xxv

Abbreviations and Acronyms

AbBreviations and Acronyms

25th ID: 25th Infantry Division Light

5-HT1a: serotonin 

A

AA 77: American Airlines Flight 77 

AAA: animal-assisted activity 

AAR: after-action review 

AAS: American Association of Suicidology 

AAT: animal-assisted therapy 

ACE: Ask, Care, and Escort 

ACGME: American Council of Graduate Medical Education 

ACPHP: Army Campaign Plan for Health Promotion, Risk Reduction and Suicide Prevention 

ACR: Army Central Registry 

ACRM: American Congress of Rehabilitative Medicine 

ACS: Army Community Service 

ACU: Army combat uniform 

ADAPT: Alcohol and other Drug Abuse Prevention Training 

ADCO: Alcohol and Drug Control Officer 

ADHD: attention deficit hyperactivity disorder 

AFB: Air Force Base 

AFHSC: Armed Forces Health Surveillance Center 

AFIP: Armed Forces Institute of Pathology 

AFMAC: Adult Family Member Assistance Center 

AFME: Armed Forces Medical Examiner’s Office 

AHEC: Area Health Education Center 

AIT: advanced individual training 

AKO: Army Knowledge Online 

AMEDD: Army Medical Department 

AMEDDC&S: Army Medical Department Center and School 

AN: anorexia nervosa 

AO: area of operations 

AOC: alteration of consciousness 

APA: American Psychiatric Association 

APA: American Psychological Association 

APOE/APOD: aerial point of embarkation/debarkation 

AR: Army Regulation 

ARNG: Army National Guard 

ARS: acute radiation sickness 

ARVN: Army of the Republic of Vietnam 

ASAM: American Society of Addiction Medicine 

ASAP: Army Substance Abuse Program 

ASD: acute stress disorder 

ASER: Army Suicide Event Report 

ASF: aeromedical staging facility 

ASIST: Applied Suicide Intervention Skills Training 

ASMB: area support medical battalion

ASMC: area support medical company 

ASPP: Army Suicide Prevention Program 

ASPTF: Army Suicide Prevention Task Force 

AST: aspartate aminotransferase 

ASVAB: Armed Services Vocational Aptitude Battery 

ATM: automated teller machine 

AusAID: Australian Agency for International Development 

AW2: Army Wounded Warrior 

AWOL: absent without leave

B

BAC: blood alcohol concentration 

BAMC: Brooke Army Medical Center 

BCT: brigade combat team 

BDE: brigade 

BDU: battle dress uniform 

BED: binge-eating disorder 

BFG: British Forces Germany 

BH: behavioral health 

BHL: behavioral health liaison 

BHO: behavioral health officer 

BICEPS: brevity, immediacy, centrality, expectancy, proximity, and 

simplicity 

BKA: below-the-knee amputation 

BMI: body mass index 

BN: bulimia nervosa 

BRAC: Base Realignment and Closure 

BSC: behavioral science consultants 

BSHOP: Behavioral and Social Health Outcomes Program

C

CAAC: Child and Adolescent Assistance Center 

CACO: casualty assistance call officer 

CanMEDS: Canadian Medical Education Directions for Specialists 

CAO: casualty assistance officer 

CAPS: Child and Adolescent Psychiatry Service 

CASF: contingency aeromedical staging facility 

CAST: Chaplain Annual Sustainment Training 

CBRN: chemical, biological, radiological, and nuclear 

CBRNE: chemical, biological, radiological, nuclear, and explosive 

CBT: cognitive-behavioral therapy 

CDC: Centers for Disease Control and Prevention 

CDT: carbohydrate deficient transferrin 

CED: critical event debriefing 

CENTCOM: Central Command

CG/USARV: Commanding General, United States Army Republic 

of Vietnam

CHCS: Composite Health Care System 

CHCS-ITT: Composite Health Care System–Interactive Training 

Tool 

CHE: complex humanitarian emergency 

CHPC: Community Health Promotion Council 

