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2013 AMMA/Repat Foundation Inc. Joint Conference Abstracts

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2013 AMMA/Repat Foundation Inc. Joint Conference Abstracts 2013 AMMA/Repat Foundation Inc. Joint Conference Abstracts Keynote Speaker The combat casualty care revolution Colonel Hodgetts’ passion for medical education has led to the development and propagation of an Tim Hodgetts international ‘comprehensive approach’ to disaster Colonel Hodgetts was educated at Woodhouse Grove medical preparedness in Europe, Asia, Australasia School, Bradford, and Westminster Medical School, and NATO (Major Incident Medical Management and from where he qualified with distinction in 1986; he Support); since 2002 he has developed the National joined the Royal Army Medical Corps as a cadet in Disaster Preparedness Course for Hospitals within 1983. He graduated from Joint Command & Staff India, supported by the British Council, British High College (psc[j]) in 2011. Commission and the United Nations. He has led the development of Battlefield First Aid and Battlefield Colonel Hodgetts was first appointed as Professor of Advanced Trauma Life Support programmes, as Emergency Medicine in 1998 at the European Institute well as numerous civilian emergency care curricula. of Health and Medical Sciences, then at the University Colonel Hodgetts was made Officer of the Order of of Birmingham from 2001 to date. He was the inaugural St John of Jerusalem in 1999 and Commander of Defence Professor of Emergency Medicine with the the British Empire in 2009; he received the Danish College of Emergency Medicine (2007-2010) and the Defence Medal for Meritorious Service in 2010. He Penman Foundation Professor of Surgery for 2011. was Queen’s Honorary Physician from 2004 to 2010. Within the Defence Medical Services Colonel Hodgetts In 2010 he received the Defence Scientific Adviser’s has been responsible for nurturing the specialty Commendation and has been awarded 16 academic of emergency medicine from infancy to maturity. medals, including the prestigious Mitchener Medal He has implemented concept, doctrine, equipment of the Royal College of Surgeons of England. His and practice changes to transform the early academic department was twice recognised nationally management of combat injury (point of wounding as the “Training Team of the Year” and in 2006 he to the field hospital). He introduced and led major was honoured with the personal accolade of Hospital trauma governance in UK Defence from 1997-2010. Doctor of the Year throughout the UK. His clinical leadership appointments have been Specialty Adviser in EM to the Defence Secondary Care Contemporary advances in combat casualty care Agency (1997-2000); Defence Consultant Adviser in have led to unprecedented survival rates, but have EM to Surgeon General (2000-2008); and Consultant the advances genuinely been revolutionary? Adviser in EM to DGAMS (2001-2009). He has served This lecture will explore the advances in concepts, on operations as a practising emergency physician clinical doctrine, organisation and technology over in hospitals in Northern Ireland, Kosovo, Oman, the last 15 years and test the assumption that they Afghanistan (3 tours), Kuwait and Iraq (4 tours). On constitute a ‘Revolution in Military Medical Affairs’. 6 of these tours he was appointed the hospital’s Medical Director, including the multinational Danish- In parallel a new theory is introduced to determine UK-US hospital in Afghanistan in 2009. Since 2011 if the advances have been proportionate to the he has been the Medical Director within NATO’s Allied clinical needs of the combat casualty—this is the Rapid Reaction Corps. ‘Homunculus Casualty Theorem’. Colonel Hodgetts has published extensively (over Looking forward, the lecture will identify how the 30 books & 110 papers/editorials) and has been revolutionary advances must be embedded into the clinical leader for medical research projects civilian healthcare practice in order to endure for the generating >£12 million of funding. He was named next major campaign, and will discuss the barriers in a British Medical Association dossier as one to innovation adoption. of the most innovative doctors in the country. Page 18 Journal of Military and Veterans’ Health 2013 AMMA/Repat Foundation Inc. Joint Conference Abstracts Mental Health Using mobile technology to improve patient Following a positive reception to the release of the US compliance and manage Posttraumatic Stress smart phone app PTSD Coach by the United States Department of Veterans Affairs in 2011, DVA Disorder (PTSD) symptoms: PTSD Coach Australia contracted the Australian Centre for Posttraumatic Kym Connolly, Jacqui Derriman, Liam Connor Mental Health to customise the app for use by Kym Connolly is a communications professional with Australian veterans and serving members, released a