The prevalence of common mental disorders and PTSD in the UK military: using data from a clinical interview-based study

<p>Abstract</p> <p>Background</p> <p>The mental health of the Armed Forces is an important issue of both academic and public interest. The aims of this study are to: a) assess the prevalence and risk factors for common mental disorders and post traumatic stress disorder (PTSD) symptoms, during the main fighting period of the Iraq War (TELIC 1) and later deployments to Iraq or elsewhere and enlistment status (regular or reserve), and b) compare the prevalence of depression, PTSD symptoms and suicidal ideation in regular and reserve UK Army personnel who deployed to Iraq with their US counterparts.</p> <p>Methods</p> <p>Participants were drawn from a large UK military health study using a standard two phase survey technique stratified by deployment status and engagement type. Participants undertook a structured telephone interview including the Patient Health Questionnaire (PHQ) and a short measure of PTSD (Primary Care PTSD, PC-PTSD). The response rate was 76% (821 participants).</p> <p>Results</p> <p>The weighted prevalence of common mental disorders and PTSD symptoms was 27.2% and 4.8%, respectively. The most common diagnoses were alcohol abuse (18.0%) and neurotic disorders (13.5%). There was no health effect of deploying for regular personnel, but an increased risk of PTSD for reservists who deployed to Iraq and other recent deployments compared to reservists who did not deploy. The prevalence of depression, PTSD symptoms and subjective poor health were similar between regular US and UK Iraq combatants.</p> <p>Conclusion</p> <p>The most common mental disorders in the UK military are alcohol abuse and neurotic disorders. The prevalence of PTSD symptoms remains low in the UK military, but reservists are at greater risk of psychiatric injury than regular personnel.</p

Tackling organised crime through a partnership approach at the local level: a process evaluation.

In 2010 the Home Office set up an initiative to engage Community Safety Partnerships (CSPs) across England and Wales in exploring how local partnership working could be used to more effectively tackle organised crime. This report presents the main findings from a process evaluation undertaken of the 12 pilot sites included in this initiative. Our understanding of what works in relation to tackling organised crime is limited to a handful of studies focused on police-based responses to particular aspects of organised crime (e.g. people trafficking). However, the range of activity committed by organised criminals is extensive and the effects are dealt with by a range of local and national level partners and organisations. There is evidence to suggest that partnership working can be an effective component of initiatives to tackle complex crime and disorder problems (Berry et al., 2011). There is, however, no published evidence specifically on the deployment of multi-agency approaches to tackling organised crime

CCTV's global outreach : examining the audiences of China's 'new voice' on Africa

This scoping article introduces key issues surrounding the globalisation of China Central Television (CCTV), focusing on its African operations, content and reception, specifically in Kenya and South Africa. At a time when the Chinese government is seeking to enhance positive perceptions of China and China-Africa relations, and its associated media outlets are seeking to compete with other major global players like CNN and the BBC, this article takes steps towards understanding the extent to which CCTV may be succeeding in these missions. Some of the challenges identified for CCTV-Africa in our small-scale pilot study include attempting to simultaneously target 'African', 'Western' and Chinese audience groups, which may detract from its ability to appeal to specific international audiences; competition from other international and local broadcasters who already have a strong spectator base; and a lack of accessibility, awareness and sustained interest in the channel. It calls for more in-depth research into global audiences' reception of CCTV-Africa, and CCTV more generally, in order to track CCTV's brand awareness and assess whether China's global media soft power activities actually have any leverage in enhancing cross-cultural relations and international audiences' perceptions of China in Africa and the world.8 page(s

50 ways to trace your veteran:increasing response rates can be cheap and effective

BACKGROUND: while low response rates need not introduce bias into research, having a lower percentage of responders does increase the potential for this to occur. This is of particular concern given the decline that has been occurring in response rates since the 1950s. However, there are various methods that can be incorporated into the study design, which can assist in increasing levels of participation. OBJECTIVE: To outline the methods used by the King's Centre for Military Health Research (KCMHR) when conducting a recent telephone survey of serving and ex-Service military personnel. DESIGN: Using participants who had already taken part in a questionnaire-based study on the health effects of serving in the UK Armed Forces (n=10,272), a subsample was selected for an in-depth telephone interview-based follow-up study. The subsample consisted of 1,105 participants, selected on the basis of their mental health status. An adjusted response rate of 76% was achieved (n=821). RESULTS: Various methods of contact were used in this study to ensure an adequate response rate was achieved. CONCLUSIONS: Simple research strategies increase response rates and are likely to reduce bias. Use of multiple simultaneous tracing methods and customisation of the approach to the target population increases rapport between participants, ensuring that those who take part feel valued as members of the study. In the current climate of decreasing participation in studies, research teams need to engage with their study population and devise innovative strategies to keep participants involved in the research being undertaken

A systematic conservation plan identifying critical areas for improved chondrichthyan protection in South Africa

The International Union for Conservation of Nature (IUCN) estimates that over a third of all chondrichthyan species (sharks, rays and chimaeras) are threatened with extinction, primarily by overfishing (as target or bycatch species). Owing to the wide-ranging distributions of many chondrichthyans, they are often overlooked in marine protected area (MPA) design. South Africa is a biodiversity hotspot for chondrichthyan species diversity, and to improve the conservation status of these species in the country's continental exclusive economic zone (EEZ), we collaborated widely to collate existing occurrence data. Ensemble models were developed for 87 species' distributions, which informed a systematic conservation planning analysis for 64 threatened and endemic species. We assessed the current representation of these species in South Africa's MPA network and identified priority areas for protection, avoiding fishing pressure where possible. Results show that many MPAs are well placed to protect chondrichthyans, especially along the east coast (KwaZulu-Natal province). Unfortunately, permissive fishing regulations within many MPA zones reduces their effectiveness at protecting chondrichthyans. Improved regulations designed to protect chondrichthyans within all MPAs should be considered a high priority. Priority areas for increased spatial protection were identified along the west coast continental shelf, the Agulhas Bank off the south coast, and south coast embayments. We found that supplementing the current MPA network by an additional 5 % of the EEZ would be sufficient to protect >30 % of the range of all 64 species, provided there is adequate enforcement. As South Africa prepares to expand its MPA estate to meet international targets, these findings can ensure that chondrichthyans are well represented. •We collaborated widely to collate occurrence data on 164 chondrichthyan species in South Africa.•Distribution models were developed for 87 chondrichthyan species.•Priority areas for protection were identified using systematic conservation planning.•Priority areas included the shelf offshore of the west and south coast.•South Africa's MPA regulations require better management to protect chondrichthyans