Showing posts with label training. Show all posts
Showing posts with label training. Show all posts

Tuesday, April 13, 2010

Basic Training for the Mind: Ft. Jackson's New Mental Health School

One of the newest courses at Fort Jackson, the Army's biggest basic training and combat instruction outpost, is something called Master Resilience Training. The genesis for the course has been the rise of suicide in the military.

Yesterday, Army Chief of Staff Gen. George Casey, a vocal proponent of warrior resilience training, toured the South Carolina base and spoke about the novel 10-day program.

Joseph Kasko, New Channel 7-ABC:

Casey toured a new school where sergeants and young officers learn positive approaches toward mental health to reduce suicide and post-traumatic stress.

“It was clear to me after my time in Iraq that we’re going to be at this for a while,” said Casey.

The human mind and body wasn’t made to deal with repeated combat deployments, one after the other. So we had to give every soldier the opportunity to and the skills to deal with those challenges,” he said. ...

Casey said the Army currently has 1,000 master resilience trainers and he hopes to [have] one in every battalion by the end of the year. He said, however, there is still resistance to mental health training in the military.

“We’ve been working very hard since 2007 to drive down the stigma for getting treatment for post-traumatic stress or mild-traumatic brain injury,” said Casey.

“My expectations for this, is that it is gradually embraced by the Army and becomes part of our culture.” ...

Casey said the Army has budgeted $125 million for the program over the next five years, which he called an “investment” in their soldiers. He said the Army has been working on the program for two years, after militarizing a similar program developed at the University of Pennsylvania.

Lots more background and details below the fold.


Tuesday, March 17, 2009

Senate Hearing on Military Suicides Slated for Wednesday, March 18, as Army Continues to Attack Problem

Over the course of the past years, with a notable uptick in tempo over the past few months, we've been witnessing a distressing rise in military suicides. We outside observers haven't been alone in taking note. The military has as well.

The Army, for instance, has been undergoing a month long "stand down" meant to put renewed focus on suicide prevention. They now enter the "chain teaching" phase, which will run through July 15. (In 2007, a 90-day PTSD/TBI education chain teaching program was initiated.) In addition, last week Army Vice Chief of Staff Peter Chiarelli held a blogger's roundtable [audio-mp3], "assuring those on the line that the Army understands the severity of the problem, and is doing everything it can to prevent even a single suicide from happening."

"The culture of the Army is that of a team," said Chiarelli. "And anytime one of our own feels so lost that he or she sees no other option than to take their own life, then we've failed as an organization." And so, the real work begins.

The Army is also introducing a new fitness program, set to launch in May, that will combine physical and mental strength and resiliency training. Army Chief of Staff Gen. George W. Casey Jr. said it is "designed to move mental fitness up to the level we give to physical fitness" and will "give more soldiers coping skills so they can deal with the difficult challenges of combat and come back stronger."

It's good to see the Army (and other military branches) responding as they are. While a small element, kudos to their using blogger's roundtables to engage more intimately and directly with us. [I was invited to take part in one last summer, but was unavailable; I mention it, though, because it does show that they are trying to reach out to more of us in ways that they never had before.]

Many, many Americans care about this issue, and wish to ensure that our military families have the resources they need when they serve, and when they return home, too.


Wednesday, July 18, 2007

Army Begins 90-Day Push to Educate 1 Million Soldiers on PTSD/TBI

From Army Public Affairs:

The Army today launched a "chain teaching" program as part of an aggressive campaign to educate more than 1 million Active, Reserve and National Guard Soldiers worldwide within the next 90 days about Post Traumatic Stress Disorder and Traumatic Brain Injuries.

"Chain teaching" is a technique where leaders train their immediate subordinate leaders in small groups, who then in turn train those whom they lead, who in turn train the next level of leadership and so on, further down the line, until all Soldiers have received the required training. Key elements of this technique are the mastery of the information by leadership at all levels because they must teach the subject, plus the significance of the issue is made prominent by the teaching coming directly from unit's own leadership.

Visit the army's download page for training videos/materials.

Click on 'Article Link' below tags for more...

[UPDATE Aug 13, 2007]: From www.Army.mil - Jini Ryan explores the Army's current focus on the after effects of combat stress.



