PES
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Have mental condition in army what will the pes be ? prodromes psychosis low mood
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FYI, PES is http://en.wikipedia.org/wiki/PULHHEEMS.
1) Go to Public Hospital / Private Specialist.Note: You will be classified as a subsidised patient if your first visit is via:
- Referral letter from a Government Restructured Hospital under subsidised status, A&E, Polyclinic or SAF, without specifying a specialist by name.
- Discharge from inpatient class B2 or C without
specifying a specialist by
name.
2) Consult specialist, and do whatever medical check ups required. E.g. physical exam, blood test, x-ray, CT scan, MRI scan.3) Specialist gave a finalised clinical diagnosis.
4) Get the specialist to write you a memo which is to be given to SAF MO. Those who can and are willing to spend some more money can get him/her to write you a specialist report, which is more precise and detailed.
Note: For not to waste time and money, please be more direct yet humble. Request the specialist to write about reviewing of PES and medical board / anything specific such as any excuses to your conditions.5) Book an medical review appointment using the eHealth module @ www.ns.sg (for NSman Reservists).
Just go down to your camp medical centre (for NSFs).
Call CMPB @ 6373 1340 to request another PES review (for Pre-Enlistees after CMPB Checkup).6) Make a trip down to the respective unit camp medical centre. Give the MO whatever supporting documents you have in hand. E.g. Specialist memo/report (most usually the case and highly recommended), x-ray films, CT/MRI scan report, blood investigation lab report... etc.
7) MO will decide whether you are deemed eligible for KIV downgrade, according to the criterias set in the "PES Bible" directive. E.g. Diagnosis, Extent of Diagnosis, Degree of Diagnosis/Injury/Illness/Disease...etc.
8) If deemed so, you will sign an acknowledgement notice of Medical Board, whereby your case statement is prepared for review discussion at the monthly medical board meet (usually at the Formation/Division HQ) with another NSF CPT MO and the Chairman (SAF Regular Medical Doctor of MAJOR rank or above). Your Medical Board result will be post mailed to you by your respective NSHRC (Formation NS Hub).
Time and time again, the questions for Medical Review (Downgrade) is repetitive. Therefore, this serves as a general SOP for Medical Board.
Extract from www.mindef.gov.sg/nsmen:
NSmen must update their NS HRCs if they should develop any new medical condition or if their existing medical condition has worsened which might affect their ability to perform their duties during ICT. Arrangements will then be made for them to attend a medical review at the SAF medical centre to assess their fitness for NS.
The NSmen MUST bring along all investigation results and memorandums from his external physician/specialist during the medical review. Depending on the outcome of the medical review, the NSman may be given a medical certificate to defer him from ICT, be scheduled for a medical board to downgrade him if his medical condition is significant, or referred to a restructured hospital for further investigation. In the event that the medical officer determines that the NSman’s medical condition will not affect his ability to participate in the ICT, he will allow the NSman to attend the ICT. -
NS have counselling hotlines for you to call if need arises.
The counsellors are experienced professionals.You can call them at the following counselling hotlines:
- SAF : 1800-278 0022 (SAF Counselling Hotline)
- SPF : 1800-255 1151 (Police Psychology Service Department)
- SCDF: 1800-286 6666 (SCDF Counselling Hotline)
If you think you have been treated unfairly, you can bring up the case to your Commander. We will listen to your case. Do remember to bring along all facts and supporting documents.
We will do our best to address your concerns. Servicemen are to seek redress through proper channels. Together, we can address your issue more expeditiously.
================================================================
COUNSELLING
The SAF seeks to promote the well-being of every serviceman by providing
counselling support for those whom might be facing difficulties coping with their
personal or work/training related problems. Servicemen who are experiencing
difficulties can seek help through the avenues described below.
Commander interviews of all recruits are conducted within 48 hours of enlistment into full-time NS. Regular interviews are subsequently conducted on a monthly basis during the PTP/BMT phase. Special interviews are also granted upon request. Servicemen can highlight their difficulties during these interviews for assistance.
Orientation Officers identify, assist and counsel BMT recruits with adjustment
and/or other personal problems.
NS SAF Counselling Hotline is a 24-hour confidential telephone
counselling service provided by the SAF Counselling Centre. Manned by
trained counselling personnel, the SAF Counselling Hotline offers a crisis
and telephone counselling service to all servicemen. Callers may
choose to remain anonymous. Face to face counselling is also available
at the SAF Counselling Centre upon request/referral.
SAF Paracounselling Scheme complements other existing counselling
services and provides another avenue of help at the unit level for those who
need help to deal more effectively with their problems. Paracounsellors are
specially selected, trained by and work closely under the professional guidance
and support of counsellors from the SAF Counselling Centre. Paracounsellors
can be identified through their identification badges as well as through publicity
posters displayed in their units.================================================================
Being psychologically prepared is all about knowing what to expect and being prepared for it.
