Department of the Army Family Advocacy Program Update 2009 Army Family Advocacy Worldwide

UNCLASSIFIED

Family and Morale, Welfare and Recreation Command

LTC Ben Clark/IMWR-FP/DSN 761-7393/[email protected] 1 of 44 031600RAUG2009

Department of the Army Family Advocacy Program Department of the Army Family Advocacy Program UpdateUpdate

2009 Army Family Advocacy WorldwideConference,10 -14 Aug 09, Louisville, KY

LTC Ben L. Clark SR, Ph.D. LCSW-BCDHeadquarter Department of the ArmyFamily Advocacy Program Manager

UNCLASSIFIED



Vision

Soldiers and Families living in a safe community free of domestic violence and child abuse

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Mission

To foster Soldier and Family Readiness by preventing domestic violence and child abuse, encouraging reporting, protecting victims, and ensuring prompt assessment, investigation, and treatment by qualified professionals.

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Rates/1,000 – Child AbuseFY 2000-2008

Source: Army Central Registry, 6 Feb 09

Substantiated

UNCLASSIFIED



Data from Army Central Registry, 6 Feb 09

2470 2506 2704 2830 3081 2551 2545 2561 2596

4196 4123 4655 4558 45733951 3911

51663700

0

2000

4000

6000

8000

10000

FY 00 FY01 FY02 FY03 FY04 FY05 FY06 FY07 FY08

Substantiated Unsubstantiated

Army Child Abuse Cases FY 2000-2008

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Rates/1,000 – Spouse AbuseFY 2000-2008

Source: Army Central Registry, 6 Feb 09

Substantiated

UNCLASSIFIED



Army Spouse Abuse CasesFY 2000-2008

4030 3944 3852 3430 3093 2998 2780 2747 2573

3549 3745 3953

32333153 3586

34314291 4203

0100020003000400050006000700080009000

FY 00FY01 FY02 FY03 FY04 FY05 FY06 FY07 FY08

Substantiated Unsubstantiated

Data from Army Central Registry, 6 Feb 09

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Army Fatality Review – Allows the Army to identify systemic problems and formulate lessons learned

Army Fatality Review – Allows the Army to identify systemic problems and formulate lessons learned

FY03 FY04 FY05 FY06 Significant Findings – Child Abuse

6/18 3/13 8/18 2/12 # of child abuse fatalities that occurred while the Soldier was deployed

56 % 54% 39% 67% % of adults involved in child abuse fatalities who had active substance abuse/ mental health issues

76% 62% 83% 83% % of all child deaths when children were under the age of four

** Note: Army Criteria: Soldier deployed, re-deployed OIF/OEF within 6 months prior to fatality

FY03 FY04 FY05 FY06 Significant Findings – Spouse Abuse

none none none none There was no direct evidence that domestic violence fatalities occurred as a result of deployment**

N/A 80% 63% 40% % of domestic violence fatalities where the couples were separated as a result of severe marital discord

2/8 3/5 4/16 6/15 # of domestic violence fatalities where there was no indication of risk or involvement with the FAP

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Outcome Measures Command Support

• Performance: (Based on pilot phase, 6 installations) Commanders attended 81% of CRC meetings and were more likely

to attend if briefed Cdr was more likely to endorse tx plan if briefed and had attended

the CRC

• Offenders: When the Cdr endorsed the tx plan, 56% of offenders completed

the plan; when the Cdr did not endorse the tx plan, 0% of the offenders completed treatment

• Victims: When the Cdr endorsed the tx plan, 58% of victims completed the

plan; when the Cdr did not endorse the tx plan, 0% of the victims completed treatment

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Expand technology and Expand technology and e-learning Centere-learning Center

Stabilize Soldiers Stabilize Soldiers And Families SupportAnd Families Support

Army OneSource

FAP VISIONSupporting the human dimension of the Army’s mission … every Family prepared and supported!

Supporting the Expeditionary and Joint Force

“Families become more connected to their communities and support elements” HOW?

