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budget (materials). The full cost of this training did not exceed   among service members has been focused on changing an indi-
              $780 (existing unit resources).                    vidual’s mindset about treatment. This is in contrast to chang-
                                                                 ing the intervention to meet the cultural needs and leverage the
              Limitations                                        strengths of individuals and their units. Strategies that have
              This training was conducted with a small, highly specialized   focused on changing negative perceptions or views of men-
              unit. Larger units would require process alterations for effec-  tal health services have had only mild success. Embracing the
              tive orchestration, specifically additional logistical support   performance mindset of operators as a means of overcoming
              (SMEs aiding in preparations), and additional time to ensure   stigma and barriers to psychological health integration pres-
              each trainee has an opportunity to engage and receive feed-  ents opportunities to close these critical gaps. SIT-NORCAL
              back in the Adaptive Environmental Simulation. Limits on   should be more fully explored to determine scope and reach.
              the study’s generalizability include the use with a single ca-
              reer field, lack of gender representation, and small sample   References
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