Through its Task Force True North (TFTN) program, the Air Force seeks to provide effective prevention and treatment programs to airmen in need by embedding health care providers directly into units. This report identified approaches to expanding the TFTN program, including estimating each approach's associated manpower requirements, recruiting requirements, total costs, and implementation timelines.

Alternative Approaches for Expanding the Air Force's Task Force True North Program

Agnes Gereben Schaefer, John A. Ausink, Thomas Goughnour, Kristie L. Gore, Kimberly Jackson, Paul Emslie

ResearchPublished Dec 22, 2022

Cover: Alternative Approaches for Expanding the Air Force's Task Force True North Program
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The Air Force seeks to maximize airman fitness and minimize threats to individual and unit readiness, such as domestic and sexual violence and suicide. The purpose of the Air Force's Task Force True North (TFTN) is to provide effective prevention and treatment programs to airmen in need by embedding health care providers directly into units.

In this report, the authors identify potential courses of action (COAs) for expanding the TFTN program, including estimating each approach's associated manpower requirements, recruiting requirements, total costs, and implementation timelines. In developing these COAs, the authors analyzed embedded behavioral and physical health programs in the Army, Navy, Marine Corps, and U.S. Special Operations Command; developed a framework for analyzing mental, physical, and social squadron risk levels; developed personnel packages for low-, medium-, and high-risk squadrons; and estimated the costs of implementing these personnel packages under different timelines. In addition to detailing these COAs, the authors provide recommendations on best practices for the Air Force to follow as it expands the TFTN program.

Key Findings

Other military embedded health care programs offer lessons for the Air Force

  • Program design must follow directly from program goals, rather than the inverse.
  • All embedded providers need to be able to build trust and buy-in with both unit commanders and service members.
  • Even if programs are not centralized or standardized across all units, data collection should be.

The four potential COAs each have trade-offs

  • The baseline COA is the Air Force's existing plan to expand the TFTN program over a four-year timeline. COA 1 extends the timeline to five years and makes some changes based on the RAND team's risk characterizations. COA 2 extends the timeline to ten years and makes most of the same changes as COA 1. COA 3 uses the five-year timeline of COA 1 but also reduces the number of embedded physical health care providers.
  • The least expensive option at year 10 is COA 3, as it is the only one under which personnel are reduced. COA 2 is less expensive than the baseline COA and COA 1 at year 5 because implementation is much slower over a ten-year period.
  • There are risks associated with each of the COAs. The COAs with the shorter timelines risk not being able to meet those aggressive timelines for various reasons. The ten-year timeline may seem less risky, but such a long timeline could also prevent the expansion from being fully implemented because of changing priorities, budget challenges, or other reasons.

Recommendations

  • Ensure top leadership support and commitment.
  • Clarify program goals to enable success.
  • Plan up front to facilitate data collection and evaluation.
  • Consider issues of chain of command and organizational structure.
  • Be prepared to respond to changing needs.
  • Monitor progress of implementation over time.

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Document Details

  • Copyright: RAND Corporation
  • Availability: Available
  • Year: 2022
  • Print Format: Paperback
  • Paperback Pages: 104
  • Paperback Price: $31.50
  • Paperback ISBN/EAN: 978-1-9774-1006-1
  • DOI: https://doi.org/10.7249/RR-A269-1
  • Document Number: RR-A269-1

Citation

RAND Style Manual
Schaefer, Agnes Gereben, John A. Ausink, Thomas Goughnour, Kristie L. Gore, Kimberly Jackson, and Paul Emslie, Alternative Approaches for Expanding the Air Force's Task Force True North Program, RAND Corporation, RR-A269-1, 2022. As of September 11, 2024: https://www.rand.org/pubs/research_reports/RRA269-1.html
Chicago Manual of Style
Schaefer, Agnes Gereben, John A. Ausink, Thomas Goughnour, Kristie L. Gore, Kimberly Jackson, and Paul Emslie, Alternative Approaches for Expanding the Air Force's Task Force True North Program. Santa Monica, CA: RAND Corporation, 2022. https://www.rand.org/pubs/research_reports/RRA269-1.html. Also available in print form.
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Research conducted by

The research reported here was commissioned by Brig Gen Michael E. Martin, Director of Air Force Resilience (AF/A1Z), and conducted within the Manpower, Personnel, and Training Program of RAND Project AIR FORCE.

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