GI Insurance policies, forms should be obtained through a service organization or from any VA office to apply for the policy’s proceeds.
Benefits for Survivors of Veterans
Benefit eligibility for survivors of Veterans is evaluated on a case-by-case basis. However, family members who usually are eligible for benefits include spouses, children, and in some cases, parents. A surviving spouse remains eligible for most monetary survivor benefits as long as they remain unmarried, or remarry after the age of 57. Children may be eligible for monetary benefits until age 18, or 23 if they are attending an approved school. Disabled surviving children may also be eligible for long-term benefits.
For more information: call 800-827-1000 or go to www.vba.va.gov/survivors

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Link: https://opuspeace.org/wp-content/uploads/2021/07/Dignity-FourFinalLifeLessons.pdf

Forgiveness, Guilt, Shame , Grief, loss, Transitions , Healing , Soul Injury, Moral Injury , Veterans, First Responders

Insight: Veteran Bereavement Letter

by Deborah Grassman

Ben, a friend of mine, was a World War II veteran. Over time, I came to see how stoicism, PTSD, and Soul Injuries had impacted his life. When Ben died, I met his five adult children, all of whom lived out of state. I could see that some of them felt distant from their father. I could also see that they really didn’t grasp the importance and relevance that the military had in shaping their father’s life and their own lives. I wrote them a letter to offer insight that might provide a healing perspective for how the effects of the military had impacted them. Later, I learned from Ben’s wife that this letter helped their children to better understand their father. It also helped one daughter to stop blaming herself for her father’s emotionally-distant treatment of her in her childhood, causing an insidious Soul Injury. 

This is the letter:

Dear Susan, Greg, Jane, Paul, and Amy,

As I came away from the funeral service last night, I was left with a desire to share my own story about your Dad. I have known your Dad for the past 10 years as part of our church community. He started a small group in his home, and we have been meeting monthly since that time. Your Dad was careful to say in the first meeting that this would not be the kind of meeting where people “spill their guts,” and your Dad kept his word about that for five years. One night, however, your Dad started talking about the death of your sister. As he spoke, it became apparent that the death of this daughter at age five had been deeply disturbing, though he had never let himself grieve. Instead, he had boxed up his pain, hoping it would go away. Now, 40 years later, here it was again. This time though, he let himself feel his pain. He told of his despair over losing a child at that tender age, and he let himself cry. He was embarrassed at first, but soon the emotion gave way to the sobs of tears he had held back so long. Your Mom said it was the first time she’d ever seen him cry. I think your Dad was a little different after that day. A part of his heart was unlocked and his sharing became more open, his feelings expressed more freely.

I also think of your Dad at our 4th of July party. We did a tribute to the veterans for the freedom we were celebrating that day. I called the three veterans who were at the party to the front of the group and seated them in places of honor. Then we sang God Bless America and saluted them, which meant a lot to your Dad. Your Dad sacrificed a lot for his country. He bore a lot of physical and emotional scars from the war. Those scars are what I thought of last night when I saw the flag draped across his coffin.

I learned more about your Dad’s struggles after the war when I visited him in the hospital last week. He wasn’t taking any painkillers for his pain. He said he wouldn’t have anything to do with morphine. Then, he told me the story of how he had become addicted to it with his injuries during the war. He said that there weren’t facilities during wartime for fixing the injury. Instead, he said the soldiers were “doped up” until medical services could be provided. After being on morphine for many months, he got hooked on it. After his injuries were repaired and healed, he continued on the morphine. He told me about a time when he beat up a pharmacist friend of his to get more. He said that was about the “stupidest” thing he ever did and was deeply ashamed, but it served as the wake-up call to kick his habit. He kicked it the only way he knew how. He went off into a cabin in the woods. He stayed there by himself and sweated it out. Your Dad said it was pure hell. He sat with a loaded gun to his head and his finger on the trigger for many of those days. I think it was a combination of will power on your Dad’s part, defiance toward his father, and faith in God that kept him from pulling that trigger. At any rate, as I listened to your Dad’s story, my respect for him deepened. I had a greater appreciation of his stoicism. I had a deeper sense of who he was and why he was.

