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HQMC Behavioral Health Branch Keita Franklin, PhD, LCSW Behavioral Health Branch Head Keita.Franklin@usmc.mil. MF Mission and Vision. Mission “Keeping faith with our Marines and their families.” Vision

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slide1

HQMC Behavioral Health Branch

Keita Franklin, PhD, LCSW

Behavioral Health Branch Head

Keita.Franklin@usmc.mil

mf mission and vision
MF Mission and Vision

Mission

“Keeping faith with our Marines and their families.”

Vision

Highly resilient, program savvy Marines and Families, robustly equipped with the services and tools they need to meet an era of persistent conflict as well as the challenges of day-to-day life in the 21st Century; especially during transition periods associated with mission, life and career events.

mf tenets
MF Tenets

Do the right thing. In all that we do, we are professionals and our service shall be

characterized by the highest standards of professional ethics.

Live within our means. Every dollar spent must result in superior program

support and measurable effectiveness.

Transparency. Our actions are focused and attentive but open to question,

inspection, or audit and cooperation, collaboration and sharing is highly encouraged.

Strengthen relationships. Wounded Warrior Regiment, Marine Corps

Community Services, and Marine and Family Programs depend on the organizational

strengths and contributions of many agencies. Marines and their families are served

best by full partnerships.

slide4

Background

USMC Suicides

Sexual Assaults

Family Violence

Positive Urinalysis

Child Maltreatment

  • CPG, Priority #4 Task – Integrate Behavioral Health Efforts
  • Five Behavioral Health Programs include; Family Advocacy, Sexual Assault Prevention and Response, Combat Operational Stress Control, Substance Abuse and Suicide Prevention
slide5

Stove-piped Programs – Old Way

Supported Programs

Training Requirements

Training Requirements

Supported Programs

Coordination

Training Goals

Strategic Direction

Funding

Training Goals

Strategic Direction

Funding

Training Goals

Strategic Direction

Funding

slide6

Integrated Behavioral Health Programs – New Way

  • Priority #4 Task - Integrate BH efforts
  • Program integration, allocation of resources, strategic planning, and communication with commanders

Programs

Outputs

Inputs

  • Universal Training
  • Family Advocacy IDC Rollout
  • Marine Resiliency Study
  • Peer to Peer Training
    • Never Leave a Marine Behind
    • OSCAR
    • Take a Stand

Strategic Planning and Communication

Unified Policy

Common Vision

Funding

Evidence Based Practices

Suicide Prevention

Substance Abuse Prev

Family Advocacy

Sexual Assault Reporting and Prevention

Combat and Operational Stress Control

slide7

Integrated Behavioral Health Programs – New Way

  • Priority #4 Task - Integrate BH efforts
  • Program integration, allocation of resources, strategic planning, and communication with commanders

Outcomes:

  • Better Support to the Commander
  • Coordinated training requirements
  • Eliminated redundancies
  • Uncovered gaps
  • Validated practices
  • Operational efficiencies
slide8

Other BH Initiatives

  • Free educational tools and products for Marines and families
  • Standardizes behavioral health messaging
  • Conveys back to stakeholders what information is important to whom
  • Currently over 80K materials distributed
  • Additional Behavioral Health materials forthcoming
  • An evaluation of the BHIN found:
    • 85% of the participants indicated that the BHIN website was extremely useful in meeting their COSC needs
    • 40% ordered materials for themselves
    • 32% ordered information for their command/workplace
    • 28% ordered for fellow Marines
realities
Realities
  • Resources/Funding
  • Staffing
  • Updating and Timely Policy
  • Operational Tempo
  • Mission creep into other HQMC programs and activities
way forward
Way-Forward

Establish Behavioral Health Program (BHP) and Structure.

The Marine Corps BHP and structure will be created to serve as a

single point of advocacy to meet the dynamically changing and

complex needs of Marines and their families.

Hire and Grow a Ready Workforce.

Offering staff a continuum of opportunities for training and knowledge

development is a critical component for the future behavioral health

capabilities of the Corps.

Establish Program Oversight, Accountability and Transparency.

The BHP will be accountable to Marine Corps leadership and the

needs of Marines and their families.

way forward11
Way-Forward

Adopt, Implement and Sustain Evidence Practices.

Evidence based approaches build trust with commanders by

ensuring Marines and their families are offered the most up-to-date,

empirically supported prevention and treatment practices available.

