UNCLAS
161618Z FEB 07
CMC WASHINGTON DC(UC)
AL MARADMIN(UC)
MARADMIN 112/07
MSGID/GENADMIN/CMC WASHINGTON DC//
SUBJ/MARINE CORPS COMBAT OPERATIONAL STRESS /CONTROL (COSC) PROGRAM//
REF/A/MSGID:CMC WHITE LETTER/08-05/-//
REF/B/MSGID:DODI 6490.03/11AUG06/-//
REF/C/MSGID:CMC MARADMIN/283-06/-//
REF/D/MSGID:DODD 6490.5/22FEB99/-//
REF/E/MSGID:CMC ALMAR/032-03/-//
REF/F/MSGID:CMC MARADMIN/219-04/-//
POC/WILLIAM NASH/CAPT/USN MRA (MRC)/-/TEL:DSN 278-9548
/EMAIL:WILLIAM.NASH@USMC.MIL//
GENTEXT/REMARKS/1. BACKGROUND. CURRENT OPERATIONS AFFECT
WARFIGHTERS DEPLOYED TO COMBAT THEATERS, MARINES REMAINING
IN GARRISON, AND FAMILY MEMBERS. EFFECTIVELY MANAGING
OPERATIONAL STRESS IS VITAL TO THE READINESS OF THE MARINE
CORPS AS A FIGHTING FORCE, AND TO MAINTAINING THE LONG-TERM
HEALTH AND WELL-BEING OF MARINES, SAILORS, AND FAMILIES.
REF A DEFINES THE MARINE CORPS COMBAT/OPERATIONAL STRESS
CONTROL (COSC) PROGRAM AS ENCOMPASSING ALL POLICIES AND
PROCEDURES TO PROVIDE ACTIVE AND RESERVE MARINES, SAILORS,
AND FAMILY MEMBERS WITH THE TOOLS TO MASTER THE STRESSORS OF
MILITARY LIFE AND DUTIES - STRESSORS THAT CAN OCCUR PRIOR TO
DEPLOYMENT, DURING DEPLOYMENT, AND UPON RETURN FROM DEPLOYMENT.
THE GOAL OF COSC IS TO PLAN, TRAIN FOR, AND
IMPLEMENT MEANS TO PREVENT, IDENTIFY, AND HOLISTICALLY TREAT
STRESS INJURIES. WE MUST AGGRESSIVELY SUPPORT MARINES WITH
WOUNDS CAUSED BY STRESS, JUST AS WE SUPPORT THOSE WITH MORE
VISIBLE PHYSICAL WOUNDS.
2. REFS B AND C REQUIRE PRE-DEPLOYMENT AND POST-DEPLOYMENT
HEALTH ASSESSMENTS. REF D REQUIRES POST-DEPLOYMENT HEALTH
REASSESSMENTS 3-6 MONTHS AFTER RETURN FROM DEPLOYMENT.
POC FOR ALL HEALTH ASSESSMENTS IS HQMC HEALTH SERVICES (HS),
DSN 224-4477. THIS MARADMIN DESCRIBES THE ROLE AND TIMING
OF DEPLOYMENT HEALTH ASSESSMENTS IN THE OVERALL COSC PROGRAM.
3. CANCELLATION. REFS E AND F ARE HEREBY CANCELLED.
4. POLICY
A. UNIT COMMANDERS AND OFFICERS-IN-CHARGE OF RECEPTION AND
DEMOBILIZATION CENTERS SHALL ENSURE THAT ALL SERVICE MEMBERS
PREPARING FOR, SERVING DURING, AND RETURNING FROM WAR ZONE
DEPLOYMENTS OF 90 DAYS OR MORE IN DURATION RECEIVE THE SERVICES
DESCRIBED IN THIS MARADMIN.
