MILPER Number: 26-073 Amendment to Announcement of the Calendar Year 2027 (CY27) Army Medical Department (AMEDD) Strategic Billet (SB) Integrated Personnel Pay System-Army (IPPS-A) Special Marketplace

1. This message will expire no later than (NLT) 30 September 2027.

2. The link in paragraph 2 as read: Leader Management Sharepoint CY27 SB. 

https://www.hrc.army.mil/Milper/26-073

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MILPER Number: 26-072 FY 2026 Army Competitive Category (ACC) Intermediate Level Education (ILE) Selection Board and Process for Submitting ILE Resident Attendance Preferences

1.  This MILPER Message expires NLT 31 Mar 2027.

2.  The ILE Board will consider officers selected for promotion to major for attendance at a 10-month resident ILE course beginning in summer 2027.  The FY26 ILE Selection Board will be conducted immediately following the Major, ACC Promotion Selection Board convening o/a 21 Jan 2026 recessing o/a 18 Feb 2026.  Officers not selected for promotion to major will not be considered by the ILE Board.  Officers not selected for 10-month resident ILE will complete ILE by distance learning.  There is no requirement to update “My Board File” for this board since the ILE Selection Board will use the same board file from the FY26 Major Promotion Board.

https://www.hrc.army.mil/Milper/26-072

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ALARACT 009/2026 MEDICAL PLANNING AND EXECUTION CONSIDERATIONS FOR COMBAT AND OPERATIONAL STRESS CONTROL

https://armypubs.army.mil/epubs/DR_pubs/DR_a/ARN45919-ALARACT_0092026-000-WEB-1.pdf

