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Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
Operation Enduring Freedom Combat Stress Control
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Operation Enduring Freedom Combat Stress Control

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From DCoE's May 2011 webinar "Operational Stress and In-theater Care" …

From DCoE's May 2011 webinar "Operational Stress and In-theater Care"

Air Force Col. Christopher Robinson
Deputy Director
Psychological Health
Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury

Webinar audio: http://www.dcoe.health.mil/Content/Navigation/Media/201882256.mp3

Published in: Health & Medicine
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  • 1. Operation Enduring Freedom Combat Stress Control 26 May 2011 Col Christopher Robinson  Deputy Director, Psychological HealthDefense Centers of Excellence for Psychological Health  and Traumatic Brain Injury 
  • 2. Combat Stress Control Overview Similar to traditional Chaplain model  Forward deployed and attached  Focus is on keeping Service Members in the fight  Provide outreach to combat platoons with highest levels of combat  Require all providers to be qualified to travel throughout the theater Two types of diagnoses  Combat Operational Stress Reactions (COSR)  Developed in theater in reaction to combat exposure  Behavioral Health Diagnoses  Existed prior to deployment or more severe reactions Means:  Education and command support  Clinical care  Combat operational stress control 2
  • 3. Services• Evaluation/Treatment of Behavioral Health Disorders (BHD)• Intervention with Combat & Operational Stress Reactions (COSR)• mTBI screening (Mild Acute Concussive Evaluation [MACE])• Command Consultation• Traumatic Event Management• Outreach/Prevention throughout AOR• Briefings/Classes (Anger/Stress, Communications & Relationship) 3
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  • 8. Common Problems PTSD Depression and Anxiety Disorders Suicidal/Homicidal Ideation/Intent/Gestures/Attempts  More urgent in deployed setting due to easy access to weapons Marital/family problems Sleep problems Adjustment disorders Consultation and education with leaders Traumatic Event Management  Debriefings following trauma or loss 8
  • 9. Total Contacts from 11 Forward Operating Bases 9
  • 10. New COSR Factors Dec 07 – Dec 09 Combat Exposure 41, 1% Non-Combat PTE 266, 4% 159, 2% 1886, 27% 307, 4% Peer/Unit946, 14% Leadership Homefront Mission 394, 6% Environmental Interpersonal 733, 11% Conflict Secondary Gain 1390, 20% 772, 11% Other 10
  • 11. BH Diagnoses Dec 07 – Dec 09 11
  • 12. Dispositions Dec 07 – Dec 09 12
  • 13. 13
  • 14. Walk-About Contacts: Contacts vs Referred 14
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  • 17. Specific Challenges Privacy/confidentiality Leadership over-sensitivity to MH issues Being an “outsider” Continued exposure to traumatic stimuli  Mortars, small arms fire, artillery, etc Everyone is armed Overuse of caffeine, nicotine, performance enhancement stimulants, supplements Boredom vs terror 17
  • 18. 18
  • 19. Col Christopher Robinson Deputy Director, Psychological HealthDefense Centers of Excellence for Psychological Health and Traumatic Brain Injury Christopher.robinson@tma.osd.mil 301-295-3455

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