Child Welfare: Increased Guidance and Collaboration Needed to Improve DOD's Tracking and Response to Child Abuse
GAO-20-110
Published: Feb 12, 2020. Publicly Released: Feb 12, 2020.
Fast Facts
With more than 1.2 million school-age military dependents worldwide, the Defense Department works to prevent and respond to child abuse, including child-on-child abuse.
It’s difficult for DOD to track abuse cases from first report to final outcome because the organizations involved track different parts of the process and their databases don’t work together.
We also found that victims’ families get inconsistent information about the case response process. Some families we spoke to weren’t aware of all the resources available to them.
Our 23 recommendations include expanding DOD’s centralized database and better informing victims’ families.
Young child sitting on a swing
Highlights
What GAO Found
The Department of Defense (DOD) has limited visibility over reported incidents of child abuse—physical, sexual, or emotional abuse, or neglect by a caregiver—and child-on-child abuse due to standalone databases, information sharing challenges, and installation discretion. From fiscal years 2014 through 2018, the military services recorded more than 69,000 reported incidents of child abuse (see figure). However, personnel at all seven installations in GAO's review stated that they use discretion to determine which incidents to present to the Incident Determination Committee (IDC)—the installation-based committee responsible for reviewing reports and determining whether they meet DOD's criteria for abuse (an act of abuse and an actual or potential impact, e.g., spanking that left a welt). Per DOD guidance, every reported incident must be presented to the IDC unless there is no possibility that it could meet any of the criteria for abuse. However, personnel described incidents they had screened out that, per DOD guidance, should have been presented to the IDC. Without the services developing a process to monitor how incidents are screened at installations, DOD does not know the total number of reported child abuse incidents across the department.
Reported Incidents of Child Abuse (Physical, Sexual, or Emotional Abuse, or Neglect), by Department of Defense (DOD) Criteria for Abuse, Fiscal Years 2014-2018
While DOD has expanded its child abuse policies and procedures to include child-on-child sexual abuse, gaps exist. For example, DOD standardized the IDC process in 2016, but the new structure does not include medical personnel with expertise, contrary to best practices for substantiating child abuse allegations. Without expanding the IDC membership to include medical personnel, members may not have all of the relevant information needed to make fully informed decisions, potentially affecting confidence in the efficacy of the committee's decisions. GAO also found that the availability of certified pediatric sexual assault forensic examiners across DOD is limited—according to DOD officials, there are only 11 in comparison to 1,448 incidents of child sexual abuse that met DOD's criteria for abuse from fiscal years 2014 through 2018. Without processes that help ensure timely access to certified pediatric examiners, child victims of sexual abuse overseas may not receive exams in time for evidence to be collected for use in prosecution, increasing the stress and trauma of affected victims.
Why GAO Did This Study
With more than 1.2 million school-age military dependents worldwide, per DOD, the department's organizations work to prevent, respond to, and resolve incidents of child abuse. Incidents of child abuse, including child-on-child abuse, can cause a range of emotional and physical trauma for military families, ultimately affecting servicemember performance.
GAO was asked to review how DOD addresses incidents of child abuse and child-on-child abuse occurring on a military installation or involving military dependents. This report examines, among other things, the extent to which DOD has (1) visibility over such reported incidents, and (2) developed and implemented policies and procedures to respond to and resolve these incidents. GAO reviewed relevant policies and guidance; interviewed officials at a nongeneralizable sample of seven military installations; analyzed program data; interviewed parents of children affected by abuse; and interviewed DOD, service, and civilian officials, including at children's advocacy centers.
Recommendations
GAO is making 23 recommendations, including that the military services develop a process to monitor how reported incidents are screened at installations, that DOD expand the membership of the IDC to include medical personnel, and that DOD establish processes that help ensure timely access to certified pediatric examiners overseas. DOD concurred with 16, partially concurred with six, and did not concur with one of GAO's recommendations, which GAO continues to believe are valid, as discussed in the report.
