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Presented by: 
Jennifer Hill 
Jedediah Hinkley 
Hyun Namkoong 
Deshira Wallace 
MILITARY SEXUAL TRAUMA
MILITARY 
SEXUAL 
TRAUMA 
1. Repor t ing 
2. Whist leblower 
Protect ion Act 
3. Universal 
Screening 
Pol icy 
4. Media 
Advocacy 
St rategies 
5. Social 
Market ing 
St rategies 
6. Al l ies & 
Opponents 
7. Timel ine 
8. Next Steps 
(Liveyourdream.org)
EXTENT OF THE PROBLEM 
1.26,000 estimated sexual assaults in 2012 
2.Sexual assault is an incident, 
not a diagnosis 
3.Negative health outcomes 
("Department of Defense," 2013) 
PROBLEM POLICY ADVOCACY MARKETING BIG PICTURE 
(Liveyourdream.org)
1,000 sexual 
assaults 
1,000 combat 
wounds 
Total: 34,000 sexual assaults in 
2006 alone 
Total: 32,000 combat wounds 
from entire Iraq War 
PROBLEM POLICY ADVOCACY MARKETING BIG PICTURE 
(Platt & Allard, 2011)
Number of Service Members (SM) 
1,399,622 
Male SM 
1,195,313 (85%) 
Female SM 
204,309 (15%) 
~94,804 
(Prevalence) 
M: 4% reported SA 
since enlistment 
F: 23% reported SA 
since enlistment 
Estimated MST (2012) 
~26,000 
(Incidence) 
M: 30% reported 
SA in 2012 (1.2% 
of total SM) 
F: 27% reported 
SA in 2012 (6.1% 
of total SM) 
(Defense Manpower Data Center, 2012; U.S. Commission on Civil Rights, 2013)
WHERE DO REPORTS GO? 
26,000 Estimated Incidents 
238 Convictions 
3,374 Reported Sexual Assaults (13%) 
2,558 Unrestricted 
Reporting (76%) 
816 Restricted 
Reporting (24%) 
(0.9%) 
(Department of Defense, 2013)
TOP TWO REASONS FOR NOT REPORTING 
Fear of retaliation or reprisal 
Discomfort using chain of command 
54% of women and 27% of men did not report 
because they feared retaliation or punishment 
47% of women and 20% of men did not report 
because they had heard other victims had a 
negative experience 
60% of women and 36% of men did not report 
because they believed it would not be 
kept confidential 
PROBLEM POLICY ADVOCACY MARKETING BIG PICTURE 
(Ramming, 2002; USCCR, 2013; Pershing, 2003 )
MILITARY WHISTLEBLOWER PROTECTION 
ENHANCEMENT ACT OF 2013 (S. 1081) 
 Introduced by Senator Mark 
Warner 
Referred to Senate Armed 
Services Committee (ASC) 
in May 2013 
Currently delayed in ASC 
PROBLEM POLICY ADVOCACY MARKETING BIG PICTURE 
(Congress.gov, 2013 )
WHISTLEBLOWER PROTECTION 
What it misses… 
Right for whistleblowers to challenge illegal 
retaliation at an administrative due process 
hearing 
Why this is a problem… 
DoD Office of Inspector General will continue to 
be the only fact-finder to enforce victim rights 
(Blaylock, 2013; Government Accountability Office, 2012 )
WHY THE WHISTLEBLOWER BILL IS IMPORTANT 
Military Whistleblower Reprisal Protection Act 
currently exists, which specifically makes retaliation 
illegal 
However… 
60% of women who 
reported unwanted sexual 
contact believed they experience 
some sort of reprisal or retaliation 
(USCCR, 2013)
UNIVERSAL SCREENING POLICY 
• Integrated as part of the annual 
Periodic Health Assessment 
given to all active duty and select 
reserve members of the U.S. 
Armed Forces 
• Purpose: Identify and connect 
survivors of sexual assault to 
health services 
(NIAAA) 
PROBLEM POLICY ADVOCACY MARKETING BIG PICTURE
THEORY TO INFORM POLICIES 
Behavioral Beliefs 
about Reporting 
Evaluations of 
Reporting 
Normative Beliefs 
of Military to 
Encourage Reporting 
Motivation to Comply 
with 
Reporting Options 
Attitude towards 
Reporting 
Subjective Norm 
(approval of reporting) 
in the Armed Forces 
Intent to Report Reporting MST 
Perceived 
Control in Reporting 
MST 
Perceived Power 
in Reporting 
(Montano & Kasprzyk, 2008)
Construct How to Address 
Theory of Planned Behavior 
Behavioral Beliefs about Reporting Belief that the universal screening policy and whistleblower protections 
engender positive or negative experiences, determined both at pretest before 
implementation and then at posttest during evaluation 
Evaluations of Reporting Evaluation of universal screening policy and whistleblower policy will occur 
annually for first 5 years, then biennially thereafter 
Normative Beliefs of Military to 
Encourage Reporting 
Creating materials demonstrating that each referent (i.e., military leaders, 
unit, family) encourage reporting 
Motivation to Comply with 
Reporting Options 
USP will encourage all persons to comply with reporting at periodic health 
assessments; Whistleblower will encourage more “Unrestricted reporting” 
use 
Perceived Power in Reporting USP will provide a pathway to convenient reporting; Whistleblower will 
provide more perceived power for the victim to pursue investigations into 
their assault 
Attitude toward Reporting Encourage MST victims to report by conveying that reporting is in line with 
the values of the military and that MST will not be tolerated 
Subjective Norm in the Military Whether Armed Forces approve or disapprove of reporting behaviors 
Perceived Control in Reporting 
MST 
Educating active duty members to know where to report, how to report, and 
what happens after reporting
EXAMPLES OF PRIOR POLICY IMPLEMENTATION 
Whistleblower Protection Act 
Veteran Health Administration Universal Screening 
Policy 
(AP)
POTENTIAL EFFECTIVENESS OF PROPOSED 
SOLUTIONS 
Reducing public health burden 
Assist in securing benefits for 
veterans 
VHA universal screening policy shown to be 
successful 
(Kimerling et al, 2011)
SIMPLIFIED MEDIA ADVOCACY TIMELINE 
Schedule March 16- 
21 town halls 
Set up FaceBook 
2013 Nov Dec 
Jan 
2014 
Town halls 
3/16/2014 
Final 
products to 
press 
2/4/2014 
Feb Mar Apr May 2014 
Today 
Consortium in 
Washington, DC 
4/28/2014 
Send out press 
release 
3/31/2014 
3/17/2014 
Meet with DoD/VHA 
on Screening 
2/14/2014 
Release radio 
segments 
Contact Congress 
members 
1/13/2014 
1/9/2014 
Contact DoD 
leadership 
12/16/2013 
12/9/2013 
Create 
campaign/slogan 
prototype 
page 
11/25/2013 
PROBLEM POLICY ADVOCACY MARKETING BIG PICTURE
DC 
MEDIA ADVOCACY STRATEGIES 