Your Dad had a hard life. And I think these last 10 years after he retired enabled him to let the grizzly bear in him fade and the tender teddy bear emerge. These were years when your Dad softened with age so that insight and wisdom grew, and pride and introversion faded, years that softened the blows in life that your Dad had to face and the hardness that it took for him to face them. My hope is that through his death, you will have a deeper sense of his life, a deeper sense of his love for you, and a deeper sense of yourselves.

 

You can receive free pamphlets from your closest Dignity Memorial funeral home. Use them to educate Veterans’ families. You can also download the pamphlets below by clicking on them.

Current Link: https://opuspeace.org/wp-content/uploads/2021/07/Dignity-Family.pdf

Link: https://opuspeace.org/wp-content/uploads/2021/07/Dignity-FourFinalLifeLessons.pdf

Caregiving , End-of-Life Care, Hospice , Forgiveness, Guilt, Shame , Grief, loss, Transitions , Healing , Rituals, Myths, Ceremonies , Soul Injury, Moral Injury , Veterans, First Responders

Bereavement Care for Veterans and Their Families

by Patricia McGuire
Veterans and their families need the same things non-veterans and their families need when a loss is experienced: comfort, sympathy, emotional support of friends and family, knowledge, coping skills, time, and healing. The military culture, however, can create special grief needs as well. Complicating bereavement matters further, Soul Injuries tend to surface at the end of life for the entire family.
Stoicism, while a needed quality for an operative military, can be a hindrance in grief. Stoicism may cause grief to be hidden behind a silent or angry facade, cavalier humor, an attitude of bravado, or an “I’m fine” wall of denial. Stoicism not only affects veterans, it can affect whole family systems. One woman spoke of her friend who was married to a career Marine. She described the woman’s stoicism: “She is as much a Marine as he is. When her mother died, she was expected to grieve quickly and return to normal functioning in short order. She did.” Twenty years later, however, her mother’s death was reactivated when her husband died. This time, I gave her permission and encouragement to grieve and to take the time she needed to grieve both of these losses.
In addition to stoicism, “career-military” family systems may present special considerations. The family may have lived in numerous places for short periods of time, and this impacts family in several different ways. For example, at one veteran’s deathbed, his adult daughter identified for the first time where her bitterness for her father had begun: “It was the five different first grades I went to.” Because staff had been trained in veteran-specific issues, his daughter made this discovery as part of her anticipatory grief. She had the opportunity to work through this issue and the wall it had created before her father died. I acknowledged the patriotism and sacrifice that her entire family had made, which allowed the daughter to change her relationship to her past. This change helped her let go of some of her anger and open up to her father in a new way. Her grief after his death was facilitated by acknowledging the ways that this early loss affected her life and her perception of her father, which helped her deal with those losses prior to her father’s death.
Another issue which may arise with career-military families is that when there is a death or major loss, the family may find themselves far away from their family and support system. Because military families have not established roots, there may not be a network of support that facilitates effective grieving. On the other hand, because of these frequent moves, families of veterans may readily reach out for support because they have learned how to ask for help and form new bonds quickly. A Greek war bride from World War II cried at her husband’s death bed: “I have no family, what am I going to do?” I anticipated the possibility of complicated grief due to lack of support. An hour later, however, I found her in the hospice kitchen, with five lifelong friends from the Officers’ Wives Club. It was every bit a supportive family, just a different kind. Conversely, a young Vietnamese wife who barely spoke English said: “We did everything together. We are each other’s world.” This veteran’s isolation excluded everyone except his wife, leaving her unprepared for his death. She was at high risk for complications of grief and required extensive support to find her way materially and emotionally after his death.
Consider a third young American bride living in Germany while her husband served in Afghanistan. He was due to return in time for the birth of their first child. Unfortunately, the young woman went into labor early and their child was delivered stillborn. She was far from home, family, and anything familiar as she struggled with her overwhelming grief. Her husband returned to her as soon as possible, which in this case was a week later. He was grieving the loss of their child, feeling like he deserted his platoon, and struggling with symptoms of Posttraumatic Stress Disorder (PTSD). She was grieving the loss of their baby, the loss of innocence that she saw in her husband, and changes within her own body. This couple required intensive support as they faced their changed world. Their return to home was delayed due to legal issues related to transporting their child’s remains from one country to another. Plans had to shift to assist her parents to travel to Germany. This whole family system needed extensive support due to the complexity of the situation.
In her book, Peace at Last: Stories of Hope and Healing for Veterans and Their Families, Deborah Grassman explores the impact of military service on veterans at the end of life. She offers insight into some of the possible effects of combat on veterans and their families. Providing the book for family members to read helps them better understand the military influence on their loved one, their family, and themselves. This enhanced understanding can facilitate peaceful life closure and more effective grief recovery.
