1. Re-Deployment Operational Stress Workshop for Marine Leaders
Leader Transition
The purpose of this workshop is to prepare leaders for COSC concerns they may encounter when returning home from a deployment.
The brief also goes over some of the areas that Marines will receive in their Warrior Transition workshop. This workshop should be
delivered immediately prior or after returning home.
Re-Deployment Operational Stress Workshop for Marine Leaders
Revised: 29 May 2008

2. Homecoming
Homecoming after major deployment. We will face homecoming soon. This will mean that our married Marines
will be readjusting with their families, and that our single Marines will need productive things to do. It will
mean reuniting with children, and understanding in basic terms where they are developmentally. And, it will
mean that some stress problems that may have developed during deployment may not go away immediately
and will need to be recognized and treated. We want to give you as leaders, and our Marines, the basic
tools to recognize what these signs and symptoms of stress problems are on the Combat Operational
Stress Continuum, and understand what to do to provide the necessary assistance that your Marines
and their family members deserve.

3. Overview and Purpose
Explain to leaders what your Marines will see in their Warrior Transition Brief
Review COSC Continuum
Review COSC Decision Matrix as a tool for post-deployment monitoring
Understand normal process of readjustment to home and garrison
Address safety risks immediately following deployment
Mitigate risk for post-deployment problems
Know available resources for help when needed
COSC Leader Responsibilities:
Give meaning to unit members and families for the deployment and sacrifices made
Encourage end-of-deployment AAR discussions
Honor casualties
Reduce stigma: create a climate where it is OK to get help
This is an overview of what we will be covering in this workshop. As stated previously, the purpose of this brief is to both prepare leaders for leader specific COSC actions and help Marine leaders understand what their Marines will receive in the Warrior Transition workshop.

4. Topics Covered for Marines: Warrior Transition
Transition to home considerations
Married, single, all
Sources of Operational Stress
Children Considerations by Age Stage
COSC Continuum Model
Common Stress Symptoms
Ready
Reacting
Injured
Ill
Stress Management Skills and Resources
Recap of Deployment
This is a summary of what your Marines will receive in their Warrior Transition brief.

5. Sources of Operational Stress
PHYSICAL
Heat • Dehydration • Injury or illness
Cold • Sleep deprivation • Toxins
THINKING
Being hyper-focused • Boredom • Uncertainty
Lack of information • Too much information
EMOTIONAL
Fear of injury or death • Fear of failure
Hatred • Horror • Guilt or shame
SOCIAL
Being away from loved ones and friends
Loss of personal space • Isolation
SPIRITUAL
Life doesn’t make sense like it used to
Challenge of faith • Moral conflict
Here are some of the sources of stress that you have gone through on the deployment. The five categories in the left column (physical,
cognitive, emotional, social, and spiritual) represent five broad areas in every Marine’s life.
There are certain “challenges” and “conditions” that can present a great deal of stress on individual Marines and units. These
are noted in the columns on the right, and are only a few of the major sources of stress that may be experienced in operational
settings.
These sources of stress have changed you, don’t you think?!

6. Combat Operational Stress Continuum Decision Matrix
READY
REACTING
INJURED
ILL
DEFINITION
Good to Go
Well-Trained
Fit and Tough
Adaptive Coping
SIGNS
Effective Functioning
Calm and Steady
In Control
Getting the Job Done
ACTION
Monitor for signs of distress or stress reactions in future if concern arises
Some impairment in job functions or relationships
Mild transient distress
Some anxiety or irritability
Poor sleep; poor mental focus
Nightmares; easily startled
Loss of social interest
Some change from normal behavior
Ensure adequate sleep/restoration
Refer to Chaplain or Medical if there is no improvement
After Action Reviews
More severe or persistent distress or impairment
More lasting scars on behavior or personality
Lost emotional control at some point
Can’t sleep
Disruptive nightmares or memories/flashbacks
Social withdrawal
Panic/rage episodes
Loss of concern for usual beliefs/values
Enforce rest and recuperation ( hours)
Refer to Medical if no improvement
Stress injuries that won’t heal without medical intervention
Diagnosable illnesses (Such as: PTSD; depression; anxiety; substance abuse)
Stress problems that last several weeks post- deployment
Not getting better or getting worse
Impacting work or relationships
Refer to Medical
Ensure treatment compliance
Monitor back to full duty
The Definitions for each area describe, in very general terms, the characteristics that a Marine will
exhibit for that particular zone. For example, Marines who are in the Green zone, will be well-trained, fit and tough,
and can cope through adapting to circumstances. They are good to go.
Signs give some of the signs and symptoms that Marines will exhibit if they are in a particular zone. A Marine in the
Orange Injured zone will have bad nightmares and flashbacks and will not be able to sleep. He/she may exhibit panic
and rage episodes.
Actions are what can be done to mitigate or treat signs and symptoms for each zone. A Marine whose signs and symptoms
place him/her in the Yellow Reacting zone may only need a good period of rest, sleep, and replenishment and a meeting
or two with a Chaplain to restore some lost confidence and hope for getting better. Any Marine whose signs and symptoms
place him/her in the Injured or Ill zone should be referred to Medical if there is no improvement in the condition.

