The Army Training System - AskTOP

Chapter Four – PreventionA commander should have a profound understanding of human nature…Sir Basil Liddell HartPREVENT4-1. Identifying “High Risk” IndividualsThis phase begins with pre-screening upon arrivalfor initial entry training (IET) within the Army toidentify those individuals considered high risk for• Identifying “High Risk” Soldiers- Pre-screening for Adverse Childhood Experiencessuicidal behavior. Today’s recruits enter the Army • Caring and Proactive Leaderswith varying resiliency levels to handle stress,- Understanding Potential “Triggers”anger and intimate personal relationships. As- Sense of Unit Belonging/Cohesionpreviously discussed, some are predisposed todysfunctional health risk behaviors. Recognizing• Encouraging Help-Seeking Behaviorthat the baseline mental health of our inductees• Teach Positive Life Coping Skillsmay be less than optimum requires proactive- Total Physical, Spiritual, and Mental Healthidentification and targeted education/intervention - Avoidance of Stress-inducing Behaviorsand ongoing mentoring by unit leadership. Thisintervention will assist the first term soldier andcivilian in avoiding some of the normal pitfalls thatTABLE 1can lead to mental health dysfunction andsubsequent early attrition. These pitfalls include:• Premature marriage• Premature parenthood• Excessive debt• Substance abuse• Dysfunctional behaviors resulting in UCMJ• Authority difficulties• Inability to form positive supportive relationships• Excessive time demands relative to time management skills• Family of origin problems-acute and unresolved from past• Dissonance between expectations and reality4-2. Caring and Proactive LeadersAlthough our first line of defense will be our soldiers and civilians,” truly our most valuable playerin suicide prevention will be the small unit leader or first line supervisor. These leaders mustrecognize that the most important resources entrusted to their care are their soldiers andcivilians. Suicide prevention requires active and concerned leaders who express a sincereinterest in the overall welfare of their subordinates. This includes taking the time to learn asmuch as they can about the personal dynamics of their subordinates. They must be able torecognize serious personal problems before they manifest themselves as dangerousdysfunctional behavior(s). Leaders should be trained to recognize the basic symptoms of aserious mood disorders such as depression and substance abuse. The intent is not to trainleaders to make a clinical diagnosis, but rather to alert the chain of command of a particularconcern, so that the commander can make an informed, “pre-emptive” decision to make areferral to a professional MHO. In addition, all leaders should be familiar with those stressorsandSH-2-19