Continuing:

All Soldiers in combat suffer stress, but most recover quickly. Those whose symptoms persist may have Post Traumatic Stress Disorder. PTSD is a condition that often follows a terrifying physical or emotional event, causing the person who survived the event to have persistent, frightening thoughts and memories, or flashbacks, of the ordeal. People with PTSD often feel chronically, emotionally numb.

Mild TBI is a physical injury to the head due to any circumstance. The enemy's weapons of choice include improvised explosive devices, mines and other explosives and their cumulative blast effects may cause behavioral health symptoms such as sleep problems, memory problems, confusion and irritability. Many Soldiers experiencing these temporary symptoms may not know why they have them.

As Soldiers continue to deploy on multiple combat tours, brain injuries and combat-induced psychological stress are the primary health care concerns for Army leadership. The recognition, diagnosis, treatment and prevention of PTSD and TBI are essential steps needed to care for Soldiers and their Families.

This chain teach program also will help erase the perceived stigma that discourages soldiers from seeking treatment for mental and behavioral health concerns. "Combat is inherently brutal and difficult, and it impacts humans in different ways," said Gen. George Casey Jr., chief of staff of the Army. "We have made significant improvements in the identification and treatment of PTSD and mild TBI, but we must aggressively work research, prevention and treatment of these injuries and, most importantly, encourage Soldiers and their Families to seek treatment."

This aggressive chain teaching program will augment behavioral health assessment tools and measures already in place, and emphasize the Army's commitment to providing the best health care possible. Senior Army leaders also hope to diminish the stigma attached to mental health treatment and counseling.

"We have more than 144,000 Soldiers in combat today," said Secretary of the Army Pete Geren. "And more than 750,000 have deployed to and from the combat zones in Central Command. Our Nation and our Army owe these Soldiers and their Families nothing less than our total support. The Army is committed to ensuring all returning Soldiers receive the behavioral health care they need and deserve. True to our ethos, we will never leave a fallen comrade."

Information regarding the chain teaching program and other behavioral health programs is located at http://www.behavioralhealth.army.mil. The Army Medical Department's site provides resources and mental well-being information for Soldiers and their family members.

Media seeking more information on the chain teaching program should contact Army Public Affairs (703) 697-2564.

[UPDATE Aug 13, 2007]: From www.Army.mil - Medical Editor Col. Paul Little, M.D., explains what PTSD is, who suffers from it and how to spot warning signs for those who may require some help.


Saturday, June 23, 2007

Armywide TBI/PTSD Education Programs Begin Next Month

From Army Times:

An Armywide education program on post-traumatic stress disorder and traumatic brain injury will be pushed out next month to every leader and soldier in an effort to remove the stigma associated with asking for help with the stress of war. “We’re all worried about it. We’ve got to get rid of the stigma and that’s what this education program is supposed to do,” Army Vice Chief of Staff Gen. Richard Cody said Friday in a press briefing on progress in improving care for soldiers returning from the war zones.

The surveys of soldiers conducted in the war zone and on redeployment “are not as good as chain teaching,” he said, referring to educating all troops through leaders at every level. “I don’t want percentages, I want to know names and I want to take care of these people. We’re going to chain teach this in the entire Army,” Cody said.

An educational video and a comprehensive program of instruction will be released and put in the hands of troops Armywide, including in theater, he said, and “within 30 to 45 days every soldier will be briefed on how to recognize the symptoms.”


Sunday, May 27, 2007

One Soldier's Story of Leadership and PTSD

The Seattle Times today offers an in-depth look at one soldier's story of commitment, leadership and PTSD:

By the end of his tour in Iraq, Command Sgt. Maj. Thomas Adams was crushed by memories. Too many memorial services for dead soldiers. Too many visits to the wounded in the hospital wards. Too many innocents -- men, women and children -- blown up by insurgent bombs or killed inadvertently by his Fort Lewis brigade.

Adams, the highest-ranking enlisted soldier in his brigade, started taking tranquilizers to help him sleep. In an unusual step, he shared his struggles with the homeward-bound troops.