7. Combat Operational Stress Continuum for Marines
READY
REACTING
INJURED
ILL
Good to go
Well trained
Prepared
Fit and tough
Cohesive units, ready families
Distress or impairment
Mild, transient
Anxious or irritable
Behavior change
More severe or persistent distress or impairment
Leaves lasting evidence (personality change)
Stress injuries that don’t heal without intervention
Diagnosable
PTSD
Depression
Anxiety
Addictive Disorder
Shows leadership and treatment responsibilities
Ready: the Green Zone
The Green Ready zone can be defined as encompassing adaptive coping, effective functioning in all spheres, and personal well-being. The ability to remain in the Green zone under stress, and to return quickly to it once impaired or injured by stress, are two crucial aspects of resiliency. Following are some of the attributes and behaviors characteristic of the Green Ready zone:
Remaining calm and steady
Being confident in self and others
Getting the job done
Remaining in control physically, mentally, and emotionally
Behaving ethically and morally
Retaining a sense of humor
Sleeping enough
Eating the right amount
Working out and staying fit
Playing well and often
Remaining active socially and spiritually
Reacting: the Yellow Zone
The Yellow Reacting zone can be defined as encompassing mild and temporary distress or loss of function due to stress. By definition, Yellow zone reacting is always temporary and reversible. When the stress is over, the Marine goes back, eventually,
To the Green Zone. The following experiences, behaviors, and symptoms may be characteristic of the Yellow Reacting zone:
Feeling anxious
Worrying
Cutting corners on the job
Being short tempered or mean
Being irritable or grouchy
Having trouble falling asleep
Eating too much or too little
Feeling apathetic or losing energy or enthusiasm
Not enjoying usual activities
Keeping to oneself
Being overly loud or hyperactive
Being negative or pessimistic
Having diminished capacity for mental focus
Injured: the Orange Zone
The Orange Injured zone can be defined as encompassing more severe and persistent forms of distress or loss of function that cannot be fully undone over time. Although stress injuries cannot be undone, as for physical injuries, their usual course is to heal over time. Since stress injuries are not clinical mental disorders, they do not require clinical mental health expertise to recognize them, although operational commanders and small unit leaders rely heavily on their chaplains and organic medical personnel to identify orange zone stress injuries.
Stress injuries include:
Losing control of one’s body, emotions, or thinking
Being frequently unable to fall or stay asleep
Waking up from recurrent, vivid nightmares
Feeling persistent, intense guilt or shame
Feeling unusually remorseless
Experiencing attacks of panic or blind rage
Losing memory or the ability to think rationally
Being unable to enjoy usually pleasurable activities
Losing grounding in previously held moral values
Displaying a significant and persistent change in behavior or appearance
Harboring serious suicidal or homicidal thoughts
Ill: the Red Zone
The Red Ill zone can be defined as including all mental disorders arising in individuals exposed to combat or other operational stressors. Since Red zone illnesses are clinical mental disorders, they can only be diagnosed by health professionals. However, Marines can and should be aware of the characteristic symptoms of stress illnesses and be aware that professional mental health intervention is required to restore full function. Common Red zone illnesses include the following:
Posttraumatic stress disorder (PTSD)
Depressive disorders, especially major depression
Anxiety disorders, including generalized anxiety and panic disorder
Substance abuse or dependence
Signs and Symptoms of these will be discussed in later slides.
Individual Responsibility
Chaplain & Medical Responsibility
Leader Responsibility

