(19.) FM 6-22.5, Combat and Operational Stress Control Manual for Leaders and Soldiers, March 2009, 4-3, www.globalsecurity.org/.
(20.) FM 6-22.5, Combat and Operational Stress, 4-6; and Grossman and Christensen, On Combat, 25.
The Management of Combat and Operational Stress Control Casualties postprofessional behavioral health course currently trains AOC 65A (Occupational Therapist), and military occupational specialties 68L (Occupational Therapy Specialist) and 68X (Behavioral Health Specialist).
(6.) Field Manual 4-02.51: Combat and Operational Stress Control.
The Naval Center for Combat and Operational Stress Control was created to improve the psychological health Navy and Marine Corps forces through training, education, care system improvement and facilitating research information distribution.
Project FOCUS, is Families OverComing Under Stress (FOCUS) is designed for families needing to ramp up their resiliency to best handle the demands of deployment and combat and operational stress. Through parent, child and family sessions, FOCUS helps Navy and Marine families develop strong skills in problem solving, goal setting, communication and emotional regulation.
The structure of units providing combat stress control has continued to develop through lessons learned from various wars and conflicts since the Revolutionary War into the US Army's current Combat and Operational Stress Control (COSC) detachments.
In the case of providing combat and operational stress control in a wide range of missions--from defense support to civil authorities, to expeditionary care in an unimproved battlefield, to support of stability operations as recently seen in Operation Enduring Freedom and Operation Iraqi Freedom--this "flexible and responsive" structure is likely best achieved through a return to doctrinal principles with the addition of a few added capabilities as described above and illustrated in the Figure.
"EOD came to the Naval Center for Combat and Operational Stress
Control in San Diego and said, 'You know, we really want to get training that is specific to what our guys are going to face.'"
Other attendees included staff from the Warrior Care and Transition Office; Army medical treatment facilities; the OTSG Rehabilitation and Reintegration Division, Walter Reed Army Medical Center; US Air Force; US Navy; and combat and operational stress
control staff who work with and handle the animal-assisted activities dogs in theater.
As an Army occupational therapist assigned to the 212th Combat and Operational Stress
Control (COSC) Detachment, I was given the opportunity of a lifetime providing service to my fellow Warriors, the Soldiers, Marines, Sailors, and Airmen, along with Department of Defense employees of the United States.