Recommendations for Executive Action
| Agency Affected | Recommendation | Status |
|---|---|---|
| Office of the Secretary of Defense | The Secretary of Defense, in collaboration with the Secretaries of the military departments, should expand the scope of the department's centralized database on problematic sexual behavior in children and youth, which is under development, to also track information on all incidents involving the abuse of a child (physical, sexual, emotional, and neglect) reported to the Family Advocacy Program or investigated by a military law enforcement organization, regardless of whether the offender was another child, an adult, or someone in a noncaregiving role at the time of the incident. (Recommendation 1) |
DOD did not concur with and has not taken action to implement the recommendation. In December 2021, DOD implemented the centralized database on problematic sexual behavior in children and youth and did not expand the scope to also track information on all incidents involving the abuse of a child (physical, sexual, emotional, and neglect) reported to the Family Advocacy Program or investigated by a military law enforcement organization, regardless of whether the offender was another child, an adult, or someone in a noncaregiving role at the time of the incident. In 2023, DOD completed its phased rollout. In April 2024, DOD confirmed that it does not plan to take any action. At the time of report issuance, the database was in its early stages of development and changes could have been made to expand its scope and meet the intent of the recommendation. However, DOD has since implemented the database and an expansion of its scope is no longer feasible. As such, we are closing the recommendation as no longer valid.
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| Office of the Secretary of Defense | The Secretary of Defense, in collaboration with the Secretaries of the military departments, should, as part of the ongoing development of the centralized database, identify and define the elements to be tracked by each responsible organization, such as the Family Advocacy Program and military law enforcement. (Recommendation 2) |
DOD concurred with this recommendation. In May 2022, DOD provided documentation that it had developed materials for users of the centralized database, such as a user guide and quick references that identify and define what information is to be tracked in the database. For example, the database collects information on incident category, a description of the behavior, whether services were offered and accepted, and whether the incident was subject to a law enforcement investigation and any associated military criminal investigative organization case number. Each of these data elements is defined in the user materials. According to DOD documentation, the database was launched on December 1, 2021 for headquarters and region service-level users. These actions meet the intent of the recommendation.
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| Office of the Secretary of Defense | The Secretary of Defense, in collaboration with the Secretaries of the military departments, should develop a plan for how it will use the data it will collect in the centralized database to help ensure data-driven decision-making is used to inform program efforts. (Recommendation 3) |
DOD concurred with this recommendation. In response, DOD developed a four-part data usage and enhancement cycle for the database to identify, plan, execute, and review. The cycle is part of a continuous improvement framework and methodology to continuously expand the database's capability and ensure data remains relevant, impactful, meaningful, and actionable to assist the department in making data-informed decisions in support of delivering care and services for children, youth, and families experiencing harmful behaviors. DOD holds status meetings on the database to track, for example, user accounts, current work, and future work. For example, through this process, DOD modified how it collected data on services offered and service provided to inform programmatic decisions related to closing any identified gaps. DOD also uses data collected from the database to compile annual reports to Congress on serious harmful behavior between children and youth. For example, the report for fiscal year 2023 included data on the number of reports or allegations made to the Family Advocacy Program by type, referral source, location of occurrence, gender of youth involved, and age group, among other things. These actions meet the intent of our recommendation.
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| Office of the Secretary of Defense | The Secretary of Defense, in collaboration with the Secretaries of the military departments, should establish a reliable schedule for the development and implementation of the centralized database on problematic sexual behavior in children and youth that includes key activities, the timeframes and resources needed to execute them, and GAO-identified practices for developing and maintaining a reliable schedule. (Recommendation 4) |
DOD concurred with this recommendation. In January 2022, DOD stated that developing a reliable schedule for development and implementation was included in the contracted statement of work for the development of the database. In May 2022, DOD provided a copy of a schedule for the development of requirements for the database and the relevant stakeholders. However, the schedule did not include other aspects of database development and implementation, such as development, testing, or phased implementation. Further, the partial schedule did not include the resources needed for execution or GAO-identified practices for developing and maintaining a reliable schedule. In December 2022, DOD officials confirmed that there was no other documentation they could provide to meet the intent of the recommendation and that the database had already been implemented in December 2021.
