A Day in the Life of a - University College London
A Day in the Life of a - University College London
A Day in the Life of a - University College London
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JMC<br />
Jo<strong>in</strong>t Medical Command<br />
Defence Cl<strong>in</strong>ical Psychology Service<br />
A <strong>Day</strong> <strong>in</strong> <strong>the</strong> <strong>Life</strong> <strong>of</strong> a<br />
(Military) Cl<strong>in</strong>ical Psychologist<br />
Dr Jamie Hacker Hughes<br />
BSc(Hons) DipCl<strong>in</strong>Psychol MPhil MSc PsychD<br />
CPsychol CSci FBPsS FCPS FHS TSSF<br />
UCL Psychology 1987 – 1990<br />
Military Psychology - Roots<br />
�� WW2 – Psychologists, civilian and<br />
uniformed, <strong>in</strong> all 3 Services: Admiralty,<br />
War Office, Air M<strong>in</strong>istry<br />
�� 1950s/60s - Post-War Post War Period beg<strong>in</strong>n<strong>in</strong>gs <strong>of</strong><br />
Cl<strong>in</strong>ical Psychology – Raven, Eysenck,<br />
Shapiro<br />
�� 1970s – Cl<strong>in</strong>ical Psychologists <strong>in</strong> RH<br />
Haslar, QEMH Woolwich, RAF Wroughton<br />
�� 1990s – Department <strong>of</strong> Cl<strong>in</strong>ical Psychology<br />
established at DKPH Catterick<br />
DCPS Mission Statement<br />
The mission <strong>of</strong> Defence Cl<strong>in</strong>ical Psychology<br />
is to provide cl<strong>in</strong>ical (assessment and<br />
<strong>in</strong>tervention), consultation, supervisory,<br />
educational and research cl<strong>in</strong>ical<br />
psychology support to Defence Mental<br />
Health Services and to <strong>the</strong> wider Defence<br />
community <strong>of</strong> Armed Service Personnel<br />
Royal Navy 40000 Army 105000 RAF 45000<br />
Military Psychology - Beg<strong>in</strong>n<strong>in</strong>gs<br />
�� 1879 – Wilhelm Wundt, Leipzig<br />
�� 1897 – First UK Psychology<br />
Department<br />
<strong>University</strong> <strong>College</strong> <strong>London</strong>!<br />
�� 1901 – BPS founded (Ditto!)<br />
�� 1912 – Dept <strong>of</strong> Experimental<br />
Psychology Cambridge <strong>University</strong><br />
�� 1914 – First British Military<br />
Psychologists<br />
CS Myers and WHR Rivers<br />
Defence Mental Health<br />
(Surgeon General’s General s Policy)<br />
• Role <strong>of</strong> Defence Mental Health is to provide Service<br />
Personnel with speedy access to skilled and<br />
effective treatment that is flexible and based<br />
around <strong>in</strong>dividual needs<br />
• Treatment should be provided <strong>in</strong> close proximity to<br />
Service person’s person s work environment<br />
• A clear understand<strong>in</strong>g <strong>of</strong> <strong>the</strong> unique nature <strong>of</strong> <strong>the</strong><br />
military ethos, composition and task underp<strong>in</strong>s<br />
successful MH delivery to Service populations<br />
• Delivery <strong>of</strong> this care should be multi-discipl<strong>in</strong>ary multi discipl<strong>in</strong>ary <strong>in</strong><br />
nature provided by a variety <strong>of</strong> skilled <strong>in</strong>dividuals<br />
Defence Cl<strong>in</strong>ical Psychology Service 2010<br />
CP-SW<br />
Dr Matt Gould<br />
C1<br />
POR<br />
Laura France<br />
<strong>University</strong> <strong>of</strong> Surrey<br />
CCP-SW<br />
Dr Ceri Bow en<br />
B2<br />
ALD/TID<br />
LCCP-SW<br />
Dr Susanne McGowan<br />
B 2<br />
PLY<br />
Rachel Tait<br />
<strong>University</strong> <strong>of</strong><br />
Plymouth<br />
CP2-SW<br />
TBR<br />
C1<br />
TID<br />
CP-C<br />
Dr Chris Hill<br />
C1<br />
DON/RCDM<br />
LCCP-C<br />
Dr Rachel Norris<br />
B2<br />
BZN<br />
CCP-C<br />
Dr Clair Clifford<br />
B2<br />
CRN/MAR<br />
Hd DCPS<br />
Dr Jamie Hacker Hughes<br />
B1<br />
PA<br />
TBA<br />
E1<br />
LICH<br />
LICH<br />
CCP-C<br />
Dr Marianna Odysseos<br />
B2<br />
COL<br />
Dr D<strong>in</strong>a Pekkala<br />
CCP – BFGHS<br />
B2<br />
BFG<br />
CP-N<br />
Dr Alison Lutte-Elliott<br />
C1<br />
Duncan Precious<br />
<strong>University</strong> <strong>of</strong><br />
