The document outlines policies and procedures for the Navy Exceptional Family Member Program (EFMP). Key points:
1. The EFMP identifies and enrolls family members with special medical or educational needs to ensure Navy families are assigned to areas where those needs can be met.
2. Enrollment is mandatory for family members with conditions requiring chronic care. It helps Navy planners assign members to appropriate duty stations.
3. The program is a collaboration between the Navy, DoD schools, and medical commands to provide support services to enrolled families. Responsibilities are defined for identifying, enrolling, and supporting exceptional family members at all levels of the Navy.
PRECONCEPTION CARE
definition
aims
purposes
components
role of midwife
ANTENATAL CARE
definition
goals
schedule for anc
assessment
antenatal preparation
health education
anc exercise
anc diet
prevention from radiation
CULTURAL ASPECTS DURING PREGNANCY
PRECONCEPTION CARE
definition
aims
purposes
components
role of midwife
ANTENATAL CARE
definition
goals
schedule for anc
assessment
antenatal preparation
health education
anc exercise
anc diet
prevention from radiation
CULTURAL ASPECTS DURING PREGNANCY
GEMC - Nursing Assessment and ResuscitationOpen.Michigan
This is a lecture by Antoinette Bradshaw from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
Healthy Mothers Healthy Babies
2014 Annual Meeting & Conference
October 7th, 2014
Presented by: Carol E. Hayes, CNM, MN, MPH
American College of Nurse Midwives representative to CDC Advisory Committee on Immunization Practice (ACIP)
Explore the Knowledge and Impact on Dysmenorrhea among Nursing Students of Se...ijtsrd
Dysmenorrhea is defined as difficult menstrual flow or painful menstruation. It is an ordinary gynecological problem among adolescent ladies which is severe enough to keep them from functioning at home, college or work place for a day or a two every month. Objective To assess the knowledge and impact of dysmenorrhea among nursing students Material and Method A descriptive study was carried out among 201 nursing students selected by purposive technique at M.M university, ambala Haryana by using structured knowledge questionnaire KR 20= 0.72 and impact rating scale chron a= 0.87 respectively from January 2016 to February 2017. Result Most of students were of 19 to 21 yrs in age and 95 were unmarried. 78.6 received knowledge of dysmenorria from mothers. 100 students experienced dysmenorria in which 87.6 had regular cycle, 51.7 felt intermittent pain. Majority 57.2 have good knowledge regarding dysmenorria and mildly affected by it followed by 41.3 are moderately affected by dysmenorria. age, course of study and marital status are significantly associated with knowledge regarding dysmenorrhea whereas level of pain and measures to relieve dysmenorria is significantly associated with impact of dysmenorrhea. Conclusion Formal, informal and special mass media educational programmes may be taken to educate the girls on dysmenorria and measures to relieve .community health nurse and school health nurse need to concerned about it. Pooja Jaswal | Pabalpreet Kaur | Dr. (Mrs) Jyoti Sarin "Explore the Knowledge and Impact on Dysmenorrhea among Nursing Students of Selected College" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-6 , October 2020, URL: https://www.ijtsrd.com/papers/ijtsrd33446.pdf Paper Url: https://www.ijtsrd.com/medicine/nursing/33446/explore-the-knowledge-and-impact-on-dysmenorrhea-among-nursing-students-of-selected-college/pooja-jaswal
Freckle Report for October 2023 - The Top 45 Libraries in America.pdfEveryLibrary
Please visit https://www.everylibraryinstitute.org/freckle_project_surveys_reports for more information about the Freckle Project and to find links to other presentations and datasets.
GEMC - Nursing Assessment and ResuscitationOpen.Michigan
This is a lecture by Antoinette Bradshaw from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
Healthy Mothers Healthy Babies
2014 Annual Meeting & Conference
October 7th, 2014
Presented by: Carol E. Hayes, CNM, MN, MPH
American College of Nurse Midwives representative to CDC Advisory Committee on Immunization Practice (ACIP)
Explore the Knowledge and Impact on Dysmenorrhea among Nursing Students of Se...ijtsrd
Dysmenorrhea is defined as difficult menstrual flow or painful menstruation. It is an ordinary gynecological problem among adolescent ladies which is severe enough to keep them from functioning at home, college or work place for a day or a two every month. Objective To assess the knowledge and impact of dysmenorrhea among nursing students Material and Method A descriptive study was carried out among 201 nursing students selected by purposive technique at M.M university, ambala Haryana by using structured knowledge questionnaire KR 20= 0.72 and impact rating scale chron a= 0.87 respectively from January 2016 to February 2017. Result Most of students were of 19 to 21 yrs in age and 95 were unmarried. 78.6 received knowledge of dysmenorria from mothers. 100 students experienced dysmenorria in which 87.6 had regular cycle, 51.7 felt intermittent pain. Majority 57.2 have good knowledge regarding dysmenorria and mildly affected by it followed by 41.3 are moderately affected by dysmenorria. age, course of study and marital status are significantly associated with knowledge regarding dysmenorrhea whereas level of pain and measures to relieve dysmenorria is significantly associated with impact of dysmenorrhea. Conclusion Formal, informal and special mass media educational programmes may be taken to educate the girls on dysmenorria and measures to relieve .community health nurse and school health nurse need to concerned about it. Pooja Jaswal | Pabalpreet Kaur | Dr. (Mrs) Jyoti Sarin "Explore the Knowledge and Impact on Dysmenorrhea among Nursing Students of Selected College" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-6 , October 2020, URL: https://www.ijtsrd.com/papers/ijtsrd33446.pdf Paper Url: https://www.ijtsrd.com/medicine/nursing/33446/explore-the-knowledge-and-impact-on-dysmenorrhea-among-nursing-students-of-selected-college/pooja-jaswal
Freckle Report for October 2023 - The Top 45 Libraries in America.pdfEveryLibrary
Please visit https://www.everylibraryinstitute.org/freckle_project_surveys_reports for more information about the Freckle Project and to find links to other presentations and datasets.
