Combat / Operational Stress

• Policies and Directives
  • DoD / Joint Forces
  • Army
  • Air Force
  • Navy / Marines
• Clinical Guidance
• Forms and Measures
• Fact Sheets
• Other Related Information
• Education and Training
• Research
• Related Links

Policies and Directives

DoD / Joint Forces

• DoD Mental Health Task Force
  
  
  • Report of the DoD Mental Health Task Force, An Achievable Vision, Jun 07
  
  
• ASD Message, Addressing Mental Health Concerns of Service Members, Jul 04
  
  
• DoD Directive 6490.5 Combat Stress Control (CSC) Programs, 23 Feb 99 (Certified current as of 24 Nov 03)
  
  
• DoD Directives on Fitness and Disability Evaluations
  
  

Army

• FM 4-02.51(FM 8-51), Combat and Operational Stress Control, 6 Jul 06
  
  
• FM 6-22.5, MCRP 6-11C, NTTP 1-15M, Combat Stress, 18 Mar 09
  
  
• FM 22-51, Leader’s Manual for Combat Stress Control, 29 Sep 94
  
  
• Army Directives on Fitness and Disability Evaluations
  
  

Air Force

• AFI 44-153, Traumatic Stress Response, 31 Mar 06
  
  
• Air Force Combat Wingman Program
  
  
• USAF Leader's Guide for Managing Personnel in Distress
  
  
• AF Deployment Behavioral Health Working Group, Feb 06 (Links to AF Mental Health Resources including Operating Instructions and Readiness Skills Verification Program Training Requirements and Resources)
  
  
• AFMS Concept of Operations for Mental Health Augmentation Team (MHAT), 1 Oct 99
  
  
• AFMS Concept of Operations for Mental Health Rapid Response Team (MHRRT), 1 Oct 99
  
  
• AF Directives on Fitness and Disability Evaluations

Navy / Marines

• USMC, Leaders Guide for Managing Marines in Distress
  
  
• Navy Leader's Guide for Managing Personnel in Distress
  
  
• Navy/Marine Directives on Fitness and Disability Evaluations
  
  

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Clinical Guidance

• 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

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Forms and Measures

• Forms and Measures
  
  

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Fact Sheets

• NCPTSD Guide, Returning from the War Zone: A Guide for Military Personnel, Jun 09
• NCPTSD Guide, Returning from the War Zone: A Guide for Families of Military Members, Jun 09
• Rand Corporation Booklet, Post-Deployment Stress: What You Should Know, What You Can Do, Mar 08
• Rand Corporation Booklet, Post-Deployment Stress: What Families Should Know, What Families Can Do, Mar 08
• USACHPPM TG 320, Guide to Coping with Deployment and Combat Stress, Feb 08
• USACHPPM Tri-fold, Soldier Combat Stress Reaction: A Pocket Guide for Spouse and Loved Ones, Jan 07
• USACHPPM, Redeployment Health Guide: A Service Member's Guide to Deployment-Related Stress Problems, Jan 06
  
• USMC, Combat/Operational Stress Information for Marines, 2006
• USACHPPM, A Soldier's Guide to Deployment-Related Stress Problems, Jan 06
• USACHPPM, Just the Facts - Stress and Combat Performance
  
• USACHPPM TG 240, Combat Stress Behaviors, May 99
  
• USACHPPM TG 241, Battle Fatigue/Combat Stress Reaction, May 99
  
• USACHPPM TG 242, Battle Fatigue/Combat Stress Reaction Prevention: Leader Actions, May 99
  
• USACHPPM TG 243, Combat Stress Card, May 99
  
• USACHPPM TC#01, Helping a Soldier/Buddy in Distress - Tip Card, Mar 04
  
• USACHPPM TC #02, Coping with Stress in Stability and Support Operations-Tip Card, Mar 04
  
• USACHPPM TC# 03, OIF Tips - Helping a Soldier in Distress, Leader's Hip Pocket Training Guide, Mar 04
  
• USACHPPM TC#04, Helping a Soldier in Distress - Leader's Hip Pocket Training Guide - Tip Card, Mar 04
  
• USACHPPM TC #05, Providing Support to Soldiers in Distress - Buddy Aid, Mar 04
  
• USACHPPM TC#06, Coping with Deployment Separation - Tip Card, Mar 04
  
• USACHPPM TC# 07, How to Face the Injured and Dead-Tip Card, Mar 04
  
• USACHPPM TC#08, Coping with Deployment Separation - Parents and Caregivers - Tip Card, Mar 04
  
• USACHPPM TC#09, Sleep Management and Soldier Readiness - A Guide for Leaders and Soldiers - Tip Card, Mar 04
  
• ISTSS Fact Sheet, What Is Traumatic Stress?
  
