COS (Combat Operational Stress) - Answers Expected, predictable emotional, intellectual, physical or
behavioral reactions of SM who have been exposed to stressful events in war. Combat stress reactions
vary in severity as a function of operational conditions, such as intensity, duration, rules of engagement,
leadership, effective communication, unit morale, unit cohesion, and perceived importance.
COSR (Combat Operational Stress Reaction) - Answers Physical, emotional, cognitive, or behavioral
reactions, adverse consequences or psychological injuries of S who have been exposed to stressful or
traumatic events in combat.
COSC (Combat Operational Stress Control) - Answers Programs/actions by military leadership to prevent,
id, and manage adverse COSR units. Optimizes mission performance, conserves the fighting strength and
prevents adverse effects of COSR on SM and their physical psychological intellectual and social health.
Its goal is to return SM to duty quickly.
COSC Consultant: - Answers a mental health pro with training and expertise in COSC mgmt./consults
with the Combatant Command Surgeon, Combatant Commander and Unit Commanders about combat
stress such as unit cohesion, unit morale, resilience, leadership effective communication and perceived
mission importance. Completion of grade appropriate professional Military Service or Joint Staff
education is recommended prior to appointment as COSC consultant.
COSC Personnel: - Answers Active and Reserve behavioral personnel including enlisted specialists and
admin support personnel who are trained in COSC principles, including combat and op stress first aid
and application of principles to enhance combat effectiveness. Senior experienced COSC personnel serve
as ADVISORS to line commanders on leadership, communication, unit cohesion, morale, and training
factors that prevent or minimize COSRs.
CSF (Combat Stress Facility): - Answers Provide treatment for those military members id'd as having mild
to moderate combat stress. Treatment will be focused on promoting combat readiness by enhancing the
adaptive stress response of military members and preventing maladaptive stress reactions. Treatment
for home front stressors.
COSI (Combat Operational Stress Injuries): - Answers Wounds to the mind or brain caused by intense or
prolonged stress (FOUR TYPES)
1. TRAUMA
2. FATIGUE
3. GRIEF
4. MORAL INJURY
COSFA (Combat Operational Stress First Aid) - Answers Set of tools with 3 AIMS:
, 1. Preserve LIFE
2. Prevent further HARM
3. Promote RECOVERY
Potentially Traumatic Event: - Answers event that causes individuals or groups to experience intense
feelings of terror, horror, helplessness, hopelessness. Perceived and experienced as a threat to ones
safety or to the stability of ones world.
What are the SEVEN Risk Factors (causes) of COS: - Answers 1. WMD
2. Imminent danger
3. Exposure to be killed/wounded
4. Potential involvement in conflict
5. 360 degree battlefield
6. Asymmetrical Warfare(unknown enemy)
7. Fear of unknown
What are the SIX Mission Effects of COS: - Answers 1. conflict in the unit or home front
2. Focused stress is vital to mission accomplishment. Intense or prolonged COSR that impairs ability to
function effectively.
3. Stressors that cause misconduct that require discipline
4. Stress that cause Battle/Non-battle injuries and fatalities through inattention, clumsiness and reckless
behavior
5. Stress that causes increase in disease by disrupting hygiene, immune defenses
6. maladaptive overlapping stress behaviors
What are 6 emotional symptoms of stress: - Answers 1 Fear / Anxiety
2 Irritability
3 Anger/rage
4 Grief
5 Self-doubt
6 Guilt