FAP_USAFE_PWS_18_Sep_15.docx

AIR FORCE MEDICAL OPERATIONS AGENCY

PERFORMANCE WORK STATEMENT (PWS)

FOR

AIR FORCE FAMILY ADVOCACY PROGRAM (FAP)

OUTSIDE THE CONTINENTAL UNITED STATES (OCONUS) UNITED STATES AIR FORCE EUROPE (USAFE)

18 SEPTEMBER 2015

TABLE OF CONTENTS

3.0 QUALITY ASSURANCE 39

4.0 PERSONAL SERVICES 39

5.0 CONTRACTOR IDENTIFICATION 39

6.0 HOURS OF OPERATION 40

ATTACHMENTS: 63

1. FAPAP Standard A-5

2. FAP Standard M-11

3. FAP Standard M-17

4. FAP Standard M-18

5. FAP Standard P-7

9. FAP Standard P-14

1.0 DESCRIPTION OF SERVICES

1.1 Background

The Air Force (AF) Family Advocacy Program (FAP) is a medical program that enhances AF readiness by promoting family and community health and resilience. AF FAP also advocates for nonviolent communities. These objectives are accomplished through the use of broad-based education and awareness activities along with the identification and treatment of family maltreatment incidents. These services prevent family maltreatment from reducing the duty performance of AF members.

The objective of this Performance Work Statement (PWS) is to delineate specific tasks, duties, skill sets and credentials required to fulfill key positions in the Air Force Family Advocacy Program. This PWS defines the necessary tasks to support and enhance the operational mission of the FAP. The Family Advocacy Officer (FAO), a government position, manages oversight of the FAP unless otherwise delegated. The Contractor shall provide installation support at the designated United States Air Force (USAF) FAP OCONUS (USAFE) locations as identified in each Task Order (TO)’s awarded under this contract.

1.2 Scope

The purpose of this personal service contract is to acquire personal healthcare services in accordance with (IAW) FAR 37.104 & DFARS 237.104 to provide qualified clinical (masters-level) social workers, U.S. licensed registered nurses, and family advocacy program staff personnel in implementing the Family Advocacy Program (FAP) at U.S. AF Military Treatment Facilities (MTFs) based Outside Continental US Region (OCONUS) USAF Europe (USAFE), as identified in Appendix A, FAP OCONUS USAFE Personnel Requirements and Locations.

1.2.1 Services performed under this PWS shall be IAW the established principles, practices, and ethics of the professional clinical therapies, Council on Social Work, American Nurses Association Standards of Nursing Practice, and Standards for Professional Nursing Practice in the care of women and newborns, and Department of the AF directives. Compliance with standards of care shall be evaluated during the peer review process, as outlined in Air Force Instruction (AFI) 44-119, Chapter 8. Contractor’s performance shall result with acceptable peer reviews.

1.2.2 Qualified care shall be provided to outpatients and their families who are eligible beneficiaries of the military health care system. Contract personnel shall utilize the therapeutic modalities of individual, family, and group therapy to address the problems of family violence (specifically, child and partner maltreatment). They shall provide prevention (primary, secondary, tertiary) programs and support services for military families. The services shall be at no expense to the beneficiaries. The registered nurses shall provide community health nursing, family-focused prevention and clinical nursing services in the home or other environment to military families at risk for family violence.

Contractors shall provide all labor, personnel, tools, equipment, transportation, and materials that are not specified otherwise as Government Furnished Support (GFS) in this PWS to perform all tasks as delineated in this PWS. Major performance tasks are listed in Section 2.0, Summary of Requirements: Contractor shall perform all services IAW the PWS. Contractor shall also perform contingent administrative duties as required.

