Evaluation
*
Strongly disagreeDisagreeSlightly disagreeNeitherSlightly agreeAgreeStrongly agree
The activity presented balanced, evidence-based content free of commercial bias.
The presenter(s) used an effective teaching strategy.
The presentation slides / digital materials / resources and handouts were high quality.
The content was relevant to / useful for my professional practice.
The activity contributed to my knowledge, skills, and capacity to enhance the delivery of patient care.
The overall quality of the educational activity was excellent.
*
Strongly disagreeDisagreeSlightly disagreeNeitherSlightly agreeAgreeStrongly agree
Day 1: Identify the role and mission of a Combat and Operational Stress Control (COSC) unit
Day 1: Explain the capabilities within a COSC medical detachment (MED DET)
Day 1: Describe the utilization of COSC units in echelons above brigade (EAB)
Day 1: Summarize limitations and dependencies of a COSC
Day 1: Explore the importance of COSC in maintaining combat readiness
Day 2: Review situational factors of a large scale combat operation (LSCO) environment such as the enemy, the terrain, the population and friendly forces
Day 2: Summarize COSC team's mission and attachments under the Brigade Support Area
Day 2: Analyze the Operations Order (OPORD)
Day 2: Identify mental health vulnerabilities
Day 2: Conduct brief Unit Needs Assessment planning
Day 2: Describe the historical evolution of combat stress and the development of combat and operational stress control (COSC) doctrine
Day 2: Analyze the unique combat and operational stressors and mental health implications associated with LSCO
Day 2: Evaluate how COSC capabilities must adapt to support units during sustained LSCO
Day 2: List three key psychological stressors in LSCO
Day 2: Explain the Stockdale Paradox and Hope Theory
Day 2: Apply the “enemies of survival” concept to identify Servicemember’s vulnerabilities
Day 2: Design a brief training exercise using the survival model
Day 2: Evaluate implementation challenges and mitigation strategies to executing a survival training exercise
Day 2: Review resources for Unit Needs Assessment (UNA)
Day 2: Discuss the purpose and scope of the UNA
Day 2: Discuss major UNA tenets and when a UNA should be conducted
Day 2: Review the Pre-Assessment Phase, the Assessment Phase, and the Post-Assessment Phase
Day 2: Conduct a UNA using a given scenario
Day 2: Summarize unit demographics, mission analysis, and potential stressors from scenario injects
Day 2: Create a one-page UNA summary with risk indicators and recommended actions
Day 3: Describe tempo shift from static operations to forward deployment
Day 3: Identify stressors, including increased enemy contact, mission ambiguity, combat exposure, or loss of leadership
Day 3: Organize a traumatic event management station to manage an indirect fire incident with fatalities
Day 3: Explain appropriate Combat and Operational Stress Control (COSC) interventions and ethical concerns in early interventions
Day 3: Define combat and operational stress reactions (COSR) per ATP 6-22.5
Day 3: Explain the doctrinal foundation of combat operation stress control (COSC) triage within the Army Health System (FM 2-02)
Day 3: Describe the BICEPS principle and its operational purpose
Day 3: Differentiate between REST, HOLD, and REFER categories
Day 3: Integrate COSC triage decisions within large scale combat operation (LSCO) constraints
Day 3: Differentiate mental health treatment from restoration
Day 3: Describe DOD policy in relation to mental health treatment
Day 3: Identify indicators for transition to treatment
Day 3: Differentiate between mental health treatment in COSC versus garrison
Day 3: Evaluate a distressed Soldier in a Role 2 setting with 1:1 assessment
Day 3: Create immediate behavioral intervention plan with short-term coping strategies
Day 3: Design creative and functional stations for stress reduction that are low-resource, field-deployable and reflect COSC doctrine
Day 4: Outline operational fatigue, sleep deprivation, moral injury, and accumulated losses
Day 4: Describe mental health utilization trends during protracted combat
Day 4: Identify stressors on leaders, peer relationships, and unit cohesion
Day 4: Review BICEPS triage, mental health holding and restoration
Day 4: Define traumatic event management (TEM)
Day 4: Select facts from psychological debriefings used in traumatic event management
Day 4: Describe the purposes for conducting traumatic event management
Day 4: Summarize indications of the need for traumatic event management (TEM)
Day 4: Differentiate between TEM, PD and “Defusing” and assess when to use a Defusing
Day 4: Review the steps involved in using the TEM model with a large group
Day 4: Operate within Combat and Operational Stress Control (COSC) roles (team leader, mental health providers, TEM facilitator) given traumatic event scenarios
Day 4: Demonstrate BICEPs principles to determine triage disposition given scenarios with soldiers presenting with different combat operation stress reactions
Day 4: Appraise given Role 1 and Role 2 triage environments with the COSC Triage Answer Key
Day 5: Discuss retrograde movement, return to home station planning, and unit reset
Day 5: Review types of stressors, such as survivor’s guilt, failed expectations, unresolved trauma, and poor unit cohesion
Day 5: Describe Combat and Operational Stress Control (COSC) team involvement in reconditioning groups, unit-wide after activity reports, and commander consultation
Day 5: Appraise a simulation of a Soldier resisting reintegration or with misconduct during retrograde
Day 5: Plan for sustained care and theater-level reconstitution
Day 5: Summarize the restoration process, including necessary documentation.
Day 5: Review site operation considerations, such as standard operating procedures and scheduling
Day 5: Demonstrate group-based reconditioning techniques suitable for theater (e.g., mission-based PT, routines, morale boosters)
Day 5: Create a visual or interactive lesson addressing their assigned example scenario
Day 6: Apply Combat and Operational Stress Control (COSC) principles collaboratively, given a scenario
Day 6: Prepare a presentation of their combat operation stress control function, given a denied environment dilemma (e.g., treating untriaged combatants, forced evacuation, ambiguous return to duty)
Day 6: Demonstrate peer collaboration and critical thinking through team-based learning and planning sessions
Day 6: Discuss and brief their recommendations using Army Ethics and mental health doctrine
Day 7: Perform combat operation stress control (COSC) triage in forward, denied, and contested environments
Day 7: Execute the nine COSC functional capabilities: unit needs assessment, consultation and education, traumatic event management, COSC triage, COSC stabilization, mental health treatment, soldier restoration, soldier reconditioning, and reconstitution support
Day 7: Evaluate class teamwork, doctrinal application, and communication
Day 7: Apply COSC doctrine in large scale combat operations environments.
Day 7: Define and describe mental health personnel roles in COSC both in a theater of operations.
Day 7: Conduct traumatic event management and facilitate unit recovery
*
*
*
*
*
*
*