ANNEX E

MHAT SUPPORTING DOCUMENTS

Operation Iraqi Freedom (OIF) 

Mental Health Advisory Team (MHAT) 

16 December 2003 

Chartered by 

US Army Surgeon General 

This is an annex to the OIF MHAT Report providing supporting documentation 

for the MHAT mission. 

This report is redacted to remove unit identifications, unit locations, and 

personal identity information in accordance with Army Regulation 25-55, Department 

of the Army Freedom of Information Act Program, and Army Regulation 340-21, The 

Army Privacy Program. Redacted information appears throughout this report 

blacked out, such as below.

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APPENDIX 1 (MHAT Membership) to ANNEX E to OIF MHAT REPORT 

COL ----------------------- DSW: Chief, Behavioral Health Division, ------------------------ 

----------------------------------------------------------. Social Work Consultant to the Surgeon 

General; MHAT Team Chief. 

COL -------------------- MD: Combat Stress Control Program officer, -------------- 

---------------------------------------------------------------------- 

COL -------------------, MA,MSS,OTR----------------------- Army Medical Specialist 

Corps, Ft. Sam Houston, Texas, 78234. Occupational Therapy Consultant to the 

Surgeon General. 

COL -------------------- Psy.D.: Chief, Department of Psychology, ------------------- --------

---------------------------------------------------- 

LTC Carl Castro, Ph.D.: Research Psychologist, Walter Reed Army Institute of ------

------------------------------------------------------- 

LTC -------------------- General Staff, Human Resource Policy Directorate, Army G-1, 

--------------------------. Army Suicide Prevention Program Manager. 

LTC ------------------------- M.D.: Asst. Project Officer, Operation Solace, -------------- 

---------------- 

MAJ ------------------- M.S.N., CS, Continuity of Care Services, -------------------------- 

------------------------------------------------------ 

MAJ Anthony L. Cox, M.S.W.: Social Work Officer, Walter Reed Army Institute of 

------------------------------------------------------- 

Chaplain (MAJ) ------------------ M. Div.: Chaplain Combat Developments Integrator, 

------------------------------------------------------------------------------------------------------------- 

--------------------------------------------------------------------- Pastoral Care Consultant to the 

OTSG Mental Health Advisory Team. 

1SG -------------------------- First Sergeant, -------------------------------------------------------- 

-------------------------------------------------------------------------------------- Sr. Mental Health 

NCO, MHAT. 

SFC --------------------- NCOIC, Soldier & Family Support Br., Dept. of Preventive 

Health Services, --------------------------------------------------------------------------------------- 

-------------------------- 

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APPENDIX 2 (MHAT Itinerary) to ANNEX E to OIF MHAT REPORT

20 July 2003: MHAT mission defined and tasked to U.S. Army MEDCOM. 

20-31 July 2003: MHAT team formed. 

31 July – 9 August 2003: Initial MHAT planning via audio conferences. 

10-13 August 2003: MHAT meets at the U.S. Army Force Health Protection 

Conference, Albuquerque, N.M. 

17-25 August 2003: MHAT is at the CONUS Replacement Center (CRC), Ft. Bliss, 

Texas. 

27 August – 1 September, 22-26 September 2003: MHAT activities in Kuwait.

Units Visited by MHAT in Kuwait.

 

(b)(2) 

2 September – 2 October 2003: MHAT Activities in Iraq. 

Units Visited by MHAT in Iraq. 

1st AD 4th ID 101st AA 3rd ACR ------------------- 

 

MHAT exit briefed ------- Med Bde & CJTF-7 leadership on 28 September & 2 October, 

respectively. 

(b)(2) 

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3-7 October 2003: MHAT Activities in Kuwait. MHAT exit briefed --------

 Med Bde & 

CFLCC leadership on 5 October & 6 October, respectively. 

8-9 October 2003: MHAT at CRC, Ft. Bliss, Texas. 

12-18 October 2003: MHAT at Ft. Stewart, Georgia and Landstuhl Regional Medical 

Center, Germany. 

19 October – 6 December 2003: MHAT analyzes data, writes draft report, and 

develops action plans to implement recommendations.