Implement the Institute of Medicine Mental (IOM) Health

Intervention Spectrum for Mental Health Disorders.

The IOM Mental Health Intervention Spectrum for Mental Health

Disorders provides an appropriate framework for integrating

behavioral health elements, as it complements the current Marine

Corps Stress Continuum.

program structure
Program Structure

Establish Behavioral Health Program (BHP) and Structure.

The Marine Corps BHP and structure will be created to serve as a

single point of advocacy to meet the dynamically changing and

complex needs of Marines and their families.

  • Staffing issues
  • OCO until shifted into baseline
  • On-going analysis – documented needs
  • HQ staffing models that reinforce full complement of services for the field and higher HQ
  • Installation staffing models that are scalable and on par with the needs of clients
workforce
Workforce

Hire and Grow a Ready Workforce.

Offering staff a continuum of opportunities for training and knowledge development is a critical component for the future behavioral health capabilities of the Corps.

  • Efforts well underway
  • Training Needs Assessment
  • Informal inquiry and dialogue
  • Cognitive Processing Therapy
  • Parent-Child-Interaction Therapy
  • PRIME Training
  • COSC/Suicide/SAPR/FAP Conference
  • Trauma Informed Care
  • Victim Conference
program efforts
Program Efforts

Establish Program Oversight, Accountability and Transparency.

The BHP will be accountable to Marine Corps leadership and the

needs of Marines and their families.

Early efforts include:

- Improved Accreditation Processes

- Policy

  • MF Newsletter
  • Weekly updates
  • Share point
  • VTC’s
  • OPT’s
  • BHAC
evidence based practice
Evidence Based Practice

Adopt, Implement and Sustain Evidence Practices.

Evidence based approaches build trust with commanders by

ensuring Marines and their families are offered the most up-to-date,

empirically supported prevention and treatment practices available.

  • Begins with IOM model
  • IDC Case Review processes
  • Peer-to-Peer Models
    • NLMB
    • Take a Stand
  • PCIT
  • OSCAR
  • FAP Prevention Curriculums
future operations
Future Operations
  • IOM Health Intervention Spectrum for Mental Health Disorders Continuum
  • Behavioral Health Advisory Committee (BHAC)
  • Research / Program Evaluation
  • Behavioral Health Conferences
  • Behavioral Health Case Management System
  • Universal Training
slide17

Prevention Continuum

An Evidence Based Framework….

READY

REACTING

INJURED

ILL

BUMED

USMC and

BUMED

USMC

STRESS CONTINUUM

slide18

Behavioral Health Advisory Committee

  • PURPOSE
    • Advise MF on behavioral health programs and initiatives
    • Focus on;
      • gaps,
      • duplication of effort,
      • best practices in research and application

VOTING MEMBERS EX OFFICIO

  • Dir, MF (chair)
  • TMO (vice chair)
  • Chaplain of the Marine Corps
  • Exec Dep, TECOM
  • MARFORCOM (Col)
  • MARFORPAC (Col)
  • MEFs (Col)
  • MFR (Col)
  • Dir, SD (Col)
  • SgtMaj, MF
  • BH Branch Hd
  • MF Counsel
  • DCOE
  • NHRC
  • Recorder
slide19

Behavioral Health Advisory Committee

  • ACTIONS
    • Synchronize / integrate behavioral health efforts
    • Review / develop / ID research & future operations requirements
    • Propose opportunities for coordinated education / training efforts
    • Examine requirements for sustainment
    • Address ‘confidentiality vs. engaged leadership’
    • Address stigma issues
    • Clarify consequences of seeking mental health care
    • Share outcomes across systems
  • METHODOLOGY
    • Four meetings / year
    • Meeting minutes reported to Executive Force Preservation Board
future operations20
Future Operations
  • Behavioral Health Conferences
    • focus on improving services to Marines and their families
    • sharing of evidence-based practices
    • improve integration efforts
  • Behavioral Health Case Management System
    • executive leadership support
    • will share information (when appropriate) between programs
    • will assist integration efforts
    • hiring an IT specialist to assist
  • Universal Training
    • based on IOM model
    • based on the successes of Never Leave a Marine Behind, OSCAR and Take a Stand training
    • signed contract in Sept 11
slide21

Point of Contact

Keita Franklin, PhD, LCSW

Behavioral Health Branch Head

Keita.Franklin@usmc.mil