Published on February 14, 2008
Slide1: Navy Health Promotion: The Leadership Challenge Session Objectives: Session Objectives Explain how Health Promotion supports readiness Discuss DoD, Navy and Marine Corps Health Behavior data List the priority areas of DoN Health Promotion supported by instruction The BIG Picture: The BIG Picture The Nation Healthy people 2010 Healthy people in healthy communities Leading Health Indicators The Military Sea Power 21 Force Health Protection Defensive Weapon System Healthy & Fit Force CNO Vision of Sea Power: CNO Vision of Sea Power The Evolution of DoN Requirements: The Evolution of DoN Requirements Navy Medicine’s Transformational Roadmap Defensive Weapons System Deployment Medicine Power Projection Innovation Efficiency Our Required Focus - ROIAC: READINESS: Are We Ready to Deploy in Harm’s Way? OPTIMIZATION: Are We Delivering Services Effectively and Efficiently? INTEGRATION: Are we maximizing partnerships? ALIGNMENT: Are we vertically and horizontally aligned? COVENANT LEADERSHIP: Are we taking care of our people? Our Required Focus - ROIAC Slide7: CREATE A HEALTHY AND FIT FORCE - So that when we put a pair of muddy boots somewhere, the Sailor or Marine wearing them is physically, mentally and socially able to accomplish any mission our nation calls upon them to perform. DEPLOY WITH THEM TO PROTECT - The battlefield is the “office place” of the warrior, who deserves the best possible protection from hazards that could prevent mission execution. RESTORE HEALTH: DEPLOYED, AND AT HOME - If numbers 1 or 2 fail, we are with them to deliver world class care: treatment, stabilization, medical evacuation. At exactly the same time AND level of importance, we deliver care to the spouses and families at home. TRICARE FOR LIFE - We help a grateful nation thank its retired warriors by giving them and their families health care for life. Force Health Protection DoN HEALTH PROMOTION : DoN HEALTH PROMOTION DoD 1010.10 (2003) DoD HP Program OPNAVINST 6100.2 (1992) DoN HP Program MCO P1 700.29 (1999) Established Marine Corps Semper Fit Program OPM Human Resource Manual, Subchapter 792.4 WORK/LIFE Program for DoD Civilians BUMEDINST 6110.13 (1992) Naval Medical Dept HP Program Slide9: Nutrition Education & Weight Control Tobacco Use Prevention & Cessation Stress Management & Suicide Prevention Alcohol & Drug Abuse Prevention & Control Back Injury Prevention Physical Fitness & Sports Hypertension Screening, Education, & Control OPNAVINST 6100.2 Navy HP Elements SEMPER FIT Elements: SEMPER FIT Elements Tobacco Use Prevention & Cessation Suicide Awareness Stress Management Alcohol and Drug Abuse Prevention and Control Nutrition Education Physical Fitness Injury Prevention Hypertension Education, and Control Sexually Transmitted Disease/ HIV Prevention “The Ultimate Health and Fitness Club” Naval jobs are physically demandingSailor and Marine maintenance is as critical as machine maintenanceHealth and wellness = Readiness: Naval jobs are physically demanding Sailor and Marine maintenance is as critical as machine maintenance Health and wellness = Readiness Slide12: Decreased incidence/severity of injuries Decreased injury attrition (including death) Reduction in costs for attrition, training, and health care Increase in personnel productivity Impact on positive behavioral habits Benefits of Health Promotion Health Behavior DATA: Health Behavior DATA How do we measure and track progress? Where are we now and where are we going? Are these data an indication of readiness? 2005 DoD Surveyof Health Related Behaviors among Military PersonnelA Component of the DoD Lifestyle Assessment Program (DLAP): 2005 DoD Survey of Health Related Behaviors among Military Personnel A Component of the DoD Lifestyle Assessment Program (DLAP) OASD HA Dr. David Tornberg, DASD CPP Presented by Robert M. Bray, Ph.D. RTI International • Research Triangle Park, NC May 10, 2005 Purpose of DLAP : Purpose of DLAP Assess and document behavioral and health readiness and lifestyle issues Track health-related trends Identify high-risk groups Specify groups needing additional screening or intervention Help identify next research steps Binge Drinking 2002-2005: Binge Drinking 2002-2005 Unadjusted binge drinking rates *Significant difference between 2002 and 