Overcoming Reputational Damage to the UK Armed Forces by Acknowledging Military Sexual Trauma and Its Potential Link to Veteran Suicide

The reputation of the UK Armed Forces is built on a foundation of honour, courage, and integrity. However, like any institution, it is not immune to issues within its ranks. One such issue that has received increasing attention by Forward Assist is military sexual trauma (MST), which encompasses sexual harassment, assault, and abuse within the military. Acknowledging MST and its potential link to veteran suicide is not only a moral imperative but also crucial for restoring trust and reputation. In this blog I hope to explore the importance of acknowledging MST, the potential consequences of not addressing it, and how doing so can help mitigate the risk of veteran suicide. Military sexual trauma is a deeply troubling and pervasive issue that has long been shrouded in silence. Victims/survivors of MST often suffer in silence, fearing retaliation, stigma, or harm to their military careers. This culture of silence has allowed MST to persist, causing immeasurable harm to survivors and undermining the reputation of the UK Armed Forces Sadly, the current recruitment campaign mantra of the British Army which is ‘You Belong Here’ and the UK Office for Veterans Affairs promise to all veterans that they are going to make the UK the best place in the world to be a veteran. For UK MST survivors the rhetoric does not match the reality. The failure to acknowledge and address MST has severe consequences. Survivors of MST may experience a range of physical and psychological effects, including post-traumatic stress disorder (PTSD), depression, anxiety, and substance abuse. These issues can persist long after their military service has ended, affecting their overall well-being and ability to reintegrate into civilian life. The reputation of the UK Armed Forces is closely tied to the public's perception of its integrity and commitment to the well-being of its personnel. When instances of MST are not acknowledged or addressed, it erodes trust in the institution and raises questions about its commitment to the safety and dignity of its members. This reputational damage can have far-reaching consequences for recruitment, retention, and public support.

While not all survivors of MST will experience suicidal ideation or self harming behaviours, research suggests a significant correlation between MST and an increased risk of suicide among veterans. The feelings of shame, guilt, and helplessness that often accompany MST can contribute to suicidal thoughts and actions. By acknowledging the link between MST and veteran suicide, the UK Armed Forces and Office for Veterans Affairs could take proactive steps to support at-risk individuals. Acknowledging MST sends a clear message to survivors that their experiences are valid and that the institution takes their well-being seriously. This can help break down the stigma surrounding MST, encouraging survivors to seek the help and support they need. It also demonstrates a commitment to transparency and accountability, which can help restore public trust. Addressing MST is not only a matter of reputation but also a matter of life and death. By acknowledging the potential link to veteran suicide, the UK Armed Forces can implement targeted mental health support programs for survivors, as well as training for personnel to recognise and respond to signs of distress in their comrades. Early intervention and support can save lives.

The UK Armed Forces and the Office for Veterans affairs must develop and implement comprehensive policies and procedures for addressing MST. These should include clear reporting mechanisms, survivor support services, and preventive measures such as education and training to prevent harassment and abuse. Investing in mental health services tailored to the unique needs of MST survivors such as Forward assist and Salute Her UK is essential. These services should be readily accessible and destigmatized, encouraging survivors to seek help without fear of repercussions. Raising awareness about MST and its potential link to veteran suicide is crucial. This can be achieved through public campaigns, training programs for military personnel, and collaboration with external organisations specialising in MST and mental health support. To prevent MST and its consequences, a culture of accountability must be fostered within the UK Armed Forces and the Office for Veterans Affairs. This includes holding perpetrators of MST accountable for their actions and ensuring that preventive measures are effectively enforced.

Acknowledging military sexual trauma and its potential link to veteran suicide is not an indictment of the UK Armed Forces or the Office for Veterans Affairs but a recognition of the institutions commitment to the well-being of its personnel. Failing to address MST not only perpetuates suffering among survivors, but it also damages the reputation of the military and the Office for Veterans Affairs, which in turn, undermines both organisations mission. By taking proactive steps to acknowledge, prevent, and support survivors of MST, the UK Armed Forces and OVA can protect its reputation, restore public trust, and, most importantly, save lives. It is a moral and strategic imperative that cannot be ignored any longer.

Tony Wright CEO Forward Assist

Lets Talk About Domestic Violence and Veterans.

It's important to recognise that many veterans do not engage in domestic violence. It's essential to approach this topic with sensitivity and without stigmatising all veterans. Many veterans are resilient and contribute positively to their communities, but those who are struggling with domestic violence issues need support and access to appropriate resources to address the underlying causes and seek help. It’s also important to remember that individuals of any gender, including male veterans can be victims of domestic violence. While the causes of male veterans becoming victims of DV can vary, there are several factors that can contribute to this issue. Veterans, like anyone else, can experience mental health challenges which may contribute to being victims of DV. If not treated these can lead to emotional and psychological distress, making them more vulnerable to abusive relationships. In some cases, the power dynamics within the relationship may be skewed, with the perpetrator using their military service or training to exert control over their partner. Societal stereotypes and stigmatisation can make it difficult for male victims to come forward and seek help. Some may fear not being taken seriously or worry about their masculinity being questioned. There may be a lack of awareness and understanding about the possibility of male veterans experiencing DV, which can result in fewer support services being available to them. Civilian life can come with financial challenges. Economic stress can contribute to relationship conflicts and violence. As mentioned earlier while some male veterans may experience DV, this is not representative of all male veterans, and many have healthy and supportive relationships. Male veterans who are victims of DV should not hesitate to seek help and support. There are organisations and resources available to assist male victims, including domestic violence hotlines, counseling services, and legal support. Breaking the stigma and increasing awareness of male victims of DV within the veteran community is essential to ensure that they receive the help and support they need to escape abusive situations and heal from the trauma.

