MC BEHAVIORAL HEALTH SERVICES QUALITY ASSURANCE PROGRAM

Date Signed: 7/25/2014
MARADMINS Active Number: 365/14

UNCLASSIFIED/
R 251412Z JUL 14
MARADMIN 365/14
MSGID/GENADMIN,USMTF,2007/CMC WASHINGTON DC MRA MF(UC)/F002//
SUBJ/MC BEHAVIORAL HEALTH SERVICES QUALITY ASSURANCE PROGRAM//
REF/A/MSGID:DOC/DODI 1342.22/YMD:20120326//
REF/B/MSGID:DOC/CMC WASHINGTON DC/YMD:20120326//
REF/C/MSGID:DOC/CMC WASHINGTON DC/YMD:20110411//
NARR/REF A IS THE DODI 1342.22 MILITARY FAMILY READINESS.  REF B IS  MCO 1754.11 MARINE CORPS FAMILY ADVOCACY AND GENERAL COUNSELING  PROGRAM.  REF C IS MARINE CORPS ORDER 5300.17 MARINE CORPS SUBSTANCE  ABUSE PROGRAM.//
POC/L.MCKENNA/CIV/UNIT:MFC/-/TEL:703-784-9090//
GENTEXT/REMARKS/1.  THIS MARADMIN PROVIDES GUIDANCE FOR THE MARINE  CORPS BEHAVIORAL HEALTH SERVICES QUALITY ASSURANCE PROGRAM.  PER THE  REFERENCES, ACCREDITATION IS REQUIRED FOR ALL MARINE CORPS BEHAVIORAL  HEALTH COUNSELING AND TREATMENT PROGRAMS.  TO DATE, ALL SUBSTANCE  ABUSE COUNSELING CENTERS ARE ACCREDITED THROUGH THE COMMISSION ON  ACCREDITATION OF REHABILITATION FACILITIES.  THROUGH THE QUALITY  ASSURANCE PROGRAM, OTHER BEHAVIORAL HEALTH SERVICES WILL MOVE TOWARD  NATIONALLY ACCREDITED ENDORSEMENT SUCH AS COUNCIL ON ACCREDITATION.
2.  THE MARINE CORPS IS INSTITUTING A THREE-TIERED BEHAVIORAL HEALTH  QUALITY ASSURANCE PROGRAM TO ENSURE MARINE CORPS BEHAVIORAL HEALTH  SERVICES ARE EVIDENCE-BASED, COMPLIANT WITH POLICIES AND PROCEDURES,  AND CREATE CONDITIONS THAT PROMOTE WELLNESS AND OPTIMAL FUNCTIONING. THE TIERS WILL BE SEQUENTIAL WITH EACH TIER PREPARING THE  INSTALLATION FOR SUCCESSFUL COMPLETION OF THE NEXT TIER.  THE END  STATE WILL BE NATIONALLY ACCREDITED MARINE CORPS BEHAVIORAL HEALTH  SERVICES WHICH MEET THE HIGHEST STANDARDS FOR EXCELLENCE IN  EVIDENCE-BASED CARE.
3.  HEADQUARTERS MARINE CORPS (HQMC), MARINE AND FAMILY PROGRAMS  DIVISION (MF), QUALITY ASSURANCE SECTION (MFCO-3) DEVELOPED A  STANDARDIZED REFERENCE GUIDE THAT ALIGNS TO MARINE CORPS STANDARDS  AND SUPPORTS CONTINUAL READINESS.  THE REFERENCE GUIDE IS BASED ON  EXISTING POLICIES FOR CLIENT CARE.  THE REFERENCE GUIDE IS LOCATED AT  THE EHQMC SHAREPOINT (SP) SITE: HTTPS:(SLASH)(SLASH)EHQMC.USMC.MIL/SITES/FAMILY/MFC/DEFAULT.ASPX.
