1 Self Report Survey Information Unit Risk Inventories.

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1 Self Report Survey Information Unit Risk Inventories Unit Risk Inventories

Transcript of 1 Self Report Survey Information Unit Risk Inventories.

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Self Report Survey Information

Unit Risk InventoriesUnit Risk Inventories

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Incidents Reported by Installations

Unit Risk Inventory

Self-Reported High-Risk Behavior

(Survey Info)

The Complete Risk PictureThe Complete Risk PictureThe Complete Risk PictureThe Complete Risk Picture

ReintegrationReintegration

URIURI

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Introduction to the URIIntroduction 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

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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)Unit Risk Inventory (URI)

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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)Unit Risk Inventory (URI)

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Sample URI QuestionsSample URI Questions

Question 1How often do you have a drink containing alcohol?

Question 12Within the past 12 months, have you driven under the

influence of alcohol or other drugs?

Question 20Within the past 12 months,

have you physically threatened anyone at your

work site?

Question 31Within the past 12 months, have

you been in financial trouble?

Question 33Within the past 12 months, have you had any suicidal thoughts?

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URI Summary of Results ReportURI 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

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Effects of Deployment on

Soldier Risk Behavior

Reintegration Unit Risk Inventory R-URIReintegration Unit Risk Inventory R-URI

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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 InventoryReintegration Unit Risk Inventory

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Sample R-URI QuestionsSample R-URI Questions

Question 1How often do you have a drink containing alcohol?

Question 12Within the past 12 months, have you driven under the

influence of alcohol or other drugs?

Question 20Within the past 12 months,

have you physically threatened anyone at your

work site?

Question 31Within the past 12 months, have

you been in financial trouble?

Question 33Within the past 12 months, have you had any suicidal thoughts?

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R-URI Summary of Results ReportR-URI Summary of Results Report

Page 2 breaks out

summarized information

Modified Audit results for unit

Deployment information

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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 ReportR-URI Report

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R-URI W

hile D

eplo

yed

R-URI S

ince

Ret

urnin

g

URI 2.0

URI 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 ComparisonsURI & R-URI Data Comparisons

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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 DrinkingAlcohol Abuse / Problem Drinking

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Reintegration Unit Risk Inventory (R-URI)Reintegration Unit Risk Inventory (R-URI)

U.S. Army Soldiers while deployed have been exposed to traumatic, stressful, and adverse situations. A wealth of research has shown convincingly that the frequency and intensity of exposure to combat experiences is strongly related to Soldiers’ well-being.

It is too early to definitively describe all factors that these Soldiers will struggle with as they reemerge into their families, their communities, and the culture at large.

It is important to appreciate the specific demands and contexts of wars in order to raise the awareness of people back home, to prepare loved ones for Soldiers' return and to estimate the need for policy recommendations.

Respondents to ACSAP surveys (R-URI) are showing that the combat exposed Soldiers are much more likely to be involved in high-risk behavior.

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Background InformationBackground Information

As a result of the first Deployment Cycle Support planning conference in April, 2003, ACSAP was tasked to develop a version of the Risk Reduction Program Unit Risk Inventory (URI) to be administered to Soldiers returning from deployment. This version was to be administered from 90-180 days after the Soldiers redeployment. It was designed to be a tool for commanders in determining what Soldiers may need in terms of education, assistance or counseling for adjustment to the stresses they experience resulting from deployment and /or return to home station.

In February 2004, R-URI development was completed. All Installation Risk Reduction Coordinators, affected MACOM Commanders and USARC were provided an information memorandum as to the R-URI availability, and reminded of its mandated use as referenced in Section Six of the DCS CONPLAN.

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R-URI Study ResultsR-URI Study Results

Study Overview

Results from the Reintegration Unit Risk Inventory indicate that potential problem drinking among Soldiers who have been deployed and returned has increased from 29 percent (Pre 9/11 Unit Risk Inventory) to 38 percent in the R-URI. (Tab 3)

Results also indicate that the Soldiers who have been exposed to combat and who are heavy drinkers are much more likely to partake in high-risk behavior (in many cases- these Soldiers are responsible for a third of all the high-risk behaviors). The critical point here is that the Soldiers are making these responses after they have gone through all the post deployment/return to station Deployment Cycle Support training.

