1 Self Report Survey Information Unit Risk Inventories.
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Transcript of 1 Self Report Survey Information Unit 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