B. COMMANDERS RECEIVING MARINES AND SAILORS WHO SEPARATED FROM
THEIR DEPLOYED UNITS PRIOR TO COMPLETION OF ALL REQUIRED COSC
BRIEFS AND HEALTH ASSESSMENTS MUST ENSURE THEIR TIMELY COMPLETION
AND DOCUMENTATION. EXAMPLES INCLUDE INDIVIDUAL AUGMENTEES,
MARINES WHO RETURN EARLY ON EMERGENCY LEAVE, MARINES WHO PCS
WITHIN 6 MONTHS OF RETURNING FROM DEPLOYMENT, AND MARINES
WHO ARE SEPARATED FROM THEIR UNITS BECAUSE OF WOUNDS OR ILLNESS.
C. COMMANDERS WISHING TO DEVIATE FROM THE APPROVED COMPONENTS
OF THE COSC PROGRAM AT A LOCAL LEVEL ARE TO COORDINATE SUCH
CHANGES WITH MRC, M&RA.
5. DEPLOYMENT CYCLE RESOURCES FOR MARINES
A. GOALS. THE MARINE OPERATIONAL STRESS SURVEILLANCE &
TRAINING (MOSST) PROGRAM IS AN INTEGRATED PROGRESSION OF
DEPLOYMENT CYCLE-SPECIFIC EDUCATIONAL BRIEFS, HEALTH
ASSESSMENTS, AND LEADERSHIP TOOLS DESIGNED TO PREVENT,
IDENTIFY EARLY, AND EFFECTIVELY MANAGE COMBAT/OPERATIONAL
STRESS INJURIES AT ALL LEVELS.
B. COMPONENTS. THE MOSST PROGRAM IS DIVIDED INTO THE
FOLLOWING FOUR DEPLOYMENT CYCLE PHASES: 1) WARRIOR PREPARATION
PHASE (PRE-DEPLOYMENT), 2) WARRIOR SUSTAINMENT PHASE
(DURING DEPLOYMENT), (3) WARRIOR TRANSITION PHASE
(IMMEDIATELY PRIOR TO RETURN), AND 4) WARRIOR RESETTING
PHASE (POST-DEPLOYMENT). ALL BRIEFS THAT COMPRISE
THE MOSST, AND AN ILLUSTRATIVE GRAPHIC REPRESENTATION OF
THE MOSST DEPLOYMENT CYCLE, ARE AVAILABLE ONLINE AT
WWW.MANPOWER.USMC.MIL/COSC. THESE BRIEFS WILL BE
PERIODICALLY UPDATED AS REQUIRED. UNITS SHOULD VERIFY THAT
THEY ARE USING THE MOST CURRENT VERSIONS BY ACCESSING THE
WEBSITE PRIOR TO GIVING A BRIEF. EACH OF THE BRIEFS MAY BE
CUSTOMIZED FOR APPEARANCE BY OPERATIONAL COMMANDS,
BUT SIGNIFICANT CHANGES IN CONTENT, GOALS,
OR METHODS MUST BE APPROVED BY MRC, M&RA.
(1) WARRIOR PREPARATION PHASE (PRE-DEPLOYMENT)
(A) PRE-DEPLOYMENT STRESS BRIEF FOR LEADERS. THIS BRIEF
PROVIDES TACTICS, TECHNIQUES AND PROCEDURES FOR THE PREVENTION
AND MANAGEMENT OF STRESS INJURIES BY UNIT LEADERS PRIOR TO
AND DURING DEPLOYMENT. IT SHOULD BE DELIVERED BY A MENTAL
HEALTH PROFESSIONAL, MEDICAL OFFICER, CHAPLAIN, OR OSCAR SNCO
(DESCRIBED IN PARA 5B(2)(C), BELOW)
TO ALL OFFICERS AND NCOS IN DEPLOYING UNITS WITHIN 60 DAYS PRIOR
TO DEPLOYMENT.
