PTSD - Info for those seeking assistance.

#1
"An abnormal reaction to an abnormal situation is normal behaviour." - Concentration-camp survivor Viktor Frankl
[hr]
This thread is intended as a ‘quick reference guide’ for those who feel they may need help.

Please post any guidance you feel would be useful for those who wish to seek help related to PTSD. Also, any guidance for friends and family, or even employers, to enable them to get help for those suffering would be welcome.

Routes to help.

For those serving, the first port of call is the padre or MO.

For those ex-service personnel you should first speak to your GP.
[hr]
As I understand it, these routes can sometimes be very difficult. Any suggestions for other routes to assistance would be very useful. (Combat stress for example) Please share any experiences, good and bad, with your chosen route to help.

There is also a lot of information on the web about PTSD. Included below are some links to support organisations and related articles. Please read. One of the common themes to many of these sites is; You are NOT alone.

Combat Stress
Ex-services mental welfare society.

NHS Direct
Site contains information of NHS treatments for PTSD and it also contains some related information.

National Institue for Clinical Excellence Site has a number of reports containing useful infomation.

Related article in Psychology Today magazine.

PTSD.org.uk
Some useful and concise information on PTSD.

Arrse thread - Treatment on the NHS for PTSD

Arrse thread - PTSD and homeless ex-servicemen

Arrse thread - (US) veterans twice as likley to commit suicide

Related Forum Thread on military.com

Arrse Thread - PTSD

Arrse Thread - PTSD

Arrse Thread - BMJ - Mental Health and Overstretch - UK Forces

Arrse Thread -Should Veterans have right to treatment on NHS?

link to Canadian support site with some useful information

Link to an Australian site with some useful information

Link to Reserves Mental Health Program
Contact Number 0800 0326258

Arrse Thread on "Reserves Mental Health Program"
There is some useful info on the program.

Arrse thread on a University of essex report on the mental health of young soldiers.

BBC article discussing PTSD
[hr]
I will edit this post to include useful links, books and suggested routes to help as they are posted.

Lastly, I am not an expert in this subject so any assistance or corrections of any errors I may make would be greatly appreciated.

Edited repeatedly to add related threads.
Edited to fix broken links. Please PM me if you find broken links, ta.
 
#2
Email received from Combat Stress following request for info for those seeking assistance.

Dear ******,
PTSD can manifest itself years and years after the actual event, signs to look for are aggression, mood swings, increase in alcohol consumption, night sweats, nightmares, unable to talk about what has happened, easily upset, sometimes you are consumed entirely about what has happened.

Anyone can either refer themselves by 'phone, letter, E-mail, or through family/friends or sometimes GPs refer clients to us, also Mental Health Teams. I would suggest that anyone E-mailing us tell us whereabouts they live, because the first thing we will do is contact the nearest Welfare Officer to their home. We have 13 Welfare Officers throughout the UK - each with their own area who visit clients in their own homes. They are all ex- Servicemen themselves and fully understand what PTSD is all about. They can also help with War Pensions and Appeals. We have three treatment centres - Tyrwhitt House in Surrey, Audley Court in Shropshire and Hollybush House in Ayrshire.
My Bold.
 
#3
Following a post by themonsstar on this thread I have collected the following info.

NHS Documents link - NHS Guidelines HSG(97)31

This has been referenced by many medical agencies in the UK.

http://www.bmj.com/cgi/eletters/324/7333/321#22850
http://www.publications.doh.gov.uk/cebulletin19oct.htm#4
http://www.sfh-tr.nhs.uk/content/showcontent.aspx?contentid=416 (point 8.25)

Related discussion on arrse.
MP mauled on ITV news over PTSD

Included in the themonsstars' post was the following.

themonsstar said:
Executive summary [Of HSG(97)31]

These guidelines abvise health authorities and trusts of an extension of the definition of the term "War Pensioner" to cover people who were injured or disabled as a result of service in the armed forces.

A War Pensioner has previously been classified as someone who has a pension or who had a gratuity for disablement caused by armed service. This includes merchant seamen & civilians who receive pensions for wartime injuries.

In 1953 hospitals run by the Ministry of pensions for the treatment of war pensioners were transferred to the NHS. The Government gave an undertaking that there would be priority examination & treatment for war pensioners in NHS hospitals for the condition or conditions for which the war pensioners received a pension or gratuity.

NHS hospitals should give priority to war pensioners, both as out-patients & in-patients, for examination or treatment which relates to the condition(unless there is emergency case or another case demands clinical priority).

Referrals for treatment sould make it clear that the patient is a war pensioner.

War pensioner can use the NHS complains system to resolve any alleged breakdowns in the arrangements for priority treatment.

