Health of the Force

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• Health of the Force
• Indicators Update
• BG Jeffrey C. Horne
• Director, Human Resources Policy
• 6 October 2009

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Strategic Context
Ends
Human Capital
ARFORGEN
Imperatives
?Commander Oriented ?Strategy, Policy
Support ?Legislative Initiatives ?Resource
Decisions
Outcome
Readiness Sustain the Armys Soldiers,
Civilians, and Families
Materiel
Readiness
Are the Armys 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?
Services Infrastructure
Strategic Questions
Ways
Man the Army and preserve the all-volunteer force
Reduce personnel turbulence, deliver responsive
services
Adapt recruiting manning processes to support
ARFORGEN
Objectives
Identify and mitigate force stressors
Enhance Quality of Support to Soldiers,
Civilians, and Families
Improve customer service and satisfaction (manage
expectations)
Supporting Army Programs and Initiatives
Diversity/EO Transformation TF
Suicide Prevention Task Force (SPTF)
Comprehensive Soldier Fitness (CSF)
ASAP Reengineering TF
Sexual Harassment Assault Response Prevention
(SHARP)
Army Family Covenant
Soldier Family Action Plan (SFAP)
RESET
Warrior Transition Command (WTC)
Army Medical Action Plan (AMAP)
Means
Measures (Not all Inclusive)
Retention
Recruiting
Mental Fitness
Discipline
Availability
Satisfaction
Readiness
Attrition
Suicide events
Quality
Non-Deployable
Manning
Substance Abuse
Survey Results
Waivers
PTS/TBI
Retirements
Separations
Sexual Assaults
Service Delivery (Availability/ Usage)
Deployment/ Dwell
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How the Army Tracks Indicators
Risk Reduction Program (RRP)

• Continuous monitoring of indicators
• Various data sources and tools for staff and
  commanders
• Sharing of data across the multi-disciplined
  initiatives

• From FY07 to FY08 we did observe upward trends in
  Suicide, Substance Abuse, Motorcycle
  Accidents/Fatalities, and Divorces however, not
  all indicators trended up

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Initiatives

• 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

Sustaining the All-Volunteer Force is our first
priority
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• Back-up

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How the Army Tracks Indicators
Risk Reduction Program (RRP)

• Continuous monitoring of indicators
• Various data sources and tools for staff and
  commanders
• Sharing of data across the multi-disciplined
  initiatives

• 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

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How the Army is Listening

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

Soldiers and Families tell us that they are
stressed and strained, but remarkably resilient.
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Execution Timeline
Updated Capability/Red-Line Recommendations
10 Mar 10
Final linkages to Program Execution Metrics
18 Feb 10
Behaviors/Systems Health Assessment
Complete Development Begin Data Population
8 Feb 10
Develop Framework for Common Operating Picture
6 Nov 09
Identify linkages to Program Execution Metrics
Establish baseline
28 Oct 09
Identification of data and process gaps
22 Oct 09
7 Oct 09
Consolidate list of data elements and sources
Manual Reporting
Jul 09
Dashboard Beta Test
Jan 09
Individual behaviors only
Weekly IPRs with Director, HRPD
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The Armys 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

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Vision Build, Improve and Preserve Americas Army
A force of the highest quality Soldiers and
Civilians who Reflect the best of Americas
people Embody the best of Americas Values Best
Protect Americas Freedoms
How do we best provide the right person with the
right skills in the right place at the right time?
Strategic Question
Objectives Questions
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 enrich our people?
Imperatives
Ensure competitive QoL for Soldiers, Civilians
and Families
Recruit/retain/train diverse , high-quality,
talented, Soldiers and Civilians
Develop collaborative, resilient,
adaptive Leaders across the force
Effective and efficient delivery of personnel and
HR services
Provide trained and ready manpower in support of
ARFORGEN
Objectives
HCE Metrics
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Soldier, Civilian, and Family Indicator Dashboard

• 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
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Sustaining the All-Volunteer Force
Direct Feedback
Service Delivery Metrics
Soldiers

Campaign Plan for Health Promotion, Risk
Reduction and Suicide Prevention
Comprehensive Soldier Fitness
Human Capital Strategy
Grow the Army
Families
Institutional Adaptation
Civilians
Army Medical Action Plan
FY10 Civilian Human Capital Plan
Warrior Transition Command
Soldier Family Action Plan
Survivor Outreach Services
Survivors
Well-Being of the Force Indicators
Soldier and Family Surveys
Strategies to Restore Balance
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Where are we going?
Behavior Indicators

• Key Strategic Questions
• Are the Armys 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?

Dashboard Overview
System/ Behavior Health Index

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

• Expanded Data Set
• Interactive tool
• Expanded to include violent crimes
• Internet accessible
• Limited distribution
• Manual, intensive

• Accountability - Rest of the Story
• Web-based , wide availability
• Auto-populating, frequent updates
• Links systemic outputs and human behaviors
• Leverage emerging integrated data systems

July 2009
March 2010
January 2007
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Risk Analysis Profile (Future) Capability
Best Practices

• 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.

Dashboard
Specified task (risk management
profile/intervention awareness capability )
Risk analysis definition
Identify metrics supporting proactive (rather
than reactive) actions
Strategy, plans, policy, and program
recommendations
Tools Processes Forums
Assess
Task organize
Compile metrics (leading/lagging indicators)
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CSA Update Behavior Trends

• 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.

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Risk Reduction Program

• 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.

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Data Sources
Violent Crimes Review/Assessment
CSA, VCSA, Testimony and DA TFs Updates

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Current Support System to
Promote Resilience
Increased Investment through AFC
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 Strategic Focus Efforts
Campaign Plan for Health Promotion, Risk
Reduction and Suicide Prevention
Community Covenant
Comprehensive Soldier Fitness
Soldier Family Action Plan
Geographically Dispersed Task Force
S.H.A.R.P.
No Holistic Approach To Resourcing, Service
Delivery, or Metrics