Cohesion, leadership, mental health stigmatisation and perceived barriers to care in UK military personnel

Jones, Norman; Campion, Ben; Keeling, Mary; Greenberg, Neil

doi:10.3109/09638237.2016.1139063

Cited by 39 publications

(25 citation statements)

References 36 publications

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“…Good leadership and cohesion were present in both study arms. Effective leadership is known to be supportive of mental health,19 furthermore, unit cohesion is known to positively influence the discussion of mental health matters and to reduce stigmatisation 20. The margin for SPEAR to have any additional positive benefit over and above effective leadership and cohesion may have been small.…”

Section: Discussionmentioning

confidence: 99%

Resilience-based intervention for UK military recruits: a randomised controlled trial

et al. 2018

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ObjectivesWe evaluated a military resilience intervention which aimed to help UK military recruits to manage their personal health and well-being more effectively.MethodsTrainers within six pre-existing training teams were randomly allocated by team to deliver a resilience-based intervention (SPEAR) or usual training (control) during recruit training. 23 trainers delivered SPEAR; 18 delivered the control training. 707 recruits participated (n=358 SPEAR and n=349 controls). Outcome measures were obtained before and after recruit training and 3 months later. Measures of post-traumatic stress disorder (PTSD), common mental disorder (CMD) symptoms, alcohol use, homesickness and mental health stigmatisation were obtained at baseline. Repeat baseline scales plus measures of help-seeking, cohesion, leadership and training impact were obtained at the two follow-up points.ResultsResponse rates were 91.7% (baseline), 98.1% (post) and 73.6% (follow-up). Following adjustment for potential confounders, levels of PTSD, CMD symptoms, alcohol misuse, help-seeking and homesickness were not significantly different between groups at any measurement point. Stigmatisation was significantly lower among SPEAR recipients at baseline but was not significantly different at the two follow-up points. Following adjustment for mental health confounders, there were no significant between-group differences in perceptions of leadership and cohesion and in ratings of six training outcomes at the two follow-up points.ConclusionsWe found no evidence that resilience-based training had any specific benefit to the health and well-being of UK military recruits.

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Section: Discussionmentioning

confidence: 99%

Resilience-based intervention for UK military recruits: a randomised controlled trial

et al. 2018

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“…Knowledge of how people cope with emergencies and military deployments identifies the importance of their relationships, leadership and social care, and this should inform all plans 13 16 17…”

Section: How People Behave During and After Emergenciesmentioning

confidence: 99%

“…Trauma Risk Management is a method for monitoring responders’ stress levels 32. Peer support,33 and leadership, cohesion and good relationships between leaders, employees and military personnel play vital roles in sustaining responders 17. OP94 contains checklists of actions for leaders and responders when preparing, while working in a disaster area and to assist them to recover afterwards 2…”

Section: Caring For Respondersmentioning

confidence: 99%

Principles for designing and delivering psychosocial and mental healthcare

Williams

Kemp

2018

BMJ Mil Health

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The development of the UK's military policy includes the potential for military organisations to deploy in support of humanitarian aid operations. This paper offers an overview of the risks to people's mental health of their exposure to emergencies, major incidents, disasters, terrorism, displacement, postconflict environments in which humanitarian aid is delivered, and deployments to conflict zones. It summarises the psychosocial approach recommended by many contemporary researchers and practitioners. It differentiates the extremely common experience of distress from the mental disorders that people who are affected may develop and introduces the construct of psychosocial resilience. The authors recognise the importance of trajectories of response in separating people who are distressed and require psychosocial care from those who require mental healthcare. Finally, this paper summarises a strategic approach to designing, planning and providing psychosocial and mental healthcare, provides a model of care and outlines the principles for early psychosocial interventions that do not require training in mental healthcare to deliver them.

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“…Trend analysis shows that the numbers initially assessed with a mental health disorder in the Armed Forces have increased from 1.8% in 2007/2008. The report explains that the increase may be a result of campaigns by the MoD to reduce stigma surrounding mental health, leading to individuals feeling more able to report to primary care for help (Jones, Campion, Keeling, & Greenberg, 2018).…”

Section: Armed Forces Mental Health Treatmentmentioning

confidence: 99%

Assessing the potential use of art therapy in the United Kingdom Ministry of Defence Department of Community Mental Health

Preston¹

2019

International Journal of Art Therapy

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UK Armed Forces personnel experiencing mental health difficulties are not, at present, offered art therapy as a treatment option. This paper considers the prevalence of mental health problems for personnel currently serving in the Armed Forces compared with the UK general population. The current treatment pathway for UK Armed Forces personnel is explained and compared with a review of literature regarding art therapy for the similar client groups; veterans in the UK and, military personnel in the United States, Russia and Israel. Much of the UK media discussion about military mental health focuses on Post Traumatic Stress Disorder (PTSD). The veterans charity Combat Stress (along-side other charities) carries out vital work with PSTD sufferers. However, it is highlighted that PTSD is not the most prevalent mental health presentation for UK Armed Forces personnel. It is hypothesised that art therapy could be a suitable treatment option for UK Armed Forces personnel with mental health issues and it is proposed that formal research should be undertaken, to determine the efficacy of art therapy with this client group at one of the Ministry of Defence Departments of Community Mental Health.

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Cohesion, leadership, mental health stigmatisation and perceived barriers to care in UK military personnel

Cited by 39 publications

References 36 publications

Resilience-based intervention for UK military recruits: a randomised controlled trial

Resilience-based intervention for UK military recruits: a randomised controlled trial

Principles for designing and delivering psychosocial and mental healthcare

Assessing the potential use of art therapy in the United Kingdom Ministry of Defence Department of Community Mental Health

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