To be better prepared, you can participate in Total Defence activities and Open Houses organised by the SAF/SPF/SCDF.
Perhaps you should also talk to your family members and friends who have lived the NS experience. The more you discuss with others, the more comfortable and mentally prepared you’ll become.
Because NS life is different from civilian life before enlistment, there are many adjustments you need to make.
A good way to cope is to get support from your buddy and fellow recruits. They are going through the same tough training as you, so talking to one another will help relieve some tension.
In most evenings during your leisure time, you’ll also have some time to call your family or loved ones to talk. They can give you emotional support during NS.
You can have a one-on-one interview sessions with your officer to highlight any problems you may have. If you have a personal or family problem that need to be addressed, do let the officer know—he may be able to give you some advice or time off to settle your problems.
Life in NS revolves around structure, routine and discipline. This helps us stay united as a uniformed organisation as well as imparts the rigours necessary to protect our nation and citizens.
This does not mean there is just work and no play. In fact, after a few weeks in NS and you’ll find new friends and new reasons to smile!
As a soldier, one of the biggest adjustments you’ll have to make quickly is in regimentation and discipline.
Being in a uniformed organisation, you’ll have to obey orders from your superiors. Thus some of you may feel a sudden lack of freedom to do what you want and you may find yourself having difficulties accepting authority initially.
Regimentation and discipline build strong character and toughness, so that you’ll be tough enough to handle difficult combat, crime-fighting or rescue situations without giving up or breaking down.
When you first enlist into NS, you may have concerns of being in a new territory, with new faces and new things to do. But don’t let this get to you. Just remember the saying that “when the going gets tough, the tough gets going”.
Following are some tips on what you can do to prepare yourself psychologically:
- Adopt a positive perception
- Build up physical stamina
- Develop good working attitude and habits
- Overcome psychological stress
- Adopt teamwork spirit
- Learn to be independent
- Set realistic expectations
You can also speak to your friends or family members who have been through NS. Ask them to share their stories. The sharing will help you reduce some of your fears, uncertainties and doubts.
During NS you’ll be living with different people.
Because these people come from different backgrounds, they may not think like you do or react to situations like you would. Instead of trying to select your type of people, you should cherish the diversity. This is a chance for you to learn more about your fellow mates and their cultures.
You’ll find that you have many opportunities to absorb the different cultures—during training, eating, chatting or just seeing and listening. Take these opportunities and learn from people around you, you’ll have a much better appreciation of Singapore’s cultural diversity.
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Samaritans of Singapore (SOS): 1800-2214444
Singapore Association for Mental Health: 1800-2837019
Sage Counselling Centre: 1800-5555555
Care Corner Mandarin Counselling: 1800-3535800
Refer: www.imh.com.sg
The Institute of Mental Health (IMH) is a 2,000-bed acute tertiary psychiatric hospital situated on a 25-hectare campus at Buangkok Green Medical Park. Set amidst serene surroundings, IMH offers a comprehensive range of psychiatric, rehabilitative and counselling services for children, adolescents, adults, and the elderly.
IMH’s tradition of care started in 1928. We were the first mental hospital in Singapore, starting with some 1,000 patients. Since then, many advances have been made in treatment, training, and research. Our treatment integrates evidence-based therapies, supported by the departments of clinical psychology, nursing, occupational therapy, and medical social work, to provide holistic care for our patients. IMH is equipped with modern facilities, with 50 wards for inpatients and seven Specialist Outpatient Clinics.
IMH was the first mental health institution in Asia to receive the Joint Commission International Accreditation in 2005, a highly coveted international accreditation for healthcare organisations.
Over the years, IMH has gained a reputation for quality research. In 2008, the Ministry of Health, Singapore, entrusted IMH with a S$25 million research grant to implement translational and clinical research into the causes of schizophrenia and related psychotic disorders.
IMH also plays a key role in training the next generation of mental health professionals in Singapore. We train psychiatrists and mental health professionals through the NHG-AHPL Residency Programme for psychiatry and through collaborations with the local tertiary institutions.
Address
Buangkok Green Medical Park
10 Buangkok View
Singapore 539747
If you are facing a mental health crisis, please call our Crisis Helpline at 6389 2222 or seek medical help at our 24-hour Emergency Services located in our hospital. -
When patients feel at their most vulnerable, Head of medical social services at Singapore General Hospital (SGH) Ms Esther Lim steps in to help them make sense of what is happening.
Such patients may have tried to take their own lives or showed signs of wanting to do so. Ms Lim also helps families cope when they have lost a loved one.
The 39-year-old's helping hand is extended not just to patients, but also to hospital staff who face challenges at home or at work, for instance, if they have been abused by a patient.
