Health of the Force Indicators Update BG Jeffrey C. Horne Director, Human Resources Policy

1. Health of the Force Indicators Update BG Jeffrey C. Horne Director, Human Resources Policy 6 October 2009

2. Strategic Context Ends ARFORGEN Human Capital Imperatives Commander Oriented Strategy, Policy Support Legislative Initiatives Resource Decisions Outcome • Readiness • Sustain the Army’s • Soldiers, Civilians, and Families Materiel Readiness Are the Army’s efforts preserving, maintaining, & improving the health, morale, & well-being of the Total Army? Are programs resourced, available, and consistently delivered? Do Army policies, procedures & practices create & maintain stability & predictability for Soldiers & Families? Services & Infrastructure Strategic Questions Ways Man the Army and preserve the all-volunteer force Reduce personnel turbulence, deliver responsive services Adapt recruiting & manning processes to support ARFORGEN Objectives Identify and mitigate force stressors Enhance Quality of Support to Soldiers, Civilians, and Families Improve customer service and satisfaction (manage expectations) Supporting Army Programs and Initiatives Suicide Prevention Task Force (SPTF) Comprehensive Soldier Fitness (CSF) Diversity/EO Transformation TF ASAP Reengineering TF Sexual Harassment Assault Response & Prevention (SHARP) Army Family Covenant Army Medical Action Plan (AMAP) RESET Warrior Transition Command (WTC) Soldier Family Action Plan (SFAP) Means Measures (Not all Inclusive) Retention Recruiting Mental Fitness Discipline Availability Satisfaction Readiness Attrition Quality Suicide events Substance Abuse Manning Non-Deployable Survey Results Waivers Retirements PTS/TBI Sexual Assaults Separations Service Delivery (Availability/ Usage) Deployment/ Dwell 8/14/2014 11:17 AM2

3. How the Army Tracks Indicators Risk Reduction Program (RRP) From FY07 to FY08 we did observe upward trends in Suicide, Substance Abuse, Motorcycle Accidents/Fatalities, and Divorces; however, not all indicators trended up • Continuous monitoring of indicators • Various data sources and tools for staff and commanders • Sharing of data across the multi-disciplined initiatives 8/14/2014 11:17 AM3

4. Initiatives • National Recruiting campaign for drug and alcohol counselors • Improved Risk Reduction program – increased sharing of information between Clinical, Non-clinical support and Troop commanders • Pilot test of Confidential Self-Referrals for Substance Abuse • Integration of data, analysis, and trend information to inform Health Promotion, Risk Reduction and Suicide Prevention efforts • Synchronization of Human Capital/Human Resources policies and programs across the Army Staff and Field Commands • BOSS – SHARP; Strong Bonds (Building Healthy Relationships); and eight other Army Staff task force efforts • Directed training for Soldiers and leaders on an annual basis and standardized training for gatekeepers across all components Sustaining the All-Volunteer Force is our first priority 8/14/2014 11:17 AM4

5. Back-up

6. How the Army Tracks Indicators Risk Reduction Program (RRP) Not every indicator is trending upward, from FY07 to FY08 we did observe upward trends in Suicide, Substance Abuse, Motorcycle Accidents and Fatalities, and Divorces • Continuous monitoring of indicators • Various data sources and tools for staff and commanders • Sharing of data across the multi-disciplined initiatives 8/14/2014 11:17 AM6

7. How the Army is Listening • We hear from our Soldiers and Families thru: • Senior Leader visits • HQDA Tiger Teams • Surveys • Blogs • Conferences, summits, and other forums Soldiers and Families tell us that they are stressed and strained, but remarkably resilient. 8/14/2014 11:17 AM7

8. Execution Timeline Updated Capability/Red-Line Recommendations 10 Mar 10 Final linkages to Program Execution Metrics 18 Feb 10 Behaviors/Systems Health Assessment Complete Development – Begin Data Population 8 Feb 10 Develop Framework for Common Operating Picture 6 Nov 09 Identify linkages to Program Execution Metrics Establish baseline 28 Oct 09 Identification of data and process gaps 22 Oct 09 7 Oct 09 Consolidate list of data elements and sources Manual Reporting Jul 09 Dashboard Beta Test Jan 09 Individual behaviors only *Weekly IPRs with Director, HRPD 8/14/2014 11:17 AM8

9. The Army’s Challenge • Sustaining an All-Volunteer Force in an era of persistent conflict • Providing programs and services in support of Soldiers on installations, deployed, or geographically dispersed and their Families • Capturing indicators that permit us to inform and execute proactive intervention strategies 8/14/2014 11:17 AM9

