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  • Slide 3 – NCCOSC MISSION In line with the SECNAV direction the COSC program was established He incorporated OSC into OPNAV N135, the behavioral health programs.*NCCOSC works for and supports the OSC Program and N135.NCCOSC is now a directorate coded M95 under BUMED M9 / Admiral Neimeyer – Wounded Ill and Injured. A line led program with a great deal of involvement and support from Navy Medicine and Chaplain Corps.NCCOSC was designed to build and preserve the psychological health of our Sailors & Marines.The Naval Center for Combat and Operational Stress Control (NCCOSC) helps to lead Navy Medicine’s efforts to promote and preserve the psychological health of Sailor and Marines.The Center:-Develops comprehensive programs that educate service members on psychological health-Aid Research -Promote best practices in the treatment of combat and operational stress injuries.NCCOSC programs support the entire naval community and require close working relationships with partners and stakeholders in the Navy and Marine Corps.* With that, I would like to begin today’s training with some words from our MCPON Rick West on Operational Stress Control. 
  •  Slide 4 – MCPON Rick WestThis is not another training, it is a natural extension of who we are – Shipmates taking care of Shipmates.These concepts need to be utilized before, during & after deployment.The Shift to prevention through education and empowerment– bringing psychological care to the deckplate. In the past, psychological care took place at mental health…away from the department or unit. Through this initiative, programs are in place to provide you the core tools to ID, mitigate and prevent a stress injury.
  •  SLIDE 5Core Components Stress Continuum – Teaching us how to recognize stress responses.A simple tool in common language to id stress reactions and intervene as appropriate.  Combat and Operational Stress First Aid (COSFA)-Assessing the psychological health of your team and taking action to mitigate further injury.Flexible multi-step process for the timely assessment and pre-clinical care of stress reactions or injuries in individuals or units with the goals to preserve life, prevent further harm, and promote recovery.  Five Core Leader Functions-Leader driven actions to preserve force readiness.An important component for both leadership and our junior members in managing stress within our units. Importance to define stress.
  • SLIDE 7Sailor and Marine MaintenanceWe maintain a lot of things.Do we think that we put the same amount of time into our Members as we do our equipment? Why or why not? What do we do to maintain our members and their families? With our military “rightsizing” we know we will not receive a qualified replacement/ or any at all if we lose a member to an injury.
  • SLIDE 9 – Does a Stressed member Mean a Stressed Home? Discussion/ Poll/ Story Rhetorical Q - You are professionals, your doing your job and doing it to the best of your ability, but I need you to ask yourself, when we go home, does a portion of the daily stress go home with us?Is this true? FOTM is the current Optempo is affecting our military lives. Programs: Families OverComing Under Stress (FOCUS) and Chaplin Religious Enrichment Program (CREDO)  
  • Monique, I would like to find another pic to speak to Stress – EOD centricJoe, I would like to have this pic and another option as the background to the verbiage.
  • SLIDE 11 – Physiological effects on the brain How many of you have heard of the fight or flight response? What we do know___Regardless of the cause – our perception of threat triggers the fight or flight reaction, a potent MIND-BODY phenomenon designed to save our lives. Take a moment and reflect on a moment/event in your life that you were stressed/challenged.Simply when we are faced with a challenge or threat our brain sets off an alarm causing a chemical release into the brain and body. This causes a physical reaction from the sympathetic nervous system- What does this entail? Typically, this is a positive reaction for (a Marine in battle, an athlete, a corpsman on the battlefield or in the ACA)increasing our muscle tension, BP, HR, R, blood flow to our muscles, presumably we’re going to need to fight off danger or run for our lives. Ex. - A typical example of the stress response is a grazing zebra. If the zebra sees a lion closing in for the kill, the stress response is activated. The escape requires intense muscular effort, supported by all of the body’s systems. The sympathetic nervous system’s activation provides for these needs. We stated: “Stress is neutral, Stress is good….”.BUT too much stress can be damaging and destructive, Injuring you or your members. The long-term consequences of constant stress are damaging to our mental and physical health. If stress is constant and unrelieved, the body has little time to relax and recover. Some call it the 9th War Wound Q - What makes this so challenging to identify in order to treat? When you break your arm, I can do an X-Ray and can show you the break, in order to identify a stress reaction…we need to know our members, intrusively and to know what we are looking for. *As we discussed…Not all stress is bad… We as a military have grown and matured from this war, but the fact of the matter is.. all will be affected by it, those who were able to and sought care will grow from it and become more resilient. Those that are unable to identify it early suffered and continue to suffer from stress injuries and or stress illness.  These injuries are the ones you cannot make out…often resulting in emotional and behavioral changes. The problem is…after continuous stress and response of your body, there are physiological changes to the response system and the physical structure of the components of the response system, leaving a member injured unless provided the appropriate care. Research shows that chronic stress affects the major areas of the brain: that involve memory, emotions, learning ability, your cognitive function of logical thinking, decision making, reasoning.  Need to recognize and return to green
  • White out second EOD TechRemove RED training cap on weapon.Pls place the Stress Continuum behind.
