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

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Culture of Responsible Choices (CoRC) MFT Toolkit for Implementation

Insert your name here

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Where the AF stands…why CoRC?

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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

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5.0

10.0

15.0

20.0

25.0

30.0

Rat

e (%

)

DoD 20.8 24.1 23.0 17.2 15.5 17.4 15.4 18.1

AF 14.3 17.7 16.5 14.5 10.6 10.4 11.7 12.3

1980 1982 1985 1988 1992 1995 1998 2002

DoD/Air Force Heavy Alcohol Use* Trend2002 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

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ADAF Alcohol Related Events: by Rank Group, FY 2000-2005

0

500

1000

1500

2000

2500

3000

3500

4000

4500

E1-E4 E5-E6 E7-E9 O1-O3 O4-O10

FY00FY01FY02FY03FY04FY05*

Total AREs FY00 5239FY01 5448FY02 5763FY03 6508FY04 6609

FY05 5407*

* Data collection system changed and, because of the lag, we we lost data

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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

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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

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The best models for change…

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Community Approach toPopulation Health Services

0%

100% Excellent

Poor

Prevention and Education

Leadership Supports Health Behavior Change

Installation Policies Enhance Health

Primary Care

Early Intervention

Specialty CareTreatment of

Disease

Helping Agency Support (IDS)

HEALTHHEALTHPOPULATIONPOPULATION

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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

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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 COMMUNITY1. LEADERSHIP

INTEGRATED4-PRONGED COMMUNITYAPPROACH

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The Road from 0-0-1-3 to CoRC…..

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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 ProgramADAPT is a team player--not the leadAll installation IDS/CAIB members had a rolePublic 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

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Prevention: 0-0-1-3 Results

0

10

20

30

40

50

60

AlcoholRelated

Incidents

DrivingUnder theInfluence

UnderageDrinking

1st Quarter 20041st Quarter 2005

68%68%

64%64%

93%93%

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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

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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

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CoRC:AF Functional Community Players

Public Affairs

Legal

SecurityForces

Medical Treatment

FacilityChaplains

Mission Support/Services

Senior LeadershipCC/1st Sergeants

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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!

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CoRC Basics1. 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

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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

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HC Tool Kit

Goal 1: Institutionalize chaplain offices embedded in work centers

Task 1.1: Obtain chaplain office space outside chapel

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HC Tool Kit

Goal 1: Institutionalize chaplain offices embedded in work centers

Task 1.1: Obtain chaplain office space outside chapel

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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. 

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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