2012 Annual Report
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UNIFORMED SERVICES UNIVERSITY C enter for the Study of Traumatic Stress 2012 Annual Report C ELEBRATING 25 YEARS: 1987–2012 1 Partnerships U.S. Department of Defense As 2012 marks the 25th year of our Center, we U.S. Department of Energy want to acknowledge the following institutions U.S. Department of Health that have supported and continue to support our and Human Services work through research and educational collabora- U.S. Department of tions, through funding and importantly through Homeland Security sharing our mission: to better understand the impact of trauma and inform interventions that U.S. Department of Justice can prevent and mitigate its effects on the health U.S. Department of State of individuals, families, communities and nations, U.S. Department of Veterans ours and those around the globe. Affairs U.S. Navy American Academy of District of Columbia Massachusetts General The Henry M. Jackson Child and Adolescent Department of Mental Hospital Foundation for the U.S. Postal Service Psychiatry Health Advancement of Military Military Child Education U.S. Public Health Service Medicine American Gold Star Mothers Dover Air Force Base Coalition University of California, Los The National Child American Gold Star Wives Drexel University Miller School of Medicine of Angeles Traumatic Stress Network the University of Miami American Psychiatric Embassy of Italy University of California, San RAND Corporation Association National Association of Diego Federal Bureau of State Mental Health Rutgers University Cell and American Psychological Investigation University of Michigan Directors DNA Repository Association Florida Department of University of Michigan National Center for Post Rutgers University School of American Red Cross Health Institute for Social Traumatic Stress Disorder Social Work Research Architect of the Capitol Ft. Bragg, NC of the Department of Sesame Workshop Veterans Affairs University of Pennsylvania Armed Forces Retirement Ft. Hood, TX Substance Abuse and Home National Committee for University of Virginia Ft. Lee, VA Mental Health Services Employer Support of the Catholic University of Administration University of Virginia’s Ft. Stewart, GA Guard and Reserve America Critical Incident Analysis Syracuse University and Geological Survey of National Fallen Firefighters Group Center for Health Care Syracuse VA Medical Canada, Natural Foundation Research Medical Center University of Washington Resources Canada University of South National Institute for Tragedy Assistance Program Veterans Administration Carolina George C. Marshall Center Occupational Safety and for Survivors Medical Center of DC for European Security Health Centers for Disease Control Tulane School of Social Work Walter Reed Army Institute and Prevention Harvard University Medical National Institute of Mental of Research School Health Union Pacific Railroad Columbia University Walter Reed National Harvard University School of National Institutes of U.S. Air Force Columbia University Military Medical Center Public Health Health Mailman School of Public U.S. Army World Health Organization Health Institute of Medicine National Military Family U.S. Army Family Advocacy Association Wright State University Cornell University International Society for Program Traumatic Stress Studies Office of the First Lady, The Yale School of Medicine Dartmouth University U.S. Army Family Programs White House and VA Connecticut Joint Base Lewis-McChord Defense Centers of U.S. Army Installation Healthcare System The Alfred P. Sloan Excellence for Joint Mortuary Affairs Management Command Foundation Yellow Ribbon Psychological Health and Center and School, Fort U.S. Army Medical Research Reintegration Program Traumatic Brain Injury Lee, VA The Carter Center and Materiel Command Zero to Three Deployment Health Clinical Las Vegas Psychiatric U.S. Coast Guard Center Association From the Director of CSTS Dear CSTS Colleagues and Friends, ience in Servicemembers (Army STARRS). In the fall, we In 2012, the Center for the Study of Traumatic Stress briefed the Secretary of the Army, the Chief of Staff of the continued to demonstrate its unique commitment to Army, the Vice Chief of Staff of the Army, and the Dep- improving the psychological health of those people and uty Undersecretary of the Army on this research project populations exposed to trauma whose findings will be applied to the Army’s ongoing and traumatic events. While a health promotion, risk reduction, and suicide prevention great deal of our work continues efforts. At the end of 2012, the Army STARRS team had to focus on research and outreach collected data at 70 different Army locations throughout related to the mental health and the U.S. and abroad, and