2005 Relationship of Drinking Level and Alcohol-Related Negative Effects, Total DoD: Relationship of Drinking Level and Alcohol-Related Negative Effects, Total DoD Cigarette Smoking TrendsTotal DoD, 1980-2005: Cigarette Smoking Trends Total DoD, 1980-2005 Statistically significant decrease from 2002 Trends in Other Tobacco Use, Total DoD, 1995-2005: Trends in Other Tobacco Use, Total DoD, 1995-2005 * *Statistically significant from prior survey Standardized Comparisons of Any Illicit Drug Use, Past 30 Days, for Persons Aged 18–55, 2002-2005: Standardized Comparisons of Any Illicit Drug Use, Past 30 Days, for Persons Aged 18–55, 2002-2005 *Military personnel are significantly lower than civilians for both age groups at the 95% confidence level. Illicit Drug Use, Past 12 Months, 2002-2005: Illicit Drug Use, Past 12 Months, 2002-2005 Marijuana Analgesics Steroids Any Illicit Drug a Significant difference between 2002 and 2005 Trends in Overweight, 1995-2005: Trends in Overweight, 1995-2005 Overweight defined as BMI, >=25, personnel aged 20 or older Overweight and Obesity, 2005: Overweight and Obesity, 2005 Overweight defined as BMI >=25, for adults >=age 20; >=95th percentile of BMI-for-age for personnel < 20 years of age. Obese defined as BMI >=30, for adults >=age 20; there is no obese classification for personnel <20 years of age. Moderate and Vigorous Physical Activity at Least 20 Min/day on 3 or More Days/week: Moderate and Vigorous Physical Activity at Least 20 Min/day on 3 or More Days/week Moderate physical activity includes: Walking briskly, mowing the lawn, bicycling on level terrain Vigorous physical activity includes: Jogging, chopping wood, high-impact aerobics High Levels of Stress, Past Year, Total DoD: High Levels of Stress, Past Year, Total DoD Sources of Stress, Past Year, Total DoD: Sources of Stress, Past Year, Total DoD *Difference between men and women significant at 95% confidence level Stress Associated with Being a Woman in the Military: Stress Associated with Being a Woman in the Military Percentage of women indicating “A great deal” or “A fair amount” of stress Stress Coping Behaviors, Total DoD: Stress Coping Behaviors, Total DoD *Difference between men and women is significant at the 95% confidence level Need for Further Depression Evaluation: Need for Further Depression Evaluation *Significant difference between 2002 and 2005 Mental Health Problems by Deployment in Past 3 Years and in Theater : Mental Health Problems by Deployment in Past 3 Years and in Theater Deployment and Substance Use: Deployment and Substance Use Summary: Summary Good news Notable progress since 1980 in reducing illicit drug use Compared to civilians, illicit drug use is lower Significant decrease in heavy smoking over the years and from 2002 to 2005 Most military personnel engage in moderate or vigorous physical activity Rates of PTSD are under 3% for total DoD and each service branch Summary (Cont’d): Summary (Cont’d) Not so good news Little progress in reducing heavy alcohol use since 1980 Compared to civilians, heavy alcohol use is higher; difference comes from personnel aged18-25; those 26+ are the same as civilian Illicit drug use increased significantly since 2002 Cigarette use overall is about the same among military persons and civilians, but higher in military among personnel aged 18-25 High levels of stress at work, depression and anxiety symptoms Key Challenges: Key Challenges Reduce: Heavy alcohol use Tobacco use Cigarettes Smokeless tobacco Cigars Overweight Mental Health challenges Stress at work Stress associated with being a woman in the military Depression and anxiety symptoms Is Wellness too hard?: Is Wellness too hard? Why aren’t we succeeding? Can we succeed? “Americans are doomed. Unless…” (Donald B. Ardell, PHD – Wellness Management, Fall 2003) What will it take : What will it take Adopt wellness/fitness as a core value Embrace the broader attitudes & behaviors of a wellness mindset Develop a strong sense that wellness is worth the trouble What’s the Buzz?: Updating HP Instructions (OPNAV & BUMED) Greater HP Role in PHA & IMR Development of Culture of Wellness (Personal and Family Readiness/Wellness CFT) Expansion of Green/Blue “H” Award Greater Use of Web portals – NMO, NKO, TOL What’s the Buzz? Slide38: QUESTIONS?