army health promotion and risk reduction campaign army health promotion and risk reduction campaign...

Army Health Promotion and Risk Reduction CampaignArmy Health Promotion and Risk Reduction CampaignArmy Health Promotion and Risk Reduction Campaign

Army Health Promotion and Risk Reduction Campaign Overview

Brigadier General Colleen McGuireDirector, Army Suicide Prevention Task Force

6 October 2009

Army Health Promotion and Risk Reduction CampaignArmy Health Promotion and Risk Reduction Campaign

Changing Our Perspective

“The Army’s charter is more about improving the physical, mental, and spiritual health of our soldiers and their families than it is about suicide prevention. If we do the first, we are convinced that the second will happen”

“Unfortunately, in a growing segment of the Army's population, we have seen increased stress and anxiety manifest itself through high-risk behavior, including acts of violence, excessive use of alcohol, drug abuse, and reckless driving"

2

Army Health Promotion and Risk Reduction Campaign

•Army suicide rate has been historically lower than the US population rate•From 2001 to 2006, the “adjusted” US population suicide rate was steady at

19.5:100K while the Army rate doubled from 10:100K to 20.2:100K

3

0

5

10

15

20

25

Rat

e (p

er 1

00,0

00)

Civilian Rate AD Army Rate

22.3:100K (156/700K)

20.2:100K

19.5:100K

Projected Active Duty Army RateAdjusted US Population RateHistoric Active Duty Army Rate 10:100K


Army Health Promotion, Risk Reduction Campaign (ACHP) is the means by which HQDA will direct actions necessary to implement immediate and enduring policy solutions to improve and immediately affect Army health promotion, risk reduction and suicide prevention programs

Intent:• Meet SA and CSA guidance to reduce Army suicide rate• Analyze existing systems and processes for validity and redundancy• Decrease stigma, change Army culture and create a rapid shift to socialize positive

attitudes toward effectively addressing behavioral health issues• Ensure care systems are holistic and integrated

Actions:•Established Army Suicide Prevention Task Force – 23 Mar 09•Published ACPHP Campaign Plan - 16 Apr 09

Mission

4


Moderate Risk

High Risk

No / Low Risk

Indications of Increasing Risk• Infidelity• Excessive alcohol use / abuse • High risk driving• Multiple drug use offenses• Opiate-based drug misuse• Sleep deprivation• Erratic behavior• UCMJ violations• Extreme financial hardship• Sexual / psychological abuse

Ideations Gestures Attempts Completions

Outpatient CounselingInpatient Counseling HospitalizationUnit Postvention

Mitigation• Relationship counseling • Financial counseling and assistance• Administrative separation• Increased drug use testing• Review for medical retirement• Non-judicial punishment• In-patient treatment

Intervention ManagementPostvention Investigation

5


Individual Soldier, Unit and Family ResiliencyCSF

Institutional Programs (Physical / Behavioral / Spiritual / Social…)ACPHP

Initi

al E

ntry

Tng

Le

gacy

Pro

gram

s

Tran

sfor

med

Car

eSo

ldie

r Life

-Cyc

le

Low Resilience

High Intervention / Treatment

High Resilience

Reduced Intervention / Treatment

Silo’ed programs“One size fits all”

General care

Integrated programs“Perfect fit”

Targeted care

Assessment Education / Training Interventions Treatment

Assessment Develop / Refine / Adjust / Divest Integrate

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Questions / Discussion

7

Army G-3/5/7Army G-3/5/7

AMERICA’S ARMY:THE STRENGTH OF THE NATION

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\

COMPREHENSIVE SOLDIER FITNESS: STRONG MINDS, STRONG BODIES

BG Rhonda Cornum



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“… full spectrum operations—simultaneous offensive, defensive, and stability or civil support operations—is the primary theme of this manual.”

FM 3-0, Operations (February 2008)



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“We must also provide for our Families. We will not be successful if we fail to care for our loved ones waiting for

their Soldiers to return. We must fight for their healthcare, children, housing, and Well-Being with the same vigor we fight with on the battlefield. They deserve nothing less.”

