Center for the Studyof Traumatic Stress
2018

CENTER FOR THE STUDY OF TRAUMATIC STRESS, USUCSTS
The Center for the Study of Traumatic Stress (CSTS) is part of the Department of Psychiatryin the F. Edward Hébert School of Medicine (America’s Medical School) of the Uniformed
Services University (USU). The Center supports USU, the Military Health System (MHS), andthe Department of Defense (DoD).
Since it was established in 1987, the Center has been working to mitigate the impact of
trauma from exposure to war, disasters, terrorism, community violence, public health threats
and humanitarian operations throughout the nation and across the globe.
The Center’s work encompasses both military and civilian populations, but it focuses on healthissues of special interest to the military, including combat, post-traumatic stress disorder(PTSD), traumatic brain injury (TBI), suicide and suicide-related behavior, and the impact ofdeath and loss on the families of Service members.
CSTS is comprised of a multi-disciplinary and collaborative team of scientists, educators,
clinicians and leaders who help inform our nation’s policies and responses to the impactsof exposure to trauma from disasters, both human-made and natural. The Center is wellpositioned to rapidly respond to DoD mission-relevant activities. CSTS sustains national
readiness, enhances national security, and serves an essential role for the DoD and the nation.

USU
School ofMedicine
Dept of
Psychiatry

CSTS

The Center consists of more than 100 people. In 2018, CSTS directed a total of $64 million
in funding through a core grant and 12 external grants.
For more information, visit the CSTS website at: www.CSTSonline.org
SERVING OUR NATION SINCE 1987

CSTS Mission
The Center provides leadership, education, training, research, scholarship, service, outreach,consultation, and global health engagement. CSTS informs and educates community, regional,
state, national and global stakeholders in government, industry, healthcare, public health,and academia. The Center’s work includes innovative and ground-breaking research that
ranges from the micro level in laboratories to the macro level in communities, the nation andall acrossthe world. CSTS helps to foster communityand national resilience, and improve
As an integral part of USU, CSTS activities
humanitarian operations. CSTS has been involved
trauma-relatedcare
bypreparingtreatment
providers
toevery
address
impactof trauma.
support the USU Strategic Framework andin nearly
major thedisaster
our nation
has

Our Mission

the mission of the DoD. CSTS is committed toexperienced in the past 30 years. The Center helps
The workof the Center also:
advancing trauma-informed care. We are dedicatedto ensure that behavioral health is addressed in the• Uniquely
combinesandintegratesofmilitary
andfacedisasterto furthering
the nation’s
understanding
theof publicpsychiatry
health threats, disaster planning andimpactoftraumaonindividuals,
familiesanddisasterrecovery.to the person, to the community• Moves science from the gene, to the cell, to theorganism,communities. The Center is part of our nation’s
Mitigating the effects of disaster and trauma in• Applies
state-of-the-art approaches to neuroscienceand precision medicine
federal medical school (America’s Medical School)
military and civilian populations is part of the effort• Movesknowledge
to action
at USUfrom
and theCenter’s missionis aligned with
to foster community and national resilience. The
the
needs
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positioned
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respond
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ingovernment,
disaster planning and disaster recovery
relevant activities.
The Center’s work includes
a broad range of trauma
exposures: combat,
terrorism, naturaland human-madedisasters,
public healththreats,
andindustry, healthcare, public health, andacademia. CSTS contributes toadvancing trauma-informedcare by providing
leadership in research,education,
training,
consultation,
globalhealth, andservice.

2017 ANNUAL REPORT | 3

CENTER FOR THE STUDY OF TRAUMATIC STRESS, USU

Research
CSTS research encompasses a broad spectrum both in the laboratory and in the field. All
the Center research is designed to support the Military Health System (MHS) in its efforts toprovide a medically-ready force to Combatant Commands in both peacetime and wartime,
and to deliver integrated, affordable, and high quality health services.
The four core areas of CSTS research are:
• Research on Service members• Research on the children and family membersof Service members• Research in neuroscience andneurobiology• Research on disasters and terrorism
Examples of specific research topics
include the causes of suicide in Service
members, psychological responses
to trauma and disasters, and clinicalinvestigations of the symptomatology
and treatment of PTSD.