more than 100,000 Soldiers had resilience of our service members participated. and their families, our Center responded to two tragic commu- nity shootings in Colorado and In 2012, the Center for the Study of Connecticut. We provided expertise in community behav- ioral health and recovery, and the provision of real time, Traumatic Stress continued to demonstrate educational resources to help leadership and families in its unique commitment to improving the the aftermath of these events. Our Center’s focus on trans- lational research and knowledge — from the laboratory to psychological health of those people and the bedside, field, clinic and public policy — has enabled us to assist the Department of Defense and the nation in populations exposed to trauma and traumatic better responding to and preparing for the psychological and behavioral health effects of traumatic exposure. events. Our 2012 Annual Report also marks the 25th anniver- sary of the Center for the Study of Traumatic Stress. This The Center’s research in neuroscience and the neuro- milestone presents an opportunity to reflect on our Cen- biology of stress has resulted in the discovery of potential ter’s history in the context of our ongoing contributions to biomarkers for PTSD, potential biomarkers for suicide trauma research, education, consultation and training. We risk, increased understanding of gene expression patterns present a special section on the Vision Behind the Center that underlie biomarkers, and the role of fear memory provided to us by the distinguished Dr. Harry Hollo- consolidation and extinction. These studies continue to way, Professor, Department of Psychiatry of Uniformed help us identify and inform new treatments that have the Services University. Dr. Holloway’s many experiences and potential to not just alleviate symptoms of trauma-in- contributions both to the University and the Department duced disorders, but to prevent and treat those whose laid the groundwork for what is now the Center for the symptoms have been resistant to current interventions. Study of Traumatic Stress. We are integrating these research methodologies to sup- Since July 2009, our Center has been involved as part port the mental health and resilience of diverse popula- of a collaborative research network in the largest study of tions from our nation’s Guard and Reserve to our research mental health risk and resilience ever conducted among on bereavement with military families and children. military personnel, Army Study to Assess Risk and Resil- The Center’s Child & Family Program continues to 2012 Annual Report | 1 Distinguished Contributions to the Science of Mental …CSTS will continue working with the Health. This award is bestowed for distinguished contri- butions to the science of mental health and was originally many organizations whose collaborations supported by the Menninger Foundation. The year ended have strengthened our work and its value to with our Center receiving the Joint Service Meritorious Unit Award as one of the recognized centers of the De- the fields of military psychiatry and disaster fense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE). mental health, and our nation’s public health As we complete 25 years of service, The Center for the Study of Traumatic Stress looks forward to fulfilling and national security. its ongoing commitment to bring scholarly and research oriented problem solving to the psychological and be- provide leadership around the impact of combat stress on havioral health challenges of the Department of Defense military children and families. In 2012, Associate Director and the nation, and to continue working with the many and Child and Family Program head, Dr. Stephen Coz- organizations whose collaborations have strengthened our za, served as an expert panelist, along with Chairman of work and its value to the fields of military psychiatry and the Joint Chiefs of Staff General Martin Dempsey, Mrs. disaster mental health, and our nation’s public health and Patty Shinseki and others at ‘Helping Military Families national security. Through Challenging Transitions’, presented by Sesame Street and moderated by Bob and Lee Woodruff. Work Robert J. Ursano, M.D. on the Center’s groundbreaking study on Military Family Professor of Psychiatry and Neuroscience Bereavement continues to shed light on this traumatic Chair, Dept. of Psychiatry, USU aspect of combat. Director, Center for the Study of Traumatic Stress In 2012, CSTS received approval to commence a new project with the U.S. Department of Homeland Secu- rity in which the two organizations will collaboratively research, recommend, develop, present, and implement cutting-edge training on Psychological First Aid, Decision Making in High Stress Environments, and Resiliency Assessments