 |
Background
Combat and operational stress is defined as: “The expected and predictable emotional, intellectual, physical, and/or behavioral reactions of Service members who have been exposed to stressful events in war or military operations other than war. Combat stress reactions vary in quality and severity as a function of operational conditions, such as intensity, duration, rules of engagement, leadership, effective communication, unit morale, unit cohesion, and perceived importance of the mission.” (DoD Dictionary of Military Terms)
Below, we have provided information on combat/operational stress, including policies and directives, training material, and other resources, to assist healthcare providers and Service members and their families.
Table of Contents
Policies and Directives
DoD / Joint Forces
Army
Air Force
Navy / Marines
Coast Guard
- COMDTINST 1754.3A, Critical Incident Stress Management (CISM), 18 Jul 11 (The purpose of this instruction is to update
guidance for providing services intended to minimize the potential for psychological injury to employees, Coast Guard members, and their family members
who have been involved in or affected by a critical incident. CISM includes pre-incident training, critical incident interventions, and post-incident
follow-up.)
Clinical Guidance
- Borden Institute Text Book of Military Medicine, Combat and Operational Behavioral Health, 2011
- Psychological Health In-Theater Protocols, Office of Deputy Assistance Secretary of Defense for Force Health Protection and Readiness, 11 May 11
- National Center for PTSD and WRAMC, The Iraq War Clinician Guide 2nd Edition
- Textbook of Military Medicine, War Psychiatry, 1995
- PTSD Clinical Practice Guideline
- National Center for PTSD, Psychological First Aid: Field Operations Guide For Disaster Mental Health Responders, 2nd Edition
- RAND Publication, Psychological and Psychosocial Consequences of Combat and Deployment with Special Emphasis on the Gulf War, 2000
Forms and Measures
Fact Sheets
- VA National Center for PTSD (NCPTSD), Returning from the War Zone Guides(for Military Personnel and for Families of Military Personnel)
- USAPHC Redeployment: Soldier Combat Stress Reaction: A Pocket Guide for Spouse and Loved Ones, Jan 12
- Rand Corporation Booklet, Post-Deployment Stress: What You Should Know, What You Can Do, Mar 08
- USAPHC TG 320, Guide to Coping with Deployment and Combat Stress, Feb 08
- USAPHC Tri-fold, Soldier Combat Stress Reaction: A Pocket Guide for Spouse and Loved Ones, Jan 07
- USUHS, Psychological First Aid, Helping Victims in the Immediate Aftermath of Disaster, Jan 05
- USUHS, The Health Consequences of Disasters and Evacuation: What Patients Need to Know to Prepare
- USUHS, Family Planning for Disasters, How to Plan For and Protect Your Family's Health
- Stress and Trauma: Common Responses to Traumatic Events Fact Sheet
- Stress and Trauma: A Normal Reaction to an Abnormal
Other Related Information
Education and Training
- Joint Professional Military Education (JPME) Tool Kit Supporting Psychological Health, Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury,
Summer 2012 (Training developed by DCoE to educate leaders on the prevalence of psychological health conditions within the joint force and provide ways they can enhance Total Force Fitness. The JPME tool
kit is made up of a training manual, slide presentation and 50-minute Web-based training course.)
- Navy and Marine Corps Combat and Operational Stress Control (COSC) Conference
- DotMil Docs 111: Combat Stress, 13 May 10 (A Military Health System audio broadcast in which the Director for Clinical Education and Training at the Deployment Health Clinical Center, discusses clinical support for combat stress syndromes, misperceptions about combat-related post-traumatic stress, and Fort Hood in the aftermath of the November 2009 tragedy there .)
- Addiction Technology Transfer Center (ATTC) Network
- Resilience 101 - Optimizing Your Stress System After Deployment Workbook, 2009 (A 50-page workbook (with self-study questions for reflection or discussion) designed to serve two main purposes: 1) As a workbook that veterans/Service Members can use alone (as a self-study guide), with other veterans, in individual therapy, or in group therapy and 2) As a content study guide for therapists, trainers, and peer mentors who plan to teach veterans and/or Service Members about their stress systems and the concepts and skills of balance and resilience (in individual therapy, veteran-specific group therapy, classroom settings, or mentoring sessions))
- Resilience 101 Instructions for Facilitators (Trainers, Therapists, and Mentors), 2009 (Instructions for facilitators on how to use the Resilience 101 Workbook.)
- MyHealtheVet Learning Center, 3 DoD/VA Courses: “Manage Your Stress,” “Manage Your Triggers,” and “Succeed at Work.”
- The Wounds Within (Department of Defense web broadcast on post traumatic stress disorder, Jan 07)
- National Center for PTSD Videos
- Army Combat/Operational Stress Control Training Material
- Army Resilience Training (Formerly Battlemind Training, Resilience Training reflects a strength-based, positive psychology approach to Warrior behavioral health. It is designed for Warriors, Leaders, Spouses, Families and behavioral health providers. Training and information is targeted to all phases of the Warrior deployment cycle, Warrior life cycle and Warrior support system.)
- Army PTSD/mTBI Chain Teaching Program
- Marine Corps Combat/Operational Stress Control Training Material
- Air Force Combat Stress Medical Training Material
- Air Force Landing Gear Program (Pre and Post Deployment Prevention Education) (Pre-Deployment education is designed to prepare Airmen to cope with traumatic events and Post-Deployment training is designed to facilitate smooth reentry into work/family life.)
- USAPHC, Hooah for Health Stress Resources Page
- One Freedom, Stress Education and Mitigation for Today’s Military Men and Women
- CDC Video, Surviving Field Stress for First Responders, 28 Apr 05
- International Critical Incident Stress Foundations, Inc
- TriWest Healthcare Alliance, Help from Home Initiative - Located under Beneficiary Services, Behavioral Health (Video addressing the challenge of helping military Service members and their families cope with deployment-related issues.)
Research
- Naval Center Combat and Operational Stress Control, Research Quarterly
- Rand Corporation Center for Military Health Policy Research Monograph, Promoting Psychological Resilience in the US Military, 2011 (A focused literature review designed to identify evidence-informed factors for promoting psychological resilience. The study also reviewed a subset of military resilience programs to determine the extent to which they included those evidence-informed factors.)
- Rand Corporation Center for Military Health Policy Research Monograph, Invisible Wounds of War - Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery, 2008
- Mental Health Advisory Team (MHAT) and Joint-MHAT Reports (The Office of The Army Surgeon General established the mental health advisory team (MHAT) in Jul 03
for assessing Operation Iraqi Freedom-related behavioral health (BH) issues and providing recommendations for improvement. Since then, the mission expanded
to Operation Enduring Freedom and to joint support of the project.)
- Institute of Medicine, Gulf War and Health Reports: Volume 6. Physiologic, Psychologic, and Psychosocial Effects of Deployment-Related Stress, 2007
- Abstract, Longitudinal Assessment of Mental Health Problems Among Active and Reserve Component Soldiers Returning From the Iraq War. JAMA, 2007;298(18):2141-2148
- Rand Corporation Monograph, Steeling the Mind - Combat Stress Reactions and Their Implications for Urban Warfare, 2005
- Editorial, Acknowledging the Psychiatric Cost of War, NEJM Vol 351 No 1, 1 Jul 04
- The International Society for Traumatic Stress Studies
- USUHS Center for the Study of Traumatic Stress
Related Links
|
|