Working with ………. Unit, Families, and Community

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• Standardized FAP training for victim advocates

• Tailor training to meet needs of Soldiers and Family members

• Increase training coordination efforts w/units (Dads)

• Development NPSP-HV Computer-Based Training

• Expand MOAs with communities to address fatalities

• Continue partnerships with National Organizations to address off post populations and new training opportunities

• Maximize CDRs participation with the CRC process

• Target prevention strategies to ensure Family members with problems during deployment are referred to appropriate agencies

• Utilize New Parent Support – Home Visitors to target high risk populations

• Expand communication effort using technology to reach Families

• Utilize Army OneSource as a resource for Soldiers and Family members

• Provide information to CDRs via net

• Coordination with Behavioral Health and ASAP on high risk cases

• Increase utilization of MOS and MFLCs

Redesign FAPTraining

Optimize the Capabilities

Meet Demographic needs

Meet the Challenges

TrainingPartnershipsCommunity SupportCommunication

Supporting the Expeditionary and Joint Force

Working with ………. Unit, Families, and Community

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The Nature of Stress & Trauma for Military Children & Families --Military Family Research Institute

Car troubles, home repairs, breakdowns in childcare,

unexpected deadlinesMarital conflict, financial

difficulties, stress at work, troubled children

Loss of people, loss of relationship, severe illness or wounding

“A combat deployment … is a stressor that is often externally imposed, ambiguous, and can involve a variety of daily, chronic, and traumatic stressors. When a military community is heavily impacted by a large combat deployment, so many individuals and families may be affected that it is difficult for the community to mobilize sufficient resources to support them.”

“The combined effect of daily hassles and chronic stresses is

greater than the additive effects of both.”

Back To Main Brief

ChronicChronic

Traumatic StressorsTraumatic Stressors

Daily Hassles

Daily Hassles

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Life SkillsEducationLife SkillsEducation

SupportiveSupportive

TreatmentTreatment

ChronicChronic

TraumaticStressorsTraumaticStressors

Daily HasslesDaily

Hassles FamilyFamily

Unit andCommunity

Unit andCommunity

IndividualIndividual

A Systematic Approach To Building Resilience

Stressors -- what Soldiers and Families experience

Education/Intervention – what the Army Family Covenant provides

Desired Outcomes – adaptation and resilience

AdaptationAdaptationStressorsStressors

Education & InterventionEducation & Intervention Post AssessmentPost Assessment

Measure the Army’s Desired OutcomesMeasure the Army’s Desired Outcomes

Pre-AssessmentPre-Assessment

8

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Army Family Advocacy Program 5 Year

(2008-2013) Strategic Plan• Increase OSD funds to meet current and future requirementsIncrease OSD funds to meet current and future requirements

• Consolidation of Treatment and Prevention ServicesConsolidation of Treatment and Prevention Services

• Ensure Service Delivery Across all ComponentsEnsure Service Delivery Across all Components

• Recruiting and Retention of Qualified StaffRecruiting and Retention of Qualified Staff

• Improve Marketing of FAPImprove Marketing of FAP

• Reduce Stigma associated with FAP involvementReduce Stigma associated with FAP involvement

• Expand Training for FAP staffExpand Training for FAP staff

• Assess the Effectiveness of FAP Service Delivery ModelAssess the Effectiveness of FAP Service Delivery Model

• Potential Revisions to the CRC ProcessPotential Revisions to the CRC Process

• Online FAST TrainingOnline FAST Training

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Contracting

• Clinical Social Worker Contract (Choctaw)

– 63 clinical positions

– Stable and performing

– Current five year contract ends 25 Mar 10

• The Way Ahead

– Contract will be re-competed in 2010

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Joint Basing

• Update

OSD MEMO, dated Jun 23, 2009

• The Way Ahead

OSD Joint Services (Army, Air Force, Navy and Marines) meeting to develop implementations guidance

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DoD Instructions

• Review six separate DoD Instructions which provided broad guidance for the military Services

• Restructuring of the CRC into two separate committees (Installation Review Board / IRB and Clinical Case Staffing Committee / CCSM) places Army Families at high risk and is not an efficient use of Army resources

• Received ASA (M&RA) support for no structural changes to the program

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DoD Instructions

• Decision Tree Algorithm definitions require modification by DoD to meet Army needs. If not modified, all of the First Time Exclusions for Army must remain in place

• The Way Ahead

– Working with MEDCOM and DoD to resolve differences

– When finalized, will require revision to AR608-18

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New Parent Support Program• Home Visitation Model:

– Developed specifically for first time expectant parents and parents with children from birth to 3 years of age who have been assessed to be at risk for child maltreatment and/or domestic abuse.

