Combat Stress (charitable organisation)

Last updated

Combat Stress
Formation12 May 1919;104 years ago (1919-05-12)
Type Charitable organisation
Registration no.England and Wales: 206002 (as Ex-Services Mental Welfare Society) [1]
FocusTreating post traumatic stress disorder (PTSD), and other mental health issues
Location
  • Tyrwhitt House,
    Oaklawn Road,
    Leatherhead,
    Surrey
    KT22 0BX
Area served
United Kingdom
Key people
Charles, Prince of Wales (Patron)
General Sir Peter Wall (President)
AffiliationsMember of COBSEO
Revenue
£14.96 million (2015) [1]
Employees
285 (2015) [1]
Volunteers
55 (2015) [1]
Website https://www.CombatStress.org.uk/
Formerly called
Ex-Services Mental Welfare Society
Ex-Servicemen's Welfare Society

Combat Stress is a registered charity in the United Kingdom offering therapeutic and clinical community and residential treatment to former members of the British Armed Forces who are suffering from a range of mental health conditions; including post traumatic stress disorder (PTSD). [1] [2] [3] Combat Stress makes available treatment for all Veterans who are suffering with mental illness free of charge.

Contents

On average, it takes 13 years for a Veteran to first contact with Combat Stress for advice, help, and treatment; however for those who served in Iraq (Gulf War I and Gulf War II) and Afghanistan, the time period is much lower.

The charity was formed in 1919, as the Ex-Servicemen's Welfare Society, following World War I; when the effects of shell shock were becoming known. [4]

History before 1919

World War I

Soldiers (and other frontline personnel) returning home from World War I suffered greatly from the horrors of war that they had witnessed. Many returning veterans suffered from what was then known as shell shock; now known as post traumatic stress disorder (PTSD).

In 1915, the British Army in France was instructed[ by whom? ] that:

Shell-shock and shell concussion cases should have the letter 'W' prefixed to the report of the casualty, if it were due to the enemy; in that case the patient would be entitled to rank as 'wounded' and to wear on his arm a 'wound stripe'. If, however, the man’s breakdown did not follow a shell explosion, it was not thought to be ‘due to the enemy’, and he was to [be] labelled 'shell-shock' or 'S' (for sickness) and was not entitled to a wound stripe or a pension. [5]

In August 1916, Charles Myers was made Consulting Psychologist to the Army. He hammered home the notion that it was necessary to create special centres near the line using treatment based on:

He also used hypnosis with limited success.[ citation needed ]

In December 1916, Gordon Holmes was put in charge of the northern, and more important, part of the western front. He had much more of the tough attitudes of the Army, and suited the prevailing military mindset, and so his view prevailed. By June 1917, all British cases of 'shell-shock' were evacuated to a nearby neurological centre, and were labelled as NYDN – 'not yet diagnosed nervous'. "But, because of the Adjutant-General's distrust of doctors, no patient could receive that specialist attention until Form AF 3436 had been sent off to the man’s unit and filled in by his commanding officer." [5] This created significant delays, but demonstrated that between 4-10% of shell-shock W cases were 'commotional' (due to physical causes), and the rest were 'emotional'. This killed off shell-shock as a valid disease, and it was abolished in September 1918.[ citation needed ]

During the war, 306 British soldiers were executed for cowardice; many of whom were victims of shell shock. [6] On 7 November 2006, the Government of the United Kingdom gave them all a posthumous conditional pardon. The Shot at Dawn Memorial at the National Memorial Arboretum in Staffordshire commemorates these men. [7]

Present work

Combat Stress was formed at a time when there was little known about mental health problems affecting ex-Service men and women who had returned home after serving in war and conflict zones.

Currently, the organisation is helping almost 6,000 people who are Veterans aged from 19 to 97. [8] Combat Stress are currently treating 971 Veterans who served in Afghanistan and 1,185 who served in Iraq.