At a dusty desert base in Kuwait, Adams went from unit to unit, telling his fellow soldiers that he was not OK and would seek counseling when he returned. He urged others to do the same. ... Since his return, Adams has shown a different kind of fortitude, emerging as a powerful advocate challenging the Army to better confront the mental wounds of war. His efforts helped expand mental-health counseling at Fort Lewis for returning soldiers -- and improve training for Iraq-bound soldiers on the emotional hardships of combat.

Click on 'Article Link' below tags for more...

Article quoted from extensively for educational purposes.

Continuing:

"I had all generals from all walks of life come down and tell us how good we are and sprinkle holy water on us," said Adams, referring to his pre-Iraq training. "But not one professional came and talked to us about what it's going to be like when we lose somebody for real." ...

A Defense Department task force, in recent draft findings, cited the mental-health threats to soldiers as "one of the most pervasive and potentially disabling" costs of war. The task force noted that 38 percent of soldiers report psychological concerns upon their return from deployment, and concluded the Army has insufficient staff and funds to adequately care for those soldiers.
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It's a challenge that was largely unforeseen by Pentagon leaders. Before 9/11, then-Defense Secretary Donald Rumsfeld embraced a vision of push-button warfare, which emphasized long-range bombers, missile-defense systems and other high-tech equipment rather than a reliance on ground troops. [I write about what is termed the 'Revolution in Military Affairs,' or RMA, in the downloadable excerpt of Moving a Nation to Care: Post-Traumatic Stress Disorder and America's Returning Troops.]

The war in Iraq brought a different reality. The Army has been caught up in grueling urban combat that grinds on for months, and troop strength depends on the ability to maintain the emotional fitness of soldiers funneled back into repeat combat tours.

The piece goes on to explain that Adams returned home with PTSD and mild brain trauma (TBI). He suffered from blurred vision, forgetfulness, and deep depression after watching news reports. Often, he'd wished he'd died on the battlefield with his soldiers.

During a yearlong tour in Mosul, Iraq, Adams' Stryker brigade was subject to 1,387 attacks by roadside bombs, 84 assaults by vehicles packed with explosives, and daily threats from mortars, small-arms fire and rocket-propelled grenades.

The brigade lost 45 soldiers; 632 were wounded. By Adams' count, the brigade killed 550 insurgents. "What I'm telling you is that there's absolute carnage out there," Adams said. "We have to be ready for the trauma of today's battlefield."

Adams left for Mosul, Iraq, in 2004 with the 1st Brigade 25th Infantry Division Stryker Brigade. He served as command sergeant major, "the key liaison between enlisted soldiers and the commander." He fought for the best equipment and care for every single one of them -- and he didn't insulate himself from the fight or from the emotional needs of his troops.

"He was in the fight every day -- an absolute lead-from-the-front kind of guy," said Sgt. 1st Class Creed McCaslin, an expert marksman who helped protect Adams. For Adams, the hardest tasks came after the battles.

Three soldiers died in his arms after a December 2004 mess-hall bombing. In an almost daily ritual, he would visit the newly wounded at the Army hospital in Mosul. Some had lost an eye; others suffered severe burns or had legs and arms mangled by explosions. Adams would award a brass brigade coin stamped with the Stryker vehicles, while Col. Robert Brown, the company commander, handed out Purple Hearts to soldiers.

Back at the trailers, Adams counseled soldiers as they grieved over a lost buddy or agonized over a civilian death. During the course of the year, Adams tallied 186 men, women and children who fell victim to what he termed "the bad shoots," when civilian vehicles approached too close to a traffic checkpoint or families got trapped inside an insurgent position under assault from American troops. "You just can't imagine what that does to a soldier," Adams said. "What do you say to a guy that just blew away a woman and a kid because the enemy hid in that room with them and they all had to die? ... I wasn't prepared and I wish I was."

Adams shared his concerns with Lt. Gen. James Dubik, who as Fort Lewis commander made several trips to Mosul. Adams talked about the shortcomings in training and the monumental readjustments the soldiers would face upon their return.

Proving that committed, responsive leadership can move military culture stereotypes and stigma better than any legislation or decree can, Adams rolled up his sleeves once more when he and his brigade returned home in 2005:

By then, Dubik had worked with Madigan Army Medical Center to develop a screening program for brigade soldiers that included computerized surveys and at least one visit scheduled with a mental-health therapist between 90 and 180 days after their return.