(B) WARRIOR PREPARATION BRIEF. THIS BRIEF IS DELIVERED
TO ALL MARINES WITHIN 30 DAYS PRIOR TO DEPLOYMENT. IT INCLUDES
EDUCATION AND TRAINING CONCERNING STRESSORS TO BE EXPECTED
DURING DEPLOYMENT, SELF-MONITORING FOR STRESS AND STRESS INJURIES,
PSYCHOLOGICAL FIRST AID (SELF AID AND BUDDY AID), SUICIDE AWARENESS,
AND HOW TO GET HELP IF IT IS NEEDED.
(C) PRE-DEPLOYMENT HEALTH ASSESSMENTS (PRE-DHA, DD FORM 2795)
MUST BE COMPLETED FOR ALL DEPLOYING MARINES AND SAILORS WITHIN
30 DAYS PRIOR TO DEPARTURE, IN ACCORDANCE WITH REF B.
(2) WARRIOR SUSTAINMENT PHASE (DURING DEPLOYMENT) TOOLS FOR
COMMANDERS
(A) AFTER-ACTION REVIEWS (AAR'S). MARINE OFFICERS AND
SNCO'S ARE ALREADY FAMILIAR WITH AAR'S AS A TOOL FOR DEBRIEFING
THEIR MARINES AFTER SIGNIFICANT TRAINING OR COMBAT OPERATIONS,
TO SHARE PERCEPTIONS OF THE EVENTS THAT TRANSPIRED, AND TO
DISSEMINATE LESSONS LEARNED. AAR'S, LED BY UNIT OFFICERS AND SNCO'S,
CAN ALSO BE EFFECTIVE IN PROMOTING PREVENTION AND RECOVERY FROM
TRAUMATIC STRESS AND LOSS DURING OPERATIONS. THE GOALS OF AAR'S,
AS THEY RELATE TO STRESS INJURIES, ARE THE FOLLOWING: DEVELOP A
SHARED AND REALISTIC PERCEPTION OF A UNIT'S ACTION; INCREASE
TRUST BY MARINES IN THEIR PEERS, EQUIPMENT, AND LEADERS; DISCOURAGE
EXCESSIVE OR INAPPROPRIATE SELF-BLAME OR BLAME OF OTHERS; AND
IDENTIFY THOSE MARINES WHO HAVE SUSTAINED AN UNRECOGNIZED PHYSICAL
OR STRESS INJURY. AAR'S SHOULD BE PERFORMED AFTER EVERY SIGNIFICANT
OPERATIONAL OR TRAINING ACTION, ESPECIALLY IF CASUALTIES OR
ACCIDENTAL LOSSES WERE INCURRED.
(B) REST AND RESTORATION. PER REF D, MARINES AND SAILORS ENGAGED
IN COMBAT OR OTHER OPERATIONS WHO DISPLAY SYMPTOMS OF STRESS INJURY
SUFFICIENTLY SEVERE TO SIGNIFICANTLY INTERFERE WITH THEIR EFFECTIVE
MILITARY FUNCTIONING SHALL BE AFFORDED 24 TO 72 HOURS OF REST AND
RESTORATION WITHIN THEIR UNITS. PROCEDURES FOR REST AND RESTORATION
OF MARINES AND SAILORS WITH STRESS INJURIES ARE AVAILABLE ONLINE AT
WWW.MANPOWER.USMC.MIL/COSC. ALTHOUGH MOST MARINES AND SAILORS WHO
SUSTAIN ACUTE STRESS INJURIES IMPROVE ENOUGH WITH REST AND
RESTORATION TO RETURN TO FULL OPERATIONAL DUTIES, ALL REMAIN AT RISK
FOR STRESS DISORDERS AFTER RETURN FROM DEPLOYMENT. THEREFORE,
STRESS-INJURED MARINES AND SAILORS SHOULD BE MONITORED CLOSELY BY
THEIR COMMANDERS SO THAT THOSE WITH PERSISTENT OR RE-EMERGENT
SYMPTOMS CAN BE REFERRED FOR MENTAL HEALTH TREATMENT AS SOON AS
POSSIBLE.