  • Slide 15 - Orange Zone IndicatorsQ. What is an Orange Zone indicator?Recent Stressor Events: Exposure to events with high potential to cause trauma, grief, or inner conflictVerbalized Distress: significant and persistent distress, such as fear, anger, anxiety, sadness, guilt or shame.Changes in Function: significant and persistent changes in physical, mental, social or spiritual responses.
  •  Pls recreate with the following slides pic of the Tech’s fast roping.Joe, Bring back any memories Joe
  • Slide 18 – COSFA ContinuumIn understanding the continuum and COSFA, you can more easily recognize where the Primary and Secondary steps of the COSFA model are best used.  
  •  Slide 19 Move to GreenIn terms of the Stress Continuum, the goal of COSFA is simply to move the member back to the Green after a challenge or event. Paticularly referring to the Organge Zone indicating event.
  •  Blend/ Feather
  •  Blend/ Feather
  • Blend/ Feather
  • Monique, In search of a photo depicting a leader speaking to another Tech or Techs
  •  SLIDE 22Strengthen –Strength is important in our military. It is our job to strengthen our military members to meet the mission. This is why it is the first of our five core leader functions. Physical strengthening is important, but so is mental and emotional strength.And It takes Good Leadership to enhance the resilience of our members -firm but fair, a source of courage, communicates plan and listens. Additionally it important to Expose our members to tough realistic training – not only physically, but mentally and train like we fight, so we may fight like we train. Foster unit cohesion – through trust of you and those on either side of them. *Most important – to the success is their revovery. Q – What do you do at your command to strengthen – what could we do? Q – How do you define Strength in you, your unit, command?Q – What do you do / have experienced w/in a command that fosters unit cohesion? Mitigate – No member is immune from stress. The key is to mitigate or lesson negative effects of stress. You can do this by removing unnecessary stressors. Mitigating stress is about balance between strengthening and reducing stressors as we train and operate. On one side it is about intentionally adding stress through realistic training and on the other side it is about reducing unnecessary stressors that are not essential to training or mission.Q – What can we do within our units to maintain the balance between strengthening and reducing stressors as we train and operate? Identify – not just about identifying reactions in the member, but knowing the environment and the individuals life intrusively… FOTM Leadership is task saturated and that it is challenging to hold good observation of your members daily. What can we do as leaders and as junior enlisted? We train our juniors and ourselves to identify these stress reactions and behavior changes. They and the members family will notice it before you and I anyway, unless you are fortunate enough to have a small close group. We say people are the most important asset but on the other hand “Mission often takes precedence and those items that support the mission are often placed in front of them…machinery, equipment, weapons  Treat – Rest or resources – communicate, listen, and making it ok. Not necessarily medical – making it ok to talk about and pursue access – to have trust in the COC. *Story - 1st Sgt who presented sx and did not seek help in time - 3 successful tours, 2 bronze stars, 25 yrs ---divorced, lost kids, successful suicide –  This is not just our juniors…the greatest number effected are E7-E9. Do we remember the Go No Go mentality – the change of culture Is to continue to build resilience in those that are well and to take care of those across the spectrum of the continuum from green to red and back.Q-Why are we afraid…or why do we hesitate to engage when a junior or a peer is having problems or presenting stress reactions? Did you know that there is a Policy Change: SF86, Q21? Q- If one of your peers is being treated by Mental Health…should he/she be ranked differently? Reintegrate – “Reintegration requires Consideration.” Keep Sailors with their unit – , Expect a rtn to full duty, continue communicating with treating professionals  *Sgt Hopper Story - a success story of a Marine who served two tours in three years…while in formation to receive is his N/MC accommodation medal with a V for valor, the MC had read the citation that restated the events that merited the V for valor triggering the same emotions and reaction he had felt when engaged in the fight. SgtMaj approached him later to ask how he was doing…this simple action made Sgt Hopper feel safe enough to open up and then seek care.  Before OSC was in vogue - *most who reintegrated – event forgotten.  Q - Who has felt the affects or seen the affects of a gapped billet?  Increased watches, increased stigma, decreased trust in you and the ship or unit leadership. BUPERS will not reduce Stigma nor will it provide you another body when you lose one of your members to an incident.  
