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

1. Department of the Army Family Advocacy Program Update 2009 Army Family Advocacy Worldwide Conference,10 -14 Aug 09, Louisville, KY LTC Ben L. Clark SR, Ph.D. LCSW-BCD Headquarter Department of the Army Family Advocacy Program Manager

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

3. 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.

4. Rates/1,000 – Child AbuseFY 2000-2008 Substantiated Source: Army Central Registry, 6 Feb 09

5. Army Child Abuse Cases FY 2000-2008 Data from Army Central Registry, 6 Feb 09

6. Rates/1,000 – Spouse AbuseFY 2000-2008 Substantiated Source: Army Central Registry, 6 Feb 09

7. Army Spouse Abuse CasesFY 2000-2008 Data from Army Central Registry, 6 Feb 09

8. Army Fatality Review – Allows the Army to identify systemic problems and formulate lessons learned ** Note: Army Criteria: Soldier deployed, re-deployed OIF/OEF within 6 months prior to fatality

9. 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

10. Supporting the Expeditionary and Joint Force Expand technology and e-learning Center FAP VISION Supporting the human dimension of the Army’s mission … every Family prepared and supported! Army OneSource Stabilize Soldiers And Families Support 83 ACS Centers Worldwide • “Families become more connected to their communities and support elements” HOW? Working with ………. Unit, Families, and Community

11. Supporting the Expeditionary and Joint Force Meet Demographic needs Meet the Challenges Redesign FAP Training Optimize the Capabilities • 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 • 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 • 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 • 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 Community Support Partnerships Training Communication Working with ………. Unit, Families, and Community

12. The Nature of Stress & Trauma for Military Children & Families --Military Family Research Institute “The combined effect of daily hassles and chronic stresses is greater than the additive effects of both.” Daily Hassles Chronic Traumatic Stressors Car troubles, home repairs, breakdowns in childcare, unexpected deadlines Marital conflict, financial difficulties, stress at work, troubled children Loss of people, loss of relationship, severe illness or wounding Back To Main Brief “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.”

13. Adaptation A Systematic Approach To Building Resilience Measure the Army’s Desired Outcomes Daily Hassles Chronic Individual Family • Stressors -- what Soldiers and Families experience • Education/Intervention – what the Army Family Covenant provides • Desired Outcomes – adaptation and resilience TraumaticStressors Unit andCommunity Stressors Treatment Life SkillsEducation Supportive Education & Intervention Pre-Assessment Post Assessment 8

14. Army Family Advocacy Program 5 Year (2008-2013) Strategic Plan • Increase OSD funds to meet current and future requirements • Consolidation of Treatment and Prevention Services • Ensure Service Delivery Across all Components • Recruiting and Retention of Qualified Staff • Improve Marketing of FAP • Reduce Stigma associated with FAP involvement • Expand Training for FAP staff • Assess the Effectiveness of FAP Service Delivery Model • Potential Revisions to the CRC Process • Online FAST Training

15. 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

16. Joint Basing • Update OSD MEMO, dated Jun 23, 2009 • The Way Ahead OSDJoint Services (Army, Air Force, Navy and Marines) meeting to develop implementations guidance

17. 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

18. 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

19. 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

20. 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

21. 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 Family Soldier 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. Hawaii Soldier convicted of domestic violence allowed to remain free Four soldiers accused of killing their wives in a six week time span

22. 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

23. 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

24. 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 shouldimmediately share completed checklist with the FAPM and the FAP SW

25. 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

26. 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)

27. 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

28. 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

29. 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

30. Military OneSource (MOS) • 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

31. Military OneSource (MOS) • 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)

32. Army I. A.M. STRONG Campaign Initiative

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

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

35. 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

36. 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

37. Transitional Compensation FY 2000-2008

38. 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

39. Overview of RIST/FST/Core Communication Flow EXISTING END-STATE IMCOM HQ (CORE + Functional Staff FST/FFST) IMCOM HQ Functional Staff Consolidate technical expertise at IMCOM HQ that is both Enterprise Focused and Region/Garrison Specialized (SYNERGY) MUST Functional Staff at Regions Northeast Region Technical Staff Europe Region Technical Staff Southeast Region Technical Staff Pacific Region Technical Staff Korea Region Technical Staff West Region Technical Staff Region Installation Support Teams (RIST) Generalists resolve or reach-back to functional support at HQ IMCOM (FOCUS) Garrison Functional Staffs 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) MUST Garrison Functional Staffs

40. SERO WEST EURO NERO PARO HQ IMCOM, AEC, FMWRC STRUCTURE TYPICAL DIRECTORATE • 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. Physical co-location KORO

41. 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

42. 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.

43. 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

44. Questions