Many people who come into contact with health or social care services soon after having experienced a traumatic event do not report or seek help for psychological problems. Staff working in these services should be aware of traumas associated with the development of PTSD and take the opportunity to assess the person's psychological state. This should include an awareness that PTSD can arise as a result of ongoing situations (e.g., domestic violence, sexual abuse, being a refugee) previously not reported by the person. Initial assessment should be carried out by competent individuals and a decision made as to the need for referral for psychiatric assessment.

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