  •  Slide 24FOTM is that the common barriers of stigma and fear still lay deep within our Warriors to come ask for help.By doing exactly what we are doing – talking about it. The more we talk about it, the less the stigma and fear of our Marines will be in seeking assistance. (This injury is just like any flesh wound that requires assistance from someone other than yourself) How easy is the concept – when you have a cold or sprain you treat it with what you know and because our bodies are resilient we recover, but when have greater flu sx or show signs of a broken bone after an event what do we do for ourselves? What do we expect as an action from our leadership or peers alongside you? A large percentage are smart enough to seek greater assistance for ourselves or push our brother/sister to head over to Medical. It is no different, for a stress reaction can easily effect the member or the unit and or the mission. More importantly as any illness or injury it can and will get worse before it gets better without proper guidance or assistance.  **It’s not so much about know the signs and symptoms, BUT about creating a safe environment for our Shipmates.  
  • Slide 26Define Resilience Resilience; ability to bounce back after a challenging event.Resilience: The value of stressing our members, more importantly being the hands on leader that can balance the stressor, allowing them to grow and become more resilient. KEY TAKEAWAYS: Repeated, controlled exposure to stress + recovery + motivation builds strength and resilience.  By repeatedly moving Marines from green into yellow and back down to green, we stretch their green and yellow zones. The Marine is now resilient.
  • These words have no value….to say the words have no value to an individual. We have to truly embrace the factors to apply to you and your life.Pls crop the EOD Techs and feather.

EOD OSC EOD OSC Presentation Transcript

  • Operational Stress Control Brief
  • EOD MissionRender safe and dispose of all types ofbombs, explosives and weapons.
  • Components of OSC Stress Combat and Five Core Continuum Operational Stress Leader Model First Aid (COSFA) Functions
  • Overview DOD ObjectivesCombat & Operational Stress Control(COSC)is leader-focused actions and responsibilities topromote resilience and psychological health in Sailors,Marines and families exposed to the stress of routineor wartime military operations.DOD Objectives:Prevent or minimize stress injuriesFacilitate healing to minimize war-fighting gapsPromote resilienceReduce stigmaMaintain a ready fighting force
  • Sailor MaintenanceWe maintain a lot of things.What do we do to maintain our Sailors andtheir families?Maintenance is always easier than repair.Know your members, know your team. www.nccosc.navy.mil
  • A Stressed Sailor Means a Stressed Home
  • Define StressThe process by which werespond to challenges to ourminds and bodies.Stress is good, stress is normal,stress keeps us sharp, stresskeeps us focused. www.nccosc.navy.mil
  • What is Stress?The physiological effectsof stress on the body
  • The Operational Stress Continuum Ready Reacting Injured Ill Adaptive coping Mild and transient distress More severe and persistent Persistent and disabling Optimal functioning of loss of optimal distress or loss distress or loss of function functioning Leaves a “scar” Clinical mental disorder Wellness Higher risk for illness Always goes away Unhealed stress injuries Features Low risk for illness CausesWell trained and prepared Life threat, Loss Types Fit and focused Features Inner conflict, Wear and tear PTSD Irritable, angry Depression In control Optimally effective Anxious or depressed Features Anxiety Physically too pumped up Panic or rage Behaving ethically Substance abuse or tired Loss of control of body Having fun or mind Reduced self control Can’t sleep Features Poor focus Recurrent nightmares or bad Symptoms and disability memories persist over many weeks Poor sleep Persistent shame, guilt Symptoms and disability get Not having fun or blame worse over time Loss of moral values and beliefs Unit leader Responsibility Individual, shipmate, family Responsibility Caregiver Responsibility
