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A Practical Guide for Working with Military Veterans 02 LIFE FORCE NORTH EAST A PRACTICAL GUIDE FOR WORKING WITH MILITARY VETERANS 02 CONTENTS 03 FOREWORD 5 6 DISCHARGE: LEAVING THE FORCES 14 1 GENERAL BACKGROUND NORMAL SERVICE LEAVERS 14 AND CONTEXT 6 MEDICALLY DISCHARGED 2 THE ARMED FORCES: SERVICE LEAVERS 14 REGULAR, RESERVISTS EARLY SERVICE LEAVERS AND VETERANS 7 RESERVISTS 15 3 WORKING WITH VETERANS 8 7 RESETTLEMENT: EMPLOYMENT, THE LANGUAGE OF THE FINANCE AND HOUSING 17 ARMED FORCES 8 EMPLOYMENT 17 PRACTICAL QUESTIONS 19 TO ASK VETERANS 9 MANAGING FINANCES FIND OUT WHAT COMPENSATION FOR 19 IS AVAILABLE 9 INJURY/SERVICE PENSION HOUSING 20 4 LIFE IN THE ARMED FORCES 10 HOMELESSNESS AND VULNERABILITY 21 REASONS FOR JOINING 10 THE REGIME 10 8 VETERANS' HEALTH: ISSUES AND CONCERNS 23 COMRADESHIP 10 MENTAL HEALTH 24 FINANCE AND 29 ACCOMMODATION 10 ALCOHOL AND DRUG MISUSE PHYSICAL HEALTH 30 5 MEDICAL SERVICES IN THE ARMED FORCES 12 9 VETERANS' FAMILIES AND 32 DEFENCE MEDICAL RELATIONSHIPS SERVICES 12 10 SUPPORT FROM LOCAL 12 MEDICAL BOARDS AUTHORITIES 33 MEDICAL DOCUMENTS 12 11 VETERANS SUPPORT DEPARTMENTS OF AGENCIES 36 COMMUNITY MENTAL HEALTH 12 REGIONAL SUPPORT 36 DEFENCE MENTAL HEALTH SOCIAL WORK SERVICE 13 REGIMENTAL ASSOCIATIONS 36 TRAUMA AND RISK NATIONAL SUPPORT MANAGEMENT 13 AGENCIES 36 04 FOREWORD 05 We are delighted to introduce NHS trusts, GP surgeries, social this new guide, which will be an workers, employment agencies invaluable resource for anyone and housing associations will all whose work brings them into come into regular contact with contact with veterans and the those who have served in the veterans community. armed forces. The word veteran might conjure Staff working in these organisations up images of older soldiers who may not always have an served in the conflicts of the last understanding of military culture, century, but in fact it includes veterans and the issues that they everyone who has been in the can face. This guide aims to armed forces. Across the north address this by providing east of England it is estimated information which will help there are between 125,000 to community services to support 208,000 veterans who have a veterans they encounter. range of different experiences We hope that those working with serving in campaigns across veterans will find this guide useful the globe.1 and that this publication will make There are already some excellent a positive difference to the north support services in the region east's veteran population. aimed specifically at veterans and their families. However, veterans also access support from the same wider community services as the rest of the population. Martin Barkley Richard Barker Chair Regional Director (North) North east NHS armed forces forum NHS England and chief executive of Tees, Esk and Wear Valleys NHS Foundation Trust 1. Fighting Fit in the North East, NHS North East and the North East Mental Health Development Unit, Aug 2011 06 1. GENERAL BACKGROUND AND CONTEXT Life Force has been written for Whilst in the armed forces, veterans The content has been adapted community based support have a clear chain of command to from the original Life Force agencies including the voluntary deal with problems and comrades booklet, produced by the Scottish sector, services provided by the who can provide support or advice. Association for Mental Health. This NHS, local authorities, GPs and edition has been written by the charities, who will often work with Unfortunately, some of the former North East Strategic Health armed forces veterans. characteristics we have come to Authority in consultation with the associate with service personnel – North of England Mental Health The majority of people fair well pride, stoicism and a ‘can do’ Development Unit (NEMHDU), after leaving the armed forces, attitude – can get in the way of members of the north east NHS suffering no ill effects, entering full them seeking help when they return armed forces forum and veterans, time employment and leading to civilian life. Veterans can see some of whom have shared their meaningful and fulfilling lives. asking for support as a sign of stories in this guide. However, some veterans need weakness, particularly if they’re support to readjust back into suffering from a mental health civilian life. problem. Many people join the armed forces This guide provides an insight into at a young age. They may never military culture and identifies some have had to deal with what we often of the issues which veterans may take for granted as everyday things face when they leave the armed – applying for a job, finding forces. It also provides details of housing or even registering with a organisations who can provide GP. These new responsibilities can advice and support both to be challenging for some veterans. veterans themselves and the Others can leave the armed forces community agencies who come with physical or mental health into contact with them. issues, making the transition to civilian life even more difficult. 