WASHINGTON — U.S. Sens. Mark R. Warner and Tim Kaine, a member of the Senate Armed Services Committee, joined a group of Senate colleagues to urge the Department of Veterans Affairs (VA) to prioritize mental and physical health care resources for women veterans who experienced sexual trauma during their service. In a letter to the VA Secretary Denis R. McDonough, the senators urged the VA to remove unnecessary barriers to sexual assault resources and programming, including by increasing the utilization of existing Women Veterans Call Centers, training all health care staff to be well-versed in trauma-informed care, and expanding telehealth options.

An estimated 33% of women veterans experience Military Sexual Trauma (MST), a term used by the VA to refer to sexual assault or harassment that occurs during military service. These veterans are at an increased risk of developing a substance use disorder or experiencing suicidal ideations compared to veterans who do not have a history of MST.

“While the VA has made many improvements over the years, we are concerned that women veterans, specifically those who have experienced Military Sexual Trauma (MST), continue to face barriers to care,” the senators wrote. “While we commend the VA for providing free counseling and evidence-based treatment for women with MST, these services are clearly under-utilized, as only approximately half of female veterans with an MST history use VA healthcare.”

The senators continued, “Once enrolled in VA care, many women veterans with MST report needing to justify and explain their request for treatment to their provider. This experience causes undue stress and places an unnecessary burden on the veteran. To reduce the stigma of seeking care for MST, the VA must educate all providers about the high prevalence and complexities of MST. Staff at all levels of care should be well-versed in trauma-informed care, recognize the signs and symptoms of PTSD and MST, and understand how that impacts trust. This is especially important for women who report MST to military legal officials but experience significant secondary victimization, which often impairs later help-seeking in VA facilities.”

As a member of the Senate Armed Services Committee, Kaine is dedicated to supporting and expanding benefits for our veterans and servicemembers. To improve the care that women veterans receive and address gender disparities at the VA, Kaine introduced, alongside Senators Jon Tester (D-MT) and John Boozman (R-AR), the Deborah Sampson Act. This legislation ensures that women veterans get equitable care and was signed into law in 2021. Kaine has also cosponsored the Vet Center Support Act to provide better identification, intervention, and care to veterans coping with mental health issues in underserved areas.

The letter was led by U.S. Senators Angus King (I-ME) and Patty Murray (D-WA) and signed by 30 senators in addition to Warner and Kaine.

The letter can be found below.

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Dear Secretary McDonough,

Thank you for your hard work and dedication to our nation and its veterans. While the VA has made many improvements over the years, we are concerned that women veterans, specifically those who have experienced Military Sexual Trauma (MST), continue to face barriers to care. Healthcare access for women veterans is a growing area of importance, as women veterans are expected to comprise 18% of the veteran community by 2040. To address this, the VA must increase engagement with women veterans and build trust by enforcing accountability. ¹

About one in three women veterans have experienced MST during their service in the military.² Veterans who have experienced MST may face difficulties with interpersonal relationships, have an increased risk of developing substance use disorder.³ These issues can significantly impact the veteran’s quality of life, make it difficult to successfully transition into civilian life, and increase their risk of suicide. In fact, a recent VA report found that suicide rates among women veterans jumped over 24 percent between 2020 and 2021.⁴ Women veterans with histories of MST, in particular, are at a 65 percent increased risk of suicidal ideations compared with women who have not.⁵

While we commend the VA for providing free counseling and evidence-based treatment for women with MST, these services are clearly under-utilized, as only approximately half of female veterans with an MST history use VA healthcare.⁶ To inform these women of their VA benefits, the VA should consider employing the Women Veterans Call Center (WVCC) to conduct additional outreach tailored to women veterans with MST. Specifically, the VA should look to inform veterans about Vet Centers, which provide essential services regardless of the nature of their discharge.⁷

Once enrolled in VA care, many women veterans with MST report needing to justify and explain their request for treatment to their provider. This experience causes undue stress and places an unnecessary burden on the veteran. To reduce the stigma of seeking care for MST, the VA must educate all providers about the high prevalence and complexities of MST. Staff at all levels of care should be well-versed in trauma-informed care, recognize the signs and symptoms of PTSD and MST, and understand how that impacts trust. This is especially important for women who report MST to military legal officials but experience significant secondary victimization, which often impairs later help-seeking in VA facilities.⁸

The environment in which veterans receive MST care may trigger post-traumatic stress symptoms.⁹ A large percentage of these women veterans anticipate harassment or associate harassment with VA facilities.¹⁰ Female-only waiting rooms for privacy, expanded VA telemedicine capabilities, and additional programming at Vet Centers for women would all work to create a more inclusive environment for women veterans.

Women veterans who have experienced MST already endure so many hardships – let’s work to eliminate any barriers to VA care so they can access the high-quality care that they deserve.

We ask that you answer the following questions:

1. What is the VA doing to reduce social stigmas that prevent veterans from accessing MST treatment?
2. Are women veterans who are ineligible for care at a VAMC informed of their eligibility for treatment at a Vet Center? If so, how are they informed?
3. What research is the VA currently conducting or planning to conduct to understand and prevent women veteran suicide, especially amongst younger and older veterans?
4. What additional resources and care are provided to women veterans who respond “yes” when being screened for MST?
5. Since launching the “Don’t Wait. Reach Out.” campaign in 2021, how many of the 2.8 million veterans who were made aware of the campaign and reached out for help were women?Sincerely,

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