Adams encouraged the soldiers to consider another option. They could call a military hotline to set up off-post counseling. Away from Fort Lewis, he believed, soldiers would talk more freely with less fear that their problems would filter back to their unit and hurt their career advancement.Then he made it easier to go. Soldiers would no longer have to clear the visits with squad leaders, platoon sergeants, platoon leaders and officers. He told soldiers in his brigade that they needed to confide only in an immediate superior, who would keep their confidentiality.

Adams also sought to change combat training. Soldiers already studied "in gum-bleeding detail" how and when to kill. Adams insisted they needed to know how they might feel after the act. "At a minimum, it should be a mandatory thing that we have to do. To discuss the real-world feeling, the emotions that you will go through -- unless you are some sort of psychopath -- when you kill another human being," Adams said.

Based on the ideas of Adams and others who had served in Afghanistan, Dubik said, Fort Lewis began "psychological preparation" for all soldiers headed into combat zones. Dubik also credits Adams with helping launch a senior leaders program, which brings together officers and top enlisted soldiers, as well as their spouses, to talk about the stresses of command.

But, of course, none of this arrived in time to help Adams himself.

Please read the entire piece to learn of Adams difficulties with reintegration following his time in Mosul. In a postscript, it was reported the Adams is now serving in Afghanistan, surely leading his troops once again as skillfully and compassionately as during his tour in Iraq. The man deserves our thanks for a job well done -- on the battlefield and on the home front as well.

Talk about the power of one. Adams embodies it in every way. Stay safe, be well, come home soon. We need you (and more like you) more than you might even know.


Monday, February 19, 2007

PTSD Training Arrives in the Pacific Theater

From Stars & Stripes:

YOKOSUKA NAVAL BASE, Japan — Training in a new therapy touted to cut recovery time for U.S. troops suffering from post-traumatic stress disorder will be brought to the Pacific for the first time next month.

The therapy — Eye Movement Desensitization and Reprocessing — allows troops to tackle trauma in brief sequential doses while moving their eyes back and forth. Positive imagery is introduced and reinforced during the eye movement, and eventually replaces the trauma in eight sessions, according to the EMDR Web site. ... “EMDR tends to be fast-acting and does not require [the] client to disclose the details of the painful event,” Smith said. “EMDR is cited for its potential rapidity, efficiency, and well-tolerated treatment effects.”

It is one of four therapies recommended in the 2004 Veterans Affairs/Department of Defense Clinical Practice Guidelines for Management of Traumatic Stress report. However, many mental health professionals have not been trained in EMDR nor in the top three other methods (cognitive therapy, exposure therapy and stress inoculation), said Cmdr. Mark Russell, a psychologist at Marine Corps Air Station Iwakuni. “Out of 133 mental health providers I surveyed, 90 percent of them had no training in the top four treatments the DOD recommends for PTSD,” Russell said in September in a speech given to the Multinational Medical Conference in Yokosuka.


Friday, February 09, 2007

Early Reaction to President's 2008 VA Budget

Early reaction to President Bush's $87 billion fiscal 2008 Department of Veterans Affairs budget, which arrived earlier this week, is a mixed bag. While money provided for hospital construction projects and mental healthcare get two thumbs up, other items do not.

Paul Morin, national commander of the American Legion, said the administration’s proposal to almost double prescription drug co-payments and then charge enrollment fees of up to $750 for priority category 7 and 8 veterans “is an insult to veterans turning to VA for promised care.”

“The president’s co-payment and enrollment fee proposals are deliberately designed to force thousands of veterans out of the VA health care system,” said Bradley Barton, national commander of Disabled American Veterans. “Because of chronic funding shortfalls, many veterans wait longer for medical appointments, and VA hospitals are prevented from hiring additional nurses and other health care professionals to meet the growing demand for services and are forced to ration care.”

The Veterans of Foreign Wars (VFW) agrees.

Click on 'Article Link' below tags for more...

Other VFW concerns:

Veterans' advocates say the Bush administration's proposed 2008 Veterans' Affairs budget is underfunded because they believe it underestimates the projected number of veterans who will likely enter the VA health-care system next year. ...

