1. "The Troubles" with Mental Health Services
Northern Ireland and Post-Conflict Care from a practitioner perspective

2. Blame Game Victims Perpetrators 26% of all victims aged 21 or less
1525 Catholics
1250 Protestants
691 ‘Not N. Irish’
Civilians account for 53% of the total killed
105 people since 1998
Republican paramilitaries account for almost 59% of all deaths
Loyalist paramilitaries for almost 28%
British Army for 9%
RUC for almost 2%

3. Mental ill-health within Northern Ireland
Conflict
Mental ill-health within Northern Ireland
34,000 shootings
14,000 bombings
3,600 deaths

4. Whole Population
Impacted Population

5. Therapeutic interventions after traumatic incidents in Enniskillen and Omagh

6. Healing Through Praxis

7. More than Medical Needs

8. Suicide Impact on Youths Parental PTSD Relocation
Parental imprisonment
Parental PTSD
Living in the shadow of a brother or sister killed during the Troubles
Relocation
Suicide

9. Divis Flats, August 1994

11. PTSD Panic Disorder Heart disease smoking alcohol abuse arthritis
Obsessive Compulsive Disorder
Panic Disorder
Agoraphobia
fibromyalgia
chronic fatigue syndrome
Heart disease
smoking
alcohol abuse
arthritis
diabetes
cancer

12. Which gives rise to social problems
Homelessness
Unemployment
Criminal behaviour
The more serious the lifelong consequences to health and well being
Disease
Disability
The greater the health risks behaviours
Smoking
Drinking
Over-eating
>50 sexual partners
The greater the nuero-biological impacts
Anxiety
Depression
Insomnia
The more types of adverse childhood experiences
Trauma
Parental incarceration
Parent with poor mental health
Parent who abuses alcohol

13. 59% of adults are either overweight (36%) or obese (23%)
24% of populace indicated that they currently smoke
68.8% of respondents engaged in levels of drinking that were hazardous
32.6 % had received prescription medication for depression in the last year
40% of population rate stress levels as ‘high’ or ‘very high’
20% of population have score of 4 or more in the General Health Questionnaire (GHQ12) indicating presence of possible psychiatric disorder
37% of people have a long-standing illness

14. Money spent on Mental Health Services Island of Ireland

15. Conclusions
Development of mental health services to identify, assess and effectively treat trauma related disorders and to support people with trauma related needs before, during and after therapy
Coordinated action plan to develop comprehensive mental health promotion strategies to reduce the future incidence of mental health problems
Stretch the boundaries of the mental health field to encompass the spatial territory of politics, justice and socioeconomics
New emphasis must be placed on understanding the social psychology of conflict and its consequences

16. Further Discussion kate@chwbbelfast.org