She points out that COs are a uniformed group who traditionally do not get a lot of attention yet they are a branch of service who often suffers from high substance abuse rates, PTSD, depression, and suicide. Caterina Spinaris, founder of Desert Waters Correctional Outreach and an expert on correctional research and who coined the term "correction fatigue," found that more than one third of COs suffers from PTSD. (The rate for military veterans is about 14%.)