(C) MENTAL HEALTH PROFESSIONALS IN THEATER. PSYCHIATRISTS,
PSYCHOLOGISTS, AND PSYCHIATRIC TECHNICIAN CORPSMEN ARE ASSIGNED IN
THEATER TO MARINE LOGISTICS GROUP MEDICAL/SURGICAL COMPANIES AND TO
OPERATIONAL STRESS CONTROL AND READINESS (OSCAR) TEAMS EMBEDDED IN
GROUND COMBAT UNITS. OSCAR TEAMS ALSO INCLUDE CHAPLAINS AND
SPECIALLY-TRAINED SNCO'S WHO HELP TEACH AND MENTOR PREVENTION AND
EARLY IDENTIFICATION OF STRESS INJURIES TO MARINES AND MARINE
LEADERS.
(D) LEADERS GUIDE FOR MANAGING MARINES IN DISTRESS. THIS IS A
WEB-BASED TOOL TO AID MARINE LEADERS IN MANAGING COMBAT/OPERATIONAL
STRESS AND OTHER RELATED HIGH-RISK PERSONNEL ISSUES. IT IS
AVAILABLE AT WWW.USMC-MCCS.ORG/LEADERSGUIDE. A CARGO POCKET VERSION
IS ALSO AVAILABLE FROM INSTALLATION MARINE AND FAMILY SERVICE
CENTERS.
(3) WARRIOR TRANSITION PHASE (IMMEDIATELY PRIOR TO RETURN FROM
THEATER)
(A) IN-THEATER OPERATIONAL PAUSE. IF OPERATIONALLY FEASIBLE, ALL
UNITS SHOULD BE AFFORDED A 3-5 DAY OPERATIONAL PAUSE (RELIEF IN
PLACE) IMMEDIATELY PRIOR TO DEPARTING THEATER, AS A "DECOMPRESSION"
PERIOD.
(B) PRE-RETURN STRESS BRIEF FOR LEADERS. THIS BRIEF IS DELIVERED
BY A MENTAL HEALTH PROFESSIONAL, MEDICAL OFFICER, UNIT CHAPLAIN, OR
OSCAR SNCO TO ALL OFFICERS AND NCO'S IN A UNIT WITHIN 30 DAYS PRIOR
TO ITS RETURN FROM DEPLOYMENT. ITS GOAL IS TO ASSIST UNIT LEADERS
IN IDENTIFYING COMMON PROBLEMS ASSOCIATED WITH RETURN FROM
DEPLOYMENT, TO DISCRIMINATE BETWEEN NORMAL READJUSTMENT PROBLEMS AND
POTENTIALLY MORE PERSISTENT STRESS INJURIES, AND TO PROVIDE TOOLS
FOR POST-DEPLOYMENT PREVENTION AND TREATMENT.
(C) WARRIOR TRANSITION (WT) AND RETURN AND REUNION (RR) BRIEFS FOR
MARINES. WITHIN 30 DAYS PRIOR TO RETURN FROM DEPLOYMENT, ALL
MARINES AND SAILORS MUST RECEIVE THESE TWO BRIEFS BY THE UNIT
CHAPLAIN OR MEDICAL OFFICER. THE GOALS OF WT AND RR BRIEFS ARE TO
FACILITATE THE TRANSITION BACK TO HOME AND GARRISON, TO PROVIDE
TOOLS FOR COPING WITH COMMON POST-DEPLOYMENT STRESS PROBLEMS, AND TO
PROVIDE RESOURCES FOR TREATMENT OF STRESS INJURY SYMPTOMS THAT DO
NOT RESOLVE OVER TIME. PSYCHOLOGICAL DEBRIEFING, SUCH AS "CRITICAL
INCIDENT STRESS DEBRIEFING" (CISD), WHICH REQUIRES MARINES TO
RECOUNT EXPERIENCES OF TRAUMA OR LOSS, SHOULD NOT BE INCLUDED IN THE
WT BRIEF.
