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2012 Navy Region NW FCPO Symposium (EFMP)

2012 Navy Region NW FCPO Symposium (EFMP)






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  • I’d like to welcome you to today’s webinar: Exceptional Service for Exceptional People – EFMP Liaison Orientation .
  • NDAA Requirements   Although the Exceptional Family Member Program has been in existence for many years, the National Defense Authorization Act for FY 2010 has established some Department of Defense policies to create uniform procedures for ensuring specialized care and support for military families who have special needs.   {Click} Sec. 563 . Support for military families with special needs is the section of this 650 plus page Defense Appropriations bill which outlines new policies and requirements for the Exceptional Family Member Program.   {Click} § 1781c. Provides for the “Establishment of an Office of Community Support for Military Families With Special Needs”   {Click} The purpose of this section of the NDAA bill is to enhance and improve Department of Defense support around the world for military families with special needs.   {Click} The bill requires that the DoD develop, and update a uniform policy for the Department of Defense regarding military families with special needs.   {Click} Under this bill, each military branch of service is tasked with providing staffing for the development and oversight of individualized service plans for educational and medical support for military families with special needs.
  • The Purpose:   Meet Chief Gomez and his family. His son was born with a hearing impairment requiring on-going speech therapy and special educational needs. As you can see, Chief Gomez is getting ready to make a move with his family. I wonder how having special needs child will affect where he’s stationed?   Well let’s see if our poll question can help us answer that.   Note: Bring in Poll #2   Poll #2: The EFM Program prevents active duty service members from deploying or being stationed on a platform that may deploy.   This is FICTION: {Click} EMFP screening and enrollment is used to determine the suitability of service and family members for overseas or remote assignments by identifying special needs. It does not prevent Chief Gomez from being assigned to a deploying command. In fact the EFM Program has no impact on the deployment responsibilities of the sponsor.     Note: There are several “sticky note” questions used in this section. You can ask the question and have learners chat their answers in the chat pod or ask a learner to read the question and try to answer it. You might also switch it up with each “sticky note” question.     {Click} Sticky note question: Why do you think screening – especially screening for overseas and remote duty – is so important?   (Answers should include some of the following points. The facilitator should expand on the information as necessary to fully answer the question.)   Service and family members who are improperly screened can arrive at overseas, remote duty stations with requirements beyond the capability of local medical, dental, educational, or community resources.
  • Program Eligibility:   When discussing program eligibility, let’s first define what an exceptional family member is… An Exceptional Family Member (EFM) is defined as:   {Click} An authorized family member of ANY AGE (an authorized family member could be a child, a teen, an adult child or even a parent), who is… {Click} Residing with the sponsor who is… {Click} Enrolled in the Defense Eligibility Enrollment Reporting System (or DEERS) and … {Click} Requiring on-going special medical, mental health or educational services not generally available in isolated or overseas location. The EFM Program stipulates that special needs extend to cover wheelchair accessibility, adaptive equipment or assistive technology devices and services.
  • Program Enrollment   Common reasons for enrollment in the program are: {Click} Physical disability {Click} Emotional disability {Click} Intellectual disability {Click} Long-term chronic illness {Click} Long-term special educational needs   (Note: Click after the last line in the list to clear the screen before bringing in poll question #3.)   Note: Bring in Poll #3   Poll Question #3: EFMP enrollment is mandatory and required immediately upon identification of a special need.   This is FACT. The EFM Program requires mandatory enrollment per OPNAVINST 1754.2D and is required immediately upon identification of a special need.   {Click} Sticky note question: Can you think of some reasons why someone might be hesitant to enroll?   (Answers should include some of the following points. The facilitator should expand on the information as necessary to fully answer the question.)   There may be a reluctance to enroll because of misconceptions that EFMP enrollment may limit assignments and career advancement, or preclude family members from accompanying sponsors on overseas tours. These negative perceptions are not supported by fact. Sailors enrolled in the EFMP have always received equal consideration for accompanied assignments and for promotions.   And overseas screening is the same for all families anticipating accompanied orders. If the special needs of the family can be met by the receiving location overseas, an accompanied assignment may be authorized.
