“Operational stress injuries” would be best defined as a really broad umbrella term that includes a variety of things: post-traumatic stress disorder, certainly, but also depression, substance use, and panic disorder, just to name a few. There are a lot of potential sequelae following traumatic exposure, the most common sequelae actually being recovery. The vast majority of people, even our public safety personnel, actually recover.
That said, I don't think we're doing anywhere nearly enough with respect to what we could be doing, and certainly not nearly enough with imminent treatment provision and ensuring that we have effective treatment provisions. I agree with Dr. Dadson that one of our biggest challenges is the huge delay between when the person actually experiences the injury and when we begin effective treatment. That's something we need to address, because, as with any form of health care, the sooner you address the injury or the health care concern, the more likely you are to experience a positive overall prognostic outcome.