1.3 Acronyms

ACRONYM DEFINITION

AF Air Force

AFI Air Force Instruction

AFMOA Air Force Medical Operations Agency

ANA American Nurses Association

AS Analytical Support

ASCAS Automated Security Clearance Approval Systems

BLS Basic Life Support

CAIB Community Action Information Board

CAR Corrective Action Report

CDC Centers for Disease Control and Prevention

CCS Clinical Case Staffing

CEU Continuing Education Units

CO Contracting Officer

CMRA Contractor Manpower Reporting Application

COFC Court of Federal Claims

CONUS Continental United States

COR Contracting Officer’s Representative

CPM Contractor Program Manager

CPR Cardiopulmonary Resuscitation

CRB Central Registry Board

CSWE Counsel on Social Work Education

DA Domestic Abuse

DAVA Domestic Abuse Victim Advocate

DFARS Defense Federal Acquisition Regulation Supplement

DOCPER The DoD Contractor Personnel Office

DoD Department of Defense

DV Domestic Violence

EFMP Exceptional Family Member Program

EFT Electronic Funds Transfer

FAC Family Advocacy Council

FAIS Family Advocacy Intervention Specialist

FAN Family Advocacy Nurse

FAO Family Advocacy Officer

FAOM Family Advocacy Outreach Manager

FAP Family Advocacy Program

FAPA Family Advocacy Program Assistant

FAPNET Family Advocacy Program Network

FAPAP Family Advocacy Program Action Plan

FAR Federal Acquisition Regulation

FASOR Family Advocacy System of Records

FAST Family Advocacy Strength- Based Therapy

FATM Family Advocacy Treatment Manager

FFP Firm-Fixed Price

GAO Government Accountability Office

GFE Government Furnished Equipment

GFS Government Furnished Support

HCW Health Care Worker

IAW In Accordance With

IDS Integrated Delivery System

JAG Judge Advocate General

LVT Local Vicinity Travel

MOU Memoranda of Understanding

MTF Military Treatment Facility

NACI National Agency Check and Inquiries

NLT No Later Than

NPSP New Parent Support Program

OB Obstetrics

OCONUS Outside the Continental United States

ODC Other Direct Costs

OP Outreach Program

OPAL Outreach Prevention Automated Log

OPMC Outreach Prevention Management Council

OPMT Outreach Prevention Management Team

OPR Office of Primary Responsibility

OSI Office of Special Investigations

PCS Permanent Change of Station

PHI Personal Health Information

PM Program Manager (Government)

RN Registered Nurse

PWS Performance Work Statement

SFS Security Forces Squadron

SGN MTF Chief Nurse

SI Sensitive Information

SOFA Status of Forces Agreement

SSN Social Security Number

TE Technical Experts

TLA Temporary Lodging Allowances

TC Troop Care

TO Task Order

TR Technical Representative

USAF United States Air Force

USAFE United States Air Force Europe

USSSO United States Sending States Office

VIS Victim Impact Statement

VPS Victim Preference Statement

2.0 SUMMARY OF REQUIREMENTS

2.1 Description of Duties

2.1.1 FAMILY ADVOCACY TREATMENT MANAGER (FATM)

2.1.1.1 The Family Advocacy Treatment Manager (FATM) is a member of the multidisciplinary FAP team and works in the following prioritized capacities:

a. The maltreatment component to assess families referred for suspected maltreatment and treats individuals, families, and groups whose maltreatment allegation(s) met criteria for maltreatment

b. The New Parent Support Program (NPSP) to provide voluntary, comprehensive prevention services (primarily home-based) to families to prevent the occurrence of family maltreatment (See FAP Standard P-10, Attachment 6)

c. The Family Advocacy Strength-Based Therapy (FAST) services by providing voluntary prevention counseling to individuals, families, or groups who are at risk for maltreatment (See FAP Standard P-11, Attachment 7)

2.1.1.2 The FATM shall maintain a U.S. state license, which authorizes independent social work practice, and shall be privileged in the MTF.

2.1.1.3 The FATM shall be computer-proficient and will use Family Advocacy System of Records (FASOR) or Family Advocacy Program Network (FAPNET) computer software for client visit documentation and will follow treatment practices that comply with AF FAP standards and accepted professional practice guidelines.

2.1.1.4 The FATM shall be the primary provider of treatment services for assigned maltreatment and prevention cases, coordinating services for families and monitoring client participation and progress utilizing the modalities of social casework, psychotherapy, and psycho-educational interventions.

2.1.1.5 The FATM shall complete psychosocial assessments IAW FAP Standards M-11 (Attachment 2), P-10 (Attachment 6), or P-11 (Attachment 7) using FASOR or FAPNET software to complete assessment documentation.

2.1.1.6 The FATM shall assess for safety and continuously assist families with safety planning.

2.1.1.7 The FATM shall meet at least once a month with each military (Active Duty) “offender” who has “met criteria” and document all follow-up actions in FAPNET database. The FATM shall also meet with each adult “victims” of met criteria cases and document all findings using FASOR software.

2.1.1.8 The FATM shall present the findings from the family assessment, the Central Registry Board (CRB) determination and recommendations for treatment to the Clinical Case Staffing (CCS).

2.1.1.9 The FATM shall coordinate with prevention staff regarding referrals to educational services as part of the intervention plan. Prevention services can be recommended but are not mandated.

2.1.1.10 The FATM shall collaborate with other NPSP team members and develop service plans to incorporate primary and secondary prevention services. The FATM shall conduct home visits to all NPSP clients assessed as high needs and who request social work intervention. When the FATM is the case manager for an NPSP case, they present the case during the NPSP case staffing IAW FAP Standard P-10 (Attachment 6).

2.1.1.11 The FATM shall document FAST services in FASOR IAW FAP Standard P-11 (Attachment 7), and will document NPSP services in FAPNET IAW FAP Standard P-10 (Attachment 6.0).

2.1.1.13 Not used

2.1.1.14 Not used

2.1.1.15 The FATM shall evaluate the effectiveness of the services provided.

2.1.1.16 The FATM shall be responsible for entering clinical information into FASOR and FAPNET and assume responsibility for the oversight of the administrative duties that support FATM tasks, such as entering demographic data into FASOR and reviewing staffing notes and letters regarding clients, for accuracy.

2.1.1.17 The FAO shall review and approve all FATM activities involving articles, interviews, briefings or other public relations activities. No contact may be made with off-base media without going through installation Public Affairs.

