Pre Deployment Leadership Training

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  • Questions for Audience: Who here has ever heard of combat stress control ? Who here thinks combat stress control is a bunch of BS ? Who already knows this stuff ? Anybody think it is important ? (Engage in discussion of audience’s general knowledge of combat stress control.) Text for slide: The purpose of Combat Stress Control is to prevent, identify and manage combat stress reactions in order to maintain combat ready marines and preserve combat power . The failure to prevent, identify and manage combat stress reactions can result in inappropriate evacuation, a loss of combat power and long term psychiatric disability.
  • Pre Deployment Leadership Training

    1. 1. Leadership Training on Preparing for Combat/Operational Stress
    2. 2. Pre-Deployment Stress <ul><li>Choices </li></ul><ul><li>Family again </li></ul><ul><ul><li>Separation: SO/kids/parents </li></ul></ul><ul><ul><li>Financial </li></ul></ul><ul><li>Mission </li></ul><ul><ul><li>Safety </li></ul></ul><ul><ul><li>Mission objectives </li></ul></ul><ul><li>Fatigue </li></ul><ul><li>Coping </li></ul><ul><li>Family </li></ul><ul><ul><li>Spend time, talk with family </li></ul></ul><ul><ul><li>Learn from the past, plan </li></ul></ul><ul><li>Mission </li></ul><ul><ul><li>More certainty: no WMD, less unknowns, time frame </li></ul></ul><ul><ul><li>Take pride in your work </li></ul></ul><ul><li>Get Rest, PT, eat right </li></ul>
    3. 3. History of Combat Stress <ul><li>Combat stress has been a common enemy </li></ul>
    4. 4. Operational/Combat Stress <ul><li>“ I look upon the spiritual life of the soldier as even more important than his equipment… The soldier’s heart, the soldier’s spirit, the soldier’s soul are everything. Unless the soldier’s soul sustains him, he cannot be relied upon and will fail himself and his country in the end.” </li></ul><ul><li>General George C. Marshall </li></ul>
    5. 5. Operational/Combat Stress <ul><ul><li>“The majority of analysts have arrived at the opinion that the course and outcome of modern war in large part, will depend upon the psychological condition of servicemen, their ability to endure an ever-increasing psychological load, overcome fear in battle, and preserve their will to win.” </li></ul></ul><ul><ul><li>Russian Officer reflecting on the Chechen Conflict </li></ul></ul><ul><ul><li>quoted in U.S. Army Medical Department Journal </li></ul></ul>
    6. 6. Operational/Combat Stress <ul><li>“ Combat stress reaction… has the potential to disable the most courageous service member and influence the success or failure of a unit in accomplishing its mission. The small unit leader must understand how to recognize, prevent, and personally contend with reactions to combat stress when it occurs in members of his unit. Effective small ‑ unit leadership reduces the impact of stress. ” </li></ul><ul><ul><li>Marine Corps Reference Publication ( MCRP) 6-11C </li></ul></ul><ul><ul><li>COMBAT STRESS </li></ul></ul>
    7. 7. <ul><li>Stresses </li></ul><ul><li>Extreme risk and fear </li></ul>What is Combat/Operational Stress <ul><li>Ways to Fight It </li></ul><ul><li>Effective leadership </li></ul><ul><li>Unit Cohesion </li></ul><ul><li>Physical Conditioning and Realistic Training </li></ul><ul><li>Reassure, Instill Confidence </li></ul><ul><li>Impart pride, Lead by example </li></ul>
    8. 8. <ul><li>Stresses </li></ul><ul><li>The “fog” of war </li></ul>What is Combat/Operational Stress <ul><li>Ways to Fight It </li></ul><ul><li>Keep everyone informed </li></ul><ul><li>Quell Rumors </li></ul><ul><li>Get Facts </li></ul><ul><li>Debrief after mission </li></ul><ul><li>Clarify misunderstandings </li></ul>
    9. 9. <ul><li>Stress </li></ul><ul><li>Discomfort and fatigue </li></ul>What is Combat/Operational Stress <ul><li>Ways to Fight It </li></ul><ul><li>Hydration and Food </li></ul><ul><li>Dry off, cool off, warm up </li></ul><ul><li>Wash up, shave, change clothes </li></ul><ul><li>Sleep when possible, set sleep schedules </li></ul>
    10. 10. <ul><li>Stress </li></ul><ul><li>Combat Casualties </li></ul><ul><li>Ways to Fight It </li></ul><ul><li>Plan regular debriefings </li></ul><ul><li>Use appropriate memorial </li></ul><ul><li>Look for stressed Marines </li></ul><ul><li>Stress is normal </li></ul><ul><li>Allow for feelings then focus on the mission </li></ul>What is Combat/Operational Stress
