United States Army in Europe

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• United States Army in Europe
• Command Safety Council
• Our Goal No Loss of Life

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This VTS is UNCLASSIFIED Information presented
during this VTC may be of a sensitive nature and
may only be used for accident prevention purposes.
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Agenda

• (0930-0935) Introduction C/S
• (0935-0945) Opening Remarks DCG
• (0945-0955) FY08 Safety Occupational USAUER
  Safety Health Plan Actions
• (0955-1005) Army Level Perspective Dir Army
  Safety
• (1005-1110) Substance Abuse -- Current ASACS
  IMCOM- Situation, Tools Available, Europe
  Region Discussion
• (1110-1120) Around the Horn C/S
• (1520-1530) Concluding Remarks and DCG
• Direction

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Intended Outcomes

• Understand intent and course corrections for
  pillar leader engagement programs
• Understand situation and way ahead for substance
  abuse issues in command

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Opening Remarks

• DCG

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FY08 Safety and Occupational Health Plan Interim
Results
Deputy, USAREUR Safety
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FY08 Safety Occ Health Plan

• Focus on 4 culture affecting programs
• - Under the Oak Tree discussions
• - Army Readiness Assessment Program
• - Job Hazard Analysis
• - Introduce Buddy System
• Assess and improve BDE/BN/Company
• - Safety team sensing sessions
• - Assistance
• GOAL Programs GREEN by end FY08

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USAREUR Observations

• Oak Tree
• - NCOs feel its important
• - Counseling to Mentorship
• - Return to Commanders intent
• ARAP
• - CDR Subordinates -- Whats in it for me?
• - How do I manage surveys?

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USAREUR Observations

• Job Hazard Analysis
• - Exemplary in LN maintenance activities
• - Question need in Green Suit environment
• Buddy System
• - Exists to some degree everywhere
• - Awaiting Contest results for campaign
• - Integrate CRC BOSS and Family initiatives

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State of the Army Safety Program
Engaged Leadership
Army Level Perspective

• Director of Army Safety
• Commander, Combat Readiness/
• Safety Center

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V Corps CSM Motorcycle Video
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ARMY SUBSTANCE ABUSE PROGRAM (ASAP) HIGH RISK
BEHAVIORAL ANALYSIS
BY IMA-EURO Alcohol Drug Control Officer
Our Mission Manage Army installations to
support readiness and mission execution provide
equitable services and facilities, optimize
resources, sustain the environment and enhance
the well-being of the military community
Leading Change for Installation
Excellence
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Support Presenters

• Quality Assurance Manager IMCOM-Europe/Risk
  Reduction
• Alcohol Drug Control Officer (ADCO), USAG
  Grafenwoehr/Transition Issues
• Alcohol Drug Control Officer (ADCO), USAG
  Baden-Württemberg/Prime for Life

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AGENDA

• Concerns
• Risk Reduction Data
• Unit Risk Inventory Data (URI)
• Prime For Life
• Way Ahead

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Concerns

• Soldiers are referred to another
  behavioral/mental health agency with combat
  operational stress, depression, or anxiety as
  primary diagnosis (providers did not recognize
  alcohol abuse as an emerging problem)
• Reluctance on part of provider/soldier to refer
  to ASAP because it is seen as punitive
• The amount of Alcohol in the blood at the time of
  an incident has risen. Average Blood Alcohol
  Count (BAC) for most Alcohol related Incidents
  (ARI) prior to October 2007 was .15. This is
  consistent with research from CONUS DUI and
  German DUI reports. As of October 2007, ARI BAC
  were at .20 or higher for the majority
• Poor response to smart testing for Alcohol and
  Drugs
• Some Leadership not taking an active role in the
  health and safety of their Soldiers, not viewing
  alcohol/drug abuse as an important issue in their
  Command
• Predominant mentality is that going to or
  returning from a combat zone entitles Soldiers to
  engage in high risk behaviors (suspension of
  rules)

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CONCERNS

• Culture of Tolerance
• DUIs No plan-Change of plan and/or no
  Designated Driver
• Alcohol Related Incidents/DWIs Significantly
  high number of other individuals present at point
  of decision.
• Battle Buddy system
• Battle Mind utilization
• New types of Drugs being used are legal, some
  metabolize quickly and can be obtained at a
  Medical Facility or the Exchange. Urinalysis
  testing not designed to detect those type of
  drugs (users are more sophisticated)
• Leadership need to become more informed of new
  drug trends (sign and symptoms), Triple C,
  silvia divinorum

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USAG Grafenwoehr/2SCR Transition

• Transition of 2SCR and the increase in
  population.
• With the transition of unit and increased
  population, USAG experienced an increase in
  alcohol related incidents. We were not
  adequately staffed to handle the increase in
  alcohol related incidents. Often, the staff
  worked overtime/comptime hours to handle
  increased caseload.
• Additionally, we found ourselves in a reactive
  mode versus proactive and focused on what should
  have been universal prevention into indicated
  prevention.
• What alcohol and/or drug issues did we have?
• The primary incidents were alcohol related for
  example, DUIs, binge drinking, assaults, domestic
  violence, drunk on duty, etc.