2.1.1.18 FATMs shall not conduct briefings containing FAP maltreatment data without prior approval of the FAO.

2.1.1.19 The FATM shall consult with the FAO and installation Judge Advocate General (JAG) on community partnerships or board memberships requiring binding financial obligations, staff time commitments, and/or where there may be questions about the agency focus. The FATM will not chair, or be a voting member, on any such board.

CONSIDERATIONS:

All FATMs are professionally qualified to provide a wide variety of services to include maltreatment intervention and prevention.

The FATM provides the majority of treatment for FAP clients; these clients may also obtain services from other agencies (i.e., Mental Health Clinic, TRICARE or other community providers, etc.).

The Family Advocacy Intervention Specialist (FAIS), where assigned, is responsible for FATM responsibilities as assigned by the FAO.

2.1.2 FAMILY ADVOCACY OUTREACH MANAGER (FAOM)

2.1.2.1 The FAOM is the FAP Prevention Team Leader and Community Liaison. In collaboration with the FAP staff, the FAOM leads prevention by facilitating and coordinating FAPs community prevention services, collaboration, and social marketing campaigns. The FAOM provides community behavioral health education, family violence education and prevention training, resource finding and service linking, and prevention program interventions to promote protective factors and to address maltreatment risk factors. The FAOM manages the Prevention/Outreach Program with goals to deter predictable problems, decrease maladaptive behaviors, maintain, enhance & protect existing states of wellness, and promote quality of life objectives. Key elements of the Outreach Manager’s duties include outreach, education, and intervention training. Provide New Leader Orientation and Annual Leader Training to Organizational leadership (Commanders and 1st Sergeants) to promote respect for duty and family in support of mission readiness. The FAOM develops and facilitates processes for prevention planning, program implementation, public awareness activities, and intervention and service delivery. Input all training data into FAPNET database.

2.1.2.2 Where both a FAOM and FAIS are assigned, the FAOM shall function as the Team Leader and Community Liaison, and shall be the primary representative to the Integrated Delivery System (IDS). The IDS is a process to pool assists for assisting families. All Outreach Program services will be coordinated with the FAOM. Both the FAOM and FAIS shall be responsible for Outreach Program prevention services and activities.

2.1.2.3 The FAOM manages the Prevention/Outreach Program, Implementing the Mission Readiness Model six core requirements through program domains and activities to promote and foster capacity, resilience, and sustainability for family wellness and mission readiness.

2.1.2.4 The FAOM has a unique role as prevention specialist and all service responsibilities of the FAOM shall be non-clinical in design and delivery. To maintain program stability in prevention, the FAOM shall not request or accept privileging by the MTF, and so does not provide clinical documentation in medical or FAP records.

2.1.2.5 The FAOM shall coordinate and facilitate the development and updates of the FAPAP Standard A-5 (Attachment 1).

2.1.2.6 The FAOM shall implement primary and secondary prevention programs IAW the Mission Readiness Model and as guided by the standards. The FAOM is responsible for ensuring primary and secondary prevention are widely marketed for public awareness and dissemination of a FAP calendar of events.

2.1.2.7 The FAOM shall ensure the FAPAP identifies Outreach Program primary and secondary prevention program activities, and that program measurements are utilized IAW AF FAP guidance and attached for performance indicators and program results.

2.1.2.8 The FAO leads the Outreach Prevention Management Council (OPMC). The FAOM shall coordinate the agenda for the quarterly meeting as directed by the FAO.

2.1.2.9 The FAOM is the FAP representative to the IDS. The FAOM shall develop and implement a process to present to the IDS, FAP findings and recommendations for IDS prevention collaboration, and a reciprocal process for providing IDS information and updates to the FAP.

2.1.2.10 The FAOM attends the Family Advocacy Council (FAC) and ensures the FAC is updated on prevention programs, services, metrics, and public awareness initiatives IAW the standards.

2.1.2.11 The FAOM shall implement FAP community organization strategies and participate in IDS, member agency, and stakeholder prevention collaboration activities. Activities shall target outcomes to increase awareness of family maltreatment, promote family awareness programs, and to increase community protective factors. The FAOM participates in community assessment activities identifying community strengths and needs, to plan, design, and implement initiatives fostering active duty family and community resilience with mission readiness.

2.1.2.12 The FAOM attends the NPSP case staffing and the CCS as a subject matter expert providing resource finding and service linking. The FAOM offers perspectives on service planning and on observations and recommendations to support a coordinated community response and to minimize gaps in services.

2.1.2.13 Where volunteers are utilized with the Outreach Program the FAOM shall coordinate and facilitate training for FAP outreach volunteers. The FAOM maintains a roster of event volunteers. The FAOM obtains final approval of volunteers utilized in the Outreach Program from the FAO. FAOM will follow Civilian Personnel Office guidelines for utilization of volunteers and will follow guidelines for background checks when volunteers work in an environment around children. Volunteers will not have access to confidential information, to prevention automation systems, AF stats, or sensitive information. Do not recruit volunteers to perform the core requirements of the Outreach Manager. Recruit active duty, family member, and civilian volunteers for FAP event activities.