  • The Enrollment Process   Although the MTF EFMP Coordinator will certainly help EFM families finalize and process the paperwork, as an EFMP Liaison or Lead, you will need a good knowledge of how the process works and what paperwork will need to be completed. Let’s start by walking through the enrollment process. By the way, you will receive a handout with this flow chart at the end of the session.   {Click} First… Special needs are identified. This could happen in a variety of different ways: Identified during routine healthcare (MTF or TRICARE Health Provider) Self-identified (Service or Family Member) Identified during Suitability Screening (Suitability Screening Coordinator)   {Click} Step 1: Refer the service and family member to the MTF EFMP Coordinator who assists with completing DD Form 2792, or DD Form 2792-1.   {Click} Step 2: The MTF EFMP Coordinator forwards completed enrollment forms to the appropriate regional Central Screening Committee (CSC), which includes NMC Portsmouth, NMC San Diego and USNH Yokosuka.   {Click} Step 3: The CSC reviews the enrollment forms, recommends a category code, and forwards the forms to the Navy EFMP (PERS-45) in Millington, TN.   {Click} Step 4: PERS-451 confirms the category code and enters the enrollment data into an EFMP database.   {Click} Step 5: Detailers use the EFMP enrollment data to pinpoint assignments to locations with appropriate resources that can address the special needs.
  • Enrollment Paperwork   {Click} It is the service member’s responsibility to complete and submit all enrollment forms. Even though the MTF EFMP Coordinator will assist with the completion and submission of enrollment forms, you should be very familiar with these forms in order to guide your customers through the enrollment process.   {Click} A separate enrollment form is needed for each family member enrolling.   {Click} Family members must complete and submit the enrollment forms in the geographic area in which they are living and not the area in which the service member is stationed, as might be the case with geographic bachelors.   {Click} Original forms must be used.   {Click} The Navy requires submission of both the DD Form 2792 enrollment form and the DD Form 2792-1 for all school-age children. If a child is enrolled in an early intervention program an Individual Family Service Plan (IFSP) must be attached. All children in Special Education should have an IEP attached.   {Click} Upon completion of all the enrollment forms, they are provided to the MTF EFMP Coordinator.   {Click} Encourage enrollees to maintain additional copies of each form for their personal records.
  • Enrollment Benefits   Some of the benefits of enrolling in the EFM Program include: {Click} Enrollment allows a flexible assignment process, it… {Click} Saves money – for the Navy AND the families, it… {Click} Decreases the incident of early returns, it… {Click} Avoids unnecessary family separation, it… {Click} Retains qualified, trained personnel, it… {Click} Improves the quality of life (QOL) for enrolled families and it… {Click} Ensures special care is available.   {Click} Sticky note question: What could you do to relieve someone’s concerns about enrolling in the EFM Program?   (Answers should include some of the following points. The facilitator should expand on the information as necessary to fully answer the question.)   Explain the program and the benefits. Hesitation to enroll is usually based upon lack of knowledge or concerns about their ability to be promoted.   You can ensure them that promotion boards are unaware of EFM status and that every effort is made to match the sponsor’s career pattern with the needs of the family. Detailers work diligently to meet the needs of EFMP families – often trying to detail them to fleet concentration areas (like Norfolk or San Diego), so their careers can still progress if they need to remain in one area.   And the sponsor can choose to accept an unaccompanied assignment while the family is supported in another location.
  • Enrollment Categories: Exceptional family members go through a screening process where they are placed in one of six enrollment categories. These EFMP enrollment categories are based on: Type and number of specialists and sub-specialists required by the EFM, the… Frequency of requirements, the… Availability of services, and the… Severity of medical and/or educational needs Let’s take a closer look at these categories and how these categories affect services and detailing.
