Combat/Operation Stress Control

Question 1

What were the 3 names for combat stress during WWI?

Answer 1

Terms used for combat stress were “Shell Shock”, “War Neurosis”, and “Neurasthenia”

Question 2

What were the 2 terms for combat stress during WWII?

Answer 2

Early phases of U.S. involvement in WWII medical personnel used the term “psychoneurosis”

Question 3

What was the name of the rotation system introduced in the Korean War?

Answer 3

There was a rotation system for Service Members and to give Service Members as much rest and recreation (R and R) as possible.

Question 4

What terms were used for combat stress during the Korean War?

Answer 4

In Korea and Vietnam, the term “combat fatigue” and “battle fatigue” were used

Question 5

What are the 3 different phases in relation to combat stress?

Answer 5

In the beginning, there were very few actual combatants.
In the second stage was build up stage with combatants, but again few psych casualties.
In the third stage was withdrawal period that saw a large number of psychiatric casualties.

Question 6

True or False

The support troops had different conflicts compared to combat troops

Answer 6

These support troops in the Korean War had different psych conflicts compared to combat troops.

Question 7

In 1969, the amount of USA troops diagnosed with psychotic symptoms increased by how many?

Answer 7

The amount of soldiers diagnosed with psychotic symptoms doubled.

Question 8

In what war were soldiers often misdiagnosed as being “latent schizophrenia”?

Answer 8

Service members and the misdiagnosis of chacter and behavior disorders as being “latent schizophrenia” in the Vietnam War.

Question 9

What war did mental health start deploying with units as combat stress teams?

Answer 9

Gulf War

Question 10

What war did Chaplin and Mental Health start preparing soldiers and their families for the changes and stressors of reunion?

Answer 10

Gulf War

Question 11

What is Acute Distress Disorder?

Answer 11

Acute Distress Disorder has similar symptoms to PTSD, with the exception of duration. The symptoms of ASD do not last more than 4 weeks.

Question 12

What is the definition of command consultation?

Answer 12

Command Consultation is the process of providing expert mental health service to commanders on matters affecting the mental health and performance of military personnel, usually in the context of their military organization.

Question 13

What are the 9 steps of the command consultation?

Answer 13

Step 1- Research the unit
Step 2- Establish entry into the unit
Step 3-  Gather information on the problem/situation
Step 4- Define the problem
Step 5- Identify and select solution(s) to the problem
Step 6- Implement the solution
Step 7- Evaluate
Step 8- Termination
Step 9- A final staffing

Question 14

What must you do after you gain entry into the unit? (Step 2)

Answer 14

After obtaining permission to enter the unit, you must establish rapport with the commander and with members of the unit to gain their willingness to disclose factual and emotional material relevant to the subject of the consultation.
Outreach

Question 15

When during the command consultation process do you staff with your supervisor?

Answer 15

During the 4th Step- Define the problem and the 9th Step- final staffing

Question 16

True or False

A traumatic event debriefing is often an unscheduled meeting where a traumatic event occurred.

Answer 16

False
A traumatic event debriefing is a scheduled meeting (approved by leaders) for those units/sub-units where a highly disruptive or traumatic event occurred.

Question 17

What traumatic event debriefing phase allows members to vent?

Answer 17

Phase 4- Reactive Phase

allows ventilation of feelings (emotions) raised by the event

Question 18

What traumatic event debriefing phase normalizes physical stress responses?

Answer 18

Phase 5- Symptom Phase

To normalize, personalize, physical stress responses

Question 19

What are the 3 different prevention efforts?

Answer 19

Primary efforts are directed at lessening the impact of the disease upon the victims
Secondary prevention efforts are directed at reducing the development of PTSD
Tertiary prevention, involves reducing the severity of functional impairment associated with PTSD

Question 20

What prevention is also known as rehabilitation?

Answer 20

The tertiary prevention

Question 21

What are some principles of caring?

Answer 21

Prevention
Trauma-Focused Treatment
Skills building
Resource Enhancement
Developmental Level

Question 22

True or False

The secondary prevention efforts are directed at reducing the effects of PTSD.

Answer 22

False

They are directed at reducing the DEVELOPMENT of PTSD

Question 23

What are 2 types of resource enhancement?

Answer 23

Internal and external

Question 24

True or False

Stress may increase disease rates.

Answer 24

True
Stress may increase disease rates by disrupting hygiene and protective measures, and impairing the body’s immune defenses

Question 25

What is Combat Operational Stress Reaction?