• Family Needs Screener – empirically validated screener to assess for risk • Intake Assessment – completed by HV• Intensive home visitation by licensed nurses,

clinical social workers or marriage and family

therapists • Encourages father/intimate partner involvement

early

– Develops a Family Service Plan incorporating:• unique needs of each family• Role modeling and mentoring• Educational focus on health and child

development

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New Parent Support Program

• The Way Ahead – Increase program awareness and participation

– Review Home Visitation Evidence-Based Models to determine best practices

– Developing a Vision/Mission/Strategic Plan

– Increase Marketing Materials and Educational Resources

– Tentatively scheduling a conference in January 2010

• SRI Launched NPSP-HV Website

• Courses Home Visitors have attended include:– Mindfulness, Lactation Counselor Certification Course, Behavioral Health, Play

Therapy, Child Abuse Prevention, and Dr. Dads

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In the News… SOLDIER CHARGED IN MURDER OF WIFE!

When Strains on

Military Families Turn Deadly

Soldier charged in wife’s death

String of Military FamilySoldier filed papers that resulted in Murders Stuns Ft.

Bragg

a temporary restraining order against 23-year-old husband who got drunk, held a loaded handgun to her

head and his head The missing United States Army Soldier who had

been allegedly stabbed and kidnapped from her

home by her own husband last week has

been found alive.

Four soldiers accused of killing their wives in a six week time span

Hawaii Soldier convicted of domestic violence allowed to remain free

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Victim Advocacy

• Training

– Domestic Abuse Lethality Assessment and Safety Planning Training Support Package: Training Support Package for use by FAPM and VA in training VA and other FAP staff, FAC and CRC Members

– Training took place 8-12 Dec 08. Over 160 Regional FAPMs, FAP Managers, SWS participants

– Developed and sent out the non clinical Lethality Assessment Checklist through to both participants from IMCOM and MTFs

– New Hire Virtual VA Training rolled-out in July 09

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Why are Lethality Assessment and Safety Planning Important?

• High profile cases remind everyone of inherent dangers of domestic abuse

• Additional tool to help VAs reduce risk of homicide or serious physical harm

• Strategies to help VAs establish and maintain system credibility when working with first responders and Command

• ARFORGEN – Implementation of Brigade Combat Teams (BCTs) has created new deployment schedules and dynamics; may result in greater potential family stressors

– Families who experience domestic violence incidents prior to deployment will most likely continue these behaviors when they return

– Child neglect cases have risen, since the onset of the war

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Lethality Assessment Checklist

• Tool for VAs to use to gather information on risk factors, victims’ needs and safety concerns

• Checklist is NOT a clinical assessment

• Incorporates all risk factors outlined in DODI 6400.06

• Checklist should be used in conjunction with mandated DD 2893, “Victim Advocacy Safety Plan”

• VAs should immediately share completed checklist with the FAPM and the FAP SW

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Victim Advocacy

• Training

– Victim Advocacy Competency Course CD-ROM (revised 2009) to include SA/DA Restricted Reporting Policies. The competency course is designed to train new advocates on policy and procedures and includes a test to measure information learned

– This training is 508 compliance- for hearing and visual impaired users thus meets the American Disabilities Act requirements

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Victim Advocacy

• The Way Ahead

– VA Records Management and Maintenance SOP – expected to be released in 1st QTR FY10

– VA/SATS System – expected to be rolled–out in 1st QTR FY10

– Building the VA Program/Domestic Abuse Resources and Training Information on the MyArmyLifeToo website

– Identifying ways for the VA Program to build and sustain Bridges/Collaborate with SWS, Command and other First Responders to more effectively prevent and respond to incidents of domestic abuse

