PTSD Awareness Story

steve adams relaxes for a photo

Steve Adams Recounts His Personal Experiences with PTSD

“I always have to have my back to the wall and my eyes on the door.  I’m always alert in any situation, but I’m getting better with that through counseling,” said Steve Adams, City Mission’s Manager of Veterans Services and a Desert Storm veteran who experiences symptoms of Post-traumatic Stress Disorder (PTSD).  

In Desert Storm, Adams was in the thick of multiple firefights, including the Highway of Death, a two-day bombing of enemy forces along a stretch of highway between Kuwait and Iraq.

“I existed in a situation where my base survival instincts were needed at all times,” he explained.  “I was in a hostile territory, never knowing if the enemy was just around the corner.  Then I came home, and I couldn’t shut it off.”

A symptom of PTSD known as hyper-vigilance makes combat veterans feel constantly on edge or “keyed-up.”  Many who suffer from PTSD have difficulty relaxing and enjoying everyday life.  They struggle to sleep, so they are always exhausted, and they have difficulty maintaining work performance or building relationships.   It creates a paradox for the combat veteran, because the very thing that kept them alive during their deployment, is now making it difficult to function post-deployment.

At City Mission’s Crabtree-Kovacicek Veterans House, Adams works with homeless veterans, including many who suffer with PTSD or struggle to assimilate into society after their service has ended.  

A symptom of PTSD known as hyper-vigilance makes combat veterans feel constantly on edge or “keyed-up.”  Many who suffer from PTSD have difficulty relaxing and enjoying everyday life.  They struggle to sleep, so they are always exhausted, and they have difficulty maintaining work performance or building relationships.

“We make sure a guy knows he’s safe here. If he needs a meal, we get him a meal.  If he needs clothes, we get him clothes,” said Adams.  “And I share my story with them.  And my story is their story.”  

As a combat veteran and someone who struggles with PTSD himself, he is uniquely qualified to help homeless veterans, and the Veterans House is specifically designed to address the unique needs of homeless veterans.

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“A veteran is much more willing and able to talk to another veteran than they are to talk to anybody else,” he said.  Adams works to create a customized program, tailor-fit for whatever each veteran is going through.  He listens, provides resources, and connects them to the services that meet each unique need.

Additionally, Adams has developed many contacts and connections with veteran organizations over the years.  The Vet Center, a counseling service within the Veterans Affairs organization, is a good example.  

“The Vet Center is a wonderful resource.  Most people don’t even know it exists,” he said.  The Vet Center even has a presence on the City Mission campus.  They set up in City Mission’s medical clinic and provide counseling sessions to residents.   “The Vet Center has been a wonderful source of help for me,” he added, and for the residents who seek help there as well.  

Veterans Affairs (VA) defines PTSD as, “the development of characteristic and persistent symptoms along with difficulty functioning after exposure to a life-threatening experience or to an event that either involves a threat to life or serious injury.”

Symptoms of PTSD vary greatly from person to person and may appear slowly over time, but they are often filed into 4 separate categories.  First, veterans may have flashbacks where they relive the traumatic over and over in their minds.  Second, they go out of their way to avoid people, places, situations, and experiences that remind them of the event.  Third, they tend to have more negative feelings than before.  Fourth, they always feel on edge.  

In her article, PTSD Treatment for Veterans for the National Center for BioTechnology Information, Miriam Reisman explains that PTSD affects about eight million adults in the US in any given year and as many 500,000 US veterans who served in Iraq and Afghanistan alone.  

Many veterans who experience PTSD also experience other simultaneous mental health problems like depression, anxiety, or drug and alcohol abuse.  In fact, Reisman cites statistics showing that 74% of Vietnam veterans with PTSD also have a substance use disorder.