Tony Wright CEO Forward Assist

Exploring the Concept of Forgiveness with UK Combat Veterans

Combat veterans who have served in the UK Armed Forces often carry the weight of their experiences long after they return to civilian life. Among the complex emotions and challenges they face, the concept of forgiveness holds a special place. Veterans may grapple with forgiveness on various fronts: forgiving themselves for actions taken during combat, forgiving those who have wronged them, and reconciling their feelings towards society. In this blog I will delve into the multifaceted concept of forgiveness within the context of UK combat veterans, examining its potential benefits, challenges, and the importance of understanding it as a unique and personal journey. Forgiveness for UK combat veterans encompasses several aspects, including self-forgiveness, forgiveness of others, and forgiveness of society or institutions. Veterans often bear the heavy burden of guilt, shame, and moral injury for actions they took or witnessed during combat. Self-forgiveness involves letting go of these feelings and recognising that they were operating within the parameters of their duty and training. Veterans may need to grapple with forgiving fellow servicemembers, enemy combatants, or even civilians involved in the conflict. Forgiving those who may have caused harm or betrayal can be especially challenging. Veterans may experience a sense of disillusionment or betrayal by society or institutions that failed to provide adequate support or acknowledgment of their sacrifices. Forgiving society involves releasing anger and resentment toward these larger entities. Forgiveness can be a powerful tool for veterans to alleviate the emotional burden of guilt, anger, and resentment that can linger after combat experiences. It promotes emotional healing, reducing symptoms of PTSD, depression, and anxiety. Letting go of feelings of anger and guilt through forgiveness can lead to improved overall mental health, greater resilience, and a sense of emotional well-being. Veterans who are able to forgive themselves and others often experience improved relationships with loved ones, as they are better able to communicate and reconnect emotionally. Veterans may feel external pressure from society, loved ones, or therapists to forgive, which can lead to resistance and resentment. Forgiveness should always be a personal choice, not an expectation. Forgiveness should not be misconstrued as condoning or trivializing the experiences of veterans during combat. There is a fear that forgiving wartime actions may send the wrong message or diminish the gravity of the situation. Combat situations are inherently complex, and moral judgments made under extreme stress are not always clear-cut. Veterans may struggle to define what actions require forgiveness and what actions are justifiable in the context of war. It is crucial to recognise that forgiveness is a deeply personal and individual journey for UK combat veterans. No two veterans will experience it the same way, and there is no one-size-fits-all approach. The decision to forgive or not is entirely up to the veteran, and they should be respected in their autonomy.For veterans who may find forgiveness elusive or undesirable, alternative paths to healing can be explored. Encouraging veterans to practice self-acceptance and self-compassion can be a powerful alternative to forgiveness. This involves acknowledging their actions within the context of their military service and accepting themselves as complex individuals. Veterans may benefit from specialised therapeutic approaches, such as Eye Movement Desensitisation Reprocessing (EMDR) therapy for PTSD or moral injury therapy, which can help them process their combat experiences and navigate their emotions without necessarily focusing on forgiveness. Some veterans may find healing through advocacy work, using their experiences to raise awareness about the challenges they face and support others in similar situations. Engaging in the process of reintegration into civilian life can also be a healing journey.

The concept of forgiveness among UK combat veterans is intricate and multifaceted. While it can offer emotional healing, improved mental health, and enhanced relationships, it is not a straightforward path, and it may not be the right choice for every veteran. It is vital to respect the individual journey of each veteran and provide them with the support and resources they need, whether they choose to pursue forgiveness, explore alternative paths to healing, or find their unique way forward. Ultimately, the process of forgiveness is deeply personal and should be guided by the veteran's own needs, values, and experiences.

Tony Wright CEO Forward Assist

Lets Talk About Sex Addiction

Sex addiction is a complex and controversial topic, and it can affect individuals from all walks of life, including military veterans. It's important to approach this subject with sensitivity and avoid making broad generalisations. Here are some key points to consider regarding sex addiction and pornography use among military veterans. Sex addiction, also known as hypersexual disorder or compulsive sexual behavior disorder, is characterised by an excessive and compulsive preoccupation with sexual thoughts, feelings, or behaviors that interfere with daily life, relationships, and overall well-being. Some veterans may develop sex addiction as a coping mechanism for dealing with the stress and trauma associated with their military experiences.Pornography consumption is common in today's society, and many people watch pornography without it being considered an addiction. However, for some individuals, pornography use can escalate to a level where it negatively impacts their daily life, relationships, and overall mental health. This can happen to veterans as well as civilians. Military service can introduce unique stressors and experiences that may contribute to problematic sexual behaviors or pornography use among veterans. This may include exposure to trauma, separation from loved ones, and the challenges of reintegration into civilian life. Veterans who believe they have an issue with sex addiction or problematic pornography use should seek help from mental health professionals. Many treatment options, including therapy and support groups, are available to help individuals address these issues. Support from family, friends, and support groups can be crucial for veterans working to overcome sex addiction or problematic pornography use. These networks can provide understanding, encouragement, and accountability. It's important to approach the topic of sex addiction and pornography use with respect for an individual's privacy and dignity. Avoid stigmatising language or assumptions, and instead focus on offering support and access to appropriate resources. Mental health professionals are well-equipped to diagnose and treat sex addiction or problematic pornography use. They can help individuals identify underlying causes, develop coping strategies, and work toward healthier behaviors and relationships. Ultimately, it's essential to recognize that sex addiction and problematic pornography use are individual experiences that can affect people from all backgrounds. The most important thing is to encourage those who may be struggling with these issues to seek help and support from qualified professionals who can provide guidance and treatment tailored to their specific needs.

Tony Wright CEO Forward Assist

Cyber Harassment in the UK Armed Forces

Cyber harassment, including the distribution of revenge porn, is an under researched area and serious concern in many organisations, including the UK armed forces. Cyber harassment, also known as online harassment or cyberbullying, involves using digital communication tools (e.g., social media, email, text messages) to threaten, intimidate, or harm others emotionally or psychologically. This can take many forms, including spreading false information, stalking, or engaging in harmful behaviour online. Revenge porn is a specific form of cyber harassment that involves sharing explicit or intimate images or videos of someone without their consent. This is often done as an act of revenge or to humiliate the victim. Cyber harassment, including revenge porn, can have serious consequences within the UK armed forces. It can cause Military Sexual Trauma, damage morale, harm unit cohesion, and negatively affect the mental health and well-being of service members. I don’t know if the Military Police have policies and regulations in place to address cyber harassment and revenge porn,,, but they should!

These policies should aim to prevent such behaviour, provide guidelines for reporting incidents, and outline consequences for those who engage in such actions. Service members who experience cyber harassment, including revenge porn, should be encouraged to report these incidents to their chain of command, military police, or appropriate authorities. Support services should also be made available to help victims cope with the emotional and psychological effects of such harassment.

In the civilian world, I believe that those found guilty of sharing explicit images or videos without consent can face legal consequences, including imprisonment. Training and education courses should be implemented within the armed forces to raise awareness about cyber harassment, provide information on how to prevent it, and encourage a culture of respect and dignity among service members.

Service members should be educated about the importance of online safety, including safeguarding personal information and maintaining privacy settings on social media platforms. It is crucial for the UK armed forces, like any organisation, to take cyber harassment and revenge porn seriously and to provide support and resources for victims. Promoting a culture of respect and accountability can help prevent such incidents and ensure that those responsible are held accountable for their actions.

Tony Wright CEO Forward Assist

Why Military Identity Can Be A barrier To Assimilation

Military identity, deeply ingrained through training, service, and shared experiences, can become a barrier to engagement with civilian support services in the UK. While military identity fosters a sense of camaraderie and discipline within the armed forces, it may create challenges when transitioning to civilian life. Several factors contribute to the potential barriers associated with military identity. The military operates on a unique set of values, traditions, and language that may be unfamiliar to civilians. This cultural disconnect can make it challenging for veterans to relate to or feel understood by civilian support services that lack a military background. Military culture often places a high value on strength, resilience, and self-reliance. As a result, veterans may be hesitant to seek civilian support services due to perceived stigma or a sense of pride that may prevent them from acknowledging vulnerability or the need for assistance.Civilian support services may lack a nuanced understanding of military life, including the unique challenges faced during service and the transition to civilian life. This gap in understanding can lead to ineffective or irrelevant support, making veterans less likely to engage. Trust is foundational in the military, and veterans may be hesitant to engage with civilian services if they perceive a lack of trustworthiness or a misunderstanding of their experiences. Building trust requires civilian services to demonstrate cultural competence and a genuine commitment to supporting veterans.Military life is highly structured, with clear hierarchies, routines, and expectations. Transitioning to the less structured civilian environment can be disorienting and may lead veterans to resist engaging with services that seem less organized or lack the discipline they are accustomed to.Veterans may feel a strong sense of loyalty to military-specific resources and may be more inclined to seek support within the military community. This loyalty can be a barrier to engaging with civilian services that may be better equipped to address specific civilian challenges.The process of transitioning from military to civilian life is inherently stressful. Veterans may be dealing with identity shifts, loss of structure, and uncertainty about their civilian roles. Navigating these challenges may lead them to withdraw from engaging with unfamiliar civilian support services.Veterans may be dealing with invisible wounds such as post-traumatic stress disorder (PTSD) or traumatic brain injuries. These issues can further isolate individuals from civilian services that may not have the expertise to address military-specific mental health challenges.To overcome these barriers, it is essential for civilian support services to gain an understanding of military culture, values, and experiences to better connect with and serve veterans. Forge partnerships with military organizations to facilitate a smoother transition and ensure continuity of support. Train civilian service providers to recognize and address the unique needs of military veterans, including mental health challenges and transition-related stress. In conclusion, while military identity can pose challenges to engagement with civilian support services, targeted efforts to bridge the cultural gap and provide tailored, understanding assistance can help veterans successfully navigate the transition to civilian life.

