Combat/Operation Stress Control Flashcards

1
Q

What were the 3 names for combat stress during WWI?

A

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

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2
Q

What were the 2 terms for combat stress during WWII?

A

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

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3
Q

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

A

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

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4
Q

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

A

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

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5
Q

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

A

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.

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6
Q

True or False

The support troops had different conflicts compared to combat troops

A

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

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7
Q

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

A

The amount of soldiers diagnosed with psychotic symptoms doubled.

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8
Q

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

A

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

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9
Q

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

A

Gulf War

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10
Q

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

A

Gulf War

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11
Q

What is Acute Distress Disorder?

A

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

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12
Q

What is the definition of command consultation?

A

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.

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13
Q

What are the 9 steps of the command consultation?

A
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
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14
Q

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

A

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

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15
Q

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

A

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

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16
Q

True or False

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

A

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.

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17
Q

What traumatic event debriefing phase allows members to vent?

A

Phase 4- Reactive Phase

allows ventilation of feelings (emotions) raised by the event

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18
Q

What traumatic event debriefing phase normalizes physical stress responses?

A

Phase 5- Symptom Phase

To normalize, personalize, physical stress responses

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19
Q

What are the 3 different prevention efforts?

A

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

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20
Q

What prevention is also known as rehabilitation?

A

The tertiary prevention

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21
Q

What are some principles of caring?

A
Prevention
Trauma-Focused Treatment
Skills building
Resource Enhancement
Developmental Level
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22
Q

True or False

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

A

False

They are directed at reducing the DEVELOPMENT of PTSD

23
Q

What are 2 types of resource enhancement?

A

Internal and external

24
Q

True or False

Stress may increase disease rates.

A

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

25
Q

What is Combat Operational Stress Reaction?

A

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

26
Q

True or False

PTSD is the most diagnosed psychiatric disorder in theater.

A

False

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

27
Q

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

A

Adaptive- heightened alertness, loyalty to buddies, courage

Maladaptive- substance abuse, self-inflected wounds, and malingering

28
Q

What is Service members Restoration?

A

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

29
Q

What is Stabilization?

A

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.

30
Q

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

A

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.

31
Q

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

A
Reassure the SM of normality
Rest
Replenish physiological status
Restore confidence
Return to Duty
32
Q

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

A

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

33
Q

Which war had more support troops than combat?

A

Korean

34
Q

What are examples of a primary prevention effort?

A

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

35
Q

What is the most common combat injuries?

A

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

36
Q

What war only lasted 100 hours?

A

Gulf War

37
Q

The term Combat and Operational Stress describe what DSM disorder?

A

Acute Stress Disorder

38
Q

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

A
Death of unit member
Death of suffering of non-combatants
Having to handle dead bodies
Friendly Fire
Situation involving serious error
39
Q

What often accompanies disfigurement?

A

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

40
Q

What are the signs and symptoms of TBI?

A
Problems thinking
Personality and emotional changes
Irritability
Tiredness
Depression
Violence
Disinhibited behavior
41
Q

What are some risk factors/causes of COSR?

A

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

42
Q

Who do we teach COSC stress coping techniques to?

A

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

43
Q

What does BICEPS stand for?

A
B -  Brevity (less than 72 hours)
I - Immediacy
C -  Contact / Centrality
E - Expectancy
P -  Proximity
S -  Simplicity
44
Q

What is the focus of a UNA?

A

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

45
Q

What conditions and behaviors could be medical emergencies?

A
Psychosis
Mania
Alcohol withdrawal
Substance intoxication
Delirium
Suicidal gesture, attempt or behavior
Catatonia
Significant paresis, paralysis and/or sensory loss
46
Q

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

A

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

47
Q

What are 3 example of primary preventions?

A

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

48
Q

True or False

The developmental level is based on age?

A

True

49
Q

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

A

Help-in-place
rest cases
hold cases
refer cases

50
Q

Who can request a Command Consultation Process?

A

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

51
Q

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

A

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

52
Q

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

A

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

53
Q

What is the purpose of the thought phase?

A

to personalize the event

shift focus from factual to emotional