(D) POST-DEPLOYMENT HEALTH ASSESSMENTS (PDHA'S, DD FORM 2796) MUST
BE COMPLETED FOR ALL MARINES AND SAILORS WITHIN 5 DAYS OF RETURN TO
HOME STATION, IN ACCORDANCE WITH REFS B AND C. PDHA SCREENINGS MUST
INCLUDE A FACE-TO-FACE INTERVIEW BY A MEDICAL PROVIDER. ALL
POSITIVE RESPONSES ON THE PDHA MUST BE ASSESSED AND, IF INDICATED,
GENERATE A REFERRAL FOR FURTHER EVALUATION AND TREATMENT EITHER IN
THEATER OR AFTER RETURN TO GARRISON.
(4) WARRIOR RESETTING PHASE (POST-DEPLOYMENT)
(A) IN-CONUS OPERATIONAL STAND-DOWN. AFTER RETURNING FROM AN
OPERATIONAL DEPLOYMENT, AND BEFORE GRANTING POST-DEPLOYMENT
LEAVE, ALL UNITS SHOULD BE AFFORDED A SECOND DECOMPRESSION PERIOD
CONSISTING OF FIVE ABBREVIATED WORK DAYS IN GARRISON. DURING THIS
POST-DEPLOYMENT STAND-DOWN, ALL NECESSARY POST-DEPLOYMENT MEDICAL
SCREENINGS SHOULD BE COMPLETED, AND BRIEFS SHOULD BE DELIVERED TO
MARINES AND THEIR SPOUSES ON HIGH RISK TOPICS, INCLUDING STANDARDS
OF CONDUCT, DRIVING SAFETY, ALCOHOL AND DRUG ABUSE PREVENTION,
SEXUAL ASSAULT PREVENTION, SUICIDE PREVENTION, STRESS AND ANGER
MANAGEMENT, AND FINANCIAL MANAGEMENT. THE POST-DEPLOYMENT
STAND-DOWN IS ALSO A CRUCIAL TIME FOR MARINE LEADERS TO LEAD THEIR
MARINES AND SAILORS THROUGH THE TRANSITION BACK TO HOME AND
GARRISON, TO PROMOTE HEALING FROM WOUNDS INCURRED DURING DEPLOYMENT,
AND TO ENSURE THAT ALL MARINES RECEIVE NEEDED CARE.
(B) POST-DEPLOYMENT STRESS BRIEF FOR LEADERS. THIS BRIEF IS
DELIVERED TO ALL OFFICERS AND NCO'S IN A UNIT BY A MENTAL HEALTH
PROFESSIONAL, MEDICAL OFFICER, CHAPLAIN, OR OSCAR SNCO
APPROXIMATELY 45-60 DAYS AFTER RETURNING FROM DEPLOYMENT.
TOPICS TO BE COVERED IN THIS BRIEF INCLUDE THE IDENTIFICATION
OF PERSISTENT OR DELAYED STRESS INJURY SYMPTOMS, RESOURCES
AVAILABLE FOR COUNSELING AND TREATMENT, OUTCOMES EXPECTED FROM
EFFECTIVE TREATMENT, AND STANDARDS FOR FUTURE DEPLOYABILITY OF
MARINES AND SAILORS RECEIVING MENTAL HEALTH TREATMENT.
(C) WARRIOR TRANSITION II (WT-II) BRIEF FOR MARINES. THIS BRIEF IS
DELIVERED BY THE UNIT CHAPLAIN OR MEDICAL OFFICER TO ALL MARINES AND
SAILORS BETWEEN 90 AND 180 DAYS POST-DEPLOYMENT, OPTIMALLY
IMMEDIATELY PRIOR TO THE POST-DEPLOYMENT HEALTH REASSESSMENT
(PDHRA). IT HAS THE GOALS OF EDUCATING MARINES AND SAILORS ABOUT
COPING WITH COMMON POST-DEPLOYMENT READJUSTMENT PROBLEMS, HOW TO
DISCRIMINATE BETWEEN NORMAL READJUSTMENT PROBLEMS AND STRESS
INJURY SYMPTOMS, AND HOW TO GET HELP IF IT IS NEEDED.
