The first thing I would say is that very often the person who has a psychological injury is the last person to become aware of it. The people who are aware of it first are the family members and very often the veterans who served with them, their friends. We have found cases of people who have had years with a psychological injury and, for example, the wife and the children have all grown up with it and just lived with it. But when the grandchild comes along, the grandchild says, “Well, grandad, why are you always shouting at me? Why are you always angry?” They'll talk to the grandchild differently than with our generation, and they'll say, “Well, maybe I need some help.”
We get quite a number of older veterans coming in for treatment for PTSD who have had it for decades. The family members are the ones who will help bring about the changes. They are key to identifying it. They're key to helping manage it. They're key to helping the treatment program. The specialists guide people, in many cases, and help people identify how to change their lives, but I do believe the family members are critical to it.
The last thing I'll say to you about this is that the real problem for us here, particularly with, for example, our Vietnam veterans, is getting the veterans themselves to accept that they have an issue. That's our biggest challenge--getting them to accept that they need treatment.