RAAUZYUW RUENAAA0457 2041748-UUUU--RUCRNAD
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R 231747Z JUL 07 PSN 550713K21
FM CNO WASHINGTON DC
TO NAVADMIN
ZEN/NAVADMIN @ AL NAVADMIN(UC)
INFO ZEN/CNO CNO
BT
UNCLAS
SUBJ: COMBAT AND OPERATIONAL STRESS CONTROL AND WARRIOR TRANSITION
PROGRAM IMPLEMENTATION
FM CNO WASHINGTON DC//N1//
TO NAVADMIN
INFO CNO WASHINGTON DC//N1//
UNCLAS //N5000//
NAVADMIN 182/07
MSGID/GENADMIN/CNO WASHINGTON DC/N1/JUL//
SUBJ/COMBAT AND OPERATIONAL STRESS CONTROL AND WARRIOR TRANSITION
PROGRAM IMPLEMENTATION//
REF/A/DOC/DODDIR 6490.5/23FEB1999//
REF/B/ASDHA MEMO/10MAR2005//
REF/C/MSG/CNO WASHINGTON DC/101294ZJUL06//
REF/D/DOC/DODINST 6490.3/11AUG2006//
NARR/REF A DIRECTS THE ESTABLISHMENT OF COMBAT AND OPERATIONAL STRESS
CONTROL PROGRAMS IN DOD. REF B ESTABLISHED THE REQUIREMENT FOR PRE-
DEPLOYMENT AND POST-DEPLOYMENT HEALTH SCREENINGS, AND THE
REQUIREMENTS
FOR POST-DEPLOYMENT SCREENINGS AFTER 90 TO 120 DAYS. REF C MANDATES
THE USE OF ELECTRONIC SUBMISSION OF THE DEPLOYMENT HEALTH ASSESSMENT
FORMS. REF D IMPLEMENTS POLICIES AND PRESCRIBES PROCEDURES FOR
DEPLOYMENT HEALTH ACTIVITIES.//
RMKS/1. THIS NAVADMIN ANNOUNCES IMPLEMENTATION OF THE COMBAT AND
OPERATIONAL STRESS CONTROL (COSC) AND WARRIOR TRANSITION PROGRAM
(WTP). THE COSC PROGRAM IS CRITICAL TO THE CONTINUED HEALTH AND
READINESS OF OUR SAILORS AND ULTIMATELY, TO NAVY S ENDURING SUPPORT
OF THE GLOBAL WAR ON TERROR. THIS MESSAGE PROVIDES AN OVERVIEW OF
THE NAVY'S COSC PROGRAM FOR EXPEDITIONARY AND INDIVIDUAL AUGMENTEE
(IA) SAILORS AND THEIR COMMANDS AS WELL AS THE COMMANDING OFFICER S
RESPONSIBILITY TO ENSURE THESE PROCESSES ARE FOLLOWED.
2. THE COSC CONTINUUM SPANS THREE PHASES: PRE-DEPLOYMENT,
DEPLOYMENT AND POST-DEPLOYMENT. EACH PHASE CARRIES SPECIFIC FUNCTIONS,
RESPONSIBILITIES, REQUIRED ASSESSMENTS AND REQUIRED REASSESSMENTS.