Veterans may gain a deeper appreciation of life by surviving combat and recognizing each day as a gift. Others may superficially integrate their experiences and carry on with their pre-war lives after returning from war. A third group may be changed by their combat experience and be unable to effectively cope. These latter two groups’ coping styles may adversely affect the family. Veterans in the last category may have struggled for years with bouts of depression, anger, nightmares, or from being overly protective or controlling. The veteran may have coped by using drugs and alcohol, or might have isolated himself in order to feel safe. Families living in this environment may have been abandoned, abused, or developed dysfunctional coping mechanisms to deal with these behaviors. This kind of lifestyle might precipitate divorce, creating multiple families by the time the veteran comes to the end of life. A common saying among Vietnam vets that overly simplifies this issue is, “Most veterans with PTSD have been married three times.” There may be three different sets of children at a veteran’s death bed. Perhaps their first family was abandoned when the veteran first returned home from war and he was unable to reconnect with them. These children may be angry. When the veteran remarried and started a second family, these children may have lived with abuse, drugs and alcohol, and developed dysfunctional coping mechanisms. After a second divorce, the veteran may have gotten into an addiction recovery program, as well as received help for his PTSD. A third marriage is often to someone who already has children. These children may reap the benefit of the veteran’s recovery and think their stepfather is very special. Imagine this veteran’s death bed with all of these family members present! Providing support for all of these family members with a wide range of forgiveness, estrangement, and anger issues creates a highly-charged environment for needed therapeutic work in order to facilitate some resolution. I strive to keep my heart open to all of these different family members and recognize each of the particular losses and relationships with this veteran. The past cannot be changed, but new understanding can help to change their relationships to the past.
When there are multiple families, judgments about one another are often passed. Guilt, shame, and blame are often the fuel that has been used to avoid the pain of the underlying loss of healthy relationships. This can negatively impact decisions that need to be made as the veteran is approaching the end of life. For example, the person who is legally able to make the decisions for the veteran may be someone from whom the veteran has been estranged. The current significant others of the veteran may find themselves disenfranchised at the time of the death, funeral, and burial. Another common contention after the death of a veteran with this kind of multiple-family constellation is: “Who gets the flag?” There is one flag provided for each veteran, yet there may be more than one person who feels that they deserve it. In these situations, it can be helpful to work with the VA’s office of Decedent Affairs, also known as the Details Clerk, to arrange for the provision of more than one flag.
Presentation of the flag in a respectful manner is of the utmost importance. Because many families today choose cremation, there may or may not be a funeral or memorial. In these cases there is not a formal presentation of the tri-corner flag to the next of kin. One VA nurse saw a family leaving the details office after their loved one’s death with a flag in a small rectangular box. He was upset by this “indignity” and called the team together to find a way to correct it. The solution was found when the Korean War Veterans Service Organization (VSO) agreed to use this need as an opportunity. The VSO provided education to a local Boy Scout troop about proper flag etiquette and flag folding. The Boy Scouts now meet bi-monthly with the VSO to fold flags. Together, they have maintained a supply of folded flags for that VA facility. The flag is now formally presented in a dignified way to the family at the time of death.
Other family members might have anger or bitterness about their veteran not getting a medal, service-connected disability, or pension. These feelings can interfere with effective grieving: “Dad was wounded in combat and he never received his Purple Heart. They lost his records.” This veteran and his entire family had chafed over this injustice for many years. After his father’s death, one son doggedly pursued his father’s records until the Purple Heart was awarded posthumously. This act helped the family begin to move through their grief. In a similar situation in which the Purple Heart could not be obtained, Deborah Grassman, their nurse practitioner, made a “purple heart,” ceremonially pinning it on the veteran while citing the heroic deeds that he had done. The bereaved family survey subsequently identified this act as extremely meaningful.
If PTSD is identified for the first time as a veteran is dying, the impact on family needs to be factored into their bereavement needs. Some family members feel relief: “I’m so glad to know it has a name. I knew something was wrong but I didn’t know what. Now this makes sense.” Other family members might feel guilty: “I wish I would’ve realized this sooner, I would have_________ (listened more carefully, gotten him help, been more patient and understanding, etc.)”
