Social Prescribing… Is It Working?

My GP has adopted a social prescribing model which in theory I think is a really good idea… if it worked? My GP made the referral to a local authority gym in November 2023 but I have yet to be inducted onto the scheme. I suspect that social prescribing for UK veterans also faces significant challenges due to long waiting times. We all know that many veterans need support for a range of issues including mental health, physical health, social isolation, and/or employment. Yet the resources available for social prescribing are clearly insufficient to meet the high demand, leading to longer waiting times. Veterans often have complex needs that require coordinated, multifaceted support. Waiting times exacerbate these issues and delayed access to services that could help them can worsen their conditions. Effective social prescribing requires timely coordination between health, social care, and third-sector organisations and as I have experienced delays in one area can disrupt the entire support plan. Long waits can lead to deterioration in mental health conditions, making them harder to treat and increasing the risk of a crisis led intervention. Similarly any prolonged waiting can cause frustration and a sense of hopelessness, which may result in some veterans disengaging from the prescribed social support systems. Repeated delays erode trust in the system, making people less likely to seek help in the future. I know I have been become discouraged by the excessive waiting times and when turning up for appointments only to find staff are not available and no one had any idea I was coming that day despite the fact that the social prescribing team arranged the appointment. This has happened on two separate occasions and I admit to having come close to not to participating in this particular project. I understand that there can be significant administrative and systemic challenges in coordinating services across different organisations and if insufficient funding and/or resources are not allocated to social prescribing initiatives then bottlenecks and long waiting lists will happen. Statistical data showing the average waiting times for different services could provide concrete evidence of the need for a change of provider and restructuring.

I believe we need more money allocated to social prescribing initiatives especially those targeted at veterans and only by improving coordination between services will we reduce administrative delays. By addressing these challenges, social prescribing for UK veterans could become a more effective intervention, after all we have paid for it through our National Insurance contributions.

Tony Wright CEO Forward Assist

With A Change of Government We Need To Change The Focus of Support To The Military Community.

Offering compensation and designing dedicated support and treatment services for UK military veterans and service personnel with lived experience of Military Sexual Trauma (MST), In-service and post -service suicidal ideation, Mild and Traumatic Brain Injuries (TBI), and Gulf War Syndrome is crucial as we move into the next half of the decade. Acknowledging these conditions validates the experiences of veterans and service personnel, recognising the sacrifices they made for their country. Providing compensation and support is a moral responsibility, ensuring that those who served are treated with the dignity and respect they deserve. Specialised treatment for MST, suicidal ideation, TBIs and Myalgic Encephalomyelitis/Chronic Fatigue Syndrome could significantly improve both physical and mental health outcomes for affected veterans. Early intervention in all of the above and dedicated support services could help reduce the high rates of suicide among veterans by addressing underlying feelings of betrayal and abandonment. Effective treatment and support services could help veterans recover and regain functionality, improving their overall quality of life. Compensation could alleviate financial burdens, allowing veterans to focus on recovery without the added stress of economic insecurity. By providing dedicated services, the stigma associated with seeking help for MST, mental health issues, and TBIs could be reduced. Knowing that specialised support is available could encourage more veterans to come forward and report their experiences, leading to better data and understanding of their problems. Prompt and specialised care could prevent the escalation of conditions like TBIs and PTSD, reducing the long-term impact on veterans' health. Gulf War Syndrome and TBIs can lead to chronic health issues; dedicated services could help manage these conditions more effectively, reducing long-term healthcare costs. Dedicated services could help foster peer support networks where veterans could share experiences and coping strategies, creating a sense of community and belonging. These services could also extend support to families, helping them understand and assist in the recovery process. In summary, compensation and support services ensure that the legal and policy frameworks recognise and uphold the rights of veterans to receive adequate care and support. The Establishment of comprehensive support systems could set a precedent for how veterans are treated, which in turn would promote continuous improvements in veteran care policies. Data gathered from these specialised services could also inform future policies and improve understanding of MST, TBIs, and other conditions. Dedicated services can lead to the development of innovative treatment methods and therapies tailored specifically for military-related conditions. Supporting veterans’ recovery can help them reintegrate into the workforce, contributing to the economy. Effective early treatment and management could reduce long-term healthcare costs associated with chronic conditions resulting from military service. Providing comprehensive support and compensation honours the commitment made to those who have served, reflecting the nation’s gratitude and respect for their sacrifices. By recognising and addressing these needs, the UK could ensure that its veterans receive the care and support they deserve, reflecting a commitment to their well-being and truly honouring their sacrifice and service.

Tony Wright CEO Forward Assist

Empowering the Military Veteran Sisterhood

I was recently asked why I set up Salute Her UK, the UK's only women veterans charity. Other than saying …because it was needed, I did not at the time have a slick elevator elevator pitch to rattle off, so I thought I would write a blog on the matter. What I did know after 12 years of offering a distinct service for women veterans was the undeniable fact that women veterans often face unique challenges that are not adequately addressed by existing veterans' services. These challenges can include issues related to gender-specific healthcare, experiences of military sexual trauma, and difficulties transitioning back to civilian life. As a male veteran, running a multi award winning service charity I was able to recognise there was a glaring gap in service provision and felt a responsibility to help address that problem.