Veterans for America claimed Thursday that the VA's estimate to have treated 263,000 veterans by the end of 2008 should be much higher. Steve Robinson, director of government relations for Veterans for America, said the VA health-care system, the Veterans Health Administration (VHA) should expect to have treated at least 300,000 returning Iraq and Afghanistan veterans by the end of that year.

Robinson said the VA had failed to account for, among several factors, the expected deployment of 21,000 additional troops to Iraq and the surging number of returning soldiers suffering from post-traumatic stress disorder.

Meanwhile, the Democrats have chimed in with the following:

Specifically, the President's budget would:

* Nearly double the prescription drug co-payment for approximately two million middle-income veterans who suffer from non-service-related disabilities (Priority 7 and 8 veterans), which would increase the cost of prescriptions for these veterans from $8 to $15 per month.

* Impose a new enrollment fee on Priority 7 and 8 veterans, on a graduated scale of $250-$750 per year, based on veterans' family income level. While the Bush administration claims the enrollment fee and co-payment increase would apply only to middle and upper-income veterans, the reality is that they would apply to Priority 7 and 8 veterans whose annual income is as low as $27,790. Further, for the first time, this year's proposal would use family income -- rather than individual income -- as the basis for calculating these fees. As a result of the enrollment fee and co-payment increase, the VA estimates that nearly 110,000 veterans would be driven away from the VA system.

* Provide minimal funds for enhancements in specialized VA health care programs, including mental health/substance abuse treatment, rehabilitative care for critically wounded service members, and readjustment counseling.

* Redirect revenues -- an estimated $492 million -- generated from increased prescription drug co-pay and enrollment fees to the U.S. Treasury, rather than reinvest in VA services, as proposed in past years. This transfer of funds appears to be an effort to help balance the overall budget.

* Underestimate the needs of veterans from Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF). While the president's request of $752 million to provide health care services for returning Iraq and Afghanistan war veterans represents an increase over current spending levels for these veterans, it is projected that this allocation will fall significantly short of real demand. The Senate Veterans' Affairs Committee Majority staff estimates that VA projections that anticipate it will service only an additional 54,000 OIF/OEF veterans during Fiscal Year 2008 could be 50,000 patients short of actual demand. (Veterans' Affairs Committee Staff, 2/05/07)

* Reduce the VA research budget by $2.7 million, to provide a total funding level of $411 million for medical and prosthetic research. The VA research program provides important contributions to the larger medical community and is one of the department's key recruitment and retention tools.

* Fall short of estimates provided by veterans' service organizations in their Fiscal Year 2008 Independent Budget.

* Continue a ban on new "middle-income" veterans enrolling for care. Since the ban was enacted in Fiscal Year 2003, as many as one million veterans have been turned away from VA hospitals and clinics. (Veterans Health Administration, Office of the Assistant Deputy Under Secretary for Health).

* Charge co-payments to veterans who already pay co-payments through third-party insurers, which would in effect force these veterans to pay twice for the same coverage. The Bush budget fails to provide a plan or sufficient resources for the VA to overcome its caseload backlog and mitigate the effects of anticipated baby boom retirees from the federal service. The president's budget would:

* Fail to provide sufficient funds for staffing and training in the Veterans Benefits Administration to address a claims backlog that is quickly approaching one million. (Veterans of Foreign Wars press release, February 5, 2007)

* Potentially underestimate the number of claims that will be filed in Fiscal Year 2008, due to the rising numbers of service members returning from Iraq and Afghanistan, and the pending outcome of the Haas case (concerning Agent Orange claims from Navy personnel in Viet Nam). VA has stated that if that case is not overturned, there will likely be 200,000 new claims filed.

* Fail to provide sufficient funding for the recruiting, hiring, and training of VA staff to replace baby-boomer generation retirees from the federal service over the next five years, which will impact the efficiency and quality of claims decisions. The Bush budget fails to provide adequate resources to train those who work with veterans to secure employment, or to help veterans to become employed. The president's budget for the Department of Labor would:

* Freeze funding for the National Veterans' Training Institute, which provides specialized training and professional skills development to federal and state veterans' service providers' staff.