Tony Wright CEO Forward Assist

The Devastating, Enduring Impact of Shame on Military Sexual Trauma Survivors

Military Sexual Trauma (MST) is a deeply distressing and often life-altering experience that leaves survivors with psychological and emotional scars that can persist for a lifetime. One of the most insidious and enduring effects of MST is shame. Shame is a powerful and pervasive emotion that can profoundly impact survivors, exacerbating their trauma, and hindering their ability to heal and move forward. Over the past seven years Forward Assist has been working with male and female survivors of MST and we continue to raise awareness of the devastating and enduring impact sexual trauma has on survivors and family members, By shedding light on the problem we hope to create a space where we can talk openly about the issue and create pathways to support whilst removing the barriers to veterans coming forward so that specialist support services can help them on their journey toward recovery.

Shame is a complex and multifaceted emotion. It is distinct from guilt, which arises from the belief that one has done something wrong, whereas shame stems from a belief that one is inherently flawed, unworthy, or fundamentally damaged. For military sexual trauma survivors, shame often arises from a distorted perception of self-worth, fueled by the traumatic experience itself and societal stigmatisation of sexual assault. Survivors of military sexual trauma frequently grapple with self-blame and guilt, even when they are in no way responsible for the assault. This self-blame can manifest as thoughts like "I shouldn't have put myself in that situation" or "I should have fought back harder." These feelings compound the trauma and create a sense of unworthiness, perpetuating the cycle of shame. Society, including the armed forces community past and present often places the burden of shame on survivors, questioning their actions, clothing, or choices. This external judgment can exacerbate survivors' feelings of shame, making them reluctant to disclose their trauma or seek support. The fear of being blamed or not being believed further isolates survivors and reinforces their sense of shame. The impact of shame on sexual trauma survivors can be devastating and long-lasting. It affects various aspects of their lives, including their mental health, relationships, and overall well-being. Shame often leads to the development or exacerbation of mental health issues, such as depression, anxiety, and post-traumatic stress disorder (PTSD). Survivors may struggle with intrusive thoughts, flashbacks, and nightmares, which are exacerbated by their sense of shame. These mental health challenges can be debilitating and hinder their ability to live fulfilling lives. Shame erodes survivors' self-esteem and self-worth. They may internalise the belief that they are damaged or tainted, making it difficult to form healthy relationships or pursue their goals. The persistent feeling of unworthiness can lead to self-destructive behaviors, such as substance abuse or self-harm, as survivors attempt to cope with their overwhelming emotions. Many survivors of sexual trauma isolate themselves as a way to protect themselves from further shame or judgment. They may avoid social situations, withdraw from friends and family, and even become reclusive. This isolation can hinder their ability to access support and prolong their suffering. Shame can have a profound impact on survivors' ability to form and maintain healthy relationships. They may struggle with trust issues, fear of intimacy, and difficulty communicating their needs and boundaries. This can strain both romantic and platonic relationships, leading to further feelings of isolation and inadequacy.

Overcoming the enduring impact of shame for sexual trauma survivors is a complex and challenging journey. However, it is essential to recognize that healing is possible and that survivors can reclaim their lives. Therapy, particularly trauma-focused therapy, is a crucial component of recovery. A trained therapist can help survivors process their trauma, challenge their feelings of shame, and develop coping strategies to manage their emotions and thoughts. Creating a support network is essential for survivors. Joining support groups or connecting with individuals who have had similar experiences can reduce feelings of isolation and provide validation. Knowing that they are not alone can be a powerful step toward healing.Learning to practice self-compassion is a vital aspect of recovery. Survivors must work on challenging and reframing their negative self-beliefs and recognise that they are not defined by their traumatic experiences. Self-compassion can help survivors rebuild their self-esteem and self-worth. The armed forces community must work to destigmatize sexual trauma and shift the blame away from survivors. Public awareness campaigns and education driven by the Office for Veterans Affairs could help reduce the shame associated with military sexual assault, making it easier for MST survivors to come forward and seek help.A really simple step would be to adopt the term Military Sexual Trauma.

The enduring impact of shame on military sexual trauma survivors is a significant barrier to healing and recovery. Shame can have devastating consequences on survivors' mental health, relationships, and overall well-being. However, with the right support, therapy, and self-compassion, survivors can begin to break free from the chains of shame and move toward a brighter future. It is crucial that the military community and its many supporters actively work towards a more compassionate and understanding environment for survivors, where shame is replaced with empathy and support not judgement.

Tony Wright CEO Forward Assist

The Silent Struggle: Examining the Hopelessness, Loneliness, and Isolation Experienced by UK Military Veterans.

Service related musculoskeletal disorders comprise diverse conditions affecting bones, joints, muscles, and connective tissues. These disorders may result in pain and loss of function and are among the most disabling and costly conditions in the UK.

The transition from military service to civilian life is a challenging journey for many veterans, especially those grappling with service-related muscular and skeletal injuries. In the United Kingdom, a significant number of military veterans face not only the physical consequences of their injuries but also the profound psychological impact that often leads to feelings of hopelessness, loneliness, and isolation. Forward Assist are keen to highlight the multifaceted dimensions of the challenges faced by UK military veterans with muscular and skeletal injuries, shedding light on the factors contributing to their mental health struggles. Veterans with muscular and skeletal injuries often contend with chronic pain and physical disabilities, limiting their mobility and independence. The constant battle against pain can contribute to a sense of hopelessness, as the veterans grapple with the idea that their injuries may be permanent, affecting their ability to engage in everyday activities. The journey to recovery for veterans can be hindered by limited accessibility to healthcare services. Long waiting times, insufficient specialised care, and gaps in mental health support contribute to a feeling of abandonment, exacerbating the sense of hopelessness and isolation among veterans. Many veterans with muscular and skeletal injuries also contend with post-traumatic stress disorder, further compounding their mental health challenges. The combination of physical and psychological trauma intensifies feelings of hopelessness and can lead to self-imposed isolation as veterans struggle to cope with their internal battles. Society's perception of disability and mental health can contribute to the isolation of veterans. Misunderstandings and stigmas surrounding visible and invisible injuries may lead to feelings of loneliness as veterans perceive a lack of understanding and empathy from the broader community. Military service often provides a sense of purpose and identity for individuals. Muscular and skeletal injuries, however, can force veterans to confront a loss of identity as they grapple with their changed physical abilities. This loss, coupled with a perceived lack of purpose in civilian life, contributes to a profound sense of hopelessness. Veterans with service-related injuries may face economic difficulties due to limitations in employment opportunities. Financial strain further isolates them from societal activities, leading to a sense of loneliness and hopelessness as they struggle to meet basic needs and maintain a sense of dignity. The availability of support systems is crucial for veterans navigating the challenges of muscular and skeletal injuries. Inadequate support, whether from family, friends, or the community, leaves veterans feeling isolated and abandoned in their struggle, exacerbating the mental health toll of their injuries. The hopelessness, loneliness, and isolation experienced by UK military veterans with service-related muscular and skeletal injuries represent a pressing societal concern. Addressing these challenges requires a comprehensive approach that encompasses improved accessibility to healthcare, de-stigmatisation of disabilities, enhanced mental health support, and the cultivation of a more inclusive and understanding society. By recognising the unique struggles faced by these veterans and implementing targeted interventions, the UK can work towards creating a supportive environment that fosters healing, resilience, and reintegration for those who have sacrificed their well-being in the service of their country.