ALARACT 009/2026
DTG: 261415Z FEB 26
UNCLAS
SUBJ/ALARACT 009/2026 - MEDICAL PLANNING AND EXECUTION
CONSIDERATIONS FOR COMBAT AND OPERATIONAL STRESS CONTROL
THIS ALARACT MESSAGE HAS BEEN TRANSMITTED BY JSP ON BEHALF OF
HQDA, OFFICE OF THE SURGEON GENERAL
1. (U) REFERENCES:
1.A. (U) DODI 6490.05, MAINTENANCE OF PSYCHOLOGICAL HEALTH IN MILITARY
OPERATIONS (AVAILABLE AT HTTPS://WWW.ESD.WHS.MIL/
1.B. (U) DODI 6490.09, DOD DIRECTORS OF PSYCHOLOGICAL HEALTH
1.C. (U) AR 600-63, ARMY HEALTH PROMOTION
1.D. (U) FM 4-02, ARMY HEALTH SYSTEM
1.E. (U) ATP 4-02.5, CASUALTY CARE
1.F. (U) ATP 4-02.6, THE MEDICAL COMPANY (ROLE 2)
1.G. (U) ATP 4-02.8, FORCE HEALTH PROTECTION
1.H. (U) ATP 4-02.46, ARMY HEALTH SYSTEM SUPPORT TO DETAINEE
OPERATIONS
1.I. (U) ATP 4-02.55, ARMY HEALTH SYSTEM SUPPORT PLANNING
2. (U) PURPOSE: TO CLARIFY THAT COMBAT AND OPERATIONAL STRESS
CONTROL (COSC) IS A COMMAND RESPONSIBILITY EXECUTED BY LEADERS AT
ALL ECHELONS, WITH SUPPORT FROM MEDICAL, MINISTRY, AND SPECIALIZED
COSC PERSONNEL.
2.A. (U) THIS ALARACT CLOSES A DOCTRINAL GAP PENDING PUBLICATION OF
ATP 4-02.16. IT COMMUNICATES INFORMATION TO HELP ARMY COMMANDERS
TASK ORGANIZE COSC PERSONNEL AND DIRECT, COORDINATE, AND
SYNCHRONIZE COSC ACTIONS IN GARRISON AND DURING OPERATIONS.
2.B. (U) MEDICAL COMMANDERS, COMMAND SURGEONS, AND COMMANDERS
SHOULD REFERENCE THIS ALARACT WHEN EMPLOYING COSC PERSONNEL
AND DEVELOPING COSC PLANS IN GARRISON AND DEPLOYED
ENVIRONMENTS. APPROPRIATE UTILIZATION OF COSC PERSONNEL AND
PRINCIPLES IMPROVES FORCE HEALTH PROTECTION AND HEALTH OF THE
FORCE.
2.C. (U) COSC PRINCIPLES ENHANCE ADAPTIVE STRESS REACTIONS, PREVENT
MALADAPTIVE STRESS REACTIONS, BUILD RESILIENCY SKILLS, AND HELP
SOLDIERS ADDRESS COMBAT AND OPERATIONAL STRESS REACTIONS
(COSRS) AND BEHAVIORIAL DISORDERS.
2.D. (U) COSC PERSONNEL ARE SPECIALISTS IN COSR PREVENTION AND
INCLUDE CLINICAL SOCIAL WORKERS, CLINICAL PSYCHOLOGISTS,
PSYCHIATRISTS, OCCUPATIONAL THERAPISTS, PSYCHIATRIC NURSE
PRACTITIONERS, PSYCHIATRIC NURSES, ENLISTED BEHAVIORAL HEALTH
SPECIALISTS, AND ENLISTED OCCUPATIONAL THERAPY SPECIALISTS.
BEHAVIORAL HEALTH OFFICERS (BHOS) SPECIFICALLY CONSIST OF CLINICAL
SOCIAL WORKERS, CLINICAL PSYCHOLOGISTS, PSYCHIATRISTS, PSYCHIATRIC
NURSE PRACTITIONERS, AND PHYSICIAN ASSISTANTS WITH PSYCHIATRIC
TRAINING.
2.E. (U) LINE AND UNIT MINISTRY PERSONNEL SUPPORT PSYCHOLOGICAL
HEALTH DURING OPERATIONS.
3. (U) ATTACHMENTS 1 THROUGH 4 DESCRIBE PRINCIPLES, ROLES, AND
RESPONSIBILITIES FOR COSC PERSONNEL.
4. (U) THE HQDA-OTSG POINT OF CONTACT IS LTC(P) PETER ARMANAS, MC,
CHIEF, BEHAVIORAL HEALTH DIVISION, READINESS AND HEALTH INTEGRATION,
HEADQUARTERS, U.S. ARMY MEDICAL COMMAND, COMMERCIAL: 703-681-4598,
EMAIL: PETER.S.ARMANAS.MIL@ARMY.MIL.
5. (U) THIS ALARACT MESSAGE EXPIRES ON 26 FEBRUARY 2027.
ATTACHMENTS:
1. (U) COSC IN GARRISON
2. (U) COSC IN ARMY OPERATIONS
3. (U) MEASURES AND TOOLS TO SUPPORT COMMANDER’S DECISION MAKING
WITH REGARD TO UTILIZATION OF BHOS
4. (U) BEHAVIORAL HEALTH UTILIZATION DATA
ATTACHMENT 1: COMBAT AND OPERATIONAL STRESS CONTROL (COSC) IN
GARRISON
1. (U) REF/A INCLUDES NON-CLINICAL FORCE HEALTH PROTECTION (FHP) AND
CLINICAL HEALTH SERVICE SUPPORT (HSS) AS COSC SPANS THE PROTECTION
AND SUSTAINMENT WARFIGHTING FUNCTIONS.
1.A. (U) NON-CLINICAL FHP TASKS INCLUDE PREVENTION, IDENTIFICATION, AND
MANAGEMENT OF COSR IN ADDITION TO PSYCHOLOGICAL FIRST AID,
SURVEILLANCE OF BEHAVIORAL HEALTH (BH) PROBLEMS, UNIT RISK FACTOR
ASSESSMENT, OPERATIONAL RISK MANAGEMENT, AND COMMAND
CONSULTATION.
1.B. (U) CLINICAL HSS TASKS INCLUDE TRIAGE, ASSESSMENT, AND TREATMENT
