Standards for Military Family Readiness programs

2020 Edition

Non-Medical Individual and Family Counseling (MIL-NMC) 4: Service Planning and Monitoring

Customers work with providers to develop and review services plans that are the basis for delivery of needed services and support.

 

2020 Edition

Currently viewing: NON-MEDICAL INDIVIDUAL AND FAMILY COUNSELING (MIL-NMC)

VIEW THE STANDARDS

Purpose

Customers who participate in non-medical counseling identify and build on strengths, develop skills to manage situational change, and improve functioning in daily activities at home, at work, and in their community.
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
  • Interview:
    1. MFR program director
    2. Relevant staff
    3. Customers

MIL-NMC 4.01

A services plan is:

  1. developed within established timeframes;
  2. based on the findings of the assessment; and
  3. individualized to meet the unique needs of the customer. 

MIL-NMC 4.02

Customers fully participate in the development of a services plan that includes:

  1. unmet service and support needs;strengths, risks, and protective factors;
  2. the customer's stated goals, desired outcomes, and timeframes for achieving them;
  3. agreed upon services and supports to be provided, and by whom;
  4. possibilities for maintaining and strengthening informal social networks; and
  5. documentation of the customer's participation, including children when appropriate, in developing the plan. 

Interpretation

Generally children age six or over are to be included in service planning if clinically appropriate and agreed to by the parent or legal guardian. 

MIL-NMC 4.03

The provider, the customer, and others as appropriate to the wishes of the customer regularly review progress toward achievement of agreed upon goals and sign revisions to service goals and plans.

Interpretation

 Examples of others that may be included in reviews include extended family members and significant others when appropriate to the needs of the customer and only with his or her consent.

Interpretation

Timeframes for reviews may be set by DoD or Service policy. In the absence of such guidance, the MFR program should establish timeframes for review that are appropriate to the needs of the customer and the frequency and intensity of services provide.


MIL-NMC 4.04

The provider and a supervisor, or a service or peer team, review the case at least quarterly to assess:

  1. services plan implementation;
  2. the customer's progress toward achieving goals and desired outcomes; and
  3. the continuing appropriateness of the service goals.

Interpretation

Timeframes for services plan review should be adjusted depending upon issues and needs of the customer, and the frequency and intensity of services provided.