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Download the Whole Edition Here Volume 26 Number 4 October 2018 Journal of Military and Veterans’ Health Acceptance and Commitment Therapy Group Treatment with the Military: A Preliminary Study RY ME A DI IT C L I Images of Service and Sacrifice – Tracing Narratives in Stained Glass I N M E A N S A I S O S A C L I A 2018 Conference Abstracts A T R I T O S N U A IN C. The Journal of the Australasian Military Medicine Association Medibank’s Garrison Health Services Delivering a national, integrated healthcare service to the Australian Defence Force Through Medibank’s extensive network, Garrison Health Services provides seamless access to quality healthcare for the 60 000+ permanent and 20 000+ reservist uniformed ADF personnel— from point of injury or illness to recovery. The health of the ADF is central to everything we do. medibankhealth.com.au/garrisonhealthservices Image courtesy of Dept of Defence Table of Contents Original Articles Acceptance and Commitment Therapy Group Treatment with the Military: A Preliminary Study6 Historical Articles A History of Australian Navy Health Sailor Uniforms and Ranks (Part 3) 16 Images of Service and Sacrifice – Tracing Narratives in Stained Glass 26 2018 Conference Abstracts 32 Front Cover Title: “2GHB evac crews ready to receive wounded, Ex Hamel 18, SWBTA” Photo courtesy of Murray Hayes Journal of Military and Veterans’ Health EDITORIAL BOARD CDRE Andy Robertson, CSC, PSM (Editor in Chief) Associate Professor Martin Richardson (Deputy Editor) Maj Gen Prof Dr Mohd Zin Bidin (Ret’d) BRIG Anne Campbell Dr Ian De Terte CDRE Michael Dowsett Dr Helen Kelsall COL Prof Peter Leggat, AM Benjamin Mackie David Robertson Tyler C Smith, MS, PhD Dr Darryl Tong Jason Watterson Australasian Military Medicine Association PATRON STATEMENT OF OBJECTIVES RADM Jenny Firman The Australasian Military Medicine Association is Surgeon General Australian Defence Force Reserves an independent, professional scientific organisation of health professionals with the objectives of: COUNCIL • Promoting the study of military medicine President GPCAPT (Retd) • Bringing together those with an interest in Geoff Robinson, NSC military medicine Vice President Dr Nader Abou-Seif • Disseminating knowledge of military medicine • Publishing and distributing a journal in military Secretary Dr Janet Scott medicine Treasurer CMDR Ian Young • Promoting research in military medicine Council Members CDRE Andrew Robertson Membership of the Association is open to doctors, Dr Peter Hurly dentists, nurses, pharmacists, paramedics and Rachelle Warner anyone with a professional interest in any of the disciplines of military medicine The Association is Past President Dr Greg Mahoney totally independent of the Australian Defence Force Public Officer Ms Paula Leishman JMVH is published by the Australasian Military Medicine Association 227 Collins Street Hobart Tas 7000 Australia Ph: +61 3 62347844 Email: [email protected] ISSN No. 1835-1271 Journal of Military and Veterans’ Health Editorial Armistice of 11 November 1918 both the military and civilians are increasingly being forgotten by the general population, as the years pass One hundred years ago, on the 11 November 1918, and these wars seem more and more like ancient an Armistice was signed between the Allies of World history The Journal welcomes any historical articles War I and the German Empire at Compiègne, France, that puts military healthcare over the last 100 years to cease hostilities with effect from 11 AM — the into context and provides lessons for Defence health “eleventh hour of the eleventh day of the eleventh in coming years month” The Great War was over, with an estimated 16 million deaths, including 9 million civilians More Our fourth issue of 2018 primarily addresses the than 60,000 Australians lost their lives and 137,000 abstracts of papers presented at the 27th AMMA were wounded Throughout 1919, Australian troops Conference There are also three excellent articles were repatriated back home, with the last troops – one on acceptance and commitment and group arriving in early 1920 Our themes for the 2019 therapy in the military, a further installment of the issues of the Journal are Recovery, Repatriation and historical articles on Navy health sailor uniforms, Rehabilitation, in recognition of the ongoing health and an article on images of service and sacrifice needs of the troops post World War I and over the last 100 years Recovery, repatriation and rehabilitation If you are presenting a paper or poster at the remain a critical part of military health planning Conference, we would welcome their submission We would welcome any articles in these areas in the to JMVH for inclusion in a later issue Although coming year we continue to get a good range of articles, other military