Part 1 Medicaid and Military Families: An Introductionmilfamln
This module, the first in a three part series, will provide an overview of the Medicaid program. Participants will learn about the overall purposes of the Medicaid program; its relevance to military families, especially those with family members who have special needs. Participants will also learn about the manner in which Medicaid is implemented and variations among the states; and developments currently underway with the program.
CDBs are required for all Sailors upon reporting to a command, after six months on board, at 12-months on board and at 12-month intervals thereafter. Official guidance is contained in OPNAVINST 1040.11D, Navy Enlisted Retention and Career Development Program.
Typical topics covered during a CDB include watch-standing qualifications, continued education goals, advancement, short- and long-term career objectives, Perform-to-Serve (PTS) and Armed Services Vocational Aptitude Battery (ASVAB) scores. Leadership can use CDBs to learn the priorities of the Sailor and align the Sailor’s priorities to the needs of the Navy.
Following the CBD, the detailed minutes and recommendations are captured in CIMS by the career counselor or member of the chain of command authorized by the command for documentation. This includes what was discussed and is used to help keep the current and future commands informed of the Sailor’s progress and career goals.
Click the latest Career Development Program Navy instruction: http://doni.daps.dla.mil/Directives/01000%20Military%20Personnel%20Support/01-01%20General%20Military%20Personnel%20Records/1040.11D.pdf
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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Evaluation of antidepressant activity of clitoris ternatea in animals
EFMP OPNAVINST 1754.2D
1. DEPARTMEN T OF THE NAVY
OF'F'ICE OF' THE CHIEF' OF' NAVAL OPERATIONS
2000 NAVY PENTAGON
WASHINGTON. D .C . 20350-2000
OPNAV INSTRUCTION 1754.2D
From : Chief of Naval Operations
Subj: EXCEPTIONAL FAMILY MEMBER PROGRAM
Ref: (a I 000 Instruction 1342.12 of 11 Apr
(bl 000 Instruction 1315.19 of 20 Dec
(el SECNAVINST 1754 . 5B
(dl BUMEDINST 1300.2A
(el MILPERSMAN
(f) uniform Code of Military Jus t ice
(91 SECNAVINST 5211.5E
Encl: (1) Def ini tions
OPNAVINST 17 54 . 2D
N13
3 Nov 2010
2005
2005
(2) EFMP Enrollment Procedures and Process
(3) Central Screening Committees and EFMP Managers
(4) Sample EFMP Enrollment Letter
(5) Sample EFMP Disenrollment Letter
1 . Purpose. To implement the provisions of r e ferences (a)
through (g), issue revised policies, prescribe procedures. and
assign responsibilities for identification. enrollment. and
administrative support of the Navy Exceptional Family Member
Program (EFMP).
2. Cancellation . OPNAVINST 1754 . 2C .
3. Background. The Department of the Navy (DON) EFMP was
established in September 1987 . Reference (a) requires
coordination of early intervention. special education. and
related services for children with disabilities who are
attending, or eligible to attend. Department of Defense
Dependent Schools (DoDDS). In September 1988. the DON EFMP
evolved to include the identification and enrollment of all
family members with special needs at over seas and Continental
United States (CONUS) locations. Per reference (b), it is DON
policy to ensure Navy families with exceptional family members
(EFMs) are assigned only to areas where their EFMs medical and
educational needs can be met . References (cl, (d), and (el,
article 1300-700, provide guidance on implementing references
2. OPNAVINST 1754.20
3 Nov 2010
(a) and (b). Failure to enroll family members with special
needs may result in arrival at overseas or remote duty
assignments with requirements beyond the capability of local
medical, educational, o r community resources. This may result
in unnecessary family hardship and personnel practices such as
the early reassignment of the Service member due to inadequate
educational / medical support .
4. Policy
a. Goal . The primary goal of the EFMP is to ensure Service
members are assigned only to those geographic areas where the
medical (physical. mental, or emotional) or educational needs of
their EFMs can be met. Special emphasis should be placed on the
member ' s obligation to maintain worldwide assignability and to
meet the needs of the Navy, which may require Service members to
serve on unaccompan ied tours.
b. Enrollment . Enrollment in the EFMP is mandatory for all
family members identified with medical (physical, mental, or
emotional) or special e ducational requirements of a chronic
nature (6 months or longer) . Enrollment helps ensure that the
availability of required medical, mental health, and educationa l
services is considered during the Service member ' s assignment
process. Only a family member enrolled in Defense Enrollment
Eligibility Reporting System (DEERS) residing with or in the
custody of the Service member will be enrolled in the EFMP . EFM
sponsor enrollment / non-enrollment is recommended by the Bureau
of Medicine and Surgery (BUMED), Central Screening Commi tt ees
(CSCs), as defined in enclosure (1), and approved by Navy
Personnel Command (NAVPERSCOM), Distribution Management and
Procedures Branch (PERS-451) . Once a qualifying condition is
documented, the Service member submits the application forms and
substantiating documentation as outlined in enclosure (2) .
(1) Service members who fail to enroll, refuse to
provide the required information, or who knowingly provide false
information, may be subject to disciplinary action for offenses
under reference (fl, article 92 or 107.
(2) Service members may be restricted to unaccompanied
tours and family members may be denied command sponsorship for
refusal to enroll and or provide required information.
2
3. OPNAVINST 1754.2D
3 Nov 2010
c. Assignments. Officer and enlisted detailers will work
with enrolled Service members to develop a career path that
permits normal sea/shore rotation. Maximum consideration will
be given to co-locating Service members and their families
consistent with the availability of required services .
