CombatOperational Stress Control COSC Program G1 Brief

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Combat/Operational Stress Control (COSC)
ProgramG1 Brief

• February 2006
• Mr. Michael Swords
• Deputy Director, Programs
• HQ Personal and Family Readiness Division

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Objectives

• Overview of the Marine Corps Combat Operational
  Stress Control (COSC) Program
• What is COSC?
• Current Status
• The Way Ahead
• Transaction in MCTFS
• How Can G1s help?

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What is the Marine Corps Combat/Operational
Stress Control (COSC) Program?

• Comprehensive COSC programs encompass planning,
  implementing, and training for prevention,
  identification, and treatment of adverse
  combat/operational stress reactions.
• DoD IG 96-079

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COSC Program Components
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COSC Deployment Cycle

• After-Action Debriefs in small units led by
  Marine officers SNCOs after major actions or
  losses
• CISM Critical Incident Stress Management for
  families of hard-hit units (by local/contract MH)
• Family Readiness Day Spouse networking and
  briefs by KVN, MCFTB, LINKS, mental health
• Ret/Reun Return Reunion briefs for spouses
• Postdeployment Prevention Briefs Safety, drug
  alcohol, family violence, suicide, sexual
  assault, mental health briefs for Marines and
  spouses
• Predeployment, Redeployment, PDHA, PDHRA Briefs
  provided by OSCAR personnel, chaplains, and
  medical officers

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Current Status of the Marine Corps (COSC) Program

• Greatest strengths
• Marine Corps training, leadership, and unit
  cohesion
• Strong support for Marines and families with
  readiness and wellness programs
• OSCAR
• Areas of greatest need
• SNCO buy-in
• Training throughout USMC in a consistent COSC
  message
• Assessment of the prevalence of stress injuries

January 2006
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The Way Ahead for COSC

• WHITE LETTER DEC 05
• COSC MARADMIN next
• COSC Advisory Board (COSCAB)
• Strategic planning/prioritizing
• Working groups (to include ad hoc operational
  representatives)
• To write OSCAR SOP
• To establish best practices for treatment
• To promote research agenda
• To develop standardized training curricula
• To develop COSC marketing plan
• To develop tools for COSC program assessment and
  improvement

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Transaction in MCTFS

• Issues in MCTFS
• Three Health Screenings
• Pre-Deployment Health Assessment (PHA)
• Post-Deployment Health Assessment (PDHA)
• Post-Deployment Health Re-Assessment (PDHRA)
• Three COSC Briefs
• Pre-Deployment Operational Stress Brief (Before)
• Warrior Transition Brief (Before Re-Deployment)
• Post-Deployment Operational Stress Brief (After
  Re-Deployment)

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G1 Help

• Ensure all Marines receive
• Briefs
• Screenings
• Document brief and screening in MCTFS
• Ensure Individual Augments from other Units
  receive Post Deployment Stress Attention
• Periodic Check-ins

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Update on USMC Sexual Assault Guidance
Issuance with Projected Release Statistics

• MCO 1752.5A Sexual Assault Prevention and
  Response (Revision to MCO 1752.5) Pending
  signature of DoDI- Projected Signature 31 Mar
• AIRS Checklist (Draft) Pending signature of MCO
  1752.5A- Projected Signature 30 April
• Sexual Assault Statistics for CY05
• 145 Unrestricted, 30 Restricted
• Number of Uniformed Victim Advocates (UVAs)
  trained 765
• Number of Sexual Assault Response Coordinators
  (SARCs) trained - 47
• Projected UVA Trainings for CY06 - 19 Marine
  Corps Wide