* Virtually flatline the Homeless Veterans' Reintegration Program, which provides grants to operate employment programs to reach out to homeless veterans and help them become employed.

* Decrease funding for the Veterans Workforce Investment Program, which provides competitive grants for training programs and employment opportunities for veterans in high-skill occupations.

Fail, freeze, flatline, decrease. Not the kind of words that bring much comfort. Hopefully, the budget can be improved as it makes its way through Congress.


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Monday, April 24, 2006

Today's Combat Roles Not Only for Army and Marines

With the military stretched thinner than it's perhaps ever been, service members from all branches are increasingly faced with taking on new roles these days. Combat duty is no longer the sole job of the soldier or the Marine; and so, traditional battlefield fighters may no longer be the only ones asked to bear war's psychological burdens. Let's take a look at how the Air Force and Navy are affected by this broadening of combat roles and responsibilities in their ranks.

Click on 'Article Link' below tags for more...

First, let's take a look at the changes taking place in the Air Force via this article in today's Houston Chronicle:

When a group of U.S. Air Force commanders visited Iraq two years ago, they made some disturbing observations as they watched enlisted airmen working in the war zone. Many lacked basic combat skills and instincts. Some didn't know how to handle and load their weapons. A few even had their guns taken away as a safety precaution.

Within months, the high command mandated an overhaul of Air Force basic military training, which has been conducted here since 1942. Officials now say they've imposed the most dramatic changes in 60 years in the training's tone and curriculum.

Chief among them is a new, time-consuming emphasis on "warrior ethos," making every airmen capable of self defense in a service with a reputation for being removed from the front lines. The 38,000 trainees per year now spend less time learning to fold T-shirts so they can spend more time learning to wage war.

With 46 deaths recorded among airmen in Iraq — many of them in ground combat roles — trainees are embracing the new approach as a way of improving their survival chances in their almost-certain deployments to the war zone.

We're introduced to a couple of the newest trainees (classes began in November); after three weeks, one 19-year old airwoman is now confident in firing her M-16A2 training rifle. The only other weapon she'd ever fired up to that point was a BB gun.

That's more exposure to weapons than trainee Amanda Reed of Burlington Township, N.J., had before arriving for basic training, which now features rifle-handling from the outset. "I'm getting used to it. We still haven't fired them — we do that next week," she said. Her family wasn't aware of the new push for combat training, but "when I told them I was learning to use an M-16, my younger brother was very enthusiastic about that."

Like many recruits, Reed joined the Air Force with the notion that it wouldn't be as perilous as other service branches. "I still think that the Air Force isn't as dangerous as the Army or Marines," Reed said.

On his last day in basic, Alex Gaines, 20, of Portage, Ind., said he's ready to move on to training in electronics, but he's prepared to use combat skills if required. The former fast-food worker said he benefited greatly from the grueling training. "I have a lot more confidence, a lot more discipline. We learned how to work as a team," although it was tough initially, he said. "The first couple of weeks, we were like, 'What have we gotten ourselves into?' After that, it didn't get easier, but you adjusted to it," Gaines said. "They (instructors) pretty much want to see if they can break you down."

Trainee Jose Castro, 19, of Little Rock, Ark., agreed. "You try your hardest to do everything right and they just never gave you enough time to actually do it right or finish it. I guess that was the whole point, to stress you out. That's what was hardest for me," he reflected, on the eve of graduation.

As the first in his family to join the military, Castro said his decision wasn't embraced. He portrayed the Air Force as a relatively safe experience to win his family's support. "That's what I actually explained to my mother to make her at least accept it, because she wasn't too happy with it," Castro said.

Trainee Amber Huber, 21, a former waitress and bartender from Alma, Wis., said combat scenarios were among the toughest ordeals. "Once you get used to that, it's not bad," Huber said.

It's a bit of a bait and switch; but, our armed forces being what and who they are rise to the occasion time and again. Some Air Force stats are given:

  • Women make up 1/4 of the Air Force
  • Minorities make up 1/3
  • Average age of new enlistees, 20.2 years
  • 1/4 have some college or a degree
  • Shortest basic training of all branches (will be increased by 2 weeks next year)
  • 800 new trainees arrive weekly
  • 93% will make it through basic training
  • 84% complete that training in the standard 6 1/2 weeks
Go ahead and read the rest of the article to get a feel for what an average day of this branch's basic training is like; I'll close out our look at the Air Force with this quote:

"Now we're doing war skills training up front. We're prepping to deploy. What we did was shave off as much time as we could from the airmanship skills, and we put that into war skills training," the commander said.