OF BH AND NEUROPSYCHIATRIC DISORDERS, REFERRAL FOR OTHER HSS
SERVICES, AND DUTY DISPOSITION.
1.C. (U) SPIRITUAL RESILIENCE IS A CRITICAL ELEMENT OF PSYCHOLOGICAL
RESILIENCE, AND PASTORAL COUNSELING HELPS PREVENT AND TREAT COSR.
1.D. (U) NON-BH MEDICAL PERSONNEL AND UNIT MINISTRY TEAMS EXTEND BH
CARE BY PROVIDING MEDICATION MANAGEMENT, COUNSELING, IDENTIFYING
COSRS, PERFORMING PSYCHOLOGICAL FIRST AID, AND BUILDING RESILIENCE.
1.E. (U) MEDICAL LEADERS AND BHOS PROVIDE THEIR COMMANDERS WITH A
STAFF ESTIMATE INCLUDING MEASURES OF HEALTH AND READINESS OF THE
FORCE. SEE ATTACHMENT 3 FOR EXAMPLES OF MEASURES. MEASURING
EFFICACY MAY BE CHALLENGING AS COUNTLESS FACTORS INFLUENCE
HUMAN BEHAVIOR.
1.F. (U) PERSONNEL ASSIGNED TO THE OPERATING FORCE AT ECHELONS
BELOW DIVISION SHOULD SPEND 50% OF THEIR TIME PERFORMING CLINICAL
HSS ACTIVITIES AND 50% CONDUCTING NON-CLINICAL FHP ACTIVITIES.
1.F.1. (U) CLINICAL HSS ACTIVITIES SHOULD BE INFORMED BY MISSION NEEDS,
CREDENTIALING AND LICENSING REQUIREMENTS, CLINICAL EXPERIENCE, AND
OTHER FACTORS. PERSONNEL ASSESS AND TREAT COMPLEX PATIENTS
SUFFERING FROM SEVERE MENTAL ILLNESS AND NEUROPSYCHIATRIC
EFFECTS OF COMBAT OPERATIONS.
1.F.2. (U) NON-CLINICAL FHP ACTIVITIES SHOULD ALIGN WITH ROLES AND
RESPONSIBILITIES IN SECTION 2.
2. (U) ROLES AND RESPONSIBILITIES OF COSC PERSONNEL.
2.A. (U) UTILIZE PREVENTIVE STRESS MANAGEMENT TECHNIQUES, UNIT RISK
FACTOR ASSESSMENT, OPERATIONAL RISK MANAGEMENT, COMMAND
CONSULTATION, AND APPLICATION OF PRINCIPLES TO ENHANCE COMBAT
EFFECTIVENESS.
2.B. (U) IDENTIFY AND MANAGE COSRS AND BEHAVIORAL HEALTH CONDITIONS,
INCLUDING SEVERE PSYCHIATRIC DISORDERS.
2.C. (U) PERFORM COMMAND CONSULTATION FOCUSING ON PREVENTION,
ASSESSMENT, AND TREATMENT. ASSIST COMMANDERS WITH EMBEDDING
PSYCHOLOGICAL READINESS INTO THE COMMAND'S ETHOS AND TRAINING,
BUILDING A CULTURE OF TRUST, PREPARING UNITS FOR EXTREME STRESS,
CONDUCTING MORALE ASSESSMENTS, AND EDUCATING ON SELF-AID
SUPPORTIVE RESOURCES.
2.D. (U) PARTICIPATE IN PRE- AND POST-DEPLOYMENT SUPPORT ACTIVITIES
AND ADVISE THE COMMANDER ON BH READINESS (E.G., DISABILITY
EVALUATION STATUS, PROFILE STATUS, MINIMAL NECESSARY INFORMATION
TO MITIGATE RISK TO SELF/OTHERS/MISSION).
2.E. (U) TRAIN AND SUPERVISE TECHNICIANS AND/OR PROVIDERS IN CLINICAL
CARE, PSYCHOLOGICAL FIRST AID, PREVENTION, INDIVIDUAL CRITICAL TASKS
AND PROFESSIONAL CONTINUING EDUCATION.
2.F. (U) CONDUCT INFORMAL (E.G., WALKABOUTS) AND FORMAL (E.G., BH
PULSE) ASSESSMENTS OF UNIT FUNCTIONING.
2.G. (U) INTEGRATE WITH SUPPORTING MILITARY TREATMENT FACILITY (MTF)
TO PROVIDE DIRECT CLINICAL CARE INCLUDING PERCENTAGE FULL TIME
EQUIVALENT (FTE) TEMPLATED APPOINTMENTS, TRIAGE, GROUP THERAPY,
COMMAND DIRECTED BEHAVIORAL HEALTH EVALUATIONS, ADMINISTRATIVE
SEPARATION EVALUATIONS, AND SPECIAL DUTY EVALUATIONS.
2.H. (U) EXECUTE TRAUMATIC EVENT MANAGEMENT.
2.I. (U) SUPPORT HIGH/AT-RISK SERVICEMEMBERS IN THE UNIT FOOTPRINT.
2.J. (U) PERFORM POPULATION HEALTH ASSESSMENT.
2.K. (U) FACILITATE COORDINATION OF CARE.
2.L. (U) PARTICIPATE IN OPERATIONAL FIELD TRAINING ACTIVITIES.
2.M. (U) COORDINATE WITH INSTALLATION RESOURCES INCLUDING BUT NOT
LIMITED TO UNIT AND GARRISON CHAPLAINS, MILITARY FAMILY LIFE
CONSULTANTS (MFLC), INTEGRATED PREVENTION ADVISORY GROUPS (IPAG),
COMMUNITY READY AND RESILIENT INTEGRATORS (CR2I), SUICIDE
PREVENTION PROGRAM MANAGERS (SPPM), H2F COORDINATORS,
INSTALLATION DIRECTORS OF PSYCHOLOGICAL HEALTH (IDPH), ARMY
SUBSTANCE ABUSE PROGRAM (ASAP), ARMY COMMUNITY SERVICES (ACS),
AND SOLDIER FAMILY READINESS GROUP (SFRG) COORDINATORS.