Additionally, combat exposed Soldiers who are heavy drinkers are less likely to seek help as compared to Soldiers who are low drinkers and exposed to combat. For example, only 5.6% of combat exposed heavy drinkers sought help for PTSD Vs. 6.1% of low drinkers who were exposed to combat.

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Total Risk

4.305.80

15.70

11.90

15.70

35.90

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

40.00

Low Drinkers Moderate Drinkers Heavy Drinkers

Drinking Category

% S

oldi

ers

w/P

ositv

e R

espo

nses

No Combat Combat

Total RiskTotal Risk

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Commited an Illegal Act

0.75

3.80

13.75

1.40

6.13

23.51

0.00

5.00

10.00

15.00

20.00

25.00

Low Drinkers Moderate Drinkers Heavy Drinkers

Drinking Category

% S

oldi

ers

w/P

ositv

e R

espo

nses

No Combat Combat

Committed an Illegal ActCommitted an Illegal Act

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Used Illegal Drugs

0.75

3.19

10.63

2.00

4.59

15.40

0.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

16.00

18.00

Low Drinkers Moderate Drinkers Heavy Drinkers

Drinking Category

% S

oldi

ers

w/P

ositv

e R

espo

nses

No Combat Combat

Used Illegal DrugsUsed Illegal Drugs

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Vandalized Property

0.63

1.96

9.81

2.17

5.38

19.44

0.00

5.00

10.00

15.00

20.00

25.00

Low Drinkers Moderate Drinkers Heavy Drinkers

Drinking Category

% S

oldi

ers

w/P

ositv

e R

espo

nses

No Combat Combat

Vandalized PropertyVandalized Property

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Spousal Abuse

3.273.88

10.14

4.77

8.39

16.79

0.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

16.00

18.00

Low Drinkers Moderate Drinkers Heavy Drinkers

Drinking Category

% S

oldi

ers

w/P

ositv

e R

espo

nses

No Combat Combat

Spousal AbuseSpousal Abuse

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Child Abuse

6.547.75

9.53

11.49 11.45

20.23

0.00

5.00

10.00

15.00

20.00

25.00

Low Drinkers Moderate Drinkers Heavy Drinkers

Drinking Category

% S

oldi

ers

w/P

ositv

e R

espo

nses

No Combat Combat

Child AbuseChild Abuse

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Been in Financial Trouble

7.308.00

11.7012.60

14.10

19.00

0.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

16.00

18.00

20.00

Low Drinkers Moderate Drinkers Heavy Drinkers

Drinking Category

% S

oldi

ers

w/P

ositv

e R

espo

nses

No Combat Combat

Financial TroubleFinancial Trouble

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Have Difficulty in Accepting New Unit Members

4.305.50

10.20

14.40

18.10

28.90

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

Low Drinkers Moderate Drinkers Heavy Drinkers

Drinking Category

% S

oldi

ers

w/P

ositv

e R

espo

nses

No Combat Combat

Difficulty Accepting New MembersDifficulty Accepting New Members

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Suicide

2.93

4.14

8.47

5.32

7.35

16.35

0.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

16.00

18.00

Low Drinkers Moderate Drinkers Heavy Drinkers

Drinking Category

% S

oldi

ers

w/P

ositv

e R

espo

nses

No Combat Combat

SuicideSuicide

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Unit Risk Inventory

ReintegrationReintegration

URIURI

Self-Reported High-Risk Behavior

(Survey Info)

Commanders need full visibility to make informed decisions!

Valuable information on both side of the

waterline.

The The CompleteComplete Risk Picture Risk Picture

QuestionsQuestions

Don’t Risk Readiness !Don’t Risk Readiness !