Tony Wright CEO Forward Assist

Should We Be More Proactive In Supporting Military Veterans?

The system of self-referral for support from service charities and mental health services poses both advantages and challenges for UK veterans. While it empowers veterans to take control of their well-being, it also highlights certain limitations and the need for a more proactive approach to ensure comprehensive and timely support.

This blog looks at both sides of the coin:

Self-referral allows veterans to exercise autonomy and take charge of their mental health journey. It empowers them to seek help when they feel ready, reducing the stigma associated with reaching out for support. By allowing veterans to self-refer, support services can be more personalised. Veterans can choose the services that align with their specific needs and preferences, fostering a more individualised approach to mental health care. Self-referral can lead to quicker access to support, eliminating potential delays that may occur when relying solely on third-party referrals. This timely access is crucial for addressing mental health issues promptly. Veterans have the freedom to explore a variety of service providers and charities that cater to their unique experiences and challenges. This diversity ensures that veterans can access the specific support they require.

However, some veterans may be hesitant to self-refer due to various barriers, including stigma, pride, or a reluctance to acknowledge mental health challenges. This can result in delayed or avoiding seeking support. Veterans might not be fully aware of the available support services or may not know how to navigate the system effectively. This lack of awareness can hinder their ability to find the most suitable assistance. The self-referral system relies on veterans recognising the need for support. This approach may result in underutilisation of available services, as some veterans might not proactively seek help even when it is needed. Without a centralised referral system, there is a risk of fragmented care. Veterans may need to navigate multiple organisations independently, potentially leading to gaps in the continuity of care and support.

 Recommendations for Improvement:

• Implement comprehensive education and outreach programs to raise awareness about available mental health services. This can help veterans make informed decisions about seeking support.

• Work towards destigmatising mental health issues within the military community through targeted campaigns and initiatives, creating an environment where seeking help is viewed as a sign of strength.

• Establish a centralised information hub that consolidates details about various support services. This can simplify the process for veterans, providing a one-stop resource for finding assistance.

• Encourage greater collaboration and coordination between service charities, mental health providers, and military institutions to ensure a seamless and holistic support system for veterans.

In conclusion, while self-referral allows veterans to actively engage in seeking support, addressing the challenges associated with this system requires a concerted effort from various stakeholders. By implementing targeted initiatives, reducing stigma, and improving access to information, the UK can create a more supportive environment for veterans in their journey towards mental well-being.

 Tony Wright CEO Forward Assist

Why Veterans Lived Experience Should Be Driving Academic Study

Embedding ‘lived experience’ in academic research is a powerful approach that can yield numerous benefits for both veterans and the broader community. This approach not only enriches academic research but also ensures that the knowledge generated is more practical, relevant, and meaningful.

Veterans' lived experiences encompass a wide range of challenges, including mental health issues, physical injuries, employment difficulties, and family-related concerns. By embedding academic study in grassroots practice, researchers gain a more comprehensive understanding of these multifaceted issues. This holistic perspective can lead to more effective interventions and policies. Veterans often have unique cultural experiences and identities shaped by their military service. Embedding academics within grassroots organizations allows researchers to develop cultural competency and sensitivity, ensuring that their work is respectful of veterans' backgrounds and experiences. Research generated from grassroots practice is more likely to address practical, real-world problems. It is informed by the day-to-day realities of their lives, making the findings and recommendations more relevant and actionable.

Involving veterans in academic research fosters community engagement and trust. Veterans are more likely to participate in research when they see that their lived experiences and voices are valued and respected, leading to richer data and more meaningful insights. Lived experience narratives can provide valuable insights into what interventions are most likely to be effective for veterans. By working closely with those at the pointy end, academics can develop evidence-based interventions that are tailored to the specific needs and preferences of veterans.

Involving veterans in research can help reduce the stigma associated with mental health issues and seeking help. When veterans share their stories and experiences, it can inspire others to seek support and treatment, ultimately improving the overall well-being of the veteran community. Research driven by the lived experience narrative and experts through experience can have a more significant impact on policy development. Policymakers and funders are more likely to be influenced by evidence that is grounded in the real experiences of veterans and is supported by grassroots organisations that work directly with this population. It also encourages collaboration between researchers, practitioners, and veterans themselves.

These partnerships can lead to innovative solutions and a more cohesive approach to addressing unmet veterans' needs. By actively involving veterans in research and considering their lived experiences, the knowledge generated is more likely to have a lasting impact. It can lead to sustainable programs and interventions that continue to benefit veterans over time. Involving veterans in research empowers them to become advocates for change. It gives them a platform to share their stories, raise awareness about important issues, and actively participate in improving the systems and services that affect their lives.

In conclusion, embedding academic study in grassroots practice with veterans and locating it around the lived experience narrative is a powerful way to create research that is both academically rigorous and practically meaningful. It not only advances our understanding of veterans' needs but also empowers veterans themselves to be active agents of change in their communities and society at large. This collaborative approach can lead to the development of more effective, respectful, and responsive support systems for veterans.

Tony Wright CEO Forward Assist

Unveiling Military Sexual Trauma in the UK: Exploring the Complexities of Stockholm Syndrome Among Serving Personnel

On the occasion of our tenth year anniversary, it is essential to delve into a challenging and often overlooked aspect of military service—Military Sexual Trauma among UK military personnel. This article focuses on the prevalence of Military Sexual Trauma (MST) and the intricate dynamics of Stockholm Syndrome that may emerge among serving individuals. By examining these issues, we aim to foster awareness, understanding, and support for those affected within the UK military community.

Military Sexual Trauma encompasses a range of experiences, including sexual harassment, assault, and rape, that occur within the military setting. Despite efforts to address this issue, MST remains underreported and, at times, shrouded in secrecy due to the hierarchical structure and unique challenges within the military environment. UK military personnel, both men and women, may face the devastating consequences of MST, affecting their mental health, well-being, and overall military experience.

Stockholm Syndrome refers to a psychological phenomenon where victims develop an emotional bond or alliance with their perpetrators as a survival mechanism. In the context of the military, the hierarchical structure, intense training, and the camaraderie forged in challenging situations can create an environment conducive to the development of Stockholm Syndrome among survivors of MST. This complex psychological response can make it difficult for victims to recognise and report the abuse they endure.