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| Office of the Secretary of Defense | The Secretary of Defense, in collaboration with the Secretaries of the military departments, should direct the service Family Advocacy Programs and military law enforcement organizations to document in their respective databases the date that they notified the other entity of a reported incident of child abuse. (Recommendation 5) |
DOD partially concurred with this recommendation. In February 2021, DOD outlined a number of steps that it planned to take to implement this recommendation by the end of calendar year 2023 since the recommendation was enacted into law through the National Defense Authorization Act for Fiscal Year 2021. DOD stated that it would issue a policy clarification memo on Family Advocacy Program (FAP) and military law enforcement notification of reported incidents of child abuse, as described in existing policy, as an interim step by the end of July 2021. In January 2024, DOD stated that it instead planned to issue a guidance document reiterating the notification requirement by the end of March 2024 and that it would determine whether changes were feasible and update both FAP and law enforcement databases by the end of June 2025. In order to fully implement this recommendation, DOD will need to provide documentation that it has directed the service FAPs and military law enforcement organizations to document in their respective databases the date that they notified the other entity of a reported incident of child abuse. We will continue to monitor DOD's efforts to address this recommendation and will update its status as more information becomes available.
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| Office of the Secretary of Defense | The Secretary of Defense, in collaboration with the Secretaries of the military departments, should issue guidance that describes the process through which the service Family Advocacy Programs are to receive and incorporate information into their central registries regarding child abuse allegations and determinations involving their servicemembers and dependents that were recorded by another service's installation Family Advocacy Program. Such guidance should include a mechanism to monitor that the process is occurring consistently. (Recommendation 6) |
DOD partially concurred with this recommendation. In February 2021, DOD stated that it would reissue policy to explicitly reference the requirement that the services incorporate into their respective central registries met criteria incidents of abuse involving servicemembers and dependents recorded by another service's installation Family Advocacy Program. In November 2024, DOD estimated that the policy revision would be complete by February 2025. DOD will need to provide documentation of the updated policy that describes the process and includes a mechanism to monitor the process, once issued, to fully implement this recommendation.
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| Office of the Secretary of the Army | The Secretary of the Army should develop a process to monitor how reported incidents of child abuse are screened at installations to help ensure that all reported child abuse incidents that should be presented to an Incident Determination Committee are consistently presented and therefore tracked. (Recommendation 7) |
The Army concurred with this recommendation. In response to the recommendation, U.S. Army Medical Command (MEDCOM) developed a Family Advocacy Program Referral and reporting Form to track various information about reported incidents, including details of the alleged incident and individuals involved as well as actions taken in response, including required notifications, a risk assessment, and safety planning. The Army issued guidance in October 2022 requiring FAP staff to implement the referral tool within 30 days of completing required training on use of the tool. According to Army officials, all regions completed training as of the end of July 2023. In June 2023, Army MEDCOM issued a tasker directing FAP consultants to conduct quarterly quality assurance reviews and provide feedback to FAP clinics as needed. As part of these reviews, all FAP clinics are to provide 10 percent of their FAP referrals to the consultants for review. Clinics are to randomly identify 5 percent of all referrals not meeting reasonable suspicion and 5 percent of referrals which met reasonable suspicion for presentation to the IDC for review by the consultants. The consultants are to review the determinations of the FAP clinics with a target rate of agreement of 90 percent. Clinics falling below the 90 percent agreement rate are to participate in additional coaching, consultation, or training as deemed appropriate by the FAP consultant. The rolled-up results are to be provided to MEDCOM headquarters twice per year. According to Army officials, this manual process will become automated with the rollout of the Army's updated FAP database which is planned by the end of November 2026. These actions meet the intent of the recommendation.
