“Oh, The Things You Can Find”

  • Robert KoffmanEmail author


What is now simply referred to as “The Long War”, the conflicts in Iraq and Afghanistan—previously called Operation Iraqi Freedom and Operation Enduring Freedom—have tested America’s resolve, have stretched America’s forces, and now comprise America’s longest combat engagement. So too, have Individual Augments, Service Members both active and reserve called to TDY orders, necessarily filled critical billets downrange, valiantly conducting missions which otherwise were staffed by organic troops before the Long War waged on. The following story details exposing the risks involved with being a so called, IA, fighting an enemy as insidiously dangerous as he is overtly threatening, the detainee. Beyond simply identifying a high-risk group of warriors, the authors offer Navy leadership a population-based, public health solution of boots-on-the-ground surveillance, intervention, and education.


Mental health of high risk sailors Behavioral health surveillance of sailors Navy psychiatrist Psychiatry in the Navy Detainee operations in Iraq Combat stress control psychiatrist 



The author would like to acknowledge the contribution of his “right hand man,” battle buddy, and collaborator, Justin Campbell, Ph.D., in the preparation of the manuscript.


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    Charles W. Hoge, M.D., Carl A. Castro, Ph.D., Stephen C. Messer, Ph.D., Dennis McGurk, Ph.D., Dave I. Cotting, Ph.D., and Robert L. Koffman, M.D., M.P.H. N Engl J Med 2004; 351:13–22.Google Scholar
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    Leskela J, Dieperink M, Thuras P. Shame and posttraumatic stress disorder. J Trauma Stress. 2002;15(3):223–6.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Behavioral Health and Integrative MedicineNational Intrepid Center of ExcellenceBethesdaUSA

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