Psychiatric Quarterly, Vol. 76, No. 4, Winter 2005 (
TREATMENT OF THE STRESS CASUALTY
DURING OPERATION IRAQI FREEDOM ONE
LTC Robert Forsten, D.O. and MAJ Brett Schneider, M.D.
Introduction: Service members with mental health issues during Operation
Iraqi Freedom receive evaluation and treatment at different echelons of care.
Mental health teams consist of professionals and paraprofessionals assigned
to Combat Stress Control units, Division Mental Health Sections, and Combat
Support Hospitals. Methods: Army doctrine for mental health care is delineated
and examples describing how mental health personnel must be ﬂexible in this
challenging environment and are useful mental health tools for commanders
in the operational environment are presented. Discussion: Speciﬁc treatment
issues related to the combat environment during Operation Iraqi Freedom are
discussed in relation to each team and in light of doctrine.
KEY WORDS: Operation Iraqi Freedom; echelons of care; Combat Stress Control;
Division Mental Health; Combat Support Hospital.
LTC Robert Forsten, D.O. and MAJ Brett Schneider are afﬁliated with Department of
Psychiatry, Walter Reed Army Medical Center, Washington, DC.
Address correspondence to LTC Robert Forsten, D.O., Department of Psychiatry, Walter
Reed Army Medical Center, 6900 Georgia Avenue, NW, Washington, DC 20307-5001;
2005 Springer Science+Business Media, Inc.