Supporting a loved one with PTSD can be very difficult. Carl Castro, Sara Kintzle, and Anthony Hassan state in their article, The Combat Veteran Paradox that combat veterans with PTSD experience paradoxes that make it difficult for them to communicate openly with their loved ones and difficult for their loved ones to understand how to support them.  Combat veterans feel strong and courageous, but they are often afraid of being viewed as weak, so they avoid seeking help.  In one sense, they feel invincible and are unafraid of death, but on the other hand they stay on high alert, because they feel constantly vulnerable.  These are just a few of many examples.

These paradoxes send mixed messages to loved ones and create confusion.  If you have a loved one who struggles with PTSD, Adams warns that there is no simple answer for how to best support them, because every situation is so different.  “It’s important to know,” he said, “that the way we work with veterans is very different from how you’d work with civilians with PTSD.”  But he does advise, ““You don’t want to push them to talk.  Set yourself up as someone who cares and wants to listen. That way they know you’re not a threat.”

Most likely, someone with PTSD will not just come out and tell you what is going on or what they need.  You have to build that trust over time by looking for subtle changes in behavior and responding with patience and compassion.

It has been 30 years since his combat experience, but Adams still struggles to find peace.  Just four months ago, he almost drove off the road and into a barrier because of loud construction noises just outside his car window.  But through counseling at the Vet Center and a lot of inner work, he gets a little better every day.

June 26, 2020
Gary Porter - Communications Manager
Gary Porter
Communications Manager
Gary has been with the mission since 2017. He writes many of our resident stories, getting to know many of them and seeing their transformations at the mission from the start.
gporter@citymission.org

Recent Articles

Understanding the Barriers to Employment

Resident in the CTEC
June 13, 2025

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These basic steps pave the way toward employment—because sometimes, getting to a job is the first job.The Weight of Physical and Mental Health ChallengesEmployment requires more than just skills—it requires the physical and emotional stamina to work consistently. For many experiencing homelessness, untreated health conditions can be a major roadblock.Some residents come to City Mission after being discharged from hospitals with no place to go. Others have lived with chronic illnesses for years, unable to afford regular care or medications. Physical disabilities or workplace injuries may prevent them from returning to the jobs they once held.Mental health is also a critical part of the picture. Depression, PTSD, anxiety, or addiction can all make it difficult to maintain employment. And when these conditions are left untreated—as they often are among the homeless population—they can become overwhelming.Several years ago, we had a resident named Randy, who suffered from PTSD as a result of his military service. In his younger years, he had self-medicated with alcohol, but after a horrific car accident, while under the influence, nearly cost him his life, he swore to himself that he would maintain sobriety, which he managed successfully for twenty years. Randy was a very hard worker and had worked consistently since graduating from high school, but he had still been homeless off and on for most of his life. He knew that stress at work was a key trigger for his alcoholism, so whenever things got stressful, he would move onto another job. He switched jobs every few months in order to maintain his sobriety, so he never really stayed anywhere long enough to gain higher wages or health benefits. 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But when someone starts to believe they have something to offer the world again—that’s when true transformation begins.Gaps in Education and Work HistoryAnother common barrier to employment is a lack of education or gaps in a person’s résumé. Many of our residents never completed high school. Others have spent years out of the workforce due to incarceration, disability, or family crises.In today’s job market, even entry-level positions often require digital literacy, problem-solving skills, and a history of stable employment. Without these, people facing homelessness often find themselves excluded from opportunities before they even get a chance to apply.City Mission addresses this challenge through our Career Training and Education Center (CTEC), which provides GED prep, digital literacy classes, job skills training, and certification programs. 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A Remarkable Transformation

