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Executive Force Preservation Board May 10

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Executive Force Preservation Board May 10

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    1. 1 Executive Force Preservation Board May 10

    2. Prescription Drug Use FY07 FY08 FY09 OXCOR 169 315 383 OXMOR 248 460 574 MOR 24 23 33 COD 52 60 94 FY07 FY08 FY09 OXCOR 169 315 383 OXMOR 248 460 574 MOR 24 23 33 COD 52 60 94

    3. Prescription Drug Use FY07 FY08 FY09 OXCOR 54 65 72 OXMOR 111 123 162 MOR 11 10 34 COD 15 14 34 FY07 FY08 FY09 OXCOR 54 65 72 OXMOR 111 123 162 MOR 11 10 34 COD 15 14 34

    4. Trend Analysis

    5. Marine Corps Sexual Assault Cases 2 Restricted Reports converted to unrestricted in FY 09 60 % of assaults are service mbr on service mbr The majority of the reported victims are: Female/20-24/E1-E3 About 60% on-base, 35% in barracks 84% of offenders are Marines Program Overview Established an Executive Steering Committee, supported by SME working group Conducted leadership training and education Hired fifteen fulltime civilian SAPR Program Managers Current program under review - redesign includes measures to enhance: Prevention -Administration Risk Reduction -Victim Services 2 Restricted Reports converted to unrestricted in FY 09 60 % of assaults are service mbr on service mbr The majority of the reported victims are: Female/20-24/E1-E3 About 60% on-base, 35% in barracks 84% of offenders are Marines Program Overview Established an Executive Steering Committee, supported by SME working group Conducted leadership training and education Hired fifteen fulltime civilian SAPR Program Managers Current program under review - redesign includes measures to enhance: Prevention -Administration Risk Reduction -Victim Services

    6. Family Advocacy Program Ms. Keita Franklin Program Manager Family Advocacy Program Personal and Family Readiness Division

    7. Family Advocacy Program Highlights Prevention and Treatment of Child Abuse/Domestic Violence New Case Review Process General Counseling Component New Parent Support Program

    8. Slide 8 Domestic Abuse and Child Maltreatment Trends

    9. Slide 9 Domestic Abuse Trends – Deployment Impact Substantiated Incidents of Domestic Abuse Numbers are representative of unique Marines/Non-Marines who may have multiple incidents, therefore they will not equal total # of sub incidents Substantiated Incidents of Domestic Abuse Numbers are representative of unique Marines/Non-Marines who may have multiple incidents, therefore they will not equal total # of sub incidents

    10. Slide 10 Child Maltreatment Trends – Deployment Impact Substantiated Incidents of Child Abuse Numbers are representative of unique Marines/Non-Marines who may have multiple incidents, therefore they will not equal total # of sub incidentsSubstantiated Incidents of Child Abuse Numbers are representative of unique Marines/Non-Marines who may have multiple incidents, therefore they will not equal total # of sub incidents

    11. Family Advocacy Program Way ahead Prevention and Treatment of Child Abuse/Domestic Violence New Case Review Process General Counseling Component New Parent Support Program

    12. Slide 12 Suicide Program Update CDR Werbel Suicide Prevention Program Personal and Family Readiness Division

    13. Roughly 14% of Marines are deployed. 19% of suicides were deployed.Roughly 14% of Marines are deployed. 19% of suicides were deployed.

    14. USMC Monthly Suicides NCO are 33% of the Marine Corps. Pvt-LCpl are 42% of the CorpsNCO are 33% of the Marine Corps. Pvt-LCpl are 42% of the Corps

    16. Slide 16 Suicide Trends

    17. Targeted Suicide Prevention Training NCO Suicide Prevention Course Sustainment Plan Published: MARADMIN 266/10 New master trainers course in Quantico: 14-18 June 2010 6 Regions – 2 Master Training Teams per region Contract for New Targeted Training: Non-NCO Marines; NCO; SNCO; Officers Final stages of contracting New documentary clips, new drama for SNCO/Officers Contract for SPPC/SPPO Training (5 yr IDIQ): Final review of proposal from American Association of Suicidology (AAS) Curricula for SPPC/SPPO Data/Trend Analysis Support Psychiatric Autopsy study for better lessons learned in the 72 hours prior to death Suicide attempt study

    18. Slide 18 OSCAR Program Update Mr. Greg Goldstein Program Manager Combat and Operational Stress Control Personal and Family Readiness Division

    19. OSCAR Program Update Operational Stress Control and Readiness (OSCAR) program consists of: Mental Health Team Extenders: Chaplains / Corpsman Marine Mentors

    20. Slide 20 OSCAR Program Update OSCAR Mentors assists with: Building resiliency Identifies “Red Flags” Changes in behavior Changes in attitudes Changes in performance Enhances Problem Identification and Referral Reduces Stigma What OSCAR mentors don’t do: Diagnosis Mental Health counseling

    21. Slide 21 OSCAR Program Update Recently Completed: Beta Test Instructor Battalion, Quantico –April 10 67 OSCAR Team Mentors 17 OSCAR Advanced Team Mentors 7 OSCAR Instructors 2 OSCAR Master Trainers MEF Train-the-Trainer I MEF—May 10 43 OSCAR Advanced Team Members 25 OSCAR Instructors

    22. Slide 22 OSCAR Program Update Next Steps: MEF Train-the-Trainer II MEF— Jun III MEF—Jun/Jul MARFORRES—Aug Assist with sustainment- 1 year Tracking in MCTIFS Relationship to COSC/Resiliency Training Family Module Pre/During/Post Enhancement of surveillance

    23. Slide 23 OSCAR Program Update Next Steps: Building Resiliency – Prevention based system OSCAR Executive Course Field Grade and above / E8 and above Enhancement and utilization of surveillance data

    24. OSCAR Program Update Reality of Reintegration Other programs such as substance abuse Reintegrate real well. Thoughts on how to reintegrate PTSD and other behavioral heath.