Consortium 
Meeting 
Congress 
persons 
and Staff 
members 
Town hall 
meetings 
Op- 
Eds/Press 
Releases
MAKING IT NEWSWORTHY 
Anniversary/Seasonal 
Peg: Sexual Assault 
Awareness Month 
Injustice: Military 
personnel are the only 
U.S. citizens without these 
protections 
Irony: “The people who 
protect us are not being 
protected” 
Celebrity: Ms. Veteran 
America
FRAMING 
Responsibility 
Equality 
Gain
KEY MESSAGES 
Screening and reporting both identify and connect 
victims of sexual assault to health care services 
Letting sexual assault run unchecked in the ranks is 
damaging to unity, disciple, and cohesion
MODELS FOR MEDIA ADVOCACY STRATEGIES 
Task-Oriented 
• Authentic voice press-releases, 
multimedia 
videos for implementing 
USP 
• Clarify definition of sexual 
assault 
Diverse Actors 
• Advocacy organizations 
• Survivors 
• Health organizations 
Responsibility and Equality 
• USP framed with these 
lenses 
Consensus Building 
• Utility of USP 
• Need for clarifying 
definition of sexual assault 
Pre- 
Contemplation 
• Preliminary 
press 
releases & 
Op-eds 
Contemplation 
• Legislators meet 
with advocates, 
town hall 
meetings 
• Call senators 
Preparation 
• Prepare bill 
• Garner 
support for 
bill 
Action 
• Bring bill 
to floor 
• Pass it 
Maintenance 
• Enforce law 
• Diffusion of 
innovations 
process 
Social Action Model Transtheoretical Model 
(Prochaska, Redding & Evers, 2008; Minkler, Wallerstein & Wilson, 2008)
SOCIAL MARKETING STRATEGIES 
Strategies include educating Service 
members of reporting options and 
Before the policy changes 
reducing perceived barriers to 
pass 
reporting 
Marketing for after the policies 
1) “Know your rights” 
2) Understand Changes to USP 
pass 
PROBLEM POLICY ADVOCACY MARKETING BIG PICTURE
TARGET AUDIENCE 
1) Use of Services 
Primary Audience: Victims 
2) Increase Reporting Behavior 
Secondary Increase Audience: Awareness Active 
of 
Duty Service Services 
Members
THEORY TO INFORM SOCIAL MARKETING 
Behavior 
Increase 
reporting 
behavior 
Cues to 
Action 
Social 
marketing 
materials 
External 
Variables 
PERCEIVED 
THREAT 
Perceived 
Susceptibility + 
Perceived Severity 
Perceived Benefits 
Health care, safer military 
environment, benefits for 
PTSD, more likely to get 
VA benefits 
Perceived Barriers 
Punishment, lack of safe 
way to report, shame, 
confidentiality, 
embarrassment, 
retaliation, discharged 
from military 
Net 
benefits 
Self-Efficacy 
Major focus of 
campaign 
materials 
(Champion & Skinner, 2008)
DELIVERY CHANNELS 
Safe Helpline YouTube DoD SAPRO 
Fort Bragg 
SHARP 
Military 
Academies
CAMPAIGN MATERIALS 
Sexual assault is a crime punishable by the Uniform Code of Military Justice 
If anyone has ever had unwanted and inappropriate sexual contact with you when 
you said no, when you were unable to say no, when you told the person to stop, 
when the person threatened violence, when the person used their authority over 
you… 
Reporting sexual assault will get you the help you need. It can also help make sure 
this c r ime doesn’t happen to s omeone els e . 
Go to SafeHelpline.org for confidential support with trained staff through online 
chat. If you cannot access the internet, the phone number is the same inside the 
U.S. or via the Defense Switched Network (DSN): 877-995-5247 
DSN users can dial US toll -free numbers by simply dialing 94 + the 10-digit toll-free 
number. 
For those unable to call toll -free or DSN, call 202-540-5962
Go to SafeHelpline.org or call 877-995-5247
Go to SafeHelpline.org or call 877-995-5247
Behavioral Beliefs 
about Reporting 
Evaluations of 
Reporting 
Normative Beliefs 
of Military to 
Encourage Reporting 
Motivation to Comply 
with 
Reporting Options 
Attitude towards 
Reporting 
Subjective Norm 
(approval or reporting) 
in the Armed Forces 
Intent to Report Reporting MST 
Perceived 
Control in Reporting 
MST 
Perceived Power 
in Reporting 
Perceived Barriers 
to Reporting 
Perceived Benefit 
to Reporting 
Cue to Action 
to Reporting 
Perceived Severity 
to Reporting 
BRINGING IT ALL TOGETHER
ALLIES & OPPONENTS 
Opponents 
 Joint Chiefs of Staff 
 Gen. Martin Dempsey 
 Current Military Personnel 
 Armed Service Committee 
 Sen. Carl Levin (D-MI) 
 DoD SAPRO 
 Congress members (not on 
ASC) 
 Sexual Assault Victims 
 Spouses of Victims 
 Former Military Officers 
Whistleblowers 
 IPV Advocacy Groups 
 SWAN 
Allies
Schedule March 16- 
Set up FaceBook 
2013 Nov Dec 
Contact DoD 
leadership 
Jan 9 
Jan 
2014 
Send out 
press release 
Mar 31 
Final products to 
press 
Feb 4 
Feb Mar Apr May 2014 
Today 
Consortium in 
Washington, DC 
Apr 28 
Begin radio 
segments 
Apr 9 
Apr 4 
Run op-eds 
Feb 14 
Release radio 
segments 
Jan 13 
Contact 
Congress 
members 
Jan 6 
Test campaign 
prototypes 
21 town halls 
Dec 16 
Dec 9 
Create 
campaign/slogan 
prototype 
page 
Nov 25 
Nov 25 Create website Dec 30 
Nov 25 Recruit spokesperson & advocate Mar 31 
Dec 2 Write op-eds Jan 31 
Jan 2 Organize attendance to summer town halls May 31 
Set up meetings ASC/sympathetic Congresspersons 
Jan 13 Mar 1 
Post media 
Mar 1 Mar 10 
Create Consortium agenda & press release 
Mar 3 Mar 15 
Create signs for Rally 
Mar 5 Mar 17 
Finalize Consortium agenda & speaking points 
Apr 1 Apr 18 
Timeline
SEXUAL ASSAULT CLIP
“Creating a culture free of the scourge of sexual assault 
requires establishing an environment where dignity and 
respect is afforded to all, and where diversity is celebrated 
as one of our greatest assets as a force.” – Chuck Hagel, 
Secretary of Defense (2013) 
“We get it…We know that the larger issue is a cultural 
problem, which has allowed demeaning behavior and 
attitudes towards women to exist…” 
– Acting Navy Secretary Sean O’Keefe (1991) 
“[It is] not good enough to compare [the military] to the rest 
of society…We must hold [the military] to a higher standard, 
Thank you 
and that’s what the American people demand.” 