In 2003, she pioneered a programme in SGH to train health-care and social work professionals in suicide intervention. It is now also offered in SingHealth's Postgraduate Allied Health Training Institute.
Since becoming a social worker in 1995, Ms Lim, who leads a team of 85 medical social workers, has received more than 15 awards. Last year, she was one of two recipients of the Outstanding Social Worker Awards given out by the Singapore Association of Social Workers.
She is married to a 37-year-old police officer. They have a six-year-old daughter.
I specialise in suicide and crisis intervention because...
When I was working in the emergency department years ago, I saw how a crisis, such as a life-threatening illness, a serious road traffic accident or an attempted suicide, can throw a family off balance.
The sense of disbelief and loss can be overwhelming, so this is where I step in to help people make sense of what is happening.
The immediate goal is to reduce the intensity of the emotional, physical and behavioural reactions, while the long-term goal is to help families get back to as normal a life as can be.
A person's life is precious because...
We live only once, so we have to live it fully and with dignity, despite our circumstances.
One little known fact about suicidal patients is...
They are not mentally ill. Anyone facing a seemingly desperate situation can be vulnerable to feeling hopeless and helpless, which may escalate to suicidal acts if the person does not receive help or cuts himself off from others.
If I were to give an analogy for what I do, I would...
Be a bridge to connect the suicidal person with the resources around him, such as family service centres, care facilities and legal aid. Often, a person may think nobody can help him, which is not true.
The eventual goal is to reconnect the suicidal person with his family and loved ones through individual, couple or family sessions.
A typical day for me would...
Start at 8.30am with administrative duties, followed by morning staff meetings or journal club sessions. I meet senior staff members regularly to plan and implement assistance schemes which benefit patients.
Other medical social workers also come to me to seek advice on cases they are working on. I co-manage the difficult cases, such as those which may involve suicide, or in which patients or family members consistently display behavioural difficulties.
I also support hospital staff members who need help and teach them coping strategies.
I have come across all types of cases...
But I find that families with strong social support fare better in crises. After the initial shock and confusion, members organise themselves very quickly to protect the affected family member by providing physiological and emotional comfort.
I love patients who...
Make it a point to turn up for their follow-up counselling sessions because this shows their readiness and motivation for change.
Patients who are forthcoming, open to working with their families and willing to reflect on themselves often make better progress.
They pick up positive coping strategies to deal with life's challenges, which range from relationship discord, financial issues to mental health or addiction challenges.
Patients who get my goat are...
Those who blame everyone else for their problems, without realising that they have a part to play.
For instance, a suicidal husband may be domineering at home and may keep blaming his wife and children, without realising that he has failed to communicate properly with them.
This can also explain the persistent suicidal behaviour in some patients. This vicious circle may wear out their loved ones and cut patients off from the support they used to have.
Things that put a smile on my face are...
Receiving handmade cards from the children of one patient whom I saw for attempted suicide and depression over several years.
Every year, though the drawings and handwriting would mature, they always conveyed their appreciation to me for being there for their mother.
It breaks my heart when...
An elderly patient asks me if the doctor can help end his life because he does not want to burden his children.
I realise, through interaction with elderly patients, that they are so stoic and self-reliant that they feel useless when they cannot contribute financially, take care of their grandchildren or, worse still, become disabled.
They have laboured hard all their lives, yet they have not come to accept that there is a time to receive unconditional care in return.
I would not trade places for the world because...
There is still so much to be done that I cannot find enough time for everything. This is what I am trained for and playing a part to restore equilibrium to lives is a constant reminder to live mine fully.
My best tip is...
To learn to take charge of emotions, thus reducing the likelihood of acting on impulse when emotionally charged.
Some things which may help include taking slow, deep breaths, sharing your problems with a trusted mentor and putting vexing matters on the back-burner, that is, taking your mind off it and revisiting the issue when you are calmer.
Get a copy of Mind Your Body, The Straits Times or go to for more stories. -
Physical Employment Status (PES)
PES A (L1) = Fit
for all combat vocations. (Full BMT)
PES B (L1) = Fit for
most combat vocations. (Full BMT)All PES A and B1 will be followed by the L-Code (Land Deployability Code) as follows:
L1 – Fit for all field duties including frontline duty.
Can be deployed in Manoeuvre vocations and be involved in direct combat.
PES Bp = Fit
for obese Full BMT (applicable to obese recruits).============================================================
PES B2 (formerly called C1) - Fit for
some combat vocations. Required to take IPPT but can be excused up
to 2 static stations in IPPT.PES B2 grading will be followed by the L-Code (Land Depolyability Code) as follows:
L1 – Fit for all field duties including frontline duty. Can be deployed in Manoeuvre vocations and be involved in direct combat.