Reporting MST within the military can be particularly challenging due to the power dynamics involved. Fear of retaliation, damage to one's military career, and concerns about not being believed contribute to a culture of silence. In cases where Stockholm Syndrome is at play, survivors may develop a protective attachment to their abusers, hindering their ability to come forward or seek help. Addressing MST within the UK military requires a multifaceted approach that involves dismantling systemic barriers, promoting a culture of reporting, and providing comprehensive support for survivors.

The mental health consequences of MST and the development of Stockholm Syndrome can be profound. Survivors may experience a range of symptoms, including anxiety, depression, post-traumatic stress disorder (PTSD), and a compromised sense of self-worth. Recognising and addressing these mental health challenges is crucial for the well-being and effective functioning of military personnel and later down the line… Veterans.

Preventing MST in the military requires a comprehensive strategy that includes education, training, and a commitment to fostering a culture of respect and accountability. By implementing prevention programs, raising awareness about MST, and providing robust support mechanisms for survivors, the UK military can work towards eradicating these issues and creating an environment that prioritizes the safety and well-being of all its personnel.

As I reflect on the past ten years of of trying to drive forward this difficult conversation, let us amplify our awareness and understanding of the challenges faced by UK military personnel dealing with Military Sexual Trauma and the complexities of Stockholm Syndrome. By acknowledging these issues, fostering a culture of support, and implementing proactive measures, we can contribute to creating a military environment that is free from the scourge of sexual trauma and promotes the mental health and well-being of all its members.

Tony Wright CEO Forward Assist

AA For Serving Personnel and Families

Alcoholics Anonymous (AA) operating on or around military bases in the UK could serve as a valuable resource for military personnel dealing with alcohol-related issues. Here are several reasons why the presence and promotion of AA groups to serving personnel bases could be beneficial:

1. Addressing Substance Abuse Issues:

   • Military life, with its unique stressors and challenges, can contribute to substance abuse problems. Alcoholics Anonymous provides a structured and supportive environment for individuals struggling with alcohol addiction, helping them address the root causes of their issues.

2. Confidential Support:

   • AA meetings adhere to a strict code of anonymity, creating a safe and confidential space for individuals to share their experiences. This is particularly important in a military context, where concerns about confidentiality may be heightened.

3. Peer Support and Camaraderie:

   • The military thrives on the principles of camaraderie, and AA meetings offer a similar sense of community and peer support. Military personnel attending AA meetings may help military families find comfort in sharing their struggles with others who understand the unique challenges of military life.

4. Accessible and Convenient:

   • Having AA meetings on or around military bases makes support more accessible for service members. This convenience can be crucial, as it eliminates barriers such as transportation issues or the stigma associated with seeking help off base.

5. Integration into Military Culture:

   • By having AA meetings on or around military bases, the program can be integrated into the overall military culture. This can help reduce the stigma associated with seeking help for alcohol-related issues, making it more likely that individuals will reach out for support.

6. Prevention and Education:

   • AA meetings not only provide support for those already struggling with alcohol addiction but also contribute to prevention efforts. By offering education and awareness programs, AA can help mitigate the risk of alcohol-related problems among military personnel.

7. Complementing Professional Treatment:

   • AA is a valuable complement to professional treatment options available on military bases. It provides ongoing, peer-supported recovery efforts that can extend beyond formal treatment programs, promoting long-term sobriety.

8. Resource for Military Families:

   • Alcohol addiction doesn't just affect the individual; it also impacts families. AA meetings can be a resource for military families dealing with the challenges of a loved one's alcohol addiction, fostering a supportive community.

9. Enhanced Mental Health Support:

   • Substance abuse often coexists with mental health issues. Integrating knowledge of AA meetings into a more comprehensive approach to mental health support, will help address both alcohol-related concerns and underlying mental health conditions.

10. Crisis Intervention and Support:

    • In times of crisis, having AA meetings readily available allows for immediate intervention and support. This can be critical for individuals facing acute challenges related to alcohol addiction.

In conclusion, Alcoholics Anonymous operating for the benefit of serving personnel in the UK aligns with the principles of accessibility, confidentiality, and community support. It can be a valuable component of the broader mental health and wellness framework within the military, contributing to the overall well-being of military personnel and their families.

Tony Wright CEO Forward Assist

Veterans Who Self Harm

The issue of self-harm within the military and veteran community in the UK is a complex and sensitive topic, and several factors contribute to its lack of open discussion:

1. Stigma and Perception of Weakness:

   • There exists a pervasive stigma surrounding mental health issues within the military and veterans. Members may fear being perceived as weak or unfit for service if they disclose struggles with self-harm. This stigma can discourage open conversations and prevent individuals from seeking help.

2. Military Culture and Toughness:

   • Military culture often emphasises toughness, resilience, and the ability to endure challenging situations. Discussing self-harm may be perceived as incongruent with these values, leading to underreporting and a reluctance to address mental health concerns openly.

3. Fear of Professional Consequences:

   • Military personnel and veterans may fear that disclosing self-harm or mental health struggles could negatively impact their careers. Concerns about job security, promotions, or assignments may deter individuals from seeking help or discussing their challenges openly.

4. Lack of Mental Health Education:

   • Despite increased efforts to promote mental health awareness, there may still be a lack of comprehensive mental health education within the military. This can contribute to a lack of understanding about self-harm and how to address it effectively.

5. Challenges in Accessing Mental Health Services:

   • While mental health services are available within the military, challenges such as long wait times, concerns about confidentiality, and perceptions of inadequate support may discourage individuals from seeking help for self-harm.

6. Norms of Secrecy and Elitism

   • Military personnel and veterans can often develop a strong sense of camaraderie along with a indoctrinated belief of elitism, which can foster a culture of secrecy. Individuals may be hesitant to disclose personal struggles, including self-harm, for fear of disrupting this sense of trust and unity.

7. Mental Health Stigma in Society:

   • The broader societal stigma surrounding mental health issues can also affect the military community and veterans. The reluctance to discuss self-harm may be influenced by a fear of judgment or misunderstanding from civilian counterparts.

8. Crisis Response Over Prevention:

   • Military organisations and service charities may focus more on crisis response than proactive prevention when it comes to mental health. Addressing self-harm may be reactive, emphasizing intervention rather than fostering an open dialogue about prevention and mental well-being.

To address these challenges and promote a more open discussion about self-harm within the military community in the UK, it is essential to:

• Destigmatise Mental Health:

  • Challenge stereotypes and promote a culture that views seeking help for mental health issues, including self-harm, as a sign of strength rather than weakness.

• Provide Comprehensive Mental Health Education:

  • Integrate mental health education into military training to enhance understanding, reduce stigma, and encourage early intervention.

• Improve Access to Confidential Support:

  • Ensure that mental health services are easily accessible, confidential, and provide the necessary support for individuals dealing with self-harm.

• Encourage Peer Support:

  • Foster a culture of peer support within the military community and veterans to encourage open conversations and provide a network of understanding.

• Promote Leadership Involvement:

  • Leaders within the military should actively promote mental health discussions and create an environment where seeking help is encouraged without fear of reprisal.