If the veteran had PTSD, physical or mental disability, or long-term illness prior to the death, the family member may be exhausted from providing care; they may not have the energy to grieve. In her book Chronic Sorrow: A Living Loss, Susan Roos (2002) writes about “significant losses with no foreseeable end” in the context of children with disabilities. Veterans and their families may share a similar experience. This may lead to frequent periods of sadness with no stable periods to allow time for grief and adjustment.
The family may have financial concerns near the end of life. For example, if the family has been supported by the veteran’s disability check, they may want extensive futile care because they do not know how they will survive without the veteran’s check. They may have provided care for the veteran for years and thus been unable to maintain work outside the home. It is important to acknowledge the reality of this practical consideration and recognize that the family’s questions about money may not indicate a lack of love, but instead may be a first step in providing the practical groundwork for their future welfare and their ability to grieve. Providing social work services can help the family with financial strategies and resources. The veteran may also be concerned about the financial plight of their family after he or she dies. This concern might cause the veteran to fight death so the disability check continues. One veteran lived for 40 years as a quadriplegic in a VA nursing home. He said, “My job is to stay alive as long as I can so my wife will have the money to raise our kids.” When he died, his family spoke of “growing up at the VA,” and there were as many staff mourners as family at the memorial service. Many such families have provided care and support for their loved one for years with little or no recognition. Acknowledgment of their patriotism and a word of gratitude for the sacrifices they have made may bring tears to their eyes. Those tears often represent the internal healing that is taking place. We developed a ritual that recognizes the family members who have been caring for veterans by pinning them with a small patriotic angel dressed in red, white, and blue. The family is thanked for their sacrifices and service to America by providing care and support to their veteran. A small card is given to them so they will remember the meaning behind the pinning. The card reads: “Caregivers are important too! Because we know you have also paid a price for our freedom, we honor you with this pin. It’s our way of acknowledging the many ways you’ve been impacted by the military and also the many ways you have provided care to our veteran. We are grateful.” (Go to “resources” tab for information about how to obtain pins).
Caregivers are 93% female. Most caregivers are spouses (72%) and parents (12%) (National Alliance for Caregiving, 2012). Today, there are more services for family caregivers than ever before. All VA medical centers now have Caregiver Support Coordinators (Johnson, 2012). They are experts on caregiver issues and are knowledgeable about VA and non-VA resources. They manage a menu of options to support veterans including in-home care service, respite care, needed equipment, home and automobile modification, peer support, and caregiver support groups. The VA also runs an interactive website for caregivers (www.caregiver.va.gov). The Primary Family Caregiver Benefits include a stipend (post-9/11) paid directly to the caregiver, which is centrally funded and managed. The caregiver may be eligible for health insurance through CHAMPVA (a health benefits program through VA), travel, lodging, and mental health services through VA or by contract. This kind of support allows veterans and their families to have more time and energy for their bereavement and emotional needs.
In addition to needing support when a veteran is facing illness and death, family members may also need help in understanding a veteran’s response to loss. A veteran’s inability to grieve someone’s death might be due to their fear of unresolved grief from comrades who died in combat, and this fear can sometimes cause the veteran to detach from grief. This was true for a veteran and father of four whose youngest son was killed in a hit-and-run motor vehicle accident. The veteran went through the formalities of identifying the body, arranging the funeral, and receiving the outpouring of support from his community; yet he remained impassive throughout the process. His wife and family were appalled at his lack of emotion. When the veteran came in for counseling, he reported being on a convoy in Vietnam 40 years earlier. One of the trucks hit a young Vietnamese boy. It was a dangerous area and they were under orders not to stop. This veteran was devastated by seeing this innocent boy left presumably dead and unattended. When his own son died in a similar manner, he could not allow himself to feel the grief for his own son until he had acknowledged the loss and grief of the parents of the Vietnamese boy. The latter was the focus of the bereavement intervention.
Another young soldier serving in Iraq was notified of his grandfather’s death; the Red Cross was prepared to bring him home for the funeral. The soldier declined to leave his troop, and the family was very upset with his decision. As bereavement counselor, I discussed with the family their son’s need for stoicism so he could face war every day. If he came home for the funeral, he may have felt that he had deserted his troop. He could also be opening himself up to an emotional bungee jump, bouncing from his feelings of his grandfather’s loss which could also trigger grief over deaths he was seeing in war, only to have to go right back into war two weeks later. Thus, the bereavement intervention did not focus on trying to convince the grandson of the need to return home, but rather on helping the family choose to validate the young soldier’s choice. Intervention also focused on planning a family gathering when the young soldier was home again and emotionally able to participate in working through his grief for both his grandfather and his fallen comrades.