(1) Enrolled Service members electing to serve on an
accompanied tour overseas wil l be assigned only to areas where
the required services for the EFM are available. All orders
will be coordinated through NAVPERSCOM (PERS-451) prior to
release .
(2) Whenever possible, enrolled Service members should
be assigned withi n DON's geographic areas o f responsibility for
the provision of early intervention services (EIS) and related
services for those family members who have a medical (physical,
mental, or emotional) or education condition.
(a) DON geographic areas of responsibility are Italy
(Naples, Gaeta, and Sigonella), Spain, Portugal (except the
Azores), mainland Japan and Okinawa, Guam, Bahrain, Caribbean
region (including Cuba), Greenland, Diego Gar cia, Australia, New
Zealand. western Pacific. and embassies in these locations .
(b) Navy family members with developmental or
special education requirements wil l not be sent to' another
Military Service' s geographical area of responsibility without
coordination and approval from that Service .
(3) Command-sponsored travel of family members to an
overseas location may be denied when the gaining military
treatment facility (MTF) determines that required medical
services are not available .
(4) Enrolled Service members must remain worldwide
assignable and deployable.
(a) Enrolled Service members may be required to
serve unaccompanied tours as necessary to fulfill sea / shore
obligations of rank/rating and or the needs of the Navy,
provided those assignments are approved at NAVPERSCOM, Career
Management Department (PERS-4) flag level .
3
4. OPNAVINST 1754 . 2D
3 Nov 2010
(b) Enrolled Service members may elect to serve on
unaccompanied tours in which case the transf erring commanding
officer (CO) must review the decision with the sponsor to ensure
that the separation will not create an undue hardship on the
family and result in an early return of the Service member .
(5) Requests for early return of sponsors and their
families will be initiated if medical or educational needs
exceed the capability available at the overseas / isolated duty
assignment . Determination of care will be made by the
transferring MTF, and early return requests will be coordinated
with the parent command per reference (el, article 1300-306.
Family member(s) will b e enrolled in EFMP immediately upon
identification of a special need.
5. Responsibilities
a. Office of the Chief of Naval Operations (OPNAV),
Personal Readiness and Community Support Branch (Nl35) sha ll:
(1) Establish program policy and oversight for
implementation of comprehensive and coordinated medical,
educational, and community support to military families wi t h
special needs;
(2) Chair a Navy EFMP working group with represen ta tives
from BUMED, Office of Deputy Chief, Medical Operations (M3 / S);
NAVPERSCOM (PERS-4); Commander, Navy Installations Command
(CNIC), Fleet and Family Readiness (N9) ; and Department of
Defense Education Activity (DoDEA) to periodically examine
policies and procedures of the EFMP;
(3) Monitor and evaluate program effectiveness and
compliance with DON policy through periodic assessments; and
(4) Develop and conduct EFMP training and information
campaigns for command personnel at all levels (e.g . , cas,
executive officers, command master chiefs (CMDCMS), MTF, and
Fleet and Family Support Centers (FFSCs) staff).
4
5. b. Chief, BUMED shall:
OPNAVINST 1754.2D
3 Nov 2010
(1) Develop policy for healthcare providers and patient
administrators to identify and enroll eligible Service and
family members in EFMP;
(2 ) Require Commanders of Naval Medical Center,
Portsmouth and San Diego; and U. S . Naval Hospital Yokosuka to
maintain CSCs composed of multi-disciplinary specialists;
(3) Navy medicine regional commands wil l provide program
oversight and ensure the following :
(a) Provide training to health care providers on
EFMP identification and enrollment;
(b) Assist in the identification and evaluation of
EFMS; and
(e) Review EFMP enrollment forms; validate
appropriate enrollment; and provide medical recommendations to
NAVPERSCOM, EFMP Enrollment Manager (PERS-45l) . A list of EFMP
managers for each military component is provided in enclosur e
(3 I .
(4) Develop and implement quality assurance procedures
for the operation of the CSCs;
(5) Coordinate with OPNAV (N135), as required, to ass i st
with monitoring the execution of EFMP enrollment procedures; and
(6) Ensure commanders of MTFs assign responsibility for
EFMP identification and enrollment to an MTF department or
div ision who will ensure :
(a) An EFMP coordinator is designated in writing to
oversee EFMP e nrollment; assist current and prospec tive EFMSi
and provide training and marketing for the EFMP . Whenever
possible, the coordinator should be in the position for 2 or
more years.
5
6. OPNAVINST 1754.20
3 Nov 2010
(b) MTF staff identifies and assists with the
enrollment of family members with special needs in the EFMP
wh ile providing health care and through the suitability
screening process.
(c) EFMP coordinator maintains, tracks, and follows
up on the enrollment process and provides EFMP e nro llment
letters to Service members . Sample EFMP enrollment letter is
provided in enclosure (4).
(d) Service members update thei r EFMP enrollmen t
status.
(e) MTF providers and EFMP coordinators unders tand
their rol es and r espons i bilities in the EFMP enrol l ment process
and are knowledgeable of this instruction in its entirety .
Enclosure (2) contains detailed guide lines, procedures, and
responsibility for EFMP identifi ca t ion and enrollment.
If) NAVPERSCOM EFMP Web page
www . npc .navy.mil / CommandSupport / ExceptionalFami lyMember/
contains current EFMP coordinators ' names, commerci al/defense
switched network (OSN) telephone and telefax numbers. and e-mail
addresses . Forwa rd updates and corre ctions to OPNAV (Nl35) for
inclusion in the directory.
(g) EFMP coordinators in CONUS liaison with
overseas, and remote duty, MTF EFMP and sui tability screening
coordinators, edu cational and developmental intervent ion
services (EDIS) points of conta ct (POCs), and the regional DoDEA
special education coordinators, to ensure services are available
overseas.
