Getting to Outcomes® Handbook How to Strengthen Sexual Assault Prevention Activities in the Military

How to Use This Handbook

This handbook has been developed to provide a streamlined version of GTO for use at military installations with GTO teams, planning, running, and evaluating SAPA. The parent, comprehensive GTO guide is available on this website. A set of additional resources from the parent guide are provided as standalone companions to this handbook. They are referenced at each GTO step in the following pages. This site also includes an example of using GTO to plan a SAPA in a fictional military scenario.

The handbook leads SAPA implementation teams through the ten steps of GTO. For each step, there is one page that includes:

• an overview of the GTO step—what it is, why it is important, and how to do it
• key points about each step including the link between the GTO step and the relevant domain from the DoD PPoA
• a section with links to resources for more information to help complete each step.

Two worksheets are included: The SAPA Overview will help you develop a thumbnail overview of your whole SAPA (GTO Steps 1–6), and the Evaluation Summary and CQI Review Worksheet will help you understand and use your evaluation results to make and document decisions about improving your SAPA (GTO Steps 7–9).

The following list of characteristics clarifies what we define as a SAPA for the purposes of this handbook.

A SAPA

• involves an intervention, efforts designed to affect a specific outcome, or the direct provision of services—for example, bystander training
• has a target audience including active duty, National Guard, or reserve component service members and/or their family members and civilian employees
• includes policies and practices, in addition to programs.

A SAPA is not

• standard or routine care, such as clinical care, or a focus on clinical education
• screening tools that are not directly associated with an intervention, such as assessments designed to help recognize signs of trauma
• a one-way passive transmission of information with no intervention designed to affect a particular outcome (for example, websites with phone numbers, brochure distribution)
• a research project that does not involve an intervention or an intervention that is a clinical trial.
• a DoD Instruction, memorandum, or report
• an advisory team, task force, or other group or conference
• an administrative department, office, or center.

Who Should Use This Handbook

This handbook is intended to be used by military site SAPA GTO implementation teams at any point in their process—including focus problem identification, SAPA selection, detailed planning, implementation, evaluation and improvement, and sustainability planning.

• Three or four individuals on the implementation team should coordinate logistics and serve as primary participants in the GTO process. One or more members should have some GTO training. See a list of Getting To Outcomes training webinars.
• Optimally, the site implementation team should include a noncommissioned officer and an officer. Both are suggested because they will have appreciably different and unique points of view when it comes to implementation and will provide requisite capacity daily to accomplish required tasks.
• Someone on the team should provide a direct link between the site implementation team and command or site leadership to expedite decisionmaking and approvals.
• Leadership buy-in is critical to the success of any SAPA; therefore, engaging decisionmakers before, throughout, and after the process is a core task of the GTO team. See Engaging Leadership Before, During, and After Implementing Sexual Assault Prevention Activities in the Military for a thorough discussion of leadership engagement.