SMA Kenneth O. Preston – Sergeant Major of the Army(December 2006)



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CSF - What is it? CSF - What is it?

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CSF is…

“A structured, long term assessment and development program to build the resilience and

enhance the performance of every Soldier, Family member and DA civilian.”

Gen George Casey, CSA

CSF is not… Not just another mandatory training requirement

Not a “screen” for any physical or psychological disease or dysfunction, including suicide

Not something we “do” after a Soldier, Family member, or DA Civilian has a negative psychological, physical, social, or professional outcome

AgendaArmy G-3/5/7Army G-3/5/7


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Comprehensive Soldier Fitness

AS OF: 04/19/23 09:49



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Priority of Effort

Focus initial efforts on Junior Enlisted: Highest rate of PTSD, other BH problems (PDHA/PDHRA data) Highest rate of financial problems Highest rate of divorce, positive UA’s, Chapters Greatest potential Positive impact on Force

All our Soldiers, Family members, and Civilians are Important!

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Initial FocusInitial Focus



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Pillars of the Program

1. Self assessment tool (Global Assessment Tool) Deploy to entire Force Adapt to Family members

2. Self development modules queued by assessment Civilian-Military working group in five dimensions – ensures quality (Physical, Emotional, Social, Family, Spiritual) Implement simultaneously with Assessment On line and program training - available to Family members

3. Resilience training All TRADOC schools; progressive, sequential Unit Training - varies by deployment cycle Will be offered at Family Forum events

4. Master Resilience Trainers (MRT) Teaches Leaders to instill resilience in subordinates Platoon, Company, Battalion level: “Soldiers Helping Soldiers” Civilian Institution Immediate; TRADOC Long-term MRTs at BN, Brigade and Installation level supporting Soldiers, Families, and DA Civilians



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Type of Assessment: Online survey via a secure website

Access via AKO Number of questions: < 150 for Soldiers (pending for Family members and DA Civilians) Time required: >20,000 respondents, approximately 24 minutes

Who will take the GAT: Army service members (Enlisted and Officer) to include Reserves and National Guard Army Family members and DA Civilians will have the opportunity to take the GAT and participate in Self-Development Modules in the future

1. Global Assessment Tool (1/3)



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Global Assessment Tool (2/3)

16AS OF: 04/19/23 09:49



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Global Assessment Tool (3/3)Global Assessment Tool (3/3)

Emotional Fitness Distribution

Emotional Results to date

As of 1200 24 SEP 09

Mean Min Max

All Army 3.72 1.1 5.0

E1-E4 3.56 1.1 5.0

E6-E9 3.78 1.6 5.0

O1-O3 3.85 2.1 4.9

O6-O10 3.98 1.8 4.8

Females 3.74 1.6 4.9

Males 3.68 1.1 5.0



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Develop critical thinking, knowledge, and skills to overcome challenges, mature, and bounce back from adversity All training is evidenced based Future curriculum development will be based on demonstrated quality, efficacy, and lessons learned Teaches people to see that:

Challenges are temporary - not permanent Challenges are local - not pervasive Challenges can be changed by your own effort

2. Resilience Training2. Resilience Training



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Soldiers, Family members, and DA Civilians directed to a menu of self-development modules based on results from GAT.

Provides evidence-based training in each area of health available based on individual needs

Offered on line to all Army Components and deployed Soldiers, Family members, and DA Civilians

Military and civilian expert workgroups determined the knowledge, skills and attributes for each dimension

Will utilize technology to integrate outcomes; results inform decisions on which programs to continue to support, expand, or eliminate

3. Self-Development 3. Self-Development



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Real-time Resilience: Shut down counter-productive thinking to enable greater concentration and focus on the task at hand.Problem Solving: Increase flexibility and accuracy in thinking about the causes of problems to improve problem solving. Put It In Perspective: Stop worst case scenario thinking, reduce anxiety, and improve problem solving by identifying the Worst, Best, and Most Likely outcomes of a situation.Energy Management: Build emotion regulation, increase positive emotions and mental fitness.Avoid Thinking Traps: Identify and correct recurrent counter-productive patterns in thinking through the use of Critical Questions.Detect Icebergs: Identify and evaluate deep beliefs and core values that fuel out-of-proportion emotion and evaluate the accuracy and usefulness of these beliefs. ABC: Identify your Beliefs about an Activating Event and the Consequences of those Beliefs.