(h) Standard operating procedures are developed and
implemented to address l ocal requirements for EFMP enrollment .
{i} EFMP is monitored for effec tiveness to ensure
proper exe cution by MTF staff .
(j) Refer enrollees to the FFSC EFMP poe for
community resources and referra ls.
6
7. c. CNIC (N9) shall,
OPNAVINST 1754.20
3 Nov 2010
(1) Incorporate EFMP policy references, program
description, and other information, provided by OPNAV (N135),
into relevant, centrally-developed education and training
materials; and
(2) Through CNIC (N9) regional directors, identify FFSC
EFMP poes who shall :
(al Maintain liaison with local MTF EFMP
coordinators to assist with facilitating the enrollment process;
(b) Refer Service members and family members to MTF
EFMP coordinators to complete EFMP enrollment processing;
(el Provide information and referrals, and general
program information, to commands, Service members, and family
members;
(d) Make available a list of any national, state, or
local community resources to assist EFMS;
(el Incorporate EFMP information in appropriate FFSC
education and awareness campaigns; and
(fl Provide a Service member to serve on the Navy
EFMP working group as outlined in paragraph Sa(2) above.
d. NAVPERSCOM (PERS-451) will administer the program and
shall,
(1) Manage the assignments of enrolled Service members;
(2) Establish and maintain a database of all enrolled
sponsors having EFMs;
(3) Coordinate with OPNAV (N135), and BUMED (M3 / S) as
required, to implement EFMP policy;
(4) Confirm the availability of medical, dental, mental
health, early intervention, or special education services at
projected duty stations; and
7
8. OPNAVINST 17S4 . 2D
3 Nov 2010
(51 Prescribe procedures for enrollment. updating, and
disenrollment of EFM family members who no longer require
specialized medical or educational services .
e. Installation commanders shall :
(1) Establish an EFMP coordination committee that
includes, but is not limited to, r epresentatives from MTF EFMPs
and EOIS, FFSC, school liaison officers, local school system,
ombudsman, TRICARE, housing, suitability screening, and child
and youth program to facilitate coordination and integration of
medical, educational. and community support services to military
families with special needs;
(2) Ensure command support personnel, such as chaplains,
child and youth program coordinators, FFSC staf f , and ombudsmen
are aware of EFMP goals, eligibility requirements, and provide
accurate counseling and dissemination of program guidance to
eligible applicants. Command support personnel shall provide
resource information to the MTF EFM coordinator; and
(3) Conduct an annual command survey to identify family
members who should be enrolled in EFMP.
(4) Navy Reserve Activity commanders shall ensure the
widest dissemination of EFMP to Selective Reserve (SELRES)
personnel and shall assign an EFMP coordinator.
f. Unit COs shall :
(1) Ensure an effective EFMP is established and
maintained, consistent with the requirements of this
instruction;
(2) Disseminate the requirement for mandatory enrollment
of EFMs. Suggested methods include the plan of the week and or
general military training sessions;
(3) Ensure privacy is maintaine d on EFM' s medical or
special educational information per reference (g);
8
9. OPNAVINST 1754.2D
3 Nov 2010
(4) Provide the MTF EFMP coordinator with an official
letter requesting disenrallment if the status of the EFM changes
through divorce, death, or no longer residing with the Service
member due to court-ordered change in custody; .
(5) Appoint an EFMP command poe that supports the
CMDCM/command senior enlisted advisor (SEA) or command career
counselor (CCC) who will :
(a) Maintain liaison with the local MTF EFMP
coordinator to assist with facilitating the enrollment process;
(b) Refer potential enrollees to the MTF EFMP
coordinator for enrollment processing ;
(el Refer enrollees to the FFSC EFMP poe for
community resources and referrals;
(d) conduct EFMP training within the command
indoctrination program;
(el Provide general program information to Service
members and their families; and
(f) Ensure Service members update their EFMP
enrollment status; and
(6) Review enlisted data verification reports and
officer distribut ion control reports to identify EFMP enrolled
sponsors.
g. Organizations, listed in paragraph 5(a) through 5{f),
must provide appropriate resources, staffing, and funding as
required.
h. Service members shall :
(1) Ensure enrollment into the EFMP by completing all
required enrollment forms and submitting completed forms to the
MTF for review by the CSC;
(2) Ensure MTF EFMP coordinator has current medical
information for inclusion in the EFMs health record(s),
9
10. OPNAVINST 1754.2D
3 Nov 2010
regardless of whether obtained from military/civilian healthcare
providers, medical facilities, hospitals, or early intervention/
educational personnel; and
(3) Ensure a renewed or updated enrollment for EFMP is
submitted when a family member's condition changes or upon
completion of diagnostic evaluations. The enrollment should be
updated every 3 years, 12 months prior to negotiating orders, or
a permanent change of station. For conditions that might
warrant temporary categorization in EFMP (as determined by the
esc), updated enrollments will be submitted to NAVPERSCOM
(PERS-451) by the EFMP coordinator via the esc, usually at 6
months to 1 year from date of temporary categorization .
(4) SELRES personnel shall identify themselves as being
entitled to and or enrolled in EFMP at the time of mobilization
notification.
6 . Procedures. Enrollment procedures governing the EFMP are
delineated in enclosure (2) .
7. Records Management. Records created by this instruction,
regardless of media, will be managed per Secretary of the Navy
Manual (SECNAV) (M-)5210 .1 of November 2007.
8 . Forms and Reports
a. DD 2792 (Oct 2006) Exceptional Family Member Medical
Summary and DD 2792-1 (Oct 2006) Exceptional Family Member
Special Education/Early Intervention Summary are available at
http: //www.dtic . mil / whs / directives / infomgt / forms / formsprogram . htm
b. Reporting requirements contained in this instruction are
exempt from reports control per SECNAV M-5214.1 of December
2005 .
