read (r2mr ry qu · datasets. sis. an exa ker (in press es epartment a request to ontract (g nces,...

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Defenc Scientific DRDC-R October 2 Asse Read prog Basic Connor G DRDC — Aihua Liu Douglas M Kristen Bla DRDC — ce Resear c Letter DDC-2017-L 2017 essing diness ram on c Milita aspar, Deniz Toronto Rese Mental Health ackler Toronto Rese rch and D L275 the in (R2MR n volu ary Qu Fikretoglu earch Centre University In earch Centre CAN UNC Developm CAN U fluenc R) men ntary r ualifica nstitute, McGi CLASSIFIED ment Can UNCLASSIFIE ce of th ntal he release ation tr ll University D ada ED he Roa ealth tr e amo raining ad to M raining ng rec g Mental g cruits i n

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Page 1: Read (R2MR ry Qu · datasets. sis. An exa ker (in press es epartment a request to ontract (G nces, recru E. Richard d by CFLRS R prior to , at the time gories: pers de choice. essfully

DefencScientificDRDC-ROctober 2

AsseReadprogBasicConnor GDRDC — Aihua Liu Douglas M Kristen BlaDRDC —

ce Researc Letter DDC-2017-L2017

essing diness ram onc Militaaspar, Deniz Toronto Rese

Mental Health

ackler Toronto Rese

rch and D

L275

the in(R2MR

n voluary QuFikretoglu earch Centre

University In

earch Centre

CAN UNC

Developm

CAN U

fluencR) menntary r

ualifica

nstitute, McGi

CLASSIFIED

ment Can

UNCLASSIFIE

ce of thntal hereleaseation tr

ll University

D

ada

ED

he Roaealth tre amoraining

ad to Mrainingng recg

Mental g cruits in

Page 2: Read (R2MR ry Qu · datasets. sis. An exa ker (in press es epartment a request to ontract (G nces, recru E. Richard d by CFLRS R prior to , at the time gories: pers de choice. essfully

CAN UNCLASSIFIED

CAN UNCLASSIFIED

IMPORTANT INFORMATIVE STATEMENTS This document was reviewed for Controlled Goods by DRDC using the Schedule to the Defence Production Act. Disclaimer: Her Majesty the Queen in right of Canada, as represented by the Minister of National Defence ("Canada"), makes no representations or warranties, express or implied, of any kind whatsoever, and assumes no liability for the accuracy, reliability, completeness, currency or usefulness of any information, product, process or material included in this document. Nothing in this document should be interpreted as an endorsement for the specific use of any tool, technique or process examined in it. Any reliance on, or use of, any information, product, process or material included in this document is at the sole risk of the person so using it or relying on it. Canada does not assume any liability in respect of any damages or losses arising out of or in connection with the use of, or reliance on, any information, product, process or material included in this document. Endorsement statement: This publication has been peer-reviewed and published by the Editorial Office of Defence Research and Development Canada, an agency of the Department of National Defence of Canada. Inquiries can be sent to: [email protected].

Template in use: CR_EL TEMPLATE 08-23-2017.dotm

© Her Majesty the Queen in Right of Canada, Department of National Defence, and Douglas Mental Health University Institute, McGill University, 2017.

© Sa Majesté la Reine en droit du Canada (Ministère de la Défense nationale) et l’institut universitaire en santé mentale Douglas, Université McGill, 2017

Page 3: Read (R2MR ry Qu · datasets. sis. An exa ker (in press es epartment a request to ontract (G nces, recru E. Richard d by CFLRS R prior to , at the time gories: pers de choice. essfully

DRDC-R

PreparedServices

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Asses(R2MRamon

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e influenal healthits in Ba

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strative data50 individuaruits succese of reasonsnts for 78.8%According t

nd actual Rewhile to inves

ork identifieand Otis 202011; Pope

d personalitelationships

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nce of thh traininasic Milit