After hearing the lived experience of discrimination and invisibility during consultation sessions with women veterans I knew this was the right thing to do … and let me tell you a desire to take the moral high ground can be was a powerful motivator. Many of the women I met inspired me with their stories of resilience and dedication. Witnessing their struggles and triumphs drove me to become an advocate for better support systems specifically tailored for women veterans. I knew that setting up a charity dedicated to women veterans would help ensure that there was a safe, inclusive space where their voices could be heard and their needs met.

As a male ally, I was able to use my status as a CEO to amplify their experiences and promote gender equality within the veteran community. The absence of existing organisations focused solely on women veterans highlighted a significant void in support services. Establishing Salute Her UK addressed this gap and ensured that women veterans would have access to resources and programmes designed specifically for them. I would like to take this opportunity to thank the Churchill Fellowship Activate Grant for helping me make this idea a reality.https://www.churchillfellowship.org/our-impact/the-activate-fund/support-for-women-veterans/

Military service often fosters a deep sense of camaraderie and loyalty. Extending this sense of brotherhood and solidarity to women veterans, regardless of gender, reflects the values of mutual respect and support that are integral to military life. By founding Salute Her UK I was able to help raise awareness about the unique contributions and sacrifices of women in the military. This helped contribute to changing societal perceptions and fostering greater appreciation and understanding of their service in both the civilian and military service charity sector.

On a personal level, creating Salute Her UK was a deeply fulfilling way to give back to the veteran community. It allowed me to make a tangible difference in the lives of fellow veterans, contributing to a cause I care passionately about. Ultimately, setting up the UK's only women veterans charity as a male veteran allowed me to demonstrate a commitment to equity, support, and recognition for all who have served, highlighting the importance of inclusive and targeted veteran services.

Tony Wright Founder of Salute Her UK.

Celebrating a Milestone: Nomination for the Soldiering On Awards 2024

I am thrilled to announce that I have been nominated for the Lifetime Achievement category at the prestigious Soldiering On Awards 2024. With over 15 years of dedicated service, my charity has supported over 7,000 veterans and their families, including more recently 3,000 women veterans. This nomination is a recognition of the unwavering commitment and hard work of everyone involved in our mission to provide support and resources to those who have served our country.

Now in their 14th year, the Soldiering On Awards celebrate excellence within the Armed Forces community across twelve distinct categories, ranging from Family Values to Business Start-Up and Animal Partnership. These awards aim to highlight ordinary individuals accomplishing extraordinary feats.

Leading the selection process, Co-Chairs of Judges Lt Gen (Ret’d) Richard Nugee CB CVO CBE and Debra Allcock-Tyler, CEO of the Directory of Social Change, guided a distinguished panel of independent judges. They meticulously selected 36 finalists from an exceptional pool of nominees, with three finalists chosen for each category.

To honour the finalists, a private reception will be held at the House of Lords in July, hosted by Awards Patron the Rt Hon Earl Howe GBE PC. The winners will be announced at a spectacular black-tie event at the Park Plaza Westminster Bridge on Wednesday, 16th October 2024, hosted by special guest presenter Jeremy Vine.

I am deeply honoured by this nomination and look forward to showcasing the impactful work of our charity at these events. This recognition not only highlights our achievements but also inspires us to continue our mission with renewed passion and commitment.

Thank you to everyone who has supported us on this journey. Together, we are making a difference in the lives of veterans and their families.

Tony Wright Founder & CEO Forward Assist

Finding Your Authentic Self After Military Service.

The transition from military service to civilian life can be challenging, and it's crucial to approach it with a mindset of rediscovering and reconnecting with your authentic self. The military experience often requires adapting to a highly structured environment, and transitioning out of it can mean letting go of that structure and embracing a more flexible and self-directed life. Here are some key points to consider in this journey. Your time in the military is an integral part of who you are. It has likely provided you with valuable skills, discipline, and a unique perspective. Acknowledging and appreciating this experience is the first step towards a successful transition. Take some time to reflect on who you were before your military service. What were your interests, values, and aspirations? Reconnecting with these aspects can help you rediscover your authentic self. Many skills acquired in the military, such as leadership, problem-solving, and teamwork, are highly valuable in civilian life. Identify these skills and think about how they can be applied in new contexts. Civilian life often requires a different kind of flexibility and adaptability. Be open to new opportunities and experiences that may differ from your military routine. Transitioning can be easier with the support of others who understand your experience. Seek out veteran groups, support networks, and counselling services that can provide guidance and camaraderie. Define what you want to achieve in this new chapter of your life. Setting clear, achievable goals can provide direction and a sense of purpose as you move forward. Your well-being is crucial during this transition. Pay attention to your mental and physical health, and make self-care a priority. This can include exercise, hobbies, and other activities that promote a healthy lifestyle. Give yourself the freedom to explore new hobbies, careers, or educational opportunities. This exploration can help you uncover passions and interests that may have been dormant during your military service. Adjusting to civilian life is a process that takes time. Be patient with yourself and allow time for reflection and growth. It's okay to take things one step at a time. Acknowledge and celebrate the milestones you achieve along the way. Every step you take towards reconnecting with your authentic self is a victory worth recognising. By focusing on these areas, you can create a meaningful and fulfilling life post-military, rooted in your authentic self. The goal is not to completely reinvent who you are, but to integrate your military experiences with your true identity, leading to a richer, more balanced life.