(D) A PDHRA (DD FORM 2900) MUST BE COMPLETED ELECTRONICALLY FOR EACH
MARINE AND SAILOR BETWEEN 90 AND 180 DAYS POST-DEPLOYMENT IN
ACCORDANCE WITH REF B.
ALL PDHRA SCREENS MUST BE ACCOMPANIED BY A FACE-TO-FACE REVIEW WITH
THE SERVICEMEMBER BY A MEDICAL PROVIDER AND, IF INDICATED, A REFERRAL
FOR FURTHER EVALUATION AND TREATMENT.
6.  ADDITIONAL REQUIREMENTS FOR RESERVE COMPONENT MARINES.
MARFORRES WILL DEVELOP AND IMPLEMENT A PLAN TO ENSURE THAT ALL
SELECTED MARINE CORPS RESERVE MARINES AND INDIVIDUAL READY
RESERVE (IRR) MARINES ARE CONTACTED AT LEAST ONCE PER MONTH
FOR THREE MONTHS AFTER RETURN FROM DEPLOYMENT, AND PERIODICALLY
FOR THE FOLLOWING NINE MONTHS.  THE INTENT OF SUCH CONTACT IS TO
IDENTIFY COMBAT STRESS PROBLEMS EARLY, TO ENSURE THAT DEACTIVATED
MARINES ARE SUCCESSFULLY REINTEGRATING WITH THEIR FAMILIES AND
COMMUNITIES, AND TO ENSURE THAT MARINES ARE MADE AWARE OF RESOURCES
AVAILABLE TO ASSIST THEM.  FOR IRR MARINES, CIVILIAN MENTAL
HEALTH COUNSELORS, CONTRACTED BY DOD, MAY BE USED TO MAKE
TELEPHONIC CONTACT AS REQUIRED.  COORDINATE THE USE OF THESE
COUNSELORS WITH MARINE AND FAMILY SERVICES BRANCH,
(MRR) 703-784-0275 OR DSN 278-0275.
7.  DEPLOYMENT CYCLE RESOURCES FOR FAMILIES: THE FAMILY DEPLOYMENT
SUPPORT PROGRAM
A.  ALL SPOUSES OF MARINES PREPARING TO DEPLOY MUST BE OFFERED A
"FAMILY READINESS DAY" DURING THE 60 DAYS PRIOR TO DEPLOYMENT.
THE FAMILY READINESS DAY CAN BE SCHEDULED AND ORGANIZED BY THE UNIT
FAMILY READINESS OFFICER, IN CONJUNCTION WITH MCCS (FAMILY TEAM
BUILDING).  THE GOALS OF THE FAMILY READINESS DAY ARE TO EDUCATE
SPOUSES ABOUT THE UPCOMING DEPLOYMENT, HOW THEY WILL BE ABLE TO
COMMUNICATE WITH THEIR ACTIVE DUTY SPOUSES AND THE UNIT, AND WHAT
RESOURCES ARE AVAILABLE TO HELP THEM.  FACE-TO-FACE CONTACT WITH THE
UNIT'S KEY VOLUNTEER NETWORK (KVN) DURING THE FAMILY READINESS DAY
IS OF PARAMOUNT IMPORTANCE TO MAKING THE KVN EFFECTIVE.
B.  FAMILY CRISIS SUPPORT SERVICES.  IF OPERATIONAL EVENTS DURING
DEPLOYMENT CREATE CRISES OF ANXIETY OR GRIEF IN FAMILY MEMBERS BACK
HOME, FAMILY CRISIS SUPPORT SERVICES SHOULD BE IMMEDIATELY REQUESTED
THROUGH THE FACILITY CHAPLAIN AND MCCS SERVICES.  IF DEMAND FOR
COUNSELING EXCEEDS CAPACITY ON BASE, ADDITIONAL MENTAL HEALTH
PROFESSIONALS CAN BE MADE AVAILABLE VIA MCCS THROUGH THE
DOD-CONTRACTED MANAGED HEALTH NETWORK.