L2 – Fit for most field duties. Can be deployed in Manoeuvre vocations of Brigade HQ level units and above, and/or Combat Support vocations in frontline units of Battalion and above, and/or Combat Service Support vocations at all echelons.
L3 – Able to bear firearms and operate in a field environment. Can be deployed in Combat Support vocations of Brigade HQ and above, and/or Combat Service Support Vocations at all echelons.
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PES C = Fit for
combat service support vocations. (Modified BMT)
Further subdivided into:
PES C2 - Do not have to take IPPT for NSF/ NSman, except regulars who are required to take Alternative Aerobic Fitness Test (AAFT).
PES C9 - All servicemen not required to take IPPT.PES C grading will be followed by L-Code (Land Deployability Code) as follows:
L2 – Fit for most field duties. Can be deployed in Manoeuvre vocations of Brigade HQ level units and above, and/or Combat Support vocations in frontline units of Battalion and above, and/or Combat Service Support vocations at all echelons.
L3 – Able to bear firearms and operate in a field environment. Can be deployed in Combat Support vocations of Brigade HQ and above, and/or Combat Service Support vocations at all echelons.
L9 – Able to bear firearms and protect themselves, others and property. Can be deployed in Combat Support vocations in Main Support Area, and/or Combat Service Support vocations of Brigade HQ and above.
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PES D = Temporary unfit for
grading and pending further review.============================================================
PES E = Fit for
administrative duties only.
PES E1 - Able to participate in simple observance parades and LIFE activites.
PES E9 - Unfit for any forms of physical activities; field duties/exercises.
PES E grading will be followed by the L-Code (Land Deployment Code) as follows:
L9 – Able to bear firearms and protect themselves, others and property. Can be deployed in Combat Support vocations in Main Support Area, and/or Combat Service Support vocations of Brigade HQ and above.
PES
F = Medically unfit for any form of service. -
How to get to mmi Where is it exact location later lost
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Blk 27 Medical Drive, DSO Building
Lower Kent Ridge Road
Singapore 117510Telephone: 6485 7400/01Officially unveiled on 11 Jun 2004, the SAF Military Medicine Institute (MMI) in the new DSO (Kent Ridge) Building aims to provide specialised health care and medical grading for servicemen. Billed as the Centre of Excellence in clinical military medicine, MMI promises professional treatment and quality service to sustain the fighting strength of the SAF.
The conceptualisation of MMI started in 1995, with the Ministry of Health (MOH) and MINDEF seeking closer collaboration. The idea was to locate this facility together with a hospital to maximise expertise and resources.
The SAF also recognised the need to provide secondary level medical care tailored to military vocation.
"It was conceptualised this way, but obviously it couldn't start big at that time, so we started on a smaller scale at different locations," recalled Deputy Commander MMI, LTC (Dr) Fan Swee Weng.
In the early days, the various clinics and services were operated from three different locations: Loewen Road Camp, Depot Road Camp and Alexandra Hospital.
Last December, all these clinics and offices came under one roof at the DSO (Kent Ridge) Building - with the exception of in-patient care for psychiatric patients, which remains at Alexandra Hospital.
"It was a great opportunity to maximise all our resources and put together all these capabilities to harness and maximise what each of these services can provide," LTC (Dr) Fan (left) enthused.
MMI, a sub-unit of Headquarters, SAF Medical Corps (HQMC), is responsible for the provision of pre-deployment medical services, musculo skeletal injury care, psychological, trauma and stress support, visual care and performance enhancement, as well as cardio-pulmonary assessment. -
Military Medicine Institute
The Military Medicine Institute (MMI) was established in March 1998 to provide Specialist Medical and Dental services to the SAF personnel. In 1999, Medical Board Centre and SAF Ward came under the umbrella of MMI. In Dec 2003, Military Medicine Institute, together with Tanglin Physiotherapy Centre, relocated to DSO(Kent Ridge) Building.
Our Vision
To be the Centre of Excellence in Clinical Military Medicine.
Our Mission
To ensure efficient sustenance of SAF fighting strength through delivery of quality healthcare in areas of Specialist Medical and Dental Care, Medical Grading, and In-Patient Care.
Our Roles
Through the provision of specialised medical/dental services and in-patient care, MMI serves the SAF by optimising the treatment and recovery of servicemen with significant medical problems. This will translate to operational readiness of the SAF units as well as improved well-being of the individuals in the SAF.
Timely medical grading of servicemen allows personnel to be deployed effectively in service while minimising impact on operational readiness and personal health.
Services available:- Cardiopulmonary Lab
- Deployment Medicine
- Dermatology
- Ear, Nose and Throat
- Internal Medicine
- Medical Grading
- Occupational Medicine
- Orthopaedics
- Ophthalmology
- Psychological Care
- Specialist Dental Centre
- Sports Medicine
