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ISSUES OF CONCERN

LEADER ACTIONS

Has the Soldier been command referred for any assistance (e.g., legal,

financial, spiritual, alcohol, family/relationship, behavioral health,

other)? Does the Soldier wish to disclose receiving any similar types

Refer Soldier to appropriate resources. Reserve Component (RC)

1

of assistance for which he/she was not command referred?

ensure referral is with appropriate local resource.

Refer Soldier to appropriate resources. RC ensure referral is with

Is the Soldier experiencing any difficulties getting the assistance he/she

appropriate local resource. Follow-up with Soldier wtihin 14 days to

2

needs either on-post or off-post?

ensure that any difficulties have been overcome or resolved.

Has the Soldier been unsuccessful in meeting military requirements or

standards (e.g., duty performance, PT, Battle Assembly participation

Develop and implement a plan of action to meet the

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(RC only), weight control, weapons qualification, MOS training)?

requirements/standards. Closely monitor the Soldier’s progress.

Determine if this is a current concern. Develop and implement a plan

Has the Soldier received negative counseling or evaluations since

of action to meet the requirements/standards. Closely monitor the

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arriving at the current unit or organization?

Soldier’s progress.

Determine if this is a current concern. Develop and implement a plan

Has the Soldier been denied promotion or attendance to schools, or

of action to meet the requirements/standards. Closely monitor the

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barred from reenlistment for any reason?

Soldier’s progress.

6

Is the Soldier currently undergoing a UCMJ action?

Ensure Soldier has adequate support, to include legal.

Does the Soldier have financial or employment concerns, such as

Refer Soldier to unit or installation financial representative or Army

inability to cover basic montly expenses, home foreclosure, difficulty

Community Service Financial Readiness Program. RC ensure referral

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meeting child support payments, or inability to repay loans?

is with appropriate local resource.

Has the Soldier experienced an accident, injury, illness, or medical

Ensure Soldier has appropriate medical follow-up. Ensure updated

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condition that resulted in current fitness for duty limitations?

medical profile in e-Profile.

Does the Soldier have a current medical profile (temporary or

Ensure Soldier has appropriate medical follow-up. Ensure updated

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permanent)?

medical profile in e-Profile.

Does the Soldier have any concerns about medical care, medications

Refer to Primary Care Manager or Military Treatment Facility (MTF).

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or supplements he/she is taking?

RC ensure referral is with appropriate local resource.

Is the Soldier currently experiencing problems related to sleep (e.g.,

trouble falling asleep, trouble staying asleep, performance problems

related to sleep, consistently getting less than 7-9 hours of sleep, using

Refer to Primary Care Manager or MTF. RC ensure referral is with

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alcohol or other substances to get to sleep)?

appropriate local resource.

Refer to Unit Ministry Team (UMT), Primary Care Manager, MTF, or

Does the Soldier tend to withdraw or socially isolate himself/herself

Unit Behavioral Health Team, as appropriate. RC ensure referral is with

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from others?

appropriate local resource.

Refer to Unit Ministry Team (UMT), Primary Care Manager, MTF, Unit

Has the Soldier exhibited excessive anger or aggression in the past

Behavioral Health Team, Anger Management, or other appropriate

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three months?

support. RC ensure referral is with appropriate local resource.

Refer to Army Community Services, Military Family Life Counselor,

Is the Soldier experiencing serious marital/relationship issues, or

Military OneSource, Unit Ministry Team (UMT), or Unit Behavioral

immediate family concerns, such as a serious illness in a family

Health Team, or other appropriate support. RC ensure referral is with

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member?

appropriate local resource.

Has the Soldier been involved in any incidents of domestic violence or

Refer to Family Advocacy Program. RC ensure referral is with

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child abuse/neglect?

appropriate local resource.

Connect Soldier with appropriate support (e.g. SHARP, EO, Family

Has the Soldier experienced any condition that may be considered

Advocacy, Unit Ministry, Primary Care Manager, MTF). RC ensure

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cruel, abusive, oppressive, or harmful, to include hazing or assault?

referral is with appropriate local resource.

Has the Soldier received a citation for speeding (10 miles over the

Provide appropriate counseling to ensure Soldier understands good

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posted limit) or reckless driving in the past 6 months?

driving habits.

Has the Soldier been cited for engaging in risky behavior while in a

vehicle (e.g., texting while driving, not utilizing a hands-free cell phone

Provide appropriate counseling to ensure Soldier understands good

while driving, riding without a seatbelt)? Has the Soldier been informed

driving habits. Ensure the Soldier bas been informed that such

that such activities are inherently unsafe, in violation of law and policy,

activities are inherently unsafe, in violation of law and policy, and

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and potentially punishable under UCMJ?

potentially punishable under the UCMJ.