2.1.2.14 The FAOM shall assume responsibility for the oversight of the administrative duties and Outreach Program activities that support FAOM tasks.

2.1.2.15 The FAOM shall ensure current resource information is available and accessible to FAP customers and staff. The FAOM shall utilize on and off- base information sources for developing resource and referral listings.

2.1.2.16 The FAOM, in collaboration with NPSP and treatment intervention staff, shall identify family violence trends and observations, and shall use available data to focus and develop outreach programming, primary prevention strategies and secondary support services.

2.1.2.17 The FAOM maintains documentation of quarterly Outreach Program prevention services. FAP leader training metrics and Outreach Prevention Automated Log (OPAL) compatible automation programs are updated monthly using FAPNET.

2.1.2.18 The FAOM shall be aware of all FAP prevention activities. The FAO will review and approve all community prevention presentations and programs including news articles, and interviews provided by the FAOM. The FAOM shall ensure coordination with public relations or appropriate other AF organizations as necessary.

2.1.2.19 The FAOM shall consult with the FAO and JAG as appropriate on community and coalition partnerships, board participation or memberships, binding financial obligations, staff time commitments, release of AF or FAP information, or where there are questions about the agency focus and/or affiliations. The FAOM (contractor personnel) will not be a decision maker and will not obligate the government, financially or otherwise.

CONSIDERATIONS:

While FAOMs do not perform clinical functions as part of FAP responsibilities, their expertise and input can be important collateral information to consider in program development and clinical planning. Find additional guidance on FAOM roles and responsibilities in the Outreach Program Practice Guide.

2.1.3 FAMILY ADVOCACY INTERVENTION SPECIALIST (FAIS)

2.1.3.1 The Family Advocacy Intervention Specialist (FAIS) encompasses the roles of both the Treatment Manager and Outreach Manager at installations where conditions do not meet the criteria for a full-time position in both realms. In some cases, a FAIS is assigned as an additional staff member to augment the services provided by full-time treatment and outreach managers. Therefore, the FAIS must meet the qualifications of and has responsibilities for both FATMs and FAOMs. The FAO will determine what percentage of time the FAIS shall spend in the respective areas.

2.1.3.2 The FAIS is a member of the multidisciplinary FAP team and works in the following prioritized capacities:

a. The maltreatment component to assess families referred for suspected maltreatment and treats individuals, families, and groups whose maltreatment allegation(s) met criteria for maltreatment

b. The NPSP to provide voluntary, comprehensive prevention services (primarily home-based) to families to prevent the occurrence of family maltreatment (See FAP Standard P-10, Attachment 6)

c. The FAST services providing voluntary prevention counseling to individuals, families, or groups who are at risk for maltreatment (see Standard P-11, Attachment 7)

2.1.3.3 The FAIS shall maintain a current US State license, which authorizes independent social work practice, and shall be privileged in the MTF.

2.1.3.4 The FAIS shall be computer proficient and shall use FASOR or FAPNET software for client visit documentation and follow treatment practices that comply with AF FAP standards and accepted professional practice guidelines.

2.1.3.5 The FAIS shall document services provided using FASOR software and will document all NPSP intervention in the NPSP automated system for filing in the NPSP record.

2.1.3.6 The FAIS shall be the primary treatment provider for assigned maltreatment and FAST cases, coordinating services for families, and monitoring client participation and progress utilizing the modalities of social casework, psychotherapy, and psycho-educational interventions.

2.1.3.7 The FAIS shall complete psychosocial assessments using the Adult and Child intakes in FASOR.

2.1.3.8 The FAIS shall assess for safety on an ongoing basis and continuously assist family members with safety planning.

educational services as part of the intervention plan. Prevention services may be recommended but are not mandated.

2.1.3.11 The FAIS shall collaborate with other NPSP team members to develop service plans that incorporate primary and secondary prevention services. The FAIS shall conduct home visits to NPSP clients assessed as high needs and who request social work intervention. When the FAIS is the case manager for an NPSP case, the FAIS shall present the case at the NPSP case staffing.

2.1.3.12 Not used.

2.1.3.13 Not used

2.1.3.14 Responsibilities in the outreach component may include:

2.1.3.14.1 At installations where no FAOM is assigned, the FAIS functions as the FAP prevention facilitator and coordinator. Under the leadership of the FAO, the FAIS directs the development and implementation of prevention services. The FAIS supports outreach and community prevention IAW prevention standards. In collaboration with FAP staff, the FAIS shall organize and implement primary and secondary prevention. The FAIS shall develop and update the FAPAP, manage the OPAL and the OPMC agenda. The FAIS shall work in conjunction with other FAP staff members to coordinate prevention activities, presentations, and programs. The FAO reviews and approves all FAP community prevention activities.

2.1.3.14.2 Where no FAOM is assigned, the FAIS shall act as a FAOM at the IDS. The FAIS shall present FAP issues/proposals to the IDS and shall update FAP staff on the status of IDS actions.

