The second element of PPIP is the preventive health assessment (PHA),
which in 1996 replaced the periodic physical examination program for
all active-duty members. The PHA is a four-stage process that includes a
prevention-oriented clinical screening, occupational examination,
screening of military-unique medical requirements and counseling. The
PHA will help ensure the highest rates of mission and mobility readiness
by providing feedback to commanders on the health of their troops.
Air Force leadership is concerned about the ability of its members to
cope with increasing levels of stress in the face of significant increases in
operations tempo and force downsizing. As a result, the Air Force
established an integrated product team (IPT) to evaluate suicides among
active-duty members and to develop strategies for suicide prevention and
intervention.
The IPT identified numerous factors as leading causes of suicide service
wide. Chief among them were relationship difficulties, members facing
adverse actions viewed as 'career ending,' financial difficulties, substance
abuse and the perception that seeking help would have a negative impact
on the individual's career.
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