07 2. THE ARMED FORCES: REGULAR, RESERVISTS AND VETERANS Her Majesty’s Armed Forces include service has ended, depending on Employers can find out more about the Royal Navy and Royal Marines, their age, length of original service how they can support reservists in the British Army and the Royal Air and the skills they have. their organisation by visiting the Force, constituting one of the largest Supporting Britain's Reservists and militaries in Europe. These forces Volunteer reservists consist mainly Employers (SaBRE) website: are made up of regular and reservist of people who have joined directly www.sabre.mod.uk personnel. You can find out more from the civilian community with about each of the forces by visiting careers outside the military. VETERANS AND THE their websites: VETERAN COMMUNITY Being a member of the volunteer Royal Navy and Royal Marines A veteran is someone who has reserve requires training two to three www.royalnavy.mod.uk spent a proportion of their life weekends per year. In addition, serving their country in the armed British Army every year these personnel are forces as a regular or reserve. This www.army.mod.uk required to attend 15 continuous includes national servicemen, Royal Air Force training days and complete tests to former Polish forces under British www.raf.mod.uk ensure that they reach set standards command and Merchant Mariners in a number of subjects. They are who have seen duty in military REGULAR also liable to be called up for operations. Regular forces personnel are compulsory operational tours when employed full time and have usually necessary. They therefore need the The families of those who have signed long term contracts commitment and support of their served also have their own unique committing them to regular service. employers. experiences. In recognition of this, As at 1 January 2013 the UK regular the term 'veterans community' armed forces comprised 158,630 There are currently around 36,000 refers to veterans together with their full time trained personnel. Of these, volunteer reservists in the UK partners and dependants. 91,140 were in the army, 35,820 and approximately 23,000 of these were in the Royal Air Force and are ready for mobilisation. The Precise statistics on the 31,680 were in the naval service.2 breakdown between each service whereabouts of armed service is 20,000 in the Territorial Army personnel and veterans in the UK RESERVISTS (TA),1,900 in the Royal Naval are problematic, however, it is The reserve forces are made up Reserve and 1,180 in the Royal estimated that there are between of both regular and volunteer Auxiliary Air Force.3 Under the 125,000 and 208,330 veterans in reservists. Future Reserves 2020 project, the the north east.4 intention is to raise the trained Regular reservists are former full strength of the TA to 30,000, so time members of the armed forces. these numbers are likely to They may still be liable for call out for increase in the future. a number of years after their military 2. Defence Analytical Services and Advice, Ministry of Defence UK Armed Forces Monthly Personnel Report, 1 Jan 2013 3. These figures are as supplied by the Ministry of Defence and are available on the SaBRE website: www.sabre.mod.uk 4. This estimate is based on NHS Confederation Mental Health Network Briefing (Nov 2010), Improving Mental Health Services for Veterans and Fear NT, Jones M, Murphy D et al (2010), What are the consequences of deployment to Iraq and Afghanistan on the mental health of the UK armed forces? A cohort study, The Lancet (2010) 375 (9728): 1783–1797 08 3. WORKING WITH VETERANS There are a number of specialist Veterans are much more likely to Important pieces of information services for veterans, provided by trust workers whom they feel about the individual and their the NHS, charities and local understand, or at least seek to service career may be gathered by authorities amongst others. understand, their military service. breaking down some of the jargon However, research shows that with the input of the veteran. non-veterans agencies provide Veterans are different and unique the majority of support for serving and will have individual accounts, Demonstrating an interest in finding personnel after their service both positive and negative, as to out more about this language and has ended. how serving their country has what it means can also promote affected their lives and the lives of positive engagement and help build In 2006, the Royal British Legion others. It is important not to a relationship. identified that 52% of the adult generalise or make assumptions ex-service community had received about how veterans perceive or help or advice in a year period from engage with support from agencies.
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