to describe any persistent psychological difficulty resulting from operational duties performed in the Canadian Armed Forces and can include a wide range of problems such as anxiety disorders, depression and PTSD, as well as other conditions that may be less severe but still interfere with daily life. OSIs are complex psychiatric conditions, many of which are not well understood. Recognizing this, the Canadian Armed Forces provides a wide range of programs and services focused on the prevention and treatment of mental health issues, including seven specialized operational trauma and stress support centres across Canada that provide evidence-based medical treatment for OSIs. SUPPORTING HEALTH AND RESILIENCE Serving in the Canadian Armed Forces is extremely rewarding but military service places unique demands and stresses on individual members - stresses that can have a profound impact on all aspects of health, from the psychological trauma that can be experienced on deployment to the strain that frequent relocation puts on individuals, families, personal relationships, finances and social networks. Compared to the Canadian population, military personnel experience higher rates of depression and posttraumatic stress disorder. Suicide rates over recent years have also shown a worrying upward trend. Suicide usually includes an element of mental illness and other stressors that can be aggravated by the rigours of military service, particularly if appropriate supports and services are not sought or in place. Mental health and suicide are complex issues that have no easy solutions. However, we are committed to continually improving our approach and providing the best possible care and support. Mental health is a critical aspect of overall health. This includes employing progressive, evidence-based practices and technology and forming cooperative relationships with world-class leaders in mental health to continue to improve care and deepen our knowledge and expertise in this important area. In particular, we must and will do a better job in providing adequate care and treatment for personnel suffering from critical stress response injuries, running the gamut from mild battle stress to Post-Traumatic Stress Disorder (PTSD). Canadian Armed Forces members also face challenges with Operational Stress Injuries (OSI). This term is used 26 The Canadian Armed Forces has come a long way in changing internal attitudes to these injuries, removing the stigma and career stress that once dissuaded some from reporting them. But much more work needs to be done. That includes caring for those currently serving, and those who have served in the past and are now struggling to cope with the demands of civilian life. Effective support and services will help the Canadian Armed Forces be more resilient in the face of challenges and enhance operational readiness. We are committed to modernizing the Canadian Armed Forces Health System, removing barriers to care including eliminating the stigma associated with getting help, and ensuring all necessary tools are in place to identify and provide appropriate care to those who need it. NEW INITIATIVES To improve the resilience and health of its members, the Canadian Armed Forces will: 15. Augment the Canadian Armed Forces Health System to ensure it meets the unique needs of our personnel with efficient and effective care, anywhere they serve in Canada or abroad. This includes growing the Medical Services Branch by 200 personnel. 16. Implement a joint National Defence and Veterans Affairs Suicide Prevention Strategy that hires additional mental health professionals and implements a joint framework focused on preventing suicide across the entire military and Veteran community. 17. Remove barriers to care, including creating an environment free from stigma where military members are encouraged to raise health concerns of any nature and seek appropriate help when they need it.