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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
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the in(R2MR
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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
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MichaudMilitary OGeneral Memoran
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Pope, R.military tr
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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
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Fikretoglu, Dzed control tDefence Re
, K. (2010)Officer Qual
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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
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Graham, B. 710–4.
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Military Quandings. Defe
s. Chief Mi
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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
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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.
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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