• 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
  

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Other Related Information

• Combat and Operational Stress General Information, Army Behavioral Health Web Page
• National Center for PTSD, Veterans and the General Public
• TMA News Release, TRICARE Beneficiaries May Seek Mental Health Care If They Need It, 14 Jan 05
  
• Army Guidance, Leadership in Action - Strategies for Distress Prevention and Management
• Institute of Medicine Report, Treatment of Posttraumatic Stress Disorder An Assessment of the Evidence, 2007
• PTSD Compensation and Military Service, Committee on Veterans'Compensation for Posttraumatic Stress Disorder, National Research Council, 2007
• PTSD Compensation and Military Service, 2007

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Education and Training

• 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.”
• A Different Kind of Courage: Safeguarding and Enhancing Your Psychological Health  (An educational video depicting how service members and their families may be affected by combat and deployment stress. It is part of the DoD Mental Health Self-Assessment Program (MHSAP))
• USMC Combat/Operational Stress Control (COSC) Conference
• Aug 08 Abstracts/Presentations
• Jun 07 Slides and Handouts
• Podcast on DepressionIsReal.org Web site entitled "Depression and Military Service, 17 May 07"  (Discusses mental health programs for returning veterans and their families)
• The Wounds Within (Department of Defense web broadcast on post traumatic stress disorder, Jan 07)
• National Center for PTSD Videos
  • NCPSTD Video, The New Warrior: Combat Stress and Wellness – Provider Perspectives, 2005 (73 minutes)
  • NCPTSD Video: The New Warrior:Combat Stress and Wellness – Perspectives for Veterans and Their Families, 2005 (47 minutes)
  • Can be ordered on MEDCOM Quality Management Office Web Site in Shopping Cart under Post Traumatic Stress Disorder
  • PTSD 101 Web Page for Clinicians
• Army Combat/Operational Stress Control Training Material
  • Army Battlemind Training  (Battlemind Training was developed to aid Soldiers with the stresses and strains of initial entry, deployment, and returning home. The material can be used for Soldiers, Leaders, National Guard/Reserves, and families.)
  • Army PTSD/mTBI Chain Teaching Program
    • Mild Traumatic Brain and Post Traumatic Stress Disorder Facilitator's Guide, 2007
  
  
• Marine Corps Combat/Operational Stress Control Training Material
  • COSC Deployment Cycle (Chart)
  • 1st MARDIV Combat Stress Control Coordinator, Post-Deployment Mental Health Brief, 13 Dec 05
  
  
• 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.)
  • Combat Stress Medical Briefing, Aug 06
  • Air Force Expeditionary Medical Readiness Course, Combat Stress Control Medical Field Training, 11 Jun 03
    • Lesson Plan
    • Slides
• USACHPPM Targeting Health: Stress Management Workbook and Resources
  
• 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.)
  

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Research

• 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) Reports I,II,III,IV,V, and VI
  
• 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
  
• The Traumatic Stress Group
  
• USUHS Center for the Study of Traumatic Stress
  

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Related Links

• afterdeployment (The Military Health System's mental wellness resource Web portal for service members, veterans, and military families suffering post-deployment mental health problems.)
• Real Warriors (The Real Warriors Campaign is an initiative launched by the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) to promote the processes of building resilience, facilitating recovery and supporting reintegration of returning service members, veterans and their families.)
  
• Army Behavioral Health Web Site 
  
• Defense Centers of Excellence For Psychological Health & Traumatic Brain Injury Web Page


• War on Terrorism Stress and Trauma Page
  
• DHCC PTSD Page
  
• DHCC Suicide Prevention Page
  
• USACHPPM Combat/Operational Stress Control
  
• USACHPPM Health Information Products (place order)
  
• NMCPHC Operational and Combat Stress Page
• NMCPHC Health Topics Stress Management Page
  
• DHSD DoD Stress Awareness
  
• National Center for PTSD
  
• Gateway to Post Traumatic Stress Information
  
• Combat Stress Center.com


• SAMHSA (Substance Abuse and Mental Health Services Administration) National Mental Health Information Center
  
• SAMHSA (Substance Abuse and Mental Health Services Administration) Resources for Returning Veterans and Their Families Page
• National Mental Health Association, Coping Page
  
• American Psychiatric Association HealthyMinds.org


• American Psychological Association Help Center
  
• National Institute of Mental Health, Anxiety Disorders Page
• World Wide Web Virtual Library - Stress
• TRICARE Mental Health and Behavior Web Page
• Florida State University Traumatology Institute
• David Baldwin's Trauma Information Pages (Emotional trauma and traumatic stress, including PTSD and dissociation)
• TriWest Behavioral Health Portal
• DoD Sexual Assault Prevention and Response Page
• DoD Mental Health Self-Assessment Program
• Canadian Forces, Operational Stress Injury Social Support Program
• Gift From Within (An International Nonprofit Organization for Survivors of Trauma and Victimization)

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