MARADMINS : 568/13
R 281145Z OCT 13
UNCLASSIFIED/
MARADMIN 568/13
MSGID/GENADMIN,USMTF,2007/CMC WASHINGTON DC MRA MF(UC)/F002//
SUBJ/GUIDANCE FOR TRANSITION TO MARINE CORPS COMMUNITY COUNSELING PROGRAM (CCP)//
REF/A/MSGID:DOC/DODI 6490.06/YMD:20090421//
REF/B/MSGID:DOC/CMC WASHINGTON DC/YMD:20130326//
REF/C/MSGID:DOC/CMC WASHINGTON DC/YMD:20130807//
NARR/REF A IS THE DEPARTMENT OF DEFENSE INSTRUCTION 6490.06 COUNSELING SERVICES FOR DOD MILITARY, GUARD AND RESERVE, CERTAIN AFFILIATED PERSONNEL, AND THEIR FAMILY MEMBERS. REF B IS MARINE CORPS ORDER 1754.11 MARINE CORPS FAMILY ADVOCACY AND GENERAL COUNSELING PROGRAM. REF C IS MARINE CORPS ORDER 3504.2A OPERATIONS EVENT/INCIDENT REPORT (OPREP-3) REPORTING. //
POC/A. WALSH/NF-05/UNIT:MFC/-/TEL:703-784-9597//
GENTEXT/REMARKS/1. THE MARINE CORPS UTILIZES A COMMUNITY HEALTH APPROACH TO ADDRESS THE BEHAVIORAL HEALTH ISSUES FACING MARINES, SAILORS, AND THEIR FAMILIES. A COMMUNITY HEALTH APPROACH PROVIDES INCREASED ACCESS TO COUNSELING BY INTEGRATING COUNSELING INTO THE COMMUNITY, WHICH IN TURN, HELPS NORMALIZE HELP SEEKING. THIS MARADMIN IS INTENDED TO PROVIDE AMPLIFICATION OF PROCEDURES TO ESTABLISH COMMUNITY COUNSELING PROGRAMS (CCP). THE ESTABLISHMENT OF THE CCP INVOLVES THE SEPARATION OF THE FAMILY ADVOCACY PROGRAM (FAP) AND NON-MEDICAL GENERAL COUNSELING (GC) TO BETTER MANAGE AND PLAN FOR BEHAVIORAL HEALTH RISK AND PROTECTIVE FACTORS. THE CCP WILL ENHANCE THE SERVICES PREVIOUSLY OFFERED BY GC. THE ESTABLISHMENT OF THE CCP WILL INCREASE THE FOCUS ON SCREENING, PREVENTION, AND INTERVENTION OF STRESSORS AND PROBLEMS TO IMPROVE THE READINESS OF MARINES, SAILORS, AND THEIR FAMILIES. SPECIFICALLY, THE CCP WILL PROVIDE EVIDENCE BASED INTERVENTION ACTIVITIES INCLUDING NON-MEDICAL COUNSELING AND CLINICAL CASE MANAGEMENT.
2. NON-MEDICAL COMMUNITY COUNSELORS, FORMALLY KNOWN AS GENERAL COUNSELORS, WILL PROVIDE THOROUGH PSYCHOSOCIAL ASSESSMENTS, DIAGNOSES, AND PROVIDE COUNSELING FOR ISSUES NOT CLASSIFIED AS MEDICAL DISORDERS LEADING TO DISABILITIES. REF A DEFINES NON-MEDICAL GENERAL COUNSELING AS: SHORT TERM, NON-THERAPEUTIC COUNSELING THAT IS NOT APPROPRIATE FOR INDIVIDUALS NEEDING CLINICAL THERAPY. NON-MEDICAL COUNSELING IS SUPPORTIVE IN NATURE AND ADDRESSES GENERAL CONDITIONS OF LIVING, LIFE SKILLS, IMPROVING RELATIONSHIPS AT HOME AND AT WORK, STRESS MANAGEMENT, ADJUSTMENT ISSUES (SUCH AS THOSE RELATED TO RETURNING FROM A DEPLOYMENT), MARITAL PROBLEMS, PARENTING, AND GRIEF AND LOSS. CCPS WILL DELIVER NON-MEDICAL COUNSELING IN A MANNER THAT FOSTERS APPROPRIATE DISPOSITION, COORDINATED REFERRALS, AND TRANSITIONS, WHILE MINIMIZING DUPLICATION.