2.N. (U) RESERVE COMPONENTS (RC). RC PERSONNEL MAY HAVE DIFFERENT
GARRISON ROLES AND RESPONSIBILITIES DURING ANNUAL TRAINING AND
INACTIVE DUTY FOR TRAINING PERIODS. PERSONNEL SHOULD BE FAMILIAR
WITH ROLES AND RESPONSIBILITIES IN THIS ALARACT AND UTILIZE WHAT IS
MOST APPROPRIATE BASED ON LOCAL ORGANIZATIONAL PROCEDURES AND
RESOURCES.
2.O. (U) ADDITIONAL ROLES AND RESPONSIBILITIES.
2.O.1. (U) DIVISION PSYCHIATRIST. OVERSEE BH OPERATIONS FOR THE
DIVISION, PROVIDING GUIDANCE, LEADERSHIP, COORDINATION, AND TRAINING
FOR DOWNTRACE BHOS. COMMANDERS SHOULD CONSIDER INCLUDING
DIVISION PSYCHIATRISTS IN THE RATING CHAIN OF ORGANIC BHOS AS AN
INTERMEDIATE RATER. DIVISION PSYCHIATRISTS COORDINATE WITH THE
DIVISION SURGEON ON MEDICAL SUPPORT OF THE DIVISION, INCLUDING
READINESS, TRAINING, AND OPERATIONAL PLANNING. PROVIDE CLINICAL
SUPPORT AND ADVICE ON PRESCRIBING PRACTICES, COORDINATION OF
CARE, AND TRAINING OF OTHER BHOS AND MEDICAL STAFF. MAY SERVE AS
SIGNATURE AUTHORITIES ON PERMANENT BH PROFILES AND PERFORM RULE
OF COURTS MARTIAL EVALUATIONS.
2.O.2. (U) BDE PSYCHOLOGISTS AND SOCIAL WORKERS. SERVE AS BDE STAFF
TO PLAN COSC/BH/NEUROPSYCHIATRIC HEALTH SUPPORT TO THE BDE. THEY
SHOULD BE RATED BY THE BDE SURGEON, INTERMEDIATE RATED BY THE
DIVISION PSYCHIATRIST, AND SENIOR RATED BY BDE COMMANDER. AT
INSTALLATIONS WITHOUT A DIVISION PSYCHIATRIST, CONSIDER INCLUDING
IDPH AS INTERMEDIATE RATER.
2.O.3. (U) PSYCHOLOGISTS MAY ALSO PERFORM PSYCHOLOGICAL
ASSESSMENTS AND RULE OF COURTS MARTIAL EVALUATIONS.
2.O.4. (U) 68X BEHAVIORAL HEALTH SPECIALIST. EXTEND AND AMPLIFY BHO
EFFICACY, INCREASE ACCESS TO BH CARE, AND IMPROVE UNIT READINESS.
THEY SHOULD BE UTILIZED AT THEIR HIGHEST CREDENTIALS TO PERFORM
MOS-SPECIFIC ACTIVITIES. THEY ARE TRAINED ON BEHAVIORAL HEALTH
CONDITIONS AND ARE NOT QUALIFIED TO DIAGNOSE OR TREAT THEM.
2.O.5. (U) DETACHMENT AND BDE OCCUPATIONAL THERAPISTS. PERFORM
ASSESSMENTS AND EXECUTE SERVICE DELIVERY IAW THE BH CONCEPT OF
SUPPORT ESTABLISHED BY THE AREA SUPPORTED OR ASSIGNED. THEY
SUPPORT BHOS WITH EARLY PROBLEM IDENTIFICATION, TRIAGE, AND SLEEP
EDUCATION. THEY DIRECTLY SUPPORT SOLDIERS BY BUILDING RESILIENCY
SKILLS TO ADDRESS COSRS AND BH DISORDERS.
2.O.6. (U) BDE OCCUPATIONAL THERAPY TECHNICIANS. IMPROVE THE
PSYCHOLOGICAL HEALTH AND HUMAN PERFORMANCE OF THE FORCE IN
GARRISON. COMMANDERS SHOULD UTILIZE 68L OCCUPATIONAL THERAPY
TECHNICIANS TO PERFORM MOS-SPECIFIC ACTIVITIES BECAUSE THEY
EXTEND AND AMPLIFY THE EFFICACY OF BHOS IN THE GARRISON FUNCTION.
2.O.7. (U) PSYCHIATRIC/BEHAVIORAL HEALTH NURSES. PERFORM ESSENTIAL
TASKS INCLUDING STABILIZATION, UNIT NEEDS ASSESSMENTS,
PSYCHOLOGICAL FIRST AID, PSYCHOLOGICAL DEBRIEFINGS, AND GROUP
PSYCHOEDUCATION FACILITATION.
2.O.8. (U) IDPH. SERVES AS THE INSTALLATION'S PRINCIPAL CONSULTANT FOR
PSYCHOLOGICAL HEALTH. ADVISES THE SENIOR COMMANDER ON THE STATUS
OF CARE AND THE ADEQUACY OF RESOURCES. RESPONSIBLE FOR
COORDINATING ALL MILITARY AND NON-MILITARY SUPPORT PROGRAMS ON
THE INSTALLATION WITH THE DIVISION SURGEON, DIVISION PSYCHIATRIST,
AND/OR SENIOR MEDICAL PERSONNEL TO ENSURE THAT SOLDIER AND THEIR
FAMILIES HAVE ACCESS TO COMPREHENSIVE SYSTEM OF BH CARE.
2.O.9. (U) ALLIED PROFESSIONS. MEDICAL LEADERS, AND BHOS SHOULD
INCLUDE THESE ADJACENT ROLES THAT SUPPORT COSC PRINCIPLES DURING
PLANNING.
2.O.10. (U) FIRST RESPONDERS, INCLUDING BATTALION SURGEONS,
PHYSICIAN ASSISTANTS, NURSES, AND MEDICS. FIRST RESPONDERS SHOULD
ENSURE THEY RECEIVE TRAINING ON OSR, TRIAGING PSYCHIATRIC
CASUALTIES, AND MANAGING MENTAL ILLNESS. ROLE 1 PROVIDERS AND
MEDICS SHOULD BE FAMILIAR WITH BEHAVIORAL HEALTH SCREENING AND