Supporting Veteran Grief
As part of a focus on comprehensive care, unresolved bereavement needs of veterans need to be assessed when they are being treated for physical and mental health issues, homelessness, substance abuse, and PTSD. These needs can best be addressed by a clinician who has been sensitized to the special needs of veterans. In 2003, Wounded Warriors: Their Last Battle, a presentation developed by Deborah Grassman, was produced by the National Hospice and Palliative Care Organization (NHPCO) and distributed widely throughout both the hospice and VA communities. Her presentation sensitizes clinicians, veterans, and their families to issues that may otherwise be overlooked or misunderstood. (Click on “resources” on this website to view the updated version). The same stoicism that allows veterans to be the helpers of the world may prevent them from reaching out for help or support. Messages of “big boys and girls don’t cry” were learned as children and reinforced in the military. This message needs to be reframed by clinicians. When a veteran is talking about the pain of loss and attempting to hold back the tears, they can be reminded of the courage it takes to allow their feelings to show. It may be helpful to sit beside rather than in front of the veteran to allow emotional privacy. Alternatively, the clinician might bow their head and sit quietly when tears escape from behind a stoic wall. I let veterans know that tears are a normal reaction to pain and are welcome. I have a picture in the bereavement office of a face with a beautiful tear running down it. I ask veterans who struggle to externalize tears to study it and tell me what it elicits for them. The picture acts as a reminder of the beauty of grief expressed. I also use a prescription pad and “prescribe” crying in the shower, in the car, or wherever the veteran feels safe. Some veterans are more comfortable with humor and respond well to being told that I get a bonus if they cry. Everyone grieves in their own way, so there are not always tears. The gender differences between men and women have been studied for years and many men are more likely to express their grief by doing something active: planting a tree, building a memorial, or organizing a fundraiser for a needy veteran family. Tears may or may not be part of their grief journey (Doka and Martin, 2010; Golden, 2010).
In caring for veterans with PTSD, it is important to know that they may not trust easily. My initial efforts need to focus on gaining their trust. This can make something as simple as scheduling an appointment difficult. For example, when a veteran is identified for bereavement counseling, a telephone call is used to make contact. Not unusually, there is no answer and a message is left encouraging a call back. When this is unsuccessful, a second call is made and again a message is left. If the call is not returned, a condolence note is mailed to the home. Persistence often pays off at this point and the veteran may reconnoiter and peek into the bereavement office a few times. If I pass muster and seem trustworthy, the veteran will schedule an appointment to address his or her grief issues. A basic premise of passing muster is the understanding that “we serve those who first served us.” Veterans need to know that I am aware that veterans are trained warriors; they need to know that I value their service and recognize that freedom is not free.
These issues may also be apparent when a veteran is diagnosed with a terminal disease. The veteran may not want anyone “to see me weak.” They may go so far as to say, “When I can’t take care of myself, I’ll just go off into the woods to die.” I met one such veteran during his several admissions to the hospital through his illness. My interventions focused on encouraging him to be a gracious receiver. I educated him about Dame Cicely Saunders, founder of the modern hospice movement around the world, and what she said at a conference a few years before her death. Using a wheelchair for ambulation, she stated, “I used to think that being a giver was the most important thing. Now that I need help myself, I realize that being a gracious receiver is the most important thing.” He was encouraged to see how helpful his gracious receiving could be for him and for his comrades. As his illness progressed, he was able to make healthier decisions about his care. The veteran allowed his friends in the “Vietnam Brotherhood” to participate in his care and ultimately his death. Many of these men had only witnessed violent or mutilating deaths in the past. In combat there was no time to mourn the deaths of comrades. This veteran made a courageous choice to allow the brotherhood to come together as a group to grieve while they provided care and support to their dying comrade. They were dressed in their Vietnam Brotherhood jackets; many had long hair, ponytails, and tattoos. Although their tough exteriors were intimidating, they provided tender physical comfort by repositioning the veteran, giving him drinks of water and food, and even participating in circles of prayer. By relying on their camaraderie and overcoming their fear of vulnerability, they created a dignified death for their comrade and a new concept about death for themselves.
The Commander of a local chapter of the Korean War Veterans Service Organization (VSO) was asked about the impact of combat on the members. His eyes clouded over: “We all have PTSD to some degree. It’s just a matter of what we do with it.” He spoke of some members who self-medicated with alcohol, but of many others who channeled their pain into contributing to the community. Honor guards are one of the services this chapter provides. They are frequently at the local VA cemetery to honor their newly fallen comrades by providing military honors, an interment ceremony, and the presentation of the flag to the next of kin. He acknowledged that when he participates in these events, he is attending to his own bereavement needs by honoring the buddies he lost in service so long ago.
As many as 30,000 veterans live in State Veteran Homes and there are many other long-term care facilities caring for veterans. These settings can provide an opportunity to address unresolved grief from fallen comrades decades earlier.
One State Veterans Home in Ohio provides such a service. This was developed when Deborah and I were providing clinical consultation services to the staff so they would better understand how to care for the unique needs of veterans as they die. Deborah asked a Vietnam Veteran, “Is there anything from the war that might still be troubling you now?” The veteran, hardly able to talk due to severe COPD, nodded his head. Then he said, “My brother and I both went to Vietnam, but I was the only one who came back.” Tears slowly ebbed down his cheeks while Deborah and I waited in calm silence. Then, he added: “I didn’t even get to go to his funeral.”
We explained that we could design a ceremony to honor his brother and create space for his grief. We explained the value of unmasking unresolved grief. The veteran’s face visibly lightened and he eagerly participated in the designing of the service. Deborah and I then realized the gaping wound in many of the veterans at the State Veterans Home, so we invited all of them to the service to mourn their comrades fallen during battle. About 25 showed up! We also addressed the guilt that some of them felt — survivor’s guilt, guilt of killing other people, guilt of things done or not done. This launched a program called the Fallen Comrades Ceremony that has been done throughout the country for veterans of all ages and eras.