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between he rate of VR

ocial Work &

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aims to inR2MR and th

untary releahe GRCT.

personal comraining since5% were uns

MQ, by far th1% (5,295)

al (2016), thear high of 4neficial effec

VR during h-Kewley, Leau and Braedge, no stuion and re

g, CF Health

diness ry releasing

Canadian AChief of Mtal health oftary Qualificested to seelopment Ca

RCT) of R2M

rectorate Geers (COs) aook at mlogical resilnfluence m

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mmunicatione 2006. Whilsuccessful. We most prevof all individ

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Page 4: Read (R2MR ry Qu · datasets. sis. An exa ker (in press es epartment a request to ontract (G nces, recru E. Richard d by CFLRS R prior to , at the time gories: pers de choice. essfully

2

Study oThe objeinto whetGRCT, wlower ratexaminincleanlineforecastistudy con

Method

ParticipThe piloFebruaryMember Details oLiu, and 2017). Adphase. InBMQ) anBMQ). InData Linstart of th

Data coAttainingtheir adminclusionthese twothe analyand Blac

MeasurFor the Dsubmits further ccircumstatraining (authorizerequest VCriticallyfive catewrong trahas succ

objectives ective of the ther R2MR r

we assessedte of VR th

ng: access ess/usability ng whether nditions to a

d

pants and pot phase ofy 8, 2017.

(NCM) recrof the particiBlackler (in dditionally, An the study, nd four platonformed Conkage to othhe pilot durin

ollection consent for

ministrative of participao datasets. ysis. An exacker (in press

es Department a request tocontract (Gances, recru(E. Richard ed by CFLRSVR prior to , at the time gories: persade choice. cessfully gr

present invereduces VR d if it was pohan platoons

to adminisof the admthe distribut

allow for full e

procedure f the R2MRParticipantsruit platoonspant selectipress); Blac

Annex A, Figfour platoon

oons were ansent to parter NCM rec

ng the Study

r data linkagdata. Given

ants’ data wiThus, partic

amination of s).

of National o leave of thovernment uits in BMQpersonal co

S prior to WWeek 5. Thof the initia

sonal probleThe wrong

raduated fro

estigation waat BMQ. Us

ossible to invs not expostrative data

ministrative tion of VR inefficacy ana

R GRCT b of the pilot

s stationed aon and stud

ckler, Fikretogure A.1 sumns were randassigned to ticipate in thcruit researcy Information

ge was esse that the prthin our ana

cipants who the data lin

Defence, VRheir own voof Canada

Q are first abommunicatio

Week 5 of trahe process ol request, CFms, family ptrade choic

om BMQ. W

as to establising data colvestigate whsed to R2Ma; ability todata to genn the larger lysis, includi

began on O phase wereat the CFLRdy design caoglu, and Liummarizes thdomly assigDelayed Inte GRCT an

ch and admn and Sign-U

ential in orderimary outcoalysis was wdid not cons

nkage conse

R is the procolition, or leaa, National ble to requeon June 30ining, in som

of VR at CFFLRS staff cproblems, pce category We exclude

sh the feasillected from hether platoo

MR. Feasibilo link adminnerate a rer trial would ing controllin

October 31e eight Ang

RS in Saint-Jan be foundu (in press); e experimenned to Intervtervention Cd a separateinistrative d

Up session.

er to link parome of the

wholly depensent to data ent groups is

cess where aves subseq

Defence, est VR at th, 2017). De

me instancesLRS is outlicategorizes rhysical fitneis reserved

ed these ind

bility of a futthe pilot ph

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esearch-quabe sufficien

ng for confou

, 2016 andlophone NoJean-sur-Ric in other reLiu, Fikretog

ntal design ovention (R2M

Control (R2Me Informed Catabases w

rticipants’ R2present inve

ndent on thelinkage wer

s provided i

a member oquent to not2014). Bar

he end of thespite VR nos individualsned in Annerecruit’s rea

ess, wrong c for cases wdividuals fro

ture investigase of the Rd to R2MR htermined thrnd R2MR lity dataset;

ntly varied aunders.

