Are You Actually Doing Prevention? Differentiating Prevention, Outreach, and Awareness

Mil Med. 2026 Aug 1;191(Supplement_1):54-60. doi: 10.1093/milmed/usaf646.

ABSTRACT

Harmful behavior such as suicide, sexual assault, intimate partner violence, and substance abuse significantly impacts the mission of the Department of Defense (DoD) by degrading unit cohesion, straining resources, and diminishing military readiness. Recent independent reviews-such as the Independent Review Commission on Sexual Assault in the Military-emphasize the need for institutional reform to prioritize proactive prevention over reactive responses. In promoting the adoption of integrated primary prevention activities, the Department must utilize a comprehensive, evidence-based approach targeting shared risk and protective factors to address harmful behavior before it occurs. In contrast to past efforts, which often focus on awareness, outreach, clinical practice, or response, integrated primary prevention emphasizes data-driven, culturally competent, and systems-based strategies tailored to military populations. Key principles include fostering resilience, promoting positive command climates, and leveraging community partnerships. The establishment of an integrated primary prevention workforce to support the Department further amplifies these efforts by conducting needs assessments, developing tailored prevention plans, and translating research into actionable interventions. Despite its long-term benefits, a focus on primary prevention continues to face challenges in an environment that prioritizes immediate, tangible results over proactive measures with delayed outcomes. By addressing these challenges and investing in sustainable prevention infrastructure, the DoD can enhance the well-being and readiness of its service members, ultimately reducing harmful behavior throughout the Armed Forces.

PMID:42560248 | DOI:10.1093/milmed/usaf646