WARRIOR CARE IN THE 21 ST CENTURY DAY 1 AUSTRALIA CENTURY WARRIOR CARE IN THE 21 ST
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1 WARRIOR CARE IN THE 21 ST CENTURY DAY 1 AUSTRALIA WARRIOR CARE IN THE 21 ST CENTURY
2 Individual Resilience in the Australian Defence Force Air Commodore Tracy Smart Director General Strategic Health Coordination, Joint Health Command
3 Overview Background - Mental Health in the ADF What is resilience? What do we and don t we know about resilience? Longitudinal ADF Study Evaluating Resilience (LASER) How do we enhance it? BattleSMART The role of leadership New developments
4 The ADF Health System Joint Health Command provides: garrison health services (including MH) for 59,000 + FT personnel and 20,000+ reserve from health centres and clinics on all ADF bases Joint health capability coordination Strategic health advice and input Single Services provide Deployable/operational health
5 Mental Health Plans and Strategy 2002 ADF MH Strategy 2009 Dunt Review 2010 MilHOP Research 2011 ADF Mental Health and Wellbeing Strategy ADF MH and Wellbeing Action Plan 2014 ADF Alcohol Management Strategy and Plan Working on our new Strategy with Services
6 2010 ADF Commitment: Capability through mental fitness by Promoting good mental health and wellbeing through leadership at all levels A culture that supports personnel to recognise MH issues and assist themselves and others Prepare to meet unique risks of military service Evidenced based treatment and recovery Partnerships between individuals, families, command and health providers Innovation and research to improve understanding of needs and delivery of care Support effective transition and continuity of care for those leaving the ADF
7
8 The greatest glory in living lies not in never falling, but in rising every time we fall Nelson Mandela
9 Resilience The sum-total of psychological processes that permit individuals to maintain or return to previous levels of well-being and functioning in response to adversity. The Technical Cooperation Panel (TTCP) Technical Panel 13
10 What we know about resilience We know resilience is a dynamic process requires a range of coping strategies is helpful in everyday life What we don t know Is resilience stable over time? What factors influence resilience? Is the ADF approach to building individual resilience effective?
11 Longitudinal ADF Study Evaluating Resilience: Study Goals To examine changes in MH and psychological resilience during training and military service To determine the personal or situational characteristics that build or erode psychological resilience To examine changes in behaviour and psychological processes relevant to psychological resilience Crane, M.F., Lewis, V., Cohn, A., Hodson, S.E., et al. (2012) A Protocol for the Longitudinal Study of Psychological Resilience in the Australian Defence Force. Journal of Military and Veterans' Health, 20(4).
12 Longitudinal Methodology Data collection points
13 Where are we now? Time 1 data collection complete Time 2 - data collection complete Time 3 data collection complete Time 4 to conclude Oct 2015 Time 5 to conclude Oct 2016
14 Reporting Three Reports have been generated and disseminated Pre-enlistment Report and Initial Training Report Contributors to Change Report Early Careers Report Future detailed reports Relationship between prior trauma exposure and mental health outcomes Relationship between smoking and drinking behaviours and mental health outcomes The role of social psychological factors in relation to the health and wellbeing of ADF members Reports will inform training and policy
15 How do we enhance it?
16 Initial Reaction Situation Physical Reactions Behaviours Thoughts Emotions Optimal Reaction and Performance Test Adjust
17 BattleSMART Training Continuum ALSO FamilySMART for ADF families based on the LifeSMART package
18 Tailored Training: OP Resolute Does not fit the phased approach Program commenced in June 2011 for assigned Navy crews and other personnel Comprises a biennial group SMART resilience brief, annual Questionnaire, screening interview with a psychologist
19 What we know resilience training won t do No evidence that training in resilience will stop development of PTSD Will not stop the harmful impact of bullying and workplace harassment A one off presentation on resilience will not increase resilience
20 Leadership and resilience Support from others Reinforce principles of BattleSMART Link between morale and resilience Expectations regarding resilience Variable Situation dependant Needs to be practiced
21 New developments High Res smart device app and website BattleSMART website Keep Your Mates Safe (KYMS) Peers The Technical Cooperation Program (TTCP): Action Group 21 Resilience
22 Summary We need our personnel to be resilient Want to assist personnel to build and maintain their mental fitness at all stages of their career Research to tell us what components of resilience we need to identify, develop and foster in individuals LASER-R Need to build and foster resilence through entire career - BattleSMART Shared responsibility: role of leadership in maintaining resilience
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