Tony Wright CEO Forward Assist

Helping Military Spouses Understand The Impact of Military Sexual Violence

Military Spouses are an invisible army of support to both serving personnel and veterans and some sadly are the main carer of Military Sexual Trauma (MST) survivors. There is so much more that the charity sector could do to help spouses, family members and significant others understand the physical and psychological impact in service sexual assault has on survivors both during and after service. Everyone in the service charity sector should educate themselves about what MST is and the common experiences of survivors. Knowledge about the prevalence, nature, and effects of MST can foster empathy and understanding. Its vitally important to understand how sexual trauma can affect behaviour, emotions, and relationships. Understanding and recognising these signs can help everyone involved access appropriate support during the process of recovery. Its essential that we all encourage the survivor to seek professional help as soon as possible after the event and connecting with others who have had similar experiences can be both therapeutic and reassuring. Allowing the survivor to share their feelings and experiences at their own pace is essential, as is a non judgemental attitude. We all understand that healing from trauma takes time so patience and continuous support without pressure is crucial in both the short and long term. Supporting the survivor and a spouse through trauma can be emotionally taxing so, specialist training and supervision is essential for front line workers to ensure that they are able to meet the needs of the survivor and their family whilst taking care of their own mental and physical health. We encourage open, honest communication about feelings and what boundaries each person needs to feel safe. At Forward Assist we let the survivor control the pace of any discussions about their trauma and do not push for details or solutions in the early stages. Similarly, respecting the survivors decisions regarding treatment, reporting the incident, or legal actions is paramount to any intervention. We do however, help survivors navigate systems for accessing healthcare, legal assistance, or veteran services as being an advocate can empower the survivor. Everyone should promote stability and routine as daily routines can provide a sense of normalcy and safety. Fostering a home environment that is both calm and predictable reduces unnecessary stress. We all have a collective responsibility to stay informed about the rights and resources available to MST survivors through the military and veteran services. Helping MST survivors navigate healthcare systems will ensure they receive appropriate and timely care. If you can encourage survivors to build a network of supportive friends and family that understand that recovery is not linear and will be subject changing needs and stress. Supporting an MST survivor involves a combination of empathy, education, and active support. It's essential to build a supportive environment, encourage professional help, and ensure you take care of your own well-being. Being an advocate and a reliable source of stability can make a significant difference in the recovery journey.

Tony Wright CEO Forward Assist

Self-medication & Military Sexual Trauma (MST) survivors

Self-medication among military sexual trauma (MST) survivors should be a significant concern, as it often exacerbates their physical and mental health issues long after they leave the military. Survivors often use substances like alcohol, prescription drugs, or illicit drugs to numb the emotional pain and distress caused by in service sexual trauma. Yet, the fear of stigma, retribution, or disbelief within the military community, during and after service may lead survivors to avoid formal mental health treatment and instead self-medicate. Similarly, the chronic lack of awareness of MST and inadequate access to appropriate and specialist sexual trauma focussed mental health services can push survivors toward self-medication as a more accessible option.

Substance use can exacerbate symptoms of anxiety and depression, leading to a worsening of mental health. There is a also a heightened risk of suicidal ideation and attempts among those who self-medicate to cope with MST. Long-term substance abuse can lead to serious health issues, including liver disease, cardiovascular problems, and neurological damage. Misuse of substances, particularly prescription drugs and opioids, increases the risk of accidental overdose and death. Substance abuse can impair cognitive and physical performance, affecting the serving survivor’s ability to carry out their duties effectively. It can also lead to strained relationships with family, friends, and colleagues, resulting in social isolation.

Illicit drug use and prescription drug misuse can lead to legal issues, including arrest and charges and violations of military conduct rules related to substance use can result in disciplinary action, including discharge from service. So what can we do to help MST survivors self medicating in the absence of dedicated sexual trauma support ?

First of all, I believe there is a pressing need to raise awareness and implement a MST specific evaluation of both civilian and military mental health services and substance abuse programs to ensure they meet the needs of MST survivors. We should also establish independent oversight bodies to review MST cases and the effectiveness of support services.

By addressing the root causes and providing comprehensive support during and after military service it should be possible to help reduce the reliance on self-medication among MST survivors and improve their overall well-being and recovery outcomes. Dedicated services specifically tailored to the needs of MST survivors are, in my opinion, long overdue.

Tony Wright CEO Forward Assist

Why We Need More Trauma Informed Journalism

Last week I was honoured to be invited to a private symposium by James Scurry, Senior Producer & Assistant Editor at Sky News. The symposium looked at better storytelling through trauma-informed journalism and how better to protect mental health for journalists in both in the field and in the edit suite. The event was attended primarily by accredited journalists and those working in newsrooms and was was hosted by Sky's Saima Mohsin with guest speakers Leona O’Neill (Founder of Media Strong) Jeremy Bowen and Allan Little from the BBC. It was a powerful and emotional event with journalists sharing their lived experience of trauma.