and veterans’ health articles are always very The sheer numbers of casualties from the two World welcome and we would encourage all our readers Wars were staggering, with the best estimates of to consider writing on their areas of military or the number of deaths in World War II, including veterans’ health interest civilians, being between 58 and 60 million Australia had 27,073 of its military personnel killed and Dr Andy Robertson, CSC, PSM 23,477 wounded The ferocity of these ‘total wars’, Commodore, RANR their casualty numbers and the sacrifices made by Editor-in-Chief Page 5 Original Article Acceptance and Commitment Therapy Group Treatment with the Military: A Preliminary Study S Harvey, D Bimler, D Dickson, J Pack, O Sievwright, D Baken, A Henricksen Abstract Acceptanceandcommitmenttherapy(ACT)israpidlygainingrecognitioninnumeroustherapysettingsasa treatmentofchoiceTodate,however,researchhasneglectedtoinvestigatethesuitabilityofACTinmilitary settingsThecurrentinvestigationisanexploratoryrepeated-measuresdesignevaluatinganACTwellbeing coursewithmilitarypersonnelfromtheNewZealandDefenceForce(NZDF)Thesampleconsistedofsoldiers (n=292),primarilyreferredbytheirunitsandmedicalpersonnelforanger,alcoholuseandstress-relatedissues Atone-andthree-monthpost-treatment,participantsshowedsignificantreductionsintheirlevelsofalcohol consumption,angerandaggression,perceivedstress,anxietyandperceptionsofothersbeingresponsiblefor theircircumstancesFurthermore,thefindingssuggestthatparticipantsdevelopedenhancedawarenessand managementoftheiremotionsasaresultofthisinterventionWhilepreliminary,thesefindingssupportthe efficacyofACTwithmilitarypersonnelinaddressingissuestheyencounter Keywords:AcceptanceandCommitmentTherapy,ACT,Grouptherapy,AngerandAggression,Alcohol Introduction the stressful demands of military life, when alcohol- fuelled behaviours become excessive (eg violence, In recent times, major concerns have been identified binge drinking or alcohol dependency) and impinge regarding problematic alcohol use in military service on soldiers’ general functioning, it can result in personnel (MSP)(1) A corresponding awareness is major disciplinary actions The current trajectory of emerging of the linkages between experiences of alcohol abuse in the military services is argued to be MSP and the development of mental health issues unacceptably high and constitutes a public health (eg combat deployments, conflicting family and crisis(1) work responsibilities, station changes) and alcohol use difficulties(2) Development of prevention and Empirical evidence is increasing for the treatment intervention initiatives must be, therefore, sensitive efficacy of workplace interventions in significantly to the experiences of MSP(3) Unfortunately, there is reducing problematic outcomes of substance use little research investigating psychological and alcohol disorders (SUDs) (eg SUD-related injuries and use treatment interventions or their suitability to violations), and in simultaneously promoting this population(4, 5) healthful behaviours and stress-management(11, 12) Such interventions are aimed at changing Military populations have a relatively high risk of individual behaviour and reducing environmental developing alcohol-related difficulties compared risk factors(6) Particularly promising are brief with civilian populations(6) Work- and family-related intervention wellbeing programs with an educative stress, frequency and number of active service emphasis on the promotion of stress reduction and deployment (both during and after), and combat- healthy lifestyle habits, as well as the reduction of related stress due to exposure to traumatic events risky behaviours, particularly problematic SUD are known contributors to alcohol abuse issues(2, consumption(6) Findings have indicated that SUD- 7, 8, 9) Additionally, the belief that alcohol enables focused interventions offering educative health-risk coping by lifting morale, increasing unit cohesion appraisal and brief counselling can reduce alcohol and protecting soldiers from adjustment problems consumption and that such treatment approaches to civilian life is a widespread belief within the are practically and cost-effectively delivered by way military(10) While sanctioned as a way to deal with of brief intervention format(11, 12) Page 6 Journal of Military and Veterans’ Health Original Article Group therapy workshops are widely used with MSP anger, perceived stress, anxiety, and chance and for a variety of mental health and SUD concerns and powerful others as loci of control Conversely, we have produced equivalent efficacy to individualised hypothesised pre- to post-intervention increases in treatment(13, 14) Two marked advantages of group internal locus of control and emotion management therapy interventions
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