  • Life Threat Wear and Tear Loss Inner Conflict A trauma A fatigue A grief A beliefs injury injury injury injury Due to events Due to the Due to loss of Due to conflictprovoking terror, accumulation of people who are between helplessness, stress over time cared about moral/ethical horror, shock beliefs and current experiences www.nccosc.navy.mil
  • How to Recognize Who Needs Help:Orange Zone IndicatorsWhat is an Orange Zone Indicator?Recent Stressor Events: Recent exposure toevents with high potential to causetrauma, grief or moral injuryVerbalized Distress: Significant and persistentdistress, such asfear, anger, anxiety, sadness, guilt or shameChanges in Function: Significant andpersistent changes in physical, mental, socialor spiritual responses www.nccosc.navy.mil
  • Combat and Operational Stress First Aid
  • Combat and Operational Stress First Aid Seven Cs ofCOSFA Stress First Aid Continuous Aid 1. Check Assess, Observe and Listen 2. Coordinate Get Help, Refer as Needed Primary Aid 3. Cover Get to Safety ASAP 4. Calm Relax, Slow Down, Refocus Secondary Aid 5. Connect Get Support from Others 6. Competence Restore Effectiveness 7. Confidence Restore Self-Esteem and Hope www.nccosc.navy.mil
  • COSFA on the Stress Continuum Reacting InjuredPromotes a sense of safetyPromotes calmingPromotes connectedness www.nccosc.navy.mil
  • Stress Continuum ModelReady Reacting Injured Ill Move to the GREEN www.nccosc.navy.mil
  • ScenarioEOD 3 Jones has received his orders todeploy to Afghanistan three months afterhis graduation. He knows he has nochoice, but he has a newborn and aworrisome wife at home. He wants to goto Afghanistan for professional reasons,but he does not want to leave his wife athome alone during work-ups and the six-month deployment. While he is preparingfor deployment, HM3 has some sleepproblems and some difficulty focusing onhis final exams. He and his wife arearguing frequently about “little things.” www.nccosc.navy.mil
  • ScenarioEOD3 Kim is under going anaccelerated deploymentworkup. He just returned froma TAD where he spent toomuch money resulting infinancial problems, and hisgirlfriend is…..EOD3 Kim isanxious and distracted andnot as engaged with the unit.His relationship and financialsituation are concerns. www.nccosc.navy.mil
  • ScenarioEOD2 Deuce was assignedto conduct forensic analysisfollowing an IED explosionkilling 8 children. He had toremove body parts to locateand retrieve evidence. www.nccosc.navy.mil
  • Five Core Leader Functions www.nccosc.navy.mil
  • Five Core Leader FunctionsStrengthen Leadership that is Firm, Fair, a Source of Courage, Communicates Plans and Listens Expose to Tough, Realistic Training Treat Rest and Restoration Foster Unit Cohesion (24-72 Hours)Mitigate Chaplain Remove Unnecessary Stressors Medical Ensure Adequate Sleep and Rest Reintegrate Conduct After-Action Review (AAR) in Small Groups Keep with Unit if at all PossibleIdentify Expect Return to Full Duty Know Crew Stress Load Don’t Allow Retribution or Harassment Recognize Reactions, Injuries and Illness Communicate with Treating Professionals (Both Ways)
  • Common Barriersto Manage StressWhat is keeping you fromgetting the help you need? www.nccosc.navy.mil
  • HealthyStaying GreenFactors that promote Resilience Fitness Spirituality Learning and making meaning Acceptance of limits Positive outlook Active coping Self-confidence Energy Management
  • ResourcesNCCOSCwww.nccosc.navy.milDefense Center of Excellence (DCoE) for Psychological Healthand Traumatic Brain Injurywww.dcoe.health.milFOCUS (Families OverComing Under Stress)www.focusproject.orgMilitary OneSourcewww.militaryonesource.comTRICARE Assistance Program (TRIAP)www.tricare.mil/TRIAPNavy Fleet and Family Support Centers (FFSC)www.nffsp.orgSuicide Preventionwww.suicide.navy.mil www.nccosc.navy.mil
  • OperationalQuestions, Answers and Surveys Stress Control Thank you Brian Schrack, EODCS Brief
  • OperationalQuestions, Answers and Surveys Stress Control Brief