HQMC Behavioral Health Branch
Keita Franklin, PhD, LCSW
Behavioral Health Branch Head
Keita.Franklin@usmc.mil
MF Mission and Vision
Mission
“Keeping faith with our Marines and their families.”
Vision
Highly resilient, program savvy Marines and Families,
robustly equipped with the services and tools they need to
meet an era of persistent conflict as well as the challenges of
day-to-day life in the 21st Century; especially during
transition periods associated with mission, life and career
events.
MF Tenets
Do the right thing. In all that we do, we are professionals and our service shall be
characterized by the highest standards of professional ethics.
Live within our means. Every dollar spent must result in superior program
support and measurable effectiveness.
Transparency. Our actions are focused and attentive but open to question,
inspection, or audit and cooperation, collaboration and sharing is highly encouraged.
Strengthen relationships. Wounded Warrior Regiment, Marine Corps
Community Services, and Marine and Family Programs depend on the organizational
strengths and contributions of many agencies. Marines and their families are served
best by full partnerships.
Background
USMC Suicides
Family Violence
DUI
1,800
1,600
1,400
1,200
1,000
Sexual Assaults
800
600
400
200
0
2005
Positive Urinalysis
2006
2007
2008
2009
Child Maltreatment
CPG, Priority #4 Task – Integrate Behavioral Health Efforts
Five Behavioral Health Programs include; Family
Advocacy, Sexual Assault Prevention and Response,
Combat Operational Stress Control, Substance Abuse and
Suicide Prevention
Stove-piped Programs – Old Way
Coordination
Integrated Behavioral Health Programs – New Way
Priority #4 Task - Integrate BH efforts
Programs
Program integration, allocation of resources,
strategic planning, and communication with
commanders
Inputs
Suicide Prevention
Substance Abuse Prev
Strategic
Planning and
Communication
Unified Policy
Family Advocacy
Sexual Assault Reporting
and Prevention
Combat and Operational
Stress Control
Outputs
• Universal Training
• Family Advocacy IDC Rollout
• Marine Resiliency Study
• Peer to Peer Training
Common Vision
• Never Leave a Marine Behind
Funding
• OSCAR
Evidence Based
Practices
• Take a Stand
Integrated Behavioral Health Programs – New Way
Priority #4 Task - Integrate BH efforts
Program integration, allocation of resources,
strategic planning, and communication with
commanders
Outcomes:
• Better Support to the Commander
• Coordinated training requirements
•Eliminated redundancies
•Uncovered gaps
•Validated practices
•Operational efficiencies
Other BH Initiatives
• Free educational tools and products for Marines and
families
• Standardizes behavioral health messaging
• Conveys back to stakeholders what information is
important to whom
• Currently over 80K materials distributed
•Additional Behavioral Health materials forthcoming
• An evaluation of the BHIN found:
• 85% of the participants indicated that the BHIN
website was extremely useful in meeting their COSC
needs
• 40% ordered materials for themselves
• 32% ordered information for their command/workplace
• 28% ordered for fellow Marines
Realities
– Resources/Funding
– Staffing
– Updating and Timely Policy
– Operational Tempo
– Mission creep into other HQMC programs and activities
Way-Forward
Establish Behavioral Health Program (BHP) and Structure.
The Marine Corps BHP and structure will be created to serve as a
single point of advocacy to meet the dynamically changing and
complex needs of Marines and their families.
Hire and Grow a Ready Workforce.
Offering staff a continuum of opportunities for training and knowledge
development is a critical component for the future behavioral health
capabilities of the Corps.
Establish Program Oversight, Accountability and Transparency.
The BHP will be accountable to Marine Corps leadership and the
needs of Marines and their families.
Way-Forward
Adopt, Implement and Sustain Evidence Practices.
Evidence based approaches build trust with commanders by
ensuring Marines and their families are offered the most up-to-date,
empirically supported prevention and treatment practices available.
Implement the Institute of Medicine Mental (IOM) Health
Intervention Spectrum for Mental Health Disorders.