~. [
M. E .
Vice A
Deputy Opera tions
(Manpower, Personnel, Training
and Education) (NI)
10
11. Distribution:
OPNAVINST 17 54.2D
3 Nov 2 010
El ectronic only via Department of the Navy Issuances Web site:
http: // doni . daps . dla.mil
11
12. DEFINITIONS
OPNAVINST 1754.2D
3 Nov 2010
1. Central Screening Committee (esc). A committee, established
by BUMED, consisting of healthcare providers that review all
completed EFM applications and make recommendation for
enrollment and assignment of an EFMP category to NAVPERSCOM
(PERS-451) .
2. Early Intervention Services (EIS). Services designed to
meet the developmental needs of an infant or toddler with a
disability (birth through 2 years, inclus i ve), and their
families, in one or more of the following areas of development:
physical; cognitive; communication; social or emotional; and
adaptive . EIS includes, but is not limi t ed to, family training,
counseling, home visits, special instruction, speech pathology
and audiology, occupational therapy, physical therapy,
psychology, service coordination, medical services for
diagnostic or evaluation purposes, early identification,
screening and assessment, ophthalmology, and social work. Also
included are assistive technology devices and services, health
services necessary to enable the infant or toddler to benefit
from the above EIS, and transportation and related costs
necessary to enable an infant or toddler and the family to
receive EIS. EIS are provided as specified in an individualized
family service plan (IFSP).
3 . Exceptional Family Member (EFM) . An authorized, DEERS-
eligible family member (spouse, child, stepchild, adopted child,
or dependent parent) residing with or in the custody of the
Service member, who possesses a physical, emotional,
developmental, or educational disability, or condition requiring
special medical, mental health, or educat ional services.
4. EFMP Command Point of Contact. A designated individual at
each command who has general knowledge of the EFMP and can
assist the member in obtaining further assistance (usually the
CMDCM, SEA, or CCC) .
5. Geographic Area. A specific geographic location chosen for
a sponsor's assignment where the required medical and
educational staff for t he sponsor's EFM is available .
Enclosure (1)
13. OPNAVINST 1754.2D
3 Nov 2010
6. Geographic Areas of Responsibility. The areas of
responsibility assigned by Department of Defense to the military
medical department overseas for the provision of early
intervention and related services in suppor t of DoDDS special
education programs.
7 . Homestead Assignment . A detailing policy that permits a
Service member, whose family member is identified by the esc as
severely disabled, with an opportunity to remain in a particular
geographic location. Homestead sites will be selected based on
their ability to provide requisite services and appropriate
sea / shore rotation. Homestead sites include Norfolk, VA;
Mayport / Jacksonville, FL; San Diego, CA; Bangor / Bremerton/ Puget
Sound / Seattle, WAi and the Washi ngton DC Capitol beltway area .
Gulfport, MS, and Port Hueneme, CA, are included for Seabees and
full time support personnel.
8. Individualized Education Program (IEP) . written plan for a
preschool or school-age child with a disability (ages 3 through
21 years, inclusive), which outlines the special education
programs and related services (including those of a medical
nature) that are required to meet the unique needs of a special
education student.
9. Individualized Family Service Plan (IFSP). Wri tten plan for
an infant or toddler (birth through 2 years, inclusive) with a
disability, and the family of such an infant or toddler, that is
based on a multidisciplinary assessment of the unique needs of
the child and the concerns and priorities o f the family . The
IFSP identifies the early intervention and other services
appropriate to meet such needs, concerns, and priorities.
10 . Major Medical Area. Any area served by medical departments
of the Armed Services or civilian medical facilities which have
physicians capable of treating / monitoring family members who
have impairments or chronic/severe medical conditions.
11. MTF EFMP Coordinator. A designated individual at an MTF
who provides information, assistance, and forms to MTF staff,
local commands, sponsors, and other family members with regard
to enrollment procedures, program benefits, and ava ilable local
services and facilities .
2 Enclosure (1)
14. OPNAVINST 1754.2D
3 Nov 2010
12. Related Services. Assigned to the military medical
departments overseas. Allied healthcare services provided in
support of the special education needs of preschool or school-
age children. to include evaluation services required to
determine a student's eligibility for special education and, if
eligible, the direct or indirect services designed to help the
student benefit from their special education program .
13. Remote / Isolated Duty Assignment . Designated locations
within the United States and overseas that do not have timely
access to health care s e rvices. Timely access is defined as a
2-hour drive under most conditions to access specialty care.
14. Suitability Screening. Suitability screening, per
reference (d), is the process of identifying a Service or family
member with a speci al need that requires special health care or
education services at an overseas, remote duty, or operational
assignment. Suitability screening is the systematic use of a
series of interview questions, review of medical and educational
records, and or direct examination.
15. Severely Disabled . A family member who has an impairment
or medical condition that is expected to exist over a long time
and requires medical special i sts; frequent hospitalization; or
intensive nursing care, pharmacy or laboratory support; or, who
requires frequent healthcare services not available at most
naval branch medical clinics . Some examples of these conditions
include multiple disabilities, seriously emotionally disturbed,
severe birth defects, and conditions requiring placement in
residential care facilities.
16. Special Education . Instruct i on and r elated services for
which a preschool or school-age student (age 3 to 21, inclusive)
is entitled under statute when a school determines a child' s
educational performance is adversely affected by one or more
disabling conditions. The instruction and related services are
defined in an IEP.
17. Unaccompanied Tour. The au thorized tour l ength at a
specific overseas duty station for Service members who are not
accompanied by command-sponsored dependents . A tour at a
location with only an unaccompanied tour a u thorized is
considered to be a dependent-restricted tour.