On the return journey home I was able to reflect on why trauma informed journalism matters to those of us working in the service charity sector. In my opinion, journalists should be trauma-informed when reporting on the lived experiences of military veterans for several important reasons. Not least because veterans may have experienced significant trauma during their service, including exposure to combat, loss of comrades, Military Sexual Trauma and/or other stressful situations. A trauma-informed approach ensures that journalists are aware of these potential traumas and approach interviews and stories with the necessary sensitivity and respect. Sensitive or poorly handled reporting can inadvertently re-traumatise veterans. Asking triggering questions or presenting their stories in a sensationalised manner can exacerbate their trauma. Trauma-informed journalists are trained to recognise and avoid these triggers, ensuring that their reporting does not cause additional harm. Veterans and those in the service charity sector may be wary of the media due to previous negative experiences or a general mistrust of how their stories might be portrayed. A trauma-informed approach helps journalists build trust with veterans, making them more willing to share their experiences. This leads to more authentic and comprehensive stories. Trauma-informed journalism aligns with ethical reporting standards. It emphasises the importance of treating interview subjects with dignity and respect, acknowledging their experiences, and presenting their stories accurately and empathetically. Understanding the impact of trauma on veterans’ lives allows journalists to provide a more accurate and nuanced portrayal of their experiences. This helps the public gain a better understanding of the challenges veterans face, beyond the stereotypes often perpetuated in the media. when done correctly, reporting on veterans’ experiences can be a powerful tool for raising awareness about the issues they face, such as Military Sexual Trauma PTSD, reintegration challenges, and mental health struggles. It can also contribute to societal healing by fostering empathy and understanding. Similarly, sensitive and informed reporting can help improve public perception of veterans. By highlighting their strengths, resilience, and contributions to society, journalists can counteract negative stereotypes and promote a more balanced view. For other veterans reading or watching these stories, trauma-informed reporting can provide validation and a sense of community. Knowing that their experiences are being represented accurately and respectfully can be empowering and reduce feelings of isolation. Journalists have an ethical obligation to do no harm. Trauma-informed practices are part of this ethical commitment, ensuring that the process of reporting itself does not negatively impact the subjects of the stories. In conclusion, adopting a trauma-informed approach in journalism not only benefits the veterans being reported on but also enhances the quality and impact of the journalism itself. By prioritising sensitivity, respect, and accuracy, journalists can produce stories that are not only compelling but also ethically sound and socially responsible.

Tony Wright CEO Forward Assist

Navigating Chaos After Military Service

Transitioning from military to civilian life can indeed present numerous challenges for veterans. This transition, often referred to as "navigating chaos," involves several dimensions. Many veterans face significant psychological challenges such as adjustment disorder, PTSD, MST, anxiety, and/or depression. The military environment is structured and often has a clear chain of command and set of rules, which can be starkly different from civilian life. Finding a job can be a significant hurdle. Although many veterans possess skills that are highly valuable in the civilian workforce, translating these skills to fit civilian job roles and effectively communicating their applicability can be difficult. Re-establishing social connections or forming new ones can be daunting. Veterans may might feel that their experiences are not understood by civilians, which can lead to feelings of isolation. Veterans must learn to navigate a range of systems, including healthcare, education, and sometimes the legal system, without the institutional support they were accustomed to in the military. There's often a cultural shift that needs to be navigated. The values, norms, and behaviours in civilian life can differ markedly from those in the military, requiring a period of cultural readjustment. Support systems, such as the UK Office for Veterans Affairs, community veteran groups, and specialised career counselling, can play a critical roles in helping veterans make this transition occur more smoothly. Programmes designed to address mental health, facilitate job placement, and foster community engagement are essential in assisting veterans as they navigate the complexities of civilian life.

Tony Wright CEO Forward Assist

Veterans; Civilian Employment and Overestimating Transferable Skills.

Transitioning from a military career to the civilian job market can be a daunting leap, especially for veterans who are highly confident in their abilities but unprepared for the unique challenges of the civilian workforce. Imagine a highly skilled veteran, whose confidence was an asset on the battlefield, suddenly navigating the uncharted terrain of job applications and interviews. In this context, their strength becomes a double-edged sword, leading to several difficulties. Veterans often possess a myriad of skills, yet they sometimes struggle to articulate how those skills translate into civilian job requirements. This disconnect can lead to disappointment when employers don't immediately recognise their value. It's crucial for veterans to learn how to bridge the gap, translating their military experience into the civilian context. Confidence can lead to the expectation of rapid employment at a level commensurate with their military rank. However, civilian organisations may not always equate military experience with equivalent positions. Veterans might need to adjust their expectations and focus on roles where they can gradually prove their worth. The civilian workplace culture can be vastly different from the structured environment of the military. Veterans might encounter difficulties adapting to new communication styles, hierarchies, and norms. While their confidence is an asset, it might sometimes clash with a less formal or rigid culture, leading to misunderstandings or frustration. In the military, achievements and promotions are often clear-cut and based on performance. In the civilian world, networking plays a critical role in career advancement. Veterans who are overly confident in their abilities might underestimate the importance of building professional relationships, thereby missing out on valuable opportunities. Confidence can sometimes lead veterans to underestimate the importance of interview preparation. They might assume their impressive background speaks for itself, but civilian employers often value candidates who can specifically address how their skills align with the job's needs. For veterans, balancing confidence with humility and adaptability is key to overcoming these challenges. By recognising the nuances of the civilian job market, they can leverage their strengths while also embracing new learning opportunities. This shift in mindset can help them navigate the transition more successfully and align their skills with the right career opportunities.

