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COSC MCRD Provider
www.nccosc.navy.mil
www.nccosc.navy.mil
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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www.nccosc.navy.mil
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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www.nccosc.navy.mil
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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www.nccosc.navy.mil
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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www.nccosc.navy.mil
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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