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Reoptimizing Combat and Operational Stress Control in the U.S. Air Force.

Mark A Dixon¹, T Daniel Bohman², Nicholas F Polk³

¹Social Work Fellowship Program, 60th Medical Group, Travis AFB, CA 94533, USA.

Military Medicine

|September 6, 2024

Summary

Combat and Operational Stress Control (COSC) offers a sustainable model for Air Force behavioral health during deployments. Realigning mental health personnel to units and formal COSC training can enhance readiness and performance.

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Area of Science:

Military Psychology
Behavioral Health Services
Operational Readiness

Background:

The Air Force is shifting towards Agile Combat Employment in challenging environments.
This necessitates adaptations in behavioral health support during deployments.
Existing Combat and Operational Stress Control (COSC) models offer a proven framework.

Purpose of the Study:

To evaluate the sustainability and effectiveness of COSC for Air Force behavioral health.
To explore the realignment of mental health personnel for improved unit support.
To identify necessary changes for implementing COSC principles in garrison settings.

Main Methods:

Analysis of the Combat and Operational Stress Control (COSC) model's application in military deployments.
Review of current Air Force mental health personnel deployment policies.
Assessment of COSC team versatility and provider roles.

Main Results:

COSC provides a flexible and sustainable model for behavioral health, enhancing unit effectiveness and performance.
COSC teams, comprising enlisted and officer providers, can significantly influence service member wellness.
Current policies often centralize mental health services within clinics, limiting unit-level integration.

Conclusions:

Formal training for the COSC mission is crucial for the Air Force.
Realigning active duty mental health personnel to work primarily within units is recommended.
Implementing COSC principles in garrison requires significant policy changes and dedicated effort.