4.  THE THREE TIERS CONSIST OF:
A.  TIER I INSTALLATION SELF-STUDIES.  LOCAL INSTALLATIONS SHALL USE  THE HQMC (MF) BEHAVIORAL HEALTH SERVICES PROGRAM REVIEW REFERENCE GUIDE TO CONDUCT ANNUAL    SELF-STUDIES.  ANNUAL SELF-STUDIES WILL OCCUR ON AN APPROPRIATED FUNDS FISCAL YEAR BASIS.  RESULTS OF THE  SELF-STUDIES, TO INCLUDE SUPPORTING DOCUMENTATION, WILL BE SUBMITTED  WITHIN 30 DAYS OF COMPLETION VIA THE MARINE CORPS ACTION TRACKING  SYSTEM.  THESE SELF-STUDIES WILL MONITOR INSTALLATION PERFORMANCE  WITH RESPECT TO BEHAVIORAL HEALTH PROGRAM REVIEW STANDARDS AND ALLOW  THE INSTALLATION TO MANAGE ONGOING QUALITY IMPROVEMENT PRACTICES AND  STRATEGIES.  SELF-STUDIES WILL PREPARE THE INSTALLATION FOR HQMC (MF)  SITE REVIEWS.
B.  TIER II HQMC (MF) SITE REVIEWS.  MFCO-3 IS RESPONSIBLE FOR  COORDINATING HQMC (MF) LEVEL SITE REVIEWS OF MARINE CORPS BEHAVIORAL  HEALTH SERVICES.  MFCO-3 SITE REVIEWS WILL FOLLOW THE CRITERIA  SPECIFIED IN THE HQMC (MF) BEHAVIORAL HEALTH SERVICES PROGRAM REVIEW  REFERENCE GUIDE.  SITE REVIEWS WILL BE TIMED SO THAT THEY ASSIST THE  INSTALLATIONS TO PREPARE FOR ACCREDITATION.  HQMC (MF) WILL WORK WITH  INDIVIDUAL INSTALLATIONS TO IDENTIFY A POINT OF CONTACT AND  COORDINATE SITE REVIEWS.  SITE REVIEW SCHEDULES WILL BE RELEASED ON  AN ANNUAL BASIS.  HQMC (MF) WILL BEGIN SITE REVIEWS DURING FISCAL  YEAR 2015.
C.  TIER III ACCREDITATION.  INDEPENDENT ACCREDITATION BY NATIONAL  ASSOCIATION ENSURES THE QUALITY OF BEHAVIORAL HEALTH SERVICES  PROVIDED BY THE MARINE CORPS ARE COMPARABLE TO THAT OF CIVILIAN  COUNTERPARTS.  REF A REQUIRES ACCREDITATION OCCUR NOT LESS THAN ONCE  EVERY FOUR YEARS.  SINCE MANY ACCREDITING ORGANIZATIONS REQUIRE  RE-ACCREDITATION PERIODICALLY, ACCREDITATION WILL OCCUR ON A  PRE-DETERMINED CYCLE DEPENDENT ON THE ACCREDITING ORGANIZATION.
5.  THE THREE-TIERED QUALITY ASSURANCE PROGRAM WILL ALLOW MARINES,  SAILORS, AND THEIR FAMILIES TO RECEIVE CONSISTENT AND HIGH-QUALITY  SERVICES REGARDLESS OF DUTY STATION OR LOCATION.
6.  RESPECTIVE POLICIES WILL BE UPDATED TO OUTLINE SPECIFIC  INFORMATION REGARDING THE QUALITY ASSURANCE PROGRAM.  INSTALLATIONS  REQUIRING ADDITIONAL INFORMATION CONCERNING THE QUALITY ASSURANCE  PROGRAM, SHOULD CONTACT THE POC, L. MCKENNA AT  LISA.MCKENNA(AT)USMC.MIL.
7.  THIS MARADMIN IS APPLICABLE TO THE MARINE CORPS TOTAL FORCE.
8.  RELEASE AUTHORIZED BY BGEN R. A. C. SANBORN, DIRECTOR, MARINE AND  FAMILY PROGRAMS DIVISION.//