2Our MissionTo provide non-medical, solution focused, problem-solving counseling support, coaching, and education to Cadets to ensure the readiness of the military while helping families address the stressors that can typically be associated with the military lifestyle.
3HistoryThe ongoing war on terror and the subsequent increase of deployments have heightened the stress placed on today’s military. In response, the Department of Defense (DoD) established the Military & Family Life Counseling, or MFLC, Program to provide non-medical, short-term, situational problem-solving counseling. The MFLC Program addresses issues that occur across the military lifestyle and helps Cadets cope with normal reactions to the stress resulting from deployments, war and reintegration.
4The MFLC Program at a Glance Provides short-term, situational, problem-solving counseling to Cadets.Provides psycho-education to help Cadets understand the impact of deployments, family reunions following deployments and other stresses related to military life.Services can be provided on or off of military installations.Services are confidential and private.
5Deployment/ Reintegration Issues What We DoSupport and education are offeredthrough formal and informal meetingswith Cadets as they may struggle with issues such as:CommunicationManaging AngerPhase of life concernsDeployment/ Reintegration IssuesResolving ConflictsFamily separationBalance and self regulationAdjustment to cadet lifeRelationship stressGrief and lossAuthority issuesIntimacy and trustAccess to self help resourcesConfidential discussions and resourcing
6What We DoProgram briefings to educate Cadets about the scope of the MFLC program.Provide counseling to Cadets.Conduct presentations to address stresses of the military lifestyle.Recommend referrals to military social services and practical community resources. When issues presented are beyond the scope of the program (mental health or substance abuse issues), counselors to arrange appropriate services.
7The MFLC Program is voluntary and available at no cost to Cadets. About UsMFLC Counselors are:licensed Masters and Ph.D. level counselors.successful in completing background checks.maintain service and family member confidentiality and privacy.trained in short term counseling.The MFLC Program is voluntary and available at no cost to Cadets.
8Informed Consent and Confidentiality Counselors must provide the Cadets information about informed consent during their initial meeting. This discussion will review…the counselor’s role,what types of issues can be discussed in sessions,the type of approaches used by the counselor, andhow referrals can be made if necessary.
9Informed Consent and Confidentiality All mandatory reporting scenarios should be reviewed when covering informed consent including: Duty to WarnRestricted versus Non-Restricted ReportingDomestic ViolenceSexual AssaultDanger to Self and Othersand any other legal mandates that are pertinentNO RECORDS
10Informed Consent and Confidentiality The following statement of informed consent must be provided to all counseling participants: “Information you provide to me or other counselors will be kept confidential, except to meet legal obligations or to prevent harm to self or others. Legal obligations include requirements of law and DoD or military regulations. Harm to self or others include suicidal thoughts or intent, a desire to harm oneself, domestic violence, child abuse or neglect, violence against any person, and any present or future illegal activity.”Brief review of informed consent, including confidentiality, should be discussed by the counselor at the very beginning of each session with a Cadet.
11Informed Consent and Confidentiality Following Cadet’s review of the informed consent and confidentiality statement, the counselor will document the review of this document in his/her Smartphone without including personally identifiable information (PII). Counselors will carry paper copies and/or a laminated card of the informed consent statement for those who wish to read a copy of the statement. A copy of the form containing the informed consent and confidentiality statement should be furnished if a Cadet requests.
12Duty to WarnMagellan is committed to ensuring the safety of Cadets in accord with professional ethics and pursuant to military/DoD guidelines.When made aware of serious threats of harm to self or others, domestic violence, child abuse, elder abuse, sexual assault of adults, violence against another person, or present/future illegal activity, MFLC counselors must report such incidences to their regional supervisor or director and follow prescribed military duty-to-warn procedures, including reporting to the POC, or as otherwise required under restricted reporting rules and installation-specific protocols. At all times, safety is paramount.
13Domestic Assault and/or Sexual Assault All Cadets reporting domestic abuse are reported to the installation Family Advocacy Program. The counselor will perform an appropriate warm hand-off to the sexual assault response coordinator (SARC) or the sexual assault prevention and response (SAPR) victim advocate (VA) for sexual assault.
14Restricted Reporting Consultants are NOT restricted reporters. In the event of an allegation of sexual assault or domestic violence the MFLC Counselor MUST immediately refer to a restricted reporter:Sexual Assault Response Coordinator (SARC)Victim Advocate (VA)Counselors will inform eligible victims of sexual assault and/or domestic violence/abuse that they may choose to avoid reporting of such incidents to the military command if the victim chooses to make a restricted report to the SARC, victim advocate (VA), or the Family Advocacy Program (FAP) office. Counselors will not encourage individuals to make restricted reports if they appear willing to make an unrestricted report. The SARC, VA or FAP will make the restricted/non-restricted determination and make the report as indicated.
15Restricted Reporting – Who is eligible? Restricted reporting is available only for:victims of sexual assault who are service members or military dependents 18 years or olderadult victims of domestic abuse who are service memberscurrent or former spousescurrent or former intimate partners with whom a service member has cohabitedparents of children in common with service memberscontractors or civilians eligible for OCONUS medical treatment
16Restricted Reporting Domestic Abuse Sexual Assault Eligibility for Restricted ReportingAdult (18 or older in most statesService members, current or former spouses, current or former intimate partners with whom a service member has cohabited, or parents of children in common with a service member, or contractors or civilians eligible for OCONUS medical treatment18 years or olderService members or military dependentsWarm hand-off to:Family Advocacy Program OfficeSexual Assault Response Coordinator
17What is “Out of Scope” for MFLC Counselors? Substance abuse issuesLong-term mental health issues or those having severe trauma symptomsPersonality Disorders or long-standing adjustment problemsMultiple issues inappropriate for short-term workCivilian Employees who are not part of expeditionary forcesThose service and family members who are currently seeking services from the following:Family Advocacy ProgramSexual Assault Response Coordinator (SARC)Victim Advocate (VA)ChaplainBehavioral Health, Mental Health, or Social Work ServicesCurrently in the process of being discharged from the militaryUnder investigation by MP’s, JAG, or Command
18MFLC Counselors need to… Be familiar with reporting requirements under applicable state law and military procedures.At each new location, obtain location-specific duty-to-warn procedures and obtain contact information for the SARC, FAP, MPs and/or other appropriate urgent/emergent community resources.