CHPPM: Center for Health Promotion and Preventive Medicine 

CID: Criminal Investigation Division 

CIP: command interest profile 

CIR: critical incident report 

CISD: critical incident stress debriefing 

CISM: critical incident stress management 

Civ: civilian 

CMAOC: Casualty and Mortuary Affairs Operation Center

CMO: civil-military operations 

CMOC: civil-military operations center 

CNN: Cable News Network 

CO: Company 

COMT: catechol-o-methyltransferase 

COMUSMACV: Commander US Military Assistance Command, 

Vietnam 

CONUS: continental United States 

COSB: combat and operational stress behavior 

COSC: combat and operational stress control 

COSC-WARS: Combat/Operational Stress Control Workload 

Activity Reporting System 

COSFA: combat and operational stress first aid 

COSR: combat and operational stress reaction 

COSR/SR: combat and operational stress/staff resiliency 

COTA: certified occupational therapy assistant 

COX-2: cyclooxygenase-2 

CPIP: Clinical Psychology Internship Program 

CPT: cognitive processing therapy 

CQ: charge of quarters 

CRH: corticotropin-releasing hormone 
xxvi

Combat and Operational Behavioral Health 

CSC: combat stress control 

CSC: combat stress casualty 

CSCT: combat stress control team 

CSF: cerebrospinal fluid 

CSF: Comprehensive Soldier Fitness 

CSH: combat support hospital 

CSR: combat stress reaction

CT: cognitive therapy 

CT: computed tomography 

CY: calendar year 

CYP2D6: cytochrome p450 enzyme 

D

DA: Department of the Army 

DAI: diffuse axonal injury 

DAMIS: Drug and Alcohol Management Information System 

DCCS: deputy chief of clinical services 

DCMH: Department of Community Mental Health 

DCOE: Defense Centers of Excellence 

DCS: Deployment Cycle Support 

DCSP: Deployment Cycle Support Program 

DEROS: date of expected return from overseas 

DHC: Deployment Health Clinic 

DHEA: dehydroepiandrosterone 

DHHS: Department of Health and Human Services 

DIF: division internment facility 

DISCOM: Division Support Command 

DMH: division mental health 

DMHA: division mental health activity 

DMHS: defense mental health services 

DMHS: division mental health section 

DNA: deoxyribonucleic acid 

DNBI: disease nonbattle injury

DoD: Department of Defense 

DoDSER: Department of Defense Suicide Event Report 

DoE: Department of Education 

DRRI: Deployment Risk and Resilience Inventory 

DSB: division support battalion 

DSCOT: doctorate of science in occupational therapy 

DSM: Diagnostic and Statistical Manual of Mental Disorders

DSM-III: Diagnostic and Statistical Manual of Mental Disorders, 3rd 

edition 

DSM-III-R: Diagnostic and Statistical Manual of Mental Disorders, 

3rd edition, revised 

DSM-IV: Diagnostic and Statistical Manual of Mental Disorders, 4th 

edition 

DSM-IV-TR: Diagnostic and Statistical Manual of Mental Disorders, 

4th edition, text revision 

DSN: Defense Satellite Network 

DTI: diffusion tensor imaging 

DUI: driving under the influence 

DVA: Department of Veterans Affairs 

DVBIC: Defense and Veterans Brain Injury Center 

DWI: driving while intoxicated 

DWMMC: Deployed Warrior Medical Management Center 

E

ECT: electroconvulsant therapy 

EDNOS: eating disorder not otherwise specified 

EEG: electroencephalography 

EFMP: Exceptional Family Member Program 

EMDR: eye movement desensitization and reprocessing 

EMF: expeditionary medical facility 

EPA: Environmental Protection Agency 

EPICON: epidemiological consultation 

EPS: extrapyramidal symptom 

ER: emergency room 

EtG: ethyl glucuronide 

ETOh: ethanol