A tad unnerving of a consideration.

Of course, if Air Force service members must be placed into combat roles, they need to get the proper war skills training. But stating it in terms of reducing the airmanship skills of an airman and replacing them with combat skills sounds to be a great loss in many ways.

The blending of the roles of our military branches seems to be a significant marker, a significant change in our modern military. As with traditional Guard and Reserve roles, the Air Force is quickly learning there are no longer clear lines of separation from one branch of service to the next: they're all in the Army now.

But the Air Force isn't the only branch of the military remolding itself -- the Navy is, too. Let's take a glimpse at some of the changes happening in that branch via this weekend's Norfolk Virginian-Pilot:

At 9 a.m. on a normal weekday, Lt. Jon French would be checking his e-mail, refilling his coffee cup and probably offering legal advice to a Norfolk sailor. Instead, the Navy lawyer, 28, spent Thursday morning crowded into the back of a truck with a dozen other Kevlar-clad troops, cradling an M-16, his eyes scanning the woods of this Army training base for "insurgents."

French, who works at Norfolk Naval Station's trial services office, left normal behind in December, when he agreed to go to Iraq so his married colleagues didn't have to leave their families . For the next year, French will work with Task Force 134, helping Iraqi lawyers and judges prosecute insurgents rounded up by U.S. forces. "It never occurred to me that I would ever be in combat boots with a rifle," said French, who joined the Navy while he was at Gonzaga University School of Law. "Anybody who's in uniform has to be ready to answer the call when it comes, and it did this time."

That call is coming for more and more sailors. Adm. Mike Mullen , the chief of naval operations, has told his ranks that the Navy will step up its contribution to the war on terror by increasing the number of "individual augmentees" filling support roles in Iraq and Afghanistan.

Unfortunately, the downside here is that by tapping people not originally intended for these types of deployments creates a problem or two. The work and position they've left behind remains unfilled. More importantly, however, family members of these "individual augmentees" (or IAs) are left to deal with the stress of deployment on their own.

Unlike what's been built up over decades in the Army and the Marines, what's lacking in the other branches is a support structure to help these families navigate smoothly through this unusual -- and generally unplanned for -- event. Air Force, Reserves, Guard, Navy...they're all going to have to find a way to deal with this new reality because it's here, and it doesn't look to be going anywhere anytime soon.

In March, the Navy cut orders for more than 900 sailors to leave their posts for Middle Eastern combat zones. An additional 400 were tapped in April, said Rear Adm. Daniel Holloway , one of the Navy's top personnel officers. Overall, about 11,000 sailors are on the ground in the Middle East, said Navy spokesman Lt. Trey Brown . That includes mobilized reservists, augmentees and Navy units. That number has steadily increased since the United States invaded Afghanistan and Iraq, he said.

The increased commitment to sending individual augmentees into harm's way led the Navy to develop a two-week training program at Fort Jackson. The base in South Carolina's capital also puts Army recruits through basic training and gives refresher training to retired soldiers called back to active duty.

Before the classes began in January, Navy augmentees trained at Fort Bliss, Texas, or Fort Benning, Ga., where some deploying Navy units go to brush up on combat skills. It's like fast-track basic training, without the marching and in-your-face discipline. The sailors here learn to shoot machine guns, clear a building, frisk enemy prisoners of war and toss grenades.

Fast-track training? Although this isn't something I've looked into yet (but, certainly have plans to), I hope our Naval (and Air Force) troops aren't being short-changed along with fast-tracked.

After 25 years on ship and shore duty, Chief Warrant Officer Mark Rees is headed to Afghanistan, where he'll work with an Army unit training Afghan police. It's a big change for someone who specializes in the Aegis weapons system and had been serving aboard the destroyer James E. Williams .