3 Enclosure (1)
15. OPNAVINST 1754.2D
3 Nov 2010
EFMP ENROLLMENT PROCEDURES AND PROCESS
1 . General. This enclosure outlines procedures for the
identification and enrollment of family members into the EFMP .
a. EFMP enrollment is mandatory due to:
(1) Identification during routine healthcare by an MTF
or TRICARE provider;
(2) Self- i dent ifi cation of a qual i fying condi tion by a
Service or family member; and
(3) Iden t ification of a qualifying condition during
suitability screening . (Note : Do not stop the suitability
screening process for EFMP enrollment. Suitability screening
continues separately from EFMP enrollment.)
b. Information regarding the EFMP is available online at
www.npc .navy . mil/comrnandsupport/exceptionalfamilymember .
C. Navy MTFs will assist other uniformed Services (Air
Force, Army, Marine Corps, or Coast Guard) with compl eting the
EFMP enrollment forms for family members belonging to these
Services and forward the forms to the appropriate EFMP manager
listed in enclosure (3) .
d. Family members enrolled in OEERS, and who reside with
the sponsor, qualify for EMFP enrollment . If t he perspective
EFM does not reside with the sponsor, this must be justified on
the DD 2792 Exceptional Family Member Medical Summary (i.e.,
cases where the sponsor is serving on unaccompanied tour) .
2. Criteria for EFMP Enrollment. Per reference (b), although
not al l inclusive, family members who meet one or more of the
following medical or educational criteria are to be enrolled in
the EFMP:
a. Potentially life-threatening conditions and or chronic
medical or physical conditions (e.g., autism spectrum disorders,
high risk newborns, a diagnosis of cancer, sickle cell disease.
insulin dependent diabetes);
Enclosure (2)
16. QPNAVINST 1754.20
3 Nov 2010
b. Current and chronic (duration of 6 months or longer)
mental health condition (e.g., bi-polar, conduct, major
affective, or thought/personality disorders); inpatient or
intensive outpatient mental health service within the last 5
years; or intensive (greater than one visit monthly for more
than 6 months) mental health services required at the present
time. This includes medical care from any provider, including a
primary healthcare provider;
c. A diagnosis of asthma or other respiratory-related
diagnosis with chronic, recurr ing wheezing;
d. A diagnosis of attention deficit disorder or attention
deficit hyperactivity disorder;
e . Requires adaptive equipment (e . g., apnea home monitor,
home nebulizer, wheelchair, splints, braces, orthotics, hearing
aids, home oxygen therapy, or home ventilator);
f . Requires assistive technology devices (e . g.,
communication devices) or services;
g. Requires environmental or architectural considerations
(e . g., limited numbers of steps, wheelchair accessibility,
housing modifications, or air conditioning);
h. Special educational needs;
(1) An infant or toddler with a developmen tal
disability, or potential disability (birth through 2 years,
inclusive), who has or requires an IFSP specifying E1S;
(2) A preschool or school-age child with an educational
disability (ages 3 through 21 years, inc l usive), who has or
requires an 1EP specifying special education services; or
i. A family member of any age with a temporary condition
requiring specialized care expected to last more than 6 months
but less than 1 year.
2 Enclosure (2)
17. OPNAVINST 1754.20
3 Nov 2010
3 . Medical Procedures for EFMP Enrollment. The MTF EFMP
coordinator will:
a. Assist the unit MTF CO's with the identification and
enrollment of eligible family and Service members;
b. Provide EFMP enrollment information to Service and
family members, installation commands and activities, and MTF
personnel;
C. Provide EFMP training to MTF personnel and all area
commands;
d . Coordinate. at overseas MTFs, with the DoDDS and the
local EOIS programi
e. For each family member, identified with a medical or
special education requirement, provide the Service member a
DD 2792 and DD 2792-1 Exceptional Family Member Special
Education/Early Intervention Summary (if applicable);
f. For the DO 2792,
(1) Ensure the Service member reads the privacy Act
statement (PAS) and completes the demographics section (page 2).
Ensure all information is accurate and complete.
(2) Ensure the MTF primary care provider completes the
Medical Summary (pages 3 through 5) and, when appropriate,
addendum 1 (Asthma/Reactive Airway Disease Summary) or addendum
2 (Mental Health Summary) (pages 6 to 7) of DD 2792.
(3) In the case of an adult EFM, ensure the adult reads
the PAS and Authorization for Disclosure of Medical Information
sections (page 1) and provide a signature and date on the bottom
of the page authorizing release of their medical information. A
separate form is completed for each individual enrolled.
g. For DD 2792-1 (for EFMs of school age 3 through 21)
(1) Ensure the Service member reads the PAS and
completes the demographics section (page 2). Ensure all
information is accurate and complete .
3 Enclosure (2)
18. OPNAVINST 1754.20
3 Nov 2010
(2) If enrolling a school-aged child with medical needs
only, a school official or early intervention provider must
endorse the DD 2792-1 (page 3), documenting that there are no
special educational requirements .
(3) If homeschooling a school - aged child with medical
needs, a national/state governing source having approval for the
homeschooling must endorse the DD 2792-1 (page 3).