Fire Shoes
June 9, 2025

Ten years ago, on June 9, 2015, a devastating fire tore through City Mission’s campus, destroying the chapel, kitchen, dining hall, medical clinic and men’s dormitories. In that time of loss and extreme need, the community rallied to support City Mission in extraordinary ways. Donations poured in: monetary gifts, food donations, clothing donations for City Mission residents who had lost all their possessions in the fire. It was a remarkable show of support that laid the groundwork for an unprecedented transformation of the City Mission campus. This morning, City Mission hosted a chapel service at The Porter Pillow and Peggie Beaver-Pillow Chapel for its residents and employees. The event included a short video highlighting the effects of the fire and the transformation that occurred over the last ten years. City Mission Director of Residential Programs, Leah Dietrich, added remarks about the restorative and healing power of God. “While many people may not have been fully aware of the Mission’s work, the day of the fire brought significant attention to the shelter across our region,” said President/CEO, Diana Irey Vaughan. “The outpouring of initial support validated former President/CEO Dean Gartland’s vision of expanding services and developing the campus into a holistic resource for addressing the complex challenges faced by individuals experiencing homelessness. With each phase of growth, our donors have played a crucial role in turning that vision into reality.” Because of the community’s foundational support after the fire and continued partnership over the past ten years, City Mission has been able to expand remarkably and give back to the community in extraordinary ways: • Increased shelter capacity from 96 to 174 beds • Built a commercial-grade kitchen (2017) that served 84,912 meals to residents and the community last year • Opened the Ansys Career Training & Education Center (2017), which helped 129 individuals obtain jobs last year • Launched the Crabtree-Kovacicek Veterans House (2018), a 22-bed shelter for homeless veterans • Built the City Mission Medical Clinic, which was able to provide 14,319 medical services in 2024 • Expanded the Women with Children Center (2018), offering 11 fully furnished apartments with on-site childcare • Opened Sally’s House (2022), a 15-bed shelter for single women in the Next Step program. • And this September 2025, City Mission plans to open a new 50-bed Women’s Shelter—a sanctuary of healing, hope, and fresh starts. The opening of this facility will raise our total bed capacity from 174-210. • In 2024, 150 individuals successfully moved out of City Mission and into independent living, moving from homeless to hopeful “I am deeply moved by the outpouring of love and support from our community,” said Vaughan. “Time and again, our donors’ generous spiritual and financial support has ensured that we never faltered in our mission to provide food, shelter, and hope to those in need. Our doors have remained open, the tables have remained full, and hearts have remained uplifted.”

Eagle Scout Fundraiser

Noah Hickman
April 30, 2025

Noah Hickman is a Freshman at Canon-McMillan High School. He loves playing sports, creating online videos, and volunteering with his family and his church. Noah is a member of Boy Scout Troop 1313 in McMurray and is currently working to attain the rank of Eagle Scout, the highest achievement a Boy Scout can attain. As part of this process, Noah is planning, organizing, and leading his Scout Troop in a community service project to benefit the residents of our Crabtree Kovacicek Veterans House. “This project will support citizens of the United States who once risked their own lives for our freedom,” Noah explained, “but who currently are not in the best times of their lives and need our help.” Noah has been in the Boy Scouts since he was in sixth grade, and before that, he started with the Cub Scouts in first grade. “My favorite thing about the Boy Scouts,” Noah said, “is that it’s all scout-run. The scouts run the meetings and decide what projects to work on. The scouts also keep you busy with things that seem hard at first but are worth it in the end. And you learn something through that. You get life experiences that you probably wouldn’t get anywhere else.” Noah and his Scout Troop have officially launched their project, which will run throughout the summer. In addition to volunteering on our campus, they are leading a donation drive and a fundraiser to support our homeless veterans. If you’d like to partner with the Boy Scouts in helping our veterans, you can go here to donate items that our veterans need while staying at the Mission: https://sites.google.com/view/eaglescoutamazonwishlist/home You can go here to support the Boy Scout’s project by donating financially to our veterans program: https://interland3.donorperfect.net/weblink/weblink.aspx?name=E333819&id=33 We are so grateful for Troop 1313’s compassion and commitment, and we are inspired to see the younger generation rise up and join the battle against homelessness, addiction, and poverty. “It makes me so happy to see the next generation getting involved with helping the homeless,” said City Mission Director of Residential Programs, Leah Dietrich. “It takes families to invest in their children so their children will learn to invest in their community.” From the bottom of our hearts, thank you Noah Hickman, Boy Scout Troop 1313, and everyone who responds to their call to support our ministry!

