{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:41:57Z","timestamp":1755225717442,"version":"3.43.0"},"reference-count":8,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J R Army Med Corps"],"published-print":{"date-parts":[[2005,6]]},"abstract":"\n Objectives<\/jats:title>\n To assess referrals to a Field Hospital Mental Health Team (FMHT), assign a diagnosis, provide appropriate treatment, and decide whether suitable for safe return to unit in theatre (RTU), or evacuation home on psychiatric grounds (evac).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n All documented referrals to the FMHT of 202 Field Hospital during the Op Telic 1 study period of 17 March (day 1) to 23 July 2003 (day 129) were included. Data were collected on rank, gender, diagnosis, outcome (whether RTU or evac), and whether TA before mobilisation. Diagnosis was assigned by ICD-10 criteria.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The FMHT documented 170 cases, 12 of whom were seen twice and one on three occasions, resulting in 184 referrals, all of whom were British. The commonest diagnosis was adjustment reaction (F43), accounting for 68% of all cases (n=116). These were divided between chiefly theatre-related (n=77) or chiefly home-related (n=39) reactions. The majority (94%) of these cases were RTU. Referrals where the diagnosis was a Depressive disorder (F32, n=23) or Intentional self-harm (by sharp object, X78, n=7) were evacuated. Outcome was similar for Regular and TA personnel, with on average 72% of cases RTU. The majority of cases seen were ORs, reflecting their numbers in theatre. Only 14 NCOs and 14 officers were referred. Thirteen of the latter were TA before mobilisation. Gender was not associated with outcome, or TA status, but was associated with rank, in that significantly more female officers were referred. The FMHT role tasks emerged as (a) psychiatric triage and treatment, (b) psychological support of hospital staff, and (c) welfare and pastoral care liaison.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The utility of the psychiatric management model employed, built upon previous military medical doctrines, was tested in a modern theatre of conflict, and seemed to prove its worth.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/jramc-151-02-07","type":"journal-article","created":{"date-parts":[[2013,3,19]],"date-time":"2013-03-19T19:43:32Z","timestamp":1363722212000},"page":"95-100","source":"Crossref","is-referenced-by-count":7,"title":["Diagnosis And Outcome Of Psychiatric Referrals To The Field Mental Health Team, 202 Field Hospital, Op Telic I"],"prefix":"10.1136","volume":"151","author":[{"given":"JN","family":"Scott","sequence":"first","affiliation":[{"name":"204 (NI) Fd Hosp (V), BFPO 801 jnscot@msn.com"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2005,6,1]]},"reference":[{"key":"ref_1","first-page":"27","article-title":"Psychotherapy in the Combat Zone","volume":"117","author":"Glass, A.J.","year":"1954","unstructured":"Glass AJ. Psychotherapy in the Combat Zone. Am J Psy 1954;110:725-31; and, Principles of Combat Psychiatry. Milit Med 1955;117:27-33.","journal-title":"Am J Psy; 110: 725-31; and, Principles of Combat"},{"key":"ref_2","article-title":"A War of Nerves, Soldiers and Psychiatrists 1914-1994","author":"Shephard, B.","year":"2002","unstructured":"Shephard B. A War of Nerves, Soldiers and Psychiatrists 1914-1994. London Pimlico 2002."},{"key":"ref_3","first-page":"5","article-title":"The role of proximity, immediacy, and expectancy in frontline treatment of combat stress reaction among Israelis in the Lebanon War","volume":"143","author":"Solomon, Z.; Benbenishty, R.","year":"1986","unstructured":"Solomon Z, Benbenishty R. The role of proximity, immediacy, and expectancy in frontline treatment of combat stress reaction among Israelis in the Lebanon War. 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NewYork:WarWork Committee of the National Committee for Mental Hygiene, 1917."},{"article-title":"Data from presentations at DMS Tri-service Psychiatric conference","year":"2003","key":"ref_5","unstructured":"Data from presentations at DMS Tri-service Psychiatric conference, RDMC, Gosport, 25 September 2003."},{"key":"ref_6","article-title":"A systematic review of brief psychological interventions (\u201cdebriefing\u201d) for the treatment of immediate trauma related symptoms and the prevention of post traumatic stress","volume":"2","author":"Wessely, S.; Rose, S.; Bisson, J.","year":"1998","unstructured":"Wessely S, Rose S, Bisson J. A systematic review of brief psychological interventions (\u201cdebriefing\u201d) for the treatment of immediate trauma related symptoms and the prevention of post traumatic stress. In: Cochrane Review. Cochrane Library Issue 2. Oxford: Update Software, 1998.","journal-title":"In: Cochrane Review. Cochrane Library Issue"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1001\/archpsyc.1993.01820140037004","article-title":"Progress towards achieving a common language in psychiatry: results from the field trials of the clinical guidelines accompanying the WHO Classification of Mental and Behavioural Disorders in ICD-10","volume":"50","author":"Sartorious, N.; Kaelber, C.T.","year":"1993","unstructured":"Sartorious N, Kaelber CT. Progress towards achieving a common language in psychiatry: results from the field trials of the clinical guidelines accompanying the WHO Classification of Mental and Behavioural Disorders in ICD-10. Arch Gen Psy 1993;50:115-124.","journal-title":"Arch Gen Psy"},{"article-title":"Pocket Guide to the ICD-10 Classification of Mental and Behavioural Disorders","year":"1994","key":"ref_8","unstructured":"Pocket Guide to the ICD-10 Classification of Mental and Behavioural Disorders. Churchill Livingstone 1994."}],"container-title":["Journal of the Royal Army Medical Corps"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jramc-151-02-07","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T17:10:02Z","timestamp":1755105002000},"score":1,"resource":{"primary":{"URL":"https:\/\/militaryhealth.bmj.com\/lookup\/doi\/10.1136\/jramc-151-02-07"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,6]]},"references-count":8,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2005,6,1]]},"published-print":{"date-parts":[[2005,6]]}},"alternative-id":["10.1136\/jramc-151-02-07"],"URL":"https:\/\/doi.org\/10.1136\/jramc-151-02-07","relation":{},"ISSN":["0035-8665","2052-0468"],"issn-type":[{"type":"print","value":"0035-8665"},{"type":"electronic","value":"2052-0468"}],"subject":[],"published":{"date-parts":[[2005,6]]}}}