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Strenghtening the Forces Program Implementation
ADM(HR-Mil) Instruction 04/05Date of issue | 29-03-05
| Supersession | - NDHQ Policy Directive P2/95, Health Promotion in the Canadian Forces and the Department of National Defence, as it applies to the CF;
- CANFORGEN 035/94 CDS 065 07161430Z Jun 94,
- CFAO 56-36 DND Drug and Alcohol Program; and
- CANFORGEN 121/02 ADMHRMIL 311350Z Oct 02.
| Application | This Instruction applies to members of the Canadian Forces.
| Approval Authority | This Instruction is issued under the authority of the Assistant Deputy Minister (Human Resources-Military)
| Enquiries | National Manager, Strengthening the Forces Program, Director, Force Health Protection (DFHP) Canadian Forces Health Services Group Headquarters (CF H Svcs Gp HQ)
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Table of Contents- Abbreviations
- Definition
- Background
- Operating Principles
- Policy Direction
- Responsibilities
- References
1. Abbreviations1.1 Abbreviation TableThe table below explains the definitions used in this instruction.| Abbreviation | Title or Term in Full |
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ADM (HR-Mil)
| Assistant Deputy Minister (Human Resources - Military)
| BAC
| Base Addictions Counsellor
| B Foods O
| Base Foods Officer
| B/W
| base or Wing
| CF CWO
| Canadian Forces Chief Warrant Officer
| CF H Svcs Gp HQ
| Canadian Forces Medical Group Headquarters
| CPO
| Civilian Personnel Officer
| DFHP
| Director Chief of Staff Force Health Protection
| DGHS
| Director Health Services Delivery
| DGRC
| Director General Health Services
| DQOL
| Director Quality of Life
| ECS
| Environmental Chief of Staff
| HP
| Health Promotion
| MO
| Medical Officer
| NPF
| Non-Public Funds
| O&M
| Operations and Maintenance
| PSP
| Personnel Support Program (Canadian Forces Personnel Support Agency)
| QOL
| Quality of Life
| SAV
| Staff Assistance Visit
| SLA
| Service Level Agreement
| VAC
| Veteran's Affairs Canada
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2. Definitions2.1 For the Purpose of this InstructionDefinitions are provided for the purpose of this Instruction.
2.2 Defence TeamIncludes all components of the CF, foreign military personnel on exchange posting or training with the CF, immediate family members of Regular and Reserve Force and the above mentioned foreign military personnel, DND civilian employees, NPF employees, Cadets and Junior Canadian Rangers.
3. Background3.1 HP is a Shared ResponsibilityThe success of military operations requires a CF that is healthy - physically, mentally, spiritually and socially. An organizational environment enhances health and reduces or eliminates health risks by adopting health as a fundamental goal. This goal is achieved by fully endorsing multidisciplinary policies and programs that are based on research evidence and best practices. The CF recognizes that the individual, organization and health services community all share the responsibility for health promotion and have an active role to play.
3.2 Strengthening the Forces ProgramStrengthening the Forces is the name of the CF HP program, consisting of four major interrelated areas of wellness and prevention:
- Nutritional Wellness - includes healthy diet, weight management, nutrition for special needs (eg. athletes, pregnant women), heart health and diabetes prevention. Nutritional wellness in the CF involves providing the knowledge and environment to facilitate the ability of CF members to make nutritional choices appropriate to their stage of life, activity level and overall health;
- Social Wellness - is a concept integral to overall HP and focuses on stress management, anger management, suicide prevention, healthy relationships, domestic violence prevention, spirituality, healthy workplaces and healthy families. Social Wellness in the CF acknowledges the role that communities and families play in enhancing the health of individuals;
- Addictions Awareness and Prevention - focuses on healthy lifestyle choices to prevent the use of tobacco and other drugs, and reducing the risk of developing problems with alcohol and gambling by including effective coping, lifelong learning, positive social interactions, spirituality, balancing work and family, and supportive environmental conditions and organizational policies; and
- Injury Prevention and Active Living - will focus: on providing guidelines to prevent overuse or repetitive strain, sports or exercise-related injuries or harm; encouraging CF members to maintain a way of life in which physical activity is valued and integrated into daily life; and reducing the risk of chronic illnesses such as osteoporosis. Injury prevention strategies address a combination of environmental, social and individual factors.