F

FAP: Family Advocacy Program 

FDA: Food and Drug Administration 

FEMA: Federal Emergency Management Agency 

FLAIR: fluid attenuated inversion recovery 

FM: Field Manual 

FMHT: field mental health team 

FOB: forward operating base 

FORSCOM: Forces Command 

FRAGO: fragmentary order 

FRG: family readiness group 

FSB: forward support battalion 

FSMC: forward support medical company

G

G-3: operations

G-5: civil-military operations officer 

GABA: gamma-amino butyric acid 

GAO: Government Accountability Office 

GCS: Glasgow Coma Scale 

GDP: gross domestic product 

GE: gradient echo 

GERD: gastroesophageal reflux disease 

GGT: gamma glutamyl transferase 

GI: government issue

GKO: Guard Knowledge Online 

GME: graduate medical education

GOAT: Galveston Orientation and Amnesia Test 

GPMRC: Global Patient Movement Requirements Center 

GSA: GWOT Support Assignment 

GTA: graphic training aid 

GTO: girls’ time out

GTP: guanine triphosphate 

GWOT: global war on terror 

H

HA: humanitarian assistance 

hemcon: hemorrhage control 

HI: homicidal ideation 

HIPAA: Health Insurance Portability and Accountability Act 

HIV/AIDS: human immunodeficiency virus/acquired immunodeficiency syndrome 

HMMWV: high mobility multipurpose wheeled vehicle 

HOPE: Health Opportunities for People Everywhere 

HOSP: hospital 

HPA: hypothalamic-pituitary-adrenocortical 

HPI: history of present illness 

HRA: Health Risk Appraisal 

HS: hour of sleep (at bedtime) 

I

IA: individual augmentation 

IBTC: installation biochemical testing coordinator 

ICD-10: International Classification of Diseases, 10th edition 

ICD-9: International Classification of Diseases, 9th edition 

ICD-9-CM: International Classification of Diseases, 9th edition, clinical modification 

ICP: intracranial pressure 

ICRC: International Committee of the Red Cross 

ICU: intensive care unit 

ICW: intermediate care ward 
Abbreviations and Acronyms

xxvii

ID: Infantry Division 

IDF: Israeli Defence Forces 

IDP: internally displaced person 

IED: improvised explosive device 

IMA: installation management activity 

IMCOM: Installation Management Command 

IOM: Institute of Medicine 

IPT: interpersonal therapy 

IRT: imagery rehearsal therapy 

ISAF: International Security Assistance Force 

ISP: inpatient service provider 

ITO: in the theater of operations 

J

JAG: Judge Advocate General 

JFHQ: Joint Forces Headquarters 

JIDC: Joint Interrogation Debriefing Center 

JLIST: Joint Service Integrated Suit Technology 

JPTA: Joint Patient Tracking Application

K

KCMHR: King’s Centre for Military Health Research 

KIA: killed in action 

KO teams: hospital augmentation detachments 

L

LINN: Living in the New Normal 

LMF: lack of moral fiber

LO: liaison office 

LOC: loss of consciousness 

LOD: line-of-duty 

LRMC: Landstuhl Regional Medical Center 

LSA: logistic support area 

LSD: lysergic acid diethylamide

M

MACE: Military Acute Concussion Evaluation 

MATC: Military Advanced Training Center 

MCEC: Military Child Education Coalition 

MCE: mass casualty event 

MCV: mean corpuscular volume 

MDNOS: mood disorder not otherwise specified 

MEB: medical evaluation board 

MED: medical 

MEDCAP: medical civic action program 

MEDCMO: medical civil-military operations

MEDCOM: Medical Command 

MEDDAC: Medical Department Activity 

MEDEVAC: medical evacuation 

MEF: marine expeditionary force 

MEPS: Military Entrance Processing Station 

METT-TC: mission, enemy, terrain and weather, troops and support available, time available, and civil considerations 