A. PRE-DEPLOYMENT - THE FIRST PHASE OF THE COSC PROCESS BEGINS
BEFORE DEPLOYMENT THROUGH THE EXECUTION OF A PRE-DEPLOYMENT HEALTH
ASSESSMENT (DD 2795) PER REFS B, C, AND D. FOR IA SAILORS, THIS
PROCESS IS COMPLETED AS PART OF A SUITABILITY-FOR-DEPLOYMENT
SCREENING AND MUST BE REPORTED TO NAVY PERSONNEL COMMAND (NPC) NO LATER THAN
TWO WEEKS AFTER ORDERS ARE RECEIVED. THE UP-TO-DATE STANDARD
SCREENING IS THE EXPEDITIONARY COMBAT READINESS CENTER (ECRC) IA CHECKLIST
LOCATED ON NAVY KNOWLEDGE ONLINE (WWW.NKO.NAVY.MIL., CLICK ON
INDIVIDUAL AUGMENTEE)
B. DEPLOYMENT - ONGOING PREVENTION, SUPPORT, AND TREATMENT FOR
STRESS AND STRESS RELATED INJURIES (IF NEEDED) WILL BE PROVIDED
THROUGHOUT THE DEPLOYMENT PHASE. IN-THEATER MENTAL HEALTH
PROFESSIONALS SHOULD BE CONSULTED AS SOON AS POSSIBLE IF CONSERVATIVE
MANAGEMENT OF COMBAT STRESS AND EXPECTATION OF RETURN TO DUTY IS
IMPROBABLE OR FAILS. TO PROVIDE POST-DEPLOYMENT COSC TOOLS, HELP
IDENTIFY COMMON REDEPLOYMENT PROBLEMS AND REHEARSE RETURN AND REUNION
SCRIPT, THE SECOND PHASE OF THE COSC PROGRAM OCCURS BETWEEN
COMPLETION OF THE COMBAT ZONE ASSIGNMENT AND PRIOR TO RETURNING TO CONUS. ALL
SAILORS SHOULD BE AFFORDED A THREE TO FIVE DAY DECOMPRESSION PERIOD
FOR COSC. WHERE OPERATIONALLY FEASIBLE, COSC PHASE II SHOULD BE DONE
IMMEDIATELY BEFORE DEPARTING THEATER. FOR NAVY IA SAILORS, THE
EXPEDITIONARY COMBAT READINESS CENTER ESTABLISHED THE WARRIOR
TRANSITION PROGRAM (WTP) TO ASSIST SAILORS TRANSITIONING FROM THEIR
TOURS IN A COMBAT ENVIRONMENT. LOCATED IN KUWAIT, WTP IS THE LAST
IN-THEATER STOP DURING REDEPLOYMENT TO CONUS AND FULFILLS COMBAT
STRESS MITIGATION AND REQUIRED DECOMPRESSION TIME DURING A SAILOR S
TRANSITION FROM THE HIGH STRESS, COMBAT ENVIRONMENT. IN ADDITION, WTP CONDUCTS
SMALL GROUP DISCUSSIONS FACILITATED BY ACCREDITED PROFESSIONALS AND
FOCUSES ON VARIOUS TOPICS INCLUDING, BUT NOT LIMITED TO: COMBAT AND
OPERATIONAL STRESS BRIEFINGS, WEAPONS AND GEAR RETURN, FLEET AND
FAMILY SUPPORT CENTER BRIEFINGS, CUSTOMS PROCESSING, AND FOLLOW-ON TRAVEL
COORDINATION. WTP ENSURES THAT EVERY RETURNING IA SAILOR BENEFITS
FROM THIS CRITICAL PROGRAM.
C. POST-DEPLOYMENT - THE THIRD PHASE OF THE COSC PROGRAM TAKES
PLACE AFTER A SAILOR RETURNS FROM DEPLOYMENT WHEN SAILORS MAY
EXPERIENCE DIFFICULTIES ADJUSTING TO HOME STATION. SINCE SYMPTOMS OF COMBAT AND
OPERATIONAL STRESS MAY NOT APPEAR UNTIL AFFECTED SAILORS RETURN HOME,
THEIR COMMANDING OFFICERS ARE RESPONSIBLE FOR ENSURING THAT THE POST-
DEPLOYMENT HEALTH REASSESSMENTS (PDHRA-DD 2900) ARE COMPLETED BETWEEN
90-180 DAYS AFTER RETURN AND ANY NEEDED FOLLOW-UP CARE IS OBTAINED
(REFS B-D PROVIDE ADDITIONAL DETAILS). ALL COMMANDING OFFICERS MUST
ENSURE THAT SAILORS WHO RETURNED FROM DEPLOYMENT TO EITHER IRAQ OR
AFGHANISTAN AFTER 19 MARCH 2004 HAVE COMPLETED THEIR REQUIRED PDHRAS.
3. THE PRE-DEPLOYMENT, DEPLOYMENT, AND POST-DEPLOYMENT COMBAT AND
OPERATIONAL STRESS PROCESSES OUTLINED IN THIS NAVADMIN ARE MINIMUM
REQUIREMENTS EXPECTED FOR SAILORS AND THEIR COMMANDING OFFICERS.
COMMANDING OFFICERS ARE RESPONSIBLE FOR ENSURING THAT APPROPRIATE
COSC PROCESSES AND PROCEDURES ARE IMPLEMENTED IN THEIR COMMANDS.
4. POINT OF CONTACTS:
- CAPT J.K. MCDOWELL, CNO (N1/TFIA), AT (703) 614-6879/DSN 224,
OR E-MAIL AT JOHN.K.MCDOWELL(AT)NAVY.MIL.
- MR. RANDALL OSER, N1 CASUALTY CARE WORKING GROUP, AT (703)
614-4147/
DSN 224, OR E-MAIL AT RANDALL.OSER@NAVY.MIL.
5. RELEASED BY VADM J. C. HARVEY, JR., N1.//
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