(Copyright 2009 The Trustees of the University of Pennsylvania. All rights reserved).

Resilient Mental Skills



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Identifying Strengths in Self and Others: Use the VIA Strength Survey to identify one’s top strengths and learn how to identify strengths in others.

Strengths in Challenges: Learn how to use one’s strengths to meet a challenge or overcome an adversity, both as an individual and as part of a team.

Active Constructive Responding: Learn a system of responding to others that builds positive relationships and strengthen bonds.

Praise: Learn how to praise effectively to build mastery and “winning streaks”.

Assertive Communication: Learn how to communicate clearly and with respect focusing on the 4 C’s: Calm, Confident, Clear, Controlled.

(Copyright 2009 The Trustees of the University of Pennsylvania. All rights reserved).

Strength and Relationship Skills



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4. Master Resilience Training4. Master Resilience Training

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Increase core competencies such as optimism, mental agility, and self-regulation “Soldiers helping Soldiers” and “Families helping Families” Modify University of Pennsylvania materials to Soldier, Family member, and DA Civilian populations

10 day course

Level 1 trained; additional 2 weeks training

Level I

Level II

Master Resilience Trainer



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Initial GAT

Review

TRADOC IOC of MRT

Course

GAT for Army Civilians

Online

CSF Roll Out Timeline

1st MRT-Facilitator

Course

Roll Out Objectives:1.GAT – All non-deployed Soldiers complete by March 20102.SD – Fielded concurrent to GAT and cohort specific3.MRT – 1800 trained in first year

Legend:1.GAT – Global Assessment Tool2.SD – Self Development Module3.MRT – Master Resilience Trainer4.IOC – Initial Operating Capability

GAT for Soldiers Online

1st MRT Course

GAT for Families Online



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Will it Work?

Does it Matter?



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Navy Resilience Study (1/2)

AS OF: 04/19/23 09:49Williams, 2004



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Navy Resilience Study (2/2)

AS OF: 04/19/23 09:49Williams, 2004



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Comprehensive Soldier Fitness

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Navy Resilience Study

Lower 25%

Treat Risk vs Enhance Strength



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DISCUSSION

Veterans Benefits AdministrationVeterans Benefits Administration 2929

Veterans Benefits AdministrationVeterans Benefits AdministrationVeterans Benefits AdministrationVeterans Benefits Administration

Presentation for:Presentation for:AUSA AUSA

Mike CarrMike CarrVeterans Benefits AdministrationVeterans Benefits Administration

Office of Policy and Program ManagementOffice of Policy and Program Management

October 2009 October 2009


Veterans Benefits Administration

Compensation and Pension Education Loan Guaranty Insurance Vocational Rehabilitation and

Employment


San Juan

Seattle

Portland

Togus

Buffalo

White River Jct.

Manchester

Boston

ProvidenceHartford

Roanoke

Winston Salem

St. Petersburg

Wilmington

New York

PhiladelphiaNewark

Baltimore

RenoSalt Lake City

Albuquerque

Phoenix

Denver

Boise

Ft. Harrison

Cheyenne

Sioux Falls

Fargo

Lincoln

Columbia

St. Paul

Waco

Muskogee

Wichita

MilwaukeeDetroit

Houston

New Orleans

Jackson

LittleRock

St. Louis

Des Moines

San Diego

Nashville

AtlantaMontgomery

Indianapolis

Chicago

Louisville

Pittsburgh

Oakland

Cleveland

Los Angeles

Huntington

DC

Regional Office (RO) RO & Education Regional Processing Center (RPO) RO & Regional Loan Center (RLC)RO, RPO & RLCRO & Insurance Center

Honolulu

Anchorage

VBA Regional OfficesVBA Regional Offices


In-Service VA BenefitsIn-Service VA Benefits

VA Benefits for those serving on active duty: – Home Loan Guaranty– Education Services – Servicemembers’ Group Life Insurance– Traumatic Servicemembers’ Group Life Insurance– Allowance for Adapting an Automobile– Special Adaptive Housing Grant