A Rising Concern

Resident outside of City Mission
March 17, 2025

In recent years, a startling trend in homelessness has surfaced, and it’s hard to ignore. An increasing number of older adults are finding themselves without a home. In 2024, according to the Department of Housing and Urban Development’s Annual Homelessness Assessment Report, overall homelessness in the United States reached unprecedented levels, spiking by 18% compared to the previous year. Alarmingly, about 20%—or one in every five—of those facing homelessness are aged 55 and older. “Here at City Mission, we’re seeing an increase in older adults,” said City Mission Director of Residential Programs, Leah Dietrich, “and we have seen it rise over the past 10 years. Over the last few years, we’ve seen an even faster pace of growth.” Within the past year, 98 individuals aged 55 and over came through our doors as residents, which is approximately 1/3 of our overall resident population. But this rise in homelessness among older adults isn't just a statistic; it's a reflection of deep-seated issues that require immediate action. As we look deeper, the data tell a story of vulnerability, resilience, and a pressing need for change. Why Are Older Adults Becoming Homeless? The rise in homelessness among older adults is driven by a combination of complex factors. First, according to the Joint Center for Housing Studies of Harvard University, the US population aged 65 and over soared by 34% over the last decade, and our country is simply not prepared to provide housing, services, and care for this surging population. Additionally, many in this age range are on fixed incomes, which do not match the escalating cost of living, particularly healthcare and housing expenses. Research from the Joint Center for Housing Studies of Harvard highlights that the cost of long-term care is unaffordable for many seniors, and mortgage debt continues to burden an increasing number of older homeowners—30% of those aged 80 and over still have outstanding mortgages. Also, the median mortgage debt amount for older adults has skyrocketed more than 400% since 1989. “One of the challenges that lead older adults to come to us is lack of family support,” explained Dietrich. “Some have gone through a divorce later in life or have lost a loved one. They might need help managing their medications or taking care of everyday tasks. When their family member or support person leaves or passes away and they have no one left to help them, it can be overwhelming.” “Some of our older residents, who have worked their whole lives in trades, develop chronic health conditions or sustain injuries so they can no longer work,” added Dietrich. “They end up on a fixed income that simply can’t keep up with rising rent, taxes, and utility costs. One emergency or unexpected expense can lead to homelessness.” Social factors further complicate matters. Aging can lead to isolation from community and familial networks, worsened by physical mobility issues or chronic health conditions. This isolation makes older adults particularly susceptible to economic shocks and social withdrawal, which can ultimately lead to homelessness. “Older adults can lose their sense of community,” Dietrich added. “They can become disconnected or isolated due to divorce, loss of a loved one, loss of transportation, or loss of their work community. It’s important for us to restore their sense of community. We become the family they need to help them navigate an ever-changing world.” Do Not Cast Me Away When I Am Old Scripture urges us to honor and protect our older adults. Psalms 71:9 resonates deeply, reminding us: "Do not cast me away when I am old; do not forsake me when my strength is gone." This scripture highlights our responsibility to ensure the dignity and well-being of the elderly, affirming that they receive the support they need. The Bible consistently advocates for respect towards the elderly, as seen in Leviticus 19:32, which instructs, "Stand up in the presence of the aged, show respect for the elderly and revere your God. I am the Lord." We are called to be the hands and feet of God to provide care, support, and ncouragement. Through our actions and community efforts, we can embody the biblical ethos of support and respect for our elders, creating a nurturing environment that honors their contributions and upholds their dignity. Compassionate Care and Life-Changing Programs Addressing homelessness among older adults demands a comprehensive strategy that encompasses both immediate relief and long-term solutions. At City Mission, a Christ-centered rehabilitative shelter, we commit to transforming lives through a range of services including food, shelter, medical services, case management, Biblically-based counseling, and life-changing programs. Our approach is holistic, aiming to restore individuals fully by expressing God’s love in every action. Our goal is clear: to assist each person who comes to us in moving from crisis to stability. Through our extensive services and community resource connections, we strive to ensure sustained recovery and independence for every individual we serve. “We work to find community opportunities for our residents,” Dietrich said. “We know what resources are available and have the ability to connect them to what they need. They are looking for a sense of purpose and connection, and we can provide that.” Right now, we are focused on helping our older adults improve fitness, mobility, and overall health. Every weekday at 12:45, our staff hosts chair exercise sessions to help older adults learn to be active again. Cindy Newman, our Manager of Medical Services, helps our older adult residents navigate through issues associated with chronic health conditions, by helping them manage medications, embrace a healthier diet, make appointments with specialists, and understand the impact a diagnosis can have on their everyday lives. For our older adult residents, we are also focused on offering financial training and digital education. Volunteers come to the Mission regularly to provide budgeting classes and to answer in-depth questions that help our older residents feel confident making decisions that will restore them to independent living. We also offer computer training that helps older residents feel safer online and builds confidence as they navigate online banking, book medical appointments, and rebuild relationships with estranged friends and family, online at first, which can springboard into meaningful and fulfilling reconnections. “Our youngest residents and our oldest residents break my heart the most,” said Dietrich. “No 19-year-old and no 90-year-old should be homeless. People who outlive their family members who were taking care of them and now are without a home and a support system -- we have to do everything we can to help them!” How You Can Help City Mission City Mission remains steadfast in its commitment to helping older adults regain stability and dignity. Here’s how you can contribute to this cause: • Donate: Financial contributions support critical services such as healthcare, shelter, education, and food. • Volunteer: Your time is a valuable asset. Assisting with daily operations or engaging directly with residents can make a significant difference. • Advocate: Raise awareness about the challenges faced by homeless older adults. Sharing information, educating others, and advocating for policy changes are powerful ways to help. Join City Mission in the Fight Against Homelessness Addressing homelessness among older adults in Washington, PA, requires a committed and collective effort. By engaging in immediate actions, supporting long-term solutions, and educating ourselves and our community, we can effect meaningful change. Let’s unite to build a supportive and inclusive environment for every member of our community, reflecting the biblical principle of extending a hand to those in need, just as we are guided by our faith to support and uplift each other in times of need. Join us in making a difference. You can also send donations to the following address: 84 W. Wheeling Street, Washington, PA 15301. For more details on donations or if you have any questions, feel free to call us at (724) 222-8530.