3. DURING THIS REORGANIZATION, FAP WILL CONTINUE TO PROVIDE PREVENTION, INTERVENTION, AND TREATMENT FOR ISSUES RELATED TO DOMESTIC ABUSE AND CHILD ABUSE PER REF B, WHILE GC SERVICES WILL TRANSITION TO THE CCP MODEL. THE CCP WILL ALLOW SUBSTANCE ABUSE AND FAP COUNSELORS TO FOCUS ON COMPLEX ISSUES RELATED TO THEIR RESPECTIVE SPECIALTIES. FAP AND SUBSTANCE ABUSE COUNSELORS WILL CONTINUE TO PROVIDE CASE MANAGEMENT FOR CLIENTS RECEIVING SERVICES WITHIN THEIR RESPECTIVE PROGRAMS. THIS REORGANIZATION IS TO ENSURE A COMPREHENSIVE CONTINUUM OF CARE IS FOCUSED ON THE IMPLEMENTATION OF EFFECTIVE SCREENING ASSESSMENT PROCESSES; UTILIZATION OF EVIDENCE-BASED ACTIVITIES; NON-MEDICAL COUNSELING SERVICES, AND TO PROVIDE CLINICAL CASE MANAGEMENT, AS NECESSARY.
4. CCPS WILL BE STAFFED WITH INDEPENDENTLY LICENSED CLINICAL COUNSELORS. CCP COUNSELING STAFF WILL BE CREDENTIALED THROUGH THE MARINE AND FAMILY PROGRAMS DIVISION (MF) BEHAVIORAL HEALTH CREDENTIAL REVIEW BOARD PRIOR TO HIRE. THIS INTEGRATION WILL EASE SYSTEM AND RESOURCE NAVIGATION, IMPROVE ACCESS TO CARE, ALLOW FOR GENERALIZED AND SPECIALIZED TREATMENT, ENHANCE CASE MANAGEMENT, AND BUILD A TREATMENT CAPACITY FOR BOTH HOLISTIC COMMUNITY NON-MEDICAL COUNSELING, AS WELL AS SPECIALIZATION IN COMPLEX CO-OCCURRING MENTAL HEALTH ISSUES. THIS NEW CAPABILITY WILL ALSO SERVE TO ENHANCE THE PARTNERSHIP WITH THE NAVY BUREAU OF MEDICINE AND SURGERY (BUMED) AND MARINE CORPS COMMUNITY SERVICES (MCCS) ACTIVITIES. MARINE CORPS CCP ARE AUTHORIZED THROUGH MORALE, WELFARE AND RECREATION (MWR), CATEGORY A WARFIGHTER AND FAMILY SERVICES (WFS), ACTIVITY FOR MARINES AND FAMILIES.
5. THE FOUNDATION OF THE CCP IS TO ENSURE MARINES, SAILORS, AND THEIR FAMILIES ARE PROPERLY ASSESSED, TREATED, AND, WHEN INDICATED, PROVIDED REFERRALS TO APPROPRIATE AGENCIES ACROSS THE CONTINUUM OF CARE. CCP STAFF WILL COMPLETE INTAKE PAPERWORK, AS WELL AS CONDUCT AN INITIAL ASSESSMENT, WITH A CARE PLAN DEVELOPED, BASED UPON THE ASSESSMENT TO INCLUDE CASE MANAGEMENT, IF NECESSARY. THIS WILL OFFER IMPROVED RESOURCE NAVIGATION FOR COMMANDERS, MARINES, SAILORS, AND THEIR FAMILY MEMBERS. MARINES AND SAILORS WILL BE REFERRED TO THE CCP, FAMILY MEMBERS WILL BE GIVEN CCP AS A RESOURCE, UNLESS THERE IS A FAP/SUBSTANCE ABUSE SPECIFIC ISSUE WHERE MEMBERS CAN BE REFERRED DIRECTLY TO FAP OR SUBSTANCE ABUSE PROGRAMS. MARINES, SAILORS, AND FAMILY MEMBERS CAN ALSO SELF-REFER TO THE CCP AND CAN CONTINUE TO ACCESS MEDICAL CLINICAL COUNSELING THROUGH THE INSTALLATION NAVY MEDICINE AND TRICARE.
