1. 1 Purpose The program is designed to increase soldier and mission readiness, allowing Commanders to track soldier high-risk behaviors within their command. Objectives Train leaders in identifying and reducing high-risk factors Identify and target high-risk behaviors for prevention Promote Risk Reduction as a prevention strategy Prevent unhealthy and destructive behaviors Increase soldier and unit readiness Data Collection and Analysis Intervention Delivery Command Consultation Installation Prevention Team Risk Reduction Purpose Risk Reduction Purpose

2. 2 Matrix Report Shot Group Unit Ranking Trend Line Risk Reduction Web-Enabled Reports The Risk Reduction Program uses high-risk behavior incident data. By statistically comparing the rates of units to the RRP Army rate the software identifies at-risk units.

3. 3 Incidents Reported by Installations Unit Risk Inventory Self-Reported High-Risk Behavior (Survey Info) The Complete Risk Picture ReintegrationURI

4. 4 Self Report Survey Information Unit Risk Inventories

5. 5 Introduction to the URI Introduction to the 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 unit’s self reported high-risk behaviors

6. 6  53 item questionnaire  Assesses unit propensity for risk in the following areas:  Alcohol/Drug use  Command Factors  Stress Levels  Self Perceptions  Relationships  Safe sex practices  Child/spouse abuse  Violence/Crimes  Suicide  Financial Problems Unit Risk Inventory (URI)

7. 7 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 Unit Risk Inventory (URI)

8. 8 Sample URI Questions Question 1 How often do you have a drink containing alcohol? Question 12 Within the past 12 months, have you driven under the influence of alcohol or other drugs? Question 20 Within the past 12 months, have you physically threatened anyone at your work site? Question 31 Within the past 12 months, have you been in financial trouble? Question 33 Within the past 12 months, have you had any suicidal thoughts?

9. 9 URI Summary of Results Report Audit results for unit Unit risk profile with data for unit, installation, RRP Percent problem drinkers in unit, installation, RRP Enlargement

10. 10 Installation Self Report Risk Factor Rates Rates STDs 22 40 Suicide Gestures/Attempts 4 100/10 AWOL 10 20 Drug Offenses 14 40 Alcohol Offenses 16 180 Crimes Against Persons 24 40 Crimes Against Property 12 40 60 Spouse Abuse 12 80 Child Abuse 5 60 Financial Problems 160 350 Positive Urinalysis 32 40 HIGH RISK BEHAVIOR RATES * All Rates are “Per/1000” RRP & URI Rates Comparison

11. 11 URI & R-URI Rates Comparison

12. 12 Effects of Deployment on Soldier Risk Behavior Reintegration Unit Risk Inventory R-URI

13. 13 As part of the Deployment Cycle Support Plan ACSAP developed The Reintegration Unit Risk Inventory (R-URI). The R-URI is a 79-item anonymous questionnaire designed to screen for high-risk behaviors and attitudes affecting unit readiness and personnel well being that may have occurred during deployment or since redeployment. Reintegration Unit Risk Inventory

14. 14 Sample R-URI Questions Question 1 How often do you have a drink containing alcohol? Question 12 Within the past 12 months, have you driven under the influence of alcohol or other drugs? Question 20 Within the past 12 months, have you physically threatened anyone at your work site? Question 31 Within the past 12 months, have you been in financial trouble? Question 33 Within the past 12 months, have you had any suicidal thoughts?

15. 15 R-URI Summary of Results Report Page 2 breaks out summarized information Modified Audit results for unit Deployment information

16. 16 The report displays data captured from two stages of deployment.  During deployment Asks soldiers information relating to behavior in theater.  Post-deployment Asks soldiers information relating to behavior at home station during reintegration. R-URI Report

17. 17 R-URI While Deployed R-URI Since Returning URI 2.0URI 1.0 Used illegal drugs Attempted suicide Drove under the influence of Alcohol Had a relationship deteriorate Often felt angry and frustrated Are less than satisfied with life in the Army 3% 1% 4% 36% 60% 5% 1% 19% 28% 49% 65% 3% 1% 14% 22% 45% 55% 3% 1% 13% 21% 49% URI & R-URI Data Comparisons

18. 18 Drinking Scenarios: * Using scoring criteria from: © World Health Organization, 1992. Babor, T.F., de la Fuente, J., Grant, M., Saunders, J., Programme on Substance Abuse, AUDIT, The Alcohol Use Disorders Identification Test: Guidelines for use in Primary Health Care. URI 1.0 (Pre 9/11) 28% URI 2.0 (2002-2005) 30% R-URI (ongoing) 35% Problem Drinkers: Problem Drinker:Non-Problem Drinker:  Consume 6 drinks or more in one sitting on a weekly basis.  Consume 6 drinks or more in one sitting on a monthly basis.  Consume 5 - 6 drinks, 4+ times a week.  Consume 1 - 4 drinks, 4+ times a week. Alcohol Abuse / Problem Drinking

19. 19 Unit Risk Inventory ReintegrationURI Self-Reported High-Risk Behavior (Survey Info) Commanders need full visibility to make informed decisions! Valuable information on both side of the waterline. The Complete Risk Picture

20. Questions Don’t Risk Readiness !

21. 21 URI Contact Information Kim Nguyen, URI Processing (703) 681-0135 RRTechSupport@acsap.army.mil Gary Cunningham, Risk Reduction Program Manager, ACSAP (703) 681-5569 gary.cunningham@usadaoa-emh1.army.mil