8. Recognizing Stress Problems
READY
REACTING
Calm and steady
Confident and competent
Getting the job done
In control
Sense of humor
Sleeping enough
Eating the right amount
Working out, staying fit
Playing well and often
Active socially, spiritually
Able to cope overall
Feeling anxious, worrying
Irritable or grouchy
Short tempered or mean
Cutting corners on the job
Trouble sleeping
Eating too much or too little
Apathy, loss of interest
Keeping to oneself
Negative, pessimistic
Doubts over ability to cope
Here are characteristics that Marines may exhibit if they are in the ready or reacting zones. These are mostly normal responses to additional stress that happens in combat or operational settings. The goal is to keep or return every Marine to the green zone where they are “good to go” and “in control.”
These are normal reactions. Your job as a leader is to assist in returning Marines to the Green zone to maintain unit readiness and resilience.

9. Recognizing Stress Problems
INJURED
ILL
Loss of control of body function, emotions, or thinking
Can’t fall or stay asleep
Recurrent vivid nightmares
Intense guilt or shame
Attacks of panic or rage
Inability to enjoy activities
Disruption of moral values
Serious suicidal or homicidal thoughts
Stress injury symptoms that last for more than several weeks even after stress is relieved
Symptoms that get worse over time instead of better
Symptoms that get better for awhile but then come back worse
These are the signs that we need to watch for in each other, and in ourselves. In theatre, these definitely impact individual and unit readiness. Now that you are transitioning home, these are signs and symptoms that indicate a Marine may be at risk for long term stress problems. It is the responsibility of leaders to see that Marines in these zones get professional mental health assistance.

10. Stress Outcome Spectrum: Reactions Versus Injuries
Stress reactions may be illustrated by the tree on the left: the Marine, like this tree, will bend and bend, but won’t break. Reactions, like the windstorm that is stressing this tree, are temporary. However, if the windstorm persisted for days and days on end, it might break the tree as illustrated in the picture of the tree on the right. It’s not because the tree is weak, but because there is too much stress. This break can be healed if it receives prompt help, but it could leave a scar. Physical injuries are obvious, but stress reactions, injuries, and even illnesses are often invisible and hard to detect. Red flags include uncharacteristic changes in behavior, some of which we will cover in detail later in the brief. It’s important for you to know these signs and symptoms of injuries, so you can help take care of your Marine, and help keep him good to go.
Stress injuries may require professional help to get better.
Stress Reactions
Stress Injuries
Common
Always temporary
Mild distress or loss of function
Self-correcting
Less common
May leave a scar
More severe distress or loss of function
May heal faster with help 10

11. Mechanisms of Stress Injury
Biological
Memory problems: Damage to memory center (hippocampus)
Overreaction: Lowered threshold for fear response (amygdala)
Hypervigilance: Neurotransmitters on overdrive (norepinephrine) Depression/anxiety: Neurotransmitters get used up (serotonin)
Personality change: Diminished control of emotion and impulses
Psychological
Trouble making sense of fragmented memories
Lost sense of safety in the world
Severe self-blame or guilt
Grief over lost friends and acquaintances
Feeling out of control
Point: three types of injury – biological, psychological, social that compound each other. Of special note is the “biological”
nature of a stress injury. Note the problems on the left (memory, overreaction) and the area of the brain or chemicals
of the brain (hippocampus, amygdala) that are disrupted and even damaged by stress injuries. The take away on this
is that, like the trees in our slide previous to this one, if enough stress is endured or suffered, the brain is subject
to “break” in a real physiological way. It’s like “blowing a fuse.” Stress injuries not only affect our psychological and
social lives, they affect our brain chemistry!
Take a look at the psychological and social aspects of what a stress injury may affect. Have any of these things ever
been experienced by you?
Social
No answers to the big questions anymore
 What is important anymore?
How do I forgive myself and others?
Who can I trust?
Loss of social support