    25. Distress Hotline Col Olbrich Program Manager Suicide Prevention Program Personal and Family Readiness Division

    26. Marine Corps 1-800 Distress Hotline Approach Establish a hotline to reach Marines in distress, before “distress” turns into “crisis” Marines Talk To Marines . Staff the hotline with former Marines and civilians trained in Marine culture Pilot program in MCI-W, building upon TriWest’s preexisting 24/7 telephone, chat, and Skype capabilities Eligible beneficiaries include: all current and former Marines, their spouses, children, parents, and significant others, i.e. fiancés TriWest directs callers to MCCS, Navy Medicine, or their own clinicians Confidentiality

    27. Marine Corps 1-800 Distress Hotline 3 Phased Rollout

    28. Slide 28 Confidentiality Limits HSHS

    29. Slide 29 Leader Confidentiality Limits Health care providers shall balance notification of a member’s commander with operational risk management. Will provide the minimum amount of information to satisfy the purpose of the disclosure. diagnosis, a description of the treatment prescribed or planned, impact on duty or mission, recommended duty restrictions, and the prognosis. Establishes policy to act on the conclusions of the Department of Defense Task Force on Mental Health Report (Reference (b)), which finds that the current low thresholds for notifying commanders of Service members’ involvement in mental health care result in members not seeking treatment, yet continuing in their operational roles, while their problems grow worse.Establishes policy to act on the conclusions of the Department of Defense Task Force on Mental Health Report (Reference (b)), which finds that the current low thresholds for notifying commanders of Service members’ involvement in mental health care result in members not seeking treatment, yet continuing in their operational roles, while their problems grow worse.

    30. Slide 30 Leader Confidentiality Limits Notify a commander when a member presents with a mental health condition in these circumstances: (1) Harm to Self (2) Harm to Others (3) Harm to Mission (4) Special Personnel (Personnel Reliability Program) (5) Inpatient Care (6) Acute Medical Conditions Interfering With Duty (7) Substance Abuse Treatment Program (8) Command-Directed Mental Health Evaluation. The mental health services are obtained as a result of a command-directed mental health evaluation consistent with DoDI 6490.4 (Reference (h)). Notify a commander when a member presents with a mental health condition in these circumstances: (1) Harm to Self. (2) Harm to Others. (3) Harm to Mission. (4) Special Personnel. The member is in the Personnel Reliability Program (5) Inpatient Care. The member is admitted or discharged from any inpatient mental health or substance abuse treatment facility, as these are considered critical points in treatment of Active Duty members in mental health systems and support nationally recognized patient safety standards. (6) Acute Medical Conditions Interfering With Duty. (7) Substance Abuse Treatment Program. The member has entered into a formal outpatient or inpatient treatment program consistent with DoDI 1010.6 (Reference (g)) for the treatment of substance abuse or dependence. Those who seek alcohol-use education, who have not had an alcohol referral incident (such as arrest for driving under the influence) do not require command notification unless they also choose to be formally evaluated and are diagnosed with a substance abuse or dependence disorder. (8) Command-Directed Mental Health Evaluation. The mental health services are obtained as a result of a command-directed mental health evaluation consistent with DoDI 6490.4 (Reference (h)).Notify a commander when a member presents with a mental health condition in these circumstances: (1) Harm to Self. (2) Harm to Others. (3) Harm to Mission. (4) Special Personnel. The member is in the Personnel Reliability Program (5) Inpatient Care. The member is admitted or discharged from any inpatient mental health or substance abuse treatment facility, as these are considered critical points in treatment of Active Duty members in mental health systems and support nationally recognized patient safety standards. (6) Acute Medical Conditions Interfering With Duty. (7) Substance Abuse Treatment Program. The member has entered into a formal outpatient or inpatient treatment program consistent with DoDI 1010.6 (Reference (g)) for the treatment of substance abuse or dependence. Those who seek alcohol-use education, who have not had an alcohol referral incident (such as arrest for driving under the influence) do not require command notification unless they also choose to be formally evaluated and are diagnosed with a substance abuse or dependence disorder. (8) Command-Directed Mental Health Evaluation. The mental health services are obtained as a result of a command-directed mental health evaluation consistent with DoDI 6490.4 (Reference (h)).

    31. Slide 31 Force Preservation Board CDR Werbel Suicide Prevention Program Personal and Family Readiness Division

    32. Slide 32 Force Preservation Board Placeholder – Structure Mission Implementation Evaluation Placeholder – Structure Mission Implementation Evaluation

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