Support is currently being given to those who suffer from:

This support is delivered throughout England, Scotland, Wales, and Northern Ireland; through three treatment centres (Hollybush House, Ayr, Ayrshire, Scotland; Audley Court, Newport, Shropshire, England and Tyrwhitt House, Leatherhead, Surrey, England). Hollybush House and Tyrwhitt House offer residential support and Audley Court operates as an outpatient base along with community outreach teams.

Services

Services are provided by qualified professionals which include psychotherapists, Occupational Therapists,Nurses and Art Therapists

Leatherhead and Ayr offer a residential treatment service and Newport offers only outpatient treatment from 09.00 until 04.30 Monday to Friday.

See also

Notes and references

  1. 1 2 3 4 5 "Combat Stress (charitable organisation), registered charity no. 206002". Charity Commission for England and Wales.
  2. "Combat Stress". Combat Stress. Retrieved 9 February 2016.
  3. "Combating the stress of civilian life". news.BBC.co.uk. BBC News. 11 October 2007. Retrieved 30 April 2010.
  4. "History of Combat Stress". Combat Stress. Retrieved 25 February 2016.
  5. 1 2 Shephard, Ben. A War of Nerves: Soldiers and Psychiatrists, 1914-1994. London, Jonathan Cape, 2000.
  6. Taylor-Whiffen, Peter (1 March 2002). "Shot at Dawn: Cowards, Traitors or Victims?". BBC.co.uk. BBC History.
  7. Fenton, Ben (16 August 2006). "Pardoned: the 306 soldiers shot at dawn for 'cowardice'". The Daily Telegraph . Retrieved 25 February 2016.
  8. "About us: Combat Stress". Combat Stress. Retrieved 25 February 2016.

Related Research Articles

Neurosis is a term mainly used today by followers of Freudian thinking to describe mental disorders caused by past anxiety, often that has been repressed. In recent history, the term has been used to refer to anxiety-related conditions more generally.

Post-traumatic stress disorder (PTSD) is a mental and behavioral disorder that develops from experiencing a traumatic event, such as sexual assault, warfare, traffic collisions, child abuse, domestic violence, or other threats on a person's life or well-being. Symptoms may include disturbing thoughts, feelings, or dreams related to the events, mental or physical distress to trauma-related cues, attempts to avoid trauma-related cues, alterations in the way a person thinks and feels, and an increase in the fight-or-flight response. These symptoms last for more than a month after the event. Young children are less likely to show distress, but instead may express their memories through play. A person with PTSD is at a higher risk of suicide and intentional self-harm.

<span class="mw-page-title-main">Veteran</span> Experienced worker or military retiree

A veteran is a person who has significant experience and expertise in an occupation or field.

<span class="mw-page-title-main">Dialectical behavior therapy</span> Psychotherapy for emotional dysregulation

Dialectical behavior therapy (DBT) is an evidence-based psychotherapy that began with efforts to treat personality disorders and interpersonal conflicts. Evidence suggests that DBT can be useful in treating mood disorders and suicidal ideation as well as for changing behavioral patterns such as self-harm and substance use. DBT evolved into a process in which the therapist and client work with acceptance and change-oriented strategies and ultimately balance and synthesize them—comparable to the philosophical dialectical process of thesis and antithesis, followed by synthesis.

Psychological trauma is an emotional response caused by severe distressing events that are outside the normal range of human experiences, with extreme examples being violence, rape, or a terrorist attack. The event must be understood by the affected person as directly threatening the affected person or their loved ones with death, severe bodily injury, or sexual violence; indirect exposure, such as from watching television news, may be extremely distressing and can produce an involuntary and possibly overwhelming physiological stress response, but does not produce trauma per se.

<span class="mw-page-title-main">Combat stress reaction</span> Medical condition

Combat stress reaction (CSR) is acute behavioral disorganization as a direct result of the trauma of war. Also known as "combat fatigue", "battle fatigue", or "battle neurosis", it has some overlap with the diagnosis of acute stress reaction used in civilian psychiatry. It is historically linked to shell shock and can sometimes precurse post-traumatic stress disorder.

