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Culture of Responsible Choices (CoRC) MFT Toolkit for Implementation

Culture of Responsible Choices (CoRC) MFT Toolkit for Implementation. Insert your name here. Where the AF stands…why CoRC?. The Problem. Impact of drug use and alcohol misuse Clear and present danger to the mission Reduces readiness Wastes critical resources

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Culture of Responsible Choices (CoRC) MFT Toolkit for Implementation

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  1. Culture of Responsible Choices (CoRC) MFT Toolkit for Implementation Insert your name here

  2. Where the AF stands…why CoRC?

  3. The Problem • Impact of drug use and alcohol misuse • Clear and present danger to the mission • Reduces readiness • Wastes critical resources • Erodes our Core Values/the Culture of Airmen

  4. DoD/Air Force Heavy Alcohol Use* Trend 2002 DoD Survey of Health Related Behaviors Among Military Personnel Increase from 1998 * > 5 drinks on the same occasion at least once a week in the past 30 days

  5. ADAF Alcohol Related Events: by Rank Group, FY 2000-2005 Total AREs FY00 5239 FY01 5448 FY02 5763 FY03 6508 FY04 6609 FY05 5407* * Data collection system changed and, because of the lag, we we lost data

  6. Alcohol Misuse: A Clear and Present Danger • Alcohol misuse is involved in: • 33% of suicides • 57% sexual assaults • 28.5% domestic violence cases • 44% PMV accidents

  7. AF Illicit Drug Use • AD AF FY04 0.45% Drug Positives (1,572 total) • Discharge ≃ 1500 Airmen a year b/c of drug positives • $36-79k avg. cost to produce each trained Airman • Demand Reduction (Detection and Deterrence) • Detection is important to the mission • But once caught, we lose an airman • Deterrence is vital to the mission • Effective prevention results in saving an airman • Comprehensive approach to further reduce use

  8. The best models for change…

  9. Community Approach toPopulation Health Services Excellent 100% Leadership Supports Health Behavior Change Installation Policies Enhance Health Prevention and Education Helping Agency Support (IDS) POPULATION Primary Care HEALTH Early Intervention Specialty Care Treatment of Disease 0% Poor

  10. Research Says…. • Comprehensive community approach ideal: • Leadership Driven, Environmental Change, Information, Early Identification and Intervention, Policy/Deterrence, & Alternative Activities • Key: Identify those at of risk • Population based screening/assessment • Good evidence for brief interventions • Tailored feedback (in-person and mailed), Brief Interventions, Primary Care, Web-based programs, etc… Based on SAMHSA and NIAAA recommendations for prevention and early intervention in youth & young adults

  11. Changing the Culture • Culture change requires emphasis on prevention: • Leadership sets the tone -Commanders’ program! • Wide range of prevention efforts • Broad community involvement • Medics offer enhanced screening and early intervention • Create prevention opportunities outside of MTF • Should be responsibility (not morality) based • Standardize elements & evaluation • Implementation must be locally tailored/flexible

  12. 2. INDIVIDUAL LEVEL 3.BASE COMMUNITY 4. LOCAL COMMUNITY 1. LEADERSHIP INTEGRATED 4-PRONGED COMMUNITY APPROACH

  13. The Road from 0-0-1-3 to CoRC…..

  14. 0-0-1-3: Basics • Science-based community program from F.E. Warren • 0-0-1-3 is a slogan that is part of a larger program • 0 underage drinking, 0 DUIs, 1 drink/hour, 3 drinks per sitting max • Wing Commander’s Program • ADAPT is a team player--not the lead • All installation IDS/CAIB members had a role • Public Affairs, Security Forces, Services, Command Master Chief/First Sergeants, and Chaplains have particularly involved roles • 4 core levels of change: • Strong Leadership, Individual, Base, & Community

  15. Prevention: 0-0-1-3 Results  68%  64%  93%

  16. 0-0-1-3’s Savings in Resources • *68% decrease in alcohol related incidents • 8% increase in available-for-duty rate (or 38 more airmen) • ≃ 230 duty days not lost to Alcohol-Related Incidents • *70% decrease in Article 15s • CCs / Shirts with more time for mission / morale / welfare • Contrary to popular myths, Services showed a profit! • MWRF NIA increased $173K / Club profit of $13K *Comparison of First Quarter 2004 to First Quarter 2005

  17. From F.E. Warren to AF Program • March 05: Chief of Staff of the Air Force (CSAF) • Task:Develop an AF plan & product based on 0-0-1-3 • HQ AF Personnel: primary POCs for CoRC • Other functional groups are collaborators • CoRC built from best of science and AF programs • Launch Air Force wide in November 05

  18. CoRC:AF Functional Community Players Public Affairs Legal Security Forces Mission Support/ Services Senior Leadership CC/1st Sergeants Chaplains Medical Treatment Facility

  19. CSAF: Basics for CoRC • Guiding principles • Commander’s program • Responsible drinking vs. abstinence only • Incident deterrence • Attention to prevention: alcohol misuse and abuse • Emphasize Common Airman Culture • Program goals over first year (baseline year FY04) • Decrease alcohol-related incidents (ARIs) by 25% - Underage drinking, DUIs, crimes, etc. - Reevaluate goal after year 1 • Decrease confirmed drug positives by 25% • Reevaluate goal after year 1 WORK HARD – PLAY SMART!

  20. CoRC Basics 1. Leadership Driven Program: Message and support from top down 2. Individual Level Opportunities for Change • Assessment/Screening of risk in all personnel • Education/awareness • Brief Interventions and treatment when needed • Responsibility and commitment 3. Base Community Opportunities for Change • Develop range of alternate activities • Consistent and equitable detection/enforcement • Media campaign promoting responsibility • Monitor AF metrics/consider base specific metrics 4. Local Community Opportunities for Change • Assess threat and availability of drugs and alcohol • Develop coalition with community agencies

  21. CoRC:Roles and Responsibilities • HQ Personnel (DP): Deliver Concept of Operations • Functional groups developed area specific Toolkits • MTF role at the base level: • Enhanced screening and early intervention • Participation in outreach • Serve as subject matter expert consultants to the CC

  22. HC Tool Kit • Goal 1: Institutionalize chaplain offices embedded in work centers • Task 1.1: Obtain chaplain office space outside chapel

  23. HC Tool Kit • Goal 1: Institutionalize chaplain offices embedded in work centers • Task 1.1: Obtain chaplain office space outside chapel

  24. HC Tool Kit • Goal 2: Establish Airmen Ministry Centers AF wide • Task 2.1: Help airmen overcome loneliness and a sense of displacement. • Task 2.2:  Dedicate at least 1 chaplain or staff to relational ministry • Task 2.3: Bridge worship communities to Airmen Center.  • Task 2.4:  Worship communities provide volunteer staffing • Task 2.5: Publicize need for volunteers, financial support, ministry opportunities, mentoring, etc… • Task 2.6: Bridge base units and agencies to Airmen Center. 

  25. HC Tool Kit • Goal 3: Chaplains brief all incoming Airmen at FTAC • Task 3.1: The Ethical Airman Presentation and Cultivating the Culture of Airman

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