2.1.3.14.3 The FAIS shall implement community organization and social marketing strategies to increase awareness and prevent family maltreatment. In collaboration with the IDS and other key organizations, the FAIS shall promote initiatives to reduce maltreatment risk factors, identify community strengths, and foster community resiliency.

2.1.3.14.4 The FAIS shall train outreach volunteers and obtain final approval of volunteers for the outreach program from the FAO.

2.1.3.14.5 The FAIS shall ensure that current resource information is available and accessible to FAP customers. The FAIS shall utilize on and off-base resources for referral and source listings.

2.1.3.14.6 The FAIS, in collaboration with treatment program and NPSP staff, shall identify family violence trends. This data is used to focus and develop outreach programming.

2.1.3.14.7 The FAIS shall document Outreach and other prevention services IAW AF FAP guidance for quarterly reporting, and shall maintain documentation of prevention activities.

2.1.3.14.8 The FAIS shall prioritize Outreach Program responsibilities in the following six main areas:

2.1.3.15 Where no FAOM is assigned, the FAIS leads the development, review and update of the FAPAP and coordinates with the FAO for approval by the FAC.

2.1.3.16 The FAO must review and approve all FAIS activities involving articles, interviews, briefings or other public relations activities. Do not make contact with off-base media without going through installation Public Affairs. The AF FAP must approve FAP public announcements providing statistics, AF data, or an AF position.

2.1.3.17 The FAIS shall consult with the FAO and JAG on community partnerships or board memberships requiring binding financial obligations, staff time commitments, or where there are questions about the agency focus and its compatibility with the AF. The FAIS will not chair, or be a voting member, on any such board. The FAOM (contractor personnel) will not be a decision maker and will not obligate the government, financially or otherwise.

2.1.3.18 At installations where both a FAOM and FAIS are assigned, the FAOM functions as the prevention team leader and community liaison and FAP IDS advisor. The FAIS will support the FAOM in the implementation of outreach program IAW AF FAP Standards. The FAO will determine the assignments and range of FAIS duties to support the outreach and treatment programs.

The FAIS is responsible for FATM and FAOM duties as assigned by the FAO. This position is a hybrid position allowing the FAIS to function part-time as the FATM and part-time as the FAOM. The division of duties is determined by the FAO.

2.1.4 FAMILY ADVOCACY NURSE (FAN)

responsible for providing comprehensive home-based prevention services to families to prevent child and partner maltreatment.

2.1.4.3 The FAN shall be a registered nurse and maintain a current U.S.

unrestricted state nursing license on file at the MTF. FAN nursing practice shall meet standards of the American Nurses Association (ANA) and other pertinent nursing organizations, and MTF nursing guidance/standard of care. The FAN shall interface with the MTF Chief Nurse (SGN) regarding standards of nursing practice and integration into the MTF. The FAN shall be responsible for remaining current in relevant areas of maternal/child and family violence nursing practice.

2.1.4.4 The FAN shall provide nursing home-based services that include education, support, and anticipatory guidance in such areas as growth and development across the life span, nutrition, parenting, attachment/bonding, individual and family health related issues, family violence dynamics, problem solving, family communication skills and bereavement.

2.1.4.5 The FAN shall establish an effective process to locate and administer the Family Needs Screener to members of the base population who are eligible for NPSP services and offer home visitation services to families at risk for maltreatment (See FAP Standard P-10, Attachment 6).

2.1.4.6 The priority for the FAN is to provide NPSP prevention services to families in their homes. Teaching a class or facilitating groups is not a FAN priority but may be considered if time allows. Work and case management priorities for the FAN are as follows:

Priority 1: Home visits to NPSP high needs clients Priority 2: Home visits and other contacts with low needs NPSP clients Priority 3: Support to FAP maltreatment clients

2.1.4.7 The FAN shall develop family service plans, which include a nursing diagnosis that incorporates secondary prevention services for NPSP families and maltreatment cases, when applicable.

2.1.4.8 The FAN participates in the OPMC, the CCS and the NPSP Case Staffing.

2.1.4.9 The FAN shall provide nursing prevention services in conjunction with maltreatment intervention plans, and attend the CCS. The FAN shall not take an investigative role or be a case manager or primary provider in a maltreatment case. Provide FAN services to families in the maltreatment program only when safety can be assured. The FAN shall document nursing interventions in the FAP maltreatment record using FASOR. Documentation of nursing services in the maltreatment record does not require a co-signature by the case manager. Further, nursing service documentation in the maltreatment record does not require a corresponding Office of Primary Responsibility (OPR) note.