d concludedn-Commissichelieu, Queports (Fikretglu, and Blaof the R2MRMR at Week

MR at WeekConsent allo

was sought a

2MR conditiestigation is

eir consent tore not includn Fikretoglu

of the CAF et being offerring extenuheir fifth weot being fors are permittex B, Figureson under ocareer choicwhere the reom our ana

gation R2MR had a rough data;

; and cross

d on ioned ebec. toglu, ckler,

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Page 5: Read (R2MR ry Qu · datasets. sis. An exa ker (in press es epartment a request to ontract (G nces, recru E. Richard d by CFLRS R prior to , at the time gories: pers de choice. essfully

because graduatinBMQ (whnot haveWeek 9received no-R2MR

Finally, tinjury, or transferreDue to ththe possexcluded

StatisticThe objeextent. Tthe randothe fixed

StatemThe R2Mthese 26participa

The VR rthe binomcan be fotraining wreach sta

Table

Interv

N

we are prng from BMhen R2MR ie been influ9 of BMQ a

R2MR (i.eR Control).

throughout tr an inability ed into a nehe possibilitysibility of cod from analys

cal analyseective of the To this end, om effects theffect of R2

ment of reMR pilot pha7 participantnt flow, see

rate was 3.7mial mixed-eound in Tabwere 39% leatistical sign

e 1: Odds ralogis

Condition

vention vs. C

Nparticipants = 2

rimarily interQ training. is delivered uenced by as by this tie., the Dela

the course oto meet phy

ew platoon dy of moving ontaminationses.

es present invwe employehat different

2MR, we con

esults se had a tots, 221 wereAnnex C, Fi

77% in the Ineffects logis

ble 1 below. ess likely toificance, t(21

tio for the efstic regressio

Control

21

rested in VAdditionallyto the Interv

R2MR. Furtme the De

ayed Interve

of the BMQysical fitnessdifferent fromfrom the Int

n (being exp

vestigation ised a binomiarecruit plato

ntrolled for th

tal of 354 pae included inigure C.1.

ntervention gstic regressio

Overall, thiso VR than th13) = -.78, p

ffect of R2MRon model tha

Odds ratio

0.61

N

VR as an in, we excludvention grouthermore, wlayed Interv

ention Contr

, some recrs demands. Om the platooervention toposed to R2

s to examineal mixed-effeoons may hahe random e

articipants, o the current

group and 6on model fos model indhose who d

p = .43.

R on VR assat predicts V

o 95

confidinte

0.17

Nplatoons = 8

ntermediate ded instanceup) since an

we excludedvention Conrol group w

ruits pause Once ready on they star

o the Control2MR), all re

e if R2MR aects logisticave on VR. Teffects of pla

of whom 26analysis. Fo

6.09% in theor assessingicated that rid not. How

sessed fromVR from R2M

5% dence

erval

– 2.1

outcome thes of VR priny VR prior d all cases ntrol group wwould stop f

their traininto resume B

rted their BMl platoon (orecoursed re

affects VR, ac regression Thus, in the

atoon.

67 agreed toor a complet

e Control grog the effect recruits who

wever, this d

m a binomial MR condition

t-value

-.78

Nv

hat leads toior to Weekto Week 2 cof VR follo

would have functioning

ng due to illBMQ, recruitMQ trainingr vice versa)ecruits were

and if so, to model to co

e determinati

o data linkagte visualizati

oup. Resultsof R2MR o

o received Rdifference di

mixed effecn.

p-valu

.43

vr = 11

3

o not k 2 of could owing

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Page 6: Read (R2MR ry Qu · datasets. sis. An exa ker (in press es epartment a request to ontract (G nces, recru E. Richard d by CFLRS R prior to , at the time gories: pers de choice. essfully