Tony Wright CEO

Is diet more important that exercise?

Both exercise and diet play crucial roles in maintaining overall health and well-being, but the statement "diet is more important" is often emphasized in discussions about weight management, nutrition, and disease prevention. While exercise burns calories and contributes to weight loss or weight maintenance, diet has a more significant impact on weight management. Consuming excess calories, especially from unhealthy foods, can easily outweigh the calories burned through exercise. Controlling calorie intake through diet is essential for achieving and maintaining a healthy weight. Diet provides essential nutrients that are necessary for bodily functions, energy production, and overall health. A balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats ensures that the body receives the vitamins, minerals, and other nutrients it needs to function optimally. Exercise cannot compensate for a poor diet when it comes to meeting nutritional needs. A healthy diet is associated with a reduced risk of various chronic diseases, including heart disease, diabetes, hypertension, and certain cancers. While exercise also offers protective benefits against these conditions, research suggests that diet plays a more significant role in disease prevention. Consuming a diet high in fruits, vegetables, and fibre while low in processed foods, sugar, and unhealthy fats can help mitigate disease risk. Weight management and body composition are influenced by the balance between calories consumed and calories expended. While exercise contributes to calorie expenditure, diet plays a more significant role in calorie intake. It's generally easier to consume excess calories than it is to burn them off through exercise. Therefore, maintaining a healthy diet is essential for achieving and sustaining an appropriate energy balance. Making dietary changes often requires more immediate and tangible adjustments to eating habits compared to starting an exercise regimen. While both can be challenging to adopt and maintain, many individuals find it easier to modify their diet than to establish a consistent exercise routine. Therefore, diet may have a more significant impact on behaviour change for some individuals. In summary, while both exercise and diet are essential components of a healthy lifestyle, many experts agree that diet plays a more critical role in weight management, disease prevention, and overall health. However, it's essential to recognise that the two are interconnected, and optimising both exercise and diet yields the best results for health and well-being.

Tony Wright CEO Forward Assist

Why We Should Reject The False Narrative That All Service Personnel Are Broken!

It's essential to avoid generalisations about the mental and emotional state of all professional soldiers and veterans after military service. While some may face challenges such as post-traumatic stress disorder (PTSD), depression, or physical injuries, many others successfully transition to civilian life and thrive in various careers and personal pursuits. Military training often instils resilience and coping skills that can help individuals navigate challenging situations both during and after their service. Many veterans draw upon these strengths to overcome obstacles and adapt to civilian life successfully. Not all military experiences are the same. Some service members may have been deployed to combat zones, while others may have served in non-combat roles or in relatively peaceful environments. Likewise, the impact of military service on mental and emotional well-being can vary widely among individuals. There are numerous resources available to support veterans' physical, mental, and emotional health, including counselling services, peer support groups, and vocational training programs. Access to these resources can make a significant difference in helping veterans address any challenges they may face. Many veterans view their military service as a formative experience that has contributed to their personal growth and development. While they may encounter difficulties during their transition to civilian life, they may also draw upon the skills, values, and perspectives gained during their service to overcome these challenges and thrive in their post-military endeavour’s. Assuming that all veterans are broken perpetuates stigma and misconceptions surrounding mental health issues. By recognising the resilience and diversity of experiences within the veteran community, we can help reduce stigma and foster a more supportive and inclusive environment for veterans seeking assistance. Overall, while some professional soldiers and veterans may face challenges after military service, it's essential to avoid blanket assumptions and instead recognise the individuality and resilience of each person's experience. By providing support, understanding, and access to resources, we can help ensure that veterans have the opportunity to lead fulfilling and productive lives after their military service. The vast majority of service leavers have fantastic second careers after they leave the military. Military veterans are the civilian communities best kept secret and in many ways are an untapped asset.

Tony Wright CEO

The Impact of Unaddressed Multiple Traumas; Before, During and After Military Service.

Research by Children’s Rights International Network (CRIN) shows that in England from 2013 to 2018, army recruitment of 16-17 year olds was 57% higher in the poorest fifth of constituencies than the richest fifth. Army recruitment marketing is focused on the poorest towns and cities, particularly families with an annual income of around £10,000. Four-fifths of the most deprived young people in England now stay in full-time education after age 16, but marketing for the military encourages them to leave education for the army. A third of recruits who enlist aged under 18 drop out before completing training leaving them out of education and work. Recruits aged under 18 are sought particularly for the frontline infantry; the army’s riskiest job. The army’s youngest recruits, especially those from deprived backgrounds, are most susceptible to stress-related mental health and behaviour problems associated with military life.

