AFAP Update: Progress on behavioral health service, TBI care
November 30, 2010
- Through the AFAP process, the Army continues to make great strides in addressing a number of wellness and medical issues.
- As a result of innovative and aggressive recruitment, the Army has more than 3,900 behavioral health providers, an increase of almost 400.
- The Army's Medical Command has established a new Tele-Health Division.
- AFAP is a crucial tool for Army community members and leaders to communicate and work together to improve well-being and quality of life.
When I became the Assistant Chief of Staff for Installation Management a year ago, I undertook an important responsibility: overseeing the Army Family Action Plan process. This successful, long-running program enables Soldiers, Civilians and Family members to communicate with Army leaders about issues affecting their quality of life.
When I assumed responsibility for the AFAP process, I made a commitment to ensure all recommendations are thoroughly analyzed to determine if they are achievable. I also promised to regularly check on and communicate about our progress. Following up on the issues that are so important to the members of the Army community gives momentum to the AFAP process and reinforces the promises made in the Army Family Covenant.
One of those promises is to improve Family readiness by increasing access to and quality of healthcare. Through the AFAP process, the Army continues to make great strides in addressing a number of wellness and medical issues, including issue No. 648, which focuses on a shortage of behavioral health services. As a result of innovative and aggressive recruitment efforts, the Army had on board more than 3,900 behavioral health providers, including psychologists, psychiatrists, psychiatric nurses and social workers, as of June 30. This was an increase of almost 400 health professionals more than the previous quarter, to provide the services Army community members need for treatment and recovery.
In addition, the Army's Medical Command has established a new Tele-Health Division, which provides behavioral health services such as tele-psychiatry, tele-psychology, medical evaluation boards, mental status evaluations, tele-neuropsychology, and a school-based mental health program. These real-time services are provided via video-conferencing through a network of 53 active sites across five Regional Medical Commands.
Tele-behavioral health services are also provided to deployed Soldiers and Civilians through email exchanges in the AKO tele-consultations service. To date, the Army has provided more than 7,000 consultations in 41 countries and in 39 specialties, including behavioral health, through this service. This expanding array of tele-health services gives Soldiers, Civilians and Family members greater access to behavioral healthcare even in geographically dispersed areas and greater continuity of care when they relocate.
The Army is also making marked progress in addressing AFAP issue No. 610, which calls for the establishment of comprehensive, integrated rehabilitation programs for traumatic brain injury patients at military medical centers. To date, traumatic brain injury programs at 37 facilities have achieved full validation, programs at 10 have achieved initial validation, and 7 other facilities are in the process of being validated. Programs at four Reserve and National Guard projection platforms, Fort Shelby, Fort McCoy, Camp Atterbury and Joint Base Mcguire-Dix-Lakehurst, have been validated, to better care for our Reserve and Guard Soldiers.
The AFAP General Officer Steering Committee (GOSC), composed of Department of Defense officials, Army leaders, and field representatives, determines the status of Army-wide AFAP issues. At the last meeting, held June 30, the GOSC resolved 27 of 40 quality-of-life issues and directed continued action on the issues mentioned above, as well as other issues of vital concern to Army community members.
The next GOSC will be held Feb. 1, 2011 in Washington, D.C. I will continue to hold review sessions in which Army staff experts report on the progress on their issues and I will keep you informed along the way, through updates such as this. You can also check on the progress of AFAP issues at any time by visiting the Army OneSource website at www.myarmyonesource.com, going to the Family Program and Services menu, and selecting the AFAP Active Issue Search feature. There you can enter an issue number to see a specific issue or enter keywords to find related active issues. You can also search by subject, demographic group or geographic area.
AFAP is a crucial tool for Army community members and leaders to communicate and work together to improve the well-being and quality of life for us all. About 90 percent of issues are resolved at the local level, while the rest are elevated to higher levels. However, regardless of the level at which they are worked, all issues begin at the community level. Every issue is raised by a community member who has taken the time and effort to identify an issue and set about making a change for the better.
I encourage you to learn more about the AFAP process and follow the progress on issues that are currently being worked. Even more important, become involved in AFAP forums in your own community. When you see something that can be made better, take action. Become part of the solution for improving the quality of life for your fellow Soldiers, Civilians and Family members.
<font size=1><em><b>About the U.S. Army Installation Management Community:</b>
IMCOM handles the day-to-day operations of U.S. Army installations around the globe - We are the Army's Home. Army installations are communities that provide many of the same types of services expected from any small city. Fire, police, public works, housing, and child-care are just some of the things IMCOM does in Army communities every day. We endeavor to provide a quality of life for Soldiers, Civilians and Families commensurate with their service. Our professional workforce strives to deliver on the commitments of the Army Family Covenant, honor the sacrifices of military Families, and enable the Army Force Generation cycle.
Our Mission: To provide standardized, effective and efficient services, facilities and infrastructure to Soldiers, Civilians and Families for an Army and Nation engaged in persistent conflict.
Our Vision: Army installations are the Department of Defense standard for infrastructure quality and are the provider of consistent, quality services that are a force multiplier in supported organizations' mission accomplishment, and materially enhance Soldier, Civilian and Family well-being and readiness.
To learn more about IMCOM:
<a href="http://www.imcom.army.mil/hq/">Homepage: http://www.imcom.army.mil/hq</a>