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Military Mental Health Professionals On Operational Deployment: An Exploratory Study

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Abstract

This exploratory study aimed to develop greater insight into the occupational and personal nature of the practice of mental healthcare on operational deployments. Twenty-eight British military mental health professionals were identified as having recently returned from deployment, with 35% agreeing to participate in semi-structured qualitative interviews. Results suggest that whilst this population have a range of stressors, their main concern is to work towards the success of the overall mission objectives, mainly through achieving their clinical goals. Such work is impacted by challenges such as ethical difficulties, professional obstacles, bonding with colleagues and personal issues. They do however rely upon a range of intra and inter-personal strategies to overcome these hurdles successfully. A number of suggestions for improved mental healthcare on deployment are also identified. A review of the implications of the findings is offered and recommendations for improved training and support for mental healthcare professionals are explored. Finally, potential avenues for future research are considered.

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Notes

  1. The research was conducted at a time when the lead author was employed by the NHS.

  2. The authors have a background in the research, teaching, and application of clinical psychology; including professional experience in military psychology and/or psychology trauma.

References

  • Adler, A. B., & Barton, P. T. (1999). International survey of military mental health professionals. Military Medicine, 164, 788–792.

    PubMed  CAS  Google Scholar 

  • Barker, C., Pistrang, N., & Elliott, R. (2002). Research methods in clinical psychology: An introduction for students and practitioners. Chichester: Wiley.

    Book  Google Scholar 

  • Bekerian, D. A., & Levey, A. B. (2005). The war room. Applied psychology: putting theory into practice. Oxford: Oxford University Press.

    Google Scholar 

  • Campion, B. H., Hacker Hughes, J. G. H., Devon, M., & Fear, N. T. (2006). Psychological morbidity during the 2002 deployment to Afghanistan. Journal of the Royal Army Medical Corps, 152, 91–93.

    PubMed  CAS  Google Scholar 

  • Chamberlain, K. (1999). Using grounded theory in health psychology. In M. Murray & K. Chamberlain (Eds.), Qualitative health psychology: Theories and methods. London: Sage.

    Google Scholar 

  • Creswell, J. (1998). Qualitative inquiry and research design: Choosing among five traditions. London: Sage.

    Google Scholar 

  • DuBrin, A. J. (1996). Human relations for career and personal success. Englewood Cliffs: Prentice Hall.

    Google Scholar 

  • Engel, C., & Campbell, S. (1993). Revitalizing division mental health in garrison: a post-desert storm perspective. Military Medicine, 158(8), 533–537.

    PubMed  Google Scholar 

  • Gal, R., & Mangelsdorff, A. D. (Eds.). (1991). Handbook of military psychology. Chichester: Wiley.

    Google Scholar 

  • Giles, D. C. (2002). Advanced research methods in psychology. London: Routledge.

    Google Scholar 

  • Glaser, B., & Strauss, A. (1967). The discovery of grounded theory. Chicago: Aldine.

    Google Scholar 

  • Hacker Hughes, J. G. H. (2004a). Uniformed military clinical psychology (Internal Rep.: ACDMH/JHH). London, UK: Defence Medical Services, Ministry of Defence.

    Google Scholar 

  • Hacker Hughes, J. G. H. (2004b). Military psychology services in some other nations (Internal Rep.: Supplement to Annex A to ACDMH/JHH). London, UK: Defence Medical Services, Ministry of Defence.

    Google Scholar 

  • Hacker Hughes, J. G. H. (2004c). Military psychology services in three leading allied nations. (Internal Rep.Annex B to ACDMH/JHH). London, UK: Defence Medical Services, Ministry of Defence.

    Google Scholar 

  • Hacker Hughes, J. G. H., Cameron, F., Eldridge, R., Devon, M., Wessely, S., & Greenberg, N. (2005). Going to war does not have to hurt: preliminary findings from the British deployment to Iraq. British Journal of Psychiatry, 186, 536–537.

    Article  Google Scholar 

  • Hacker Hughes, J. G. H., Campion, B. H., Cameron, C. & Devon, M. (2003). Results of a survey on psychological health of British peacekeepers deployed during 2002. European Psychotherapy, Special Edition, 204.

  • Hoge, C. W., Castro, C. A., Messer, S. C., et al. (2004). Combat duty in Iraq and Afghanistan: mental health problems and barriers to care. New England Journal of Medicine, 35, 13–22.

