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A Theoretical Model for Supporting Young Men With Depression

A Theoretical Model for Supporting Young Men With Depression. Alan FINNEGAN Trinity College Dublin 7/8 Nov 12. Military Mental Health. What is Depression?. Aim. To evaluate and provide a critical analysis of the predisposing factors leading to depression in the British Army.

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A Theoretical Model for Supporting Young Men With Depression

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  1. A Theoretical Model for Supporting Young Men With Depression Alan FINNEGAN Trinity College Dublin 7/8 Nov 12

  2. Military Mental Health

  3. What is Depression?

  4. Aim • To evaluate and provide a critical analysis of the predisposing factors leading to depression in the British Army. • To develop a theoretical model outlining the factors leading to depression, and the appropriate patient’s clinical pathway. • Provide detail from a GP validation exercise looking at the transferability of the findings to civilian healthcare

  5. Methodology & Method • Two surveys 0f MMH hospital admissions and DCMH referrals. • A grounded theory qualitative study. • GP validation exercise .

  6. Predisposing Factors • Multi factorial factors and symptoms. • Majority had relationship problems, family issues occupational stressors. • Wanting to leave the Army = 20% of all hospital admissions and 25% accessing a DCMH. • Gender, Age & Rank

  7. Cultural Issues Medical Services Relationships Personality Unhappy Soldier Family Issues Help Seeking Behaviour Situational Stressors Social Views & Media Army Predisposing Factors Leading to Depression in the British Army Social Class Macho Image Military Depression Stigma Benefits of Army Life Physical Problems Control & Perceptions Isolation Operations Symptoms Rank Alcohol Age Team Building Gender DCMHs Bullying & Harassment

  8. Environmental Support – The Army, AMS and DCMHs Relationship Problems Family Issues Occupational Stress Bullying Unhappy Soldier Financial or Disciplinary Problems Previous Trauma Childhood Trauma Physical Problems Past Family History Depression in the British Army Situational Stressors Precipitating / Maintaining Factors Personality Macho Image Age & Gender Social Class Cultural Factors Stigma Societal & Media Views Alcohol Abuse Substance Abuse Isolation Secondary Coping Mechanisms Help Seeking Behaviour Contextual – Peacetime or Operations

  9. Military Depression • Unique Definition. • Private Soldiers aged 18 to 22 years old. • Non Commissioned Officers & Senior NCOs aged late 20’s to early 30’s. • Soldiers nearing the end of their career and aged late 30s onwards. • Women.

  10. Validation Exercise • Are the results a true reflection of the presentation of depression in the British Army? • Should the model be introduced into GP training? • Are findings transferable to civilian practice?

  11. Implications • Lessons learnt have been incorporated into a theoretical model indicating the factors leading to depression, and the patient’s clinical pathway. • Has the potential to improve the operational capability of the Army. • Utility – Army, and potentially transferable to other Armed Forces and young men’s MH.

  12. Questions?? For further info and related papers email: • alanfinnegan167@hotmail.com

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