    11. 11. <ul><li>Stress </li></ul><ul><li>Boredom </li></ul><ul><li>Feelings of Isolation </li></ul><ul><li>FNGs </li></ul><ul><li>Ways to Fight It </li></ul><ul><li>Keep Marines focused on the mission </li></ul><ul><li>Ensure physical fitness </li></ul><ul><li>Humor is a flak jacket </li></ul><ul><li>Encourage unit cohesion </li></ul><ul><li>Know your Marines (Birthdays, Families etc.) </li></ul><ul><li>Welcome new Marines </li></ul><ul><li>NO HAZING </li></ul><ul><li>Don’t Intimidate, Inspire </li></ul>What is Combat/Operational Stress
    12. 12. Stress Response
    13. 13. Intervention <ul><li>Regardless of the best prevention and leadership efforts serious Dysfunctional Combat Stress Reactions may occur. </li></ul><ul><li>When this happens, Marine leaders (Squad Leaders, Co Gunny, Platoon CO), Medical and Psychiatric personnel and Chaplains work to intervene with simple principles. </li></ul>
    14. 14. Handling Stress <ul><li>Dysfunctional Stress Response </li></ul><ul><li>Muscles </li></ul><ul><li>Sleep </li></ul><ul><li>Stomach </li></ul><ul><li>Cardiovascular </li></ul><ul><li>Neurological </li></ul><ul><li>Brain </li></ul><ul><li>Behavior/Misconduct </li></ul><ul><li>Ways to Cope </li></ul><ul><li>Take care of yourself: sleep, eat, talk </li></ul><ul><li>Use Relaxation Steps </li></ul><ul><ul><li>Take deep slow breaths </li></ul></ul><ul><li>Think about succeeding </li></ul><ul><li>Maintain Discipline </li></ul><ul><li>Swift/Form punishment for misconduct </li></ul>
    15. 15. Principles of Intervention <ul><li>Proximity </li></ul><ul><ul><li>Manage the service member as close to their unit as possible. Utilize maximum unit cohesion to promote recovery. </li></ul></ul><ul><li>Immediacy </li></ul><ul><ul><li>Treat as soon as possible. Prevent mishaps and misconduct. </li></ul></ul><ul><li>Expectancy </li></ul><ul><ul><li>Give positive expectations for full recovery and return to duty. Normalize reactions. </li></ul></ul><ul><li>Simplicity </li></ul><ul><ul><li>Use brief, simple methods to restore physical well-being, and self-confidence. “3 hots and a cot.” Avoid Psychiatric Labels. Segregate from medical patients. </li></ul></ul>
    16. 16. Regimental Recuperation Centers <ul><li>When stress responses become too great or do not </li></ul><ul><li>respond to measures in the unit, refer Marine to the </li></ul><ul><li>BAS for evaluation and possible referral to the </li></ul><ul><li>Regimental Recuperation Center </li></ul><ul><li>Regimental Recuperation Centers </li></ul><ul><li>Restores Marine through 24-72 hours of rest, and reassurance </li></ul><ul><li>Operated by Marines with assistance from Chaplains and Medical/Mental Health Staff </li></ul><ul><li>Prevents unnecessary evacuation of Marines past the Regiment where there is little hope of him returning </li></ul>***THIS MUST MATCH WITH YOUR UNIT PROCEDURES*** ***Change this slide as necessary to match your procedures***
    17. 17. Conclusion <ul><li>Preserve Combat Power </li></ul><ul><li>Stress is Normal </li></ul><ul><li>Goal is Control </li></ul><ul><li>Leadership Responsibility </li></ul><ul><li>Brilliance in the Basics </li></ul><ul><li>Use Support </li></ul>
    18. 18. Resources <ul><li>Medical Personnel/Chaplains/RRCs </li></ul><ul><li>FMFM 4-55 Combat Stress </li></ul><ul><li>FM 8-51, Combat Stress Control in a Theater of Operations </li></ul><ul><li>FM 22-51, Leader’s Manual for Combat Stress Control </li></ul><ul><li>FM 8-55, Planning for Health Service Support </li></ul><ul><li>“ A War of Nerves” by Shepherd </li></ul><ul><li>“ Achilles in Vietnam” by Shay </li></ul><ul><li>Army Pamphlets and Pubs : COL Jim Stokes </li></ul><ul><li>3151 Scott Road </li></ul><ul><li>San Antonio,TX 78234 </li></ul><ul><li>DSN 471-6985 or 210-221-6985 </li></ul><ul><li>www.armypsychiatry.com </li></ul><ul><li>Stress Management Classes at Interventional Treatment Branch </li></ul><ul><li>Division Psychiatrist Combat Stress Briefings </li></ul><ul><li>Virtual Naval Hospital Online </li></ul><ul><li>Military Medicine Textbook Series </li></ul>
    19. 19. Questions <ul><li>LIST YOUR NAME </li></ul><ul><li>AND CONTACT INFO </li></ul>
    20. 20. MCFTB Resources <ul><li>LIST LOCAL RESOURCES </li></ul>

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