• Collaborate with Mental Health Professionals:

  • Strengthen collaboration between military organisations and mental health professionals to ensure that comprehensive and specialised support is available.

By addressing these aspects, it will be possible to create a more supportive and understanding environment within the military and veteran community, where self-harm and mental health issues can be openly discussed and effectively addressed.

Tony Wright CEO Forward Assist

"Unseen Battles: The Plight of Disenfranchised UK Veterans at Christmas"

The festive season, traditionally a time of joy and togetherness, can be an especially challenging period for veterans who find themselves disenfranchised and disconnected from the support networks they once relied on within the UK military. Various factors, such as medical discharge, short-term service, early service leavers, bullying, harassment, military sexual trauma, PTSD, loneliness, muscular skeletal injuries, old age, bad life choices, suicidal thoughts, poor mental health, and a toxic culture within service charities, contribute to a complex web of challenges that these hidden veterans face. I want to explore the multifaceted issues surrounding disenfranchised veterans during the Christmas season, shedding light on the intersectionality of their struggles.

There are many facets to veteran disenfranchisement, not least the experiences of those that don’t feel wanted by the veteran community or those not driven to join associations or support groups. Veterans who experience medical discharge or engage in short-term service often find themselves abruptly disconnected from the military community. The lack of a gradual transition can lead to a sense of isolation, especially during the holiday season when the camaraderie of fellow service members is sorely missed. Veterans who have experienced bullying, harassment, or military sexual trauma may carry invisible wounds that affect their mental health. The stigma attached to these experiences can create a sense of shame, making it difficult for them to seek help or connect with others during festive occasions. Those grappling with post-traumatic stress disorder (PTSD) and muscular skeletal injuries face physical and emotional challenges that can be exacerbated during the holiday season. Crowded spaces, loud noises, and festivities may trigger traumatic memories, leading to heightened anxiety and a desire to isolate themselves. Older veterans and those grappling with the consequences of past life choices may find themselves on the fringes of society during Christmas. As physical health declines and regrets mount, the festive season can serve as a painful reminder of the passage of time and missed opportunities. As I’ve mentioned before in my other blogs, service charities, designed to support veterans, often find themselves in fierce competition for funding. This competition can foster a culture of prioritising positive narratives to attract donations or worse promoting false narratives such as all veterans are mad, bad or sad and couldn’t cope if it wasn’t for their charity’s specific intervention. The infantilising of military veterans’ narrative should be a concern for all those working in the sector as this rhetoric leaves the struggles of disenfranchised veterans and those that go on to have extremely successful second or third careers after returning to civilian life, in the shadows. The above notwithstanding, the false narrative of unity among service charities may further perpetuate a lack of targeted support for those in need.

Disenfranchised veterans often face financial difficulties, exacerbated by a lack of support systems. Additionally, race discrimination within the military and broader society can compound the challenges faced by veterans of colour, creating barriers to accessing the resources they require during the holidays. The intersectionality of poverty and fear of asking for help forms a vicious cycle for disenfranchised veterans. Financial difficulties may lead to an inability to access necessities, and the fear of judgment or rejection may prevent veterans from seeking the assistance they desperately need during Christmas. Veterans experiencing homelessness or relationship breakdowns face intensified struggles during the festive season. The lack of stable housing and fractured relationships further isolate them from the warmth and connection typically associated with Christmas. Veterans entangled in the criminal justice system may feel ostracised during the holiday season. The stigma associated with legal troubles can deepen their sense of disconnection, making it challenging to rebuild their lives and reintegrate into society.The problems faced by disenfranchised veterans during Christmas are rooted in a myriad of complex and interconnected issues. From the lasting impact of military service to the challenges posed by a competitive charity landscape, the holiday season can magnify the struggles these veterans endure daily. It is imperative for society, the military, and service charities to acknowledge the multifaceted nature of these challenges and work collaboratively to provide targeted, empathetic, and effective support. Only through a comprehensive understanding of the intersectionality of these issues can we hope to create a Christmas season where no veteran feels left behind or forgotten.

Tony Wright CEO Forward Assist

Moving On: The Pros and Cons of Service Life For Military Children

Being a military child comes with both advantages and challenges. Here are some of the pros and cons:

Pros:

1. Cultural Exposure: Military families often move to different locations, providing children with exposure to diverse cultures and environments. This can lead to a broadened perspective and adaptability.

2. Structured Environment: Military life often instils discipline and a structured routine, which can be beneficial for a child's development.

3. Strong Support System: Military communities are known for their strong support networks. Families often form close bonds, providing a sense of belonging and camaraderie.

4. Travel Opportunities: Military families may have the chance to live in various parts of the world, allowing children to experience different landscapes, climates, and lifestyles.

5. Educational Opportunities: Military bases often have good educational facilities, and the experience of changing schools can make children more adaptable and resilient.

Cons:

1. Frequent Moves: The most significant challenge is the frequent relocations, which can disrupt friendships, educational continuity, and a sense of stability.

2. Parental Deployments: Military children often experience periods of separation from one or both parents due to deployments. This can be emotionally challenging and may contribute to anxiety or stress.

3. Social Challenges: Constant moves can make it challenging for military children to establish lasting friendships. They may also face difficulty in adapting to new social environments.

4. Educational Disruptions: Changing schools frequently can lead to gaps in educational continuity, making it difficult for children to follow a consistent academic path.

5. Emotional Strain: Dealing with the uncertainty of a parent's safety during deployments can place emotional strain on military children. The stress can manifest in various ways, including behavioural issues or anxiety.

6. Limited Control over Life Choices: Military children may feel a lack of control over their lives due to the nature of their parents' careers, leading to a sense of powerlessness.

In summary, being a military child involves a mix of positive and challenging experiences. The lifestyle can foster resilience, adaptability, and a strong sense of community, but it also brings about disruptions and emotional challenges associated with frequent relocations and parental deployments.

Tony Wright CEO

Invisible Older Veterans With Diagnosed or Undiagnosed PTSD

As we approach the festive period, it is essential to shed light on a critical issue that often remains hidden — undiagnosed post-traumatic stress disorder (PTSD) among older veterans in the United Kingdom, particularly those residing in care homes. While public awareness of PTSD has grown, there is still a significant gap in recognising and addressing the mental health needs of this invisible population. This blog explores the challenges faced by older veterans in the UK, the implications of undiagnosed PTSD, and the urgent need for increased awareness and support in care home settings.

Older veterans in the UK, who may have served in conflicts like the Falklands War, Northern Ireland, or even World War II, carry hidden traumas that often go undiagnosed. The passage of time does not necessarily diminish the impact of wartime experiences, and for many, the scars of combat persist into their later years. Undiagnosed PTSD can manifest in various ways, affecting not only the mental but also the physical health of veterans.

One of the primary challenges faced by older veterans in the UK is the lack of recognition and diagnosis of PTSD, especially in the context of care homes. The symptoms of PTSD can be misattributed to the natural aging process, making it difficult for healthcare professionals to identify the root cause of veterans' distress. Consequently, many veterans suffer in silence, and their mental health needs remain unaddressed.

Stigma surrounding mental health issues remains a significant barrier to the diagnosis and treatment of PTSD among older veterans in the UK. Traditional notions of masculinity, prevalent during the time these veterans served, may contribute to their reluctance in seeking help. Cultural barriers within care home environments may exacerbate this stigma, perpetuating the idea that mental health concerns are best kept private.