Thank you, Cub Scout Pack 1313

Cub Scouts Pack 1313 at City Mission's Crabtree Kovacicek Veterans House
March 14, 2025

Thank you to the Arrow of Light scouts of Pack 1313 in McMurray! We are so grateful for their generosity and hard work in supporting the homeless veterans at City Mission! This amazing group of scouts, made up of 8 fifth-grade boys planned and organized a community service project for the Mission as part of their citizenship adventure. They reached out to us to find out what items we need. Then, they worked together to create a plan to fundraise enough money to purchase all the items on our needs list. They set a fundraising goal of $500 and decided to create a video to get the word out. They wrote their own script and enlisted help from the Lions (Kindergarten scouts) to assist in making the video and raising funds. "City Mission holds a special place in our hearts as we have volunteered there for many years," said Jenna Mallegol of Cub Scout Pack 1313. "The scouts wrote the script for the video themselves, and the parents sent it out via social media." The response to their fundraising efforts was overwhelming, and they were able to raise more than six times their initial goal! In total, they raised $3,200. With that money, they purchased everything on our needs list and more: clothing for 30 veterans, toiletries, snacks, and coffee. They also purchased pizza for a pizza party with our veterans. And they had enough left over to make a very generous $2,000 donation to City Mission! Thank you, Pack 1313, for showing what kindness, leadership, and teamwork can accomplish to make the world a little brighter place. Your support means so much to City Mission and the veterans we serve.

