Defence Health Services Presentation to IIMHL 27 Feb 2017 Dr David Said Clinical PGMS MGR ADFCMH
Early Identification & Intervention • Particular significance in traumatic stress disorders • Maladaptive coping skills becoming problems in their own right • Defence personnel problem solvers • Loss of support • Hopelessness
Suicide Prevention Program PREVENTION INTERVENTION POSTVENTION • Mandatory Suicide • KYMS – SPT • CIMHS • • Awareness ASSIST Post event reviews • All Hours Support • • Mental Health Risk Suicide database Assessment • Line Defence Inquiries Training (MHRAT) • Mental Health • Defence Policy • Defence Policy literature • BattleSMART • Defence Policy
RESET • Evidence-informed prevention program developed specifically for ADF pers • Utilises a coach-based, skills training, self management approach • “soft landing” and self care message • Strong cognitive-behavioral orientation and include elements such as problem solving, activity scheduling, helpful thinking, social support facilitation and anger and distress management
MHFA • Early identification • Increasing awrenss/redcuing stigma • Validating compassionate / mateship response • Assists families indirectly
ANGER & PTSD Intervention • Manualised CBT - 12 sessions • Clinician training – 2 days • Psycho-ed on anger & role of PTSD in life • Anger monitoring between each session • Key triggers, perpetuators & themes • Broad range of management skills • Stress inoculation training
Unit & Individual Welfare Boards • Collaborative care in occupational domain of injured member • Process by which to involve chain of command in management of member • Defence workplace inherent risks • Unit can provide support and resources to clinicians • Clinician can prevent unnecessary stress and uninformed response from unit
Questions? Internet Home page: http://www.defence.gov.au/health/
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