12. Combat Operational Stress Decision Flowchart
Marine or Sailor Under Stress
Are there signs of DISTRESS or LOSS OF FUNCTION?
Green Zone (Ready):
Good to Go. Continue to monitor for signs of distress or loss of function in the future if concerned NO
Distress or Loss of Function:
Difficulty relaxing and sleeping
Loss of interest in social or recreational activities
Unusual and excessive fear, worry, or anger
Recurrent nightmares or troubling memories
Hyperactive startle responses to noises
Difficulty performing normal duties
Any change from normal personality
YES
Yellow Zone (Reacting):
Ensure adequate sleep & rest
Manage home-front stressors
Discussions in small units
Refer to chaplain or medical if problems worsen
Is the distress or loss of function SEVERE? NO
SEVERE Distress or Loss of Function:
Inability to fall asleep or stay asleep
Withdrawal from social or recreational activities
Uncharacteristic outbursts of rage or panic
Nightmares or memories that increase heart rate
Inability to control emotions
Serious suicidal or homicidal thoughts
Loss of usual concern for moral values
The COSC Decision Flowchart is a simple tool for leaders to determine where a Marine fall on the stress continuum and shows what to do to mitigate or, if necessary, treat the injury or illness. The Decision Flowchart is applicable at all stages of the deployment cycle. The lists of stress symptoms on the far right, highlighted by the Yellow, Orange, and Red brackets, give the leader or Marine some indications of typical problems at each level of function. The diamonds in the middle specify decisions needed to determine the severity of the stress problem, and the boxes on the left indicate what action needs to be taken for each level of severity. It can also be used by individual Marines to evaluate themselves or their buddies who have symptoms of deployment-related stress. This is used by leaders, along with the Decision Matrix, to determine what actions should be taken with Marines experiencing combat stress problems.
YES
Orange Zone (Injured):
Keep safe and calm
Rest & recuperation hrs.
Refer to medical or chaplain
Mentor back to full duty and function
Has the distress or loss of function PERSISTED? NO
PERSISTENT Distress or Loss of Function:
Stress problems that last for more than several weeks post-deployment
Stress problems that don’t get better over time
Stress problems that get worse over time
YES
Red Zone (Ill):
Refer to medical
Ensure treatment compliance
Mentor back to duty if possible
Reintegrate with unit
Combat Operational Stress Decision Flowchart

13. Stress Management Tools
Combat Stress Decision Matrix
Individual Stress Management Tools
COSC Leadership Skills
Stress Management Professional Resources
These are some of the resources, or tools, we will be teaching to your Marines to help them with basic coping
for stress problems.

14. COSC Leader Responsibilities
Give meaning to unit members and families for the deployment and sacrifices made
Encourage end-of-deployment AAR discussions
Honor casualties
Reduce stigma: create a climate where it is OK to get help
These areas are COSC Leader Responsibilities that are covered in the next four slides.

15. Help Unit Understand Meaning of Deployment and Sacrifices
Acknowledge challenges
Acknowledge sacrifices of unit
Acknowledge lost Marines and those who were seriously injured
Communicate summary of deployment successes and accomplishments
Marines need to have a sense that their sacrifices made during their deployment were worthwhile and were noticed and appreciated by their Marine
leaders. Any deployment into a combat zone will have challenges that were widely known by all members of the unit, and some
that only senior leadership is aware of. The challenges that were widely known need to be acknowledged along with the sacrifices
that were made by the unit as a whole and by those Marines who were injured or gave their lives in the face of duty. It is important also
to communicate deployment success stories and accomplishments. This promotes pride in the unit and helps develop unit
cohesion. It also is important for those Marines who will remain with the unit and may be facing another deployment within the year.

16. After Action Reviews (AARs) A Unit Leader COSC Tool
Conducted by small unit leaders after significant training and operational event, especially if casualties
Atmosphere of trust and honesty
Goals:
Establish common perceptions (what happened)
Disseminate lessons learned (why it happened)
Restore lost trust and confidence (why it won’t happen again)
Discourage blame and self-blame (why it wasn’t their fault)
Identify who may have a physical or stress injury (who needs help)
Not group therapy
But encourage Marines to tell their stories
No outsiders present during discussion
After an extremely stressful combat operation or event, AAR techniques can be used to help Marines to discuss the event and their perceptions with unit leaders. Leaders can use this tool to help their Marines decompress, defuse, and make sense of their shared experience. An example of when to use this would be when a unit member is severely injured or killed. Leaders should watch for Marines who are strongly or severely affected by an incident, and facilitate their recovery as described in the Decision Matrix.
AARs can also be used by leaders at the end of a deployment to summarize and help Marines process their and their buddies role particularly if the deployment had real challenges and lots of casualties and deaths.