4. Operating Principles4.1 The Strengthening the Forces Program is evidence-based, consistent with best practices in the field of HP, and will apply the following principles:- Strengthening the Forces is a HP program for CF members. Where space and resources permit, or where necessary to support the health of a CF member, invitations to participate in certain aspects of the program may be extended to the immediate family of CF members and other members of the Defence Team;
- The intended target groups are involved in the identification and prioritization of HP needs so that CF HP policies, programs, services and activities are appropriate to them;
- CF HP efforts have evaluation criteria and processes to enable measurement of program effectiveness;
- CF HP activities recognize that an individual lifestyle is made up of an interdependent set of health behaviours and environmental influences; and
- CF HP efforts are aligned with and complementary to other CF preventive health efforts.
5. Policy Direction5.1 Policy StatementAs part of health services, DND is committed to the provision of comprehensive HP programming to the CF. The CF is committed to HP as both an organizational and an individual responsibility by providing the environment, tools and information to enhance health and reduce or eliminate high-risk behaviours among CF members.
5.2 Surgeon GeneralThe Surgeon General has professional and technical control over all CF HP matters.
5.3 Service Delivery ModelThe Strengthening the Forces Program delivery model is based on centralized policy and program development, implementation and evaluation with delivery of HP services on designated B/Ws through a formal arrangement with a service provider.
5.4 B/W Relationship with Service ProviderThe relationship between B/Ws and the HP service provider is formally laid out in a service provider/ B/W arrangement.
5.5 CF HP CommitteeThe CF HP Committee provides guidance and support to DGHS regarding CF activities related to HP. The Committee, chaired by ADM(HR-Mil) or designate, has the mandate to:
- identify specific HP concerns of the CF leadership;
- provide executive support to Strengthening the Forces Program services and activities;
- provide feedback to DGHS on Strengthening the Forces Program services and activities;
- review policies to support HP in the CF; and
- communicate HP activities within the CF.
5.6 Membership consists of ADM (HR-Mil) and the following members or their designates, with administrative and secretarial services provided by DFHP: - ECSs;
- DGHS;
- Surgeon General;
- DQOL;
- DGRC;
- CF CWO;
- VAC representative; and
- Other representatives ADM (HR-Mil) considers appropriate.
5.7 B/W HP CommitteeA B/W HP Committee, chaired by the B/W Commander or designate, and with secretarial support provided by the local HP delivery staff, will meet regularly to:- ensure that stakeholders are involved in the identification and prioritization of local CF HP initiatives;
- identify and address specific HP concerns of the local CF community;
- ensure that HP efforts are aligned with and complementary to other local preventive health efforts;
- identify timings for activities to avoid conflict with military deployments and other events, eg., training exercises;
- provide executive support to Strengthening the Forces Program services and activities; and
- provide feedback to DGHS on Strengthening the Forces Program services and activity needs.
5.8 Membership will vary as to number and composition depending on the size of the B/W and will include representatives such as:- B/W Surgeon or MO;
- Dental Detachment Commander;
- Chaplain;
- MFRC Director;
- PSP Manager;
- Health Services: community health nurse, social worker, BAC, physiotherapist, dietitian, etc;
- CPO representative;
- B Foods O;
- QOL representative;
- Base CWO; and
- Other representatives the B/W Commander considers appropriate.
5.9 B/W Strengthening the Forces TeamThe entire Defence Team (military personnel, their immediate family members, and civilian personnel) plays a role in strengthening CF community action and creating supportive environments for health. A B/W Strengthening the Forces Team, led by the local HP delivery staff, will be established at all B/Ws to:- promote various activities and services provided under Strengthening the Forces Program;
- act as a conduit for information regarding CF HP announcements, activities, services and training, and dissemination of educational material directly to the unit/community;
- assist the local HP delivery staff to arrange activities and logistical support at the unit/community level as required; and
- provide feedback on CF HP programs, services and activities to the local HP delivery staff.