2.1.4.10 The FAN shall work in collaboration with the prevention team, led by the FAOM to provide:

a. Prevention services focused on prevention of family maltreatment via briefings, educational presentations, and providing input for FAP marketing and annual FAP Action Plan

b. Supportive FAP services and guidance in couples' communication, parenting education, parent-child interaction, bonding, and problem solving skills

c. Supportive and educational services targeting fathers

d. Advocacy services with community organization for military families to increase awareness of FAP services and promote the effectiveness of community response

2.1.4.11 The FAN shall provide services for all clients and document IAW FAP Standard P-14 (Attachment 9).

2.1.4.13 The FAN shall evaluate effectiveness of the NPSP services she/he provides.

2.1.4.14 The FAN shall assume responsibility for the oversight and completion of the administrative duties that support NPSP processes to include:

a. Entry of NPSP client, assessment tool, and case information into the FAPNET automated record system

b. Entry of NPSP data into the FAPNET automated record system in accordance with AF FAP guidance

Obstetrics (OB) services are outsourced by most military installations. This presents a challenge to identifying the target population to screen for NPSP services. To assist in establishing an effective screening process, the FAN should seek input/ideas/assistance from the entire FAP team, partner with the FAOM, and collaborate with potential referral sources, including military and community agencies that interface with the NPSP target population, such as:

a. MTF/community medical clinics/providers (OB, Pediatrics, Family Practice…)

b. MTF Health Benefits Advisors, TRICARE

c. MTF Laboratory (pregnancy testing)

d. Military Public Health (pregnancy profiles)

e. Health and Wellness Center

Education, support, and guidance specific to preventing child and partner maltreatment may focus on the following:

The FAN offers a unique perspective on community issues and trends, and may be invited to participate in the FAC, IDS and/or Community Action Information Board (CAIB).

FAST services target high risk couples without children and high risk families whose children are 3 years of age or older. High risk for family maltreatment expectant parents and high risk for maltreatment families with at least one child under age 3 years should receive prevention services through NPSP. Refer to FAP Standards P-10

Utilization of the FAN for classes, groups and briefings is not a major focus or priority.

FAN nursing intervention with maltreatment clients should be based on appropriateness of referrals and available FAN resources. Treatment plans for maltreatment clients should have clear goals with specific desired outcomes for the FAN intervention. The FAO is the “gate keeper” for FAN referrals, balancing the impact on current NPSP caseload and taking into consideration that the FAN workload priority is providing services to NPSP prevention families.

Refer to the AF FAP NPSP Manual for further information and guidance.

2.1.5 FAMILY ADVOCACY PROGRAM ASSISTANT (FAPA)

2.1.5.1 The FAPA is a member of the multidisciplinary FAP team and is responsible for providing administrative, technical, and prevention services as directed by the FAO.

2.1.5.2 Administratively, the FAPA is responsible for the maintenance of automated data collection systems, including the FASOR. The FAPA shall ensure that maltreatment data is entered into FASOR within 15 calendar days after the CCS. FAPAs shall not enter clinical data into FASOR. Treatment providers are responsible for entering clinical data. FAPAs may enter information during the CCS in the clinical impressions text box regarding clinical discussions and recommendations, much like taking minutes for the meeting. A provider prints out, reviews, and signs the CCS note for the FAP record.

2.1.5.3 The FAPA shall provide administrative and computer support to The Maltreatment Intervention, NPSP, and Outreach components via FASOR, FAPNET, and other software programs, as well as managing computer resources.

2.1.5.4 The FAPA, in conjunction with the FAO, shall manage data to provide information regarding patient satisfaction, recidivism, and clinical outcome measures.

2.1.5.5 The FAPA shall compile statistical data, prepare minutes, agendas, and notification letters IAW FAP Standards, and other written communication as requested by the FAO.

2.1.5.6 The FAPA shall assist in the research/evaluation program by administering data collection assessment instruments to individuals referred to the FAP. The FAPA shall process and score instruments initially and on a follow-up basis as specified by the FAO or AF FAP.

2.1.5.7 The FAPA shall assist the FAOM/FAIS in administering, scoring and maintaining secondary prevention program measurement instruments in support of the Outreach Program.

2.1.5.9 In the absence of a FAOM or FAIS, the FAPA may provide orientation and annual training to Squadron Commanders and First Sergeants as directed by the FAO.

2.1.5.10 The FAPA shall not provide Special Needs Identification and Assignment Coordination Services (formerly EFMP services), to include administrative support or relocation clearances.

2.1.5.11 When a FAPA has direct contact with Family Advocacy maltreatment clients or clients with open NPSP records, a note will be made in the record and reviewed by a provider to determine if co-signature is required. FAPAs shall not conduct intake interviews with FAP clients. When a FAPA has contact with NPSP clients, a contact note shall be created in the ‘contact notes’ section in the NPSP module in FAPNET.

The FAO is ultimately responsible for all FAPA contacts with clients unless authority has been delegated.

FAPAs who implement prevention services should be knowledgeable in the dynamics of domestic and child abuse and should have an understanding and knowledge of prevention strategies.

FAPAs are integral to the success of the Prevention and Outreach program in numerous ways including assisting with the maintenance of primary and secondary prevention program intervention rosters, scheduling mandatory briefings, maintaining key leadership rosters, assisting with the documentation of the outreach portfolio and continuity binder, and assisting with all aspects of marketing.

2.1.6 DOMESTIC ABUSE VICTIM ADVOCATE (DAVA)

2.1.6.1 Provides 24 hour/7 days a week response to victims alleging domestic abuse (DA) by publishing and maintaining an emergency contact number via cell phone provided by vendor.