10. Vision: Build, Improve and Preserve America’s Army A force of the highest quality Soldiers and Civilians who: Reflect the best of America’s people; Embody the best of America’s Values; Best Protect America’s Freedoms How do we best provide the right person with the right skills in the right place at the right time? Strategic Question Objectives Questions How do we best acquire the right person? How do we best ensure the right skills? How do we best determine the right place? How do we best establish the right time? How do we best enrich our people? Imperatives Recruit/retain/train diverse , high-quality, talented, Soldiers and Civilians Ensure competitive QoL for Soldiers, Civilians and Families Effective and efficient delivery of personnel and HR services Provide trained and ready manpower in support of ARFORGEN Develop collaborative, resilient, adaptive Leaders across the force Objectives HCE Metrics 8/14/2014 11:17 AM10

11. Soldier, Civilian, and Family Indicator Dashboard • Beta testing: July 2009 • Baseline period – 24 Indicators grouped by Career, Indiscipline, Readiness Stressors ,and Soldier and Family Life (TAB B): 3rd Qtr FY07 to 3rd Qtr FY09 • Indicator status based on change from standard deviation of last five quarters (nine quarters available), established goals or metrics, or established subjectively where appropriate. Provides more frequent (quarterly) updates of trends, previously monitored on an annual basis, and supports a more proactive intervention strategy 8/14/2014 11:17 AM11

12. Sustaining the All-Volunteer Force Direct Feedback Service Delivery Metrics Soldiers Campaign Plan for Health Promotion, Risk Reduction and Suicide Prevention Comprehensive Soldier Fitness Human Capital Strategy Grow the Army Institutional Adaptation Families Civilians Army Medical Action Plan FY10 Civilian Human Capital Plan Warrior Transition Command Soldier & Family Action Plan Survivor Outreach Services Survivors Soldier and Family Surveys Well-Being of the Force Indicators “Strategies to Restore Balance”

13. Where are we going? Behavior Indicators • Key Strategic Questions: • Are the Army’s efforts preserving, maintaining, and improving the health, morale, and well-being of the Total Army? • Are the programs/efforts consistent , available, changing behaviors? • Do HCE policies, procedures and practices create and maintain stability and predictability for Soldiers and Families? • Ten key behaviors baseline dependent on availability of data. Updates as of 3rd Qtr, FY09. Dashboard Overview System/ Behavior Health Index • Expanded Data Set • Interactive tool • Expanded to include violent crimes • Internet accessible • Limited distribution • Manual, intensive • Accountability - Rest of the Story • Web-based , wide availability • Auto-populating, frequent updates • Links systemic outputs and human behaviors • Leverage emerging integrated data systems July 2009 March 2010 January 2007 8/14/2014 11:17 AM13

14. Risk Analysis Profile (Future) Capability Best Practices • Task: To assess systems and behaviors and provide a situational awareness tool for commanders, staff, and leaders that depicts the health of the force. • Purpose: Provide a set of metrics (leading and lagging) that support an assessment of issues facing Soldiers, Civilians, Families, and Survivors. • Objectives: Provide a dashboard with program measures of effectiveness that supports a risk reduction program and identifies and tracks objectives and stretch goals. • Assess current metrics and develop an integrated risk analysis profile. • Task organize to provide required capability for analysis and recommendations. • Develop a framework for common operating picture • Create situational awareness to support intervention strategies. • Help Soldiers, Commanders, and staff make better informed decisions. • Recommend changes to strategy, plans, policies, and programs that remedy those issues. • End state: • Army capability to inform and influence Army Human Capital Enterprise, plans, policy, programs, and resourcing to more effectively support Commanders, Service Providers, Soldiers, Civilians, Families, and Survivors. Dashboard Specified task (risk management profile/intervention awareness capability ) Risk analysis definition Identify metrics supporting proactive (rather than reactive) actions Strategy, plans, policy, and program recommendations Tools + Processes + Forums Assess Compile metrics (leading/lagging indicators) Task organize 8/14/2014 11:17 AM14

15. CSA Update Behavior Trends • CSA Monthly Updates include 10 indicators of Soldier and Family member behavior: domestic violence, divorces, desertions, AWOLs, drug and alcohol enrollments, drug positives, suicides, courts-martial, motorcycle accidents and fatalities, and sexual assaults • Trends FY07 – FY08: • Divorce, Alcohol Dependence and Abuse Enrollments, Drug Positives, Motorcycle Accidents and Fatalities, Suicides, Sexual Assaults all reflected upward trends. Of these, all but Sexual Assaults were above FY01-FY08 baseline. • Desertions and AWOLs declined, but were above FY01 – FY08 baseline. • Courts-martial declined and were below FY01 – FY 08 baseline. • Preliminary FY08 – FY09 (end of 3rd Qtr)Trends: • Domestic violence, divorce, and suicides increasing. • Courts-martial, motorcycle accidents, and desertions/AWOLs decreasing. • Drug and alcohol enrollments, drug positives, and sexual assaults little or no change. • Trends not analyzed in terms of systems that influence behaviors or related to programs. • Not available to commanders or staff in the field. 8/14/2014 11:17 AM15