(4) For infants and toddlers receiving EIS :
(al Ensure the child's local early intervention
program completes DO 2792-1 (page 3) and provides a copy of the
current IFSP;
(b) Attach the IFSP to the completed 00 2792-1;
(el The Service member ' s or spouse' s s i gnature on
DD 2792-1 (item 1, page 3) authorizes the release of early
intervention information;
(d) A completed DD 2792 must also be submitted as
part of the enrollment package;
(5) For preschool or school-age family members rece iving
special education and related services:
(a) Ensure the student's school completes DO 2792-1
(page 3) and provides a copy of the current IEP;
(b) Attach the IEP to the completed DO 2792-1;
(c) The sponsor' s, spouse' s, or student's (who have
reached the age of majority) signature on DO 2792-1 (item 1,
page 3) authorizes the release of educational information; and
(d) A completed DO 2792 must also be submitted as
part of the enrollment package .
h. Review enrollmen t forms to ensure they are complete and
contain the required signatures and attachments;
4 Enclosure (2)
19. OPNAVINST 1754.2D
3 Nov 2010
i . Coordinate enrollment with the suitability screening
coordinator when a family member is in receipt of orders for any
overseas or remote duty assignment;
j. Retain a file copy of the completed DO 2792/2792-1 and
supplemental documentation. The retention period is 2 years
after completion of enrollment, after which the record is
destroyed ;
k. Forward the original enrollment forms, and attachments,
to the appropriate esc listed in enclosure {3} ;
1 . Follow the initial enrollme nt procedure to update an
EFMP enrollment. Navy requires Service members to update
enrollment every 3 years . Service members are also required to
update enrollment whenever a change in special needs occurs; and
m. The completed DO 2792 and 00 2792-1 contain sensitive
personal, medical, dental, and educational information to be
used only for EFMP enroll ment . Do not provide these forms (or
information on these forms) to any person or entity other than
"need-to-know" personnel associated with the EFMP. Educational
(early intervention, spe cial education, and related services)
information may b e shared with EOIS. DoDEA. or local educational
agencies for the purpose of making placement determinations.
4. Procedures and Responsibilities for EFMP Disenrollment.
Family members are disenrolled from the EFMP when :
a . An EFM no longer requires ongoing healthcare, specialty
services, early intervention, or special education . The Service
member will provide necessary medical or educa tional forms and
or documentation to the EFMP coordinator, who forwards the forms
to the esc for disposition; or
b. An EFM is no longer a Service member's dependent. A
change in status may result from divorce, child custody
arrangements , marriage, death, etc . The Service member will
forward an official letter to the local MTF EFMP or NAVPERSCOM
(PERS-451), documenting the purpose for disenrollment. A sample
letter is provided in enclosure (S) .
5 Enclosure (2)
20. OPNAVINST 1754 . 2D
3 Nov 2010
5. esc Procedures and Responsibilities. The regi onal esc will :
a . Review the enrollment (or update) package;
b. Contact the EFMP coordinator or Service me mber to obtain
or clarify information ;
C . Concur or non-concur with enrollment;
d . Make assignment recommendations based on t he severity of
the condition and medical, dental, or e duca tional requirements.
EFMP assignment recommendations are used by NAVPERSCOM
(PERS-451) to,
(1) Confirm the availabi l ity of medi cal, dental, mental
health, early intervention, or special education services at
overseas locations or remote duty locations;
(2) Ensure the availability of medical, dental, mental
health , or special educa tional services at remote CONUS
locations;
(3) Identify members requiring assignment to CONUS duty
stations adjacent to major medica l facilities; and
(4) Identify those sponsors eligible for homesteading.
e . Forward the enrollment forms to NAVPERSCOM (PERS ~ 451).
The respective address i s contained in enclosure {31 . The Navy
EFMP Enrollment Manager will review the recommendation, assign a
final category code, and maintain the info rmation in an EFMP
database for use in determining future assignment locations
where the specia l needs of the EFM can be met.
6 Enclosure (2)
21. OPNAVINST 1754 . 2D
3 Nov 2010
EFMP ENROLLMENT PROCESS
Special needs are:
• Identified during routine healthcare (MTF or TRICARE health provider)
• Self -identified (Service or family member)
• Identified during suitabi lity screening (suitabi l i ty screening
coordinator)
Special needs include any special medical. dental, /l'leO!.:al health, developmental or educational
requirement, wheelchair accessibility. adaptive equipment or assistive technology devices and
services. Enrollment criteria is contained in references (b( ood (d) .
Step
" Refe r the Service and family member to the MT~ EFMP coordinator who
assists with completing DD 2792 or DD 2792-1 .
For infants and toddlers. birth to age 3, who ace receiving or eligible to receive EIS, ensure DO
2792- 1 is complet.ed by the locol early intervent.ion agency. DD 2792 is also completed to ensure
t.here are no underlying medical conditions. Attach a copy of the IFSP to the enrollment. forms
before forwardin9 to the appropriate esc.
For preschool and school age children, ages 3 through 21, who are receiving or eligible to
receive special education services, ensure DD 2792-1 is completed by the local school activity.
DD 2792 i. also cOlI'IPleted to ensure there are no underlying medical conditions. Attach a copy 0'the IEP t.o the enrollment forms before torwardinq to the appropriate esc.
Ste p 2 , The MTF EFMP coordinator fo't'rwards completed enrollment forms to the
appropriate regional CSC, which includes Naval Medical Center Portsmouth and
San Diego, and U. S . Naval Hospital Yokosuka .
Step 3 , The esc reviews the enrollment forms, recommends a category code,
and forwards the forms to NAVPERSeOM, Distribution Management Division
(PERS-45) , Navy EFMP in Millington, TN or to Headquarters (HQ) U. S. Marine
Corps EFMP in Quantico, VA .
There are six Navy EFMP enrollment categories. These categories are used for
NAVPERSOM internal assignment coordination purposes only;
- Category I - For monitoring purposes only.
- Ca tegory n - Pinpoint to specific geographic locations .
- Cat egory In - No overseas assignments .
- Cate gory IV - Major medical areas in CONUS .
- Category V - Homestead location,
- Category VI - Temporary enrollment - update required in 6 to 12 months.
Step 4, NAVPERSCOM (PERS-45) confirms the category code and enters the
enrollment data into an EFMP database.
Personnel assignment managers (detailers) use the EFMP enrollment data to
pinpoint assignments to
locations with appropriate resources that can address the special needs .