2.1.6.2 Partners with the Family Advocacy case manager, or mental health on-call provider if the treatment/case manager is unavailable, to establish current and effective safety plans. The victims’ safety is the DAVA’s top responsibility and priority. The DAVA will review the Safety Plan during each victim contact by the DAVA. Establish a Victim’s Safety Plan on a case-by-case basis.

2.1.6.3 Develops safety plans based on initial and ongoing risk assessments. If imminent risk of serious harm or death is established, notify the FAO, law enforcement, and Command. If children are involved, the process also includes child physical safety and emotional well-being; refer involved children to the treatment/case manager for follow-on care.

2.1.6.4 Immediately reports any changes in the victim’s circumstances that changes or impacts the safety plan to the FAP treatment/case manager or mental health on-call provider if the treatment/case manager is unavailable. When determining whether a victim is at imminent risk of serious harm or death, the DAVA will assess the following risk factors:

a. Victimization patterns have increased in severity or frequency

b. Alleged offender threatened or attempted to kill the victim or his/her children

c. Alleged offender threatened or attempted suicide

d. Alleged offender strangled the victim

e. Alleged offender used or threatened to use a weapon against the victim

f. Victim sustained serious injury during the abusive incidents

g. Prior police contact with the alleged offender regarding DA

h. Victim has a restraining or protection order against the alleged offender

i. Victim is estranged, separated or attempting to separate from the alleged offender

j. Alleged offender stalked the victim

k. Alleged offender exhibits obsessive behavior, extreme jealousy, or extreme dominance

l. Alleged offender abuses alcohol or drugs

m. Alleged offender forced sex on the victim

n. Alleged offender abused victim during current pregnancy

o. Victim expresses fear of imminent serious harm or death

p. Alleged offender has active psychosis and/or mania

q. Alleged offender is using psychoactive drugs, such as amphetamines or cocaine

2.1.6.5 Advises each victim at the initial contact that:

c. Medical examination/documentation of victim’s injuries is highly recommended

2.1.6.6 Advises victims of the military or civil actions available to promote safety (e.g. military order of protection, restraining order, injunction, etc.)

2.1.6.7 Offers victims information regarding their identified needs (e.g. emergency shelter, housing, childcare, legal services, clinical resources, medical services, transitional compensation, etc.)

2.1.6.8 Offers follow-up DAVA services to each victim:

a. Empower the victim to advocate for the needs of self and children

b. Support the victim in decision-making by exploring options

c. Assist the victim with prioritizing actions and establishing short/long-term goals

d. Provide information and referral on military and civilian resources

2.1.6.9 Advises victims of the impact of domestic violence (DV) on children and supports victim’s efforts to have children assessed and treated, as needed

2.1.6.10 Accompanies the victim to appointments or court proceedings when requested by the victim

2.1.6.11 Assistance with transportation is typically not provided to victims, however, after consultation with the FAO and when no other reasonable means exist the DAVA may transport the victim to important appointments (i.e.: medical, court, protective actions). The DAVA cannot transport minor children unless accompanied by the parent or legal guardian, and has the appropriate safety restraints in the vehicle. The government will not be responsible for any costs or liabilities if the DAVA elects to provide transportation for victims except as identified in PWS paragraph 2.5.2 Local Vicinity Travel (LVT).

2.1.6.12 Collaborates with the FAP treatment/case manager to support the victim and promote safety for the victim and children in the home. The DAVA briefs the treatment/case manager prior to the CCS so that the CCS team has the most current information on the victim and children for staffing.

(Note: The DAVA does not have access to information containing Personal Health Information (PHI) and does not attend the CCS).

2.1.6.13 Establishes a contact file for each victim served that contains minimal information about the allegations or nature of the incident. The primary purpose of the DAVA contact file is to maintain victim’s name and contact information as well as a log of the victim contacts and nature of the contacts or service provided by the DAVA. Information in the DAVA contact file will assist the DAVA in maintaining contact with the victim and will provide continuity of care in the event of DAVA position turnover.

a. Place the safety plan, Victim Impact Statement (VIS) and Victim Preference Statement (VPS) in the DAVA contact file. Provide a copy of items to the treatment/case manager for the FAP Record.

b. Maintain DAVA contact files in the FAP office under a double lock system.

c. The contact file will be clearly marked as either “Open” or “Closed” indicating whether the victim is currently receiving DAVA services.

2.1.6.14 Submits VIS when the victim asks the DAVA to inform the alleged offender’s commander, the FAP treatment/case manager, or the FAO (for presentation to the CRB) of the impact the maltreatment has had on the victim and/or children. (Note: This form is only required when the victim requests the DAVA share the impact information on the victim’s behalf.)

2.1.6.15 Enters victim contact information and perform other activities monthly IAW AF FAP guidance.

2.1.6.16 Develop process to keep the FAO and designated POC (on-call mental health provider, ER, etc.) informed of DAVA’s location and timelines when providing DAVA victim services. This process will include location, arrival, and departure notification.

