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CAPT Scott Johnston, MSC, USN Director, Naval Center for Combat & Operational Stress Control

CAPT Scott Johnston, MSC, USN Director, Naval Center for Combat & Operational Stress Control. Mental Health in the Military. Treatment Wellness . Total Force Fitness (TFF). An initiative from the Chairman of the Joint Chiefs of Staff. BODY

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CAPT Scott Johnston, MSC, USN Director, Naval Center for Combat & Operational Stress Control

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  1. CAPT Scott Johnston, MSC, USN Director, Naval Center for Combat & Operational Stress Control

  2. Mental Health in the Military Treatment Wellness

  3. Total Force Fitness (TFF) An initiative from the Chairman of the Joint Chiefs of Staff • BODY • Physical • Medical and Dental • Nutritional • Environmental • MIND • Psychological • Behavioral • Spiritual • Social www.nccosc.navy.mil

  4. TFF Addresses Multiple Needs • Achieving multi-dimensional wholeness and balance to meet the challenges of changing environments • Engaging senior leaders • Providing key terms and definitions for DoD • Providing framework for cataloging programs and integrating resilience-focused policy and doctrine • Starting point for developing standardized metrics www.nccosc.navy.mil

  5. DCoE Resource and Efforts • RAND studies • On web: Resilience and Suicide Prevention • New studies: Stigma Reduction, Sleep Issues, Family Resilience • White papers reviews • Integrate three areas: scientific evidence, current programming, stakeholder inputs • DCoE Integrative Health and Wellness website • Topics: Mind-body skills, peer support, worksite health promotion/wellness programs, leveraging technology, well-being, reintegration programs www.nccosc.navy.mil

  6. Comprehensive Soldier Fitness

  7. Air Force Resilience Initiatives www.nccosc.navy.mil

  8. Deployment Transition Center ImplementationRamstein AB, Germany • Decompression and Re-integration Training • Strength-based approach to assist Airmen regularly exposed to significant risk of death in direct combat • Headcount—total 3,444 • AF/A1 and USAFE/CC working way ahead on DTC of the future • Research on effectiveness • Showed significantly reduced symptoms of Post Traumatic Stress, problematic alcohol use/abuse, and serious conflict with family/others As of: 29 Feb 12

  9. Marine Total Fitness www.nccosc.navy.mil

  10. Navy Operational Stress Control (OSC) www.nccosc.navy.mil

  11. The Operational Stress Continuum Ready Reacting Injured Ill Good to Go Well-Trained Fit and Focused Cohesive Units Ready Families Distress or Impaired Mild and Temporarily Anxious, Irritable or Sad Physical or Behavioral Changes More Severe or Persistent Stress or Impairment May Leave Lasting Memories, Reactions and Impressions Stress Injuries That Don’t Heal Without Help Symptoms Persist Get Worse or Initially Get Better Then Return Worse Unit Leader Responsibility Individual, Shipmate, Family Responsibility Caregiver Responsibility

  12. Five Core Leader Functions Treat Strengthen Rest and Restoration (24-72 Hours) “Buddy Help” Chaplain Medical Leadership that is Firm, Fair, a Source of Courage, Communicates Plans and Listens Expose to Tough, Realistic Training Foster Unit Cohesion Mitigate Reintegrate Remove Unnecessary Stressors Ensure Adequate Sleep and Rest Conduct After-Action Review (AAR) in Small Groups Keep with Unit if at all Possible Expect Return to Full Duty Don’t Allow Retribution or Harassment Communicate with Treating Professionals (Both Ways) Identify Know Crew Stress Load Recognize Reactions, Injuries and Illness

  13. Proposed NavyResilience Program Four pillars of the program • Assessment tools • Resilience training modules • Train-the-trainer training • Institutional resilience training Resilience program will include: • Evidence-supported tools and methods that support skill development • Research-supported program evaluation and outcome measures www.nccosc.navy.mil

  14. Initiatives in Wellness and Optimal Performance www.nccosc.navy.mil

  15. Coherence Training Study • Evaluate and compare effectiveness of stress regulation skills • Coherence Training (emWave) Vs. PMR • N = 106 IDC students • Classes assigned to Coherence Training or PMR • Assessments at baseline, 3 mo, 6 mo, 1 year • Stress, anxiety, sleep, PTSD, unit support, performance & attrition www.nccosc.navy.mil

  16. Stress Resilience Training System • Evaluate the effectiveness of stress regulation skills • SRTS Vs. PMR (both iPad based systems) • N = 200 service members in training environments • Random assignment: SRTS, PMR or waitlist control • All participants receive an iPad for 2 months • Assessments at baseline, 2 and 4months • Stress, resilience, coping, anxiety, sleep, PTSD, unit support, performance & attrition www.nccosc.navy.mil

  17. Questions and Comments

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