Transcript Slide 1

Marine and Family Programs
Substance Abuse Program
Overview for
HQMC Behavioral Health
Conference
Substance Abuse Program
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Mission Statement
Staffing and Function Overview
HQMC Oversight
Current Initiatives
Challenges
Integration
MFC-4 Mission
Enhancing the readiness of the Marine
Corps by providing evidence-based
prevention tools and training; and wellness
oriented treatment and aftercare.
Staffing Overview (HQMC)
• Substance Abuse
– 1-Section Head
(vacant)
– 1-Prevention Program
Manager (vacant)
– 1-Clinical Program
Manager (vacant)
– 1-Prevention Specialist
– 1-Program Analyst
• Drug Demand
Reduction
– 1-Program Manager
(vacant)
– 1-Program Analyst
– 2-DDR Specialists
Staffing Overview (Installation)
15 Substance Abuse Counseling Centers
Staff:
– 58 Substance Abuse Counselors
• 7 vacant
– 6 Alcohol Prevention Specialists
– 19 Drug Demand Reduction Coordinators
Substance Abuse Program
• Focus on prevention, education, treatment and
rehabilitation
• Objective is to inform:
– Policy
– Available services
– Consequences
– Indicators
– Administrative
HQMC Oversight
• Drug Demand Reduction Coordinators (DDRC)
– Evaluating Demand Reduction Education
– Standardize SACO Training
– Standardize Drug Demand Reduction Duties
• Substance Abuse Counseling Center
– IGMC Inspections
• Substance Abuse Control Officers (SACO)
– Reviewing unit level aftercare program
– Monitoring periodic inspection of the SACOs by
DDRCs
Current Initiatives
• Program Review and Analysis
• IG Assessment
• Drafting changes to Substance Abuse Order (MCO
5300.17)
• NHRC Program Evaluation on Prevention Efforts
• Prevention Outreach
– Campaign Plan
– Prevention Plan
• Prime for Life
• NHRC Evaluation of Prescription Drugs and Correlation
with Sexual Assault
Challenges
• Personnel
– Lack of Prevention Specialists
• Treatment Program
– Reviewing current effectiveness
– Implementation of evidence-based
practices
– Ineffective unit level Aftercare Program
Challenges
• Alcohol Prevention
– Funding to support alcohol prevention efforts
– Underage drinking
– Driving While Under the Influence
• Tracking of off-base DUI/DWIs
– Screening and treatment compliance
• Drug Prevention
– Synthetic drugs
• Data reporting
Integration
Alcohol “Hub of the Wheel”
18% had evidence of alcohol
use at the time of death
24% had evidence of past
alcohol abuse or dependence
diagnosis
80% of individuals with
TBI met criteria for
alcohol abuse and
dependence
Alcohol
Misuse
30% of spouse abuse
involved alcohol
Substance
Abuse
Data from internal Marine Corps Behavioral Health Program statistics: TBI data from RAND (2008)
Over 50% of victims
and offenders of
sexual assault were
associated with
alcohol
Integration
• What does BH integration mean?
– Set the tone
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Strategic Partnerships
Educating Outside the “BOX”
Improve credibility, reduce stigma
Target the right audience
– Change the environment
– Eliminating Program Overlaps
– Early identification and referral
– Screening and treatment compliance
Backup Slides
1.
Not all ARIs are reported or result in screening.
2.
No one entity is tracking ARIs and follow-on substance abuse
screenings.
3.
No single database exists for tracking ARIs and Command
action, including screenings and treatment.
4.
Pulling ARI screening/treatment data from existing databases
is cumbersome and results in incomplete and unreliable data
because existing CLEOC and ADMITS databases are not linked.
5.
CLEOC is a law enforcement database that only includes certain ARIs
reported to NCIS.
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On-base incidents.
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Some local civilian jurisdictions.
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6.
ADMITS is a legacy system that is not meeting the needs of the Marine
Corps Substance Abuse Program in part due to inconsistent data input
policies.
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ADMITS doesn’t distinguish between types of ARIs.
8.
Members are lost in the system due to deployments or PCS and don’t
always receive screenings.
9.
Blotter reports don’t include most civilian ARIs.
10. Not all SACC Directors receive blotter reports.
11. Not all SACC Directors who receive blotter reports act on reported
information.
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12. MCO 5300.17, Marine Corps Substance Abuse Program, doesn’t
provide a uniformed approach to substance abuse screening and
treatment.
13. All 16 SACCs continue to operate independently.
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Staff credentials and methods vary.
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Wait times for screenings vary.
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Screening protocols and treatment methods vary.
14. No uniform staffing T/O exists for SACCs.
• 68% of SACCs report they are understaffed (11 of 16 Directors)
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15. Lack of transparency on SACC policies/procedures leads to
unnecessary command frustration.
• SACCs triage cases causing extended wait times for some
Marines sent for screenings.
16. Most SACOs are multi-tasked.
17. Some Commanders overload their SACOs with collateral duties.
18. SACOs are responsible for monitoring aftercare treatment programs,
but aren’t adequately trained for the task.
19. From a command training perspective the substance abuse program
is not adequately linked to other conditions (depression, PTSD, TBI)
or suicide, spouse abuse, and sexual assault.
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20. Junior leaders are not adequately trained on prevention and
early intervention techniques.
21. Treatment for alcohol abuse is viewed as a punitive measure.
22. Due to the existing stigma, Marines are reluctant to self-report
alcohol problems and seek treatment.
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