2.1.6.17 Supports the FAOM to develop System Advocacy, Education and Public Awareness, promoting a coordinated community response to DA. As a system advocate, the DAVA shall:

a. Continually evaluate the quality of the installation’s coordinated community response and collaborate with base agencies to improve the system response to victims.

b. Empower victims to be involved in plans or decisions about the safety of self and children.

c. Collaborate with Security Forces Squadron (SFS) and Office of Special Investigations (OSI) to establish protocols to ensure:

(1) 24-hour notification of the DAVA in all incidents of suspected DA

2.1.6.18 Collaborates with the Military Treatment Facility (MTF) to establish protocols to ensure:

a. 24-hour notification of the DAVA in all incidents of suspected DA

b. Training of MTF personnel on the DAVA role

2.1.6.19 Establishes liaisons and partner with civilian DA resources.

2.1.6.20 Is a member of the installation FAC and reports to the FAO. The DAVA participates in the development, implementation, and evaluation of installation DA policies and protocols (e.g. Installation Supplement to AFI 40-301, Memoranda of Understanding (MOUs) with local victim shelters, Inter-Service Support Agreements, etc.).

2.1.6.21 Supports the FAP Outreach Program (OP) and NPSP prevention activities. The DAVA will actively participate in all resiliency initiatives designed to prevent DA.

a. Partners with the FAN when the FAN is involved in open partner maltreatment cases.

b. Promptly communicates with the treatment/case manager and the FAN any information that may impact the victim’s current safety plan.

c. Refers victim for direct service from the FAN through the FAO.

d. Shares victim information with the FAN at least monthly to ensure continuity of care between the FAN and DAVA services.

e. Partners with the FAOM to promote education about and prevention of DA. Such activities may include outreach programs designed to increase awareness, educational briefings (e.g. restricted reporting option), skill-building classes, and the development of marketing tools and strategies.

f. An invited member of the Outreach Prevention Management Team (OPMT), the DAVA shall make every effort to attend OPMT meetings to promote the DAVA-FAOM partnership and the DAVA involvement in DA prevention activities.

2.1.7 Basic Life Support Certification: At a minimum, all FAP personnel working within an MTF must maintain current certification in either the American Heart Association Basic Life Support Course (BLS) (Course C) or the American Red Cross Cardiopulmonary Resuscitation (CPR)/BLS (Heart Saver) Course. Initial training may be obtained either from the MTF within 30-days of arrival, or in the community (at no cost to the Government). The Government may also offer refresher training for contract FAPs on a space available basis. If trained within the facility, the time will not be billable to the Government. The Government will not pay for recertification training obtained outside the MTF.

2.1.8 Health Requirements: In accordance with AFI 48-105, all FAP personnel shall follow the methods for controlling a preventable disease as described in the American Public Health Association publication, Control of Communicable Disease Manual, and the Centers for Disease Control and Prevention (CDC) publication, Morbidity and Mortality Weekly Report, and its supplements. Where applicable, the most recent guidelines from these publications are utilized as the standard. (NOTE: The Program Coordinator is exempt, as this individual is not located in a MTF)

2.1.8.1 Before starting work, FAP personnel working with MTFs shall provide proof of immunization from the following diseases according to CDC guidelines: Hepatitis B, measles, mumps, rubella, varicella, and influenza, and proof of a negative TB skin test (completed within the past 12 months (if positive, proof of negative chest X-ray within the past 12 months) prior to start of work). After start of work, the Government will provide post blood borne exposure protocols according to applicable AFIs.

2.1.8.2 In those areas where there is a higher risk of transmission of tuberculosis, FAP personnel may be tested as frequently as directed by the MTF policy. The MTF will provide this test.

2.1.8.3 Immunization information will be tracked in DoD computer systems for all FAP personnel.

2.1.8.4 The MTF will not perform medical tests or procedures required by the contract (with the exception of Tuberculosis testing after start of work and exposure; see PWS 2.1.8.2). Expenses for all required tests and procedures shall be borne by the Contractor, not the Government.

2.1.8.5 Annual influenza vaccination is strongly encouraged for FAP personnel working in an MTF. The Government will NOT provide this vaccine to FAP personnel. The Contractor covers the cost of this vaccination, not the Government.

2.2 GENERAL REQUIREMENTS

2.2.1 Contract employees shall perform all position responsibilities under the supervision of the local FAO. As applicable, all contractor personnel are required to complete all necessary requirements to maintain current licensure in the state in which the individual’s license is issued. This shall be at no additional cost to the Government. The minimum education and experience requirements for each position are as follows and may not be substituted:

2.2.1.1 Family Advocacy Treatment Manager (FATM) or Family Advocacy Intervention Specialist (FAIS) must be a U.S. licensed clinical Social Worker:

2.2.1.1.1 Education: Master’s degree from a Council on Social Work Education (CSWE) accredited school.

2.2.1.1.2 Experience: Two years full-time post-master’s degree experience (within the last three years) in professional clinical counseling service programs to men, women, and children who are abusive or abused. Must also have experience as a group therapy facilitator or co-leader. To perform as the FAIS, the individual must have two years’ experience working with children, families, and groups in clinical or community organization settings; or as program manager, with demonstrated responsibilities in program planning with implementation of education and intervention services, and community collaboration.