Post Isolation Support Activities (PISA) is a 10-day optional program offered by United States Army South at the Brooke Army Medical Center in San Antonio, Texas, designed to aid wrongfully detained and imprisoned Americans in decompressing from their experiences and readjusting to civilian life. The program includes initial physical and psychological evaluations, followed by therapeutic decompression led by SERE-trained doctors.
Post Isolation Support Activities (PISA) is a 10-day optional program run by United States Army South of the U.S. Department of Defense (DoD) at the Brooke Army Medical Center at Joint Base San Antonio-Fort Sam Houston in San Antonio, Texas, that helps wrongful detained and imprisoned Americans decompress from their detention and readjust to regular life after being freed. [1] Former hostages and their families usually fly to PISA shortly after arriving back in the United States. [2]
On the first day, ex-captives undergo a battery of physical, then psychological tests and evaluations in a restricted area of the base's hospital. They then start decompression with doctors trained in Survival, Evasion, Resistance and Escape (SERE) training. Staff and doctors start to give the former hostages predictability and control, which they lacked in captivity. At the end of the 10 days, attendees share their experiences with the program's doctors to capture lessons learned. They are not required to attend the full 10 days, and may also elect to undergo a follow-on 10-day program in North Carolina. [1] [2] [3]
PISA began as a nascent program at a DoD facility in Germany. [2]
Fort Sam Houston is a U.S. Army post in San Antonio, Texas. Known colloquially as "Fort Sam," it is named for the U.S. Senator from Texas, U.S. Representative from Tennessee, Tennessee and Texas governor, and first president of the Republic of Texas, Sam Houston.
Survival, Evasion, Resistance, and Escape (SERE) is a training concept originally developed by the United States during World War II. It is best known by its military acronym and prepares a range of Western forces to survive when evading or being captured. Initially focused on survival skills and evading capture, the curriculum was designed to equip military personnel, particularly pilots, with the necessary skills to survive in hostile environments. The program emphasised the importance of adhering to the military code of conduct and developing techniques for escape from captivity. Following the foundation laid by the British, the U.S. Air Force formally established its own SERE program at the end of World War II and the start of the Cold War. This program was extended to include the Navy and United States Marine Corps and was consolidated within the Air Force during the Korean War (1950–1953) with a greater focus on "resistance training."
Brooke Army Medical Center (BAMC) is the United States Army's premier medical institution. Located on Fort Sam Houston, BAMC, is a 425-bed Academic Medical Center, and is the Department of Defense's largest facility and only Level 1 Trauma Center. BAMC is also home to the Center for the Intrepid, an outpatient rehabilitation facility. The center is composed of ten separate organizations, including community medical clinics, centered around the Army's largest in-patient hospital. BAMC is staffed by more than 8,000 Soldiers, Airmen, Sailors, Civilians, and Contractors providing care to wounded Service Members and the San Antonio Community at-large.
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United States Army South is an Army service component command of United States Southern Command whose area of responsibility includes 31 countries and 15 areas of special sovereignty in Central and South America and the Caribbean. It is headquartered at Fort Sam Houston, Texas.
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