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Humber Traumatic Stress Service

Humber Traumatic Stress Service. Working with the psychological trauma of veterans. HTSS team. Clinical Psychology Occupational Therapy Specialist Nurses Psychology Assistant Admin ‘Extended team’ networks with military . Model of Care. Based on Judith Herman model Stabilisation

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Humber Traumatic Stress Service

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  1. Humber Traumatic Stress Service Working with the psychological trauma of veterans

  2. HTSS team • Clinical Psychology • Occupational Therapy • Specialist Nurses • Psychology Assistant • Admin • ‘Extended team’ networks with military

  3. Model of Care • Based on Judith Herman model • Stabilisation • Processing • Reintegration Outcome measures

  4. National Initiatives • Pilot site evaluation December 2010 • Armed Forces Networks • IAPT initiatives • Growth of charity sector • Murrison report ‘Fighting Fit’ August 2010 • Report from Centre for Mental Health ‘Across the Wire’ October 2010

  5. Key recommendations • 10 recommendations in ‘Across the Wire’ including research, NHS provision and challenging the stigma of mental health • Murrison report recommendations include increasing the number of mental health professionals, community outreach work and support for veterans and their families

  6. Armed Forces Covenant • Future actions from the Covenant Task Force report 2011 • Mental health wellbeing website • Building greater focus on mental health into routine service and discharge medical examinations • Improve information to GPs on available help for reservists • Service medical professionals in NHS bodies • Healthier approach to alcohol

  7. Mental Health Activity • DASA statistics for 2009 • 4,482 new attendees assessed • 3,103 diagnosed with mental disorder • Rates for females higher than males • Rates for Army personnel higher than RAF, Navy and Marines • Rates for other ranks higher than officers

  8. Mental Health Activity cont. • Main presenting problems identified • Adjustment disorder • Depression • Anxiety • Alcohol misuse

  9. Referral process - HTSS • Veterans • Civilians • Team assessment and management • OT within the team • Partnership working • Consultancy

  10. HTSS data – October 2009 to May 2011 • 128 referrals • Of these 33 military, majority Army • Of military 3 to OT

  11. Occupational Therapy • Unique role and skills within the team • Using core skills • Complete OT assessment following referral to identify needs • Sense of self, identity • Roles and responsibilities • Occupation and activity • Lifestyle adjustment and adaptation • Physical health and the battle injured

  12. Service development • Continued networking • Dual diagnosis placement • Physical activity project • Female veterans research • Family support group • Outreach clinic • Armed Forces Networks • Compassionate Mind Training

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