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ISSUES OF CONCERN

LEADER ACTIONS

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Does the Soldier drive a motorcycle?

Ask Soldier 19a.

Perform a POM inspection; make copy of Soldier's license, registration

(State and post), insurance and Motorcycle Safety Foundation (MSF)

certificate. Keep on file. Discuss the POM policy and regulation

regarding personal protective equipment (PPE) and mandatory training

from an approved motorcycle rider safety course (MSF; Basic Rider

Course (MANDATORY); Experienced Rider Course (if applicable in

area of operations (AOR)); Military Sport Bike Rider Course (if

applicable in AOR); and Military Refresher Training (MRT for those

returning from deployment or commander's referral)). RC: Counsel

IF YES, Does the Soldier have the required privately operated

Soldier to ensure he/she understands the requirement to wear all PPE

19a

motorcycle (POM) training IAW AR 385-10 and post requirement?

at all times (not only while in a duty status).

Does the Soldier engage in any other potentially hazardous

recreational activities while off-duty (e.g., skydiving, riding all-terrain

Encourage and ensure the Soldier takes a training course prior to

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vehicles, rock climbing)?

engaging in high risk activities. Ensure Soldier uses appropriate PPE.

AR 190-11 requires all privately owned weapons that are brought onto

Counsel Soldier on the Weapons Safety "THINK". Treat every weapon

military installations be properly registered with the Provost Marshall. Is

as if it is loaded; Handle every weapon with care; Identify the target

the Soldier in compliance with the provisions of AR 190-11 as they

before you fire; Never point at anything you don't intend to shoot; Keep

21 apply to registration of privately owned weapons?

the weapon on safe. Ask Q21a.

IF YES, Has the Soldier attended an approved fire arms safety

Note where and when the Soldier received the training. If not trained,

21a

class/course?

encourage and ensure Soldier and family receive training.

Refer to Army Substance Abuse Program at time of incident and

Has the Soldier ever been involved in alcohol or drug related incidents

closely monitor Soldier’s progress. RC ensure referral is with

22 (in the past 3 years) and/or tested positive on a urinalysis?

appropriate service.

Does the Soldier have any current deployment related concerns?

Has the Soldier deployed to a location where there was hostile fire or

Refer to Primary Care Manager, MTF, or other appropriate support. RC

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they received hazardous duty pay?

ensure referral is with appropriate service.

Refer to Unit Ministry Team (UMT), Primary Care Manager, MTF, Unit

Has the Soldier experienced difficulty coping with a loss (e.g., death of

Behavioral Health Team, or other appropriate support. RC ensure

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close friend, family member or team member, loss of social support)?

referral is with appropriate service.

Obtain additional information as appropriate. Refer to Army Community

Services, Military Family Life Counselor, Military OneSource, Unit

Has anyone (e.g., spouse, other family member, friends, fellow Soldier)

Ministry Team (UMT), Unit Behavioral Health Team, or other

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expressed concern about the Soldier’s behavior?

appropriate support. RC ensure referral is with appropriate service.

Escort Soldier to Installation Behavioral Health or MTF Emergency

Room, as appropriate, and notify leadership. RC escort to local

emergency room and notify leadership. Do not leave Soldier alone.

Order Soldiers who possess privately owned weapons on post to

store them in the unit arms room; ask Soldiers who possess privately

owned weapons off post to voluntarily surrender them to the unit arms

room. Consider ordering Soldier to reside in barracks for an evaluation

Has the Soldier expressed any suicidal thoughts or actions, or

period (3 days) if they choose not to voluntarily surrender weapons

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expressed a desire to harm others?

stored off post.

Soldier has no significant problems or has problems for which he/she

LOW

is receiving appropriate support. The potential for adverse outcomes

appears to be low.

Behaviors or concerns that place the Soldier at risk of serious

problems if not addressd through appropriate actions (e.g., Soldier

MODERATE

experiencing serious financial, legal, family/relationship, alcohol, or

other concerns, and is experiencing difficulty getting adequate

assistance; Soldier exhibiting a pattern of serious risk taking behavior).

Senior leadership (Battalion commander/equivalent or higher)

should be notified.

Behaviors or concerns that potentially place the Soldier or others in

danger or harms way (e.g., life threatening risk taking behavior, serious

performance problems that jeopardize teammembers safety, threat to

HIGH

self or others).

Senior leadership (Battalion commander/equivalent or higher)

and appropriate support channels should be notified

immediately.