Mental Health

Defence written question – answered on 13th March 2007.

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Photo of Mark Harper Mark Harper Shadow Minister (Defence)

To ask the Secretary of State for Defence pursuant to the answer of 28 November 2006, Official Report, columns 625-26W, on mental health, what the assessed establishment requirement is for each category of mental health worker; and where each is based.

Photo of Derek Twigg Derek Twigg Parliamentary Under-Secretary (Ministry of Defence) (Veterans)

As stated on the 29 January 2007, Hansard, column 25W, the DMS uniformed regular requirement figures have been reviewed and the new manning requirements for 2007 for all cadres will be formally announced in the near future. The new requirement figures may cause the current number and configuration of established posts or "establishment" to change.

The following table shows the current number and location of establishment for uniformed psychiatrists and registered mental health nurses (RMHN) for each Service:

Unit Location Psychiatrist RMHN
HMNB Clyde Faslane 1
DCMH Haslar Gosport 2 15
DCMH Plymouth Plymouth 6
Total RN Establishment 2 22
Paderbom Community Mental Health Team Paderbom 1
BFG HS Community Mental Health Team Hohne 1
Mental Health Services Out Patients, Wegberg Wegberg 1 4
Mental Health Services In Patients, Wegberg Wegberg 10
Gutersloh Community Mental Health Team Gutersloh 1
BFG HS—MRS Rhine Mil. Complex Rhinedahlen 2
DCMH Haslar Gosport 2
16 Close Support Colchester Colchester 1 1
APHCS Northern Ireland Northern Ireland 1 4
APHCS HQ Camberley 1
Wales and West Midlands (PHC Region) Donnington 1 3
Wessex (PHC Region) Tidworth 1 5
Scotland and North East (PHC Region) Scotland and Gib 1 2
Home Counties (PHC Region) DCMH Aldershot 2 5
London and South East (PHC Region) DCMH Woolwich 1 3
TPMH Akrotiri Cyprus 1
Eastern (PHC Region) DCMH Cranwell 1
Eastern (PHC Region) DCMH Colchester 1
Health Care and Projects King's College, London 1
Scotland and North East (PHC Region) DCMH Catterick 1 4
Total Army Establishment 13 50
DCMH Catterick(1) Catterick 1 2
TPMH Akrotiri Community Mental Health Team Cyprus 3
DCMH Brize Norton Brize Norton 1 9
DCMH Cranwell Cranwell 1 6
DCMH Marham Marham 1 8
DCMH Donnington Donnington 2
Community Mental Health Clinic, Halton Halton 1
DCMH Kinloss Kinloss 1
RAF High Wycombe CHQ High Wycombe 1
RAF Lyneham (TMW) Lyneham 3
DCMH Woolwich Woolwich 1
Scotland (PHC Region) Leuchars 1
Total RAF Establishment 5 39
(1) Psychiatrist establishment includes one rotation (tri-Service) post. Notes: APHCS—Army Primary Health Care Service BFG HS—British Forces Germany Health Service CHQ—Collocated Headquarters DCMH—Department of Community Mental Health HMNB—Her Majesty's Naval Base MRS—Medical Reception Service PHC—Primary Health Care TMPH—The Princess Mary's Hospital TMW—Tactical Medical Wing

As stated in the answer given on 7 March 2007, Official Report, 1986W, the MOD no longer employs mental health occupational therapists, but does employ civilian clinical psychologists, psychiatrists and mental health nurses. However, the figures for their establishment are not held centrally. I will write to the hon. Member with these figures once they have been collated and place a copy of the letter in the Library of the House.

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kath smith
Posted on 9 Apr 2007 2:28 pm (Report this annotation)

As a mental health Occupational Therapist who works closely with psychologists, psychiatrist and nurses, all of whom place importance on return to health and well being including work and the home.
I and the teams I work in, are clear about the unique skills OT's have to offer both those in acute care and those getting services from the local community teams, helping it's clientele achieve health and wellbeing, and quality of life.

The occupation in occupational therapy refers to a much wider remit than just work, and the writer appears to have a very narrow and limited understanding of the profession.

The importance of OT comes in having skills to assess the individual, their biopsychosocial make up and functioning, whilst also reviewing the environment the individual functions in and the tasks they need to or aspire to achieve to do -.......this is especailly important for those returning from active duty, where stress trauma and injury may result in reduced ability to function either through trauma and or psychological issues. Using their understanding of human occupation (not work only!)OT's are able to help even the most traumatised/distressed clients gently re-engage with life and help the individual return to being able to do and engage in doing the things and activites that make us human - work(!)(play if you are a child) but also more imortanatly other things we do 'that occupy' leisure, self care and care of others and social engagement.

Perhaps if there were (any) OT's in the MOD then some of those soldiers returning from active duty, struggling with PTSD may have been able to benefit from the gentle holiistic approaches that OT's employ. After all it is a profession that has much of it's origin in and grew out of the war and the need for rehab and help for it's soldiers.

Kath Smith