Translating Occupational Therapy’s Current Role Within U.S. Army Combat and Operational Stress Control Operations

Baumann, Matthew L.; Brown, Alison N.; Quick, Charles; Breuer, Stanley T.; Smith-Forbes, Enrique V.

doi:10.1080/0164212x.2018.1425952

Cited by 3 publications

(12 citation statements)

References 5 publications

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“…All eight COSC service description articles focus on interventions which aim to return the person to duty. These interventions involve maintaining a soldier identity, military routines, and activities with engagement in military occupations, including drill and ceremonial activities, uniform and equipment maintenance, and weapons drills (Baumann, Brown, Quick, Breuer, & Smith‐Forbes, 2018; Ellsworth et al., 1993; Gerardi, 1996, 1999; Gerardi & Newton, 2004; Judkins & Bradley, 2017; Smith‐Forbes et al., 2014, 2016). The three main interventions identified were physical training, sleep hygiene and problem solving.…”

Section: Resultsmentioning

confidence: 99%

“…Physical training is a traditional military routine and includes compulsory morning physical training sessions. It was reported by six of the service descriptions and supports “soldier” identity and prevents the adoption of a “sick” role (Baumann et al., 2018; Ellsworth et al., 1993; Gerardi, 1996; Gerardi & Newton, 2004; Judkins & Bradley, 2017; Smith‐Forbes et al., 2014). Sleep hygiene interventions focus on the creation of a safe sleep environment for combat and operational stress reactions, aiming to reduce the impact of anxiety, depressive mood, and fatigue (Ellsworth et al., 1993; Judkins & Bradley, 2017; Smith‐Forbes et al., 2014).…”

Section: Resultsmentioning

confidence: 99%

“…Sleep hygiene interventions focus on the creation of a safe sleep environment for combat and operational stress reactions, aiming to reduce the impact of anxiety, depressive mood, and fatigue (Ellsworth et al., 1993; Judkins & Bradley, 2017; Smith‐Forbes et al., 2014). Problem‐solving strategies, stress management, life skill classes, and resiliency training were interventions for military personnel (Baumann et al., 2018; Ellsworth et al., 1993; Gerardi, 1999; Gerardi & Newton, 2004; Judkins & Bradley, 2017; Smith‐Forbes et al., 2014, 2016). The review located no service descriptions for military veterans, or service descriptions that reported on both military personnel and veterans.…”

Section: Resultsmentioning

confidence: 99%

“…The literature addressing programmes for military personnel with combat and operational stress reactions describes the importance of structured therapeutic environments and occupations. These are seen as key ingredients to supporting positive self‐identity as a soldier, increasing perceived self‐efficacy and promoting a return to duty (Baumann et al., 2018; Gerardi, 1999; Gindi et al., 2016; Gregg et al., 2015). Investigators assert that early intervention by occupational therapists supports the rapid return to duty of military personnel who have developed occupational performance issues following exposure to traumatic events.…”

Section: Discussionmentioning

confidence: 99%

“…The potential role for occupational therapists to enable reorientation of identity from military personnel to military veteran, and the reintegration to civilian life is highlighted by the importance of sustaining a “warrior” identity immediately following stress reaction (Baumann et al., 2018; Gerardi & Newton, 2004; Judkins & Bradley, 2017; Smith‐Forbes et al., 2014). Although no article defined “warrior”, warrior resiliency was employed within articles to describe a strengths‐based approach that draws upon previous skills learned and attitudes acquired from military service.…”

Section: Discussionmentioning

confidence: 99%

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Occupational therapy for military personnel and military veterans experiencing post‐traumatic stress disorder: A scoping review

Kerr

Ashby

Gerardi

et al. 2020

Aus Occup Therapy J

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Introduction: As the rate of post-traumatic stress disorder (PTSD) among military personnel and military veterans continues to rise, occupational therapists are increasingly concerned with the impact of this disorder on health, occupational performance, and quality of life. However, the literature on occupational therapy for military personnel and military veterans with PTSD has not been summarised. Method: The objective was to identify what is known from the published, peerreviewed literature, about the services provided by occupational therapists to military personnel and military veterans experiencing PTSD. Arksey and O'Malley's five steps for scoping reviews were utilised. A search of three databases identified 27 articles. Results: Of the 27 papers reviewed, 13 papers discussed military personnel, 13 for military veterans, and 1 reported on both populations. Of these 27, 9 research papers provided data to support the efficacy of interventions, whereas 2 papers reported occupational performance issues. Eight opinion and eight service description papers were included. The most commonly mentioned interventions across the reviewed papers were stress and anger, or coping skills (n = 11), returning to duty (n = 9), physical training (n = 7), and sleep hygiene (n = 6). Conclusion: Occupational therapists provide services to military personnel who are vulnerable to PTSD from combat and operational stress. Rarely did publications address intervention efficacy for military personnel. Additionally, there is a paucity of literature that addresses occupational therapy interventions following transition from military service for veterans with PTSD specific to facilitating reintegration to civilian life. Despite this, occupational therapists are well suited to enable military veterans to build upon their existing strengths, skills, and professional identities to minimise the impact of PTSD on daily life and to reach their full potential.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Occupational therapy for military personnel and military veterans experiencing post‐traumatic stress disorder: A scoping review

Kerr

Ashby

Gerardi

et al. 2020

Aus Occup Therapy J

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Combat and Operational Stress Control: Application in a Burn Center

Cancio,

Cancio

2023

EBJ

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Occupational therapy has been integral to the holistic recovery of soldiers since its origin. The positive psychosocial and physiological effects of occupation-based interventions, fundamental to the profession, have long justified its relevance to the military. As such, occupational therapy has been written into US Army doctrine as an integral component of the Combat and Operational Stress Control (COSC) program. The focus of a COSC unit is to prevent, identify, reduce, and manage combat and operational stress reactions resulting from physical and mental stressors in a combat environment. COSC centers around the recognition and resolution of functional problems and the development of enhanced coping skills. Recognizing that burn patients are, like combatants, also at high risk of stress-related illness, we applied COSC concepts to peacetime burn care. In this paper we describe the theoretical basis for COSC in a burn center. The COSC model supports holistic, functional recovery of the burn casualty and can augment psychosocial recovery, particularly in times of limited resources.

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A Manualized Occupational Therapy Mindfulness Module for Clients with PTSD

Ramirez

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Posttraumatic stress disorder (PTSD) adversely impacts an individual’s functioning across areas of daily occupation. There is a paucity of literature addressing occupational therapy (OT) for people with PTSD. The literature has advocated for the development of a manualized OT intervention with the inclusion of mindfulness as one of its components. To date, a mindfulness-based OT treatment guide or manualized program specifically for clients with PTSD has not yet been developed. The aim of this paper is to bridge a gap in the literature and to develop a resource for occupational therapists to employ mindfulness as a clinical intervention with clients impacted by PTSD. This paper presents a manualized mindfulness-based OT intervention for clients with PTSD.

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Translating Occupational Therapy’s Current Role Within U.S. Army Combat and Operational Stress Control Operations

Cited by 3 publications

References 5 publications

Occupational therapy for military personnel and military veterans experiencing post‐traumatic stress disorder: A scoping review

Occupational therapy for military personnel and military veterans experiencing post‐traumatic stress disorder: A scoping review

Combat and Operational Stress Control: Application in a Burn Center

A Manualized Occupational Therapy Mindfulness Module for Clients with PTSD

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