A LEADER’S GUIDE TO SOLDIER HEALTH AND FITNESS

*ATP 6-22.5

A LEADER'S GUIDE TO SOLDIER HEALTH AND FITNESS

FEBRUARY 2016

DISTRIBUTION RESTRICTION. Approved for public release; distribution is unlimited. *This publication supersedes FM 6-22.5, Combat and Operational Stress Control Manual for Leaders and Soldiers, dated 18 March 2009.

Headquarters, Department of the Army

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Army Techniques Publication (ATP) No. 6-22.5

*ATP 6-22.5

Headquarters Department of the Army Washington, DC, 10 February 2016

A Leader's Guide to Soldier Health and Fitness

Contents

Chapter 1 Chapter 2

Page

PREFACE............................................................................................................... v

INTRODUCTION ...................................................................................................vi

READY AND RESILIENT CAMPAIGN.............................................................. 1-1 Section I -- Medical Readiness....................................................................... 1-1 Behavioral Health ............................................................................................... 1-1 Posttraumatic Stress Disorder............................................................................ 1-2 Traumatic Brain Injury ........................................................................................ 1-2 Pain Management .............................................................................................. 1-3 Polypharmacy..................................................................................................... 1-4 Section II -- Personnel Readiness ................................................................. 1-4 Suicide Prevention.............................................................................................. 1-5 Comprehensive Soldier and Family Fitness Program ........................................ 1-5 Deployment Health Assessment Program ......................................................... 1-5 Individual Medical Readiness ............................................................................. 1-6

PERFORMANCE TRIAD ................................................................................... 2-1 Section I -- Sleep ............................................................................................. 2-1 Sleep Management in the Operational Environment ......................................... 2-1 Sleep Environment and Critical Factors Related to Good Sleep Hygiene ......... 2-2 Sleep Loss .......................................................................................................... 2-5 Section II -- Activity ......................................................................................... 2-7 Physical Training Programs................................................................................ 2-7 Functional Fitness Program................................................................................ 2-8 Section III -- Nutrition ...................................................................................... 2-8 Nutritional Guidance ........................................................................................... 2-8 Dietary Supplements .......................................................................................... 2-9 Hydration .......................................................................................................... 2-10

Distribution Restriction: Approved for public release; distribution is unlimited.

*This publication supersedes FM 6-22.5, Combat and Operational Stress Control Manual for Leaders and Soldiers dated 18 March 2009.

i

Contents Chapter 3 Chapter 4 Chapter 5

Chapter 6

Chapter 7

COMPREHENSIVE SOLDIER AND FAMILY FITNESS PROGRAM ................ 3-1 Section I -- Overview ....................................................................................... 3-1 Section II -- Educational Resources............................................................... 3-2

POTENTIALLY LIFE THREATENING THOUGHTS AND BEHAVIORS .......... 4-1 Section I -- Threat of Suicide .......................................................................... 4-1 Section II -- Threat of Violence to Others and the Risk of Unlawful Behavior ............................................................................................................. 4-2 Unit Risk Factors................................................................................................. 4-2 Individual Risk Factors Affecting Soldiers........................................................... 4-3 Individual Behaviors of Soldiers at Risk.............................................................. 4-3

ARMY HEALTH PROMOTION PROGRAM....................................................... 5-1 Section I -- Health Promotion Program ......................................................... 5-1 Section II -- Behavioral Health ........................................................................ 5-2 Behavioral Health Promotion .............................................................................. 5-2 Stress Management ............................................................................................ 5-2 Combat and Operational Stress Control ............................................................. 5-3 Suicide Prevention .............................................................................................. 5-3 Responsible Sexual Behavior ............................................................................. 5-3 Army Substance Abuse Program........................................................................ 5-4 Tobacco Cessation ............................................................................................. 5-4 Section III -- Physical Health ........................................................................... 5-4 Physical Fitness .................................................................................................. 5-5 Injury Prevention ................................................................................................. 5-5 Ergonomics ......................................................................................................... 5-5 Oral Health .......................................................................................................... 5-6 Body Composition Program ................................................................................ 5-6

