Evaluating the U.S. Military's Progress Toward an Integrated Primary Prevention Workforce: Five-Year Process Evaluation Plan.

Rand health quarterly Pub Date : 2025-03-17 eCollection Date: 2025-03-01
Joie D Acosta, Matthew Chinman, Patricia M Herman, Stephanie Brooks Holliday, Wenjing Huang, Kyleanne M Hunter, Kirsten M Keller, Sapna J Mendon-Plasek, Laura L Miller, Amy L Shearer, Kayla M Williams
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Abstract

Service members can harm others through sexual assault, harassment (e.g., sexual harassment, bullying, hazing, reprisal, retaliation), domestic abuse, child abuse and neglect, and intimate partner abuse and can harm themselves through attempting or dying by suicide. This range of harmful behaviors can affect service members' overall physical and mental health and be detrimental to force readiness. A robust prevention system is needed to address these harms. A dedicated, qualified, and competent prevention workforce across strategic, operational, and tactical levels is one of the cornerstones of a robust prevention system. In response to a recommendation from the Independent Review Committee on Sexual Assault in the Military, the U.S. Department of Defense is hiring roughly 2,000 Integrated Primary Prevention (IPP) personnel-individuals with particular knowledge and skills in the conduct of prevention activities. These individuals' sole function will be to conduct data-informed activities to prevent various harmful behaviors experienced by service members. In this study, the authors describe the methods for evaluating progress toward fully implementing an IPP workforce. Once this five-year evaluation is completed, the findings will document how much progress has been made toward full implementation, including an understanding of the structure and functioning of the prevention infrastructure and prevention teams, leader support of IPP, and the quality and comprehensiveness of prevention plans. These findings will be useful for professionals responsible for addressing a variety of harmful behaviors (e.g., sexual assault, suicide) and for commanders and other senior-level military leaders and policymakers interested in improving the quality of efforts to prevent harmful behavior in the military.

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评估美军迈向综合初级预防队伍的进展:五年过程评估计划。
服役人员可以通过性侵犯、骚扰(例如,性骚扰、欺凌、欺侮、报复、报复)、家庭虐待、虐待儿童和忽视以及亲密伴侣虐待来伤害他人,并可以通过企图自杀或自杀而伤害自己。这一系列的有害行为会影响服役人员的整体身心健康,不利于部队的准备工作。需要一个强有力的预防系统来解决这些危害。在战略、行动和战术各级拥有一支专门、合格和称职的预防工作队伍,是建立健全预防系统的基石之一。根据军队性侵犯独立审查委员会的建议,美国国防部正在雇佣大约2000名综合初级预防(IPP)人员——在预防活动中具有特殊知识和技能的个人。这些人的唯一职能将是进行数据知情的活动,以防止服务人员经历的各种有害行为。在这项研究中,作者描述了评估全面实施IPP劳动力进展的方法。一旦这项五年评估完成,调查结果将记录在全面实施方面取得了多大进展,包括对预防基础设施和预防小组的结构和运作的了解,对IPP的领导支持,以及预防计划的质量和全面性。这些发现对于负责处理各种有害行为(如性侵犯、自杀)的专业人员,以及对提高军队中预防有害行为的工作质量感兴趣的指挥官和其他高级军事领导人和政策制定者都很有用。
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