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| Office of the Secretary of the Navy | The Secretary of the Navy should develop a process to monitor how reported incidents of child abuse are screened at installations to help ensure that all reported child abuse incidents that should be presented to an Incident Determination Committee are consistently presented and therefore tracked. (Recommendation 8) |
The Navy concurred with this recommendation. In response to this recommendation, the Navy developed a tiered review process to help ensure consistency, standardization, and sustainability of installation screening decisions . According to Navy documentation, on a monthly basis, regional FAP offices will review all reported incidents of child abuse and domestic abuse that were screened out and were not presented to the IDC for documentation sufficiency and internal consistency in case decisions. The regional offices are responsible for providing feedback to installations, identifying notable trends to inform future training needs, and re-opening reported incidents if necessary. On a quarterly basis, Commander, Navy Installations Command will request feedback from the regional offices on their compliance reviews using a standard template. The template requests information about the number of cases reviewed for compliance, the number identified for corrective action, and the reasons cases needed corrective action. Commander, Navy Installations Command instituted the quarterly review process in April 2022. This monitoring process meets the intent of our recommendation.
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| Office of the Secretary of the Navy | The Secretary of the Navy should ensure that the Commandant of the Marine Corps develops a process to monitor how reported incidents of child abuse are screened at installations to help ensure that all reported child abuse incidents that should be presented to an Incident Determination Committee are consistently presented and therefore tracked. (Recommendation 9) |
The Navy concurred with this recommendation. In October 2024, the Marine Corps provided us with the Marine Corps Family Programs, Family Advocacy Program, Certification Reference Guide FY25. This guidance states that installations are to follow a quarterly Quality Audit Process where a random sample of case records must be selected for peer review. This sample should include 10 percent of open cases and 5 percent of cases closed that quarter for review. The guidance further requires that the peer reviews are to include the contact log, which include for each selected case, the determination of whether the case was presented to the Incident Determination Committee (IDC). When discrepancies between decisions and criteria for reasonable suspicion are identified, the program manager will work with the appropriate clinician to create a corrective action plan. These actions meet the intent of the recommendation.
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| Office of the Secretary of the Air Force | The Secretary of the Air Force should develop a process to monitor how reported incidents of child abuse are screened at installations to help ensure that all reported child abuse incidents that should be presented to an Incident Determination Committee are consistently presented and therefore tracked. (Recommendation 10) |
The Air Force concurred with the recommendation. In response to the recommendation, in September 2024, the Air Force demonstrated implementation of three processes to monitor screening of child abuse incidents that should be presented to the Incident Determination Committee (IDC). First, the Air Force provided guidance that states that it is the responsibility of the Family Advocacy Officer to ensure all reported incidents are presented to the IDC for determination. According to additional documentation we reviewed, Air Force case logs, which are generated for all reported incidents (including those that are identified as no reasonable suspicion and would not be presented to the IDC), include the Family Advocacy Program (FAP) provider, identifying case information, and whether the incident has been peer reviewed. The Air Force also stated that all incidents are also reviewed separately as part of Clinical Case Staffing. Second, the Air Force provided documentation showing it conducts peer reviews, which cover multiple items, including whether documentation for the incident is complete and how the provider assessed the incident. According to the Air Force, as part of monthly peer reviews, 5 percent of each provider's cases are reviewed, which may include closed cases, and corrective action is based on the results of any peer review findings. Third, according to Air Force guidance, the Air Force Inspection Agency conducts Unit Effectiveness Inspections as an additional monitoring process. Specifically, among other things, the inspection checklist we reviewed asks whether the Family Advocacy Officer ensures all appropriate reports of reasonable suspicion are presented to the IDC. The Air Force stated that these inspections occur biannually and that Air Force FAP Headquarters conducts additional site visits (virtual and in person) per a calendar schedule and upon request. These actions meet the intent of the recommendation.