– Designing trainings to teach VAs effective ways to plan domestic violence prevention efforts around the ARFORGEN model (including initiatives for pre-deployment, during deployment and re-deployment)

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Military Family Life Consultant (MFLC) Program

• Work directly with ACS, Guard HQs and Reserve Regional Commands to provide ARFORGEN support to Soldiers/Families. Consultants may be requested with specialized skills to respond to installation and Reserve Component needs. The goal is to prevent Family distress by providing education and information on Family dynamics, parent education, available support services, and the effects of stress and positive coping mechanisms

• Provides problem-solving non-medical counseling services which addresses issues that occur across the military life style and help Service members and Families to cope with the reactions to the stressful/adverse situations created by deployments and reintegration

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Military Family Life Consultant (MFLC) Program

• The MFLC program is funded/managed by the Office of the Deputy

Under Secretary of Defense for Military Community and Family Policy (ODUSD (MCFP)) through a central contract. Services may be delivered to individuals, couples, Families and groups

• Increased the number of counseling sessions from 6 to 12 per issue

• Prepositioned 17 MFLCs (15 MFLCs/2 PFCs) to support BCTs

• The Way Ahead

– Requested 118 MFLCs to support Active Army BDEs

– Requested MFLCs to support TRADOC population

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Military OneSource (MOS)

• MOS supplements existing Army Family programs by providing a 24-hour, seven days a week toll free information and referral telephone line and internet/web based service that includes up to twelve face-to-face counseling sessions available to Active Duty, National Guard, Reserve Soldiers, civilians deployed to the Area of Responsibility (AOR) and their Families worldwide

• MOS provides information ranging from every day concerns to deployment and reunion issues. Additionally, if there is a need for face-to-face counseling, MOS will provide referrals to professional civilian counselors for assistance in CONUS, Alaska, Hawaii, Puerto Rico and the U.S. Virgin Islands

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• Face-to-face personal financial counseling sessions are also available. In OCONUS, face-to-face counseling is provided via existing medical treatment facility (MTF) services. In addition, OCONUS and remote locations are eligible for non-medical, short-term, solution-focused telephonic (STSF-T) consultation

• The MFLC program is funded and managed by the Office of the Deputy Under Secretary of Defense for Military Community and Family Policy (ODUSD (MCFP)) through a central contract

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• The Way Ahead

– Expanding the resources on the Service Provider Tools link on www.militaryonesource.com

– Online Library Resources provide links to electronic databases, e-books, and audio books for adults and younger family members. This resource includes preparation for standardized tests like the Scholastic Aptitude Test (SAT), Graduate Record Exam (GRE), American College Testing (ACT) and College Level Examination Program (CLEP)

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Army I. A.M. STRONG Campaign Initiative

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• 22 Oct 08, the Secretary of the Army (SECARMY) directed the Undersecretary of the Army to review policies for potential integration of SAPR and Prevention of Sexual Harassment (POSH) Programs

• 10 Dec 08, SECARMY approved proposed Army SAPR Program and POSH Program Integration Plan

– SECARMY directed HQDA to restructure integration of Army and SAPR POSH Programs NLT 5 Jan 09

– Field integration plan TBD

• Feb 09, new name (SHARP) and integration of these programs became effective

• Current impact of integration of SAPR, EO POSH and EEO POSH is only at the HDQA level. Execution of installation programs remains unchanged at this time

Sexual Harassment/Assault Response & Prevention (SHARP) Program Integration

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• Concept of SHARP is a work in progress and issues pertaining to integration, staffing, responsibilities and funding are all being discussed. No decisions have been made

• Until further guidance, the field operation (SAPR, EO POSH, and EEO POSH remain the same). These issues are currently being discussed and reviewed

Sexual Harassment/Assault Response & Prevention (SHARP) Program Integration

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Transitional Compensation

• FY94 National Defense Authorization Act (Public Law 103-160)

- Provides monetary compensation and benefits for dependents of military personnel on active duty who are separated or sentenced to total forfeiture of pay and allowances for a dependent-abuse offense

