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Without easy access to clinical care, Sissons sought more immediate support through local veterans charities. She connected with five different organizations in her area and began taking group courses on topics ranging from leadership to poetry writing.Diane Palmer, a nurse and therapist who works with veterans in Colchester, Essex, says that Sissons's tough hunt for traditional NHS care is common. Because IAPT providers in England's 200 or so localities set their own barriers to entry, patients with complicated conditions don't always make the cut. The NHS Trust that runs the primary care therapy program in North Essex, for instance, won't see many of Palmer's patients."The Trust narrowed the criteria so tight that if you had a suicidal thought or had been in crisis in the previous three months, then you wouldn't qualify. If you had significant alcohol issues, or anger, or more than one trauma, you wouldn't qualify," Palmer said. "Then you look at a typical young military veteran and say: 'Well, on the whole, they're angry, they have had more than one trauma, and they've probably been in a bit of a crisis,' so it's not hard to see why they don't get the IAPT service."Sissons, for one, has more traumatic memories than she can count. She was in and out of the foster system as a child, homeless by 14 and was deployed to Bosnia in 2005. It wasn't until she was sexually assaulted last year, though, that her PTSD began to emerge and she tried to find help. But given the scope of her distress, she could not gain entry into IAPT.Watch on Motherboard: Inside the Research Institute Battling PTSD with Virtual Reality
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After Sissons's assault, Powell also referred her on to secondary mental health treatment through the NHS. But she has been waiting for an appointment for nearly a year. Very recently, she instead began psychological treatment through the local branch of Walking with the Wounded, a privately-funded veterans charity."There are big pockets where there aren't veterans services, and where people fall through the net," explained Palmer. "And the damage that does—they just don't come back to look for help, and they lose faith."The contract for Veterans First and its sister pilot sites runs out in March 2016. Before next spring, NHS England will try to determine how best to continue spending their veterans budget on mental health care, which now exceeds £5 million [$7.6 million] a year.Sissons, for one, is hoping that the veteran-focused NHS care doesn't fall away. As she limps to her boyfriend's back porch for a cigarette, she recalls her car accident and remembers how easy it was to find care. No one denied that she had a series of severe physical injuries that called for immediate treatment. But clinicians haven't met the urgency of her PTSD with the same reaction."Veterans First is a grounding for me," Sissons said. "There are people there that understand a side of me that no one else can."