title: Evolution of the combat and operational stress control detachment.
abstract: Medical units designed to provide combat and operational stress control services have evolved since World War II into the current Combat and Operational Stress Control (COSC) detachments. Yet the structure of these COSC detachments differ greatly between what is authorized in the table of organization and equipment (TO&E) and what is doctrinally described in the current field manual guiding combat and operational stress control operations. We therefore explore the evolution of the COSC detachment, compare the organizations found in current doctrine with that currently authorized on the TO&E, and conclude with a proposed structure of a modern COSC detachment that is functionally modular with more clear chains of command.
authors.affiliation: 212th Medical Detachment, Fort Campbell, Kentucky.
authors.forename: Jason I
authors.initials: JI
authors.lastname: Dailey
authors.forename: Victoria L
authors.initials: VL
authors.lastname: Ijames
mesh_terms: D003130:Combat Disorders / Q000517:prevention & control*; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D008605:Mental Health Services / Q000266:history* / Q000458:organization & administration; D008887:Military Medicine / Q000266:history* / Q000458:organization & administration; D008889:Military Personnel / Q000523:psychology*; D014481:United States; D014857:Warfare