Client accessed appropriate service and was later admitted into psychiatric care. The post traumatic shock cases were all train drivers who had been involved in fatalities. Some had experienced multiple incidents over several years without treatment. The sooner the referral after identification of problem the less intervention needed.
Prompt intervention is the greatest factor in recovery speed, irrespective of severity of condition.
Clients referred before sick leave are always better within 3 - 4 sessions, where as sick leave often requires an extra session to support clients back to work concerns. In order to avoid Post Traumatic Stress Disorder and delayed shock reactions, clients involved in traumatic incidents must receive treatment immediately. This vastly reduces the amount of sessions needed and ensures safe mental health. Clients experiencing new trauma's after treatment must be referred asap as re-traumatisation can occur. Several clients have reported a lack of knowledge and understanding of stress on the part of their managers.