FIELD HYGIENE AND SANITATION................................................................. 6-1 Section I -- Health Threats to Soldiers in the Field....................................... 6-1 Section II -- Soldier Preventive Medicine Measures..................................... 6-2 Personal Hygiene................................................................................................ 6-2 Arthropods, Rodents, and Other Animal Threats................................................ 6-3 Section III -- Field Sanitation Teams .............................................................. 6-3 Field Sanitation Team Protection and Sanitation Duties .................................... 6-4 Field Sanitation Team Arthropod and Rodent Control Duties ............................ 6-4 Section IV -- Commander and Leader Preventive Medicine Measures ...... 6-5

COMBAT AND OPERATIONAL STRESS REACTION IDENTIFICATION, PREVENTION, MANAGEMENT AND CONTROL............................................. 7-1 Section I -- Reactions to Combat and Operational Stress........................... 7-1 Section II -- Forms of Combat and Operational Stress ................................ 7-3 Potentially Traumatic Events .............................................................................. 7-3 Combat and Operational Stress Behaviors ........................................................ 7-3 Section III -- Combat and Operational Stress Reactions ............................. 7-5 Section IV -- Referral of Soldiers Experiencing Combat and Operational Stress Reactions and Other Stress-Related Disorders............................... 7-10

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ATP 6-22.5

10 February 2016

Chapter 8

Chapter 9 Chapter 10

Contents

Voluntary Referrals ........................................................................................... 7-11 Command-Directed Evaluation......................................................................... 7-11 Section V -- Preventing and Managing Combat and Operational Stress 7-13 Cohesion and Morale ....................................................................................... 7-13 Stress-Reduction Techniques for Leaders ....................................................... 7-14 Performance Degradation Preventive Measures ............................................. 7-17 Section VI -- Role of Religious Support ...................................................... 7-18 Section VII -- Role of Unit Behavioral Assets ............................................. 7-19 Mental Health Sections..................................................................................... 7-19 Mental Health Section Functions...................................................................... 7-20

COMMAND LEADERSHIP ACTIONS AND COMBAT AND OPERATIONAL STRESS CONTROL PROGRAMS .................................................................... 8-1 Section I -- Unit Behavioral Health Needs Assessment .............................. 8-1 Section II -- Effective Leadership................................................................... 8-2 Leaders are Reliable and Confident ................................................................... 8-2 Family Readiness Group .................................................................................... 8-6 Section III -- Traumatic Event Management and Leader-Led After Action Debriefing ........................................................................................................ 8-11 Traumatic Event Management ......................................................................... 8-11 Cool Down Meetings ........................................................................................ 8-13 Leader-Led After Action Debriefing .................................................................. 8-13 Effectively Sustain Performance ...................................................................... 8-15 Section IV -- Effective Combat and Operational Stress Control............... 8-17 Minimize Stress ................................................................................................ 8-17 Mobilization....................................................................................................... 8-17 Deployment ...................................................................................................... 8-20 Section V -- Soldier Resiliency and Combat and Operational Stress Control ............................................................................................................. 8-22 Section VI -- Leadership Actions and Interventions for Combat and Operational Stress Reactions ....................................................................... 8-23 Section VII -- Combat and Operational Stress Reaction Management Guidelines ....................................................................................................... 8-24 Brevity............................................................................................................... 8-24 Immediacy ........................................................................................................ 8-24 Contact ............................................................................................................. 8-25 Expectancy ....................................................................................................... 8-25 Proximity ........................................................................................................... 8-25 Simplicity........................................................................................................... 8-25 Section VIII -- Safety Considerations .......................................................... 8-25

BEHAVIOR AND PERSONALITY DISORDERS............................................... 9-1 Section I -- Medical Readiness Responsibilities .......................................... 9-1 Section II -- Personality Disorders................................................................. 9-4 Behavioral Health Status .................................................................................... 9-4 Documenting Maladaptive Patterns of Behavior and Performance ................... 9-4

POSTTRAUMATIC STRESS DISORDER....................................................... 10-1

10 February 2016

ATP 6-22.5

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