Veterans Need to Mourn the Deaths of Their Comrades
The source of the gaping hole in our society caused by the aftermath of war is unmourned loss and unforgiven guilt/shame from the deaths of comrades killed in war. The hole this leaves in surviving comrades’ hearts continues to exert its influence throughout their lives until the deaths are acknowledged, honored, mourned, and redeemed. We believe that our civilian society has a responsibility to help heal the Soul Injuries of our nation after war. Soul Injury ceremonies can help restore wholeness to our broken nation; we struggle together to heal the wounds of war.
Opus Peace has developed a Fallen Comrades Ceremony. The resultant service can be a model for other organizations to provide so that our nation can be healed of this gaping wound. If you would like to help heal our nation of the aftermath of war, please consider sponsoring a community event that invites combat veterans to come mourn their fallen brethren. Contact us and we will come help you. Don’t miss this opportunity to heal the aftermath of war in your community. Throughout the United States, there are Fallen Comrades ceremonies taking place. These can be healing to both veterans and their families.
Most VA Medical Centers offer memorial services honoring the veterans who died in their facility annually. These services should be formatted in a ritualized ceremony that acknowledge and promote effective grieving and the ceremony should have a military context. Many VAs provide bereavement ceremonies or events to provide support for the veterans and their families for Memorial Day, Veterans Day, Fourth of July, and other holidays. Community hospices and other long-term care facilities should be encouraged to participate in these events or to hold their own veteran-centric programs.