Answer 25

A broad group of physical, mental, and emotional symptoms resulting from the heavy mental and emotional work of combat.

Question 26

True or False | PTSD is the most diagnosed psychiatric disorder in theater.

Answer 26

False | PTSD diagnosis is not made in the theater of operations unless it is a pre-existing condition

Question 27

What is the difference between adaptive and maladaptive behavioral symptoms of grief?

Answer 27

Adaptive- heightened alertness, loyalty to buddies, courage | Maladaptive- substance abuse, self-inflected wounds, and malingering

Question 28

What is Service members Restoration?

Answer 28

A 24-72 hr program in which Service Members with combat and operational stress reactions receive treatment

Question 29

What is Stabilization?

Answer 29

The initial short-term management and evaluation of severely behaviorally disturbed SM caused by an underlying combat and operational stress reaction, behavioral health disorder, or alcohol and/or drug abuse reaction.

Question 30

What is the purpose of a Unit Needs Assessment? (CSF)

Answer 30

To identify and describe specific areas of COSC needs. | To develop plans to meet or improve the COSC needs of SM and units though prevention and early intervention activities.

Question 31

What are the 5 R's in a COSR treatment?

Answer 31

``` Reassure the SM of normality Rest Replenish physiological status Restore confidence Return to Duty ```

Question 32

Who gets treated in a Combat Stress Facility (CSF)?

Answer 32

CSF can be established to provide treatment for those military members identified as having mild to moderate combat stress

Question 33

Which war had more support troops than combat?

Answer 33

Korean

Question 34

What are examples of a primary prevention effort?

Answer 34

Stress management education prior to exposure Traumatic event debriefings Emergency preparedness drills

Question 35

What is the most common combat injuries?

Answer 35

Mild traumatic brain injury and concussion are the most common combat related injury.

Question 36

What war only lasted 100 hours?

Answer 36

Gulf War

Question 37

The term Combat and Operational Stress describe what DSM disorder?

Answer 37

Acute Stress Disorder

Question 38

What are some factors indicative of the need for a traumatic event debriefing?

Answer 38

``` Death of unit member Death of suffering of non-combatants Having to handle dead bodies Friendly Fire Situation involving serious error ```

Question 39

What often accompanies disfigurement?

Answer 39

Along with physical limitations, they experience an altered body image, lowered self-esteem, and changes in their personal relationships.

Question 40

What are the signs and symptoms of TBI?

Answer 40

``` Problems thinking Personality and emotional changes Irritability Tiredness Depression Violence Disinhibited behavior ```

Question 41

What are some risk factors/causes of COSR?

Answer 41

Sustained operations Weapons of mass destruction (Chemical) Exposure to killed and wounded High intensity conflict

Question 42

Who do we teach COSC stress coping techniques to?

Answer 42

Reduce combat stress-related casualties by teaching stress coping techniques to leaders, medical personnel, Chaplains, and Service Members

Question 43

What does BICEPS stand for?

Answer 43

``` B - Brevity (less than 72 hours) I - Immediacy C - Contact / Centrality E - Expectancy P - Proximity S - Simplicity ```

Question 44

What is the focus of a UNA?

Answer 44

A UNA involves the systematic assessment of numerous areas of Service Member and unit functioning.

Question 45

What conditions and behaviors could be medical emergencies?

Answer 45

``` Psychosis Mania Alcohol withdrawal Substance intoxication Delirium Suicidal gesture, attempt or behavior Catatonia Significant paresis, paralysis and/or sensory loss ```

Question 46

Who were the first to treat their service member "close to the front"?

Answer 46

French. The member was also expected to return to duty.

Question 47

What are 3 example of primary preventions?

Answer 47

Stress management education prior to exposure to the disaster Traumatic event debriefing following the disaster Emergency preparedness drills

Question 48

True or False | The developmental level is based on age?

Answer 48

True

Question 49

What are the triage categories for combat and operational stress reaction?

Answer 49

Help-in-place rest cases hold cases refer cases

Question 50

Who can request a Command Consultation Process?

Answer 50

From the unit chain of command or a higher-authority with an official interest in the unit.

Question 51

What method of gathering information are used during a Command Consultation Process?

Answer 51

listening, observing, questionnaires, standardized records, interviews, and group meetings.

Question 52

How do you identify and select solutions to the problem during a Command Consultation Process?

Answer 52

An in-depth assessment in terms of feasibility and practicality of each solution.

Question 53

What is the purpose of the thought phase?

Answer 53

to personalize the event | shift focus from factual to emotional