– Pentagon spokesman George Little (2013) 
“…culture change is essential for the Military Services to 
improve how they prevent and address sexual assault.” 
“…ban on women created a two-tiered military culture that 
“Ending sexual assault in military isn’t just a women’s issue. 
fostered tolerance of sexual harassment and sexual assault” 
– Defense Task Force (2009) 
This is about justice and ensuring men and women get 
support they need.” – Sen. Kelly Ayotte (R-NH) (2013) 
– Gen. Martin Dempsey Joint Chiefs of Staff, Chairman 
(2012)
REFERENCES 
Blaylock , D. (2013, June 06) . House commi t tee takes act ion on mi l i tary whist leblowers. Ret r ieved f rom 
ht tp: / /www.whist leblower.org/blog/44 -2013/2744-house-commi t tee- takes -act ion-on-mi l i tary-whist leblowers 
Champion, V. , & Skinner, C. (2008) . The heal th bel ief model . In K. Glanz, B. Rimer & K. Viswanath (Eds. ) , Heal th 
behavior and heal th educat ion: Theory, research, and pract ice (4 ed. , pp. 45-65) . San Francisco: Jossey-Bass. 
Defense Manpower Data Center. (2012) . Act ive duty mi l i tary personnel by service by rank – September 2012. Depar tment of 
Defense. Ret r ieved f rom ht tps: / /www.dmdc.osd.mi l /appj /dwp/get f i le.do?f i leNm=rg1209.pdf&f i lePathNm=mi lRankGrade 
Depar tment of Defense. (2013a) . Depar tment of Defense annual repor t on sexual assaul t in the mi l i tary, volume I . Sexual 
Assault Prevent ion and Response report 5-9DB8000. Ret r ieved from 
http://www.sapr.mi l /publ ic/docs/ repor ts/FY12_DoD_SAPRO_Annual_Repor t_on_Sexual_Assaul t -VOLUME_ONE.pdf 
Depar tment of Defense. (2013b) . Depar tment of defense annual repor t on sexual assaul t in the mi l i tary, volume I I . Sexual 
Assaul t Prevent ion and Response repor t S-9DB8050. Ret r ieved from 
http://www.sapr.mi l /publ ic/docs/ repor ts/FY12_DoD_SAPRO_Annual_Repor t_on_Sexual_Assaul t -VOLUME_TWO.pdf 
Kimer l ing, R. , Pavao, J. , Valdez, C. , Mark, H. , Hyun, J. , & Saweikis , M. (2011) . Mi l i tary sexual t rauma and pat ient 
percept ions of veteran heal th administ rat ion heal th care qual i ty. Women's Heal th Issues , 21(4) , 145-151. 
doi :10.1016/ j .whi .2011.04.007
REFERENCES CONTINUED 
Har tman, C. (2013, November 05) . Does chain of command f i t in mi l i tary sex assaul t cases? . Ret r ieved f rom 
ht tp: / /www.wsoctv.com/news/news/nat ional /does -chain-command- f i t -mi l i tary-sex-assaul t -cases/nbhxg/ 
Hoyt , T. , Rielage, J. , Wi l l iams, L. (2011) . Mi l i tary sexual t rauma in men: a review of repor ted rates. Journal of Trauma & 
Dissociat ion,12(3) ,244-260. doi :10.1080/15299732.2011.542612 
Lisak, D. , & Mi l ler, P. (2002) . Repeat rape and mul t iple of fending among undetected rapists. Violence and Vict ims , 17(1) , 73- 
84. Ret r ieved f rom ht tp: / /www.wcsap.org/si tes/www.wcsap.org/ f i les/uploads/webinars/SV on Campus/Repeat Rape.pdf 
Minkler, M. , Wal lerstein, N. , & Wi lson, N. (2008) . Improving heal th through communi ty organizat ion and communi ty 
bui lding. In K. Glanz, B. Rimer & K. Viswanath (Eds. ) , Heal th behavior and heal th educat ion: Theory, research, 
and pract ice (4 ed. , pp. 287-312) . San Francisco: Jossey-Bass. 
Montano, D. , & Kasprzyk, D. (2008) . Theory of reasoned act ion, theory of planned behavior, and the integrated behavioral 
model . In K. Glanz, B. Rimer & K. Viswanath (Eds. ) , Health behavior and heal th educat ion: Theory, research, and 
pract ice (4 ed. , pp. 67-96) . San Francisco: Jossey-Bass. 
