From:                              PTSD Resolution [] on behalf of PTSD Resolution []

Sent:                               03 March 2011 14:30

To:                                   Howard

Subject:                          PTSD Resolution Newsletter No 2


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1.      Welcome to our latest newsletter, which follows our first dated 30th September 2010, and is intended to report the outcomes of our conference held on 5th February 2011, and mention other items of interest.

2.      Newsletter No 1 particularly mentioned:
a.      Service Description and Evidence document
b.      The referral process
c.      Treatment follow up document
d.      Clinical Governance and Risk policy document
e.      Funding
Any of these can be resent by asking Sarah (

3.      120 people attended the conference in London on 5th February 2011.  Its purpose was to bring therapists up to date with the Charity s progress and set out plans for the coming year.   From the 92 feedback forms and messages received, it would seem to have been a success and supports a general view to hold another one next year.  The same premises have been provisionally booked for 4th February 2012.   The press release is shown at Annex A.
4.      National Campaign. The conference opened with a message of support from our President, Lord Ramsbotham, and a summary of activity at the national level.  The general thrust of the activity, encouraged by the new government, is to improve Veterans access to treatment by encouraging better cooperation between charities, the opening of 6 Community Veterans Mental Health Centres, and the general reaffirmation that treatment has to be within NICE guidelines, compliant with the Care Quality Commission, and following the referral pathway of Royal British Legion, GP, Combat Stress.  A copy of the slides are available on request.
5.      Research.  Working inside the HG model makes trauma reasonably straightforward to understand, so Bill Andrews summary of the current state of research with respect to PTSD and its treatment was fascinating.  Bill took us through the defining elements of the  official view of PTSD, from the DSM definition to the various meta-analyses on risk factors and treatment, summarised the many different treatments that are considered to be  trauma-focussed and took us through the current controversy over whether there is actually any benefit in using a  trauma focussed treatment over a  non trauma-focussed one. 
Bill then described the current metamorphosis of the HGI Practice Research Network into the new Pragmatic Research Network, quoting Fishman s Case for Pragmatic Psychology:
 Coming down from the lofty perch of ideological purity, pragmatism meets the world as we ûnd it and asks: How can we improve it - not in some ideal way with a predetermined endpoint, but in a practical way in the here and now, within a context of the social, cultural, political, and economic realities we are given?
Which is, of course, precisely where we are as a charity; keen to learn more about the factors that make treatment likely to succeed for the individual, and what we can all do to contribute to the development of the evidence base for our work.  Bill Andrews is currently working on a new forms pack and data management system for Resolution, to make sure that therapists get the right paperwork from us and that the client change data goes back into the database.  Copies of Bill s presentation are available at .
6.      Survey.  We now have over 150 respondents to the online survey Resolution has been running, and the results are looking very interesting indeed.  If you divide respondents into the  well group who have sub-clinical symptoms, the  Ill but not diagnosed group who have clinical symptom levels but no diagnosis, and the  Ill and diagnosed group who officially have PTSD, you see some that the probability of anxiety and depression diagnoses is lowest in the first group, higher in the second and highest in the third, as you might expect.  But the picture with alcohol is quite different  excess alcohol use and alcohol dependency diagnosis are actually higher in the undiagnosed group than the diagnosed group  even though the mean symptom score is the same.  We don t know why this is, so more research is, as always, needed.  Perhaps the sober veterans manage to get a diagnosis and the drinkers either don t or can t present to the doctor.
The survey is an internet exercise with all the methodological constraints that implies, and we need more respondents to make the findings more robust, but we know that of the respondents so far:
·         Half the people suffering trauma at a clinical level are undiagnosed, and they are suffering just as badly, on average, as those with a diagnosis;
·         The undiagnosed sufferers are 50% more likely to be drinking to excess and nearly twice as likely to have an alcohol dependency diagnosis as those with a PTSD diagnosis;
·         The diagnosed group have the same mean symptom score as the undiagnosed group, so diagnosis doesn' t seem to have helped them get better.

