Trauma-related stress in Australia

A growing ‘wicked problem’

PTSD quote 1In early 2016, Australia21 was approached by the chair of FearLess, retired Admiral Chris Barrie, about the possibility of a collaborative exploration of stress arising from trauma in Australia. At Australia21’s face-to-face Board meeting in February 2016, the CEO of FearLess Mr Allan Behm, discussed the activities of his organisation and their concern that trauma-related stress is a ‘wicked problem’ having a profound impact on Australian well-being and a problem deserving expanded national attention. While a great deal of research and support has been provided in the past to veterans suffering from post traumatic stress disorder, the full range of stress-related consequences arising from traumatic events was considered to require new initiatives, new research, and new approaches to supporting and preventing the development of the syndrome in large numbers of Australians.

The scope and scale of the problem are immense and it touches the lives of millions of Australians. Trauma-related stress generates massive costs in mental health, criminality, drug and alcohol use, family disruption and lost productivity.

Known to earlier generations of the military as ‘shell shock’ this debilitating spectrum of mental changes continues to bedevil large numbers of our veterans. But it also affects significant numbers of people who work as ‘first responders’ including police, ambulance and emergency personnel. There is also a major problem among indigenous communities, victims of child and sexual abuse, victims of domestic violence and jail occupants.

Understanding the problem

PTSD quote 2aTo start grappling with the issues, an Australia21/FearLess steering group was formed and embarked on commissioning a collection of invited essays by diverse experts and stakeholders in the problem.

The result was the volume entitled Trauma-related stress in Australia: Essays by leading Australian thinkers and researchers. Published in September 2016, it contains 27 short essays by leading Australian and US clinicians, researchers, administrators and observers of the stress that often follows exposure to, or involvement in, violence and brutality.

The accounts presented suggest that trauma-related stress is costing industries and the taxpayer many billions of dollars. A more constructive approach to prevention, early intervention and effective treatment and rehabilitation is clearly essential.

It is expected that the book will set the scene for a national roundtable discussion and a national push towards improved approaches to the issue in early 2017.

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1 comment on "Trauma-related stress in Australia"

  • EMDR (Eye Movement Desensitisation and Reprocessing) has been endorsed by Phoenix (The Australian Centre for Post Traumatic Mental Health) as well as WHO (World Health Organisation) as an effective treatment for PTSD and as a trauma counsellor I am convinced of its efficacy and so are the people I treat. It disturbs me that only Trauma Focussed CBT is mentioned in Trauma Related Stress – Australian Essays by leading Australian thinkers and researchers (2016) and there seems to be very little mention of it in current discussions of treatment on this site. I would encourage people seeking treatment to visit http://www.emdraa.org.au to learn more about this highly effective therapy for PTSD. It’s a sad fact highlighted in the Essays that fifty per cent of (Medicare funded) treating psychologists surveyed by the panel were unequipped to treat PTSD having little or no training in this specific area. Talking therapies for trauma can often do more harm than good, an opinion now made famous by trauma expert Prof Bessel van der Kolk in his acclaimed book The Body Keeps the Score. Veterans and front line responders should be able to choose their therapy and this should embrace accredited Counsellors and psychotherapists who specialise in evidence based PTSD treatments like EMDR a therapy that doesn’t insist upon detailed talk or homework. With escalating suicide rates among veterans and first responders it’s time to look at ALL evidence based treatments on offer and provide people with greater choice.
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