6. REFERRALS FROM THE CCP TO ANOTHER PROGRAM REQUIRE A WARM HAND-OFF AND APPROPRIATE FOLLOW-UP BY CCP STAFF. THIS MODEL WILL ENSURE FOLLOW UP CARE IS TRACKED THROUGH CLINICAL CASE MANAGEMENT. THE NEW BEHAVIORAL HEALTH INTEGRATED CASE MANAGEMENT SYSTEM (BHICMS) WILL ESTABLISH A COMMON OPERATING PROCEDURE FOR TRACKING NON-MEDICAL SOLUTION-FOCUSED COUNSELING AND TO EFFECTIVELY FACILITATE INTEGRATED BEHAVIORAL HEALTH ACTIVITIES. CCP COUNSELORS MUST OBTAIN INFORMED CONSENT OF CLIENTS PRIOR TO PROVIDING CLINICAL CASE MANAGEMENT FOR MARINES, SAILORS, AND THEIR FAMILIES INVOLVED WITH MORE THAN ONE SERVICE PROVIDER OR ENTITY. CCP STAFF WILL NOT PROVIDE PSYCHOLOGICAL FITNESS FOR DUTY OR DEPLOYMENT RELATED MENTAL HEALTH SCREENINGS, AS THESE SERVICES ARE NOT WITHIN SCOPE OF NON-MEDICAL COUNSELING. INDIVIDUALS WHO ARE DIAGNOSED WITH AN AXIS I CLINICAL DISORDER SHALL BE REFERRED WITH A WARM HAND-OFF AND FOLLOW THROUGH TO BUMED OR THE APPROPRIATE MILITARY TREATMENT FACILITY FOR A CLINICAL EVALUATION.
7. CCP PROVIDES ADDITIONAL CAPABILITIES IN SUPPORT OF COMMANDER'S EFFORTS IN ADDRESSING SUICIDAL IDEATIONS AND ATTEMPTS. REFERENCE C REQUIRES COMMANDERS TO COMPLETE AN OPERATIONS EVENT/INCIDENT REPORT (OPREP-3) SERIOUS INCIDENT REPORT (SIR) ON ALL SUICIDAL IDEATIONS, ATTEMPTS, OR ACTUAL SUICIDES. HQMC (MF) WILL GATHER ALL THE PERSONNEL CASUALTY REPORTS (PCR)/SIRS CONCERNING SUICIDAL IDEATIONS AND ATTEMPTS AND WILL INFORM RESPECTIVE CCP TO MAKE CONTACT WITH THE UNIT COMMANDER WITHIN THE NEXT BUSINESS DAY. CCP WILL CONTACT UNIT COMMANDER AND GET INFORMATION TO FOLLOW UP WITH MARINE OR SAILOR AND INITIATE THE CASE MANAGEMENT PROCESS. CCP WILL ENSURE CASE MANAGEMENT AND OTHER SERVICES ARE PROVIDED TO THE LEADERSHIP TEAM AND THE MARINE OR SAILOR. CCP WILL ASSIST THE LEADERSHIP TEAM IN DEVELOPING APPROPRIATE COURSES OF ACTION TO ASSIST THE MARINE OR SAILOR WITH THE GOAL OF RETURNING TO FULL DUTY.
8. THE TRANSITION TO THE CCP SHALL BE COMPLETED BY 31 OCT 13. HQMC (MF) HAS CONDUCTED A SERIES OF INFORMAL BRIEFINGS ON SPECIFIC HIRING PLANS TO ASSIST WITH THE TRANSITION. A FOLLOW ON LETTER OF INSTRUCTION, OUTLINING SPECIFIC DAY-TO-DAY OPERATIONS OF THE CCP, WILL BE FORTHCOMING. A MARINE CORPS ORDER (MCO) IS IN DEVELOPMENT WHICH WILL FURTHER OUTLINE SPECIFIC POLICY. INSTALLATIONS REQUIRING ADDITIONAL INFORMATION CONCERNING CCP, INCLUDING STAFFING, SHOULD CONTACT THE POC.
9. THIS MARADMIN IS APPLICABLE TO THE MARINE CORPS TOTAL FORCE.
10. RELEASE AUTHORIZED BY BGEN R. A. C. SANBORN, DIRECTOR, MARINE AND FAMILY PROGRAMS DIVISION. //