  • Categories I – III   Just a note before we start in on the EFMP categories, there’s a lot of information covered enrollment categories but you don’t have to remember it all or take extensive notes because you will be provided with a handout at the end of this session that includes all this information. So let’s get started…   {Click} Category I: Category I enrollment is for monitoring purposes only with no limitation of assignment. This category is used to make the Naval Personnel Command (or NPC) aware that there are mild conditions or that there have issues in the past that are no longer relevant (for example, greater than five years cancer free). Category I enrollees will need to update their status every three years or if their condition worsens.   {Click} Here are some examples of Category I conditions: ( Note: Don’t read the conditions just refer to them so that learners can read them.) Mild hypertension, Seasonal allergies, Easy to accommodate educational needs   {Click} Category II: Category II is used to identify and pinpoint duty stations and assignments where the Navy can ensure that the EFM needs are met. Typically a Category II enrollee can be treated by a general provider (i.e. a regular medical doctor) and don’t require specialized services. This category may also indicate that there are uncomplicated educational needs that need to be addressed.   {Click} Here are some examples of Category II conditions: ( Note: Don’t read the conditions just refer to them so that learners can read them.) Hypertension, Mild migraines, Eczema , Stable ADHD/ADD   {Click} Category III:   Category III enrollees are typically ineligible for overseas assignments based on the level of care required by their condition. These enrollees need specialized services that require them to live within three hours of a major medical facility or treatment center. Category III may also indicate that the EFM has a complex or specialized educational need.   {Click} Here are some examples of Category III conditions: ( Note: Don’t read the conditions just refer to them so that learners can read them.) Moderate disabilities, Diabetes Type II, Asthma , Most behavioral and dental health needs
  • Categories IV – VI   {Click} Category IV: Individuals in the EFMP Category IV have conditions that require specialized care and treatment. Category IV requires that the EFM live in major medical areas in the continental United States and within 50 miles of a major medical treatment facility. Category IV EFM’s may require special housing needs such as living in single story housing. Like Category III, Category IV can also indicate complex specialized educational needs.   There are eight Category IV locations in CONUS which are listed on your resource handout.   (Note: You don’t have to go over the CAT IV locations but if asked they are: Groton, CT, Bethesda, MD, Portsmouth, VA, Charleston, SC, Jacksonville, FL, Pensacola, FL, San Diego, CA, Bremerton, WA)   {Click} Here are some examples of Category IV conditions: ( Note: Don’t read the conditions just refer to them so that learners can read them.)   Severe lupus, Cerebral palsy, Chronic heart disease, Major depression or other mental health conditions   In addition to the information on your screen, the category locations will be available on your handout at the end of the session.   {Click} Category V: The needs of Category V enrollees are highly specialized, complex and severe and require continuity of care best served at CONUS homesteading locations.   This category includes provisions for homesteading in an area that can support both sea and shore assignments. Homesteading will not preclude the requirement for sea/shore rotation of the sponsor, nor will it interfere in the unaccompanied assignment of a sponsor, providing the needs of the EFM member are addressed.   The five Category V “homesteading” locations are: Norfolk, VA, San Diego, CA, Jacksonville, FL, Bremerton, WA, Washington, DC   {Click} Here are some examples of Category V conditions: ( Note: Don’t read the conditions just refer to them so that learners can read them.)   Multiple and/or severe disabilities, Leukemia, Autism, Individuals with extensive care needs (medical, behavioral and/or educational).   {Click} Category VI:   Category VI is for temporary enrollments of short durations. Typically the family will remain in one area during the duration of the diagnostics, evaluation or treatment. The need for enrollment is updated between six and twelve months based on condition.   {Click} Here are some examples of Category IV conditions: ( Note: Don’t read the conditions just refer to them so that learners can read them.)   A high risk pregnancy, A premature infant, Someone undergoing current short-term evaluation, treatment or counseling   Just a quick pulse check here to see if everyone is comfortable with the information on categories. Be assured that your role is to assist and support EFMP enrollees; you are not required to have extensive medical knowledge or backgrounds. There are central screening committees at three major medical centers who make the decision on which category an individual is placed in. You should, however, have a good understanding of how the different categories impact the needs of that family as that will help you choose appropriate assistance and referrals.
  • Meet Chelsea   {Click} Chelsea is an EFMP Liaison at an installation Fleet and Family Support Center   {Click} Her responsibilities are: Assisting EFM families with enrollment paperwork. Identifying and coordinating EFMP resources. Setting up a data base of contacts and services. Establishing and maintaining cooperative partnerships.
  • Meet Anne   {Click} Anne’s role is the: EFMP Lead Liaison Point of contact and subject matter expert for one of the five assigned Category 5 regions (Norfolk, VA, San Diego, CA, Jacksonville, FL, Bremerton, WA, Washington, DC)   {Click} Her responsibilities include: Coordinating with support agencies. Facilitating training for EFM Liaisons. Providing exchange of resource information.