7 Enclos ure (2)
22. OPNAVINST 1754.2D
3 Nov 2010
CENTRAL SCREENING COMMITTEES
EFMP enrollment forms should be forwarded to the esc within the
region of the Navy Service member' s command. The esc reviews
the information, recommends a category code, and forwards the
form(s) to the appropri a te Navy EFMP Enro l lment Manager where
the final code is assigned.
For commands located in the United Naval Medical Center (Code 0465C)
States, east of the Mississippi EFMP Central Screening Committee
River, and outside Continental Building 3
United States (OCONUS) areas of 620 John Paul Jones Circle
Africa, Europe, the Caribbean, Portsmouth, VA 23708-2197
Middle East, and South America .
Telephone : (757) 953-5900 / DSN 377
Fax: (757) 953-7134 / DSN 377
For commands located in the United Naval Medical Center (Code CGH)
States, west of the Mississippi EFMP Central Screening Committee
River, and OCONUS areas of Alaska Suite 100
and West Pacific. 34520 Bob Wilson Drive
San Diego, CA 92134-5000
Telephone : (619) 532-6910/DSN 522
Fax: (619) 532-6908 / DSN 522
For commands located in overseas U.S. Naval Medi cal Center Yokosuka
countries to include the South EFMP Central Screening Committee
Pacific, Japan, and Hawaii . PSC 475, Box 1, Code 3
FPO AP 96350-1600
Telephone; 011-81-46-816-4979 5794
DSN, 315-243-5794
Fax: 011-81-416-7287
DSN, 315-243-7287
Enclosure (3)
23. OPNAVINST 1754.2D
3 Nov 2010
EFMP MANAGERS
Each military component has es tablished its own program to
addr ess spe cial needs identifi cation , enrol l ment, and assignment
management . (For Navy, Air Force, Army, and Coast Guard Service
members and family members, return completed EFMP summary
form(s) to the Service member or forward to the addr ess below) .
Navy EFMP Manager Navy Personnel Command (PERS 451)
5720 Integrity Drive
Millington, TN 38055-6620
Phone: (901) 874-4390 / DSN 882
Toll -Free: 1-866-827-5672
Fax: (901) 874-2629/DSN 882
Marine Corps EFMP Manager HQ, U. S . Marine Corps (MRZ-2)
Quantico, VA 22134
Phone: (703) 784-9654 / 0298 / DSN 278
Toll-Free : 1-866-464-6110
Air Force Special Needs Program Office of the Surgeon General
Manager (AFMOAlSGHW)
485 Quentin Roosevelt, Sui t #2
San Antonio. TX 78226
Phone: (210) 395-9137/DSN 696
Army EFMP Manager HQ, U. S . Army Medical Command
(MCHO-CL-H)
2050 Worth Road, Suite 10
San Antonio, TX 78234-6000
Phone : (210) 221-8466 / DSN 471
Fax: (210) 221-7235/DSN 471
Coast Guard Special Needs Coast Guard Headquarters (G-PWL-2)
Program Manager 2100 Second Street, SW
Washington, DC 20593-0001
Phone : (202 ) 475-5156
2 Enclosure (3)
24. OPNAVINST 1754.2D
3 Nov 2010
SAMPLE EFMP ENROLLMENT LETTER
From : Medical Treatmen t Exceptional Family Member
Coordinator
To : Service Member
Subj: EXCEPTIONAL FAMILY MEMBER PROGRAM ENROLLMENT
Ref, (a) OPNAVINST 1754 . 2D
1754
Serf
Date
1. Hello, my name is HM! and I ' m delighted to be your
EFMP coordinator. Per reference (a), your enrollment/update in
the EFMP has been completed . Based on the medical and or
educational information provided, your family member (name) has
been assigned to the exceptional family member (EFM ~ c~tegory .
2 . Contact your detailer immediately if you either hold, or
anticipate receiving , permanent change o f station orders which
would require your family to relocate.
3 . Enrollment updates are required every 3 years with the
exception of category 6 (tempo rary category), which must be
updated within 1 year of enrollment . Updates are also required
when there is a change in medical diagnosis or a new diagnosis,
or a change in educational needs . Please note that if an update
is due at the time of your periodic rotation date (PRD) , the
update should be started at least 12 months prior to PRD .
4 . Please review the newly revised NAVPERS 15614J, EFMP
Resource Guide, in its entirety. This guide and other program
resources are available via the Navy Personnel Command EFMP Web
site at
http : //www.npc.navy.mil/CommandSupport/ExceptionalFamilyMember/P
ublications.htm . The Fleet and Family Support Center Web site
is also an excellent source for information to support your
special needs family member at https : llwww . nffsp . org . Below is
my contact information if additional information is required .
Mailing Address:
E- mail
Work telephone commercial / OSN
Fax:
Signature
Enclosure (4)
25. OPNAVINST 1754.2D
3 Nov 2010
SAMPLE EFMP DISENROLLMENT LETTER
6000
Ser f
Date
From: Commanding Officer, Service member's command
To: Naval Medical Center Balboa, Exceptional Family Member
Program Coordinator
SUbj: REQUEST FOR REMOVAL OF MEMBER FROM EXCEPTIONAL FAMILY
MEMBER PROGRAM leO SERVICE MEMBER
Rete la) MILPERSMAN 1300-700
1. Member requests removal from EFM program due to dependent
status change. Service member no longer has an exceptional
family member. Record of Emergency Data and Defense Enrollment
Eligibility Reporting Sys tem (OEERS) is updated to reflect the
change . The following is provided p er reference(al
a . EFM name/association (i . e., ex-wife).
b. Document cited: i . e., divorce decree / page 2, etc.
C. Effective date of change .
2 . For any questions concerning this matter, my point of
contact is commercial (012) 234-5678 or via e-mail:
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Enclosure (5)