The IOM Mental Health Intervention Spectrum for Mental Health
Disorders provides an appropriate framework for integrating
behavioral health elements, as it complements the current Marine
Corps Stress Continuum.
Program Structure
Establish Behavioral Health Program (BHP) and Structure.
The Marine Corps BHP and structure will be created to serve as a
single point of advocacy to meet the dynamically changing and
complex needs of Marines and their families.
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–
–
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Staffing issues
OCO until shifted into baseline
On-going analysis – documented needs
HQ staffing models that reinforce full complement of services for
the field and higher HQ
– Installation staffing models that are scalable and on par with the
needs of clients
12
Workforce
Hire and Grow a Ready Workforce.
Offering staff a continuum of opportunities for training and
knowledge development is a critical component for the future
behavioral health capabilities of the Corps.
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–
–
–
–
–
–
–
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Efforts well underway
Training Needs Assessment
Informal inquiry and dialogue
Cognitive Processing Therapy
Parent-Child-Interaction Therapy
PRIME Training
COSC/Suicide/SAPR/FAP Conference
Trauma Informed Care
Victim Conference
13
Program Efforts
Establish Program Oversight, Accountability and
Transparency.
The BHP will be accountable to Marine Corps leadership and the
needs of Marines and their families.
Early efforts include:
- Improved Accreditation Processes
- Policy
– MF Newsletter
– Weekly updates
– Share point
– VTC’s
– OPT’s
– BHAC
14
Evidence Based Practice
Adopt, Implement and Sustain Evidence Practices.
Evidence based approaches build trust with commanders by
ensuring Marines and their families are offered the most up-to-date,
empirically supported prevention and treatment practices available.
– Begins with IOM model
– IDC Case Review processes
– Peer-to-Peer Models
• NLMB
• Take a Stand
– PCIT
– OSCAR
– FAP Prevention Curriculums
15
Future Operations
– IOM Health Intervention Spectrum for Mental Health
Disorders Continuum
– Behavioral Health Advisory Committee (BHAC)
– Research / Program Evaluation
– Behavioral Health Conferences
– Behavioral Health Case Management System
– Universal Training
Prevention Continuum
An Evidence Based Framework….
BUMED
USMC and
BUMED
USMC
STRESS CONTINUUM
READY
REACTING
INJURED
ILL
Behavioral Health Advisory Committee
PURPOSE
• Advise MF on behavioral health programs and initiatives
• Focus on;
• gaps,
•duplication of effort,
•best practices in research and application
VOTING MEMBERS
• Dir, MF (chair)
• TMO (vice chair)
• Chaplain of the Marine Corps
• Exec Dep, TECOM
• MARFORCOM (Col)
• MARFORPAC (Col)
• MEFs (Col)
• MFR (Col)
• Dir, SD (Col)
• SgtMaj, MF
EX OFFICIO
• BH Branch Hd
• MF Counsel
• DCOE
• NHRC
• Recorder
Behavioral Health Advisory Committee
ACTIONS
• Synchronize / integrate behavioral health efforts
• Review / develop / ID research & future operations requirements
• Propose opportunities for coordinated education / training efforts
• Examine requirements for sustainment
• Address ‘confidentiality vs. engaged leadership’
• Address stigma issues
• Clarify consequences of seeking mental health care
• Share outcomes across systems
METHODOLOGY
• Four meetings / year
• Meeting minutes reported to Executive Force Preservation Board
Future Operations
– Behavioral Health Conferences
• focus on improving services to Marines and their families
• sharing of evidence-based practices
• improve integration efforts
– Behavioral Health Case Management System
•
•
•
•
executive leadership support
will share information (when appropriate) between programs
will assist integration efforts
hiring an IT specialist to assist
– Universal Training
• based on IOM model
• based on the successes of Never Leave a Marine Behind, OSCAR and
Take a Stand training
• signed contract in Sept 11
Point of Contact
Keita Franklin, PhD, LCSW
Behavioral Health Branch Head
Keita.Franklin@usmc.mil