5.10 A member is appointed by each larger section/unit on the B/W, including lodger units and by the local HP delivery staff with respect to other members as appropriate. Team members act as Unit HP and/ or community HP Representatives. 6. Responsibility6.1 Responsibility TableThe table v\below describes the responsibilities associated with this policy.| The? | Is/are responsible for? |
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ADM(HR-Mil)
| ? Chairing the CF HP Committee.
| DGHS
| ? Providing the resources for the CF HP Program.
| Surgeon General
| ? Providing professional guidance to ADM(HR-Mil) and DGHS on CF HP; and
? Providing professional and technical control over all CF HP matters.
| DFHP
| ? Proposing CF HP policy direction and providing program development, implementation, training and evaluation;
? Providing appropriate CF HP program delivery policies and directives to ensure total quality management in program delivery;
? Developing services and activities in community needs assessment and the four focus areas of the Strengthening the Forces Program;
? Providing professional and technical expertise to the CF on HP policy and programs;
? Proposing HP service standards;
? Conducting HP service SAVs;
? Evaluating the effectiveness of the CF HP policy, programs and services;
? Providing HP funds for salaries, national O&M and training in accordance with the terms of the SLA/contract between DGHS and the service provider; and
? Providing secretarial support and scheduling meetings of the CF HP Committee.
| ECSs and other commanders of commands
| ? Supporting CF HP initiatives and programs, as set out within the overall health promotion policy framework and direction determined by DGHS; and
? Providing input to DGHS on HP concerns identified within their environments and feedback on the Strengthening the Forces Program.
| B/W Commanders and Commanding Officers
| ? Establishing and chairing the B/W HP Committee;
? Supporting CF HP initiatives and programs, as set out within the overall health promotion policy framework and direction by DGHS, on their B/W and dependencies;
? Providing O&M funding for local and satellite program delivery in accordance with the formal arrangement with the service provider; and
? Providing feedback to DGHS on CF HP related services and activities.
| B/W Surgeon or MO
| ? Promoting the implementation of national CF HP programs and standards at the local level; and,
? Providing professional and technical oversight to local HP delivery staff regarding local CF HP initiatives, including:
- Establishing local HP priorities based on the preventive health needs of the Base/Wing population, and
- Ensuring alignment and coordination of HP programs with other preventive health programs delivered by CF H Svcs personnel.
| HP Service Provider
| ? Coordinating and delivering CF HP services for the Strengthening the Forces Program at designated sites IAW the SLA/contract with DGHS;
? Establishing, administering, supporting and sustaining a team of qualified local HP delivery staff and admin assistants IAW the SLA/contract with DGHS;
? Providing financial management services to support the delivery of CF HP services at the B/W/U level, i.e. salaries, O&M and training of local HP delivery staff IAW the SLA/contract with DGHS;
? Requesting local O&M funds from B/W Comds in accordance with the formal arrangement with the B/W;
? Ensuring activity reporting to monitor the quality of CF HP delivery services provided IAW DGHS directives; and
? Cooperating with DGHS staff on SAVs.
| CF members
| ? Achieving and maintaining the highest level of health possible through healthy lifestyle choices;
? Participating in the Strengthening the Forces Program services; and
? Participating in the process of strengthening CF HP community action and creating supportive environments for health.
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7. References7.1 Source References- ADM (HR-Mil) Instruction (Draft), Health Promotion;
- Health Promotion Declaration for the Defence Team in DND, 12 May 1994; and
- Concept for the CF Health Protection Capability (March 2001)
7.2 Related ReferencesService Level Arrangement between Rx2000 Project Management Office, Director General Health Services (DGHS) and Canadian Forces Personnel Support Agency (CFPSA) concerning implementation and steady state services and costs for the Canadian Forces Health Promotion Program, 31 March 2004.
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