- Monthly monetary compensation IAW 2009 DIC rates –

• $1,154.00 for spouse

• $286.00 for each eligible child

• $488.00 for child only

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Transitional Compensation

• In FY 09, FMWRC processed and approved 73 TC cases. Of these cases, one case qualified under the Exceptional Eligibility criteria as outlined in the 14 Apr 08 Directive Type Memorandum

• The Way Ahead

– Standardization of TC payments to 36 months for all cases (Rapid Action Revision pending)

– Formal guidance regarding exceptional eligibility cases

– Create and distribute Army-wide marketing materials

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Transitional Compensation FY 2000-2008

0

1000

2000

3000

4000

FY00FY01FY02FY03FY04FY05FY06FY07FY08

153 168 183 200 220 209 188 200 184

2450 2550 26673000

3400 3311 32503700 3700

Nu

mb

er (i

n T

ho

us

an

ds

)

Fiscal Year

Active Cases Dispursements

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Transformation

• As a result of BRAC, Family and Morale, Welfare and Recreation Command moving to Fort Sam Houston, TX in 2011

• IMCOM Transformation:

– Based on Installation Management Study

– Reorganization of Regions to – Region Installation Support Team (RIST)

– CONUS Functional Support Team (FST) for each Region collocated at FSH

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Pacific Region

Technical Staff

Korea Region

Technical Staff

West Region Technical Staff

Southeast

Region Technical

Staff

Northeast Region

Technical Staff

Europe Region

Technical Staff

IMCOM HQ Functional Staff

Garrison Functional Staffs

Functional Staff at Regions

IMCOM HQ (CORE + Functional Staff

FST/FFST)

Garrison Functional Staffs

Consolidate technical expertise at IMCOM HQ that is both Enterprise Focused and

Region/Garrison Specialized (SYNERGY)

HQ IMCOM provides adequate resources, staffing and training to garrison, so they are able to provide adequate

customer support across the board for all day-to-day garrison operations without need for assistance except

in extraordinary or emergency situations (EMPOWERMENT)

Region Installation Support Teams (RIST)

Generalists resolve or reach-back to functional support at HQ IMCOM (FOCUS)

MUST

MUST

EXISTING END-STATE

Overview of RIST/FST/Core Communication Flow

UNCLASSIFIED



FST/FFST(Functional Support Team)

• Source of focused and functional expertise in support of the Garrisons through the RIST.

• Source of feedback to the core for possible enterprise solutions.

CORE (Directorate and Division

Structure)

• Represents all IMCOM/FMWRC/AEC functional disciplines.

• Execution planning of ACSIM policy with an enterprise focus.

WEST

NERO

SERO

PARO

EURO

Phy

sica

l co-

loca

tion

HQ IMCOM, AEC, FMWRC STRUCTURETYPICAL DIRECTORATE

KORO

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Transformation

• FMWRC has its own FST

– Made up of FMWR specialists

– Comprised of two ACS Program staff

• The Way Ahead

– Policy will move to ACSIM

– Family Programs responsible for program development, execution and oversight

UNCLASSIFIED



Army Domestic Abuse Awareness Month Oct 2009

Theme: MAKE THE RIGHT CHOICE! ACT TO PREVENT

DOMESTIC ABUSE!

Sec Army, CSA and ACSIM emphasis

• Army leadership is fully committed to taking care of its people and investing in the health and mission preparedness of Soldiers and Families. Domestic Abuse undermines that commitment.

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HQDA FAP Staff • LTC Ben Clark HQDA FAPM 703-681-7393

• Richard Stagliano Fatality Review 703-681-0644

• Jackie Richardson Victim Advocates 703-681-7392

• Christina Morrow Contracts 703-681-7222

• Richard Myers Sexual Assault 703-681-0523

• Lisa Ashley NPSP-HV 703-681-1623

• Jill Shanteau Transition Comp 703-681-7396

• Marilyn Betton Outcome Measures 703-681-7400

• Leslie Byam MFLC 703-681-7401

UNCLASSIFIED



Questions

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Department of the Army Family Advocacy Program Update 2009 Army Family Advocacy Worldwide

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