DEVELOP RELATIONSHIPS WITH FELLOW SOLDIERS TO INFORM BHOS AND
UNIT LEADERSHIP INSIGHT INTO RESILIENCE OF THE FORCE.
2.O.11. (U) REGISTERED DIETITIANS (RDS/RDNS). MANAGE SOLDIER NUTRITION
TO SUPPORT READINESS. THEY ADDRESS THE PHYSICAL AND MENTAL
FATIGUE CAUSED BY STRESS-RELATED EATING HABITS BY CREATING AND
SUPERVISING NUTRITION PLANS FOR INDIVIDUALS AND UNITS, ENSURING
THEY MEET PERFORMANCE AND BODY COMPOSITION GOALS FOR MISSION
COMPLETION.
2.O.12. (U) NUTRITION CARE SPECIALISTS. IMPROVE THE NUTRITION
ENVIRONMENT AND STATUS OF SOLDIERS AND UNITS. COMMANDERS SHOULD
UTILIZE 68M NUTRITION-CARE SPECIALISTS TO PERFORM MOS SPECIFIC
ACTIVITIES BECAUSE THEY EXTEND AND AMPLIFY THE WORK OF RDS/RDNS.
2.O.13. (U) CLINICAL PHARMACIST. PROVIDE CONSULTATIONS TO REVIEW
PATIENT POLYPHARMACY RISKS, IDENTIFY POTENTIAL DRUG-DRUG
INTERACTIONS, DEVELOP IMPROVED MEDICATION COMPLIANCE STRATEGIES,
IDENTIFY POTENTIAL THERAPEUTIC ALTERNATIVES, REVIEW THEATER ENTRY
REQUIREMENTS, AND ASSIST IN CARE PLAN DEVELOPMENT TO PREVENT
UNNECESSARY DISRUPTIONS IN MEDICATION TREATMENT WHILE DEPLOYED.
ATTACHMENT 2: COSC IN ARMY OPERATIONS
1. (U) PRINCIPLES, ROLES, AND RESPONSIBILITIES ARE SIMILAR TO GARRISON,
WITH THE ADDITIONS IN SECTIONS 2-5.
2. (U) PLANNING REQUIRES SURVEILLING BEHAVORIAL HEALTH (BH),
ANTICIPATING CASUALTY RATES, AND IMPLEMENTING A BH CARE SYSTEM
COORDINATED WITH MEDICAL ROLES OF CARE. USE AVAILABLE DATA TO
DEFINE MINIMAL BH FORCE REQUIREMENTS. SEE ATTACHMENT 4 FOR
GARRISON UTILIZATION DATA.
2.A. (U) THE CURRENT MTOE FOR ARMORED AND INFANTRY BCTS (TWO BHOS
AND TWO BH TECHS PER ~4000 SOLDIERS). USE THESE NUMBERS ONLY WHEN
SURVEILLANCE AND WORKLOAD DATA ARE UNAVAILABLE, AND CONTINUALLY
ADJUST THE BH SUPPORT CONCEPT BASED ON THE OPERATIONAL
ENVIRONMENT. DETACHMENTS PROVIDE AREA COVERAGE TO UNITS WITHOUT
ORGANIC BH PERSONNEL AND MAY ALSO SUPPORT BCTS AS NEEDED.
3. (U) VIRTUAL BEHAVIORAL HEALTH (VBH) ENHANCES PREVENTION AND
TREATMENT IN DISPERSED ENVIRONMENTS. PLANNERS SHOULD OPTIMIZE BH
SUPPORT BY EMPLOYING VBH WHENEVER THE MISSION PERMITS. VBH IS AS
EFFECTIVE AS FACE-TO-FACE CARE.
4. (U) ALIGN AND COORDINATE THE BH CARE SYSTEM WITH OTHER MEDICAL
SERVICES TO INTEGRATE TRIAGE, ASSESSMENT, DIAGNOSIS, AND TREATMENT.
CARE DELIVERY PRINCIPLES ARE BREVITY, IMMEDIACY, CONTACT,
EXPECTANCY, PROXIMITY, AND SIMPLICITY (BICEPS). CONSIDER COMBINING
RESTORATION CAPABILITIES FOR COSRS AND NEUROPSYCHIATRIC/MILD
TRAUMATIC BRAIN INJURIES (MTBIS), AS THEIR TREATMENT APPROACHES ARE
SIMILAR (E.G., REST, REHABILITATION, EDUCATION, MONITORING).
5. (U) PLANNING FOR LARGE SCALE COMBAT OPERATIONS (LSCO). EFFECTIVE
LSCO SUPPORT MIRRORS ACTIVITIES FROM OTHER OPERATIONS. PLANNERS
MUST ADAPT TO PREVENT, DIAGNOSE, AND TREAT PSYCHIATRIC CASUALTIES
IN A CONTESTED BATTLESPACE. EXPECT DELAYED EVACUATIONS AND
CONSTANT SURVEILLANCE OF MEDICAL CAPABILITIES. ANTICIPATE INCREASED
DEMAND FOR INTERVENTIONS TO MANAGE STRESS AND IMPROVE
RESILIENCE. PERSONNEL WILL SUPPORT UNITS EXPERIENCING INTENSE
COMBAT, RESULTING IN A HIGH PREVALENCE OF COMBAT STRESS, ACUTE
STRESS DISORDER, AND MILD TBIS FROM BLASTS OR OTHER NOVEL WEAPON
SYSTEMS.
5.A. (U) DATA IS INADEQUATE TO PROJECT BHO REQUIREMENTS FOR LSCO OR
TO VALIDATE THE CURRENT ALLOCATION OF TWO BHOS PER BCT. LESSONS
FROM RECENT CONFLICTS SUGGEST A GREATER RELIANCE ON BUDDY-AID,
MEDICS, PRIMARY CARE, HOLISTIC HEALTH AND FITNESS (H2F), AND VBH. ALL
MEDICS, PRIMARY CARE, AND H2F PERSONNEL REQUIRE FOUNDATIONAL
KNOWLEDGE IN BUDDY-AID TOOLS (E.G., ICT 081-COM-3000, "REACT TO
BATTLEFIELD STRESS"). THIS INCLUDES MANAGING OSRS, UNDERSTANDING
