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Shawn Jensen was 17 years old and escaping an abusive foster family when he enlisted in the U.S. Marine Corps in 1966. One year later, Shawn was sent to Vietnam, where he faced combat and was wounded twice. By December 1967, Shawn鈥檚 superior infantry skills set him apart and he was trained as a member of the elite Reconnaissance Battalion, where he and a team of seven to eight men were sent on multiple long-range patrols deep into the jungles of Southeast Asia to gather intelligence, often without any reinforcements. Shawn again faced combat, danger, and death, and was repeatedly exposed to Agent Orange. For his service in Vietnam, he earned multiple military awards, including a Purple Heart.

Shawn returned to the United States after 13 months of combat and recon, met and married his wife, Rhonda, and attempted to rebuild his life after the war. After Shawn returned, he began to have flashbacks to times of combat with enemy soldiers as well as experiencing many other symptoms of what we now know as PTSD.

Shawn recognized that something was wrong, and he and Rhonda were trying to get him help for what was then known as 鈥渟hell shock.鈥� Shawn describes his flashbacks as being 鈥渢otally removed from everyone, anything, in an instant, completely immersed, with no ambiguity, fully within a particular combat situation.鈥� Shawn鈥檚 invisible wounds continued to manifest, and in March 1973, while walking alone through the Arizona desert with his guns, he suddenly saw a figure rise up behind a tree and flashed back to Vietnam. Tragically, during this flashback he ended up killing a teenage couple who were out enjoying the Arizona desert. Just over a month prior to their deaths, Rhonda had taken Shawn to the local ER because of his mental health concerns. The ER discharged him describing 鈥渁cute onset flashbacks to Vietnam, recommend psychiatric treatment at VA hospital 鈥︹�� He was awaiting this treatment when he killed the two people who were just a few years younger than he was.

Shawn was given two life sentences for killing the couple and has been locked up in Arizona鈥檚 prisons since 1973. In his first nine years of incarceration, he sought out cognitive behavioral therapy, and obtained two bachelors鈥� degrees, and Shawn and Rhonda celebrated their 50th wedding anniversary last year.

The ACLU National Prison Project first met Shawn in 2011, when he and Rhonda were trying desperately to get him treatment for the prostate cancer that doctors think was most likely caused by his exposure to Agent Orange in Vietnam. Shawn became a lead named plaintiff in Jensen v. Shinn, our decade-long lawsuit to ensure that the nearly 30,000 adults and children in Arizona鈥檚 prisons receive the basic health care and conditions of confinement that they are entitled to under the Constitution and the law. Even after taking on this high-profile role, he struggled to receive care for a recurrence of prostate cancer.

Shawn鈥檚 experience after his military service is all too common. More than , according to the most recent available data, which is a decade old. (Only slightly more recent data from 2016 accounts for almost .) The failure to keep up-to-date records on the number of incarcerated veterans is just another indication of how little care our government shows for people after their military service.

For many incarcerated veterans, involvement in the criminal legal system is a direct result of psychological complications that arose from their service. It was not until 1980, years after Shawn experienced his first flashback, that the psychiatric community formally recognized PTSD. The that 15 percent of Vietnam War veterans experience PTSD, and 11 to 20 percent of veterans of the recent wars in Iraq and Afghanistan experience PTSD.

Over the years, research and science have allowed us to gain a better understanding of PTSD, its impact, and manifestations. We know now that PTSD can result from a traumatic event such as combat. PTSD can be triggered suddenly and can present in a variety of ways, and veterans with PTSD are about than those without it. People with PTSD are also have a substance use disorder, which can also lead to incarceration. In fact, of America鈥檚 war veterans have been arrested or booked into jail 鈥� nearly double the rate among civilians.

There is still a lot to learn about why veterans are overrepresented in prisons and jails. Unlike in 1969, we now know that trauma-informed care, cognitive behavioral therapy, and support systems make a difference. Shawn experienced firsthand the power of working with another Vietnam veteran as a therapist, which allowed for a deeper understanding of his experience. Better access to VA facilities and education about mental health resources are a way to overcome barriers to care. Recovery meetings designed for veterans and active duty service members are another option, now offered virtually. Community-based treatment works for veterans, as , and yields positive outcomes, including .

The damage to the bodies and minds of people like Shawn who fight our nation鈥檚 wars must be acknowledged and recognized by the same political leaders who send them abroad. If, as a nation, we want to honor their service, we should invest in providing community-based treatment to help them heal after their military service, instead of deepening their wounds by incarcerating them. This Veterans鈥� Day, we recognize the almost 10 percent of our nation鈥檚 incarcerated people who once wore our country鈥檚 uniform and fought in our wars, and continue to advocate for the care and support they need.