  • In Conclusion:   We’ve gone over a lot of information today. Let’s pull out a few key points from what we learned today:   EFMP is a mandatory detailing program. It… Identifies long term medical, psychological and special education needs. It… Ensures assignment considerations when transferring. As an EFMP Liaison, YOU provide a vital service to assist and support EFM families!
  • Questions     Ask learners if they have any questions. Thank everyone and invite them to join you for other courses (it’s a good idea to have a list ready so that you can give them course information and dates).

2012 Navy Region NW FCPO Symposium (EFMP) 2012 Navy Region NW FCPO Symposium (EFMP) Presentation Transcript

  • Exceptional Service for Exceptional People:EFMP Orientation 1
  • NDAA RequirementsNational Defense Authorization Act for FY 2010Sec. 563. Support for military families with special needs§ 1781c. Establishment of an Office of Community Support forMilitary Families With Special Needs Responsibilities:Purpose: Enhance Develop, and Tasking: Supplyand improve DoD update a uniform staffing to providesupport around the policy for the DoD for individualizedworld for military regarding military service plans for families with families with military families special needs special needs. with special needs. 2
  • The PurposeEMFP screening and enrollment isused to determine the suitability ofservice and family members foroverseas or remote assignments byidentifying special needs Why is screening for overseas and remote duty locations necessary? 3
  • Program Eligibility An Exceptional Family Member (EFM) is: An authorized family member of any age Residing with the sponsor Enrolled in DEERS Requiring special medical, mental health or educational services 4
  • Program Enrollment Common reasons for enrollment W hat are the Physical disability reason s whysome one might Emotional disability be hesitant to nroll? Intellectual disability e Long-term chronic illness Long-term special educational needs 5
  • The Enrollment Process DD Form 2792, or MTF EFMP EFM is Coordinator DD Form 2792-1 identified forwards forms completed to the CSCDetailers use the Data confirmed and entered into CSC reviews and EFMP data to recommends a pinpoint an EFMP database category code assignments 6
  • Enrollment Paperwork Service member’s responsibilitySeparate forms for each family memberSubmit in geographic area of residence Must use original forms DD Forms 2792 and 2792-1 Both required for school age children Provide to MTF EFMP Coordinator Keep copies of all paperwork 7
  • Enrollment Benefits Allows for a flexible assignment process Saves money for the Navy AND the families Decreases the incident of early returns Avoids unnecessary family separation Retains qualified trained personnel Improves the QOL for enrolled families Ensures special care is available 8
  • Enrollment CategoriesEnrollment Categories are based on:Type and number of specialist andsub-specialists requiredFrequency of requirementsAvailability of servicesSeverity of medical and/oreducational needs 9
  • Categories I - IIICategory I: Category II: Category III:For monitoring purposes Identify duty No overseas dutyUsed to inform NPC assignment Needs met byUpdate in three years Needs met by regular specialists MD Complex school needs Uncomplicated school Moderate sion Mild hyperten needs disabilities s Se asonal allergie Diabetes Type II Hypertension Easy to Mild migraines Asthma accom modate ds Most behavioral an ed ucational nee Eczema dental health need d Stable ADHD/ADD s 10
  • Category IV - VICategory IV: Category V: Category VI:Within 50 miles of MTF Best to “homestead” TemporaryRequires specialized Requires specialized enrollmentcare care Short durationSpecific CONUS areas Specific CONUS areas Update in 6-12 monthsisk p High rSevere lupus regnancy Multiple and/or Premature infaCerebral palsy severe disabilities nt Undergoing cu Chronic heart Leukemia rrent short-term disease sion Autism treatment or Major depres counseling al Extensive care or other ment ns h ealth conditio 11
  • Role:EFMP LiaisonResponsibilities:Assisting with enrollment paperworkIdentifying and coordinating EFMPresourcesSetting up a data base of contacts andservicesEstablishing and maintaining cooperativepartnerships 12
  • Role:EFMP Lead LiaisonPOC and SME for assigned Category 5 regionResponsibilities:Coordinating with support agenciesFacilitating training for EFM LiaisonsProviding exchange of resource information 13
  • In conclusion…EFMP is a mandatory detailingprogramIdentifies medical, psychologicaland special education needsEnsures assignment considerationswhen transferringEFMP Liaisons provide a vital service to assist and support EFM families 14
  • Contact Susan Vitale-Olson, EFMLiaison Navy Region Northwest;360-396-5469 15