title: The acceptability of 'Trauma Risk Management' within the UK Armed Forces.
abstract: BACKGROUND
  Trauma-support programmes may benefit employees of organizations that routinely expose their staff to traumatic events. However, in order for such programmes to be effective, staff need to find them acceptable.
  
  
  OBJECTIVE
  To investigate whether Trauma Risk Management (TRiM), an example of such a programme, is acceptable within a military population and whether it is viewed as complementing or replacing pre-existing personnel support systems.
  
  
  METHODS
  Semi-structured interviews were undertaken with serving Royal Navy personnel who had served on one of six ships, which had received TRiM training some 12-18 months previously. Three hundred and thirty interview transcripts were subjected to qualitative analysis and themed categories were generated.
  
  
  RESULTS
  The majority of personnel who were aware of TRiM were supportive of its aims. TRiM was also viewed as supplementing other personnel support measures rather than replacing them. Personnel interviewed thought that TRiM practitioners needed to be carefully selected, supported by line management and to pay particular attention to the issue of confidentiality.
  
  
  CONCLUSIONS
  The TRiM system appeared generally acceptable to military personnel and is seen to supplement rather than replace existing mechanisms. However, these data support careful selection of potential TRiM practitioners and demonstrate the need for senior management support for the system if it is to be accepted by those who might benefit from its use.
authors.affiliation: Academic Centre for Defence Mental Health, Weston Education Centre, Cutcombe Road, London SE5 9RJ, UK. sososanta@aol.com
authors.forename: N
authors.initials: N
authors.lastname: Greenberg
authors.forename: V
authors.initials: V
authors.lastname: Langston
authors.forename: A C
authors.initials: AC
authors.lastname: Iversen
authors.forename: S
authors.initials: S
authors.lastname: Wessely
mesh_terms: D000328:Adult; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008889:Military Personnel / Q000523:psychology; D008890:Military Psychiatry / Q000458:organization & administration*; D010342:Patient Acceptance of Health Care; D010379:Peer Group; D036301:Qualitative Research; D012308:Risk Management; D013313:Stress Disorders, Post-Traumatic / Q000517:prevention & control / Q000523:psychology*; D011795:Surveys and Questionnaires; D006113:United Kingdom; D055815:Young Adult