THE STRESS CONTINUUM, AND CONDUCTING MTBI SCREENING (E.G., MACE).
BHOS MUST BE PROFICIENT IN IDENTIFYING AND MANAGING SERIOUS
BEHAVIORAL HEALTH CONDITIONS (E.G., PSYCHOSIS, BIPOLAR DISORDER) IN
FORWARD ENVIRONMENTS BY COLLABORATING WITH A PSYCHIATRIST OR
UNIT SURGEON.
5.B. (U) PLANNERS MAY NEED TO CURTAIL OR MODIFY BHO BATTLEFIELD
CIRCULATION TO RETAIN SERVICES FOR THE MAJORITY OF THE FORCE. MOST
BHO ACTIVITIES WILL OCCUR IN THE SUPPORT AREA, SERVICING UNITS
ROTATING FROM THE CLOSE AREA. THIS DIFFERS FROM GLOBAL WAR ON
TERROR PRACTICES.
ATTACHMENT 3: MEASURES AND TOOLS TO SUPPORT COMMANDER’S
DECISION-MAKING WITH REGARD TO UTILIZATION OF BHOS
1. (U) MEASURES. THE FOLLOWING LIST IS NOT ALL-INCLUSIVE AND MAY NOT
BE APPLICABLE IN ALL ENVIRONMENTS. MEDICAL PLANNERS SHOULD ADVISE
LEADERS WHICH MEASURES BEST INFORM SPECIFIC UNIT DECISION MAKING
REGARDING THE UTILIZATION OF BEHAVIORAL HEALTH OFFICERS (BHOS).
1.A. (U) ACCESS TO CARE FOR BEHAVIORAL HEALTH (BH) CLINICS.
1.B. (U) SHORT-TERM/LONG-RANGE TRAINING SCHEDULE FOR UNITS.
1.C. (U) UTILIZATION RATES OF BH CARE AT THE MILITARY TREATMENT
FACILITY.
1.D. (U) SOLDIER REFERRALS TO PRIVATE SECTOR BH CARE.
1.E. (U) RATES OF DUTY LIMITING BH PROFILES IN THE UNIT.
1.F. (U) PROJECTED RATE AND QUANTITY OF SOLDIERS WHO WILL REQUIRE BH
RELATED THEATER MEDICAL WAIVERS FOR DEPLOYMENTS.
1.G. (U) RATES OF PSYCHIATRIC HOSPITALIZATIONS.
1.H. (U) PREVALENCE OF ALCOHOL RELATED INCIDENTS IN THE UNIT.
1.I. (U) CHAPLAIN ANALYSIS OF FREQUENTLY REPORTED STRESSORS.
1.J. (U) RESULTS OF MORALE AND WELL-BEING SURVEYS AS INDICATED.
2. (U) LEADERS SHOULD ASSESS BHO TRAINING COMPLETION OF COMBAT AND
OPERATIONAL STRESS CONTROL (COSC) AND TRAUMATIC EVENT
MANAGEMENT COURSE, BHO CLINICAL EXPERIENCE, BHO MILITARY
EXPERIENCE, UNIT SUICIDE PREVENTION TRAINING, PARTICIPATION IN BHO-
LED BH TRAINING BY NON-BH MEDICAL PERSONNEL, AND CURRENT BHO
UTILIZATION TO INCLUDE CLINICAL, PREVENTIVE, AND STAFF OFFICER DUTIES.
3. (U) TOOLS. CURRENT TOOLS FOR INFORMING BHO UTILIZATION INCLUDE
DEFENSE HEALTH AGENCY DASHBOARDS, BH PULSE RESULTS, UNIT RISK
INVENTORY (URI)/DEFENSE ORGANIZATIONAL CLIMATE SURVEY (DEOCS)
RESULTS, ARMY MEDICAL OPERATIONAL DATA SYSTEM (MODS), THE
COMMANDER’S RISK REDUCTION TOOLKIT (CRRT), AND INTEGRATED
PERSONNEL AND PAY SYSTEM-ARMY (IPPS-A).
ATTACHMENT 4: BH PATIENT UTILIZATION DATA
1. (U) THIS OUTLINES A PLANNING FORMAT TO DETERMINE APPROPRIATE
BEHAVIORAL HEALTH OFFICER (BHO) SUPPORT REQUIRED FOR MILITARY
OPERATIONS OTHER THAN WAR AND COMBAT OPERATIONS. MISSION, ENEMY,
TERRAIN AND WEATHER, TROOPS AND SUPPORT AVAILABLE, TIME AVAILABLE,
AND CIVIL CONSIDERATIONS (METT-TC) MAY INFLUENCE ACCURACY OF THE
ESTIMATES IN 2-3 BELOW.
2. (U) GARRISON BEHAVIORAL HEALTH (BH) UTILIZATION RATES (2023 DATA)
SHOW APPROXIMATELY 15% OF AC SOLDIERS ACROSS THE ARMY ACCESS
OUTPATIENT BH SPECIALTY CARE PER YEAR AND AVERAGE 4 VISITS FOR
CARE. ANOTHER 7-8% RECEIVE TREATMENT FOR A BH DIAGNOSIS ONLY
THROUGH PRIMARY CARE. APPROXIMATELY 1% OF SOLDIERS HAVE
PSYCHIATRIC HOSPITALIZATIONS PER YEAR.
3. (U) TO PREDICT A WORKLOAD FOR BH UTILIZATION IN A DEPLOYED SETTING,
PLAN FOR 15% OF THE UNIT TO UTILIZE BH CARE. FIGURE 4 VISITS PER
SOLDIER UTILIZING BH. AN APPROXIMATE PLANNING FACTOR OF 1 HOUR PER
VISIT WILL PROVIDE AN ESTIMATE FOR THE NUMBER OF HOURS A BHO MAY
SPEND IN CLINIC. (UNIT STRENGTH * .15 * 4= NUMBER OF HOURS A BHO
SHOULD PLAN TO SPEND DOING TREATMENT ACTIVITIES.)
4. (U) MEDICAL PLANNERS SHOULD CONSIDER PREVENTION ACTIVITY TIME
REQUIREMENTS WHEN ASSESSING IF ORGANIC BH ASSETS ARE SUFFICIENT
FOR THE MISSION.