A Year of Hope and Progress

Sally's Sanctuary under construction
February 27, 2025

A Year of Hope and Progress: Reflecting on 2024 at City Mission As we close the chapter on 2024, we are filled with gratitude for the incredible strides we’ve made together. This year has been marked by hope, progress, and an unwavering commitment to our mission of serving the homeless and vulnerable in our community. Thanks to the generosity of our donors, the dedication of our staff, and the resilience of our residents, we have achieved milestones that will have a lasting impact for years to come. Breaking Ground on New Beginnings A major highlight of 2024 was the groundbreaking of Sally’s Sanctuary, our new 50-bed shelter for homeless women. This project, years in the making, represents a significant step forward in our mission to provide safe, supportive spaces for those in need. We also celebrated the completion of the Finish Strong Campaign, which enabled us to finalize the New Market Tax Credit and move forward with this critical project. This achievement is a testament to the dedication of our donors, staff, and community partners, who continue to make our work possible. The year also brought a transition in leadership. We welcomed our new President/CEO, Diana Irey Vaughan, whose vision and passion have already brought fresh energy to City Mission. At the same time, we bid farewell to Dean Gartland and Sally Mounts, two extraordinary leaders whose decades of service have left an indelible mark on our organization. Their legacy will continue to inspire us as we move forward. Community events like Gather & Give and Sweet Sunday, which saw record-breaking participation, reminded us of the incredible power of community. Of course, the year was not without its challenges. Balancing the demands of a capital campaign with our day-to-day operations required careful planning and difficult decisions. But thanks to the dedication of our staff and the generosity of our donors, we are confident that the steps we’ve taken will set us up for a strong and sustainable future. Key Achievements in 2024 In 2024, City Mission’s programs and services provided hope, healing, and a pathway to independence for many individuals. Here are some of the key achievements that made the year so special: • Meals: Our Food Service team served 84,912 meals, valued at over $211,430, to residents and community members in need. • Career Training and Education: Through the ANSYS Career Training and Education Center (CTEC), residents gained the skills and certifications needed for sustainable employment. In 2024, we celebrated: o 129 jobs obtained o 498 ID cards issued o 1,898 certifications earned • Medical Services: Our Medical Clinic provided 14,319 services, including 647 physician visits and 978 health screens, ensuring residents had access to critical healthcare. Partnerships with organizations like Centerville Clinics allowed us to offer comprehensive care, empowering residents to take control of their health. The success of these programs is reflected in our HEIRS success rates for residents who stayed 90+ days: • Men: 57% overall success rate • Women: 72% overall success rate • Women with Children: 57% overall success rate (with a 100% housing success rate) • Veterans: 88% overall success rate Celebrating Transformation Through Divine Grace Stories like Herman’s, who found stable employment and housing after entering our men’s program, and Krystine’s, who overcame addiction and became a leader in our women’s program, remind us of the transformative power of God’s work through City Mission’s in 2024. These stories are not just successes; they are testimonies to the miraculous impact of faith and God's grace in action. Join Us in Shaping the Future of City Mission As we look ahead, we are filled with hope and determination. The completion of Sally’s Sanctuary in July 2025 will mark a transformative milestone in our mission to serve homeless women with dignity and compassion. This state-of-the-art facility will provide a safe, welcoming space for women, but it is just one part of our broader commitment to addressing homelessness in all its forms. From providing meals and medical care to offering career training and addiction recovery programs, City Mission continues to serve individuals and families in need. Our work extends beyond shelter—it’s about restoring dignity, fostering independence, and building brighter futures. But our work is far from over. We still need your help to fully fund Sally’s Sanctuary and continue providing essential services to those who rely on us. Whether through donations, volunteering, or spreading the word, your support makes all the difference. For more information on how you can get involved, visit our Ways to Help page or call us at 724-222-8530. If you or someone you know needs assistance, please reach out to our support team.