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Department of the Army Pamphlet DA PAM 600-25 U.S. Army Noncommissioned Officer (NCO) Professional Development Guide December 2018

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In addition to providing help with accessing military resources, Sexual Assault Response Coordinators can provide information about a range of off-installation services, some of which may be able to provide or assist with obtaining crime victim compensation or limited financial assistance. The availability of off-installation services varies by location and by state. Information about off- installation (no DoD affiliation) services can also be obtained from DoD Safe Helpline, the sole secure, confidential, and anonymous crisis support service specially designed for members of the Department of Defense community affected by sexual assault. (www.safehelpline.org or 877- 995-5247). Patients may seek assistance from a Sexual Assault Response Coordinator (SARC), Sexual Assault Prevention and Response Victim Advocate (SAPR VA) or the Family Advocacy Program (FAP) who can connect them with the appropriate health care provider. They may also seek assistance through their primary care manager (PCM), a women’s health provider, or at an emergency room. MTFs either have providers who perform abortion services or have the ability to refer patients to an appropriate provider in the private sector or at another MTF. YOU ARE ACCESSING A U.S. GOVERNMENT (USG) INFORMATION SYSTEM (IS) THAT IS PROVIDED FOR USG-AUTHORIZED If a Soldier was sexually assaulted, what is the process by which they could access abortion services for a pregnancy resulting from the sexual assault? There are other special circumstances, determined on a case-by-case basis by a DoD health care provider, where the military mission outweighs the interests served by delaying notification.

An Ounce of Prevention; Fort Liberty's PAR Program Takes the Lead in Protecting Our Own November 20, 2023 If a Soldier is a victim of sexual assault and seeking an abortion for a pregnancy resulting from the sexual assault, with whom would they need to disclose their rape or sexual assault? DoD performs or pays for abortions for Soldiers, dependents, or other eligible DoD beneficiaries in cases where the life of the mother would be endangered should the fetus be carried to term or where the pregnancy is the result of an act of rape or incest (described as “covered abortions”). An eligible beneficiary can request a covered abortion from a MTF provider. What other care does DoD provide when a Soldier, dependent, or other beneficiary receives a covered abortion? If a Soldier, dependent, or beneficiary accesses abortion services outside of the military health system and requires follow-up care, can they access care through DoD?FORSCOM Lead Sexual Assault Response Coordinators come together to discuss program changes November 17, 2023 What is the process that a Soldier, dependent, or other beneficiary would use to seek covered abortion services? All necessary medical and psychological services and supplies related to a covered abortion may be provided by the MTF or by a TRICARE authorized provider for eligible dependents of a Soldier. This may include ultrasound performed prior to the abortion, pathology services, pregnancy tests, office visits, and any applicable requirements mandated by state and/or local laws.

More information on this policy is available at: www.health.mil/EnsuringAccesstoReproductiveHealth.

Who can provide Soldiers, dependents, or other beneficiaries with women’s health care such as long acting reversible contraceptives (LARCs)? Do they have to be OB/GYNs or can they get it from a primary care physician? Where can they access this healthcare? Complete care generally includes an initial diagnosis of pregnancy, counseling regarding pregnancy options, any necessary pre-procedural evaluation, peri-operative care (care provided around the time of a surgical procedure), contraception counseling and provision, screening for sexually transmitted infections, referral for mental health services, and follow-up/post-operative care as required. Sexual Assault Response Coordinators (SARCs) or the Family Advocacy Program (FAP) are notified by a DoD medical provider at an MTF if a patient informs the provider that the patient is a victim of a sexual assault so that the SARC or FAP can inform the victim of services and reporting options. There is no requirement that the health care provider inform the SARC or FAP that the patient requested an abortion. Health care provider communications to a SARC or FAP are confidential. As a result, if the patient has made, or desires to make, a Restricted Report, that option is not affected by health care provider notifications to a SARC or FAP. However, providers must not attempt to gain information from other sources in making their good faith determination (other than a consultation with SMEs as noted above) or compromise an adult patient’s reporting options by notifying the chain of command, or law enforcement, unless otherwise indicated in DoD Instruction 6310.09 “Health Care Management for Patients Associated With a Sexual Assault,” May 7, 2019, or advised by MTF legal counsel. remedying the risk of harm to individuals, the recipient agency or entity (including its information The Soldier is in a position pre-identified by Army regulations as having mission responsibilities or being subject to occupational health hazards that would significantly risk mission accomplishment.

Does the DoD provide abortion services for Soldiers or beneficiaries who have been sexually assaulted even if they have not reported the assault, there is no ongoing investigation, or if an investigation has not been completed? Military OneSource is available 24/7 (http://www.militaryonesource.mil or 800-342-9647) to support the holistic needs of military families. Services include confidential non-medical counseling, financial counseling, peer-to-peer support, and specialty consultation sessions for expectant parents. Depending on the specific need or request, Military OneSource can also facilitate connections to installation- and community-based services.What information does a patient need to provide, if seeking a covered abortion due to a pregnancy resulting from a sexual assault or incest? More information on this policy is available at: www.health.mil/EnsuringAccesstoReproductiveHealth.What is the new policy on travel and transportation allowances for non-covered reproductive health care? What is non-covered reproductive health care?

Chapter 15 - Consolidated Military and Civilian Career Fields and Principal Coordination Points by Personnel Proponent Installation-based Military and Family Support Centers provide programs and services to increase resilience. These programs and services include non-medical counseling, personal and family life education, financial readiness, and information and referral services. The treating DoD health care provider has determined that there are special medical circumstances that require earlier notification. Commanders or approval authorities must act promptly when considering a Soldier’s request for an administrative absence to access non-covered reproductive health care, with due regard to the time-sensitive nature of many non-covered reproductive health care services. Requests for administrative absence should be given all due consideration and should be granted to the greatest extent practicable unless, in the commanding officer’s judgment, the Soldier’s absence would impair proper execution of the Army mission. DoD providers must have a “good faith” belief that the patient is a victim of rape or incest to perform the abortion. Soldiers are not required to make a formal report or engage with the Sexual Assault Prevention and Response Program or Family Advocacy Program (FAP) to be eligible for an abortion, although providers are still required to notify the Sexual Assault Response Coordinator (SARC) or FAP that they are treating a patient who reports they are a victim of sexual assault, so that the SARC or FAP can inform the victim of services and reporting options. There is no requirement that the health care provider inform the SARC or FAP that the patient requested an abortion. DoD providers should engage MTF legal counsel and MTF leadership, as well as subject matter experts within SAPR Program or FAP, if there are concerns about making a “good faith” belief determination.o The New Parent Support Program is a program for expectant parents or those with children ages three and younger and offers pregnancy and parenting education and support primarily through home visitation services. New Parent Support Program staff are child development professionals, including registered nurses and clinical social workers, who are able to connect new and expectant parents to local pregnancy and parenting related resources. It is available to Soldiers, eligible spouses and partners. In some locations, they may also offer pregnancy and parenting related groups and classes.

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