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USAG Grafenwoehr/2SCR Transition

• How did we impact or respond to the increase in
  population and alcohol related incidents?
• Increased the amount of Alcohol and Drug Abuse
  Prevention Training classes.
• Prime for Life, science/researched based alcohol
  and drug prevention course, was offered 3-5 times
  per month.
• Normally, class size is limited to 15-20
  students. However, to accommodate the demand,
  the class sizes increased.
• Four additional staff members were certified to
  conduct the Prime for Life course.

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USAG Grafenwoehr/2SCR Transition

• What would we have done differently?
• Focus on prevention/intervention education prior
  to the Soldiers arrival or within 30-60 days of
  their arrival to USAG.
• Offer Prime for Life as a universal prevention
  tool.
• If possible, provide ASAP and/or coordinated
  universal prevention education to the units as
  part of out-processing cycle or in-processing
  cycle within first 30-60 days of arrival to
  USAG.
• Focus on the differences of Europe as it relates
  to alcohol, such as specific alcohol content of
  German beverages, BAC levels/legal limits, German
  law, etc.
• Encourage Leaders to use breathalyzers as a
  deterrence device during formation and/or random
  urinalysis testing as currently advised to Unit
  Commanders.

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ARMY RISK REDUCTION PROGRAM

• The Risk Reduction Program (RRP) originated as a
  reengineering effort at Ft Campbell, KY in 1994
  to address a series of high risk incidents. The
  Army Center for Substance Abuse (ACSAP) expanded
  the program as a tool to prevent, reduce, and
  manage high risk soldier behaviors.
• The RRP promotes a prevention-focused approach
  when dealing with personal problems and promotes
  focused and coordinated actions on the part of
  installation agencies and the chain of command in
  battalions with high risk profiles.

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Risk Reduction/ Unit Risk Inventory (URI)

• Screens for high-risk behaviors and attitudes
  that compromise unit readiness
• Asks about alcohol and drug abuse, personal and
  unit relationships, domestic violence, suicide,
  crime, perception of the Army environment, and
  financial problems
• URI results provide a picture of a units self
  reported high-risk behaviors

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URI Information

• Army Approved Command Climate Survey
• Designed for use at the Company level
• Screens for high-risk behaviors and attitudes
  that compromise Unit readiness
• Only takes 30 minutes to complete Survey
• No cost to Installation or Units
• 90 of Unit needed for validation

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The Complete Risk Picture

Incidents Reported by Installations
Self-Reported High-Risk Behavior (Survey Info)
Reintegration URI
Unit Risk Inventory
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URI RRP Rates Comparison
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Soldiers-Who They Are
RELATIVES WITH ALCOHOL PROBLEMS 50 USE ILLEGAL
DRUGS 4 SMOKE
CIGARETTES 36 LONER 21 RECENTLY
ENDED A RELATIONSHIP 28 ABUSED BY
PARENTS--OFFCIAL STANDARDS 24 ABUSED BY
PARENTS--OWN STANDARDS 10 SUICIDAL THOUGHTS
WITHIN LAST YEAR 10 EVER ATTEMPTED SUICIDE
6 HAD FINANCIAL PROBLEMS IN LAST YEAR 34
Summarized from 71,000 Unit Risk Inventories
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How They Actor React
PROBLEM DRINKERS 32 DRIVE UNDER
DRUG/ALCOHOL INFLUENCE 18 MULTIPLE SEXUAL
PARTNERS 36 DETAINED BY POLICE DUE TO
DRINKING 5 COMMITTED ILLEGAL ACT WHILE
DRINKING 9 ABUSED SPOUSE/GIRLFRIEND/BOYFRIEND
8 ABUSED A CHILD 8 COMMITED CRIME
AGAINST A PERSON 4 COMMITTED CRIME AGAINST
PROPERTY 4
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INTERVENTION PROGRAMS

• Prime For Life
• Prime for Life is a risk reduction program. The
  first goal of the program is to help each
  participant in the program reduce risk for any
  type of alcohol or drug problem. The second goal
  focuses on self-assessment to help people
  understand and accept the need to make changes to
  protect the things most valuable in their lives.

