Day 1: Course Overview and Introduction to COSC Roles and Functional Capabilities

1. Identify the role and mission of a Combat and Operational Stress Control (COSC) unit
2. Explain the capabilities within a COSC medical detachment (MED DET)
3. Describe the utilization of COSC units in echelons above brigade (EAB)
4. Summarize limitations and dependencies of a COSC
5. Explore the importance of COSC in maintaining combat readiness

Day 2: MCSCC: COSC in LSCO, Psychological Survivability and Unit Needs Assessments

Module 1: Operations Order (OPORD) Phase I Brief

1. Review situational factors of a large scale combat operation (LSCO) environment such as the enemy, the terrain, the population and friendly forces
2. Summarize COSC team's mission and attachments under the Brigade Support Area 
3. Analyze the Operations Order (OPORD) 
4. Identify mental health vulnerabilities 
5. Conduct brief Unit Needs Assessment planning

Module 2: COSC in Large Scale Combat Operations (LSCO): Historical Lessons

1. Describe the historical evolution of combat stress and the development of combat and operational stress control (COSC) doctrine 
2. Analyze the unique combat and operational stressors and mental health implications associated with LSCO 
3. Evaluate how COSC capabilities must adapt to support units during sustained LSCO

Module 3: Psychological Survivability

1. List three key psychological stressors in LSCO 
2. Explain the Stockdale Paradox and Hope Theory 
3. Apply the “enemies of survival” concept to identify Servicemember’s vulnerabilities 
4. Design a brief training exercise using the survival model 
5. Evaluate implementation challenges and mitigation strategies to executing a survival training exercise

Module 4: Unit Needs Assessment (UNA)

1. Review resources for Unit Needs Assessment (UNA) 
2. Discuss the purpose and scope of the UNA 
3. Discuss major UNA tenets and when a UNA should be conducted 
4. Review the Pre-Assessment Phase, the Assessment Phase, and the Post-Assessment Phase

Module 5: Unit Needs Assessment Scenario Practical

1. Conduct a UNA using a given scenario 
2. Summarize unit demographics, mission analysis, and potential stressors from scenario injects 
3. Create a one-page UNA summary with risk indicators and recommended actions

Day 3: MCSCC: COSC Triage, Restoration and Stabilization

OPORD Phase II Overview

1. Describe tempo shift from static operations to forward deployment
2. Identify stressors, including increased enemy contact, mission ambiguity, combat exposure, or loss of leadership
3. Organize a traumatic event management station to manage an indirect fire incident with fatalities
4. Explain appropriate Combat and Operational Stress Control (COSC) interventions and ethical concerns in early interventions

Module 5: COSC Triage & BICEPS Model

1. Define combat and operational stress reactions (COSR) per ATP 6-22.5
2. Explain the doctrinal foundation of combat operation stress control (COSC) triage within the Army Health System (FM 2-02)
3. Describe the BICEPS principle and its operational purpose
4. Differentiate between REST, HOLD, and REFER categories
5. Integrate COSC triage decisions within large scale combat operation (LSCO) constraints

Module 6: Soldier Restoration, Stabilization, Treatment and Interventions

1. Differentiate mental health treatment from restoration
2. Describe DOD policy in relation to mental health treatment
3. Identify indicators for transition to treatment
4. Differentiate between mental health treatment in COSC versus garrison

Stabilization and Treatment Practical Exercise

1. Evaluate a distressed Soldier in a Role 2 setting with 1:1 assessment
2. Create immediate behavioral intervention plan with short-term coping strategies
3. Design creative and functional stations for stress reduction that are low-resource, field-deployable and reflect COSC doctrine

Day 4: MCSCC: Traumatic Event Management

Phase III Operations>

1. Outline operational fatigue, sleep deprivation, moral injury, and accumulated losses
2. Describe mental health utilization trends during protracted combat
3. Identify stressors on leaders, peer relationships, and unit cohesion
4. Review BICEPS triage, mental health holding and restoration

Module 7: Traumatic Event Management

1. Define traumatic event management (TEM)
2. Select facts from psychological debriefings used in traumatic event management
3. Describe the purposes for conducting traumatic event management
4. Summarize indications of the need for traumatic event management (TEM)
5. Differentiate between TEM, PD and “Defusing” and assess when to use a Defusing
6. Review the steps involved in using the TEM model with a large group

TEM and Triage Practical Exercise and Simulation

1. Operate within Combat and Operational Stress Control (COSC) roles (team leader, mental health providers, TEM facilitator) given traumatic event scenarios
2. Demonstrate BICEPs principles to determine triage disposition given scenarios with soldiers presenting with different combat operation stress reactions
3. Appraise given Role 1 and Role 2 triage environments with the COSC Triage Answer Key

Day 5: MCSCC: Running a Restoration and Reconditioning Center

Phase IV Operations Briefing

1. Discuss retrograde movement, return to home station planning, and unit reset
2. Review types of stressors, such as survivor’s guilt, failed expectations, unresolved trauma, and poor unit cohesion
3. Describe Combat and Operational Stress Control (COSC) team involvement in reconditioning groups, unit-wide after activity reports, and commander consultation
4. Appraise a simulation of a Soldier resisting reintegration or with misconduct during retrograde
5. Plan for sustained care and theater-level reconstitution

Module 8: Restoration vs. Reconditioning: Running a Restoration & Reconstitution (R2) Center

1. Summarize the restoration process, including necessary documentation.
2. Review site operation considerations, such as standard operating procedures and scheduling

R2 Center Experiential Exercise and Simulation

1. Demonstrate group-based reconditioning techniques suitable for theater (e.g., mission-based PT, routines, morale boosters)
2. Create a visual or interactive lesson addressing their assigned example scenario

Day 6: MCSCC: Functional Capabilities of COSC

Functional Capabilities Teach-Back Preparation and Execution

1. Apply Combat and Operational Stress Control (COSC) principles collaboratively, given a scenario
2. 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)
3. Demonstrate peer collaboration and critical thinking through team-based learning and planning sessions
4. Discuss and brief their recommendations using Army Ethics and mental health doctrine

Day 7: MCSCC: Operation Onyx Phoenix

Final Scenario: Operation Onyx Phoenix

1. Perform combat operation stress control (COSC) triage in forward, denied, and contested environments
2. Execute the nine COSC functional capabilities:
   1. unit needs assessment,
   2. consultation and education,
   3. traumatic event management,
   4. COSC triage,
   5. COSC stabilization,
   6. mental health treatment,
   7. soldier restoration,
   8. soldier reconditioning, and
   9. reconstitution support
3. Evaluate class teamwork, doctrinal application, and communication
4. Apply COSC doctrine in large scale combat operations environments.
5. Define and describe mental health personnel roles in COSC both in a theater of operations.
6. Conduct traumatic event management and facilitate unit recovery