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

G-1, Human Resources Policy Directorate PRE-DECISIONAL//DRAFT//FOUO//CLOSE-HOLD//LIMDIS

Supporting Soldiers, Civilians & Families – Active, Guard, Reserve and Retired

Health of the ForceIndicators Update

BG Jeffrey C. HorneDirector, Human Resources Policy

6 October 2009



Army Family Covenant

Soldier Family Action Plan (SFAP)

Diversity/EO Transformation TF

Suicide Prevention Task Force (SPTF)

Supporting Army Programs and Initiatives

Comprehensive Soldier Fitness (CSF)

RESET

ASAP Reengineering TF

Warrior Transition Command (WTC)

Army Medical Action Plan (AMAP)

Sexual Harassment Assault Response & Prevention (SHARP)

Non-Deployable

Waivers

Manning

SeparationsPTS/TBI

Attrition

Sexual Assaults

Substance Abuse

Suicide eventsQuality

Mental Fitness DisciplineRetention Availability Satisfaction

Service Delivery (Availability/

Usage)

Survey Results

Readiness

Means

Man the Army and preserve the all-volunteer force

Reduce personnel turbulence, deliver

responsive services

Adapt recruiting & manning processes to support ARFORGEN

Identify and mitigate force stressors

Enhance Quality of Support to Soldiers,

Civilians, and Families

Improve customer service and satisfaction (manage expectations)

Ways

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?

ReadinessSustain the Army’s

Soldiers, Civilians, and Families

Commander Oriented

Strategy, Policy Support

Legislative Initiatives

Resource Decisions

Outcome

Services &Infrastructure

Readiness

Materiel

Human Capital

Strategic Context

Ends

ObjectivesObjectives

Strategic QuestionsStrategic Questions

ImperativesImperatives

Measures(Not all Inclusive)

Measures(Not all Inclusive)

04/22/23 05:19 2

Recruiting

Deployment/ Dwell

Retirements



How the Army Tracks Indicators

04/22/23 05:19 3

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

Risk Reduction Program (RRP)



Initiatives

Sustaining the All-Volunteer Force is our first priority

• 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

04/22/23 05:19 4



Back-up



How the Army Tracks Indicators

04/22/23 05:19 6

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

Risk Reduction Program (RRP)



How the Army is Listening

Soldiers and Families tell us that they are stressed and strained, but remarkably resilient.

We hear from our Soldiers and Families thru: Senior Leader visits HQDA Tiger Teams Surveys Blogs Conferences, summits, and other forums

04/22/23 05:19 7



Execution Timeline

Jul 09

7 Oct 09

22 Oct 09

28 Oct 09

6 Nov 09

8 Feb 10

Final linkages to Program Execution Metrics

Dashboard Beta Test

Complete Development – Begin Data Population

Consolidate list of data elements and sources

Establish baseline

Develop Framework for Common Operating Picture

*Weekly IPRs with Director, HRPD

Identification of data and process gaps

18 Feb 10

10 Mar 10

Updated Capability/Red-Line Recommendations

Identify linkages to Program Execution Metrics

04/22/23 05:19 8

Manual Reportin

g

Behaviors/Systems

Health Assessment

Jan 09

Individual behaviors only



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

04/22/23 05:19 9



How do we best acquire the right

person?

How do we best ensure the right

skills?

How do we best establish the right time?

How do we best determine the right place?

How do we best provide the right person with the right skills in the

right place at the right time?

How do we best enrich our people?