C.  RETURN AND REUNION BRIEFS FOR SPOUSES.  WITHIN 30 DAYS PRIOR TO
THE RETURN OF UNIT MARINES AND SAILORS, SPOUSES AND FAMILY MEMBERS
SHALL BE OFFERED A RETURN AND REUNION BRIEF BY CHAPLAINS AND MCCS
PERSONNEL.  THE PURPOSE OF THIS BRIEF IS TO EDUCATE FAMILY MEMBERS
ABOUT THE STRESSORS ASSOCIATED WITH HOMECOMING AND REUNION, HOW TO
MANAGE THOSE STRESSORS, AND HOW AND WHERE TO GET HELP IF IT IS
NEEDED.
D.  DURING THE POST-DEPLOYMENT STAND-DOWN, ADDITIONAL STRESS
MANAGEMENT BRIEFS SHOULD BE OFFERED TO MARINES AND THEIR SPOUSES
CONJOINTLY, FOCUSING ON ISSUES OF READJUSTMENT, AVOIDING VIOLENCE
AND SUBSTANCE ABUSE, AND IDENTIFYING PROBLEMS THAT MIGHT REQUIRE
PROFESSIONAL HELP.
E.  LIFESTYLE INSIGHTS, NETWORKING, KNOWLEDGE, AND SKILLS
(L.I.N.K.S.) IS A BENEFICIAL SOURCE FOR BOTH NEW AND VETERAN
SPOUSES, PROVIDING THEM THE RESOURCES NECESSARY TO MASTER THEIR
OWN AND THEIR FAMILY'S STRESS.  L.I.N.K.S. BRIEFINGS FOR SPOUSES
PRIOR TO DEPLOYMENT CAN HELP BUILD THE SENSE OF COMMUNITY THAT
PROMOTES FAMILY MEMBER RESILIENCY AND SUPPORTS UNIT MISSION
ACCOMPLISHMENT.
8.  REPORTING REQUIREMENTS: UNIT COMMANDERS MUST ENSURE THAT THE
FOLLOWING SIX REQUIRED COSC BRIEFS AND DOD-MANDATED HEALTH
ASSESSMENTS ARE DOCUMENTED WHEN COMPLETED IN THE MARINE CORPS TOTAL
FORCE SYSTEM (MCTFS) DATABASE FOR ALL DEPLOYING MARINES:  (1)
WARRIOR PREPARATION BRIEF, (2) PRE-DHA, (3) WARRIOR TRANSITION
BRIEF, (4) PDHA, (5) WARRIOR TRANSITION II BRIEF, AND
(6) PDHRA.
9.  MENTAL HEALTH RESOURCES.  THE FOLLOWING RESOURCES ARE
AVAILABLE FOR MARINES, SAILORS, AND THEIR FAMILY MEMBERS TO
RECEIVE COUNSELING AND TREATMENT, AS AUTHORIZED:
A.  UNIT MEDICAL OFFICERS AND CORPSMEN
B.  UNIT AND BASE CHAPLAINS
C.  MARINE AND FAMILY SERVICES COUNSELORS
D.  MENTAL HEALTH PROFESSIONALS ON OSCAR TEAMS
E.  MENTAL HEALTH PROFESSIONALS AT NAVY MEDICAL TREATMENT
FACILITIES
F.  MILITARY ONESOURCE COUNSELORS (WWW.MILITARYONESOURCE.COM OR
1-800-342-9647)
G.  TRICARE (WWW.TRICARE.MIL)
H.  VETERANS AFFAIRS READJUSTMENT COUNSELING CENTERS (VET CENTERS),
AVAILABLE AT WWW.VA.GOV/RCS.  IN SOME CASES, VET CENTER COUNSELORS
CAN ALSO PROVIDE SERVICES TO FAMILY MEMBERS.//