Services available 180 days prior to separation– Pre-discharge Services– Coming Home to Work

– Vocational and Educational Counseling

3232Veterans Benefits AdministrationVeterans Benefits Administration


Pre-Discharge Services Pre-Discharge Services

Benefits Delivery at Discharge (BDD) Quick Start Disability Evaluation System (Pilot) Seriously Injured/Very Seriously Injured

BDD and Quick Start Claims processing is available at all locations where VA excepts claims to include Veterans Online Application


VBA Outreach ProgramsVBA Outreach Programs

3434Veterans Benefits AdministrationVeterans Benefits Administration

Military Outreach– Transition Assistance Briefings– Disability Transition Assistance Briefings– Yellow Ribbon Reintegration Briefings– Retirement and Family Day Events– Coming Home to Work

Targeted Outreach New Media Outreach


Post-9/11 GI Bill Eligibility CriteriaPost-9/11 GI Bill Eligibility Criteria

Service Requirements (after 9/10/01 serve an aggregate of)

% of Maximum Benefit Payable

36 months 100

30 continuous days (Must be discharged with a disability)

30 months, but less than 36 months 90





90 days, but less than 06 months 40

100


Post-9/11 GI BillPost-9/11 GI Bill

In general, individuals will remain eligible for benefits for 15 years from:

– Date of last discharge; or– Release from active duty of at least 90

continuous days.

Individuals will generally receive 36 months of benefits.

Individuals are limited to 48 months of combined benefits under educational assistance programs administered by VA


Post-9/11 GI Bill Benefit PaymentsPost-9/11 GI Bill Benefit Payments

Tuition and Fees Charged

Monthly Housing Allowance

Stipend for Books and Supplies

Note: All VA Regional Offices began issuing emergency payments effective October 2, 2009


Yellow Ribbon ProgramYellow Ribbon Program

IHLs may voluntarily enter into an agreement with VA to pay tuition and fees charged that are not covered under Post 9/11 Chapter 33.

VA will match each additional dollar funded by the school.

The combined amounts may not exceed the full cost of the school’s tuition and fees charged.

Only individuals entitled to the 100% benefit rate (based on service requirements) may receive this funding.


Veterans Benefits AdministrationVeterans Benefits Administration

Questions?

Compensation & Pension: 800.827.1000

Loan Guaranty: 800.244.6711Insurance: 800.669.8477Vocational Rehabilitation: 800.827.1000Education: 888.442.4551

Website Location: www.va.gov

Department of Veterans AffairsCare Management and Social

Work Service

Department of Veterans AffairsCare Management and Social

Work Service

Jennifer Perez, LICSW, Acting Chief Consultant

Care Management and Social Work Service,Office of Patient Care Services,

Department of Veterans Affairs Central Office

Department of Veterans Affairs

Veterans Health Administration– VA Medical Centers (VAMC), Community

Based Outpatient Clinics (CBOC), Vet Centers

Veterans Benefits Administration– Compensation, Pension, Vocational

Rehabilitation, Home, Loan Guarantee, etc. Veterans Cemetery Administration

– Maintains national cemeteries across the country

VHA MapVHA Map

I J 2002

N ANUARY

W ERE INTEGRATED AND

RENAMED

VISN 13 14

VISN 23

S AND

VA System of Care

153 Hospitals Over 900 Ambulatory Care and Community

Based Outpatient Clinics 232 Vet Centers – Readjustment Counseling

Centers – also treats family Women’s Health Program Spinal Cord Injury Rehab (SCI) Blind Rehab Centers (BRC) – VIST, BROS, etc. Residential/Inpatient/Outpatient PTSD Programs Polytrauma Rehab Centers (PRCs) Polytrauma Network Site (PNS) Polytrauma Support Clinical Teams (PSCT) In-Home Care Prosthetics and Sensory Aids Healthcare for Homeless Veterans Any many more….