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

StrategicQuestion

Objectives Questions

Imperatives

Objectives

Develop collaborative, resilient, adaptive

Leaders across the force

Ensure competitive QoL for Soldiers,

Civilians and Families

Recruit/retain/train diverse , high-quality, talented, Soldiers and Civilians

Effective and efficient delivery of personnel

and HR services

Provide trained and ready manpower in

support of ARFORGEN

HCE Metrics04/22/23 05:19 10

Vision: Build, Improve and Preserve America’s Army



Soldier, Civilian, and Family Indicator Dashboard

04/22/23 05:19 11

• 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



Campaign Plan for Health Promotion, Risk Reduction and

Suicide Prevention

Comprehensive Soldier Fitness

Soldiers

Families Civilians

Sustaining the All-Volunteer Force

Soldier & Family Action Plan

Army Medical Action Plan

“Strategies to Restore Balance”04/22/23 05:19 12

Survivors

Grow the Army

FY10 Civilian Human Capital

Plan

Human Capital Strategy

Institutional Adaptation

Survivor Outreach Services

Warrior Transition Command

Well-Being of the Force Indicators

Soldier and Family Surveys

Service Delivery Metrics

Direct Feedback



Where are we going?

04/22/23 05:19 13

• Ten key behaviors baseline dependent on availability of data. Updates as of 3rd Qtr, FY09.

July 2009 March 2010

• Expanded Data Set

• Interactive tool

• Expanded to include violent crimes

• Internet accessible

• Limited distribution

• Manual, intensive

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?

January 2007

• Accountability - Rest of the Story

• Web-based , wide availability

• Auto-populating, frequent updates

• Links systemic outputs and human behaviors

• Leverage emerging integrated data systems



Risk Analysis Profile (Future) Capability

04/22/23 05:19 14

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.

Risk analysis definition

Identify metrics supporting proactive (rather than reactive)

actions

Tools +Processes +

Forums

Task organizeCompile metrics (leading/lagging

indicators)

Assess

Specified task(risk management profile/intervention

awareness capability )

Best Practices

Strategy, plans, policy, and program recommendations

Dashboard



• 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.

CSA Update Behavior Trends

04/22/23 05:19 15



Risk Reduction Program

04/22/23 05:19 16

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.



HRC (TAPDB)• Birth date• BASD• Gender• Race/Ethnicity• Education• Marital status• Dependents• Grade• MOS• UIC• UIC location name• UIC state• UIC country

CID (ACI2)• Crime date• Crime type• Investigation finding• CID unit involved• Investigation date

Crime Data

ACSAP (DAMIS)• Drug positive date• Drug type• Drug/Alcohol (D/A) screen date• D/A enrollment success• Risk Reduction Program

DFAS (MILPAY)• HFP deploy start/end date• HFP deploy country

USAREC (Accessions)• Entry waiver date• Entry waiver type

FMWRC (ACR)• Domestic violence referral data

Violent Crimes Review/Assessment

OTSG (MEDPROS)• Behavioral health diagnoses• PDHRA compliance

SSN-level Data (available)

Aggregate Data

Suicide (DCIPS)• Suicide events

FMWRC (ACR)• Spouse abuse• Child abuse

OPMG (COPS)• AWOL offenses

G-1 AC/USAR/ARNG• Army recruiting• Retention• CPT attrition rate• PDHA and PDHRA• Civilian workforce/hiring

DMDC (TAPDB)• Divorce rates• Demographics

SHARP (SADMS)• Sexual assault

EO Office• EO Trends and Complaints

HRC (TAPDB)• Admin separations• First-term attrition

CSA, VCSA, Testimony and DA TFs Updates

OTSG (MEDPROS)• Post-traumatic stress disorder• Traumatic Brain Injury Trends• Personnel Manning/Fill

Data Sources

CRC (ASMIS)• Accident date• Accident cause• Accident result

OTJAG (Clerk of Court)• Courts-Martial• Disciplinary actions

CHPPM (EPICON)

ACSAP (DAMIS)• Drug positive date• Drug type• Drug/Alcohol (D/A) screen date• D/A enrollment success• Risk Reduction Program

04/22/23 05:19 17

+



Campaign Plan for Health Promotion, Risk Reduction and Suicide Prevention

Comprehensive Soldier Fitness

Current StrategicFocus Efforts

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 Support System to Promote Resilience

Community Covenant

Soldier & Family Action Plan

Geographically Dispersed Task ForceS.H.A.R.P.

“No Holistic Approach To Resourcing, Service Delivery, or Metrics”

Increased

Investment

through

AFC

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

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