National Guard Veterans and Substance Abuse

The National Guards of the Army and Air Force usually train one weekend per month with one 2-week training period per year. However, they and other members of the Reserve Component may be called to duty at any time. These servicemembers are impacted by the same issues as those in the active-duty military, such as substance abuse and mental illness.

Substance Abuse and Mental Health

Soldier's back

While some people may mistakenly believe that substance abuse and mental health issues are not a problem for the National Guard or the Reserves because they may not be deployed as often or as long as active-duty military, the truth is that Guardsmen and reservists struggle with the same problems as other military personnel.1,2 In fact, not being deployed is associated with mental health problems among Army Reserve and National Guard soldiers. Nondeployment is also linked to negative emotions, which are associated with an increase in alcohol use.1

The likelihood of deployments among members of the Reserve Component has risen significantly since the start of the wars in Iraq and Afghanistan, and now multiple and longer (over 1 year) deployments are much more common.3

Among those who do get deployed, the risk of alcohol abuse may also increase. One study of Ohio Army National Guard (OARNG) soldiers found that close to 12% of the soldiers studied abused alcohol after a deployment. Of these, 34% reported being depressed during and/or after deployment, and nearly 33% screened positive for post-traumatic stress disorder (PTSD).4

For members of the Reserve Component, a low level of deployment preparedness and deploying without one’s normal unit can be harmful.2

Low Deployment Preparedness

Not being well-prepared for deployment is associated with higher rates of PTSD. Unfortunately, the Reserve Component tends to receive less training than the Active Component, and this puts them at risk of suffering mental health problems.2

Not being prepared for deployment includes issues such as:2

  • Not having all the necessary supplies and equipment.
  • Having equipment that does not function properly.
  • Not getting the proper training on how to use equipment.
  • Not being adequately prepared for what to expect during deployment.

Those with lower deployment levels have a risk of PTSD up to 6x higher than those with greater preparedness levels.2 PTSD in veterans is commonly associated with other mental health issues including:3

  • Depression.
  • Drug and alcohol abuse.
  • Anxiety disorders.

PTSD in veterans is also linked to unhealthy behaviors and general physical health problems. PTSD can also result in brain changes that impair memory and learning.3   

Signs of PTSD include:5

  • Reliving the traumatic event in your mind. This may be in the form of nightmares or flashbacks and may be triggered by smells, sounds, sights, or other things that remind you of the trauma.
  • Avoiding reminders of the traumatic event. This could mean refusing to go certain places or see certain people that make you remember the event. You might even avoid having free time by working a lot just to keep your mind busy.
  • Experiencing negative changes in your mood, beliefs, or thoughts. You may start to shut people out and may start to believe the world is a dangerous place.
  • Hyperarousal. This means feeling on edge or keyed-up. You might have trouble sleeping or concentrating and may startle at things like loud noises.

Deploying without One’s Regular Unit

One study found that being deployed without your usual unit is linked to a greater risk of binge drinking, defined by the study as having 6 or more drinks per day.2 Other factors also play into the risk of binge drinking, including:2

  • Having a lower rank.
  • Never having been married.
  • Being Caucasian.

Even those who had high levels of deployment preparedness had an elevated risk of mental health issues if they were deployed without their regular unit.2

Alcohol Problems Among National Guardsmen

Veteran with drink

Members of the Reserve Component have been found to have high rates of heavy drinking, binge drinking, and other alcohol-related problems.2

If you’re worried about the escalation of your alcohol use and think you might be an alcoholic, ask yourself the following:6

  • Do I drink more or more often than I mean to?
  • Have I tried to cut back on my drinking and failed?
  • Do I spend a lot of time drinking or being hungover?
  • Do I crave alcohol?
  • Does drinking stop me from taking care of my family, professional, or academic duties?
  • Have I given up activities I like just to drink?
  • Do I get into risky situations when I drink, e.g., do I drive drunk?
  • Do I drink despite my alcohol use causing relationship problems?
  • Do I drink even though it makes a mental or physical health problem worse?
  • Do I need more and more alcohol to become intoxicated?
  • Do I have withdrawal symptoms, such as shakiness, insomnia, nausea, and sweating, when I try to cut back?

If you’re answering yes to any of these questions, your drinking may have gotten out of your control. The more questions you answer yes to, the more severe the problem may be.6

Treatment Challenges for National Guard Veterans

Unfortunately, most National Guard personnel receive treatment outside the VA, in settings where military challenges, such as combat PTSD, may not be as well understood. This means that their PTSD may be misdiagnosed or left untreated. In many cases, the treatment staff may only focus on other issues such as alcohol abuse or the psychological aftermath of an injury instead of treating all the problems in an integrated manner.7

At Desert Hope, we specialize in treating co-occurring disorders, which refers to addiction and another mental health disorder, or disorders. We know simply treating one problem and ignoring another leaves you at risk.

National Guard Substance Abuse Program at Desert Hope

American flag with sunlight

In our Salute to Recovery program, we work with military veterans to help them overcome issues with substance abuse by treating not only the addiction but PTSD or other mental health issues common to veterans.

Our program designed specifically for veterans takes into account the issues that impact you. In the program, you will live with and go through treatment with other veterans and first responders who know what you’ve been through. You won’t have to struggle to explain your background those who just don’t get it. Those you spend time with in the program will be your “battalion”—a group you can connect with in and out of treatment.

Desert Hope is a VA-approved community care provider, which means that if you are eligible to receive community care through the VA, you’ll pay the same rate you would through the VA. You will need to obtain VA approval prior to entering the program.

If you’re ready to get back on your feet today, give us a call at . We are ready to serve you.


  1. Hoopsick, et. al. (2018). Alcohol Use Among Never-Deployed U.S. Army Reserve and National Guard Soldiers: The Effects of Nondeployment Emotions and Sex. Alcohol Clin Exp Res., 42(12):2413-2422.
  2. Robert J Ursano, MD, USAF (Ret.), Jing Wang, PhD, Carol S Fullerton, PhD, Holly Ramsawh, PhD, Robert K Gifford, PhD USA (Ret.), Dale Russell, PhD USA (Ret.), Gregory H Cohen, MSW, Laura Sampson, Sandro Galea, MD, MPH, DrPH, Post-deployment Mental Health in Reserve and National Guard Service Members: Deploying With or Without One’s Unit and Deployment PreparednessMilitary Medicine, Volume 183, Issue 1-2, January-February 2018, Pages e51–e58.
  3. Henderson, L.A, BSN1 and Burns, C., PhD, ARNP. (2015). Posttraumatic Stress Disorder in Reserve Veterans: Important Reintegration Considerations for the Occupational Health Nurse. Workplace Health & Safety, 63(1), 27–32.
  4. Marshall, et. al. (2012). Coincident posttraumatic stress disorder and depression predict alcohol abuse during and after deployment among Army National Guard soldiers. Drug and Alcohol Dependence, 124(3), 193–199.
  5. U.S. Department of Veterans Affairs. (n.d.). PTSD Basics.
  6. National Institute on Alcohol Abuse and Alcoholism. (n.d.). Alcohol Use Disorder.
  7. Gewirtz, A. H., Polusny, M. A., DeGarmo, D. S., Khaylis, A., & Erbes, C. R. (2010). Posttraumatic stress symptoms among National Guard soldiers deployed to Iraq: associations with parenting behaviors and couple adjustment. Journal of consulting and clinical psychology78(5), 599–610.


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