7.      Case StudiesPatrick Hennessey, the author of The Junior Officer s Reading Club, a vivid account of life on operations in Afghanistan, gave a flavour of his experience with mental health.  This was followed by two ex soldiers accounts of their  experiences of Post Traumatic Stress, their treatment journeys, and their positive outcomes from Resolution.  Then followed a 40 minute DVD of a programme made by Scottish TV showing the negative experiences of three ex soldiers on their treatment journeys, and the positive outcome of one of them treated through Resolution.
8.      Criminal Justice System.  This section was to highlight the particular considerations for helping find and treat veterans in the CJS, before, during and after prison.  Experience shows that prisons are autonomous in their provision of health and welfare support, and therefore delegates were urged to make contact with prisons in their area, through the appropriate Health and Welfare staff or the Veterans in Custody Support Officers that exist in many prisons.  Sarah can provide on request the names of local prisons and their Veterans Support Officers.  Veterans in prison may be more challenging than other clients requiring enhanced considerations such as:
a.      Initial introduction crucial
b.      Rapport  take time  crucial  build trust
c.      Explain no re-telling necessary
d.      IES, CORE, ORS, SRS essential
e.      Feed back general progress to staff, but retain confidentiality
f.       Follow up at 1 and 3 months
g.      Preparation for discharge  support prison plans
h.      Continuity if posted  help pass on contact to Resolution therapist in the new prison location.
9.      Reservists.  The particular needs of Reservists were discussed, and ways to help were suggested:
a.      Reaching the Reservists at the point of discharge (Chilwell)
b.      Coordinating with Reserves Mental Health Programmebased near Nottingham
c.      Contacting SaBRE, a government agency organised nationally and with regional offices
d.      Highlighting benefit to commercial companies of early, private, treatment through employer education and awareness, such as the proposed Trauma Awareness Training (TAT) programme.

The Trauma Awareness Training programme is aimed at employers who are wondering whether their employees behaviour is symptomatic of a demanding job or of some earlier events they have experienced.  The course will explain how trauma works, how employers can recognise traumatised behaviour, and what they can do to support traumatised employees.  There are two parts to the training  the awareness seminar is for managers and HR people who need to know about  the condition, and the second is a practical workshop on rigaar and engagement style for line-managers who will actually have to talk to traumatised people and bring them to the point of choosing what to do about it.

10.  Resolution County Network.  It is proposed that we should create county networks, based on the willingness and energies of the therapists to make contact with the service and non-service agencies that exist in each county.  A list of such agencies was provided in the handouts, and is available from Sarah on request.  Further details of the network will follow.
11.  Resolution Pub Hubs. Within each county are hundreds of pubs, many of which are frequented by service personnel, and which could form the basis of local support networks and routes for referrals and fund raising.  One very successful example is The Hare Inn at Leighton Buzzard, run by Jim Woolley (  Delegates were urged to find pubs near them whose publicans would be interested to set up a similar operation.  Support would be provided by Jim.  Publican details are to be sent to Sarah, who will send them a welcome letter and materials.
12.  CAPEST.  We see Resolution s development of the county network and the pub-hubs is a very important development.  It reflects the importance of social support in treating psychological trauma, as explained by Bill Andrews presentation at the conference, and when the network is developed it will provide broader support than sufferers have previously been able to access.  In recognition of this move and the theoretical justification for it, the last session at the conference saw the first presentation of the  bathtub model of support, with therapy nested inside the broader supportive environment of the pub-hub.  This was also mapped into an expanded version of the APET model, explicitly acknowledging the broader social environment, the bottlenecks in sufferers thought patterns and the circular nature of the mechanisms that sustain trauma.
13.  Conclusion.  There was some useful discussion in the Q&A and a general feeling of enthusiasm.  The question of supervision was raised.  It is essential that all therapists have supervision in order to maintain HGI registration.  However, Resolution does not mind with whom supervision is arranged, so long as the supervisor is qualified to provide it.  Would those people willing to be supervisors please tell Sarah, who will maintain a register.
Delegates were provided with a bag of handouts and publicity material and exhorted to develop local contacts.
Some feedback quotes:
 The Q&A at the end was great  so much variety, interest, a wealth of experience
 Particularly enjoyed Jim and the ex-servicemen who spoke  brought the conference to life
 Great value for money
 Excellent conference.  Thank you
 I really enjoyed it all.  It was very informative
 Gained a lot of new knowledge & ideas about veterans, their problems & needs which was enlightening, useful & moving
 The idea of CAPEST is excellent
 Really found this interesting and hope we can work together

Promotion & Fund Raising
14.  Although fund raising was mentioned at the conference, it might be useful to summarise here the various ways in which we are and could be doing more of, to raise funds. We do require help in fund-raising, to help pay for free treatment:-