Chief executives of health authorities & trusts should ensure that general practitioners & relevant hospital (maybe your not one) staff are advised of the definition of a war pensioner & are reminded of the arrangements for priority treatment of War Pensioners.
So, if your injury (PTSD included) was caused by your service, you should recieve priority treatment.

I have attached a PDF of HSG(97)31.

Edited to remove broken link.
 

Attachments

#4
Useful info. All I can add is a warning to beware of padres in certain circumstances because their first loyalty is to their foodbowl. The same can be said for the AWA if they still exist.

Thats not a dig at all of 'em but take it from one who's been through the hoop.
 
#5
for those of us who are now in civvie street speak to the royal british legion about ptsd they will help and support you quicker than a cant be arsed civvie doctor
 
#6
pittagyros made a great point! The RBL or equiv if in another country will be far more useful for those who have left the service than a civ GP!

For those of us still in...the mess bar with a couple of muckers of similar experience is not to be underrated! Even if you don't think you have any symptons...these days it's almost a given.
 
#7
invisiblehelper said:
May I request that the Reserves Mental Health Programme (RMHP) be included in your links, just in case a Reservist enquires on this thread.

Just because the concept was dreamed up and instigated by a STAB doesn't mean it is bad! It can help.
Done and thank you for the suggestion.

If anyone has any useful info or links on the subject, please feel free to post on this thread.
 
#8
SkiCarver said:
Following a post by themonsstar on this thread I have collected the following info.

NHS Documents link - NHS Guidelines HSG(97)31

This has been referenced by many medical agencies in the UK.

http://www.bmj.com/cgi/eletters/324/7333/321#22850
http://www.publications.doh.gov.uk/cebulletin19oct.htm#4
http://www.sfh-tr.nhs.uk/content/showcontent.aspx?contentid=416 (point 8.25)

Related discussion on arrse.
MP mauled on ITV news over PTSD

Included in the themonsstars' post was the following.

themonsstar said:
Executive summary [Of HSG(97)31]

These guidelines abvise health authorities and trusts of an extension of the definition of the term "War Pensioner" to cover people who were injured or disabled as a result of service in the armed forces.

A War Pensioner has previously been classified as someone who has a pension or who had a gratuity for disablement caused by armed service. This includes merchant seamen & civilians who receive pensions for wartime injuries.

In 1953 hospitals run by the Ministry of pensions for the treatment of war pensioners were transferred to the NHS. The Government gave an undertaking that there would be priority examination & treatment for war pensioners in NHS hospitals for the condition or conditions for which the war pensioners received a pension or gratuity.

NHS hospitals should give priority to war pensioners, both as out-patients & in-patients, for examination or treatment which relates to the condition(unless there is emergency case or another case demands clinical priority).

Referrals for treatment sould make it clear that the patient is a war pensioner.

War pensioner can use the NHS complains system to resolve any alleged breakdowns in the arrangements for priority treatment.

Chief executives of health authorities & trusts should ensure that general practitioners & relevant hospital (maybe your not one) staff are advised of the definition of a war pensioner & are reminded of the arrangements for priority treatment of War Pensioners.
So, if your injury (PTSD included) was caused by your service, you should recieve priority treatment.

I have attached a PDF of HSG(97)31.


Edited to remove broken link.
 
#9
With regards to the above, the Department of Health have now issued an extension to guidlines HSG(97)31 to include all veterans of the armed forces regardless of whether they are war pensioners or not. These veterans should receive priority treatment in the NHS for conditions related to service (DH, 2008). You can contact richard @ militarymentalhealth.co.uk to find out the work we do offering Health & Social Care organisations training.
 
#10
I was wondering how a reservist can access to RMHT if their Gp wont refar them as in my case, this is because she say i'm having councilling sessions with a therapist who has diagnosed me with PTSD and depression
 
#11
Is your counselling connected to your PTSD? And if so do you think it's helping?

I can understand why if you are getting treatment for your PTSD and it's helping she won't refer you elsewhere, as receiving help from two different sources for the same thing would be counter productive and not helpful.

If the counselling ISN'T for that purpose then I'm not sure why she hasn't/won't referred you and I would ask again and make sure she understands exactly what the service is for.

Good luck!
 
#12
lesliehannah said:
I was wondering how a reservist can access to RMHT if their Gp wont refar them as in my case, this is because she say i'm having councilling sessions with a therapist who has diagnosed me with PTSD and depression
You can self refer to Combat Stress, if you contact them they should in the first instance send a Regional Welfare Officer to see you.
 
#14
Hi everyone,
The councilor was put in place because of symtoms of depression and flashbacks relating to incidents that had been related to service, ihave spoken to the vet agency welfar officer who has refarred me to Combat Stress i am awaiting a visit from a welfare officer had no date yet. but they say that they work alongside the other agencies and don't take over your care but as of yet i have not seen a doc yet to get it diagnosed properly. and no i don't think my councilling is working it's just turning up ever other week for a chat, i have said this to the councillor but its like talking to a machine who is'nt listening
 
#15
That being the case I would insist that the GP refers you to the RMHP and explain that the counselling isn't working. CS do work alongside the other agencies and should be seen as an addition rather than instead of the other services available.

