1. HQMC Behavioral Health Branch
Keita Franklin, PhD, LCSW
Behavioral Health Branch Head

2. “Keeping faith with our Marines and their families.”
MF Mission and Vision
Mission
“Keeping faith with our Marines and their families.”
Vision
Highly resilient, program savvy Marines and Families, robustly equipped with the services and tools they need to meet an era of persistent conflict as well as the challenges of day-to-day life in the 21st Century; especially during transition periods associated with mission, life and career events.
The Marine and Family Programs Division is responsible for overseeing, planning, directing and coordinating Marine and Family Programs. In conjunction with the MWR and Business Operations Division (MR) CHECK NAME OF MR, MF advocates for the successful operation of Marine Corps Community Services Programs aboard Marine Corps installations, as provided to Marine units, and represented to higher headquarters including Congress, Department of Defense, and Department of the Navy. The Division also encompasses the Wounded Warrior Regiment to include Battalions East and West and vigorously seeks ways to enhance the care and support of our wounded, injured and ill.

3. MF Tenets
Do the right thing. In all that we do, we are professionals and our service shall be
characterized by the highest standards of professional ethics.
Live within our means. Every dollar spent must result in superior program
support and measurable effectiveness.
Transparency. Our actions are focused and attentive but open to question,
inspection, or audit and cooperation, collaboration and sharing is highly encouraged.
Strengthen relationships. Wounded Warrior Regiment, Marine Corps
Community Services, and Marine and Family Programs depend on the organizational
strengths and contributions of many agencies. Marines and their families are served
best by full partnerships.

4. Background CPG, Priority #4 Task – Integrate Behavioral Health Efforts
USMC Suicides
Family Violence
Sexual Assaults
Positive Urinalysis
Child Maltreatment
CPG, Priority #4 Task – Integrate Behavioral Health Efforts
Five Behavioral Health Programs include; Family Advocacy, Sexual Assault Prevention and Response, Combat Operational Stress Control, Substance Abuse and Suicide Prevention

5. Stove-piped Programs – Old Way
Supported Programs
Training Requirements
Training Requirements
Supported Programs
Coordination
Strategic Direction
Training Goals
Funding
Strategic Direction
Training Goals
Funding
Strategic Direction
Training Goals
Funding

6. Integrated Behavioral Health Programs – New Way
Priority #4 Task - Integrate BH efforts
Program integration, allocation of resources, strategic planning, and communication with commanders
Programs
Outputs
Inputs
Suicide Prevention
Universal Training
Family Advocacy IDC Rollout
Marine Resiliency Study
Peer to Peer Training
Never Leave a Marine Behind
OSCAR
Take a Stand
Strategic Planning and Communication
Unified Policy
Common Vision
Funding
Evidence Based Practices
Substance Abuse Prev
Family Advocacy
Sexual Assault Reporting and Prevention
Combat and Operational Stress Control

7. Integrated Behavioral Health Programs – New Way
Priority #4 Task - Integrate BH efforts
Program integration, allocation of resources, strategic planning, and communication with commanders
Outcomes:
Better Support to the Commander
Coordinated training requirements
Eliminated redundancies
Uncovered gaps
Validated practices
Operational efficiencies

8. Other BH Initiatives
Free educational tools and products for Marines and families
Standardizes behavioral health messaging
Conveys back to stakeholders what information is important to whom
Currently over 80K materials distributed
Additional Behavioral Health materials forthcoming
An evaluation of the BHIN found:
85% of the participants indicated that the BHIN website was extremely useful in meeting their COSC needs
40% ordered materials for themselves
32% ordered information for their command/workplace
28% ordered for fellow Marines

9. Realities Resources/Funding Staffing Updating and Timely Policy
Operational Tempo
Mission creep into other HQMC programs and activities

10. Way-Forward
Establish Behavioral Health Program (BHP) and Structure. The Marine Corps BHP and structure will be created to serve as a single point of advocacy to meet the dynamically changing and complex needs of Marines and their families. Hire and Grow a Ready Workforce. Offering staff a continuum of opportunities for training and knowledge development is a critical component for the future behavioral health capabilities of the Corps. Establish Program Oversight, Accountability and Transparency. The BHP will be accountable to Marine Corps leadership and the needs of Marines and their families.

