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Prevention of Combat and Operational Stress Reactions

Date of Publication



  • Indicated prevention - Interventions targeted to Service members with COSR or indications of a potential mental health disorder, and to units that show signs that their mission effectiveness is being affected by combat or operational stressors.
  • Selective prevention - Interventions targeted to a unit or Service member whose risk is higher than average.
  • Universal prevention - Interventions targeted to the general population or area of responsibility.
  • Treatment - Interventions targeted to treat and follow up Service members with mental health disorders to prevent their loss from duty.

Source of Definition

DoD Instruction 6490.05: Maintenance of Psychological Health in Military Operations

Last Updated: August 01, 2022

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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