17. Honor Casualties Memorial ceremonies during deployment
Memorial ceremonies upon return
Summary ceremony for everyone
May be done by higher headquarters, all inclusive
Visits to local families by unit leaders
Visit and remember Wounded Warriors
Connect Marines who get out with Veterans Affairs and Hometown LINKS and Marine For Life
Marine leaders should, whenever possible, conduct memorial ceremonies and services when the unit suffers serious injuries or loss of life. This not only honors the casualties, but it helps bring meaning and closure to unit members and especially close friends of the deceased or disabled. Chaplains are well-trained and versed in conducting these services, but they should not be the only or primary speakers. Unit leaders, direct supervisors, and close friends of the deceased Marine will have many insights into the life of the Marine. This also helps the participants in the service process the death or losses of their Marine and friend.
Ceremonies are also appropriate upon return, even if they were already conducted on-site during the deployment. These ceremonies provide friends and family members of the fallen Marine a chance to see their Marine honored by his unit and his Marine friends. In these types of ceremonies where several or perhaps even many Marines are honored, it is appropriate to have commanders and senior enlisted from higher headquarters be present on the podium and even participate in the service.
If accessible, Marine families of wounded and deceased can be visited by members of the unit. Chaplains may be asked to be a part of
this visit, as well as very close Marine friends of the wounded or deceased. The axiom “Marines Take Care of Their Own” is nowhere
more true than in the attention and care given to wounded Marines and their families, and families of our fallen Marines.
Hometown LINKS is a superb resource to help. They are organized under Marine For Life ( (

18. Stigma Reduction
Understand that stress problems affect unit readiness as well as long-term health of Marines
Make it OK for Marines to seek the assistance for stress problems that they deserve
Make sure leaders at all levels in the unit promote seeking help for stress problems
Make it OK for Marines to identify stress problems in their fellow Marines and make referrals to assistance available in the chain of command (chaplain, medical department)
Leaders are responsible for reducing the stigma associated with deployment related stress problems within their
units. The Continuum Model stresses that stress problems can be injuries and illnesses, and, like a shrapnel wound, are not the fault of the Marine. (See the Commandant’s message on the COSC WebSite: ( The senior leadership in the command sets the tone for
all other leaders and Marines in making it OK to receive, and refer Marines for, assistance with combat stress problems.

19. Misconduct
Uncharacteristic misconduct after deployment is a red flag for possible combat stress or Mild Traumatic Brain Injury
Such cases should be referred to a qualified mental health professional for evaluation as soon as possible
Screening is for the good of the Marine
The sooner a Marine gets treatment, the better the chances for successful recovery
If the Marine refuses further evaluation, the Commander may order the Marine to comply using Command-Directed Mental Health Evaluation procedures
Marines should still be held accountable for their misconduct
Combat stress injuries, as well as neurological wounds caused by blast exposure, may predispose Marines to impulsivity, aggression, or other uncharacteristic behavior following return from deployment. Post-deployment misconduct, especially in a Marine who previously served honorably, must be considered a possible indicator of an undiagnosed stress injury or a mild traumatic brain injury (TBI) that, if confirmed, deserves immediate and comprehensive treatment. Although Marines must be held accountable for misconduct, immediate screening for these conditions is also essential.
Evaluation and treatment should not be delayed. The sooner that a referral for treatment is made, the better the chances are of successful resolution of the stress problem. All Marines, regardless of misconduct, deserve professional evaluation and treatment for stress injuries incurred
in a combat or operational setting.

20. Leadership Responsibilities
Monitor and be a good observer of stress continuum changes in Marines
Continue to apply the five core COSC leadership functions with particular emphasis now on the last three
Strengthen
Mitigate
Identify
Treat
Reintegrate
This is what your leaders are being told and should practice during this phase of the deployment cycle.

21. Identify Leaders: Understand the Stress Continuum and stress zones
- Know your Marines and their stress loads
Understand the Stress Continuum and stress zones
Utilize the Decision Matrix and Decision Flowchart
Recognize and identify stress reactions, injuries, illnesses
Recognize degradation to unit cohesion
Encourage unit Marines to identify stress problems in selves and watch out for each other
Use After-Action Reviews (AARs) in small units to defuse stress and identify those who may need help

22. Treat Leaders: Create an environment where it is OK to get help
Utilize Combat Operational Stress First Aid (COSFA) Five “C’s
Cover, Calm, Connect, Confidence, Coordinate Care
Refer to Chaplain
Refer to Medical
Refer to Mental Health
Leaders must, first and foremost, create an atmosphere within the command where it is OK and acceptable to receive
treatment for a combat stress problem. Listed are tools and resources available to assist in basic combat stress first
aid and evaluation and treatment of stress reactions, injuries, and illnesses.