    Article  Google Scholar 

  • Jenkins, I. L. (2006). Surgeon general’s policy letter—The prevention and management of traumatic stress related disorders in armed forces personnel deployed on operations. (Internal Rep.: DMSD/13/8). London, UK: Defence Medical Services, Ministry of Defence.

    Google Scholar 

  • Jones, N., Greenberg, N., Fear, N., Earnshaw, M., McAllister, P., Reid, G., et al. (2008). The operational mental health consequences of deployment to Iraq for UK forces. Journal of the Royal Army Medical Corps, 154(2), 102–106.

    PubMed  CAS  Google Scholar 

  • Kiernan, M., Hill, D., McManus, F., & Turner, M. (2003). Management of mental illness by the British army. The British Journal of Psychiatry, 182, 337–341.

    Article  PubMed  Google Scholar 

  • Lester, K. S. (2000). The psychologist’s role in the garrison mission of combat stress control units. Military Medicine, 165(6), 459–463.

    PubMed  CAS  Google Scholar 

  • McAllister, P. D., Blair, S. P. R., & Philpott, S. (2004). Op telic—A field mental health team in the general support medical setting. Journal of the Royal Army Medical Corps, 150, 107–112.

    PubMed  CAS  Google Scholar 

  • McCauley, M. (2010). Rising to the challenge: civilian clinical psychology in the USAF. The Air Force Psychologist, 30(1), 6–7.

    Google Scholar 

  • McCauley, M., Hacker Hughes, J., & Liebling-Kalifani, H. (2008). Ethical considerations for military clinical psychologists: a review of selected literature. Military Psychology, 20, 7–20.

    Article  Google Scholar 

  • McCauley, M., Hacker Hughes, J., & Liebling-Kalifani, H. (2010). Wellbeing of military mental health staff. Mental Health Practice, 14(4), 14–19.

    Google Scholar 

  • McCauley, M., Norris, R., & Searle, Y. (2006). Mental healthcare at the royal centre for defence medicine. (Internal Rep.BZN/ClinPsyc03/06/McC/DCMH). (London, UK: Defence medical services, ministry of defence.

    Google Scholar 

  • Moore, B. A., & Reger, G. M. (2006). Clinician to frontline soldier: a look at the roles and challenges of army clinical psychologists in Iraq. Journal of Clinical Psychology, 62(3), 395–403.

    Article  PubMed  Google Scholar 

  • Palmer, I. (2003). No pain, no gain–part 1. A brief history of British army psychiatry: origins, experiences and understandings. Journal of the Royal Army Medical Corps, 149, 364–368.

    PubMed  CAS  Google Scholar 

  • Palmer, I. (2004). Psychological briefing, prevention or priming? or, how many psychiatrists does it take to change a mind? Journal of the Royal Army Medical Corps, 150, 84–90.

    PubMed  CAS  Google Scholar 

  • Reid, G. (2008). Forward. Journal of the Royal Army Medical Corps, 154(2), 90.

    Google Scholar 

  • Shephard, B. (2002). A war of nerves: soldiers and psychiatrists 1914–1994. London: Pimlico.

    Google Scholar 

  • Silverman, D. (1993). Interpreting qualitative data: Methods for analysing talk, text and interaction. In D. Silverman (2000). Doing qualitative research: A practical handbook. London: Sage

  • Strauss, A., & Corbin, J. (1990). The basics of qualitative research: grounded theory procedures and techniques. California: Sage.

    Google Scholar 

  • Timlin-Scalera, R. M., Ponterotto, J. G., Blumberg, F. C., & Jackson, M. A. (2003). A grounded theory study of help-seeking behaviours among white male high school students. Journal of Counseling Psychology, 50(3), 339–350.

    Article  Google Scholar 

  • Tindall, C. (2001). Issues of evaluation. In P. Banister, E. Burman, I. Parker, M. Taylor, & C. Tindall (Eds.), Qualitative methods in psychology: A research guide. Buckingham: Open University Press.

    Google Scholar 

  • Turner, M. A., Kiernan, M. D., McKechanie, A. G., Finch, P. J. C., McManus, F. B., & Neal, L. A. (2005). Acute military psychiatric casualties from the war in Iraq. British Journal of Psychiatry, 186, 476–479.

    Article  PubMed  Google Scholar 

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Correspondence to Mathew McCauley.

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McCauley, M., Liebling-Kalifani, H. & Hughes, J.H. Military Mental Health Professionals On Operational Deployment: An Exploratory Study. Community Ment Health J 48, 238–248 (2012). https://doi.org/10.1007/s10597-011-9407-8

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