11. Way-Forward Adopt, Implement and Sustain Evidence Practices.
Evidence based approaches build trust with commanders by
ensuring Marines and their families are offered the most up-to-date,
empirically supported prevention and treatment practices available.
Implement the Institute of Medicine Mental (IOM) Health
Intervention Spectrum for Mental Health Disorders.
The IOM Mental Health Intervention Spectrum for Mental Health
Disorders provides an appropriate framework for integrating
behavioral health elements, as it complements the current Marine
Corps Stress Continuum.

12. Program Structure
Establish Behavioral Health Program (BHP) and Structure.
The Marine Corps BHP and structure will be created to serve as a
single point of advocacy to meet the dynamically changing and
complex needs of Marines and their families.
Staffing issues
OCO until shifted into baseline
On-going analysis – documented needs
HQ staffing models that reinforce full complement of services for the field and higher HQ
Installation staffing models that are scalable and on par with the needs of clients

13. Workforce Hire and Grow a Ready Workforce.
Offering staff a continuum of opportunities for training and knowledge development is a critical component for the future behavioral health capabilities of the Corps.
Efforts well underway
Training Needs Assessment
Informal inquiry and dialogue
Cognitive Processing Therapy
Parent-Child-Interaction Therapy
PRIME Training
COSC/Suicide/SAPR/FAP Conference
Trauma Informed Care
Victim Conference

14. Program Efforts
Establish Program Oversight, Accountability and Transparency.
The BHP will be accountable to Marine Corps leadership and the
needs of Marines and their families.
Early efforts include:
- Improved Accreditation Processes
- Policy
MF Newsletter
Weekly updates
Share point
VTC’s
OPT’s
BHAC

15. Evidence Based Practice
Adopt, Implement and Sustain Evidence Practices.
Evidence based approaches build trust with commanders by
ensuring Marines and their families are offered the most up-to-date,
empirically supported prevention and treatment practices available.
Begins with IOM model
IDC Case Review processes
Peer-to-Peer Models
NLMB
Take a Stand
PCIT
OSCAR
FAP Prevention Curriculums

16. Future Operations
IOM Health Intervention Spectrum for Mental Health Disorders Continuum
Behavioral Health Advisory Committee (BHAC)
Research / Program Evaluation
Behavioral Health Conferences
Behavioral Health Case Management System
Universal Training

17. Prevention Continuum An Evidence Based Framework…. USMC and BUMED USMC
INJURED
ILL
READY
REACTING
STRESS CONTINUUM
USMC and
BUMED
USMC

18. Behavioral Health Advisory Committee
PURPOSE
Advise MF on behavioral health programs and initiatives
Focus on;
gaps,
duplication of effort,
best practices in research and application
VOTING MEMBERS EX OFFICIO
Dir, MF (chair)
MARFORPAC (Col)
TMO (vice chair)
MEFs (Col)
Chaplain of the Marine Corps
MFR (Col)
Exec Dep, TECOM
Dir, SD (Col)
MARFORCOM (Col)
SgtMaj, MF
BH Branch Hd
MF Counsel
DCOE
NHRC
Recorder

19. Behavioral Health Advisory Committee
ACTIONS
Synchronize / integrate behavioral health efforts
Review / develop / ID research & future operations requirements
Propose opportunities for coordinated education / training efforts
Examine requirements for sustainment
Address ‘confidentiality vs. engaged leadership’
Address stigma issues
Clarify consequences of seeking mental health care
Share outcomes across systems
METHODOLOGY
Four meetings / year
Meeting minutes reported to Executive Force Preservation Board

20. Future Operations Behavioral Health Conferences
focus on improving services to Marines and their families
sharing of evidence-based practices
improve integration efforts
Behavioral Health Case Management System
executive leadership support
will share information (when appropriate) between programs
will assist integration efforts
hiring an IT specialist to assist
Universal Training
based on IOM model
based on the successes of Never Leave a Marine Behind, OSCAR and Take a Stand training
signed contract in Sept 11

21. Keita Franklin, PhD, LCSW Behavioral Health Branch Head
Point of Contact
Keita Franklin, PhD, LCSW
Behavioral Health Branch Head