NPR Staf f . (2013, October 13) . Miss veteran Amer ica uses t i t le to talk about sexual violence . Ret r ieved f rom 
ht tp: / /www.npr.org/2013/10/13/232718358/ms -veteran-amer ica-uses - t i t le-to- talk-about -sexual -violence 
PBS newshour : Top brass reject overhaul ing mi l i tary just ice system to reduce sexual assaul t . (2013, June 04) . Ret r ieved f rom 
ht tp: / /www.pbs.org/newshour /bb/mi l i tary/ jan - june13/sexualassaul ts_06 -04.html
REFERENCES CONTINUED 
Pershing, J. (2003) . Why women don' t repor t sexual harassment : a case study of an el i te mi l i tary inst i tut ion. Gender Issues, 
21(4) , 3-30. Ret r ieved f rom ht tp: / / l ink.spr inger.com/ar t icle/10.1007/s12147 -003-0008-x 
Platt, M. , & Al lard, C. (2011) . Mi l i tary sexual t rauma: cur rent knowledge and future di rect ions. Journal of Trauma & 
Dissociation, 12, 213-215. doi: 10.1080/15299732.2011.551511 
Prochaska, J. , Redding, C. , & Evers, K. (2008) . Transtheoret ical model and stages of change. In K. Glanz, B. Rimer & K. 
Viswanath (Eds. ) , Heal th behavior and heal th educat ion: Theory, research, and pract ice (4 ed. , pp. 97-121) . San 
Francisco: Jossey-Bass. 
Ramming, M. K. (2002) . Repor t ing behavior of mi l i tary sexual coercion and sexual assaul t vict ims. ProQuest , UMI 
Disser tat ions Publishing 
Rock, L. , Lapar i , R. , Cook, P. , & Hale, A. Depar tment of Defense, (2011) . 2010 workplace and gender relat ions survey of 
act ive mi l i tary members: overview repor t on sexual assaul t (536 257) . Ret r ieved f rom ht tp: / /servicewomen.org/SAPRO 
Repor ts/DMDC_2010_WGRA_Overview_Repor t_of_Sexual_Assaul t .pdf 
S.1081 - Mi l i tary whist leblower protect ion enhancement act of 2013. (2013, May 05) . Ret r ieved f rom 
ht tp: / /beta.congress.gov/bi l l /113th -congress/senate-bi l l /1081
REFERENCES CONTINUED 
Sens. Warner, Kaine announce progress on mi l i tary whist leblower protect ion legislat ion. (2013, June 14) . Ret r ieved f rom 
http://www.warner.senate.gov/publ ic/ index.cfm/2013/6/sens -warner -kaine-announce-progress -on-mi l i tary-whist 
leblower -protecton- legislat ion 
Turchik, J. , McLean, C. , Rafie, S. , Hoyt , T. , Rosen, C. , Kimer l ing, R. (2013) . Perceived bar r iers to care and provider gender 
preferences among veteran men who have exper ienced mi l i tary sexual t rauma: A qual i tat ive analysis. Psychological 
Services, 10(2) , 213-222. doi: 10.1037/a0029959 
Winkenwerder Jr. , W. U.S. Depar tment of Defense, Heal th Af fai rs. (2004) . Per iodic heal th assessment pol icy for act ive 
duty and selected research members . Ret r ieved f rom websi te: 
ht tp: / /www.heal th.mi l / l ibrar ies/HA_Pol icies_and_Guidel ines/06 -006.pdf 
U.S. Army sexual assaul t prevent ion and response program. (2008) . Ret r ieved f rom 
ht tp: / /www.sexualassaul t .army.mi l /content / faqs.cfm 
U.S. Commission on Civi l Rights, (2013) . Sexual assaul t in the mi l i tary. Ret r ieved f rom 
ht tp: / /www.sapr.mi l /publ ic/docs/ research/USCCR_Statutory_Enforcement_Repor t_Sexual_Assaul t_in_the_Mi l i tary_SEP 
2013.pdf 
U.S. Government Accountabi l i ty Of f ice, (2012) . Whist leblower protect ion act ions needed to improve D o D ’s mi l i tary 
whist leblower repr isal program (12 - 362) . Ret r ieved f rom websi te: ht tp: / /www.gao.gov/assets/590/588784.pdf

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Military Sexual Trauma

  • 1. Presented by: Jennifer Hill Jedediah Hinkley Hyun Namkoong Deshira Wallace MILITARY SEXUAL TRAUMA
  • 2. MILITARY SEXUAL TRAUMA 1. Repor t ing 2. Whist leblower Protect ion Act 3. Universal Screening Pol icy 4. Media Advocacy St rategies 5. Social Market ing St rategies 6. Al l ies & Opponents 7. Timel ine 8. Next Steps (Liveyourdream.org)
  • 3. EXTENT OF THE PROBLEM 1.26,000 estimated sexual assaults in 2012 2.Sexual assault is an incident, not a diagnosis 3.Negative health outcomes ("Department of Defense," 2013) PROBLEM POLICY ADVOCACY MARKETING BIG PICTURE (Liveyourdream.org)
  • 4. 1,000 sexual assaults 1,000 combat wounds Total: 34,000 sexual assaults in 2006 alone Total: 32,000 combat wounds from entire Iraq War PROBLEM POLICY ADVOCACY MARKETING BIG PICTURE (Platt & Allard, 2011)
  • 5. Number of Service Members (SM) 1,399,622 Male SM 1,195,313 (85%) Female SM 204,309 (15%) ~94,804 (Prevalence) M: 4% reported SA since enlistment F: 23% reported SA since enlistment Estimated MST (2012) ~26,000 (Incidence) M: 30% reported SA in 2012 (1.2% of total SM) F: 27% reported SA in 2012 (6.1% of total SM) (Defense Manpower Data Center, 2012; U.S. Commission on Civil Rights, 2013)
  • 6. WHERE DO REPORTS GO? 26,000 Estimated Incidents 238 Convictions 3,374 Reported Sexual Assaults (13%) 2,558 Unrestricted Reporting (76%) 816 Restricted Reporting (24%) (0.9%) (Department of Defense, 2013)
  • 7. TOP TWO REASONS FOR NOT REPORTING Fear of retaliation or reprisal Discomfort using chain of command 54% of women and 27% of men did not report because they feared retaliation or punishment 47% of women and 20% of men did not report because they had heard other victims had a negative experience 60% of women and 36% of men did not report because they believed it would not be kept confidential PROBLEM POLICY ADVOCACY MARKETING BIG PICTURE (Ramming, 2002; USCCR, 2013; Pershing, 2003 )
  • 8. MILITARY WHISTLEBLOWER PROTECTION ENHANCEMENT ACT OF 2013 (S. 1081)  Introduced by Senator Mark Warner Referred to Senate Armed Services Committee (ASC) in May 2013 Currently delayed in ASC PROBLEM POLICY ADVOCACY MARKETING BIG PICTURE (Congress.gov, 2013 )
  • 9. WHISTLEBLOWER PROTECTION What it misses… Right for whistleblowers to challenge illegal retaliation at an administrative due process hearing Why this is a problem… DoD Office of Inspector General will continue to be the only fact-finder to enforce victim rights (Blaylock, 2013; Government Accountability Office, 2012 )