4

DiscusThe analR2MR orecruits dfindings study find

The presobjectivepursued,current sin this cadoes). Thawait daapproximalso contsample s

Data acchave prodemonstidentify, steps takprogramman identic

ConcluIn the prR2MR toconfirmindata linkand 3) bVR varia

Our analreceived control foawait com

PreparedAihua LiBlacker,

ssion of rysis of the mn VR. Addidid not chaare unsurprdings.

sent investige of a pilot G should be

study. Small ase, erroneoherefore, a rta from the

mately 60 platrol for the e

size.

cess, linkingoven to be surated througsubset, and

ken to deveming languacally defined

usion andresent inveso assess wheng that 1) it wkage processy observing ble.

ysis with theR2MR train

or potential cmplete data

d by: Connu, Ph.D. (DMSc. (DRDC

results mixed effectstional analynge these r

rising in a p

gation used GRCT is to interpreted wpilot studiesously conclurigorous emfull GRCT t

atoons whicheffects of po

g and refineuccessful in gh our succed distill a valop the depe

age (R Core d measure o

d future dstigation, weether R2MRwas indeed s, 2) to tranin the pilot

e pilot data oning. Howevconfoundersfrom the full

nor Gaspar, Douglas MenC – Toronto

s model did yses, availabresults. Howilot phase G

data from establish thwith an abuns are particuuding R2MRpirical test othat is curreh will not onotential confo

ement methanalyzing th

ess in utilizialid measureendent variaTeam 2017

of VR.

directionse establishedR has benefic

possible to nslate the ad

phase and

on VR foundver, this effes. Thus, an el GRCT that

Deniz Fikrental Health Research C

not yield evible upon rewever, it is GRCT and n

a pilot stude feasibility ndance of c

ularly at risk R does not of whether Rently underwnly allow us tounders, wh

hodologies ehe influenceing the adme of VR in table were re7), thereby e

s d that it is fcial effects oaccess the dministrativeforecasting

d a very smaect did not rempirical tesis currently

etoglu, Ph.DUniversity In

Centre).

idence in suquest, in wimportant to

not necessa

dy with a smof the large

caution in smfor Type II ehave a ben

R2MR has bway. The fullto test the e

hich we coul

established e of R2MR o

ministrative dthe context ecorded in Rensuring that

feasible in thon VR. This fadministrativ

e data into afor the large

all decrease reach statistst of whetheunderway a

D. (DRDC –nstitute, Mc

upport of a bwhich we inco remain corily predictiv

mall sampleer trial. Hypomall pilot stuerror (i.e., a neficial effecbeneficial effl GRCT is e

effect of R2Mld not do he

in the preson VR duringdata from CF

of R2MR. FR, an open-t a future stu

he larger onfeasibility wave data usina useable rer trial the d

in VR for thtical significaer R2MR inflat CFLRS.

– Toronto RecGill Univers

eneficial effecluded recouognizant thave of future

e size. The othesis testi

udies such afalse negati

ct when in ffects on VR expected to MR on VR, bere due to lim

sent investigg BMQ. ThisFLRS in ordFurthermore-source statiudy would o

ngoing GRCas establisheng the conseresearch datdistribution o

hose recruitsance and diluences VR

esearch Cesity), and Kr

ect of ursed t null main

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as the ive or fact it must have

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CT on ed by ent to taset, of the

s who d not must

ntre), risten

Page 7: Read (R2MR ry Qu · datasets. sis. An exa ker (in press es epartment a request to ontract (G nces, recru E. Richard d by CFLRS R prior to , at the time gories: pers de choice. essfully

Refere

Blackler, control trDevelopm

Booth-Keof 1-year

CharbonnTrainee S

CharbonnInstructor

CharbonnFormer In

FikretoglReadinesMilitary Developm

GovernmVolume Ihttp://wwregulatio

Lee, J. personalCanada. Technica

Liu, A., Frandomizanalysis.

