Defence Medical Rehabilitation Centre, Headley Court – Inpatient (Ward) Attendance
Abstract: This ad hoc statistical bulletin provides information regarding UK Armed Forces and Civilians admissions to, discharges from, and length of admission to Inpatient (Ward) clinics at the Defence Medical Rehabilitation Centre, Headley Court (DMRC). In addition, the initial indicator of severity of injury/illness prior to admission plus the numbers of those remaining in Service (and their Medical Deployability Standard (MDS)) following admission to DMRC, are included. This ad hoc statistical bulletin has been provided to support the work being undertaken on the economic benefits associated with the National (N) Element of the Defence National Rehabilitation Centre (DNRC) development on the Stanford Hall Estate. The statistics were provided to aid (1) a comparison of the patients admitted to DMRC with those seen by the National Health Service (NHS) and (2) a comparison of the different types of rehabilitative care provided by DMRC and the NHS. The publication of the bulletin ensures that MOD is open and transparent about the methodology and quality of the statistics and that equal access is given to all, as required by the Code of Practice for Official Statistics.
Abstract: The U.S. Army’s Ask, Care, Escort (ACE) suicide gatekeeper training has been the annual requirement for all personnel since 2009; however, this training has never been formally evaluated. The present study evaluated three updated versions of ACE: a training for Army leaders (ACE-Suicide Intervention), a training for basic combat trainees (ACE for Basic Combat Training and One Station Unit Training), and a standard training for all personnel (ACE for the Force). Self-report surveys measured pre- to posttraining changes in objective and subjective knowledge and stigma, as well as preparedness, self-efficacy, and likelihood to engage in gatekeeper behaviors. Implementation outcomes, such as training acceptability, suitability, and usability were also assessed. Across these evaluations, participants reported that knowledge and gatekeeper behaviors significantly improved from pre- to posttraining. Implementation metrics revealed a high degree of acceptability and relevance for all three ACE trainings. Overall, the findings of these evaluations suggest important changes in key suicide prevention outcomes following the ACE suite of trainings. Further longitudinal assessment is needed to establish the full effectiveness of gatekeeper interventions in the Army.