Division of Behavioral and Social Health Outcomes Practice

Last Updated: December 28, 2021
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Soldiers holding a flag
​​​​​​​​​​DIVISION OF BEHAVIORAL AND SOCIAL HEALTH OUTCOMES PRACTICE (BSHOP)
​MISSION: Use the public health process to provide the U.S. military with social and behavioral health information to inform pre​vention and risk​ mitigation strategies, public health interventions, and policies that maximize individual, unit, and community wellbeing.
VISION:  Serve as the premier source for information on the epidemiology of social and behavioral health in the U.S. military.
The Work of BSHOP
BSHOP employs the science of epidemiology and multi-method public health field studies to identify patterns, issues, and risk and protective factors associated with behavioral and social health, as well as program evaluation strategies to inform DoD and DA policies, prevention programs and clinical behavioral health services to promote wellbeing and mitigate adverse outcomes among Servicemembers, military units and their communities.​


A Decade of BH EPICONS Lessons Learned

​For over a decade, the U.S. Army Public Health Center, Division of Behavioral and Social Health Outcomes Practice (BSHOP) has conducted over 30 Behavioral Health (BH) Epidemiological Consultations (EPICONs) across the globe. We have gained perspective and clarity from interviews and focus groups with over 5000 leaders, Servicemembers, medical providers, and Chaplains, analyzed over 44,000 surveys and provided clinical chart reviews of more than 250 index cases. Because of this work, we have gained valuabl​​e information about the risk and protective factors that affect the social and behavioral health of Servicemembers, their units, and the surrounding communities. The knowledge and insights obtained by our BH EPICONs are enriched by the collaborative nature of the process, and they have enhanced our ability to triangulate the data to develop meaningful actionable recommendations in affected communities. Although our work has influenced Department of the Army policy, programs and services for Servicemembers, historically, we have been unable to measure the impact of our BH EPICONs due to the lack of data regarding outcomes and recom​mendation implementation. Moving forward, BSHOP will prioritize obtaining this information for each BH EPICON in an effort to appropriately measure the impact of our work. We are passionate about what we do and feel privileged to work for Servicemembers and military communities. Thank you for your interest in our work. We look forward to serving you. ​​


BSHOP's work is accomplished through coordination and collaboration across 4 sections:​
Monitoring: Conduct epidemiological analyses and reporting of behavioral health trends, to include suicidal behavior, among Soldiers.
Surveillance: With the Defense Health Agency (DHA) Health Surveillance Branch (HSB) Army Satellite team, manage the Department of Defense Suicide Event Rep​ort (DoDSER) Program and enterprise-wide health system data sources, and support epidemiological analyses.
Field investigations and Evaluations: Conduct multi-method behavioral health (BH) epidemiological consultations (EPICONs) field studies with military units, as well as conduct outcome or process evaluations of clinical behavioral health programs among the Behavioral Health Service Line (BHSL) within the Behavioral Health Division (BHD) of the Army's Office of The Surgeon General (OTSG).
Strategic Communications:  Translate epidemiological data derived from monitoring, BH EPICON findings, and program evaluation results into information products for diverse audiences (e.g., the general Soldier population, strategic-level Army leaders, and the general civilian population).