  • 10. WHY THE WHISTLEBLOWER BILL IS IMPORTANT Military Whistleblower Reprisal Protection Act currently exists, which specifically makes retaliation illegal However… 60% of women who reported unwanted sexual contact believed they experience some sort of reprisal or retaliation (USCCR, 2013)
  • 11. UNIVERSAL SCREENING POLICY • Integrated as part of the annual Periodic Health Assessment given to all active duty and select reserve members of the U.S. Armed Forces • Purpose: Identify and connect survivors of sexual assault to health services (NIAAA) PROBLEM POLICY ADVOCACY MARKETING BIG PICTURE
  • 12. THEORY TO INFORM POLICIES Behavioral Beliefs about Reporting Evaluations of Reporting Normative Beliefs of Military to Encourage Reporting Motivation to Comply with Reporting Options Attitude towards Reporting Subjective Norm (approval of reporting) in the Armed Forces Intent to Report Reporting MST Perceived Control in Reporting MST Perceived Power in Reporting (Montano & Kasprzyk, 2008)
  • 13. Construct How to Address Theory of Planned Behavior Behavioral Beliefs about Reporting Belief that the universal screening policy and whistleblower protections engender positive or negative experiences, determined both at pretest before implementation and then at posttest during evaluation Evaluations of Reporting Evaluation of universal screening policy and whistleblower policy will occur annually for first 5 years, then biennially thereafter Normative Beliefs of Military to Encourage Reporting Creating materials demonstrating that each referent (i.e., military leaders, unit, family) encourage reporting Motivation to Comply with Reporting Options USP will encourage all persons to comply with reporting at periodic health assessments; Whistleblower will encourage more “Unrestricted reporting” use Perceived Power in Reporting USP will provide a pathway to convenient reporting; Whistleblower will provide more perceived power for the victim to pursue investigations into their assault Attitude toward Reporting Encourage MST victims to report by conveying that reporting is in line with the values of the military and that MST will not be tolerated Subjective Norm in the Military Whether Armed Forces approve or disapprove of reporting behaviors Perceived Control in Reporting MST Educating active duty members to know where to report, how to report, and what happens after reporting
  • 14. EXAMPLES OF PRIOR POLICY IMPLEMENTATION Whistleblower Protection Act Veteran Health Administration Universal Screening Policy (AP)
  • 15. POTENTIAL EFFECTIVENESS OF PROPOSED SOLUTIONS Reducing public health burden Assist in securing benefits for veterans VHA universal screening policy shown to be successful (Kimerling et al, 2011)
  • 16. SIMPLIFIED MEDIA ADVOCACY TIMELINE Schedule March 16- 21 town halls Set up FaceBook 2013 Nov Dec Jan 2014 Town halls 3/16/2014 Final products to press 2/4/2014 Feb Mar Apr May 2014 Today Consortium in Washington, DC 4/28/2014 Send out press release 3/31/2014 3/17/2014 Meet with DoD/VHA on Screening 2/14/2014 Release radio segments Contact Congress members 1/13/2014 1/9/2014 Contact DoD leadership 12/16/2013 12/9/2013 Create campaign/slogan prototype page 11/25/2013 PROBLEM POLICY ADVOCACY MARKETING BIG PICTURE
  • 17. DC MEDIA ADVOCACY STRATEGIES Consortium Meeting Congress persons and Staff members Town hall meetings Op- Eds/Press Releases
  • 18. MAKING IT NEWSWORTHY Anniversary/Seasonal Peg: Sexual Assault Awareness Month Injustice: Military personnel are the only U.S. citizens without these protections Irony: “The people who protect us are not being protected” Celebrity: Ms. Veteran America
  • 20. KEY MESSAGES Screening and reporting both identify and connect victims of sexual assault to health care services Letting sexual assault run unchecked in the ranks is damaging to unity, disciple, and cohesion
  • 21. MODELS FOR MEDIA ADVOCACY STRATEGIES Task-Oriented • Authentic voice press-releases, multimedia videos for implementing USP • Clarify definition of sexual assault Diverse Actors • Advocacy organizations • Survivors • Health organizations Responsibility and Equality • USP framed with these lenses Consensus Building • Utility of USP • Need for clarifying definition of sexual assault Pre- Contemplation • Preliminary press releases & Op-eds Contemplation • Legislators meet with advocates, town hall meetings • Call senators Preparation • Prepare bill • Garner support for bill Action • Bring bill to floor • Pass it Maintenance • Enforce law • Diffusion of innovations process Social Action Model Transtheoretical Model (Prochaska, Redding & Evers, 2008; Minkler, Wallerstein & Wilson, 2008)
  • 22. SOCIAL MARKETING STRATEGIES Strategies include educating Service members of reporting options and Before the policy changes reducing perceived barriers to pass reporting Marketing for after the policies 1) “Know your rights” 2) Understand Changes to USP pass PROBLEM POLICY ADVOCACY MARKETING BIG PICTURE
  • 23. TARGET AUDIENCE 1) Use of Services Primary Audience: Victims 2) Increase Reporting Behavior Secondary Increase Audience: Awareness Active of Duty Service Services Members
  • 24. THEORY TO INFORM SOCIAL MARKETING Behavior Increase reporting behavior Cues to Action Social marketing materials External Variables PERCEIVED THREAT Perceived Susceptibility + Perceived Severity Perceived Benefits Health care, safer military environment, benefits for PTSD, more likely to get VA benefits Perceived Barriers Punishment, lack of safe way to report, shame, confidentiality, embarrassment, retaliation, discharged from military Net benefits Self-Efficacy Major focus of campaign materials (Champion & Skinner, 2008)
