I n t e g r i t y - S e r v i c e - E x c e l l e n c e Headquarters U.S. Air Force 1 Culture of Responsible Choices (CoRC) MFT Toolkit for Implementation Insert your name here

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 2 Where the AF stands…why CoRC?

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 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

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 4 DoD/Air Force Heavy Alcohol Use* Trend 2002 DoD Survey of Health Related Behaviors Among Military Personnel * > 5 drinks on the same occasion at least once a week in the past 30 days Increase from 1998

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 5 ADAF Alcohol Related Events: by Rank Group, FY Total AREs FY FY FY FY FY FY * * Data collection system changed and, because of the lag, we we lost data

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 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

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 7 AF Illicit Drug Use AD AF FY % 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

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 8 The best models for change…

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 9 Community Approach to Population Health Services 0% 100% Excellent Poor Prevention and Education Leadership Supports Health Behavior Change Installation Policies Enhance Health Primary Care Early Intervention Specialty Care Treatment of Disease Helping Agency Support (IDS) HEALTH POPULATION

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 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

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 11 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 Changing the Culture

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

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 13 The Road from to CoRC…..

I n t e g r i t y - S e r v i c e - E x c e l l e n c e : Basics Science-based community program from F.E. Warren is a slogan that is part of a larger program 0 underage drinking, 0 DUIs, 1 drink/hour, 3 drinks per sitting max Wing Commanders 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

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 15 Prevention: Results 68% 68% 64% 64% 93% 93%

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 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

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 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 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

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 18 CoRC: AF Functional Community Players Public Affairs Legal Security Forces Medical Treatment Facility Chaplains Mission Support/ Services Senior Leadership CC/1 st Sergeants

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 19 CSAF: Basics for CoRC Guiding principles Commanders 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!

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 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

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 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

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 22 HC Tool Kit Goal 1: Institutionalize chaplain offices embedded in work centers Task 1.1: Obtain chaplain office space outside chapel

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 23 HC Tool Kit Goal 1: Institutionalize chaplain offices embedded in work centers Task 1.1: Obtain chaplain office space outside chapel

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 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.

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 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