Standards for Military Family Readiness programs

2020 Edition

Family Advocacy Program Services (MIL-FAP) 10: Clinical Rehabilitative Treatment

The MFR program provides clinical rehabilitative treatment that fosters behavior change among customers with a history of abusive behavior.

NA The MFR FAP provides education, information and referral, and safety planning only and is not authorized to provide clinical treatment services.
2020 Edition

Currently viewing: FAMILY ADVOCACY PROGRAM SERVICES (MIL-FAP)

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Purpose

Customers receiving Family Advocacy Program Services gain new competencies, improve individual and family functioning and resiliency, make connections in their community, and reduce their risk for family violence.
1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the programs’ practices fully meet the standard and reflect a high level of capacity.  All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions; exceptions do not impact service quality and/or overall performance.
2
Substantial Implementation, Good Performance 
A rating of (2) indicates that a programs’ infrastructure and practices are basically sound but there is room for improvement. The majority of the standard's requirements have been met and the basic framework required by the standard has been implemented.  Minor inconsistencies and practices that are not fully developed are noted, however, these do not significantly impact service quality and/or overall performance.
3
Partial Implementation, Concerning Performance
A rating of (3) indicates that significant aspects of the programs’ observed infrastructure and/or practices require significant improvement. The program has not implemented the basic framework of the standard but instead has in place only part of this framework. Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  Service quality or program functioning may be compromised. Capacity is at a basic level.
4
Unsatisfactory Implementation and Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all. Observed infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.

Please see Rating Guidance for additional rating examples. 
Self-Study EvidenceOn-Site EvidenceOn-Site Activities

MIL-FAP 10.01

The MFR program implements rehabilitative interventions that are respectful and foster the development of a strong therapeutic alliance. 


MIL-FAP 10.02

The MFR program implements rehabilitative approaches that  focus on fostering internal motivation to change behaviors by working with customers to identify:
  1. the positive effects of change; and
  2. the challenges or barriers to change.

MIL-FAP 10.03

The MFR program's clinical rehabilitative treatment programs educate customers about domestic abuse including:

  1. what domestic abuse is and the common dynamics of domestic abuse;
  2. the potential for re-abuse, signs of abuse escalation, and the normal tendency to regress toward previous abusive behaviors;
  3. the socio-cultural basis for violence;
  4. the relationship between gender role socialization and domestic abuse;
  5. the correlation between substance use or misuse and domestic abuse; 
  6. the impact that exposure to domestic abuse has on children in the home;
  7. the correlation between domestic abuse and suicide. 

MIL-FAP 10.04

The MFR program's clinical rehabilitative treatment programs assist customers in replacing abusive behaviors with positive relationship skills and coping mechanisms by working with customers to:

  1. take responsibility for their actions;
  2. identify and confront their issues of power and control, when applicable;
  3. identify thoughts, emotions, and behaviors that facilitate or trigger their abusive behavior;
  4. identify social and relationship skills that need further development; and
  5. learn and practice pro-social behaviors including empathy, assertiveness, problem solving, and conflict resolution.

MIL-FAP 10.05

When the MFR program provides rehabilitative treatment in a group setting:

  1. the facilitator regularly assesses the ongoing appropriateness of the treatment modality for each participant; and
  2. groups contain a maximum of 12 participants.

NA The MFR program does not offer rehabilitative treatment in a group setting.


MIL-FAP 10.06

When rehabilitative treatment is court or command directed, the customer and the clinician sign a treatment contract that includes:

  1. treatment goals as identified in the services plan;
  2. time and attendance requirements;
  3. a plan for handling crisis situations;
  4. customer rights and responsibilities; and
  5. consequences of contract violations.
Related Standards:

MIL-FAP 10.07

The MFR program has a standardized process in place for monitoring and assessing behavioral adjustments and improvements in customers rather than simply tracking compliance with services such as attendance at sessions.