  • 25. DELIVERY CHANNELS Safe Helpline YouTube DoD SAPRO Fort Bragg SHARP Military Academies
  • 26. CAMPAIGN MATERIALS Sexual assault is a crime punishable by the Uniform Code of Military Justice If anyone has ever had unwanted and inappropriate sexual contact with you when you said no, when you were unable to say no, when you told the person to stop, when the person threatened violence, when the person used their authority over you… Reporting sexual assault will get you the help you need. It can also help make sure this c r ime doesn’t happen to s omeone els e . Go to SafeHelpline.org for confidential support with trained staff through online chat. If you cannot access the internet, the phone number is the same inside the U.S. or via the Defense Switched Network (DSN): 877-995-5247 DSN users can dial US toll -free numbers by simply dialing 94 + the 10-digit toll-free number. For those unable to call toll -free or DSN, call 202-540-5962
  • 27. Go to SafeHelpline.org or call 877-995-5247
  • 28. Go to SafeHelpline.org or call 877-995-5247
  • 29. Behavioral Beliefs about Reporting Evaluations of Reporting Normative Beliefs of Military to Encourage Reporting Motivation to Comply with Reporting Options Attitude towards Reporting Subjective Norm (approval or reporting) in the Armed Forces Intent to Report Reporting MST Perceived Control in Reporting MST Perceived Power in Reporting Perceived Barriers to Reporting Perceived Benefit to Reporting Cue to Action to Reporting Perceived Severity to Reporting BRINGING IT ALL TOGETHER
  • 30. ALLIES & OPPONENTS Opponents  Joint Chiefs of Staff  Gen. Martin Dempsey  Current Military Personnel  Armed Service Committee  Sen. Carl Levin (D-MI)  DoD SAPRO  Congress members (not on ASC)  Sexual Assault Victims  Spouses of Victims  Former Military Officers Whistleblowers  IPV Advocacy Groups  SWAN Allies
  • 31. Schedule March 16- Set up FaceBook 2013 Nov Dec Contact DoD leadership Jan 9 Jan 2014 Send out press release Mar 31 Final products to press Feb 4 Feb Mar Apr May 2014 Today Consortium in Washington, DC Apr 28 Begin radio segments Apr 9 Apr 4 Run op-eds Feb 14 Release radio segments Jan 13 Contact Congress members Jan 6 Test campaign prototypes 21 town halls Dec 16 Dec 9 Create campaign/slogan prototype page Nov 25 Nov 25 Create website Dec 30 Nov 25 Recruit spokesperson & advocate Mar 31 Dec 2 Write op-eds Jan 31 Jan 2 Organize attendance to summer town halls May 31 Set up meetings ASC/sympathetic Congresspersons Jan 13 Mar 1 Post media Mar 1 Mar 10 Create Consortium agenda & press release Mar 3 Mar 15 Create signs for Rally Mar 5 Mar 17 Finalize Consortium agenda & speaking points Apr 1 Apr 18 Timeline
  • 33. “Creating a culture free of the scourge of sexual assault requires establishing an environment where dignity and respect is afforded to all, and where diversity is celebrated as one of our greatest assets as a force.” – Chuck Hagel, Secretary of Defense (2013) “We get it…We know that the larger issue is a cultural problem, which has allowed demeaning behavior and attitudes towards women to exist…” – Acting Navy Secretary Sean O’Keefe (1991) “[It is] not good enough to compare [the military] to the rest of society…We must hold [the military] to a higher standard, Thank you and that’s what the American people demand.” – Pentagon spokesman George Little (2013) “…culture change is essential for the Military Services to improve how they prevent and address sexual assault.” “…ban on women created a two-tiered military culture that “Ending sexual assault in military isn’t just a women’s issue. fostered tolerance of sexual harassment and sexual assault” – Defense Task Force (2009) This is about justice and ensuring men and women get support they need.” – Sen. Kelly Ayotte (R-NH) (2013) – Gen. Martin Dempsey Joint Chiefs of Staff, Chairman (2012)
  • 34. REFERENCES Blaylock , D. (2013, June 06) . House commi t tee takes act ion on mi l i tary whist leblowers. Ret r ieved f rom ht tp: / /www.whist leblower.org/blog/44 -2013/2744-house-commi t tee- takes -act ion-on-mi l i tary-whist leblowers Champion, V. , & Skinner, C. (2008) . The heal th bel ief model . In K. Glanz, B. Rimer & K. Viswanath (Eds. ) , Heal th behavior and heal th educat ion: Theory, research, and pract ice (4 ed. , pp. 45-65) . San Francisco: Jossey-Bass. Defense Manpower Data Center. (2012) . Act ive duty mi l i tary personnel by service by rank – September 2012. Depar tment of Defense. Ret r ieved f rom ht tps: / /www.dmdc.osd.mi l /appj /dwp/get f i le.do?f i leNm=rg1209.pdf&f i lePathNm=mi lRankGrade Depar tment of Defense. (2013a) . Depar tment of Defense annual repor t on sexual assaul t in the mi l i tary, volume I . Sexual Assault Prevent ion and Response report 5-9DB8000. Ret r ieved from http://www.sapr.mi l /publ ic/docs/ repor ts/FY12_DoD_SAPRO_Annual_Repor t_on_Sexual_Assaul t -VOLUME_ONE.pdf Depar tment of Defense. (2013b) . Depar tment of defense annual repor t on sexual assaul t in the mi l i tary, volume I I . Sexual Assaul t Prevent ion and Response repor t S-9DB8050. Ret r ieved from http://www.sapr.mi l /publ ic/docs/ repor ts/FY12_DoD_SAPRO_Annual_Repor t_on_Sexual_Assaul t -VOLUME_TWO.pdf Kimer l ing, R. , Pavao, J. , Valdez, C. , Mark, H. , Hyun, J. , & Saweikis , M. (2011) . Mi l i tary sexual t rauma and pat ient percept ions of veteran heal th administ rat ion heal th care qual i ty. Women's Heal th Issues , 21(4) , 145-151. doi :10.1016/ j .whi .2011.04.007
