TASK FORCE RESILIENT FINAL REPORT - United States .Task Force ResilientTask Force Resilient . Final

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Text of TASK FORCE RESILIENT FINAL REPORT - United States .Task Force ResilientTask Force Resilient . Final

  • Task Force ResilientTask Force Resilient

    Final ReportFinal Report

    April 2013April 2013

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  • iii

    Table of Contents

    Introduction ............................................................................................................................... i

    Table of Contents .....................................................................................................................iii

    Table of Figures ....................................................................................................................... v

    Foreword .................................................................................................................................. 1

    Executive Summary ................................................................................................................. 3

    Task Force Resilient Final Report ........................................................................................... 7

    I. Task ...................................................................................................................................... 7

    II. Methodology ........................................................................................................................ 7

    III. Resilience and Suicide Prevention Efforts ....................................................................... 8

    Navy Suicide Prevention and Resilience Efforts ................................................................ 8

    Suicide in the U.S. Navy ................................................................................................... 8

    History of Navy Suicide Prevention ................................................................................. 9

    Navy Resilience Policy and Doctrine ............................................................................... 9

    Navy Resilience and Suicide Prevention Programs ......................................................10

    Case Studies ....................................................................................................................15

    Other Efforts Within DoD ....................................................................................................18

    The DoD Task Force on the Prevention of Suicide ........................................................18

    The Defense Suicide Prevention Office (DSPO) ............................................................19

    The Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) ....................................................................................................................19

    U.S. Army ..........................................................................................................................19

    U.S. Air Force ...................................................................................................................21

    U.S. Marine Corps ............................................................................................................22

    Summary of DoD efforts ..................................................................................................23

    Efforts Outside of DoD ........................................................................................................23

    Penn Resiliency Program (PRP) .....................................................................................23

    Department of Veterans Affairs (VA) Study: Predicting Post-Deployment Mental Health Substance Abuse and Services Needs ...............................................................24

    New Mexico Suicide Intervention Project .......................................................................24

    Jed Foundation ................................................................................................................25

    Summary of Non-DoD Efforts .........................................................................................25

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    IV. General Findings ..............................................................................................................26

    Navy suicide rates are historically lower than national and DoD rates but are trending upward indicating a problem ..............................................................................................26

    Suicide protective factors and their relationship to military service needs to be better understood...........................................................................................................................26

    The current Navy operating environment and operational tempo do not appear to directly increase the risk of suicide ...................................................................................27

    Navy suicides are not unique to specific generations but generational data can inform resilience and suicide prevention efforts ..........................................................................27

    Suicide is not connected to service accession waivers ...................................................29

    Suicide clustering is rare and existing Navy guidance already incorporates best practices with regard to its prevention ..............................................................................29

    Resiliency training can have a positive effect on individual readiness and may reduce the risk of suicide over time ...............................................................................................29

    Comprehensive care for the caregiver must be a critical element of Navy suicide prevention efforts ................................................................................................................31

    A continuous chain of care for at-risk Sailors must be included as an element of Navy suicide prevention efforts .........................................................................................31

    V. Specific Findings and Recommendations .......................................................................33

    Organization ........................................................................................................................33

    Training ................................................................................................................................37

    Assessment .........................................................................................................................38

    Care ......................................................................................................................................39

    Learning and Culture Change.............................................................................................41

    VI. Conclusion ........................................................................................................................43

    Appendix A Plan of Action and Milestones ...................................................................... A-1

    Appendix B Program Assessment .................................................................................... B-1

    Appendix C - Chaplain Corps Specific Recommendations ................................................ C-1

    Appendix D DoD Task Force Recommendations ............................................................. D-1

    Appendix E BUMED Report Recommendations .............................................................. E-1

    Appendix F Bibliography ................................................................................................... F-1

    Appendix G Critical Interviews .......................................................................................... G-1

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    Table of Figures

    Figure 1: Navy Tier 1 Program Assessment .........................................................................13 Figure 2: Navy Tier 2 Program Assessment .........................................................................14 Figure 3: Overall Program Assessment ...............................................................................14 Figure 4: NECC Resiliency Results ......................................................................................18 Figure 5: Navy, DoD, and National Suicide Rates ................................................................26 Figure 6: Notional Design of 21st Century Sailor Office .....................................................34

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  • 1

    Foreword

    The U.S. Navy defines resiliency as the process of preparing for, recovering from, and adjusting to life in the face of stress, adversity, trauma, or tragedy.1 Academic studies contend that there is an inherent connection between resilience and suicide prevention and that resilience can be learned.2 However, there is no accepted way to measure individual resilience or agreement on levels of resilience required to inoculate a person against suicide. Suicide has been studied longer and to a far greater extent than resiliency. Recognizing this, Task Force Resilient focused its efforts on understanding Navy suicide and current prevention efforts to provide Navy leadership with recommendations that build resiliency and prevent suicide.

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    Executive Summary

    Introduction

    The three tenets of the Chief of Naval Operations Sailing Directions are: Warfighting First, Operate Forward, and Be Ready. Building resilience and preventing suicide are essential to producing a force that is always ready to operate forward and execute its warfighting missio