Unit Risk Inventories Self Report Survey Information 1

Unit Risk Inventories Self Report Survey Information 1

The Complete Risk Picture Incidents Reported by Installations Unit Risk Inventory Self-Reported High-Risk Behavior (Survey Info) 2 Reintegration 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, financial problems and URI results provide a picture of a unit’s self reported high-risk behaviors 3

Unit Risk Inventory (URI) 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 4

Unit Risk Inventory (URI) 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 5

Sample URI Questions Question 20 Within the past 12 months, have you physically threatened anyone at your work site? Question 1 How often do you have a drink containing alcohol? Question 31 Within the past 12 months, have you been in financial trouble? Question 12 Within the past 12 months, have you driven under the influence of alcohol or other drugs? Question 33 Within the past 12 months, have you had any suicidal thoughts? 6

URI Summary of Results Report Audit results for unit Percent problem drinkers in unit, installation, RRP Unit risk profile with data for unit, installation, RRP Enlargement 7

Reintegration Unit Risk Inventory R-URI Effects of Deployment on Soldier Risk Behavior 8

Reintegration Unit Risk Inventory 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. 9

Sample R-URI Questions Question 20 Within the past 12 months, have you physically threatened anyone at your work site? Question 1 How often do you have a drink containing alcohol? Question 31 Within the past 12 months, have you been in financial trouble? Question 12 Within the past 12 months, have you driven under the influence of alcohol or other drugs? Question 33 Within the past 12 months, have you had any suicidal thoughts? 10

R-URI Summary of Results Report Page 2 breaks out summarized information Deployment information Modified Audit results for unit 11

R-URI Report 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. 12

Are less than satisfied with life in the Army 13 rn in g et u I1 .0 I2 .0 eR Si nc RI UR Attempted suicide Drove under the influence of Alcohol Had a relationship deteriorate Often felt angry and frustrated 3% 1% 4% 36% 60% UR Used illegal drugs RU RUR I W hi le D ep lo y ed URI & R-URI Data Comparisons 5% 1% 19% 28% 49% 65% 3% 1% 14% 22% 45% 55% 3% 1% 13% 21% 49%

Alcohol Abuse / Problem Drinking Problem Drinkers: R-URI URI 2.0 URI 1.0 (ongoing) (2002-2005) (Pre 9/11) 30% 28% 35% Drinking Scenarios: Problem Drinker: Non-Problem Drinker: Consume 6 drinks or more in one sitting on a weekly basis. Consume 5 - 6 drinks, 4 times a week. Consume 6 drinks or more in one sitting on a monthly basis. Consume 1 - 4 drinks, 4 times a week. * 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 14

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. 15

Background 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 90180 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. 16

R-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. 17

Total Risk Total Risk 40.00 35.90 % Soldiers w/Positve Responses 35.00 No Combat Combat 30.00 25.00 20.00 15.70 15.70 15.00 11.90 10.00 5.00 4.30 5.80 0.00 Low Drinkers Moderate Drinkers Drinking Category 18 Heavy Drinkers

Committed an Illegal Act Commited an Illegal Act 25.00 % Soldiers w/Positve Responses 20.00 23.51 No Combat Combat 15.00 13.75 10.00 6.13 5.00 3.80 0.75 1.40 0.00 Low Drinkers Moderate Drinkers Drinking Category 19 Heavy Drinkers

Used Illegal Drugs Used Illegal Drugs 18.00 16.00 15.40 No Combat Combat %Soldiers w/Positve Responses 14.00 12.00 10.63 10.00 8.00 6.00 4.59 4.00 2.00 3.19 2.00 0.75 0.00 Low Drinkers Moderate Drinkers Drinking Category 20 Heavy Drinkers

Vandalized Property Vandalized Property 25.00 No Combat Combat 19.44 % Soldiers w/Positve Responses 20.00 15.00 9.81 10.00 5.38 5.00 2.17 1.96 0.63 0.00 Low Drinkers Moderate Drinkers Drinking Category 21 Heavy Drinkers

Spousal Abuse Spousal Abuse 18.00 16.00 16.79 No Combat Combat % Soldiers w/Positve Responses 14.00 12.00 10.14 10.00 8.39 8.00 6.00 4.00 4.77 3.27 3.88 2.00 0.00 Low Drinkers Moderate Drinkers Drinking Category 22 Heavy Drinkers

Child Abuse Child Abuse 25.00 No Combat Combat 20.23 % Soldiers w/Positve Responses 20.00 15.00 11.49 11.45 9.53 10.00 7.75 6.54 5.00 0.00 Low Drinkers Moderate Drinkers Drinking Category 23 Heavy Drinkers

Financial Trouble Been in Financial Trouble 20.00 19.00 18.00 No Combat Combat % Soldiers w/Positve Responses 16.00 14.10 14.00 12.60 11.70 12.00 10.00 8.00 7.30 8.00 6.00 4.00 2.00 0.00 Low Drinkers Moderate Drinkers Drinking Category 24 Heavy Drinkers

Difficulty Accepting New Members Have Difficulty in Accepting New Unit Members 35.00 % Soldiers w/Positve Responses 30.00 No Combat 28.90 Combat 25.00 20.00 18.10 14.40 15.00 10.20 10.00 5.00 4.30 5.50 0.00 Low Drinkers Moderate Drinkers Drinking Category 25 Heavy Drinkers

Suicide Suicide 18.00 16.35 16.00 No Combat Combat %Soldiers w/Positve Responses 14.00 12.00 10.00 8.47 7.35 8.00 6.00 5.32 4.14 4.00 2.93 2.00 0.00 Low Drinkers Moderate Drinkers Drinking Category 26 Heavy Drinkers

The Complete Risk Picture Commanders need full visibility to make informed decisions! Valuable information on both side of the waterline. Unit Risk Inventory Self-Reported High-Risk Behavior (Survey Info) 27 Reintegration URI

Questions Don’t Risk Readiness !