Farmer Carrie M, Vaughan Christine Anne, Garnett Jeffrey, Weinick Robin M
Rand Health Q. 2015 Jul 15;5(1):23.
The Marine Corps Operational Stress Control and Readiness (OSCAR) program is designed to provide mental health support to marines by embedding mental health personnel within Marine Corps units and increasing the capability of officers and senior noncommissioned officers to improve the early recognition and intervention of marines exhibiting signs of stress. The Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury have asked RAND to evaluate the OSCAR program. As part of this evaluation, RAND conducted a large survey of marines who were preparing for a deployment to Iraq or Afghanistan in 2010 or 2011. This article describes the methods and findings from this survey. The results are among the first to shed light on the pre-deployment mental health status of marines, as well as the social resources they draw on when coping with stress and their attitudes about seeking help for stress-related problems. The 2,620 marines in the survey sample had high rates of positive screens for current major depressive disorder (12.5 percent) and high-risk drinking (25.7 percent) and reported having experienced more potentially traumatic events over their lifetime than adult males in the general population. Marines in the sample also reported relying on peers for support with stress and perceiving moderate levels of support from the Marine Corps for addressing stress problems.
海军陆战队作战压力控制与战备（OSCAR）计划旨在通过在海军陆战队各单位编入心理健康人员，并提高军官和高级士官对表现出压力迹象的海军陆战队员进行早期识别和干预的能力，为海军陆战队员提供心理健康支持。国防心理健康与创伤性脑损伤卓越中心已要求兰德公司对OSCAR计划进行评估。作为该评估的一部分，兰德公司对2010年或2011年准备部署到伊拉克或阿富汗的海军陆战队员进行了大规模调查。本文介绍了此次调查的方法和结果。这些结果是首批揭示海军陆战队员部署前心理健康状况、他们在应对压力时所利用的社会资源以及他们对因压力相关问题寻求帮助的态度的结果之一。调查样本中的2620名海军陆战队员当前患有重度抑郁症（12.5%）和高危饮酒（25.7%）的阳性筛查率很高，并且报告称他们一生中经历的潜在创伤性事件比普通成年男性更多。样本中的海军陆战队员还报告称依靠同伴来应对压力，并认为海军陆战队在解决压力问题方面提供的支持水平一般。