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MILPER Number: 26-071 Fiscal Year 2026 (FY26) Active Component (AC) Military Intelligence (MI) Programs Selection Panel

1.  This MILPER message will expire no later than (NLT) 1 September 2027.

2.  This message announces the procedures for active component Officers and Warrant Officers requesting consideration in Military Intelligence (MI) academic programs starting in Academic Year 2027-2028 to include: Army Intelligence Development Program- Cyber (AIDP-CY), Army Intelligence Development Program- Counterintelligence (AIDP-CI), Junior Officer Cryptologic Career Program (JOCCP), Warrant Officer Cryptologic Career Program (WOCCP), Junior Officer GEOINT Program (JOGP), Warrant Officer GEOINT Program (WOGP), Intelligence Capability Development Program (ICDP), and the National Intelligence University (NIU). Army Intelligence Development Program- Intelligence, Surveillance, and Reconnaissance (AIDP-ISR) is no longer a supported program and will not be included as a MI academic program.

https://www.hrc.army.mil/Milper/26-071

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ALARACT 008/2026 NONCOMMISSIONED OFFICERS ASSOCIATION MILITARY VANGUARD AWARD 2026

https://armypubs.army.mil/epubs/DR_pubs/DR_a/ARN46021-ALARACT_0082026-000-WEB-1.pdf

ALARACT 008/2026
DTG: R 251715Z FEB 26
UNCLAS
SUBJ/ALARACT 008/2026 – NONCOMMISSIONED OFFICERS ASSOCIATION
MILITARY VANGUARD AWARD 2026
THIS ALARACT MESSAGE HAS BEEN TRANSMITTED BY JSP ON BEHALF OF
DCS, G–1
1. (U) REFERENCE: AR 600–8–2, SUSPENSION OF FAVORABLE PERSONNEL
ACTIONS (FLAG)
2. (U) PURPOSE: THE NONCOMMISSIONED OFFICERS ASSOCIATION (NCOA) OF
THE UNITED STATES OF AMERICA ANNUALLY RECOGNIZES ONE ENLISTED
MEMBER FROM EACH OF THE UNIFORMED SERVICES FOR ACTS OF HEROISM.
THIS RECOGNITION IS MADE TO HONOR THOSE INDIVIDUALS WHO HAVE
PERFORMED A PARTICULARLY HEROIC ACT THAT RESULTED IN THE SAVING
OF A LIFE OR THE PREVENTION OF SERIOUS INJURY. SELECTEES WILL
RECEIVE THE NCOA MILITARY VANGUARD AWARD NAMED IN HONOR AND
MEMORY OF AN ENLISTED RECIPIENT OF THE CONGRESSIONAL MEDAL OF
HONOR OF THEIR RESPECTIVE SERVICE.
3. (U) SUBMISSION: THE SENIOR ENLISTED CHIEF OF EACH UNIFORMED
SERVICE WILL BE REQUESTED, BY LETTER FROM NCOA, TO SUBMIT THEIR
RESPECTIVE SERVICE’S SELECTION TO THE PRESIDENT, NONCOMMISSIONED
OFFICERS ASSOCIATION, 9330 CORPORATE DRIVE, SUITE 708, SELMA, TX
78154. NOMINATIONS MUST BE SUBMITTED ABSOLUTELY NO LATER THAN 17
APRIL 2026. THE SENIOR ENLISTED CHIEFS ARE REQUESTED TO HONOR THE
CRITERIA LISTED IN PARAGRAPH 4 IN SELECTING THEIR RESPECTIVE
NOMINEE.
4. (U) APPLICABILITY: NOMINEE MUST BE SERVING ON ACTIVE DUTY OR AS A
MEMBER OF THE RESERVE OR NATIONAL GUARD IN THE UNITED STATES
ARMY DURING THE PERIOD OF TIME THE HEROIC ACT IS PERFORMED.
NOMINEE THAT MEETS CRITERIA MUST HAVE SERVED IN PAY GRADES E-1
THROUGH E-9 DURING THE PERIOD OF TIME THE ACT IS PERFORMED. ACT
FOR WHICH NOMINEE IS TO BE RECOGNIZED MUST BE VOLUNTARY ACTION
INITIATED BY NOMINEE AND NOT A RESULT OF DIRECTIONS OR ORDERS. ACT
FOR WHICH NOMINEE IS TO BE RECOGNIZED MUST BE AN ACTION
PERFORMED TO SAVE LIFE OR PREVENT SERIOUS INJURY TO ANOTHER
PERSON OR PERSONS. ACT FOR WHICH NOMINEE IS TO BE RECOGNIZED
MUST HAVE OCCURRED WITHIN THE PREVIOUS CALENDAR YEAR (JANUARY
2025–DECEMBER 2025). NOMINEES MUST BE ELIGIBLE FOR FAVORABLE
PERSONNEL ACTIONS IN ACCORDANCE WITH AR 600–8–2. VERIFICATION OF
ELIGIBILITY IS THE RESPONSIBILITY OF THE NOMINEE’S CHAIN OF COMMAND
AND STAFF-1.
5. (U) AWARD DISTRIBUTION: ONE E1-E9 ACTIVE COMPONENT/ACTIVE GUARD
AND RESERVE/TROOP PROGRAM UNITS ON TITLE 10, UNITED STATES CODE
ORDERS.
6. (U) NOMINATION PROCEDURES:
6.A. (U) ALL ARMY COMMANDS (ACOMS), ARMY SERVICE COMPONENT
COMMANDS (ASCCS), AND DIRECT REPORTING UNITS (DRUS) WILL SUBMIT
ELECTRONIC VANGUARD AWARD NOMINATION PACKETS ANNUALLY.
6.B. (U) NCOA VANGUARD AWARD NOMINATION PACKETS WILL INCLUDE––
6.B.1. (U) RECOGNITION OPPORTUNITY NOMINATION.
6.B.2. (U) NOMINEE’S NARRATIVE.
6.B.3. (U) COMMAND SERGEANT MAJOR (CSM) NOMINATION ENDORSEMENT.
6.B.4. (U) OFFICIAL PHOTO.
6.C. (U) ALL NOMINATIONS MUST BE ENDORSED IN A MEMORANDUM FORMAT
BY THE SOLDIER’S (ACOM/ASCC/DRU) CSM. ONE NOMINATION PER COMMAND
WILL BE ACCEPTED, UNLESS OTHERWISE NOTED.
6.D. (U) NOMINATIONS WILL BE SUBMITTED IN NARRATIVE FORMAT AND
INCLUDE SPECIFIC EXAMPLES OF ACTS OF HEROISM.
6.E. (U) NOMINATIONS WILL INCLUDE AWARD NOMINATION ENDORSED BY CSM
AND DEPARTMENT OF THE ARMY PHOTO.
6.F. (U) EACH COMMAND WILL SUBMIT AN ELECTRONIC COPY OF THE
NOMINATION PACKET NO LATER THAN 2 APRIL 2026 TO THE POINT OF
CONTACT (POC), SFC DEJAVON TORRES AT:
DEJAVON.M.TORRES.MIL@ARMY.MIL. THE PACKET WILL CONSIST OF THE
SOLDIER’S NOMINATION, ACOM/ASCC/DRU CSM ENDORSEMENT, AND SHORT
BIOGRAPHY. THE DOCUMENTS WILL BE RELEASED TO A NON-DEPARTMENT
OF DEFENSE ENTITY.
7. (U) SCREENING PROCESS:
7.A. (U) THE DEPUTY CHIEF OF STAFF (DCS), G–1 SENIOR ENLISTED PANEL OF
SERGEANT MAJORS WILL REVIEW AND NOMINATE THE TOP SIX CANDIDATES
FROM THE ACOMS/ASCCS/DRUS. DCS, G–1 WILL PROVIDE THE OFFICE OF THE
SERGEANT MAJOR OF THE ARMY WITH THE NAMES OF THE TOP CANDIDATES
NO LATER THAN 10 APRIL 2026.
7.B. (U) THE OFFICE OF THE SERGEANT MAJOR OF THE ARMY WILL REVIEW
NOMINATION PACKETS AND NOMINATE THE TOP THREE CANDIDATES. DCS, G–1
WILL PROVIDE NCOA WITH THE NAMES OF THE TOP THREE NOMINATIONS NO
LATER THAN 17 APRIL 2026.
7.C. (U) UPON THE RECEIPT OF THE INDIVIDUAL HONOREES’ INFORMATION BY
NCOA, THE NCOA CONFERENCE MANAGER WILL NOTIFY, BY LETTER OR
EMAIL, THE SENIOR ENLISTED CHIEF OF THE RESPECTIVE BRANCH OF
SERVICE AND THE SELECTEE THROUGH THE FIRST FLAG RANK OFFICER IN
THE SELECTEE’S CHAIN OF COMMAND. THE NCOA WILL PROVIDE FOLLOW-UP
INFORMATION TO EACH SELECTEE AFTER NOTIFICATION BY THE SELECTEE’S
CHAIN OF COMMAND.
8. (U) AWARD PRESENTATION:
8.A. (U) THE SELECTED RECIPIENT WILL BE THE GUEST OF THE NCOA AT THE
CONFERENCE/RECEPTION AND WILL BE AFFORDED THE OPPORTUNITY TO
HAVE ONE FAMILY MEMBER (SPOUSE, MOTHER, AND FATHER ONLY) ALSO
ATTEND THE CONFERENCE/RECEPTION AS A GUEST OF THE ASSOCIATION.
8.B. (U) THE NCOA WILL NOTIFY THE NEXT OF KIN OF EACH SERVICEMEMBER
FOR WHOM THE NCOA MILITARY VANGUARD AWARD IS NAMED OF THE
SELECTEE AND PROVIDE A DESCRIPTION OF THE HEROIC ACT FOR WHICH
THE SELECTEE IS BEING RECOGNIZED.
8.C. (U) THE NCOA MILITARY VANGUARD AWARD WILL BE PRESENTED AT THE
NCOA NATIONAL CONFERENCE IN NORFOLK, VA 21–24 JULY 2026.
9. (U) POC: DAPE-ZA, SFC DEJAVON TORRES, DCS, G–1 AT
DEJAVON.M.TORRES.MIL@ARMY.MIL.
10. (U) THIS ALARACT MESSAGE EXPIRES ON 31 JULY 2026. 