Care Management and Social Work Service

October 2007 VHA established Care Management and Social Work Service (CM/SWS)

Addressing the needs of wounded and ill service members and Veterans as well as

Expanding the role of Social Work programs within VHA

CM/SWS is part of the Office of Patient Care Services and has responsibility for five national programs:– VA Liaison Program – OEF/OIF Care Management Program – National Social Work Program– Caregiver Support Program– Family Hospitality Program (Temporary Lodging &

Fisher Houses)

VA Liaisons for Healthcare

VA & DoD partnership began in August 2003

31 social workers and nurses working as VA Liaisons in 17 Military Treatment Facilities (MTFs)

Integrated with staff at the MTF to coordinate health care and provide onsite consultation/collaboration about VA resources and treatment options

Ft. LewisFt. Lewis

Camp PendletonCamp Pendleton

Ft. CarsonFt. Carson

Ft. HoodFt. Hood

Ft. Sam HoustonFt. Sam Houston

BalboaBalboaFt. GordonFt. Gordon

Ft. BraggFt. Bragg

VA Liaisons for Health Care Assigned to Military Treatment

Facilities

4 VA Liaisons

2 VA Liaisons

3 VA Liaisons

5 VA Liaisons1 VA Liaison

2 VA Liaisons2 VA Liaisons

2 VA Liaisons

2 VA Liaisons

1 VA Liaison

Ft. BenningFt. Benning

1 VA Liaison

Ft. StewartFt. Stewart 1 VA Liaison

1 VA Liaison

Ft. KnoxFt. Knox

Ft. Drum

1 VA Liaison

1 VA Liaison

1 VA Liaison

1 VA Liaison

1 VA LiaisonFt. RileyFt. Eustis

NNMC

WRAMC

Ft. CampbellFt. Campbell(RECRUITING)(RECRUITING)

Ft. Bliss

**Newly established sites due to expansion of program

VA OEF/OIF Care Management Teams

OEF/OIF Program Manager– Serves as POC for referrals from MTF; coordinates

clinical care and oversees transition and care for OEF/OIF service members and veterans; assigns case managers and Transition Patient Advocates

OEF/OIF Case Manager– Provides case management services to Severely

Ill/Injured patients and to those identified in need of case management

Transition Patient Advocate (TPA)– Serves as an advocate across episodes and sites

of care for patients who are severely ill/injured

Family Hospitality Program (Temporary Lodging and Fisher

Houses)

Outreach

www.oefoif.va.gov Call Center Annual Welcome Home events PDHRA, Yellow Ribbon

http://www.oefoif.va.gov/

Celebrating 30 Years in Service to our Nations VeteransCelebrating 30 Years in Service to our Nations Veterans …Keeping the Promise …Keeping the Promise

Readjustment Counseling Service...Readjustment Counseling Service...

WWII American TheaterCampaign Medal

WWII Asian PacificCampaign Medal

WWII European, African, Middle Eastern Campaign Medal

WWII Victory Medal Korea Service Medal Armed Forces Expeditionary Medal

Vietnam Service Medal SW Asia Service Medal Kosovo Service Medal

GWOT Expeditionary Medal Afghanistan Campaign Medal Iraq Campaign Medal

Navy Expeditionary MedalUSMC Combat Action Ribbon USMC Expeditionary Medal

Alfonso R. Batres, Ph.D.Alfonso R. Batres, Ph.D.Chief OfficerChief OfficerReadjustment Counseling ServiceReadjustment Counseling Service

http://en.wikipedia.org/wiki/File:KosovoRib.svg

http://www.ausa.org/news/meetings/annualmeeting/annualmeeting2009/Pages/default.aspx



We are the people in VA who We are the people in VA who welcome home war Veterans welcome home war Veterans

with honor by providing with honor by providing readjustment counseling in a readjustment counseling in a caring manner. Vet Centers caring manner. Vet Centers understand and appreciate understand and appreciate

Veterans’ war experiences while Veterans’ war experiences while assisting them and their family assisting them and their family members toward a successful members toward a successful post-war adjustment in or near post-war adjustment in or near

their community.their community.