One of the key findings of Forward Assist over the last 11 years, has been that unaddressed multiple traumas can have profound and lasting impacts on individuals' mental, emotional, and physical well-being before, during and after military service. Multiple traumas can significantly increase the risk of developing mental health disorders such as depression, anxiety, post-traumatic stress disorder (PTSD), and complex PTSD. These traumas can overwhelm an individual's ability to cope, leading to persistent feelings of fear, hopelessness, and helplessness. Similarly, these traumas can result in intense and overwhelming emotions such as anger, shame, guilt, and sadness. Individuals may struggle to regulate their emotions, leading to mood swings, emotional numbness, and difficulty forming healthy relationships. Chronic stress resulting from unaddressed traumas can contribute to a variety of physical health issues, including high blood pressure, heart disease, immune system suppression, and gastrointestinal problems. The body's constant activation of the stress response can take a toll on various organ systems over time. Individuals may turn to substances such as drugs or alcohol as a way to cope with the pain and distress caused by multiple traumas. Substance abuse can further exacerbate mental health issues and lead to a cycle of addiction that is difficult to break without appropriate intervention. Multiple traumas can strain relationships with family members, friends, and romantic partners. Individuals may struggle to trust others, communicate effectively, and maintain healthy boundaries, leading to conflict and isolation. Unaddressed traumas can impair an individual's ability to function effectively in various areas of life. Symptoms such as flashbacks, nightmares, and dissociation can interfere with concentration, memory, and decision-making. Without proper support and treatment, individuals may be at risk of experiencing additional traumas, as they may be more vulnerable to situations or relationships that are reminiscent of past traumatic experiences. The effects of unaddressed multiple traumas can persist for years or even decades if left untreated. Without intervention, individuals may continue to struggle with symptoms and difficulties throughout their lives, impacting their overall quality of life and well-being. Addressing multiple traumas typically requires a comprehensive and trauma-informed approach that may include therapy, support groups, medication, lifestyle changes, and other forms of support. It's essential for veterans who have experienced multiple traumas to seek help from qualified mental health professionals who can provide the appropriate care and support needed for healing and recovery.

Tony Wright CEO Forward Assist

The Importance of Justice For UK Military Sexual Trauma Survivors and Their Families

Justice is crucial for military sexual trauma (MST) survivors and their families for several reasons. Justice provides survivors with validation of their experiences. It acknowledges that what they went through was wrong and unjust. This recognition can be incredibly empowering and can help survivors in their healing process. Holding perpetrators accountable through the justice system helps prevent further abuse. It sends a clear message that such behaviour will not be tolerated, thus deterring potential offenders from committing similar acts in the future. Justice can provide survivors with restitution, whether in the form of financial compensation, access to medical and mental health services, or other forms of support. This can help survivors rebuild their lives and restore some of what was taken from them. For many survivors, obtaining justice can bring a sense of closure. It allows them to reclaim some control over their lives and move forward with their healing process. Justice can also offer survivors and their families a sense of vindication and peace of mind. When survivors see that the justice system takes their cases seriously and holds perpetrators accountable, it can promote trust and confidence in the system. This encourages other survivors to come forward and seek justice, knowing that they will be supported and believed. Seeking justice for MST survivors can contribute to broader social and cultural change. It can challenge harmful attitudes and behaviours that perpetuate sexual violence within the military and society at large, paving the way for a safer and more respectful environment for all. In summary, justice is essential for MST survivors and their families to heal, rebuild their lives, and prevent future instances of sexual violence within the military community.

Tony Wright CEO

Lets Not Forget The Secondary Victims of Military Sexual Assault/ Trauma

The impact on secondary victims of military sexual trauma (MST) weaves a complex web of emotional, psychological, and societal threads, much like a tapestry of human experience both intricate and heart-rending. These secondary victims – often family members, close friends, and colleagues of the primary victim – are like silent echoes of the original trauma, resonating with the pain yet frequently overlooked in the broader narrative.

Imagine a stone thrown into a still pond. The primary victim is at the epicentre, but the ripples reach far and wide. Each ripple represents the secondary victims, whose lives are irrevocably altered. Spouses, for instance, may grapple with a perplexing duality: the profound desire to support their loved one, yet feeling utterly helpless in the face of their suffering. They might experience secondary traumatic stress, mirroring symptoms akin to PTSD, such as hypervigilance or emotional numbing, as they navigate the turbulent waters of empathy and personal distress.

Children of MST survivors often become inadvertent custodians of unspoken grief. They may perceive shifts in family dynamics, absorbing the emotional weight without fully comprehending its origin. This can manifest in developmental challenges, anxiety, or behavioural changes, as if the trauma casts a long shadow, reaching into the next generation.

Colleagues within the military framework, too, are not immune. They might oscillate between feelings of guilt for not preventing the incident and anger towards the institution they trusted. This can lead to a diminished sense of camaraderie, a cornerstone of military ethos, eroding the very fabric of their professional and personal identities.

