COSC MCRD Provider

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COSC Doctrine

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NCCOSC Mission:To build and preserve the psychological health of Sailors, Marines and their families

Components of COSC

Combat and Operational Stress First Aid (COSFA)

Five Core Leader Functions

Stress Continuum Model

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Overview DOD ObjectivesCombat & Operational Stress Control (COSC) is leader-focused actions and responsibilities to promote resilience and psychological health in Sailors, Marines and families exposed to the stress of routine or wartime military operations.

DOD Objectives:Prevent or minimize stress injuries

Facilitate healing to minimize war-fighting gaps

Promote resilience

Reduce stigma

Maintain a ready fighting force

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COSC Awareness Survey

Stress on the Force is increasing 82% in 2010, compared to 74% in 2009 and 58% in 2005

# 1 stressor is a lack of personnel to do the job

Unpredictability of operations/job duties (all)

Being away from family (enlisted)

Not enough time for home responsibilities (all)

Long work hours pre- or post-deployment (enlisted)

Increase in workload (officers)

Most stressed are least likely to seek help; they expect negative consequences (stigma).

*Largest increase in pay grades E7 – E9

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A Stressed Sailor Means a Stressed Home

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What is Stress?The process by which we respond to challenges to our minds and bodies.

Stress is good, stress is normal, stress keeps us sharp, stress keeps us focused.BUT…

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What is Stress?

The physiological effects of stress on the body

DefinitionsCombat Stress

Operational Stress

Occupational Stress

Compassion Stress

Vicarious Trauma

Compassion Fatigue

Burnout

Compassion Satisfaction

Caregiver Resilience

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Ready Reacting Injured Ill

Good to Go

Well-Trained

Fit and Focused

Cohesive Units

Ready Families

Distress or Impaired

Mild and Temporarily Anxious,

Irritable or Sad

Physical or Behavioral Changes

More Severe or Persistent Stress or

Impairment

May Leave Lasting Memories, Reactions

and Impressions

Stress Injuries That Don’t Heal

Without Help

Symptoms Persist > 60 Days, Get Worse or Initially Get Better Then Return Worse

The Operational Stress Continuum

Unit LeaderResponsibility

CaregiverResponsibility

Individual, Shipmate, FamilyResponsibility

Many Causes vs. Only FourYellow Zone Reactions vs. Orange Zone Reactions

Lack of Sleep

Family Separation

Loss of Possessions

Boredom

Peer Conflicts

Hard Work

Relationship Problems

Money Problems

Physical Injury

Life Threat

Wear and Tear

Loss

Inner Conflict

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Four Sources of Stress InjuryIntense or Prolonged Stress

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What is an Orange Zone Indicator?

Recent Stressor Events: Recent exposure to events with high potential to cause trauma, grief or moral injury

Verbalized 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

How to Recognize Who Needs Help:Orange Zone Indicators

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Combat and Operational Stress First Aid

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Combat and Operational Stress First AidCOSFA

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Where COSFA falls on the Stress Continuum

Promotes a sense of safety

Promotes calming

Promotes connectedness

Continuous Aid(Check and Coordinate)

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Primary Aid(Cover and Calm)

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Secondary AidRestore Function, Reduce Distress:

Connect

Competence

Confidence

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Stress Continuum Model

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ScenarioHM3 Kim has received his orders to deploy to Afghanistan three months after his graduation. He knows he has no choice, but he has a newborn and a worrisome wife at home. He wants to go to Afghanistan for professional reasons, but he does not want to leave his wife at home alone during work-ups and the six-month deployment. While he is preparing for deployment, HM3 has some sleep problems and some difficulty focusing on his final exams. He and his wife are arguing frequently about “little things.”

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Five Core Leader Functions

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Healthy

ResilienceBeing resilient means: adjusting easily, bouncing back or returning to form

Spirituality

Learning and making meaning

Acceptance of limits

Positive appraisal and outlook

Active coping

Self-confidence

Staying Green

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Common Barriers to Managing StressWhat is keeping you from getting the help you need?

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Navy and Marine CorpsCombat and OperationalStress ControlConference 2012

May 22 – 24, 2012

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Web addresswww.nccosc.navy.mil

Follow us onFacebook, Twitter,

YouTube

Website andSocial Media

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ResourcesDistresswww.dstressline.com

Military OneSourcewww.militaryonesource.com TRICARE Assistance Program (TRIAP)www.tricare.mil/TRIAP

Navy Fleet and Family Support Centers (FFSC)www.nffsp.org

Marine Corps Community Serviceswww.usmc-mccs.org

FOCUS (Families OverComing Under Stress)www.focusproject.org

Defense Center of Excellence (DCoE) for Psychological Health and Traumatic Brain Injurywww.dcoe.health.mil

Vet Centerswww.va.gov/rcs

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