Military Training: Mental Health Resilience

(Limited Text - Ministerial Extracts only)

Tuesday 23rd February 2016 Westminster Hall

[The Parliamentary Under-Secretary of State for Defence (Mark Lancaster)]

It is a pleasure to serve under your chairmanship, Mr Hollobone. I remind the House of my interest as a serving member of the Army Reserve. I start by congratulating my hon. Friend the Member for Eastbourne (Caroline Ansell) on securing the debate to discuss mental health resilience in military training.

The Government are committed to maintaining and improving the mental health of members of our armed forces. According to research, the armed forces generally show similar rates of common mental health disorders to the civilian population. Deployment on operations does not in itself appear to be a factor in mental health problems overall, although exposure to combat is associated with an increased risk of more serious conditions such as post-traumatic stress disorder.

We are extremely grateful to our armed forces for the work that they do. It is our duty in return to provide care and treatment for them if they become ill. Evidence shows that most mental health disorders can be successfully treated and we have a range of trained medical personnel and facilities to do that, but it is clearly much better to provide our people with the knowledge, training and support that will enable them to build up both their physical and mental resilience before they deploy on operations.

It is important to look at health and wellbeing together, because overall they involve both the mind and the body. Mental wellbeing is very much enhanced by feelings of self-esteem and people having belief in their ability to do the things that they want to do. Good relationships—confidence in leaders and trust in friends and colleagues—are also vital. Good mental health does not mean never experiencing difficult feelings or situations, but it does mean having the strength and resilience to cope when things become difficult.

To that extent, building resilience is one of the principles that underlies all our training programmes, which are designed to be robust, challenging and realistic enough to prepare our people to carry out their operational roles effectively and efficiently, under inspirational and caring leadership. The Defence Academy is a world leader in the provision of military training. It has its own stress and resilience training centre, which is responsible for managing stress and resilience training and educational requirements within the armed forces. Its aim is to build psychological resilience in defence personnel and ensure that compatible training is delivered across the three services.

The stress and residence training centre has developed an all-inclusive stress and resilience training package called “START taking control”. Its purpose is to assist students in gaining the knowledge and practical skills to manage everyday experiences of mild to moderate stress and build psychological reliance to prepare them better to meet the physical, emotional and psychological challenges in defence.

In addition to the stresses encountered in everyday life, service personnel are often required to undertake extremely hazardous duties, which potentially expose them to traumatic and life-threatening situations, risking both physical and psychological damage. Psychological resilience is considered to be an essential component of military fitness. Personnel are taught how to spot potential indicators of a problem both in themselves and in their colleagues such as changed behaviour patterns, isolation and increased use of alcohol.

In particular, concerted efforts are being made to de-stigmatise the issues around mental health and to promote awareness of the professional care and support available. Stigma is one of the biggest obstacles facing those with a mental illness. It prevents many people from seeking help, which results in a worsening of the symptoms to a point where significant damage can be caused to their health, wellbeing and relationships. In many ways, the stigma associated with mental illness can be more disabling than the condition itself. The Army has been running a major campaign called “Don’t bottle it up”, which aims to break down stigma and encourage personnel to seek help earlier as well as signposting the support and treatment available.

A specially designed project known as mental health first aid has been developed for the armed forces community, which provides the basis for increased mental health resilience among serving personnel and their families. It trains individuals to recognise the signs of problems and offer non-judgmental listening as well as offering help in accessing professional assistance. By making all personnel aware of the services available and by making clear to them that no stigma will be attached to them owing to their illness, we hope to encourage them to seek help as soon as they feel that they might have a problem. That will enable us to provide rapid diagnosis followed by appropriate and effective treatment.

One programme that has proved to be successful, both in the operational environment and back in the UK, is TRiM, which stands for trauma risk management. It is a method of peer-group assessment, mentoring and support for use in the aftermath of traumatic events. Trained TRiM practitioners are usually non-medical staff who are given the skills to enable them to identify those who might have been affected by traumatic events. That enables people’s comrades and leaders to provide them with appropriate support and refer them for specialist help if necessary. A key element of TRiM is that it aims to reduce the stigma associated with mental health problems and its roll-out across the services has certainly made people more aware of the importance of nurturing the mental wellbeing of those on deployment.

Personnel returning from operations normally go through a process known as decompression. Indeed, I experienced it on my return from Afghanistan. It consists of a short period—usually a couple of days—between leaving the operational theatre and return to the UK in which personnel can begin to unwind mentally and physically and talk to their colleagues and superiors about their experiences. That can give them an opportunity to discuss any issues of concern about their mental health and those of their colleagues, which can be followed up as appropriate. People are also provided with a stress brief, which aims to highlight normal reactions to traumatic events and give some strategies to help with readjustment. They are also given advice about risk-taking behaviours and the homecoming experience in general.

To sum up, the overall aim of those training, educational and support packages is to ensure that our personnel are ready both mentally and physically to carry out their duties, however potentially hazardous and traumatic they may be. Our personnel can be confident that any concerns will be treated seriously and sensitively and that a high quality of medical treatment will be provided if required.

My hon. Friend mentioned the importance of the family and the support we should offer service families so that they in turn can support service personnel. She may be aware that, over the next two years, we will allocate £4 million of covenant funding to support families in stress, which is a major step forward. Equally, she will be aware that, at the end of last year, we launched our family strategy, which is specifically designed to begin to address some of the concerns that families face, while they are spouses of serving personnel, in an effort to support them so that they in turn can support members of our armed forces.

I congratulate my hon. Friend again on securing the debate. We are proud of the work that we have done to date, but we are equally mindful that much more work needs to be done in the future. I assure her and hon. Members across the House that this subject is at the forefront of my mind.

Question put and agreed to.