  • 35. REFERENCES CONTINUED Har tman, C. (2013, November 05) . Does chain of command f i t in mi l i tary sex assaul t cases? . Ret r ieved f rom ht tp: / /www.wsoctv.com/news/news/nat ional /does -chain-command- f i t -mi l i tary-sex-assaul t -cases/nbhxg/ Hoyt , T. , Rielage, J. , Wi l l iams, L. (2011) . Mi l i tary sexual t rauma in men: a review of repor ted rates. Journal of Trauma & Dissociat ion,12(3) ,244-260. doi :10.1080/15299732.2011.542612 Lisak, D. , & Mi l ler, P. (2002) . Repeat rape and mul t iple of fending among undetected rapists. Violence and Vict ims , 17(1) , 73- 84. Ret r ieved f rom ht tp: / /www.wcsap.org/si tes/www.wcsap.org/ f i les/uploads/webinars/SV on Campus/Repeat Rape.pdf Minkler, M. , Wal lerstein, N. , & Wi lson, N. (2008) . Improving heal th through communi ty organizat ion and communi ty bui lding. In K. Glanz, B. Rimer & K. Viswanath (Eds. ) , Heal th behavior and heal th educat ion: Theory, research, and pract ice (4 ed. , pp. 287-312) . San Francisco: Jossey-Bass. Montano, D. , & Kasprzyk, D. (2008) . Theory of reasoned act ion, theory of planned behavior, and the integrated behavioral model . In K. Glanz, B. Rimer & K. Viswanath (Eds. ) , Health behavior and heal th educat ion: Theory, research, and pract ice (4 ed. , pp. 67-96) . San Francisco: Jossey-Bass. NPR Staf f . (2013, October 13) . Miss veteran Amer ica uses t i t le to talk about sexual violence . Ret r ieved f rom ht tp: / /www.npr.org/2013/10/13/232718358/ms -veteran-amer ica-uses - t i t le-to- talk-about -sexual -violence PBS newshour : Top brass reject overhaul ing mi l i tary just ice system to reduce sexual assaul t . (2013, June 04) . Ret r ieved f rom ht tp: / /www.pbs.org/newshour /bb/mi l i tary/ jan - june13/sexualassaul ts_06 -04.html
  • 36. REFERENCES CONTINUED Pershing, J. (2003) . Why women don' t repor t sexual harassment : a case study of an el i te mi l i tary inst i tut ion. Gender Issues, 21(4) , 3-30. Ret r ieved f rom ht tp: / / l ink.spr inger.com/ar t icle/10.1007/s12147 -003-0008-x Platt, M. , & Al lard, C. (2011) . Mi l i tary sexual t rauma: cur rent knowledge and future di rect ions. Journal of Trauma & Dissociation, 12, 213-215. doi: 10.1080/15299732.2011.551511 Prochaska, J. , Redding, C. , & Evers, K. (2008) . Transtheoret ical model and stages of change. In K. Glanz, B. Rimer & K. Viswanath (Eds. ) , Heal th behavior and heal th educat ion: Theory, research, and pract ice (4 ed. , pp. 97-121) . San Francisco: Jossey-Bass. Ramming, M. K. (2002) . Repor t ing behavior of mi l i tary sexual coercion and sexual assaul t vict ims. ProQuest , UMI Disser tat ions Publishing Rock, L. , Lapar i , R. , Cook, P. , & Hale, A. Depar tment of Defense, (2011) . 2010 workplace and gender relat ions survey of act ive mi l i tary members: overview repor t on sexual assaul t (536 257) . Ret r ieved f rom ht tp: / /servicewomen.org/SAPRO Repor ts/DMDC_2010_WGRA_Overview_Repor t_of_Sexual_Assaul t .pdf S.1081 - Mi l i tary whist leblower protect ion enhancement act of 2013. (2013, May 05) . Ret r ieved f rom ht tp: / /beta.congress.gov/bi l l /113th -congress/senate-bi l l /1081
  • 37. REFERENCES CONTINUED Sens. Warner, Kaine announce progress on mi l i tary whist leblower protect ion legislat ion. (2013, June 14) . Ret r ieved f rom http://www.warner.senate.gov/publ ic/ index.cfm/2013/6/sens -warner -kaine-announce-progress -on-mi l i tary-whist leblower -protecton- legislat ion Turchik, J. , McLean, C. , Rafie, S. , Hoyt , T. , Rosen, C. , Kimer l ing, R. (2013) . Perceived bar r iers to care and provider gender preferences among veteran men who have exper ienced mi l i tary sexual t rauma: A qual i tat ive analysis. Psychological Services, 10(2) , 213-222. doi: 10.1037/a0029959 Winkenwerder Jr. , W. U.S. Depar tment of Defense, Heal th Af fai rs. (2004) . Per iodic heal th assessment pol icy for act ive duty and selected research members . Ret r ieved f rom websi te: ht tp: / /www.heal th.mi l / l ibrar ies/HA_Pol icies_and_Guidel ines/06 -006.pdf U.S. Army sexual assaul t prevent ion and response program. (2008) . Ret r ieved f rom ht tp: / /www.sexualassaul t .army.mi l /content / faqs.cfm U.S. Commission on Civi l Rights, (2013) . Sexual assaul t in the mi l i tary. Ret r ieved f rom ht tp: / /www.sapr.mi l /publ ic/docs/ research/USCCR_Statutory_Enforcement_Repor t_Sexual_Assaul t_in_the_Mi l i tary_SEP 2013.pdf U.S. Government Accountabi l i ty Of f ice, (2012) . Whist leblower protect ion act ions needed to improve D o D ’s mi l i tary whist leblower repr isal program (12 - 362) . Ret r ieved f rom websi te: ht tp: / /www.gao.gov/assets/590/588784.pdf

Editor's Notes

  1. Purpose of this project is to prevent/treat negative health outcomes that come from sexual assault by increasing reporting behaviors, which connect service members to health services. Negative health outcomes: Associated with greater post-traumatic stress and difficulties than combat (Platt et al, 2011) More deaths from suicide than from combat in Afghanistan in 2012 Psychological disorders, e.g. anxiety, bipolar Increased pain-related physical health problems Decrease in work productivity Substance abuse Higher rates of trading sex Perpetrators are often other military personnel, risk for distress and subsequent attacks are high Image source: liveyourdream.org http://www.liveyourdream.org/volunteeropportunities/actnow_sexualassaultinmilitary.html
  2. Chart breaking down the proportion of service members who experienced sexual assault since enlistment and the number who experienced sexual assault in the last 12 months using active duty population in September 2012. As of September 2012 there were 1,399,622 active duty personnel in the United States armed forces, of which 85% were male. The 2013 U.S. Commission on Civil Rights (US CCR) reported that 4% of male service members and 23% of female service members reported experiencing unwanted sexual contact since enlistment (prevalence). Of those who experienced sexual assault, 30% of men reported it occurred in 2012, and 27% of women reported the incident occurred in 2012 (which is equivalent to 1.2% of all male service members and 6.1% of all female service members).