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1. This message will expire on 25 February 2027.

2. This message announces zones of eligibility, methodology, and administrative instructions for the fiscal year (FY) 2026 regular Army (RA) Medical Service (MS) corps medical functional area (MFA) 70 (Administrative Health Services) area of concentration (AOC) designation panel.

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1. This message will expire on 23 February 2027.

2. The Surgeon General (TSG) has approved the ADHPLRP as a retention initiative for selected qualified Army Medical Department (AMEDD) commissioned officers on active duty.

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MILPER Number: 26-068 Fiscal Year 2026 (FY26) Warrant Officer Retention Bonus (WORB) Implementation Guidance

1.  This message announces personnel eligibility and processing requirements for the FY26 Warrant Officer Retention Bonus (WORB) program. This program is essential for retaining qualified warrant officers in critical military occupational specialties (MOS) to ensure Army readiness and will expire no later than (NLT) 30 September 2026.

2.  The FY26 WORB dollar amount will be determined using a bidding process. Two virtual town halls will be held via Microsoft Teams to provide additional information on the FY26 WORB program and to answer questions. All eligible warrant officers are encouraged to attend. The sessions are scheduled for 26 February 2026, 1200 Eastern Standard Time (EST) and 12 March 2026, 1200 EST.

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MILPER Number: 26-067 Fiscal Year 2026 (FY26) Legal Counsel to the Chairman of the Joint Chiefs of Staff, Joint Selection Board

1. This message will expire no later than (NLT) 1 year following publication. 

2. A Department of War Joint Selection Board is scheduled to convene on or about 25 Mar 26 to consider eligible colonels and brigadier generals in the Judge Advocate General's Corps (JAGC), on the Active Duty List (ADL), who OPT- IN to compete for selection as the Legal Counsel to the Chairman of the Joint Chiefs of Staff in the grade of O7.

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