16 November 2003: Draft Report briefed to Army Surgeon General. 

8 December 2003: Report briefed to CMDR, CFLCC. 

9 December 2003: Suicide data reviewed with House and Senate Armed Services 

Committee professional staffers. 

16 December 2003: Report briefed to CMDR, CJTF-7. 

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APPENDIX 3 (Glossary of Terms Used By MHAT) to ANNEX E to OIF MHAT 

REPORT

DoD Dictionary of Military Terms 

As amended through 05 June 2003 

http://www.dtic.mil/doctrine/jel/doddict/ 

Division 

(DOD, NATO) 1. A tactical unit/formation as follows: a. A major administrative and 

tactical unit/formation which combines in itself the necessary arms and services 

required for sustained combat, larger than a regiment/brigade and smaller than a 

corps. b. A number of naval vessels of similar type grouped together for operational 

and administrative command, or a tactical unit of a naval aircraft squadron, 

consisting of two or more sections. c. An air division is an air combat organization 

normally consisting of two or more wings with appropriate service units. The combat 

wings of an air division will normally contain similar type units. 2. An organizational 

part of a headquarters that handles military matters of a particular nature, such as 

personnel, intelligence, plans, and training, or supply and evacuation. 3. (DOD only) 

A number of personnel of a ship's complement grouped together for tactical and 

administrative control. 

Squadron 

(DOD) 1. An organization consisting of two or more divisions of ships, or two or more 

divisions (Navy) or flights of aircraft. It is normally but not necessarily composed of 

ships or aircraft of the same type. 2. The basic administrative aviation unit of the 

Army, Navy, Marine Corps, and Air Force. 3. Battalion-sized ground or aviation units 

in US Army cavalry regiments. 

Brigade 

(DOD) A unit usually smaller than a division to which are attached groups and/or 

battalions and smaller units tailored to meet anticipated requirements. Also called 

BDE. 

Combat service support 

(DOD) The essential capabilities, functions, activities, and tasks necessary to 

sustain all elements of operating forces in theater at all levels of war. Within the 

national and theater logistic systems, it includes but is not limited to that support 

rendered by service forces in ensuring the aspects of supply, maintenance, 

transportation, health services, and other services required by aviation and ground 

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combat troops to permit those units to accomplish their missions in combat. Combat 

service support encompasses those activities at all levels of war that produce 

sustainment to all operating forces on the battlefield. Also called CSS. See also 

combat support. 

Combat support 

(DOD) Fire support and operational assistance provided to combat elements. Also 

called CS. See also combat service support. 

Combat and operational stress 

(DOD) The expected and predictable emotional, intellectual, physical, and/or 

behavioral reactions of Service members who have been exposed to stressful 

events in war or military operations other than war. Combat stress reactions vary in 

quality and severity as a function of operational conditions, such as intensity, 

duration, rules of engagement, leadership, effective communication, unit morale, unit 

cohesion, and perceived importance of the mission. 

Medical treatment facility 

(DOD) A facility established for the purpose of furnishing medical and/or dental care 

to eligible individuals. 

Evacuation 

(DOD) 1. The process of moving any person who is wounded, injured, or ill to and/or 

between medical treatment facilities. 2. The clearance of personnel, animals, or 

materiel from a given locality. 3. The controlled process of collecting, classifying, and 

shipping unserviceable or abandoned materiel, US or foreign, to appropriate 

reclamation, maintenance, technical intelligence, or disposal facilities. 4. The 

ordered or authorized departure of noncombatants from a specific area by 

Department of State, Department of Defense, or appropriate military commander. 

This refers to the movement from one area to another in the same or different 

countries. The evacuation is caused by unusual or emergency circumstances and 

applies equally to command or non-command sponsored family members. See also 

evacuee; noncombatant evacuation operations. 

Evacuation policy 

(DOD) 1. Command decision establishing the maximum number of days that 

patients may be held within the command for treatment. Patients who, in the opinion 

of responsible medical officers, cannot be returned to a duty status within the period 

prescribed are evacuated by the first available means, provided the travel involved 

will not aggravate their disabilities. 2. A command decision concerning the 

movement of civilians from the proximity of military operations for security and safety 

reasons and involving the need to arrange for movement, reception, care, and 

control of such individuals. 3. Command policy concerning the evacuation of 

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unserviceable or abandoned materiel and including designation of channels and 

destinations for evacuated materiel, the establishment of controls and procedures, 

and the dissemination of condition standards and disposition instructions. See also 

evacuation; patient. 