  3. All numbers from 2012 DoD survey, except data on confidentiality which is from 2010; the male responses for 2012 were so low as to not be statistically significant.
  4. Whistleblower Act address the following: Eliminating the same loopholes for whistleblower protection that Congress closed last year in the civil service Whistleblower Protection Enhancement Act. Expanding protection against the full scope of harassment, including a hostile working environment. Normalizing a one year statute of limitations to assert rights. Implementing the Whistleblower Protection Enhancement Act burdens of proof standard
  5. From whistleblower.org: “… without guaranteed due process hearings, the Department of Defense Office of Inspector General (OIG) will continue to be the sole fact-finder to enforce whistleblower rights. But the OIG has a long history of investigating whistleblowers seeking help, instead of those employers who harass them. That OIG has been harshly criticized by third party organizations, from the congressional Government Accountability Office to public interest watchdogs” The GAO found that DoD inspectors general routinely failed to complete investigations in the 180-day time frame required by law. In fact, GAO estimated that 70% of the cases took longer than 180 days, with the average case requiring an astounding 450 days to process (GAO, 2012) Image source: Change.org http://www.change.org/petitions/federal-whistleblowers-need-your-help-tell-congress-to-protect-them
  6. This is addressing number 2 for not reporting, addressing fear of command. There are several bills addressing this issue, and the universal screening policy is one way to address reluctance to report to a commander, while not undermining chain of command. Image source: NIAAA, 2005 NIAAA. (2005). Screening for alcohol use and alcohol-related problems. National Institutes of Health, 65. Retrieved from http://pubs.niaaa.nih.gov/publications/aa65/aa65.htm
  7. Theory of Planned Behavior
  8. Details on how the TPB informs both policies.
  9. WPA- For federal employees VHA-Screening tool already integrated in the Veteran Health Administration (VHA) for purpose of health care delivery and treatment planning, not associated with pursuing disability benefits Image Source: Associated Press (http://www.politico.com/story/2013/06/military-sexual-assault-whistleblower-protections-92284.html)
  10. Reducing public health burden Treat sexual assault related injuries Reduce PTSD, psychological disorders, Decrease in suicide, substance abuse, self-inflicted injuries Assist in securing benefits for veterans Harder to get benefits as a veteran for negative health outcomes associated with sexual assault if not reported while in the military [Samuels, 2013: (Samuels, D. (2013). Does the Pentagon take sexual assault seriously?. New York Times. http://takingnote.blogs.nytimes.com/2013/05/10/sexual-assault-in-the-military/?_r=0] VHA Universal Screening Policy shown to be successful Positive screens are associated with accessing mental health treatment Twofold increase of utilization of mental health services for patients with no previous use of mental health treatment Detection of MST through screening is associated with increased rates of treating mental health illnesses No data on effectiveness of WPA
  11. This is a timeline for the process of creating the social marketing campaign and role out of media advocacy. It is the time when we will contact potential allies, create materials, test materials, and refine message. We recognize that implementation of policies could take much longer and it will be necessary to maintain support and momentum.
  12. Town hall meetings are an area of focus because they have garnered so much media coverage in the current political climate. They also are a means of directly communicating with representatives in a public setting. Image sources: Image credit: Ronda Chesser-Porter (http://www.thedomesticcurator.com/2013/02/travel-tuesday-washington-dcs-cherry.html) Susan Walsh/AP (http://www.govexec.com/management/2013/11/national-security-whistleblowers-could-win-new-protections/73514/ Town Hall: Wikipedia.org (http://commons.wikimedia.org/wiki/File:West_Hartford,_Connecticut_health_care_reform_town_hall_meeting_2,_2009-09-02.jpg) Op-eds: NyTimes
  13. Image sources: Anniversary: sapr.mil Irony: ucsf.edu Injustice: http://apps.militaryonesource.mil/MOS/f?p=EMAG2:ARTICLE:0::::MONTH,YEAR,COHE,PAGE:April,2012,266147,15 Celebrity: Image source: Gabriel Dimateo
  14. Responsibility - it’s the military’s responsibility and duty to take care of and protect its own Equality - specific to policy 2, military personnel should be protected under the same rights as civilian U.S. citizens Gain - seeking health care
  15. Transtheoretical Model is for passage of Whistleblower legislation. Screening does not require legislation so we are using Social Action Model to guide a community organizing effort.
  16. Before the laws/policy changes pass - messages to increase reporting generally These strategies include educating Service members of reporting options and reducing perceived barriers to reporting Marketing for after the law passes – “know your rights” (policy 1) and understand changes to USP (policy 2)
  17. Using a population approach
  18. External variables and perceived threat not a major focus of our social marketing campaign
  19. Safe Helpline.org YouTube DoD Sexual Assault Prevention and Response Office Fort Bragg Sexual Harassment Assault Response and Prevention: http://www.bragg.army.mil/Pages/History.aspx Military Academies: Wikipedia.org
  20. Sample radio ad
  21. Image Source: http://www.military.com/daily-news/2013/05/17/hagel-sexual-assault-solution-wont-come-quickly.html
  22. Image Source: http://www.ky3.com/news/local/Senate-showdown-over-military-sexual-assault-bill/-/21048998/23014562/-/h1jdif/-/index.html
  23. Allies/Partners: DoD SAPRO “Promote initiatives that address sexual assault against male victims” Priority 2: Increase the climate of victim confidence associated with reporting Sexual Assault victims Congress members who are friendly to cause but not on AS Committee Spouses of victims Former Military Officers Repentant perpetrators Whistle blowers Witnesses of sexual assault Friends of victims IPV advocacy groups SWAN The Invisible War RAINN Invisible War producer? Opposition: If we frame either policy as undercutting unit commander’s authority then the opposition list includes: Gen. Martin Dempsey, Chairman, Joint Chiefs of Staff Gen. Raymond Odierno, US Army (JCS) Adm. Jonathan Greenert, Chief of Naval Operations Gen. James Amos, Commandant, Marine Corps Gen. Gary S. Patton, Director DoD’s SAPRO
  24. Timeline for process until kick-off in April. We recognize that actual implementation of policies could take as long as 2.5 years or more.
  25. Sexual Assault Clip