Acute stress disorder is a psychological response to a terrifying, traumatic or surprising experience. It may bring about delayed stress reactions if not correctly addressed. Acute stress may present in reactions which include but are not limited to: intrusive or dissociative symptoms, and reactivity symptoms such as avoidance or arousal. Reactions may be exhibited for days or weeks after the traumatic event.

Complex post-traumatic stress disorder (CPTSD) is a stress-related mental disorder generally occurring in response to complex traumas, i.e., commonly prolonged or repetitive exposures to a series of traumatic events, within which individuals perceive little or no chance to escape.

Prolonged exposure therapy (PE) is a form of behavior therapy and cognitive behavioral therapy designed to treat post-traumatic stress disorder. It is characterized by two main treatment procedures – imaginal and in vivo exposures. Imaginal exposure is repeated 'on-purpose' retelling of the trauma memory. In vivo exposure is gradually confronting situations, places, and things that are reminders of the trauma or feel dangerous. Additional procedures include processing of the trauma memory and breathing retraining.

<span class="mw-page-title-main">Shell shock</span> Term for post-traumatic stress disorder

Shell shock is a term that originated during World War I to describe the type of post-traumatic stress disorder (PTSD) that many soldiers experienced during the war, before PTSD was officially recognized. It is a reaction to the intensity of the bombardment and fighting that produced a helplessness, which could manifest as panic, fear, flight, or an inability to reason, sleep, walk or talk.

Vets Prevail, is a veteran-created online mental health program developed and supported by Prevail Health Solutions. It was created to combat the challenges faced by returning OEF and OIF veterans suffering from depression and post-traumatic stress disorder (PTSD). The program combines the principles of Cognitive Behavioral Therapy (CBT) with interactive e-learning techniques to educate and provide veterans with tools to overcome mental health challenges faced upon returning home from deployment. Vets Prevail utilizes a variety of techniques including: interactive videos, live chats with trained Peer Coaches, and a peer network of veterans to motivate and help veterans readjust to life after returning home.

Cognitive processing therapy (CPT) is a manualized therapy used by clinicians to help people recover from posttraumatic stress disorder (PTSD) and related conditions. It includes elements of cognitive behavioral therapy (CBT) treatments, one of the most widely used evidence-based therapies. A typical 12-session run of CPT has proven effective in treating PTSD across a variety of populations, including combat veterans, sexual assault victims, and refugees. CPT can be provided in individual and group treatment formats and is considered one of the most effective treatments for PTSD.

PTSD or post-traumatic stress disorder, is a psychiatric disorder characterised by intrusive thoughts and memories, dreams or flashbacks of the event; avoidance of people, places and activities that remind the individual of the event; ongoing negative beliefs about oneself or the world, mood changes and persistent feelings of anger, guilt or fear; alterations in arousal such as increased irritability, angry outbursts, being hypervigilant, or having difficulty with concentration and sleep.

<span class="mw-page-title-main">Richard Bryant (psychologist)</span> Australian psychologist

Richard Allan Bryant is an Australian medical scientist. He is Scientia Professor of Psychology at the University of New South Wales (UNSW) and director of the UNSW Traumatic Stress Clinic, based at UNSW and Westmead Institute for Medical Research. His main areas of research are posttraumatic stress disorder (PTSD) and prolonged grief disorder. On 13 June 2016 he was appointed a Companion of the Order of Australia (AC), for eminent service to medical research in the field of psychotraumatology, as a psychologist and author, to the study of Indigenous mental health, as an advisor to a range of government and international organisations, and to professional societies.