Beyond individuals, the reverberations of MST on secondary victims raise profound questions about the broader military culture and societal structures. How do we foster an environment where such trauma is not only addressed with sensitivity and care for the primary victim but also acknowledges the collateral emotional toll on those closely connected? It is a call for a more holistic approach to healing, recognising that trauma, like a pebble in a pond, touches more lives than it first seems.

In exploring this nuanced landscape, one cannot help but be moved by the resilience and strength of those who, directly or indirectly, bear the scars of such experiences. Their stories, often untold, are a testament to the human spirit's capacity to endure and seek healing, even in the wake of profound adversity.

Tony Wright CEO Forward Assist

Have you ever considered that serving in the military is/was a wonderful thing?

Its a fascinating subject matter, one that swirls with a whirlwind of complexity and nuance. When we delve into the concept of military service, we're not just discussing a career choice or a societal role; we're exploring a tapestry woven with threads of patriotism, personal development, and the intricate dance of ethical considerations. For some, serving in the military is akin to embracing a calling, a chance to embody the values of courage, discipline, and self-sacrifice. It's a stage where one can perform a symphony of personal growth, honing leadership skills and resilience in a way few other professions can match.

Yet, this coin of valour spins in the air, revealing another side. The military environment, with its rigor and inherent risks, asks of its members a willingness to face the profoundest questions of moral and existential weight. It can be a path lined with challenges both external and internal, a journey through which the very fibers of one's character are tested and transformed.

In this grand arena, where personal development waltzes with duty and often, sacrifice, each individual must weigh their values, aspirations, and beliefs. Have you found yourself contemplating this path, or do you find the concept intriguing from a more philosophical standpoint? Happy Easter One and All.

Tony Wright CEO Forward Assist

Older Veterans May Experience An Existential Crisis

Forward Assist is now in its second decade of service delivery, yet the work of the charity is largely unknown in the UK. The above notwithstanding, this charity prefers to operate under the radar and celebrates in the fact that its work is better known by our sisters and brothers in arms in both America and Australia. This is especially true of our research into the needs of women veterans, Military Sexual Trauma and how it impacts men, women and those from intersectional communities. Over the past three years we have worked closely with numerous combat veterans over the age of 60 years who have never identified with the term PTSD or come to the attention of the Criminal Justice System, mental health services, the homeless sector or unemployment agencies. A fascinating group of individuals and we have shared much of the wisdom of this group in our 2023 report ‘ Straight From the Forces Mouth’ which you can read on the Forward Assist website.

This weekend I had a fascinating conversation with a friend in America and he talked about ageing veterans in the USA describing an existential crisis when their working careers came to an end. He went on to explain that ageing veterans experiencing an existential crisis is both a profound and complex issue that can arise from a variety of factors, including the trauma of combat, the transition to civilian life, and the challenges of ageing itself. Many veterans carry the psychological scars of their wartime experiences. Witnessing or participating in intense and often traumatic events can lead to feelings of guilt, shame, and existential questioning about the meaning of life and the purpose of their actions. For those veterans that may have lost comrades during their service, amplified feelings of loneliness, survivor's guilt, and a profound sense of loss may occupy their thoughts during periods of inactivity and retirement .

As they age, they may also experience the loss of family members, friends, or a deterioration in aspects of their own health, which further exacerbates their existential crisis. For many veterans, their identity and sense of purpose are deeply tied to their military service. Upon retiring from active duty, they may struggle to find a new sense of purpose and meaning in civilian life, leading to feelings of aimlessness and existential questioning. Ageing often brings about physical ailments and cognitive decline, which can intensify existential concerns. Veterans may also grapple with disabilities, chronic pain, or mental health issues such as depression, and anxiety, all of which can contribute to feelings of despair and existential angst. Older veterans may find it challenging to connect with others who can relate to their experiences, leading to feelings of social isolation and alienation. This lack of social support can exacerbate feelings of meaninglessness.

Similarly, older veterans can face barriers in accessing adequate healthcare, mental health services, and community support networks. Limited resources and stigma and discrimination surrounding age and mental health issues can prevent veterans from seeking help and exacerbate their existential crisis. Some veterans may turn to spirituality, philosophy, or existential therapy as a means of grappling with existential questions and finding meaning in their experiences. Exploring existential themes such as freedom, responsibility, and mortality can provide veterans with a framework for understanding their inner struggles and navigating their existential crisis.

Addressing the existential crisis faced by ageing veterans requires a holistic approach that addresses their physical, psychological, social, and spiritual needs. This includes providing access to comprehensive healthcare and mental health services, fostering supportive communities and peer networks, and promoting opportunities for veterans to find purpose and meaning in civilian life. It's crucial to recognise the unique challenges faced by ageing veterans and to offer them the support and resources they need to navigate their existential journey with dignity and resilience.

Tony Wright CEO Forward Assist

I Have Come To Hate The Word Vulnerable With A Vengeance!