MichaudMilitary OGeneral Memoran

Office ofDefence

Pope, R.military tr

R Core TStatistica

ences

K., Fikretogrial on the Roment Canad

ewley, S. Lar attrition (NH

neau, D. andSurvey. DME

neau, D. and r Survey. DM

neau, D. andnfantry Cand

u, D., Liu, ss (R2MR) Qualificationment Canad

ment of CanaI Chapter 15

ww.forces.gcns-orders-vo

E. C., and ity data oveDirector G

al Memorand

Fikretoglu, Dzed control tDefence Re

, K. (2010)Officer Qual

Military Pendum. DGM

f the Auditor(FA1-2016/

P., Herbertraining. Milit

Team (2017)al Computing

glu, D., Liu, Aoad to Menta, Scientific

rson, G. E., HRC-01-05)

d Bradley, LCEP.

Bradley, LCoEP.

d Bradley, LCdidates. DME

A., Blacklermental hea

n: A Pilot a, Scientific

ada, Nationa5: Release. R.ca/assets/Fol-01/ch-15.p

Otis, N. (2er applicanteneral Militadum. DGMP

D., Blackler,rial on the R

esearch and D

. Voluntary ification (BMersonnel RePRA-TM-20

r. (2016). C/2-4E-PDF).

, R., Kirwan,tary Medicine

). R: A langug, Vienna, A

A. (in press)al ReadinesReport.

and Ryan, M. San Diego

Col P. (2004a

ol P. (2004b)

Col P. (2004cEP.

r, K. (in prealth educatGroup RanReport.

al Defence. (Retrieved froFORCES_Intpdf.

2011). Incret tests for bary PersonnRA-TM-201

, K. (2017).Road to MenDevelopmen

attrition duMOQ): Focuesearch an

010-019.

Canadian ArmOttawa, Can

, J. D., and Ge, 164(10), 7

uage and envAustria. Retrie

. Feasibility ss (R2MR) p

M. A. (2001), California:

a). Early infan

). Early infant

c). Early infan

ess). Testinion and resndomized C

(2014). Queeom: ternet/docs/e

emental prebasic militarnel Researc1-022.

The estimatal Readines

nt Canada. S

ring Basic us groups finnd Analysis

med Forcesnada.

Graham, B. 710–4.

vironment foeved from: h

findings fromrogram. Def

). Predictors Naval Healt

ntry attrition s

try attrition st

ntry attrition s

ng the Efficsilience traiControl Tria

en's Regulat

en/about-po

edictive validry qualificatih & Analys

ated sampless: updated cientific Lette

Military Quandings. Defe

s. Chief Mi

s Recruitme

J. (1999). P

or statisticalhttps://www.

m a pilot grofence Resea

of navy attrth Research

study 2004.

tudy 2004. Re

study 2004. R

acy of the ning progra

al. Defence

tions and Or

olicies-standa

dity of baseion releasesis. Chief M

e size neederesults from

er. DRDC-RD

alification (Bence R&D Clitary Perso

nt and Rete

redicting att

computing. R-project.or

oup randomizarch and

rition: I. Analh Center.

Report #1:

eport #2:

Report #3:

Road to Mam during Be Research

rders (QR&O

ards-queens

eline healths. Defence ilitary Perso

ed for the gm a second pDDC-2017-L

BMQ) and BCanada. Dironnel. Tech

ention – Nat

trition in basi

R Foundatiorg/.

5

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ysis

Mental Basic

and

Os)

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group power L177.

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6

Annex

x A

Figure A..1: Overvieww of the desig

gn of the Annglophone piilot phase GGRCT.

Page 9: Read (R2MR ry Qu · datasets. sis. An exa ker (in press es epartment a request to ontract (G nces, recru E. Richard d by CFLRS R prior to , at the time gories: pers de choice. essfully

Annex BB

Figure B.1: Diagram o

of the Voluntary Release processs.