  • Who Cares Wins is the on line campaign to raise money from individual donations, which can be a small as £1, and if cascaded via everybody s network, can create a substantial amount.  People should be directed to
  • Large corporates or individual donations need to continue to be approached
  • Grant making bodies,  Lottery funds, and other third sector donors continue to be approached.
  • Marathon and half marathon runners are often looking for a charity to sponsor them and to collect for.  It has been reported that people may be tiring of collecting for H4H, and may welcome a new charity to collect for.
  • Resolution Pub Hubs can sponsor local collections.  Contact us about setting up a local hub,  Proceeds should be sent by cheque to Resolution, Meadow Cottage, Poundfield Road, Chalvington, Sussex, BN27 3TH.
  • UK Outdoor Adventure is a company that helps people and groups to do sponsored challenging pursuits.  See Annex B for details
  • www.recycle4charity gives money for mobile phones and printer cartridges.  Please make contact and become a local collector.
  • T shirts.  We will be getting T shirts printed with the logo, and available via Sarah.
  • Locally organised talks, tea parties, dinners, dances, etc etc are all ways of generating funds which we need, so we can pay you so that treatment is free to the client.
  • PR & the Media: our therapists are encouraged to send press releases to your local and other media, as well as professional press, to publicise your services and involvement with Resolution Network. Also, on your web site: if you want help setting up a site, contact our web designer Howard -

Key Contact points:
Web site:

Annex A to PTSD Resolution newsletter No. 2
Resolution release post conference 2011
Military Covenant requires Better Coordination of Initiatives for Services Veterans and Reservists  hears PTSD Resolution Network Conference, 05 February 2011, London
Closer cooperation of the work of the health services, armed forces charities and criminal justice system are essential to ensure adequate support for veterans and reservists in the community - according to charity PTSD Resolution Network.
 Too many veterans are let down by the military covenant because they fall through the safety-net of only patchy service provision around the country. There is a lack of joined-up thinking for the delivery of practical support at a local level, said Piers Bishop, chief therapist of PTSD Resolution, speaking at the Resolution Network Conference, 05 February 2011 at Mark Masons' Hall, 86 St James's Street, London -   Better coordination of services at a community level is essential  such as those for treatment for military PTSD, housing and employment. With the rising numbers of services personnel suffering from the symptoms of military trauma, veterans and reservists need single points of local contact to fast-track the right support, delivered on a local basis.
This was the message from the first annual conference of the PTSD Resolution Network when 120 of its therapists from across the UK met with representatives from military charities, the prison service and criminal justice system - as well as services veterans, who included former sufferers of military PTSD.
PTSD Resolution offers the first UK outreach programme to help veterans and reservists in the community who struggle to reintegrate into a normal work and family life because of military post traumatic stress suffered as a result of service in the armed forces. Treatment is free, on an outpatient basis delivered by a national network of 250 therapists.
Conference delegates heard details of a new initiative,  Resolution Pub Hub , which focuses on the pub as a centre of community life. Pubs that participate in the scheme offer veterans social contact in a sympathetic setting, and will provide information on local services by trained therapists, employers, housing and services charities and other organisations.
 The starting point for successful rehabilitation is to identify and treat any symptoms of military PTSD - which if unresolved will prevent the possibility of any return to normal work and family life. This is what Resolution deals with every day on a local basis, through the work of our network of therapists.
 At Resolution we are very aware that hand-in-hand with therapy, it is essential to meet a range of other practical needs, such as for jobs and housing, ideally in the context of the local, familiar community - and also with the involvement of the many excellent services charities that support veterans and their families, such as Royal British Legion, said Piers Bishop.
For further information: PTSD Resolution Network, Registered Charity No. 1133188 . ends
Issued by:-Patrick Rea, Director, PTSD Resolution T 020 8870 4976
Annex B to PTSD Resolution newsletter No. 2
All you have to do is find a person or group of people who would like to do a challenge event and plug into UK Outdoor Adventure who ll organize the whole thing ( 
UK Outdoor Adventure is a specialist organizer of Challenge Events for Individual, Charity and Corporate clients.  Their range of challenges includes the National Three Peaks, The Yorkshire Three Peaks, the Welsh Three Thousand, and the Caledonian Canal Challenges.
Since 2007 they have established a reputation for quality amongst the thousands of individuals, families, business teams, private parties, charity fundraisers, and youth groups, who come back time after time for another UK Outdoor Adventure.
Using the best equipment and instructors that money can buy, UK Outdoor Adventure guarantees you ll have the time of your life.
It will cost £325 per person to enter, and each person commits to being sponsored for £500 or more.  UK Outdoor Adventure takes a cut and the rest goes to PTSD Resolution.

Kind regards:
The PTSD Resolution Team
0300 302 0551

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