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RESULTS FROM PROGRAM

• Since October 2005 over 3000 Soldiers have
  participated in the PFL program here in Europe.
  Pre/Post program questioners yielded the
  following outcomes
• Participants agreed that the program changed
  their way of thinking about substance use/abuse
• 10 changed their view of heavy drinking
• 27 acknowledged if they didnt change their
  drinking habits they would become alcoholic
• 20 decided they should drink less
• 19 acknowledged they had a higher tolerance than
  thought before taking the course
• 6 month follow-up supports the above data.

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Way Ahead

• Greater utilization of ASAP resources
  preemptively rather than reactively
• Obtaining greater buy-in by Commanders and
  providers that ASAP involvement is not career
  ending
• Utilize proactive smart testing methods for
  both Alcohol/Drug deterrence (Random breath
  analysis in daily formation, weekend testing,
  quarterly briefings to command group as to status
  of program)
• Establish an Alcohol Free section to the
  barracks for Soldiers who want to steer clear of
  an Alcohol laden environment (Voluntary)

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Way Ahead

• Consistent, across the board discipline.
  Separate out the Soldier from the behavior
• Command ensure that, once per quarter, Soldiers
  receive one hour of prevention/education about
  A/D use/abuse. Leadership in attendance and /or
  are a part of the presentation (showing
  importance on the part of Command)
• Expand Prime for Life Program to all Soldiers
  (funding issue)
• Leadership participate in Leadership PFL
  program
• Strong Command support for the Risk Reduction
  Program (data collection)
• Command being passionate about how Important
  the Soldier is and how High Risk Behaviors will
  not be tolerated on or off duty

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Garrison HohenfelsDUI Reduction Program
Garrison DUI Reduction Program

• Garrison Commander

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Garrison DUI Reduction Program

• USAG-Hohenfels Emergency Ride Home Service
• Garrison initiative designed to reduce alcohol
  related incidents and accidents by providing
  emergency taxi services for Soldiers and DA
  Civilians
• Background
• 27 DUIs in the Hohenfels AOR during FY 2007
• Isolated location far from the population
  centers of Nurnberg and Regensburg that are
  frequented by our Soldiers and Civilians
• Public transportation unavailable / not
  convenient between Hohenfels Nurnberg
  Regensburg after the clubs close

LTC Bloomberg, DSN466-1500
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Garrison DUI Reduction Program

• Program Execution
• Coordinated with JMRC and Tenant Units senior
  leaders donated funds to establish program
  (1000)
• Briefed and Marketed at every opportunity
• 100 contact and special emphasis during long
  weekends and holidays
• Cards distributed to units, newcomers
• and during and safety briefs / programs
• CoC is not informed when service
• is used

Emergency Ride Home Card In case of an emergency
call the Hohenfels IOCphone Reimbursement
required by the next pay day BE SAFE USAG
Hohenfels

• Individual requiring a ride contacts the
  Installation Operations Center (IOC)
• IOC contacts taxi service (agreements in place
  locally and in Nurnberg) records trip details and
  agreed-upon fare
• Taxi service picks up individual and drops-off at
  housing or barracks
• Taxi stops at IOC and receives payment
• Soldier / DA Civilian repays fund NLT next pay day

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Garrison DUI Reduction Program

• FY 08 Results
• Supporting a 50 reduction in alcohol related
  driving incidents in Hohenfels in combination
  with aggressive, command driven, alcohol
  awareness training and programs
• Program averages 3 riders per month
• 100 repayment of funds to date

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Discussion?
SUBSTANCE ABUSE ISSUES
Discussion
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Around the Horn

Distant Stations

• 21st TSC
• TF FALCON
• SETAF
• JMTC
• ERMC
• 5th SIG
• TFIS
• CRC
• USAREUR G6

• 172nd INF BDE
• 2BDE 1AD
• 12th CAB
• 66th MI
• 202nd MI
• 30th MED
• JMRC
• V Corps Conf Rm

• Garrison Wiesbaden
• Garrison Kaiserslautern
• Garrison Graf
• Garrison Vicenza
• Garrison BENELUX
• Garrison Stuttgart

KBCR
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Wrap Up


Concluding Remarks and Direction
DCG
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Wrap Up


Next Meeting SEP 08

• United States Army in Europe
• Command Safety Council
• Our Goal No Loss of Life

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