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US Coast Guard Operational Stress Control

US Coast Guard Operational Stress Control. What the Stats tell us…. Stress on the Force is Increasing. 2. OSC Objectives. 3. What We Will Cover. Stress Decision Matrix. Stress Continuum. Combat and Operational Stress First Aid (COSFA). 5 Core Leader Functions. 4. Stressor.

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US Coast Guard Operational Stress Control

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  1. US Coast Guard Operational Stress Control

  2. What the Stats tell us…. Stress on the Force is Increasing 2

  3. OSC Objectives 3

  4. What We Will Cover Stress Decision Matrix Stress Continuum Combat and Operational Stress First Aid (COSFA) 5 Core Leader Functions 4

  5. Stressor Individual, Shipmate, Family Responsibility, Unit Leader Individual Responsibility Caregiver Responsibility Where Is the Coastie on the Stress Continuum? REACTING INJURED ILL READY • Good to go • Well trained • Prepared • Fit and focused • Cohesive units, ready families • Distress or impairment • Anxious, irritable, or sad • Physical or behavioral changes • Mild and temporary • More severe or persistent distress or impairment • May leave lasting memories, reactions, and expectations • Stress injuries that don’t heal without help • Symptoms persist, get worse, or initially get better and then return worse 5

  6. Four Sources of Stress Injury WEAR AND TEAR LOSS 6 • LIFE THREAT INNER CONFLICT 6

  7. Core Leader Functions REACTING INJURED ILL READY 9

  8. Strengthen: 1st Core Leader Function Exercise Rest Chow Social Cohesion Sports Family Body Strengthen Personal Grooming Spirit Mind 10 10 10

  9. Core Leader Functions REACTING INJURED ILL READY 11

  10. Strengthen: 1st Core Leader Function Exercise Rest Chow Social Cohesion Sports Family Body Strengthen Personal Grooming Spirit Mind 12 12 12

  11. Strengthen: Building Resilience ILL INJURED Original Orange Zone Boundary REACTING READY 13

  12. Mitigate: 2nd Core Leader Function Replenish Resources 25 14

  13. Military Operations Change Us 15

  14. Identify: 3rd Core Leader FunctionLook For Changes in Function or Behavior Identify 16

  15. Identify: Stress Tachometer 17

  16. Identify: Stress Decision Matrix Sailor Under Stress Are there signs of DISTRESS or LOSS OF FUNCTION? NO • Green Zone (Ready): • Good to Go. Continue to monitor for signs of distress or loss of function in the future if concerned • Distress or Loss of Function: • Difficulty relaxing and sleeping • Loss of interest in social or recreational activities • Unusual and excessive fear, worry, or anger • Recurrent nightmares or troubling memories • Hyperactive startle responses to noises • Difficulty performing normal duties • Any change from normal personality YES • Yellow Zone (Reacting): • Ensure adequate sleep & rest • Manage home-front stressors • Discussions in small units • Refer to chaplain or medical if problems worsen Is the distress or loss of function SEVERE? NO • SEVERE Distress or Loss of Function: • Inability to fall asleep or stay asleep • Withdrawal from social or recreational activities • Uncharacteristic outbursts of rage or panic • Nightmares or memories that increase heart rate • Inability to control emotions • Serious suicidal or homicidal thoughts • Loss of usual concern for moral values YES • Orange Zone (Injured): • Keep safe and calm • Rest & recuperation 24-72 hrs. • Refer to medical or chaplain • Mentor back to full duty and function Has the distress or loss of function PERSISTED? NO • PERSISTENT Distress or Loss of Function: • Stress problems that last for more than several • weeks post-deployment • Stress problems that don’t get better over time • Stress problems that get worse over time YES • Red Zone (Ill): • Refer to medical • Ensure treatment compliance • Mentor back to duty if possible • Reintegrate with unit 18

  17. Identify: Discussion One of your best crew members who used to take the lead with any task, is now staying in the shadows and seems reluctant to engage. His performance has deteriorated markedly, he seems increasingly worn out, says he can’t sleep at night, constantly complains about his wife, and is not getting better. • What stress zone is he in? • What should you do about it? • A boat crewman of yours was exposed to smoke from a burning fiberglass fishing vessel. He has heard that exposure to burning plastic can cause cancer. Although exposed for only a short time, he talked to the doc who reassured him that short term exposures are usually nothing to worry about. He seems anxious, is having trouble sleeping, but he’s still motivated and seems to be getting better. • What stress zone is he in? • What should you do about it? 19

  18. Operational Stress Control 21

  19. Treat: 4th Core Leader Function Take Action/Intervene Treat 22

  20. Reintegrate: 5th Core Leader Function Reality of Reintegration Reintegrate 23

  21. Good Leaders Stop, Look, and Listen 24

  22. 1: Scenario You’ve noticed lately that one of your best coxswains is just not his usual self. You’ve heard he has family problems and that his girlfriend recently broke up with him. Now he goes off by himself and is reported to be playing video games late into the night, not sleeping, and isolating himself. When asked how he is doing, he says he is fine, but seems irritable and will not make eye contact. You are concerned about this crew member. 25

  23. 2: Scenario A PSU member, ME1 Smith, has a family with 2 children and completed three extended deployments over a couple of years. The first deployment went well, but by the second deployment the older daughter's grades began to drop and Mom has to go to work to help pay bills. When Dad returns he's often irritable. By the third deployment, the daughter begins failing at school, isolates from her family, and begins having nightmares. The son starts acting out at school. The mother becomes overwhelmed and depressed. When Dad returns he is constantly angry, resorts to yelling and screaming, and completely withdraws from the family. 26

  24. 3: Scenario BM3 Ramirez completed alcohol treatment a month ago and is preparing to deploy again. His car is about to be repossessed because he can’t make his car payments and his girlfriend dumped him recently. He began drinking again and his performance is deteriorating. BMC Massey is concerned about this crew member. 27

  25. 4: Scenario MKC Jones has recently been through Operational Stress Control Training and has been “mentoring” one of his young Petty Officers on a stress issue. He has decided that the Petty Officer has PTSD and has been telling other Sailors. MKCM Stewart overhears MKC Jones telling other crew members that the Petty Officer has cracked, and has PTSD. 28

  26. 5: Scenario An FS2 has just reported aboard your command. At an awards ceremony he receives a Coast Guard Achievement Medal for actions conducted during the Haitian earthquake response. He saved two critically injured civilian children. You also know that despite his best efforts, a third injured child died. While the citation is being read, he starts trembling, breathing heavily, and appears to be zoning out. You are concerned about this shipmate. 29

  27. Operational Stress Control 30

  28. Ready to Go? 31

  29. Individual, Shipmate, Family Unit Leader Responsibility, Individual Responsibility Caregiver Responsibility To Maintain a Ready Force, Leaders Must: Move Our People toward the GREEN 32

  30. End of Operational Stress Control 33

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