Rees, who lives in Suffolk, said the physical adjustment of operating with a helmet, body armor and rifle has been his biggest challenge. "I don't normally carry an M-16. On a ship, I carry a pen and a notebook, and I write things down," Rees, 42 , said during a break from drills. "Every kid, I think, plays Army," he said. "Doing it this late in life, with real people shooting at you, may not be the smartest thing."

His wife is not enthused about his next tour, but Rees is being a good sport. "In my opinion, if we can help the Afghans, it's a good thing," he said, "if they want the help."

Rees and Chief Warrant Officer Chris Logan of Virginia Beach have had about a month to prepare for their new task.

Logan, a father of three, had been working at the Navy-Marine Corps Warfighting Intelligence Center at the Fleet Combat Training Center at Dam Neck when he got a phone call five weeks ago telling him he was on a short list to go to Afghanistan.

It wasn't a surprise. With his experience in intelligence, Logan figured he'd get tapped. He's happy he'll be working alongside Army personnel and that it's a six-month tour instead of a year. "I'd rather take directions from an Army guy on the ground than a Navy guy," Logan said. "Not that a Navy guy isn't competent, but they're more experienced," he said, referring to the soldiers.

That last quote goes back to the concern I raised earlier -- a solid point that needs to be considered as we continue down this road of expecting all branches to be ground war capable.

Brig. General James H. Schwitters , the commanding general of Fort Jackson, said the most important thing for sailors to learn is "operational awareness" -- knowing what to look for and what not to do if a fight breaks out around them. Schwitters, who last year finished a tour in Iraq helping to set up that country's army, said he worked with individual augmentees from other U.S. military branches and saw for himself they needed more training for emergencies.

He isn't worried about soldiers mistrusting the sailors who serve alongside them. "I'm not naive enough to think there aren't individuals who would feel that way," Schwitters said while at the training site, "but that almost never becomes a problem."

The drill sergeants took a few good-natured jabs at their Navy charges but said they're impressed by the attitude of the sailors, who are about evenly split between active and reserves.

Though the sailors are good-natured and interested in succeeding in their changing roles (they're in the 'Narmy' now, they say), their new responsibilities demand an increased awareness and ability to quickly react to situations they have until recently not been physically and mentally trained for.

For Cmdr. Bill Kern, the training and his upcoming tour in Iraq are a chance to combine academics and life experience. Kern teaches military strategic studies at the Air Force Academy in Colorado.

Thursday, Kern learned the hard way that teaching tactics and carrying them out are two different things. Acting as leader of a group of 15 sailors on a convoy exercise, Kern ran into all sorts of trouble when the "fog of war" descended in the form of a simulated attack.

His sailors were supposed to dismount and take cover in the woods, but instead of fanning out as they'd practiced, they clumped too close together. Half the group abandoned the right side of the truck and traipsed to the left, leaving the vehicle open to attack. Kern lost track of the radio operator who was supposed to stay by his side.

Through it all, the drill instructors quietly prodded Kern and his team: "Where's your radio?" "Leapfrog back and maintain security." "Get behind a tree. Not a skinny tree. Something that's going to stop a bullet."

When the exercise ended, Kern and at least seven of his team members had their helmets off -- a signal that the insurgents had "killed" them. Kern was brutally honest when the drill instructors asked him during a debriefing what his team did well. "It's a short list," he said, blaming himself for many of the lapses. "All the things we were taught, we weren't employing," he said. "We just kind of ran around willy-nilly."

French, the lawyer, was one of the bareheaded sailors. He and four teammates were ambushed as they rushed around a building. It was just a drill, and he hopes he won't see anything close to combat when he's in Iraq. Still, the experience left him with a sinking feeling. "When you come around the corner and see a guy standing there and you try to raise your weapon and you don't and your whole team dies, ..." French said, his voice drifting off. "There's so much to pay attention to."

My hopes are that both the Navy and the Air Force -- if they absolutely must place their service members into on-the-ground combat roles -- will continue to test and strengthen their training for these service members. It will ensure their own safety, as well as the safety of those they serve with.

Please consider thanking the Houston Chronicle and Norfolk's Virginian-Pilot for their coverage of this important development in the way our modern military is undergoing such a breathtaking metamorphosis.


Related
PTSD Statistics, WWII to Iraq


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