Operational stress injury or OSI is a non-clinical, non-medical term referring to a persistent psychological difficulty caused by traumatic experiences or prolonged high stress or fatigue during service as a military member or first responder. The term does not replace any individual diagnoses or disorders, but rather describes a category of mental health concerns linked to the particular challenges that these military members or first responders encounter in their service. There is not yet a single fixed definition. The term was first conceptualized within the Canadian Armed Forces to help foster understanding of the broader mental health challenges faced by military members who have been impacted by traumatic experiences and who face difficulty as a result. OSI encompasses a number of the diagnoses found in the Diagnostic and Statistical Manual of Mental Disorders (DSM) classification system, with the common thread being a linkage to the operational experiences of the afflicted. The term has gained traction outside of the military community as an appropriate way to describe similar challenges suffered by those whose work regularly exposes them to trauma, particularly front line emergency first responders such as but not limited to police, firefighters, paramedics, correctional officers, and emergency dispatchers. The term, at present mostly used within Canada, is increasingly significant in the development of legislation, policy, treatments and benefits in the military and first responder communities.

<span class="mw-page-title-main">Trauma and first responders</span> Trauma experienced by first responders

Trauma in first responders refers to the psychological trauma experienced by first responders, such as police officers, firefighters, and paramedics, often as a result of events experienced in their line of work. The nature of a first responder's occupation continuously puts them in harm's way and regularly exposes them to traumatic situations, such as people who have been harmed, injured, or killed.

<span class="mw-page-title-main">Post-traumatic stress disorder after World War II</span>

Post-traumatic stress disorder (PTSD) results after experiencing or witnessing a terrifying event which later leads to mental health problems. This disorder has always existed but has only been recognized as a psychological disorder within the past forty years. Before receiving its official diagnosis in 1980, when it was published in the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-lll), Post-traumatic stress disorder was more commonly known as soldier's heart, irritable heart, or shell shock. Shell shock and war neuroses were coined during World War I when symptoms began to be more commonly recognized among many of the soldiers that had experienced similar traumas. By World War II, these symptoms were identified as combat stress reaction or battle fatigue. In the first edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-I), post-traumatic stress disorder was called gross stress reaction which was explained as prolonged stress due to a traumatic event. Upon further study of this disorder in World War II veterans, psychologists realized that their symptoms were long-lasting and went beyond an anxiety disorder. Thus, through the effects of World War II, post-traumatic stress disorder was eventually recognized as an official disorder in 1980.

<span class="mw-page-title-main">Internet-based treatments for trauma survivors</span>

Internet-based treatments for trauma survivors is a growing class of online treatments that allow for an individual who has experienced trauma to seek and receive treatment without needing to attend psychotherapy in person. The progressive movement to online resources and the need for more accessible mental health services has given rise to the creation of online-based interventions aimed to help those who have experienced traumatic events. Cognitive behavioral therapy (CBT) has shown to be particularly effective in the treatment of trauma-related disorders and adapting CBT to an online format has been shown to be as effective as in-person CBT in the treatment of trauma. Due to its positive outcomes, CBT-based internet treatment options for trauma survivors has been an expanding field in both research and clinical settings.

<span class="mw-page-title-main">Narrative exposure therapy</span> Short-term therapy for trauma-related disorders

Narrative Exposure Therapy (NET) is a short-term psychotherapy used for the treatment of post-traumatic stress disorder and other trauma-related mental disorders. It creates a written account of the traumatic experiences of a patient or group of patients, with the aim of recapturing self-respect and acknowledging the patient's value. NET is an individual treatment, NETfacts is a format for communities.

Psychological trauma in adultswho are older, is the overall prevalence and occurrence of trauma symptoms within the older adult population.. This should not be confused with geriatric trauma. Although there is a 90% likelihood of an older adult experiencing a traumatic event, there is a lack of research on trauma in older adult populations. This makes research trends on the complex interaction between traumatic symptom presentation and considerations specifically related to the older adult population difficult to pinpoint. This article reviews the existing literature and briefly introduces various ways, apart from the occurrence of elder abuse, that psychological trauma impacts the older adult population.