Active-duty Deaths
The military culture influences both veterans and their families. They may face issues that do not impact the general population. This is also true of veterans and families of loved ones dying on active duty; however, hospice services are not provided to families prior to an active military death. Bereavement care to the surviving family members should follow the above guidelines coupled with standard bereavement guidelines that focus on sudden and violent death.
There are two organizations that are uniquely equipped to provide bereavement counseling and support to active duty personnel, their families, and extended families: Vet Centers and Tragedy Assistance Program for Survivors (TAPS). Vet Centers provide individual, group, and family counseling to all veterans who served in any combat zone. Services are also available for their family members. TAPS is a national non-profit organization that offers extensive peer-to-peer support and education about traumatic death and the active duty military’s specific grief needs. Some hospices partner with these agencies to provide services. Other hospices partner with the Red Cross to offer bereavement services for active military deaths. It is important that Hospice staff receive specialized training in order to perform this task.

You can receive free pamphlets from your closest Dignity Memorial funeral home. Use them to educate Veterans’ families. You can also download the pamphlets below by clicking on them.

Current Link: https://opuspeace.org/wp-content/uploads/2021/07/Dignity-Family.pdf

Link: https://opuspeace.org/wp-content/uploads/2021/07/Dignity-FourFinalLifeLessons.pdf

End-of-Life Care, Hospice , Grief, loss, Transitions , Veterans, First Responders

After a Veteran Dies – Florida Residents

THE FUNERAL – Your first decision may be the most difficult: burial or cremation. Local funeral homes offer both services. Choose your own funeral home or cremation company. They will help you with all the details, such as viewing, religious service, obituary, funeral notice, pallbearers, flowers, music, and shipping, if desired.

NATIONAL CEMETERIES IN FLORIDA – Go to www.cem.va.gov to locate the closest national cemetery to you.

VA BURIAL BENEFITS – Contact VA Regional Office at (800) 827-1000. Note: Additional death benefits may be available for survivors. Questions about eligibility should be made through the VA Regional Office or a County Veteran’s Service Officer.