16. Risk Reduction Program • The Risk Reduction Program is a Commander's Program designed to decrease soldiers' high-risk behaviors (i.e. Substance Abuse, Suicide, Spouse/Child Abuse, AWOL…) thus increasing soldier and mission readiness. • It is visually presented as a target that depicts 14 high-risk behaviors. High risk behavior rates are displayed on a shot group. Rates in the red ring could indicate the problem areas. • From this the commander can decide which action to take to solve the behavioral problems. • The program focuses on effective use of installation resources and coordinates effort between agencies utilizing the Installation Prevention Team to implement effective interventions. 8/14/2014 11:17 AM16

17. Data Sources ACSAP (DAMIS) ACSAP (DAMIS) HRC (TAPDB) CSA, VCSA, Testimony and DA TFs Updates Violent Crimes Review/Assessment Crime Data • Drug positive date • Drug type • Drug/Alcohol (D/A) screen date • D/A enrollment success • Risk Reduction Program • Drug positive date • Drug type • Drug/Alcohol (D/A) screen date • D/A enrollment success • Risk Reduction Program • Birth date • BASD • Gender • Race/Ethnicity • Education • Marital status • Dependents • Grade • MOS • UIC • UIC location name • UIC state • UIC country OTSG (MEDPROS) • Post-traumatic stress disorder • Traumatic Brain Injury Trends • Personnel Manning/Fill CID (ACI2) • Crime date • Crime type • Investigation finding • CID unit involved • Investigation date DFAS (MILPAY) + • HFP deploy start/end date • HFP deploy country CRC (ASMIS) • Accident date • Accident cause • Accident result HRC (TAPDB) FMWRC (ACR) SHARP (SADMS) OTSG (MEDPROS) • Admin separations • First-term attrition • Domestic violence referral data • Sexual assault Suicide (DCIPS) SSN-level Data (available) • Behavioral health diagnoses • PDHRA compliance • Suicide events G-1 AC/USAR/ARNG DMDC (TAPDB) Aggregate Data • Army recruiting • Retention • CPT attrition rate • PDHA and PDHRA • Civilian workforce/hiring • Divorce rates • Demographics 8/14/2014 11:17 AM17 USAREC (Accessions) CHPPM (EPICON) • Entry waiver date • Entry waiver type FMWRC (ACR) • Spouse abuse • Child abuse EO Office • EO Trends and Complaints OTJAG (Clerk of Court) OPMG (COPS) • Courts-Martial • Disciplinary actions • AWOL offenses

18. Current Support System to Promote Resilience Increased Investment through AFC Life Skills Education Supportive Counseling Treatment Warrior Adventure Quest Triple Play Suicide Prevention Training Psychiatry-Medical Doctors ASAP Prevention Army Education Libraries Chaplains BOSS ACAP Transition Recreation & Sports Substance Abuse Counselors Unit & Rear Detachment Commander Tng Employee Assistance Program Volunteer Coordination FRSAs Relocation Svs SFAC Military Family Life Consultants Behavioral Health Specialists Yellow Ribbon Military One Source Army One Source Web Portals Military One Source Counseling Family Life Chaplains Army Family Team Building Religious Education Family Advocacy Program Mgt FRG/vFRG MFLC Tng Classes Spouse Employment Community Support Counselors Family Advocacy Social Workers EFMP Svs & Respite New Parent Support Survivor Outreach Services Victim Advocacy Child & Youth Centers Army Teen Panel FCC Operation Military Kids Youth Workforce Preparation Adolescent Substance Abuse Counselors Reduced Fees for Child & Youth Svs Youth Leadership Forums School Transition Svs MFLCs in Youth Programs & Schools Child Psychiatrists Soldiers Families Children Current Strategic Focus Efforts Campaign Plan for Health Promotion, Risk Reduction and Suicide Prevention Community Covenant Comprehensive Soldier Fitness S.H.A.R.P. Soldier & Family Action Plan Geographically Dispersed Task Force “No Holistic Approach To Resourcing, Service Delivery, or Metrics”