IMPLEMENT MEASURES TO REDUCE STRESS TSP 081 T1059

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IMPLEMENT MEASURES TO REDUCE STRESS TSP 081 -T-1059 -1

IMPLEMENT MEASURES TO REDUCE STRESS TSP 081 -T-1059 -1

STRESS-RELATED CHART - 1 TSP 081 -T-1059 -2

STRESS-RELATED CHART - 1 TSP 081 -T-1059 -2

STRESS-RELATED CHART - 2 TSP 081 -T-1059 -3

STRESS-RELATED CHART - 2 TSP 081 -T-1059 -3

STRESS-RELATED BEHAVIORS • Positive combat stress behaviors. • Misconduct stress behaviors. • Combat and

STRESS-RELATED BEHAVIORS • Positive combat stress behaviors. • Misconduct stress behaviors. • Combat and operational stress reaction (COSR). • Post-traumatic stress disorder (PTSD). TSP 081 -T-1059 -4

POSITIVE STRESS BEHAVIORS TSP 081 -T-1059 -5

POSITIVE STRESS BEHAVIORS TSP 081 -T-1059 -5

MISCONDUCT STRESS BEHAVIORS TSP 081 -T-1059 -6

MISCONDUCT STRESS BEHAVIORS TSP 081 -T-1059 -6

COSR STRESS BEHAVIORS TSP 081 -T-1059 -7

COSR STRESS BEHAVIORS TSP 081 -T-1059 -7

PTSD STRESS BEHAVIORS TSP 081 -T-1059 -8

PTSD STRESS BEHAVIORS TSP 081 -T-1059 -8

COSR RISK FACTORS - 1 • Domestic worries. • Newly assigned to unit. •

COSR RISK FACTORS - 1 • Domestic worries. • Newly assigned to unit. • First time in combat, horrors. • Casualties. • Lack of mobility. • Surprise attacks. TSP 081 -T-1059 -9

COSR RISK FACTORS - 2 • Inability to strike back--indirect fire, improvised explosive devices

COSR RISK FACTORS - 2 • Inability to strike back--indirect fire, improvised explosive devices (IEDs). • Information vacuum. • Chemical, biological, radiological, and nuclear (CBRN) weapons threat. • Sleep loss. • Physical exhaustion. • Dehydration, hunger. TSP 081 -T-1059 -10

ACTIONS TO PREVENT/CONTROL COSR - 1 • Integrate, build unit cohesion and pride. •

ACTIONS TO PREVENT/CONTROL COSR - 1 • Integrate, build unit cohesion and pride. • Help Soldiers stabilize the home front. • Keep Soldiers physically fit. • Conduct tough, realistic training. • Cross train in key areas. • Enforce sleep discipline. TSP 081 -T-1059 -11

ACTIONS TO PREVENT/CONTROL COSR - 2 • Plan for personal hygiene. • Preserve Soldiers'

ACTIONS TO PREVENT/CONTROL COSR - 2 • Plan for personal hygiene. • Preserve Soldiers' welfare, safety, and health. • Reduce uncertainty. • Enforce individual health protection measures. • Utilize Battlemind to build resiliency. TSP 081 -T-1059 -12

ACTIONS TO MANAGE COSR - 1 If: • Soldier’s behavior endangers the mission himself,

ACTIONS TO MANAGE COSR - 1 If: • Soldier’s behavior endangers the mission himself, or others, take appropriate measures to control him. • Soldier is upset, let him talk about what is upsetting him, listen, and then try to reassure him. TSP 081 -T-1059 -13

ACTIONS TO MANAGE COSR - 2 If: • Soldier’s reliability becomes questionable— Unload the

ACTIONS TO MANAGE COSR - 2 If: • Soldier’s reliability becomes questionable— Unload the weapon. Remove the weapon only if endanger mission, himself, or others. Restrain only when safety is a concern/during transport. Reassure unit members: Probably a normal COSR reaction Will improve quickly TSP 081 -T-1059 -14

ACTIONS TO MANAGE COSR - 3 If: • COSR signs continue— Get the Soldier

ACTIONS TO MANAGE COSR - 3 If: • COSR signs continue— Get the Soldier to a safer place. Do not leave the Soldier alone. Notify the senior NCO or officer. Have the Soldier examined by medical personnel. TSP 081 -T-1059 -15

ACTIONS TO MANAGE COSR - 4 If: • Tactical situation permits, give the Soldier

ACTIONS TO MANAGE COSR - 4 If: • Tactical situation permits, give the Soldier simple tasks to do when not sleeping, eating, or resting. • Assure the Soldier that they will return to full duty ASAP. TSP 081 -T-1059 -16