Describing all veterans as "vulnerable" can perpetuate the stereotype that all veterans are in need of pity or assistance. This can stigmatise them and undermine their strengths, resilience, and abilities. Many veterans are highly capable and have successfully overcome challenges during their military service. Labelling all veterans as "vulnerable" oversimplifies their diverse experiences and needs. Veterans are a heterogeneous group with varying backgrounds, skills, and support systems. Using such a broad term can overlook their individual strengths and unique circumstances. The term "vulnerable" can inadvertently reinforce a sense of dependency or helplessness among veterans. It may discourage them from seeking opportunities for personal growth, self-sufficiency, or contributing to their communities. The term "vulnerable" often carries negative connotations, implying weakness or fragility. This can be offensive to many veterans who take pride in their service and may feel that it diminishes their achievements and resilience. There are alternative, more empowering ways to describe veterans' experiences and needs, such as "transitioning," "adapting," or "facing challenges." These terms focus on their ability to overcome obstacles and adapt to civilian life, rather than labelling them as "vulnerable." It's important to be respectful and considerate when discussing the experiences of military veterans. Instead of using potentially stigmatising language, it is often more constructive to engage in open and empathetic conversations that acknowledge the individuality and strengths of each veteran, as well as the challenges they may face during their transition to civilian life.

Tony Wright CEO Forward Assist

The Tyranny of Pathology

The relationship between mental health awareness efforts and reported mental health problems in the veteran community is complex and multifaceted. Mental health awareness campaigns aimed at veterans have generally been designed to encourage individuals to recognise symptoms, seek help, and reduce stigma surrounding mental health issues. These efforts have undoubtedly led to more veterans coming forward to seek support and treatment for mental health conditions such as post-traumatic stress disorder (PTSD), depression, anxiety, and substance abuse. On one hand, increased awareness can lead to more accurate reporting of mental health problems, as veterans may feel more comfortable acknowledging their struggles and seeking assistance. This can result in higher reported rates of mental health issues among veterans. Furthermore, increased awareness may prompt veterans to recognise symptoms earlier, enabling timely intervention and treatment. However, there are also concerns that heightened awareness alone may not be sufficient to address the underlying causes of mental health problems among veterans. Veterans may face numerous barriers to accessing mental health care, including stigma, logistical challenges, lack of knowledge about available resources, and concerns about the effectiveness of treatments. Additionally, the stressors associated with military service, such as combat exposure, military sexual trauma, deployments, and reintegration into civilian life, can contribute to mental health issues regardless of awareness efforts. Furthermore, some veterans may experience a sense of disillusionment or frustration if they perceive that awareness campaigns are not accompanied by meaningful improvements in the availability and quality of mental health services. Inadequate funding, long wait times for appointments, and insufficient resources can undermine the effectiveness of awareness efforts. Overall, while mental health awareness campaigns play a crucial role in encouraging veterans to seek help and reducing stigma, addressing the mental health needs of veterans requires a comprehensive approach that includes robust support systems, accessible and effective mental health services, and efforts to address the underlying social, economic, and systemic factors that contribute to mental health challenges in the veteran community.

Tony Wright Forward Assist CEO

Vulnerable Veterans Should Exercise Caution When Using Social Media For Support.

Vulnerable veterans using social media for support is a common practice, and it can have both positive and negative aspects. Social media platforms provide a readily accessible space where people can seek support from the comfort of their own homes. This can be especially beneficial for individuals with physical disabilities, mental health issues, or those who are homebound. Some vulnerable veterans may feel more comfortable seeking support online because it allows them to maintain a level of anonymity. This anonymity can help reduce the fear of stigma or judgment associated with their vulnerabilities. Social media can facilitate the formation of supportive communities and online groups where individuals with similar experiences can connect, share stories, and offer one another emotional support. Vulnerable veterans can use social media to access valuable information, resources, and educational content related to their specific challenges or conditions. Many organisations and experts share helpful materials through these platforms. Similarly, Social media operates around the clock, making it possible for people to find support and engage with others at any time of day, which can be crucial during moments of crisis or when traditional support services are unavailable.

However, vulnerable veterans may inadvertently share sensitive personal information online, leading to privacy and security risks. There is also the possibility of encountering malicious individuals or scams on social media. Social media can be a breeding ground for misinformation and false advice. Vulnerable veterans may be more susceptible to believing and acting on inaccurate information, potentially harming themselves. Vulnerable veterans, including those with mental health issues, disabilities, or marginalised identities, are at greater risk of experiencing cyberbullying or harassment on social media. Some individuals may become overly dependent on online support groups and social media for their well-being, potentially neglecting other essential aspects of their lives. While online support can be beneficial, it should not replace real-life relationships and professional help. Overreliance on online support may lead to isolation from friends, family, and qualified mental health professionals. Online interactions can sometimes be emotionally charged, and vulnerable veterans may experience additional stress or emotional turmoil when engaging in online support groups or discussions.

To summarise, it's important for vulnerable veterans to exercise caution when using social media for support and to be aware of the potential risks. Practicing digital literacy, setting privacy settings, and verifying information are some steps that can help mitigate the negative aspects of online support. Additionally, it's advisable for vulnerable veterans to seek professional help when needed and not rely solely on social media for their well-being. Social media can be a valuable tool for support, but it should be used in conjunction with other resources and support networks.

Tony Wright CEO Forward Assist