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THERAPISTS’ CONFERENCE 5 TH FEB 2011. www.ptsdresolution.org. TOP DOWN. FIGHTING FIT – a report by Dr MURRISON, August 2010 King’s Centre for Military Health research 15 year report – September 2010 Across the Wire -Centre for Mental Health report October 2010

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  1. THERAPISTS’ CONFERENCE 5TH FEB 2011 www.ptsdresolution.org

  2. TOP DOWN • FIGHTING FIT – a report by Dr MURRISON, August 2010 • King’s Centre for Military Health research 15 year report – September 2010 • Across the Wire -Centre for Mental Health report October 2010 • Meeting the Health Care Needs of Veterans – a guide for GPs by RCGP, RBL, CS

  3. FIGHTING FIT (1) – a report by Dr MURRISON, August 2010 • Any provider that can deliver against NICE guidelines and Care Quality Commission (CQC) standards should be considered in accordance with the precepts of The Big Society. • Follow-up and management should be as close to home as possible. • Stigma deters Servicemen from engaging with conventional mental health provision.

  4. FIGHTING FIT (2) – a report by Dr MURRISON, August 2010 Recommendations: • MHT embedded mental health professionals will undertake community outreach work in order to discover cases and refer appropriately toother professionals and ex-Services organisations. • The partnership agreement with Combat Stress is to ensure that resources and activity are deployed in a cohesive way. • Government takes a lead in drawing together the principle partners to ensure that money is spent in a coordinated and effective manner.

  5. King’s Centre for Military Health research 15 year report – September 2010 • PTSD is not the most prevalent mental health problem in the Armed Forces • Depression and alcohol misuse are commoner. • There is no significant increase in mental health problems such as, but not restricted to, PTSD. • Stigma of mental disorder remains the single greatest barrier impeding those who need help from seeking it

  6. Across the Wire -Centre for Mental Health report October 2010 • IAPT must continue, be responsive to the needs of Veterans, and have the care pathways in place to refer to specialist mental health trauma services when necessary, including those offered by the private and voluntary sectors. • Mental health treatment for veterans must be evidence-based. Providers to be regulated to ensure that the most vulnerable veterans are not subject to non-validated or unproven interventions. Guidance from NICE is vital to underpin this, supported by assertive inspection by the Care Quality Commission.

  7. Meeting the Health Care Needs of Veterans – guide for GPs by RCGP, RBL, CS • If military experience appears to be a likely exacerbating factor, advice from and referral to specialist help is available if needed. • All veterans on operations since 1982 who have mental or physical problems which may be linked to military service can be assessed by the Medical Assessment Programme (MAP), run by Dr Ian Palmer at St Thomas’ Hospital. Cont…

  8. Meeting the Health Care Needs of Veterans – guide for GPs by RCGP, RBL, CS • Additionally, the MoD and NHS have jointly piloted six regional Community Veterans Mental Health Centres a.k.a. mental health networks, in association with RBL and CS, which are reconfiguring into a long-term structure.

  9. Six regional Community Veterans Mental Health Centres • Camden and Islington (London), • Cardiff (Wales), • Cornwall (Southwest). • Lothian (Scotland), • Stafford (Staffs/Shropshire), • Tees, Esk and Wear Valleys (Northeast). AND • Reserves Mental Health Programme based near Nottingham.

  10. AND: • Army Recovery Centres, (Spring 2011) (MOD, RBL, CS, H4H): Colchester, Catterick, Tidworth, Edinburgh • Armed Forces Welfare Pathway Centres – Kent, Hants, Wigan, Fife • Armed Forces Employment Agency – Glasgow, Manchester, Birmingham • Service Personnel and Veterans Agency – 5Veterans Centres: Blackpool, Kidderminster, Gosport, Gloucester, Glasgow • Combat Stress – We have asked to be a referral pathway

  11. AND: • H4H – we have asked for funds – defer to CS • COBSEO – Confederation of British Service and Ex-service Organisations – we have applied for membership.  ‘Some reservations’. • Prisons – High Down, Kennet, Featherstone, Parkhurst (IoW), The Mount Bovington • Veterans in Prison Association (VIPA) • Counselling in Prisons Network (CPN) • RBL, SSAFA, ABF etc all defer to CS

  12. SPECIFIC INTENTIONS2011 • COBSEO membership – leading to recognition by all military charities, including Combat Stress, RBL and H4H - as an acceptable referral route • Community outreach: • Prisons • County networks • PubHubs • Become an ‘Any Willing Provider’ MORE LATER……………………………!!

  13. THERAPISTS’ CONFERENCE 5TH FEB 2011 www.ptsdresolution.org

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