Mission StatementMission Statement



Vet Centers:

• Vet Center services do not require enrollment in the Vet Center services do not require enrollment in the larger VA system. Eligibility is based on service larger VA system. Eligibility is based on service in in a combat theater of operations, sexual a combat theater of operations, sexual trauma while trauma while on active duty, or loss of a family on active duty, or loss of a family member who was member who was serving on active duty.serving on active duty.

• Vet Centers have eligibility to see families for military Vet Centers have eligibility to see families for military related problems.related problems.

•Vet Centers are in Veteran and family friendly, easy to Vet Centers are in Veteran and family friendly, easy to access locations outside of VA hospitals.access locations outside of VA hospitals.



Vet Centers:

• Vet Centers are confidential and safe environments Vet Centers are confidential and safe environments where services can be provided.where services can be provided.

•Vet Centers have trained mental health providers, most Vet Centers have trained mental health providers, most of them Veterans themselves, who understand of them Veterans themselves, who understand

and respect military services and the role families and respect military services and the role families play. play.

• Over 60% Over 60% of Vet Center direct counseling staff are Vet Center direct counseling staff are licensed psychologists, licensed social workers, licensed psychologists, licensed social workers, or or licensed psychiatric nurses.licensed psychiatric nurses.



Vet Centers:

• Over 42% of Vet Center staff are women.Over 42% of Vet Center staff are women.

• Over 18% of Vet Center staff are women Veterans, Over 18% of Vet Center staff are women Veterans, with over 10% having served in a combat theater with over 10% having served in a combat theater of of operations.operations.

• Vet Centers currently have over 120 qualified Vet Centers currently have over 120 qualified family family counselors on staff. All Vet Centers will have a counselors on staff. All Vet Centers will have a qualified qualified family counselor in the near future.family counselor in the near future.



Vet Centers:

• 28 new Vet Centers have been authorized to be 28 new Vet Centers have been authorized to be established in 2010 bringing the total to 299.established in 2010 bringing the total to 299.

• Vet Centers are located in all 50 States, District of Vet Centers are located in all 50 States, District of Columbia, Puerto Rico, Guam, Columbia, Puerto Rico, Guam, American Samoa American Samoa (in 2010) and the American Virgin Islands. (in 2010) and the American Virgin Islands.



Readjustment counseling is a wide range of psycho social services offered to eligible Veterans and their families in the effort to make a successful transition from military to civilian life.

Services offered at Vet Centers nationwide include:

• Counseling for Veterans and their families• Marital & family counseling for military related issues• Bereavement services.• Military sexual trauma counseling and referral• Demobilization outreach and services • Substance abuse assessment and referral• Employment assessment & referral• VHA screening & referral• VBA screening & referral• Veterans community outreach and education

Services:



Vet Centers:

• Vet Centers have provided family services for military related issues since the program’s inception in 1979.



0

500

1,000

1,500

2,000

2,500

3,000

3,500

OEF/OIF Families 1,187 1,981 2,443 3,127

2005 2006 2007 2008

OEF/OIF Family Services



On August 5, 2003, the VA Secretary authorized On August 5, 2003, the VA Secretary authorized Vet Centers to furnish bereavement counseling Vet Centers to furnish bereavement counseling services to surviving parents, spouses, children services to surviving parents, spouses, children

and siblings of service members who have and siblings of service members who have fallen while on active duty, to include federally fallen while on active duty, to include federally

activated Reserve and National Guard activated Reserve and National Guard personnel.personnel.



The Vet Center bereavement program was developed and completely vetted through the Department of Defense. Vet Center referrals for bereavement counseling come directly from the Casualty Assistance Officers.

Through August 2009, the Vet Centers have assisted the families of 1,656 fallen Service Members, 1,160 (70%) were in-theater casualties in Iraq or Afghanistan.



Of all the family members served:

36% are Mothers22% are Spouses17% are Fathers14% are Siblings11% are Children

Over 15,958 bereavement visits have been provided by Vet Center staff, many times in the family’s home. This is an average of 9.6 visits per family.

