Marine Corps Combat Operational Stress Control (COSC) Program
This MARADMIN establishes the Marine Corps Combat Operational Stress Control (COSC) Program, which provides comprehensive stress management resources for active and reserve Marines, Sailors, and their families throughout the deployment cycle. The program includes mandatory educational briefs, health assessments, and leadership tools designed to prevent, identify, and treat combat and operational stress injuries before, during, and after deployments of 90 days or more.
Issued: February 16, 2007
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.