MFLC: Military Family Life Consultant 

MHAT: Mental Health Advisory Team 

MHCS: Mental Health Consultation Service 

MHCTO: Mental Health Casualty Tracker for OIF 

Mil: military 

MIRECC: Mental Illness Research, Education, and Clinic Center 

MMB: multifunctional medical brigade 

MNC-I: Multi-National Corps–Iraq 

MNF-I: Multi-National Force–Iraq 

MOA: memorandum of agreement 

MOD: Ministry of Defence 

MOPP: mission-oriented protective posture 

MOS: military occupational specialty 

MP: military police 

MRE: meal, ready-to-eat 

MRE: military rules of evidence 

MRI: medical reengineering initiative 

MRI: magnetic resonance imaging 

MRO: medical review officer 

MS: multiple sclerosis 

MSB: main support battalion 

MSE: mental status evaluation 

mTBI: mild traumatic brain injury 

MTD: Medical Transient Detachment 

MTF: medical treatment facility 

MTOE: modified Table of Organization and Equipment 

MUPS: medically unexplained physical symptoms 

MWR: Morale, Welfare and Recreation 

N

NATO: North Atlantic Treaty Organization 

NBC: nuclear, biological, and chemical 

NBCOT: National Board for Certification in Occupational Therapy 

NCA: National Capital Area 

NCO: noncommissioned officer 

NCOER: noncommissioned officer evaluation report 

NCOIC: noncommissioned officer in charge 

NCPTSD: National Center for PTSD 

NE: norepinephrine 

NES: night-eating syndrome 

NGB: National Guard Bureau 

NGFβ: nerve growth factor β

NGO: nongovernmental organization 

NMDA: N-methyl-d-aspartic acid 

NNMC: National Naval Medical Center 

NPDB: National Practitioner Data Bank 

NPSP: New Parent Support Program 

NPY: neuropeptide Y 

NSAID: nonsteroidal antiinflammatory drug 

NVA: North Vietnamese Army 

NVVRS: National Vietnam Veterans Readjustment Study 

NYDN: not yet diagnosed neurological 

O

OCCH: Office of the Chief of Chaplains 

OCD: obsessive-compulsive disorder 

OCONUS: outside the continental United States 

ODS/S: Operation Desert Shield/Storm 

OEF: Operation Enduring Freedom 

OER: officer evaluation report 

OIF: Operation Iraqi Freedom 

OIF 05-07: Operation Iraqi Freedom 05-07 

OIF I: Operation Iraqi Freedom One 

OIF-II: Operation Iraqi Freedom Two 

OIH: opioid-induced hyperalgesia 

OMUS: outbreak of multiple unexplained symptoms 

ONE: Operation Noble Eagle 

OPNAVIST: Operational Navy Instruction 

OPTEMPO: operations tempo 

OR: operating room 

OSCAR: Operational Stress Control and Readiness 

OT: occupational therapy 

OTA: occupational therapy assistant 

OTSG: Office of The Surgeon General 

OUA: Operation Unified Assistance 

P

P-U-L-H-E-S: profile serial system 
xxviii

Combat and Operational Behavioral Health 

PAM: Pamphlet 

PAO: public affairs office/officer 

PA: physician assistant 

PASBA: Patient Administration Systems and Biostatistics Activity 

PC: psychological casualty 

PCA: patient-controlled analgesia 

PCLS: Psychiatry Consultation Liaison Service 

PCM: primary care management 

PCOS: postcombat and operational stress 

PDHA: Post-Deployment Health Assessment 

PDHA: predeployment health assessment 

PDHRA: Post-Deployment Health Re-Assessment 

PDPA: People’s Democratic Party of Afghanistan 

PE: prolonged exposure 

PET: positron emission tomography 

PFA: psychological first aid 

PFA: personal fitness assessment 

PGA-CI: Parent Guidance Assessment–Combat Injured 

PGD: prolonged grief disorder 

PH: psychological health 

PHC(P): Public Health Command (Provisional) 

PHI : protected health information 

PICK: Premarital Interpersonal Choices and Knowledge 

PKC: protein kinase C 

PMCS: Preventative Maintenance Checks and Services 

PMD: psychiatric mental disorder 

PMDD: premenstrual dysphoric disorder 

PMP: Preventive Medical Psychiatry 

PMR: Patient Movement Record, Patient Movement Requirement, 

or Patient Movement Request

po: per os (by mouth, orally) 

POC: point of contact 

POPM: Proponency of Preventive Medicine 

POW: prisoner of war 

PROFIS: Professional Officer Filler Information System 

ProQOL: Professional Quality of Life Scale 

PRT: provider resiliency training 

PSA: prostate-specific antigen 

PSP: patient support pallet 

PsySTART: psychological simple triage and rapid treatment 

PT: physical training 

PTA: posttraumatic amnesia 

PTE: potentially traumatic event 

PTG: posttraumatic growth 

PTSD: posttraumatic stress disorder 

PTSS: posttraumatic stress symptoms 

Q

q: quodque (every) 

