Thank you for that question.
First of all, when I was talking about combat stress reaction, this was something we were doing in Afghanistan. The idea was about trying to keep people near their colleagues, to not separate them, because there's always a lot of shame involved. It was interesting. If somebody was in a FOB, a forward operating base, it was better if there was something that we could do there. Sometimes we would send our nurse or social worker out there, actually, if we felt it was necessary, rather than bringing them back even to Kandahar airfield.That was very much something we developed in Afghanistan.
In terms of what we do back home, you're right, in that there's always a tension between the confidentiality around patient care versus the chain of command wanting to have some information so they can help their members. One of things that we do now is a lot of education of the chain of command—the Road to Mental Readiness. People get this at every level of their career courses.
Last week I was in Kingston presenting to the army officers' course. These are people in the army at the level of captain who are being promoted. This is the thing we talked about. We talked about how we work together. We've set up, of course, a system of medical employment limitations that are recommended by the GDMO, the family doctor, not by mental health. The medical employment limitations state that “these are the things the person can't do” for x period of time, but it doesn't name what the conditions are.