The sense of isolation experienced by older veterans in care homes can further compound the effects of undiagnosed PTSD. Unlike their military service years, where camaraderie provided a support system, care home residents may find themselves without the companionship and understanding of peers who share similar experiences. This isolation can intensify feelings of loneliness and exacerbate mental health challenges.

Addressing undiagnosed PTSD among older veterans requires a targeted and specialised approach. Care homes in the UK should invest in training staff to recognize the signs of PTSD in older residents. Additionally, mental health professionals with expertise in geriatric PTSD should be integrated into care teams to provide tailored support and treatment.

Increasing public awareness is crucial to breaking down the stigma associated with mental health issues among older veterans. Community engagement programs, workshops, and educational initiatives can play a pivotal role in fostering understanding and empathy. By involving families, friends, and the wider community, we can create a supportive environment that encourages veterans to seek the help they need.

As we reflect on the past year, it is imperative to recognise the invisible population of older veterans grappling with undiagnosed PTSD in UK care homes. By addressing the unique challenges faced by these individuals, fostering awareness, and promoting a culture of openness and understanding, we can work towards ensuring that the mental health needs of our older veterans are met with the dignity and respect they deserve in their later years.

Tony Wright CEO Forward Assist

Veterans, Self Medication, Loneliness and Isolation.

Veterans, like any other population, may engage in self-medication with drugs and alcohol for various reasons. It's important to note that not all veterans turn to substance abuse, and many successfully manage their mental health without relying on these substances. However, some veterans may face unique challenges that contribute to self-medication. Veterans may experience trauma during their service, leading to conditions like PTSD. Some individuals turn to substances as a way to cope with the symptoms of PTSD, such as intrusive thoughts, nightmares, and hyperarousal. Many veterans with lived experience of in-service sexual violence report self medicating themselves drugs and alcohol in the absence of specialists trained in supporting military sexual trauma survivors. Similarly, Veterans may suffer from chronic pain due to injuries sustained during their service. In an attempt to manage pain, they might resort to self-medication with drugs or alcohol, especially if they face barriers in accessing effective medical treatments. The transition from military service to civilian life can be challenging, and veterans may struggle with feelings of depression and anxiety. Substance use can be an attempt to self-medicate and alleviate these mental health issues temporarily. Many Veterans may feel isolated or alienated from civilian society, especially if they have difficulty reintegrating into their communities. Substance use may provide a way to cope with feelings of loneliness and disconnection. In addition, some veterans may face challenges in accessing mental health services due to factors such as stigma, logistical barriers, or inadequate resources. As a result, they may turn to self-medication as a readily available means of managing their symptoms and situation. Lets not forget, the military culture can sometimes foster a high tolerance for alcohol consumption, and veterans may continue this behaviour when they return to civilian life. Socialising with peers who also engage in substance use can contribute to the adoption of these behaviours. Currently, veterans may experience financial stress as they transition to civilian life, and this stress can be a contributing factor to substance abuse.

In summary, it's crucial to recognise that these factors are interconnected, and individual experiences may vary widely. Substance use is a complex issue with multifaceted causes, and addressing it effectively often requires a comprehensive approach that includes mental health support, rehabilitation services, and community integration programmes. Military service may give you a lot of unhealthy coping mechanisms and its essential that you reach out for help when you need it. If you or someone you know is a veteran struggling with substance abuse, seeking professional help from healthcare providers, mental health professionals, or veterans' support organisations is essential.

Tony Wright CEO Forward Assist

Should UK Veterans and Their Families Be Given Free Medical Health Insurance For Life?

The question of whether the National Health Service (NHS) is the right organisation to deliver veteran healthcare is a complex and nuanced issue. It involves considering various factors, including the specific needs of veterans, the future capabilities of the NHS, and the potential challenges associated with integrating veteran healthcare into the existing healthcare system, even with funding from the Government. On one hand, the NHS is a comprehensive and established healthcare system with a broad range of services. It has experience in providing healthcare to diverse populations, including individuals with complex medical needs. Integrating veteran healthcare into the NHS could potentially leverage existing infrastructure and expertise, ensuring a seamless transition for veterans from military to civilian healthcare.

 However, there are concerns that the NHS may face challenges delivering and addressing the unique healthcare needs of veterans, such as service-related injuries, for example, muscular-skeletal problems, mental health issues such as military sexual trauma (MST), traumatic brain injuries, Gulf War illnesses and the associated, practical and psychological difficulties faced by veterans and their families when adjusting to civilian life.

 As such, Veterans may require specialised care and support that goes beyond the scope of general healthcare services. Additionally, there may be a need for coordination between military medical service providers and civilian healthcare providers to ensure continuity of care for all veterans, past and present.

 It's essential to consider the views of veterans themselves, as well as experts in both military and civilian healthcare settings when evaluating the appropriateness of the NHS for delivering veteran healthcare. Implementing a system of veterans' priority access to healthcare services over the general public can indeed raise concerns about potential divisions and equity. While there may be a desire to recognise and address the unique healthcare needs of veterans, it's crucial to balance this with the principles of fairness and equal access to healthcare for all citizens. Potential issues and considerations include giving veterans priority access could create a two-tiered system. This may be perceived as unfair and could lead to resentment among the general public, especially if it results in longer wait times or reduced access for non-veterans.

 Prioritising one group over another could strain healthcare resources and potentially lead to disparities in the allocation of funding and personnel. This might impact the overall quality of healthcare services for both veterans and the general public. Perceptions of fairness and equity are critical in maintaining public trust in the healthcare system. If the public perceives that certain groups are receiving preferential treatment, it could erode confidence in the healthcare system as a whole. Prioritising one group over another may raise legal and ethical questions regarding equal treatment under the law. It's important to ensure that any policies align with legal and ethical standards.

 Other concerns about the NHS include, the NHS has often faced financial challenges, leading to debates about funding levels and the ability to meet growing demand for healthcare services. Staffing levels, including shortages of healthcare professionals, have been a longstanding issue. This can impact the delivery of timely and high-quality care. Waiting times for certain treatments and surgeries have been a concern, and addressing these delays has been a priority for improving patient care. Keeping pace with technological advancements and incorporating innovations into healthcare practices is an ongoing challenge for many healthcare systems, including the NHS. The NHS is subject to public and political scrutiny, and debates about its structure, funding, and management will be ongoing.

 It's essential to note that assessments of the NHS's performance may vary, and opinions on whether it is "failing" can depend on individual experiences, political viewpoints, and specific criteria used for evaluation. If there is a genuine need to address the unique healthcare needs of veterans, policymakers should carefully consider approaches that promote inclusivity and fairness. This might involve positive publicity campaigns about veteran centric health services without compromising the overall access and quality of healthcare services for the general public.

 Balancing the needs of different population groups while upholding principles of equity is a complex task that requires thoughtful planning and consideration of potential consequences. In the past, the quality of care provided the National Health Service was excellent. Sadly, in recent years it appears to be getting worse with many GP’s suggesting that their patients go private if they can afford it. However, let’s not forget that NHS treatment is free for everyone at the point of treatment and life-threatening conditions are supposedly a priority. Waiting times, especially for low-priority, routine procedures such as knee and hip replacements post-operative, physiotherapy and dental care, to name but a few, are at an all-time high.