Wayne BoswellQuality of Life Chief,

HQ EUCOM J1 &

Shawn MoonGeneral Manager for

Government Services, FranklinCovey

6 October 2009

Issue

To prevent caregiver burnout, EUCOM leadership needs to create and implement a

comprehensive Compassion Fatigue Program (CFP)

Description

Caregivers (to include chaplains, medical providers, Family support staff, DoDDS-E counselors, FRG leaders, Rear Detachment CDRs, key volunteers…) are at high risk for burnout physically, emotionally, mentally and spiritually

Currently, there is insufficient dedicated funding for caregiver programs

“Regular exposure to trauma and terrible knowledge about life can deeply affect staff's emotional, behavioral, and spiritual well-being in painful and unsettling ways. Although general work stress is frustrating, secondary traumatic stress can, over time, change people forever”

Dr. Roger Friedman, Ph.D. U of M, School of Social Work

Recommendation Create & implement a comprehensive Compassion Fatigue Program to prevent caregiver burnout

EUCOM’s 2007 Deployment & Community Counseling Support Conference

•Developed strategy with caregivers at EUCOM’s Deployment and Community Counseling Conference in Jun 08

•EUCOM Beta Tested POWER Program in Sep 08

•EUCOM and ERMC partnered to provide over $400K for facilitator and caregiver training and materials

•EUCOM conducted second Beta in Jul 09

•Components hosted 3-day Train the Trainer certification course with 25 facilitators per session

• 26-28 August- Bamberg, Germany

• 1-3 September- Lakenheath, UK

• 9-11 September, Aviano, Italy

•15-17 September, Naples, Italy

• 23-25 September, Kaiserslautern, Germany

• Late Winter FY2010, Location TBD

•Trainers/Facilitators provided materials to train 35 caregivers

•By the end of FY10, over 5K caregivers will have received the POWER program

POWER Program

POWER program objectives

Individuals will:• Assess their personal level of compassion

satisfaction, compassion fatigue and burnout via an online assessment

• Increase understanding of compassion fatigue • Build a list of skills they can use to alleviate burnout• Create an action plan to build self-care habits• Learn skills to improve their professional quality of

life through strengthening work-life balance• Focus on taking care of themselves• Develop a resiliency action plan • Recognize other caregivers who need support

Certification Process for Trainers

Day 1 – (Same for Trainers & Caregivers)• Introduction (What’s In It For Me and Common

Definitions)• Assess (Professional QoL Assessment & Compassion

Fatigue Markers)• Educate (Resiliency Skills for Self Care)• Plan (Focus on Important Tasks and Resiliency Action

Plan)

DAY 2 (Trainers Only)• Small Group Facilitation Review and Practice Exercises

DAY 3 (Trainers Only)• Practice Facilitation• Enhance Facilitation Techniques• Additional Facilitator Resources (Yearly Facilitator

Enhancement Day, Monthly E-mails, Blog, Facilitator Network Community)

Participant Feedback“POWER is liberating-- to know it’s ‘okay’ to take care of yourself.” – Airman and Family Readiness, Community Readiness Technician, Aviano, IT

“I was really excited to attend this program where the approach was so much different. It made it something that not only fit into my life but promoted better care of the people who are important to me; my patients and my Family. It made me realize how much better a provider I would be if I did the things that I commit to, to take care of myself. It also provided me with very concrete ways to fit that into my schedule and some follow-up to ensure I do it.” – ASAP Counselor, Grafenwoehr

“I will be taking this back to FRGs, and more importantly to our Rear Detachment personnel and Casualty Care Teams…The program is beneficial to Family members of Soldiers, Soldiers in the rear taking care of Families and Soldiers in leadership positions who are taking care of other Soldiers and it’s important that we focus on them taking care of themselves to be able provide that care giving and this course will help them do that.” – ACS, Mobilization & Deployment Specialist, Grafenwoehr

“I’ve known for a long time about resiliency and the need to take care of myself and that’s what resiliency is all about. Knowing the pieces is one thing but putting it all together as a whole is another…it put it all together. You have a little piece of knowledge from here and there but until you put it all together it’s not as beneficial. It’s going to changed my attitude toward work and what I’m doing how I feel about what I’m doing.” – LCSW, LRMC

army health promotion and risk reduction campaign army health promotion and risk reduction campaign...

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