Hertfordshire<br />
DMRC<br />
CCP-R<br />
TBR<br />
B2<br />
DMRC<br />
HP-mTBI<br />
Dr Clare Eldred<br />
C1<br />
DMRC<br />
CP-C<br />
Dr Wendy Frappell-<br />
Cooke C1<br />
WOO<br />
Fredrick Asare<br />
<strong>London</strong> City<br />
<strong>University</strong><br />
CCP-N<br />
Dr Angela Millns<br />
B2<br />
CAT<br />
LCCP-N<br />
Brenda Coldwell<br />
B2<br />
*Addictions Specialist<br />
CAT<br />
CCP-N<br />
Dr Wendy Mackay<br />
B2<br />
EDI/FAS/KIN/LIS<br />
CP-N<br />
TBR<br />
C1<br />
SNI<br />
1
0800 17 May 2010<br />
�� Leave for work!<br />
�� DCPS Psychologists work from 15 UK and<br />
4 British Forces Germany DCMHs<br />
(Departments <strong>of</strong> Community Mental<br />
Health) as well as visit<strong>in</strong>g DCMHs <strong>in</strong><br />
Cyprus and Gibraltar and <strong>the</strong> Field Mental<br />
Health Team (FMHT) <strong>in</strong> Afghanistan<br />
�� DCPS Psychologists also work at RCDM<br />
Birm<strong>in</strong>gham and DMRC Headley Court<br />
DCPS Current<br />
Establishment<br />
British Forces<br />
Germany<br />
+ Cyprus BFG – 1 Cyprus<br />
+ Gibraltar<br />
+ Operations<br />
(Afghanistan,<br />
Iraq, Balkans)<br />
1000<br />
�� Neuropsychological assessment<br />
�� Many Service clients are referred to<br />
psychology for neuropsychological and<br />
cognitive assessments follow<strong>in</strong>g head<br />
<strong>in</strong>jury, mTBI etc – or to assess memory or<br />
cognitive function<strong>in</strong>g related to encounters<br />
with tox<strong>in</strong>s – <strong>in</strong>clud<strong>in</strong>g C2H5OH<br />
�� Personality assessments also <strong>of</strong>ten<br />
conducted to assist selection etc.<br />
DCPS Current<br />
Establishment<br />
United K<strong>in</strong>gdom<br />
Colchester Garrison<br />
UK – Specialist Substance Misuse<br />
Western Scotland & N Ireland<br />
Eastern Scotland<br />
Catterick Garrison<br />
RAF Cranwell RAF Marham<br />
Donn<strong>in</strong>gton RCDM RTMC DMRC<br />
JMC Lichfield RAF Brize Norton<br />
Tidworth Aldershot and<br />
Woolwich Garrisons<br />
HM Naval Base Portsmouth<br />
HM Naval Base Plymouth<br />
0900<br />
�� DCMH Team Meet<strong>in</strong>g<br />
�� DCMH teams usually comprise <strong>of</strong>:<br />
�� Consultant Psychiatrist<br />
�� Consultant/Pr<strong>in</strong>cipal or Senior Cl<strong>in</strong>ical or<br />
Counsell<strong>in</strong>g Psychologist<br />
�� Mental Health Social Worker<br />
�� Mental Health Nurses<br />
�� Adm<strong>in</strong>istrative Staff<br />
�� Run!<br />
1200<br />
�� Physical fitness highly important <strong>in</strong><br />
HM Forces and runn<strong>in</strong>g with team<br />
members not only helps with fitness<br />
and stress management but builds<br />
credibility – especially with a 40 kg<br />
bag on your back!<br />
2
��<br />
DCPS Activity Pr<strong>of</strong>ile<br />
�� Supervision<br />
1500<br />
�� DCPS Psychologists have an<br />
important role <strong>in</strong> <strong>the</strong> cl<strong>in</strong>ical<br />
leadership <strong>of</strong> teams<br />
Client Contact<br />
Consultation<br />
Supervision<br />
Teach<strong>in</strong>g<br />
Research<br />
�� Especially <strong>in</strong> psycho<strong>the</strong>rapy<br />
supervision (CBT EMDR etc) and<br />
Research<br />
1300<br />
�� Read<strong>in</strong>g and CPD<br />
�� Therapy Session<br />
1400<br />
�� CBT<br />
�� EMDR<br />
�� SFT<br />
�� CAT<br />
�� DBT<br />
�� Brief Psychodynamic<br />
�� Cl<strong>in</strong>ical Hypnosis<br />
�� Research<br />
1600<br />
�� Outcome research<br />
�� Therapy case studies<br />
�� Military psychology<br />
�� Neuropsychology<br />
3
DCPS Publications 2009<br />
�� Gould, M, Hacker Hughes, J and Norris, R. (2009). UK<br />
armed forces' approach to Improv<strong>in</strong>g Access to<br />
Psychological Therapies (IAPT): The occupational factor. factor<br />
Cl<strong>in</strong>ical Psychology Forum, Forum,<br />
198 (2009). (2009)<br />
�� Rose, S, Hacker Hughes, JGH, Davidson, SE. (2009).<br />
Psychosocial disaster plann<strong>in</strong>g: Current best practice.<br />