 In conclusion, while the NHS has the infrastructure and experience to deliver healthcare services, careful consideration and planning are required to ensure that, timely medical interventions and care for veterans and their families is available when needed.

 The status of the National Health Service (NHS) in the United Kingdom could vary based on different perspectives, and opinions on its performance may differ. The NHS faces ongoing challenges, such as funding constraints, workforce issues, and increasing demand for healthcare services. Therefore, perhaps it would be better to give veterans and their families, especially those medically discharged from service, free, life-long private health care insurance?

 (For the most up-to-date information on the current status of the NHS and any recent developments, I recommend checking the latest reports from reputable news sources, government health agencies, or official NHS publications.)

 Tony Wright CEO & Founder Forward Assist

Do We Need Armed Forces Charities?

As the NHS pick up and run with the veteran health care ball (Operation Courage), I am beginning to wonder if we actually need a service charity sector?

It’s fantastic to see hundreds of isolated veterans now accessing professional help and support from the plethora of expert practioners already embedded in the NHS. Its long overdue, and I like many others can’t quite get my head around where it went wrong in the first place. One of the reasons we didn’t have, until recently, a Department for Veterans Affairs, (a development I really support by the way) was because the NHS was designed to pick up all the holistic health needs of returning veterans when it formed on 5th july 1948.

In its short tenure, the UK Department for Veterans Affairs has, in just over four years managed to put veterans back in the position they should have been in at the end of World War Two. Perhaps that’s because there just wasn’t anyone back then to champion the cause of veterans other than a small group of service charities that were formed at the end of WW1. These charities picked up the tab for Government and operated, in the main, via a network of volunteer support. The landscape really changed when ‘Help for Heroes’ stepped into the service charity arena to meet the unmet needs of veterans who were seriously injured in both Iraq & Afghanistan. It was a game changer.

Lets not forget the old guard didn’t like it, but the great British public knew all too well that veterans were for all intents and purposes, dumped when they left the military. When I was growing up my Father and Great Grandfather both suffered from depression, alcohol misuse and episodes of violent behaviour. Yet, no one made the link between their service in WW1 & WW2. Like others, they would never talk about their time in the services.

It’s only now as I search my family tree that I find out that they were both in the thick of in France 20014-18 and Europe 1944 -45. As they returned home, thousands of veterans were told to get on with their lives and suffer in silence, many living in poverty and having to take any work they could to survive. Interestingly, in my house the only person to be given medication for depression was my Mother and that was due to trying to cope with my Fathers explosive anger issues and violence.

I predict that as care planning and coordinated care pathways become the norm veterans will eventually, of their own volition, gravitate towards the various support services that are being developed in the NHS to meet individual veteran need. This is a good thing. The need for veterans charities to identify, engage and connect with specialist NHS services will become redundant as, quite rightly, veterans take responsibility for accessing their own health care needs. A similar process is happening in the States as thousands of Vietnam Veterans gravitate back to the free health care provided by the US Dept Veterans Affairs after years of rejecting the services on offer.

Simultaneously, the NHS will, as it collects data become more savvy at identifying the causal factors of some of the presenting issues. At the moment veterans are viewed as an homogenous group and bizarrely, the general public are under the misguided impression that all veterans are combat veterans with PTSD. Nothing could be further from the truth and it will become apparent in due course, as we enter another economic downturn, that millions of pounds are spent on those who meet the criteria of Veteran simply because of the anachronistic misnomer of ‘one days service’. I would like to see this criteria reclassified so that funding reaches those that need it most.

Someone should ask the large charities just how much is spent annually on individuals with under 12 weeks service? It will be interesting and shocking data.

What will also become apparent, is that the vast majority claiming monetary support cannot attribute the cause of their problems with any aspect of Military Service. Yet the cash cow keeps on paying up and as one veteran said …”If the cows there… milk it ” This has to stop.

We need to ensure that those that deserve a gold star service get a gold star service.

Tony Wright CEO

The Complex Dynamics Surrounding the Adoption of the Term "Military Sexual Trauma" by the UK Ministry of Defence

The issue of sexual trauma within the UK military is a deeply sensitive and complex topic that demands careful consideration and understanding. One aspect of this discourse is the terminology used to describe such incidents, with "Military Sexual Trauma" (MST) being a term that has gained prominence across the world. However, the adoption of this term by the Ministry of Defence (MoD) is not a straightforward process and is influenced by various factors. This blog will delve into the reasons why the MoD might hesitate to embrace the term MST, examining cultural, institutional, and policy-related aspects.

1. Stigma and Perception: One primary reason for the reluctance of the MoD to adopt the term MST may be the fear of perpetuating stigma. The use of the term itself acknowledges the prevalence of sexual trauma within the military, which some stakeholders may perceive as damaging to the institution's image. The military often values a strong and resilient image, and acknowledging the existence of sexual trauma may be seen as a threat to that perception.

2. Cultural Barriers: Military culture is often characterized by a sense of discipline, hierarchy, and camaraderie. The term MST may be viewed as disruptive to this culture, challenging the traditional norms that prioritise cohesion and unity. The acknowledgment of sexual trauma might be perceived as undermining the trust and brotherhood that is crucial for effective military operations.

3. Historical Context: The military has a long history of dealing with issues internally, and there might be a hesitation to adopt new terminology that implies a need for external intervention. Admitting to the prevalence of MST could open the door to increased scrutiny from external entities, including human rights organizations and the public. This historical context may create resistance within the military leadership to embrace the term.

4. Legal Implications: Accepting the term MST could have legal ramifications for the MoD. It might imply a level of accountability that the institution may be hesitant to shoulder. Legal implications could involve compensation claims, investigations, and potential changes in military justice procedures, which could be perceived as a threat to the established order.

5. Challenges in Implementation: Adopting the term MST would necessitate a significant shift in the way the military addresses and handles sexual trauma cases. This could require the development of new policies, training programs, and support systems. The logistical challenges associated with implementing these changes may be a factor in the resistance to adopting the term.

6. Internal Resistance and Denial: Within the military, there may be a resistance to acknowledging the extent of the problem. Some individuals in positions of authority might deny the prevalence of MST or downplay its significance, viewing it as an isolated issue rather than a systemic concern. This internal resistance can impede the adoption of the term within the organization.

7. Perceived Threat to Discipline: The military places a high value on discipline and order. Acknowledging the existence of sexual trauma within the ranks may be seen as a threat to discipline, as it implies a breakdown in control and a failure to maintain a safe and respectful environment. This perception could hinder the acceptance of the term MST.

Conclusion:

In conclusion, the adoption of the term Military Sexual Trauma by the Ministry of Defence is a complex and multifaceted issue. Stigma, cultural barriers, historical context, legal implications, challenges in implementation, internal resistance, and the perceived threat to discipline are all factors that contribute to the hesitation in embracing this term. As society continues to evolve, it is essential for the military to address these issues transparently, fostering an environment that prioritises the well-being of its members while maintaining its core values and principles. The journey towards acknowledging and addressing military sexual trauma requires a delicate balance between accountability, cultural sensitivity, and a commitment to fostering a safer and more inclusive military environment. What we do know is, adopting a Catholic Church approach to dealing with sexual violence and abuse is not sustainable or morally acceptable in the short and long term.

Tony Wright CEO Forward Assist