PHCoE's Role in COSC

In support of Department of Defense Instruction (DoDI) 6490.05, “Maintenance of Psychological Health in Military Operations,” dated November 22, 2011 (updated 2013), the Deployment Health Clinical Center (PHCoE) is tasked with overseeing the combat and operational stress control (COSC) mission.

PHCoE works with representatives across the military services to optimize the efficiency and effectiveness of COSC policies and programs. PHCoE’s overarching goal is to help ensure joint application of best practices in COSC and in the prevention or minimization of combat and operational stress control reactions (COSRs). As part of this mission, PHCoE leads the following activities:

  1. Annually monitors the quality and effectiveness of the service’s COSC programs, in coordination with the service’s quality assurance monitors.
  2. Develops and standardizes required COSC data collection metrics.
  3. Promotes COSC initiatives that prepare service members for military operations, supports them during periods of transition, enhances psychological resilience and reduces stigma associated with seeking mental health care assistance.
  4. Aligns COSC policies and programs with related psychological health and readiness policies, practices and systems within the DoD.
  5. Determines common DoD-wide COSC program goals.
  6. Identifies opportunities for COSC inter-operability and joint application.
  7. Identifies evidence-based COSC related programs and practices for recommended use by the services, as applicable.