Concept plan 

(DOD) An operation plan in concept format. Also called CONPLAN. See also 

operation plan. 

Communications zone 

(DOD) Rear part of a theater of war or theater of operations (behind but contiguous 

to the combat zone) which contains the lines of communications, establishments for 

supply and evacuation, and other agencies required for the immediate support and 

maintenance of the field forces. Also called COMMZ. See also combat zone; line of 

communications; rear area; theater of operations; theater of war. 

Operation plan 

(DOD) Any plan, except for the Single Integrated Operational Plan, for the conduct 

of military operations. Plans are prepared by combatant commanders in response to 

requirements established by the Chairman of the Joint Chiefs of Staff and by 

commanders of subordinate commands in response to requirements tasked by the 

establishing unified commander. Operation plans are prepared in either a complete 

format (OPLAN) or as a concept plan (CONPLAN). The CONPLAN can be published 

with or without a time-phased force and deployment data (TPFDD) file. a. OPLAN--

An operation plan for the conduct of joint operations that can be used as a basis for 

development of an operation order (OPORD). An OPLAN identifies the forces and 

supplies required to execute the combatant commander's strategic concept and a 

movement schedule of these resources to the theater of operations. The forces and 

supplies are identified in TPFDD files. OPLANs will include all phases of the tasked 

operation. The plan is prepared with the appropriate annexes, appendixes, and 

TPFDD files as described in the Joint Operation Planning and Execution System 

manuals containing planning policies, procedures, and formats. Also called OPLAN. 

b. CONPLAN--An operation plan in an abbreviated format that would require 

considerable expansion or alteration to convert it into an OPLAN or OPORD. A 

CONPLAN contains the combatant commander's strategic concept and those 

annexes and appendixes deemed necessary by the combatant commander to 

complete planning. Generally, detailed support requirements are not calculated and 

TPFDD files are not prepared. c. CONPLAN with TPFDD--A CONPLAN with TPFDD 

is the same as a CONPLAN except that it requires more detailed planning for 

phased deployment of forces. Also called CONPLAN. See also operation order; 

time-phased force and deployment data. 

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ACCIDENT 

An unplanned event that results in injury (including death) or occupational illness to 

person(s) and/or damage to property, exclusive of injury and/or damage caused by 

action of an enemy or hostile force. (AR 310-5) 

SUICIDE 

1 a : the act or an instance of taking one's own life voluntarily and intentionally

especially by a person of years of discretion and of sound mind b : ruin of one's own 

interests <political suicide> 

2 : one that commits or attempts suicide. (Merriam-Webster's Online Dictionary ) 

MORALE 

The state of the spirits of a person or group as exhibited by confidence, 

cheerfulness, discipline, and willingness to perform assigned tasks. )The American 

Heritage® Dictionary of the English Language: Fourth Edition. 2000.) 

Joint Acronyms and Abbreviations 

http://www.dtic.mil/doctrine/jel/doddict/acronym_index.html 

AFME Armed Forces medical examiner 

TRAC2ES TRANSCOM Regulating And Command and Control Evacuation System 

PARRTS Patient Accounting and Reporting Real-Time Tracking System 

MODS Medical Occupational Data System 

MODS Major Operations Data System 

LRMC Landstuhl Regional Medical Center (US Army) 

EAMC Eisenhower Army Medical Center 

BAMC Brooke Army Medical Center 

OTSG Office of the Surgeon General 

DMHS Division Mental Health Section 

CSH Combat Support Hospital 

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CONPLAN Concept Of Operation Plan 

CONPLAN Contingency Plan 

FSMC Forward Support Medical Company 

ASMC Area Support Medical Company 

MTF Medical Treatment Facility 

ASIST Applied Suicide Intervention Skills Training 

SIPRNET Secure Internet Protocol Router Network 

NIPRNET Non-Secure Internet Protocol Router Network