23. Reintegrate Leaders: Expect return to full duty
Keep with unit if possible
Communicate with treating professionals
(both ways)
Fight stigma, harassment
Continually monitor fitness for duty
Studies have shown that returning service members to full duty with their unit, and not removing them
from the unit unless it is absolutely necessary, ensure better recovery and promote better well-being
for not only the affected service member but also the unit. Reintegrating and returning Marines who have
been treated for combat stress problems increases individual morale and unit cohesion. Once a Marine
has been returned to a unit after treatment, it is a primary responsibility of unit leaders to ensure that
they are fully utilized and receive no retribution or harassment for their stress problem and the treatment
they deserved. And, unit leaders will want to constantly monitor these Marines for problems or reoccurrence
of problems just as they would for physical injuries.

24. Scenario One: The Marine
A Marine is coming home after the deployment. His wife and children are really excited to see him. His wife is very confident that the warmth of his love and reuniting with the children will sustain him and will also return their relationship to normal. His wife eagerly anticipates life and the normalcy of the relationship after he returns.
However, when he comes back, there is a distance. He is having problems sleeping, seems to be on edge a lot, and seeks to be alone much of the time at night. Plus, the intimacy just isn’t there like it used to be. He is doing great at work, and is trying hard to reconnect with the family.
How serious is this problem?
What should be done?

25. Scenario One: The Marine Answer
How serious is this problem?
This Marine is in the orange zone. He needs to be understood and integrated slowly back into the family.
What should be done?
He needs to see a professional counselor and get treated before these symptoms get worse.

26. Scenario Two: The Spouse
A Marine gets home, and he is fine. He has some minor adjustment problems, but is really glad to see his wife and children, doesn’t really want to spend any time with his unit buddies, and is genuinely glad to be home. He reports, luckily, that he really didn’t see anyone get killed or badly hurt, and is really really thankful for it.
The spouse, however, hasn’t adjusted as well. Even though her Marine is home and doing well, she greatly resents having had to “give up her life” while he was gone. She is angry at the two kids (ten year old girl and five year old boy) and has gained thirty-five pounds on her pre-deployment 5’7”, 125 pound frame. She also spends lots of time crying and feels generally bad almost all the time.
How serious is this problem?
What should be done?

27. Scenario Two: The Spouse Answer
How serious is this problem?
She is in the orange zone possibly moving to the red zone.
It is likely that she is suffering from depression, and her
over-eating is a result of this.
What should be done?
She should see her family doctor immediately and report all symptoms. Her doctor may refer her to a psychiatrist for follow-on care and medication, or may see her for awhile and treat her, following her progress closely. She might also want to join a support group of some sort (unit, church).

28. Other Topics To Be Discussed With You and Your Marines
What was good?
What was bad?
How have you changed?
What are techniques to help with transition?
In the Warrior Transition Brief, your Marines will have a discussion on these four questions.
The content of the questions for the Marines is below for familiarization as a heads-up to you
the Marine leader.
Can you tell that you have changed? Some of you have been through this before, some many times. How is this time different? How have you changed this time? So we can get an idea about how this deployment has affected everyone, we are going to do some listing. What are some of the ways you have changed on this deployment? And feel free to speak for others, though not by name, and list any changes you think may have occurred over this deployment.
[Brainstorm, “How have you changed?” Put answers up for all to see – by newsprint chart, white board, or on a computer connected to a Proxima to project the responses. ]
[When ideas begin to trail off, even with some prompting on your part, proceed:]
Brainstorm the “What was good?” “What was bad?” and “What are the best ways to transition.

29. Where To Get Help Corpsmen Chaplains
Unit medical (BAS, RAS, GAS, etc.)
Operational Stress Control and Readiness (OSCAR) mental health team, if your unit has one
Medical Treatment Facilities (Hospitals and Clinics)
MLG Surgical Company Forward
Marine and Family Services Counselors
Military OneSource (
Vet Centers (
HQMC COSC (
Marine Leaders Guide ( leadersguide)
As a leader, here are the resources that are immediately available for you and your Marines and their families.

30. Questions?