career in government and community sector. Kym is as PTSD Coach Australia in February 2013. leading the Department of Veterans’ Affairs’ The app uses mobile technology to facilitate treatment engagement with contemporary veterans to reduce of and recovery from PTSD. While not an alternative mental health stigma and encourage help-seeking to treatment, PTSD Coach Australia engages with behaviours. This has seen the development of a range device-savvy PTSD sufferers in a manner not of resources that use online and mobile technology to previously attempted and provides them with the reach clients and their health professionals to promote opportunity to take greater responsibility for their mental health self-sufficiency, well-being and quality own self-management and recovery. The Australian of life and enable practitioners to respond to the needs app offers a more interactive experience for the user, of veterans of all conflicts. See www.at-ease.dva.gov. and allows clinicians to use the app during au. consultations with their patients to tailor self- Dr Liam Connor completed his undergraduate honours management and recovery options, including the degree in psychology at the Australian National capacity to schedule the use of particular tools, University where his thesis research dealt with activities and clinical appointments. Enabling a restorative and retributive justice systems. His clinical smoother and more tailored approach to ongoing doctorate was completed at Queensland University of treatment, the app facilitates different methods of Technology where his research interests turned to recovery and enables users to send the results of a adolescents with congenital heart disease focusing on PTSD self-assessment to a nominated health their psychosocial development. Liam had several professional. years experience working as a clinical psychologist in PTSD Coach Australia can be used in combination hospitals and private practice before joining the with evidence-based therapies for PTSD, such as Veterans and Veterans’ Families Counselling Service trauma-focussed Cognitive Behavioural Therapy, and developing his long-term interest in post-traumatic Cognitive Processing Therapy and Eye Movement stress and associated therapies. He has been involved Desensitisation and Reprocessing. in research with ACPMH into PTSD treatments and trained in Cognitive Processing Therapy. He has a The PTSD Coach Australia was downloaded around special interest in psychodynamic psychotherapy. 4000 times from Google Play and Apple Store in its Within VVCS Liam has been involved in development first 3 months. To increase usage by clinicians, Dr of information systems supporting clinical work Liam Connor will deliver a hands-on presentation for including the PTSD Coach Australia smart phone conference members with iOS and Android devices, application. Currently, Liam is a clinical supervisor for demonstrating the functions of the app and a number of ADF psychologists undertaking their explaining how these can be used in practice and as training with VVCS. an adjunct to treatment. The changing veteran demographic and the need for Corresponding author: Kym Connolly change in service delivery to meet the needs of the Email: [email protected] emerging contemporary cohort has been highlighted in various Department of Veterans’ Affairs (DVA) The Longitudinal ADF Study Evaluating Resilience strategic documents and reports. Research Monique Crane, Virginia Lewis, David Forbes, Andrew Cohn, conducted by ORIMA Research Pty Ltd (ORIMA) Helen Benassi, Russell Reid indicated that contemporary veterans are more receptive to receiving information and accessing Russel Reid is the Senior Research Officer with the services online. ORIMA reported that the adoption of Directorate of Strategic and Operational Mental new technologies by the Department had the Health, Department of Defence. potential to improve communication and better meet In November 2009, the Australian Defence Force service delivery expectations of contemporary (ADF), in collaboration with the Australian Centre for veterans. Posttraumatic Mental Health (ACPMH), launched a Volume 21 Number 4; December 2013 Page 19 2013 AMMA/Repat Foundation Inc. Joint Conference Abstracts longitudinal study of psychological resilience, between military exposures, stress, deployment dubbed LASER-Resilience (Longitudinal ADF Study reflections and psychological health. Evaluating Resilience). The study explores the way Methods: As part of the Australian Gulf War Veterans’ different individual characteristics, experiences, Health Study 2000-03 a set of questions capturing cognitions and behaviours affect functioning through post-deployment attitudes and experiences were the variety of circumstances and situations that may developed by the researchers in collaboration with a be experienced as part
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