United K<strong>in</strong>gdom Psychological Trauma Society Inaugural<br />
Conference, Ed<strong>in</strong>burgh.<br />
�� Department <strong>of</strong> Health (2009). Plann<strong>in</strong>g for <strong>the</strong> psychosocial<br />
and mental health care <strong>of</strong> people affected by major<br />
<strong>in</strong>cidents and disasters: Interim national strategic guidance.<br />
http://www.dh.gov.uk/en/Publicationsandstatistics/Publicati<br />
ons/DH_103562) ons/DH_103562)<br />
Department <strong>of</strong> Health (2009).<br />
�� Psychosocial care for NHS staff dur<strong>in</strong>g an <strong>in</strong>fluenza<br />
pandemic.<br />
http://www.dh.gov.uk/en/Publicationsandstatistics/Publicati<br />
ons/PublicationsPolicyAndGuidance/DH_103168<br />
�� Notes and Home<br />
1700<br />
<strong>in</strong> time to change for<br />
The Defence Cl<strong>in</strong>ical Psychology D<strong>in</strong>ner!<br />
JMC<br />
Jo<strong>in</strong>t Medical Command<br />
Defence Cl<strong>in</strong>ical Psychology Service<br />
Dr Jamie Hacker Hughes<br />
Head <strong>of</strong> Defence Cl<strong>in</strong>ical Psychology<br />
Deputy Head <strong>of</strong> Healthcare Jo<strong>in</strong>t Medical Command<br />
Defence Consultant Advisor (Psychology)<br />
M<strong>in</strong>istry <strong>of</strong> Defence<br />
JMC-HCARE<br />
JMC HCARE-CLINPSYCHHEAD@mod.uk<br />
CLINPSYCHHEAD@mod.uk<br />
DCPS Publications 2010<br />
�� Greenberg, N, Hacker Hughes, JGH and Earnshaw, NM. International Perspectives on<br />
Combat Mental Health: Focus on <strong>the</strong> UK. In E.C Ritchie (Ed.) Textbook <strong>of</strong> Military<br />
Medic<strong>in</strong>e. Wash<strong>in</strong>gton, DC: Department <strong>of</strong> <strong>the</strong> Army, Office <strong>of</strong> <strong>the</strong> Surgeon General, General,<br />
Borden Institute; <strong>in</strong> press.<br />
�� Hacker Hughes, JGH (2010). Mental Health Care <strong>in</strong> <strong>the</strong> British Armed Armed<br />
Forces.<br />
Newsletter <strong>of</strong> <strong>the</strong> uniformed Services Task Force, European Society Society<br />
for Traumatic<br />
Stress Studies.<br />
�� Iversen, AC, van Staden, L, Birtles, C, Hacker Hughes, JGH, Browne, Browne,<br />
T, Langston, V,<br />
et al. (2009). The prevalence <strong>of</strong> common mental disorders and PTSD PTSD<br />
<strong>in</strong> <strong>the</strong> UK<br />
military: data from a cl<strong>in</strong>ical <strong>in</strong>terview-based <strong>in</strong>terview based study.<br />
�� BMC Psychiatry.<br />
�� Iversen, AC, van Staden, L, Hacker Hughes, JGH, Browne, T, Greenberg, Greenberg,<br />
N, Hotopf,<br />
M, Rona, RJ, Wessely, S, Thornicr<strong>of</strong>t, G and Fear, NT. Help seek<strong>in</strong>g seek<strong>in</strong>g<br />
and receipt <strong>of</strong><br />
treatment <strong>in</strong> United K<strong>in</strong>gdom Service Personnel. BJPsych. BJPsych<br />
�� Iversen, AC, van Staden, L, Hacker Hughes, JGH, Browne, T, Langston, Langston,<br />
V,<br />
Greenberg, N, Hotopf, M, Rona, R, Wessely, S, Thornicr<strong>of</strong>t, G and Fear, NT. Perceived<br />
barriers to care and stigma for mental health problems <strong>in</strong> <strong>the</strong> UK Armed Forces.<br />
(Submitted)<br />
�� McCauley, M, Hacker Hughes, JGH, Liebl<strong>in</strong>g-Kalifani, Liebl<strong>in</strong>g Kalifani, L. Military Mental Health<br />
Pr<strong>of</strong>essionals: A small-scale small scale study <strong>of</strong> psychosocial wellbe<strong>in</strong>g follow<strong>in</strong>g operational<br />
deployment. (Community ( Community Mental Health Journal, Journal,<br />
Submitted).<br />
�� McCauley, M., Liebl<strong>in</strong>g-Kalifani, Liebl<strong>in</strong>g Kalifani, H. and Hacker Hughes, J.G.H. (In Press). Military<br />
Mental Health Pr<strong>of</strong>essionals dur<strong>in</strong>g Operational Deployment: An Exploratory Exploratory<br />
Study.<br />
Pr<strong>of</strong>essional Psychology: Research and Practice<br />
4
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