Combat Stress (charitable organisation)
|Founded||12 May 1919|
|Registration no.||England and Wales: 206002 (as Ex-Services Mental Welfare Society)|
|Focus||Treating post traumatic stress disorder (PTSD), and other mental health issues|
|Charles, Prince of Wales (Patron)
General Sir Peter Wall (President)
|£15.7 million (2012)|
|Slogan||The Veterans' mental health charity.|
|Ex-Services Mental Welfare Society|
Combat Stress is a registered charity in the United Kingdom.  offering residential and community treatment to former members of the British Armed Forces suffering from a range of mental health conditions including Post Traumatic Stress Disorder (PTSD). Combat Stress provides treatment for all Veterans suffering with mental ill-health, free of charge. On average it takes 13 years for a Veteran to come to Combat Stress for treatment, however for those who served in Iraq and Afghanistan the time period is much lower.
First World War
The soldiers returning home from First World War suffered greatly from the horrors they had witnessed. Many returning veterans suffered from Post Traumatic Stress Disorder, called shell shock at the time.
|“||Shell-shock and shell concussion cases should have the letter 'W' prefixed to the report of the casualty, if it were due to the enemy; in that case the patient would be entitled to rank as 'wounded' and to wear on his arm a 'wound stripe'. If, however, the man’s breakdown did not follow a shell explosion, it was not thought to be ‘due to the enemy’, and he was to [be] labelled 'Shell-shock' or 'S' (for sickness) and was not entitled to a wound stripe or a pension.||”|
In August 1916 Charles Myers was made Consulting Psychologist to the Army. He hammered home the notion that it was necessary to create special centres near the line using treatment based on:
- Promptness of action.
- Suitable environment.
- Psychotherapeutic measures.
He also used hypnosis with limited success.
In December 1916 Gordon Holmes was put in charge of the northern, and more important, part of the western front. He had much more of the tough attitudes of the Army and suited the prevailing military mindset and so his view prevailed. By June 1917 all British cases of “Shell-shock” were evacuated to a nearby neurological centre and were labelled as NYDN–Not Yet Diagnosed Nervous”. "But, because of the Adjutant-General’s distrust of doctors, no patient could receive that specialist attention until Form AF 3436 had been sent off to the man’s unit and filled in by his commanding officer." This created significant delays but demonstrated that between 4-10% of Shell-shock W cases were "commotional" (due to physical causes) and the rest were "emotional". This killed off shell-shock as a valid disease and it was abolished in September 1918.
During the war, 306 British soldiers were executed for cowardice, many of them victims of shell shock. On 7 November 2006 the government of the United Kingdom gave them all a posthumous conditional pardon. The Shot at Dawn Memorial in Staffordshire commemorates these men.
Currently the organisation is helping over 5,900 people who are Veterans of the UK Armed Forces from 19 to 97. Combat Stress are currently treating 971 Veterans who served in Afghanistan and 1,185 who served in Iraq.
Support is currently being given to those who suffer from:
- Clinical depression
- Raised anxiety states
- Substance abuse (drug and alcohol) 
- Post Traumatic Stress Disorder (PTSD)
This support is delivered throughout England, Scotland, Wales and Northern Ireland through three treatment centres (Hollybush House, Ayr, Ayrshire, Scotland; Audley Court, Newport, Shropshire, England and Tyrwhiytt House, Leatherhead, Surrey, England) and community outreach teams.
The services provided:
- Regional Welfare officers
- Treatments for PTSD which include:
- Treatment centres
- Royal Navy
- British Army
- Royal Air Force
- The Royal British Legion
- Army Benevolent Fund
- Royal Air Forces Association
Notes and references
- Charity Commission
- "Combating the stress of civilian life". BBC News. 11 October 2007. Retrieved 30 April 2010.
- History of Combat Stress
- Shephard, Ben. A War of Nerves: Soldiers and Psychiatrists, 1914-1994. London, Jonathan Cape, 2000.
- Taylor-Whiffen, Peter (2002-03-01). "Shot at Dawn: Cowards, Traitors or Victims?". BBC.
- "War Pardons receives Royal Assent". ShotAtDawn.org.uk.
- "Pardoned: the 360 soldiers shot at dawn for 'cowardice'". The Daily Telegraph. 16 August 2006.