The other option would be to ring Chilwell direct and explain what's going on to the RMHP and see if they have any suggestions.
 
#16
Thanks for that i might just try that and see what happens, I was wondering if that when Combat stress come on board that they may help down those lines.
Thanks for you help it seems as though you go around in circuls getting know were fast.
 
#17
Mainly for veterans but here are a couple more links that people may find useful-

South Wales-
http://www.cvmhdp.org.uk/content/public/news_and_events/default.asp?Page=&id=120

MAP Programme-
http://www.veterans-uk.info/map/announcement.html

Humberside-
http://www.humber.nhs.uk/templates/Page.aspx?id=4454

Camden and Islington (London!)-
http://www.candi.nhs.uk/pages/go.asp?pageID=511&Path=4&Parent=287.072&instance=451

Staffordshire-
http://www.southstaffshealthcare.nhs.uk/newsMedia/2007/281107.asp

Lothian-
http://www.riverscentre.org.uk/

I believe there are similar schemes in Cornwall and Newcastle upon Tyne too, but haven't been able to trace the details. I understand that at least some of these services will take referrals from other trusts.
 

Goatman

ADC
Book Reviewer
#18
some additional details:

The Department of Health and the Ministry of Defence have launched the first of a number of pilots designed to ensure that NHS health professionals have appropriate support and available expertise they may need to treat veterans with mental health problems. The four UK health departments, the MOD, and the charity Combat Stress, have been working together closely to develop and pilot a new model of community-based mental health care.

Treatment options will include the commissioning of services offered by Combat Stress. .

In the interim, the MOD’s Medical Assessment Programme (MAP) offers expert mental health assessments to any veteran with mental health problems who has served in operations since 1982; in particular, for areas not yet involved in the pilots, this offers support where a GP may be concerned that he has not fully understood the military background to a veteran’s problem or who wishes specialist advice on the treatment options. The MAP is currently staffed by Dr Ian Palmer, an ex-serving military medical officer. He is a qualified GP and Consultant Psychiatrist.


Contact Details for the Clinics launched so far:

South Stafford and Shropshire Healthcare NHS Foundation Trust
Patrick Bourke – CV MHT
Coton House
St George’s Hospital Site
Corporation Street
Stafford ST16 3AG
Tel: 01785 257888 ext 5280
E-mail: Patrick.Bourke@sssft.nhs.uk

Camden and Islington Mental Health and Social Care Trust
Graham Fawcett – CV MHT
The Traumatic Stress Clinic
73 Charlotte Street
London
W1T 4PL
Tel: 020 7530 3666
E-mail: Graham.Fawcett@candi.nhs.uk

Cardiff and Vale NHS Trust
Neil Kitchiner – CV MHT
University Hospital of Wales
Heath Park
Cardiff
CF14 4XW
Tel: 029 2074 2284
E-mail: neil.kitchiner@cardiffandvale.wales.nhs.uk
Website: http://www.veterans-mhs-cvct.org/

Community Veterans Mental Health Service
Trevillis House
Lodge Hill
Liskeard
Cornwall
PL14 4NE
Tel: 01579 335226
Fax: 01579 335245
Email: Veteran.Assistance@cornwall.nhs.uk


Medical Assessment Programme - MAP
Dr Ian Palmer
Head of Medical Assessment Programme
Baird Medical Centre
Gassiott House
St Thomas Hospital
Lambeth Palace Road
London
SE1 7EH
E-mail: map@gstt.nhs.uk
Freephone Helpline: 0800 169 5401

Tees, Esk and Wear Valleys NHS Foundation Trust
Psychological Therapy Service
Symon Day - Veterans Mental Health Therapist
St Aidans House
St Aidans Walk
Bishop Auckland
County Durham
DL14 6SA
Tel: 01388 646 802
symon.day@TEWV.nhs.uk
The Scottish Pilot will be hosted by Ayshire & Arran NHS Trust - more details to follow.


SOURCE
 
#19
Goatman said:
The Scottish Pilot will be hosted by Ayshire & Arran NHS Trust - more details to follow.
Thank you for that i would be very interested to hear what details fall out of it.
 
#20
Not sure if this is suitable for Ski's list - and well done all for contributing...

http://www.livinglifetothefull.com

Either way, would be interested on views relating to this regarding CBT based therapies. I note that this not an NHS site (and the "open" Privacy Policy) - also aware of the charming snake oil salesman ilk who peddle away.

Is Living Life to the Full one such outfit?

MOD's feel free to move / delete in a few days etc.
 

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