QPR: Question, Persuade, Refer 

R

R&R: rest and recuperation 

RAF: Royal Air Force

RANKL: receptor activator of nuclear factor-κB ligand 

RASS: Richmond Agitation-Sedation Score 

RCS: Readjustment Counseling Service 

RCT: randomized controlled trial 

REM: rapid eye movement 

RFO: request for orders 

RGA: retrograde amnesia 

RMC: regional medical center 

RNAi: antisense ribonucleic acid 

ROE: rules of engagement 

RRC: Regional Readiness Command 

RRC: residency review committee 

RTD: return to duty 

RTU: return to unit 

S

S-3: operations officer 

SA: substance abuse 

SAC: Soldier Assistance Center 

SAC: Standardized Assessment of Concussion 

SAFAC: Soldier and Family Assistance Center 

SAMHSA: Substance Abuse and Mental Health Services Administration 

SARS: severe acute respiratory syndrome 

SAV: staff assistance visit 

SDH: subdural hemorrhage 

SDQ: Strengths and Difficulties Questionnaire 

SERE: Survival, Evasion, Resistance, and Escape 

SeRV-MH: Services for Returning Veterans-Mental Health 

SFLC: Soldier and Family Life Consultants 

SI: suicidal ideation 

SIC: stress injury continuum 

SIR: serious incident report 

SIT: stress inoculation training 

SITREP: situation report 

SME: subject matter expert 

SM: service member 

SNP: single-nucleotide polymorphism 

SNRI: serotonin-norepinephrine reuptake inhibitor 

SNS: sympathetic nervous system 

SOP: standard operating procedure 

SPPM: suicide prevention program manager 

SPRINT: Special Psychiatric Rapid Intervention Team 

SPSS: Statistical Package for the Social Sciences (version 16, SPSS 

Inc, Chicago, IL) 

SRMSO: Suicide Risk Management and Surveillance Office 

sRNA: small ribonucleic acid molecules 

SRP: Soldier Readiness Program 

SSRI: selective serotonin reuptake inhibitor 

STOAL: short take off and landing 

SWAPP: Soldier Wellness Assessment Pilot Program 

SWEP: Solomon Wellness Educational Program 

SWET: sewer, water, electricity, and trash 

T

TAI: traumatic axonal injury

TAMC: Tripler Army Medical Center 

TAPS: Tragedy Assistance Program for Survivors 

TBI: traumatic brain injury 

TCA: tricyclic antidepressant 

TEM: traumatic event management 

TF 30 Med: Task Force 30th Medical Brigade 

THR: target heart rate 

TIF: tertiary internment facility or theater internment facility 

TIPPS: Therapeutic Intervention for the Prevention of Psychiatric 

Stress 

TMD: temporomandibular dysfunction 

TMI: Three Mile Island 

TMIP: theater medical information program 

TOE: Table of Organization and Equipment 

TRAC2ES: TRANSCOM Regulating and Command and Control 

Evacuation System 

TRANSCOM: Transportation Command 

TRiM: Trauma Risk Management 

TSG: The Surgeon General 

TSH: thyroid-stimulating hormone 

TTY: text telephone 

TWA: Trans World Airlines 
Abbreviations and Acronyms

xxix

U

UBHNA: Unit Behavioral Health Needs Assessment 

UCMJ: Uniform Code of Military Justice 

UK: United Kingdom 

UMT: unit ministry team 

UN: United Nations 

UNHCR: UN High Commissioner for Refugees 

UNICEF: United Nations Children’s Fund 

USAID: US Agency for International Development 

USAMEDCOMV: US Army Medical Command Vietnam 

USAR: US Army Reserves 

USAREUR: US Army, Europe 

USARV: US Army Republic of Vietnam 

USDOT: US Department of Transportation 

USMACV: United States Military Assistance Command, Vietnam 

USPHS: US Public Health Service 

USUHS: Uniformed Services University of the Health Sciences

V

VA: Veterans Affairs 

VA: Veterans’ Administration (pre-1980 name) 

VAS: verbal or visual (or both) analogue scales 

VBA: Veterans Benefits Administration

VBIED: vehicle-borne improvised explosive device 

VCSA: vice chief of staff for the Army 

VHA: Veterans Health Administration

VTC: video teleconference 

W

w/: with 

w/o: without 

WHO: World Health Organization 

WHO-EURO: World Health Organization Regional Office for 

Europe 

WIA: wounded in action 

WICS: wisdom, intelligence, and creativity, synthesized 

WRAIR: Walter Reed Army Institute of Research 

WRAMC: Walter Reed Army Medical Center 

WTC: World Trade Center 

WTP: Warrior Transition Program 

WTRP: Warrior Training and Rehabilitation Program 

WTU: warrior transition unit
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Combat and Operational Behavioral Health