Reimbursement of Burial Expenses
Death in a VA facility (NSC)	VA will pay up to $300 for burial allowance. VA will pay up to $300 for plot allowance.
Community Deaths	Must file a claim with Veterans Benefit Administration to determine eligibility within 2 years.
Service Connected Deaths	VA will pay up to $2000 for burial allowance.
Service Connected Veterans	VA will pay transportation cost to the nearest National Cemetery VA will pay up to $300 for plot allowance VA will pay up to $300 for burial allowance

CERTIFIED COPIES OF DEATH CERTIFICATES – Copies of the death certificates are usually available within a week to ten days following a death. Your funeral director will advise you on how many to order and will obtain them for you. You may also obtain them from the Health Dept. of Vital Statistics, 4175 East Bay Drive, Largo, FL 33764, (727) 507-4330 ext. 1200. You will need a death certificate for cars, residences, mobile homes (double-wide requires two), stocks and bonds, etc., private pensions, VA insurance (2), and bank accounts (some will accept a certified copy).

SOCIAL SECURITY ADMINISTRATION – Your funeral director should notify Social Security of the death. Death benefits from Social Security are payable to the surviving spouse or dependent children ONLY.

BENEFITS FOR SURVIVORS OF VETERANS

Benefit eligibility for survivors of Veterans is evaluated on a case-by-case basis. However, family members who usually are eligible for benefits include spouses, children, and in some cases, parents. A surviving spouse remains eligible for most monetary survivor benefits as long as they remain unmarried, or remarry after the age of 57. Children may be eligible for monetary benefits until age 18, or 23 if they are attending an approved school. Also, disabled surviving children may be eligible for long-term benefits. Call 800-827-1000 or go to www.vba.va.gov/survivors.

WILLS, POWER OF ATTORNEY, GUARDIANS, PERSONAL REPRESENTATIVE – Power of Attorney and Guardianship cease at the time of death. If there is a will, the personal representative will be in charge of funeral arrangements. Contact your attorney for advice.

INSURANCE – You can now call toll-free if you have any questions or need any service performed on your VA insurance policy. Call 800-669-8477. All insurance companies require a certified copy of the Death Certificate.

SAFE DEPOSIT BOX – Safe Deposit Boxes may be examined by anyone whose name and signature appear on the signature card. You may remove any or all items from the box. If you are not on the authorized signature card, you will need a Court Order to open the box.

VA-ISSUED PROSTHETIC EQUIPMENT – Prosthetic devices such as hearing aids, wheelchairs and hospital beds are issued to our Veterans. To arrange for pickup of equipment, call the hospital’s Prosthetic Department.

Information specific to FLORIDA RESIDENTS:

DONATION OF REMAINS TO SCIENCE– In Florida, remains may be donated to the State Anatomical Board for medical/dental research purposes. VA Burial Benefits may be applied to the cost of required arterial embalming and transportation of the remains to either the Univ. of Florida, Gainesville, or the University of Miami in Coral Gables, FL.

Florida National Cemeteries:

Barrancas National Cemetery
80 Hovey Road
Pensacola, Florida 32508
(850) 453-4108

Jacksonville
4083 Lannie Road
Jacksonville, FL 32218
(904) 358-3510

Bay Pines
10000 Bay Pines Boulevard
Bay Pines, Florida 33744
(727) 398-9426

S. Florida Nat’l Cemetery
6501 South State Road 7
Lake Worth, FL 33449
(561) 649-6489

Bushnell
6502 Southwest 102nd Avenue
Bushnell, Florida 33513
(352) 793-7740

St Augustine Nat Cemetery
104 Marine Street
St. Augustine, FL 32084
(352) 793-7740

Sarasota National Cemetery
9810 State Road 72
Sarasota, FL 34241
(941) 922-7200 or (877) 861-9840

You can receive free pamphlets from your closest Dignity Memorial funeral home. Use them to educate Veterans’ families. You can also download the pamphlets below by clicking on them.

Current Link: https://opuspeace.org/wp-content/uploads/2021/07/Dignity-Family.pdf

Link: https://opuspeace.org/wp-content/uploads/2021/07/Dignity-FourFinalLifeLessons.pdf