7

Page 10: Read (R2MR ry Qu · datasets. sis. An exa ker (in press es epartment a request to ontract (G nces, recru E. Richard d by CFLRS R prior to , at the time gories: pers de choice. essfully

Annex

Green sqsub-sam

x C

Figure

quares denoples not incl

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ram of partici

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Page 11: Read (R2MR ry Qu · datasets. sis. An exa ker (in press es epartment a request to ontract (G nces, recru E. Richard d by CFLRS R prior to , at the time gories: pers de choice. essfully

CAN UNCLASSIFIED

CAN UNCLASSIFIED

DOCUMENT CONTROL DATA (Security markings for the title, abstract and indexing annotation must be entered when the document is Classified or Designated)

1. ORIGINATOR (The name and address of the organization preparing the document. Organizations for whom the document was prepared, e.g., Centre sponsoring a contractor's report, or tasking agency, are entered in Section 8.) DRDC – Toronto Research Centre Defence Research and Development Canada 1133 Sheppard Avenue West P.O. Box 2000 Toronto, Ontario M3M 3B9 Canada

2a. SECURITY MARKING (Overall security marking of the document including special supplemental markings if applicable.)

CAN UNCLASSIFIED

2b. CONTROLLED GOODS

NON-CONTROLLED GOODS DMC A

3. TITLE (The complete document title as indicated on the title page. Its classification should be indicated by the appropriate abbreviation (S, C or U) in parentheses after the title.) Assessing the influence of the Road to Mental Readiness (R2MR) mental health training program on voluntary release among recruits in Basic Military Qualification training

4. AUTHORS (last name, followed by initials – ranks, titles, etc., not to be used) Gaspar, C.; Fikretoglu, D.; Liu, A.; Blackler, K.

5. DATE OF PUBLICATION (Month and year of publication of document.) October 2017

6a. NO. OF PAGES (Total containing information, including Annexes, Appendices, etc.)

8

6b. NO. OF REFS (Total cited in document.)

13 7. DESCRIPTIVE NOTES (The category of the document, e.g., technical report, technical note or memorandum. If appropriate, enter the type of report,

e.g., interim, progress, summary, annual or final. Give the inclusive dates when a specific reporting period is covered.) Scientific Letter

8. SPONSORING ACTIVITY (The name of the department project office or laboratory sponsoring the research and development – include address.) DRDC – Toronto Research Centre Defence Research and Development Canada 1133 Sheppard Avenue West P.O. Box 2000 Toronto, Ontario M3M 3B9 Canada

9a. PROJECT OR GRANT NO. (If appropriate, the applicable research and development project or grant number under which the document was written. Please specify whether project or grant.)

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10a. ORIGINATOR’S DOCUMENT NUMBER (The official document number by which the document is identified by the originating activity. This number must be unique to this document.) DRDC-RDDC-L275

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Public release

11b. FUTURE DISTRIBUTION OUTSIDE CANADA (Any limitations on further dissemination of the document, other than those imposed by security classification.)

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CAN UNCLASSIFIED

CAN UNCLASSIFIED

12. ABSTRACT (A brief and factual summary of the document. It may also appear elsewhere in the body of the document itself. It is highly desirable that the abstract of classified documents be unclassified. Each paragraph of the abstract shall begin with an indication of the security classification of the information in the paragraph (unless the document itself is unclassified) represented as (S), (C), (R), or (U). It is not necessary to include here abstracts in both official languages unless the text is bilingual.)

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13. KEYWORDS, DESCRIPTORS or IDENTIFIERS (Technically meaningful terms or short phrases that characterize a document and could be helpful in cataloguing the document. They should be selected so that no security classification is required. Identifiers, such as equipment model designation, trade name, military project code name, geographic location may also be included. If possible keywords should be selected from a published thesaurus, e.g., Thesaurus of Engineering and Scientific Terms (TEST) and that thesaurus identified. If it is not possible to select indexing terms which are Unclassified, the classification of each should be indicated as with the title.) Road to Mental Readiness, basic training, voluntary release, mental health education