Service
Members

DisastersCore
Research
Areas

Children&
Families

Neuroscience& Neurobiology

Research Highlights in 2018
• The Army STARRS and STARRS-LS research is designed to elucidate potential targets forinterventions in Soldiers at risk for suicide, and is the largest research project of suicide andmental health ever conducted in the military.
• The Daily Diary Study, with its ecological momentary assessment approach, will contributeto a better understanding of the time course of symptoms in PTSD patients and may identify
symptoms for targeted treatment that have the greatest impact on patients’ daily lives.
• Clinical trials in medication and psychotherapy for PTSD offer the potential for improved
treatments to contribute to a more ready force and better quality care.
• The Center’s Child and Family Program (CFP) advances scientific and clinical knowledge, andprovides educational resources addressing the needs of children and families affected bytrauma, with particular focus on our nation’s military families that are affected by combatrelated illness and injury, bereavement, child maltreatment and family violence.
SERVING OUR NATION SINCE 1987

Education and Training
The Center provides educational resources to interagency partners (including DoD and otherfederal partners) as well as state and local agencies, professional associations, and others.
Center Scientists educate and train USU medical students committed to service in our nation’sArmy, Air Force, Navy and Public Health Service. The Center provides education to interagency
and private sectors leaders and other personnel.
The Center advances the field of military and disaster psychiatry through publications,presentations, outreach and training. CSTS sponsors and participates in conferences, seminars,
symposia, workshops and collaborations with educational and training objectives across the
U.S. and internationally. The Center also educates and expands knowledge through publichealth efforts and interventions during and after disasters.
CSTS disseminates educational materials to stakeholders including healthcare providers, community leaders, families, first responders, teaching professionals and policy makers. The Centercreates and disseminates customized, easy-to-read, just-in-time educational fact sheets toassist stakeholders in
effectively managing
the adverse effects ofGraduate
traumatic stress
Conferences
ForumsSymposia
Programs
through enhanced
preparation and response
to disaster events.

Education and Training Highlights in 2018
• Conducted the “13th Annual Amygdala, Stress and PTSD Conference: The Sequela of Trauma”
on the biological basis of stress, fear and PTSD.
• Developed a continuing medical education (CME) module on “Climate Change and Disaster
Mental Health” for the American Psychiatric Association (APA).
• Served on SAMHSA’s “Disaster Behavioral Health Expert Panel” meeting with 18 national
interagency and private sector experts.
• Directed a 5-day course on Disaster Mental Health in Mauritius for the Defense Institute for
Medical Operations (DIMO).
• Sponsored a 2-day NATO meeting on “Big Data and Machine Learning” with experts from
Canada, The Netherlands, Australia, and the U.S.
• Co-sponsored the “Forum on Health and National Security: Ethical Use of Big Data for Healthy
Communities and a Strong Nation” with experts from DoD, VA, National Science Foundationand several universities.
• Developed resources for the “5 Steps to Save a Life” public health campaign to coincide with
National Suicide Prevention Awareness month.
CENTER FOR THE STUDY OF TRAUMATIC STRESS, USU

Consultation
The Center develops partnerships with, andprovides consultation to, many agencies
and organizations throughout the DoD andother Federal agencies, as well as with state,
local and national agencies, professional
associations, and international organizations.
Since its inception, establishing andmaintaining consultative relationships
have been a cornerstone of CSTS’s work,
including a wide variety of partnerorganizations both inside and outside
government, and internationally. These
collaborations build bridges that provide
opportunities to contribute Center resourcesand expertise in the service of others and tomonitor real-time needs of partners
and stakeholders.

National &International
Activities
Multilateral
Agreements
Epidemiologic
Consults
Global Health
Initiatives

Consultation Highlights in 2018
• Participated in the DHHS-sponsored “National Summit on Bioincident Recovery: What theCountry’s Thought Leaders See as the Top Priorities for Developing Guidance to Help Affected
Communities Recover.”• Participated in the National Academies of Sciences, Engineering and Medicine Committee on
Military Family Well-Being.
• Provided consultation to senior staff from DHHS and SAMHSA on conducting a survey ofmental and addictive disorders to address major policy issues.
• Participated in a NATO Research Task Group Meeting in Amsterdam, Netherlands on the latest
treatment technologies for military-relevant mental health conditions.
• Gave the keynote presentation on “Essential Issues on Terrorism” at the NATO Advanced
Research Workshop meeting to develop evidence-based guidelines for treating terrorisminduced stress in Odessa, Ukraine.
• Participated in the International Ministerial (5-Eyes) Centres of Excellence Conference on
Veterans’ Issues in Sydney, Australia.
SERVING OUR NATION SINCE 1987

Knowledge Dissemination
CSTS disseminates knowledge through a variety of means including:• Publishing research findings in peer-reviewed
scientific journals• Publishing books, volumes, and newsletters
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