"Mental Health Services Mental Health services in the Rehabilitation Pathway for British Armed Forces" by Wg Cdr Elizabeth Ashton, Defence Medical Rehabilitation Centre Headley Court

1. DMRC Headley Court
Mental Health Services in the
Rehabilitation Pathway for British
Armed Forces
Wg Cdr Ashton,
OC Role 4 Mental Health

2. DMRC Headley Court
Aim
Give information about UK Armed Forces mental health
services
Introduce the DMRC, Headley Court working model
Discuss mental health presentations at Headley Court and
treatments offered
Data about PTSD at Headley Court

3. DMRC Headley Court
UK Armed Forces Mental Health Services
Arranged in DCMHs around the UK, Germany, Gibraltar
and Cyprus.
Staff include mental health nurses, psychiatry, psychology,
mental health social work and occupational therapy.
Assess and treat common mental disorders using
outpatient model.
Inpatient service from the NHS.

4. DMRC Headley Court
Deployment pathway for mental health
Pre deployment: TRiM and briefings
(Deployed Field Mental Health Team)
Post deployment decompression in Cyprus; 'pace change'
Coming home brief for Non Formed Units
Mandatory mental health questions at medicals

5. DMRC Headley Court
Post deployment most people;
Heightened sense of being alive (risk taking)
Jumpy
(deep lager therapy)
'soldiers dreams'
Resilience

6. DMRC Headley Court
Prevalence data for deployed UK Military
Common mental disorder- around 20%
Alcohol misuse- Combat support 10%
Combat 22%
PTSD- Combat support 2%,
Combat 7%
Hotopf et al. The Health of UK Military Personnel who Deployed to the 2003 Iraq War: a Cohort
Study. Lancet 2006; 367: 1731-1741

7. DMRC Headley Court
Headley Court Model

8. DMRC Headley Court
Clinical Services
Consultants
Physiotherapists
Social Workers
Psychologists
Nurses
Psychiatrist
Occupational Therapists
Prosthetists
Doctors
Mental Health
Nurses
Patient
Speech & Language
Therapists
Podiatrists
Recreational therapists
ERIsDietician
Health Care Assistants
Medical AssistantsRadiographer
Patient

9. DMRC Headley Court
Mental Health Presentations at DMRC
Life and ambition altering conditions; illness and injury
Adjusting
Depression
Avoidance
Trauma symptoms
Alcohol and substance misuse
With and without brain injury
Understood for that person at that life stage in that uniform

10. DMRC Headley Court
Treatments
NICE approved treatments
CBT, exposure, BA, tf CBT and EMDR
Mindfulness, Compassion, relaxation, sleep, yoga
Medication; usually antidepressants

11. DMRC Headley Court
Headley Court PTSD Statistics
Data from audit:
Dec 2012-2013 Dec 2013-2014
Number Treated 166 172
PTSD or PTS 72 (43%) 40 (23%)
Trauma treatment 100% 80%
Known to DCMH 100% 80%

12. DMRC Headley Court
Summary
UK Armed Forces Mental Health Services
Headley Court Working Model
Presentation and treatment of mental disorder at DMRC
Audit data

13. DMRC Headley Court
Questions ?
DMRC-consultantpsychiatrist@mod.uk