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| Office of the Secretary of Defense | The Secretary of Defense should ensure that the Under Secretary of Defense for Personnel and Readiness, in coordination with the Director of the Department of Defense Education Activity, clarifies Department of Defense Education Activity guidance to define what types of incidents must be reported as "serious incidents" to help ensure that all serious incidents of which Department of Defense Education Activity leadership needs to be informed are accurately and consistently reported by school administrators. (Recommendation 11) |
DOD concurred with this recommendation. In July 2021, the Department of Defense Education Activity (DODEA) issued additional guidance defining the types of incidents that must be reported as serious incidents. Specifically, it updated DODEA Administrative Instruction 1347-01 "Student Disciplinary Rules and Procedures" and DODEA Administrative Instruction 3030-01 "Director Critical Information Requirements and Serious Incident Reports." The guidance standardizes the reporting criteria of each reportable incident, streamlines notification of serious incidents directly to leadership, and requires reporting of serious incidents by school administrators. These actions meet the intent of our recommendation.
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| Office of the Secretary of Defense | The Secretary of Defense, in collaboration with the Secretaries of the military departments, should expand the voting membership of the Incident Determination Committee to include medical personnel with the requisite knowledge and experience. (Recommendation 12) |
DOD partially concurred with this recommendation. In July 2021, DOD updated DOD Manual 6400.01, Vol. 3 "Family Advocacy Program: Clinical Case Staff Meeting and Incident Determination Committee" to include as a core voting member of the Incident Determination Committee (IDC), a designated health care provider. Specifically, the healthcare provider is to be from or via the forensic healthcare program of the installation military medical treatment facility or another military medical treatment facility supporting the installation, with the requisite medical training and expertise to offer a medical opinion on domestic abuse, child abuse, and neglect-related injuries. Per the policy, all health care providers designated as core members are to complete the requisite training on the IDC process and procedures before their participation. These actions meet the intent of our recommendation.
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| Office of the Secretary of the Army | The Secretary of the Army should establish efforts to comprehensively inform victims' families about how reported incidents of child abuse will be addressed following the report, such as a comprehensive guide that explains the process the Family Advocacy Program and military law enforcement organizations will follow, and available victim services. (Recommendation 13) |
The Army concurred with this recommendation. In July 2022, the Army issued guidance that states that the Family Advocacy Program Clinical Chief is to implement use of a standardized informational brochure for parents related to child abuse incidents. The brochure, titled "Understanding the Army Family Advocacy Program (FAP) Process for a Child Abuse or Neglect Report" describes what happens after a report of child abuse or neglect is made, outlines available support and resources, and includes a flow-chart detailing the various steps in the process, such as the Incident Determination Committee. This meets the intent of the recommendation.
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| Office of the Secretary of the Navy | The Secretary of the Navy should establish efforts to comprehensively inform victims' families about how reported incidents of child abuse will be addressed following the report, such as a comprehensive guide that explains the process the Family Advocacy Program and military law enforcement organizations will follow, and available victim services. (Recommendation 14) |
The Navy concurred with this recommendation. In March 2021, the Navy created a guide entitled "Prevention and Response to Child Abuse and Neglect in the Navy" that discusses what happens after the Navy Family Advocacy Program (FAP) receives a referral for child abuse or neglect, such as notifications to local Child Protective Services, law enforcement, and the command, as required, if the referral meets certain screening criteria. The guide also discusses FAP support and resources as well as available referrals, such as to Child Advocacy Centers, military and civilian legal offices, and the Transitional Compensation Program.
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| Office of the Secretary of the Navy | The Secretary of the Navy should ensure that the Commandant of the Marine Corps establishes efforts to comprehensively inform victims' families about how reported incidents of child abuse will be addressed following the report, such as a comprehensive guide that explains the process the Family Advocacy Program and military law enforcement organizations will follow, and available victim services. (Recommendation 15) |
The Navy partially concurred with this recommendation. In response to the recommendation, in September 2022, the Marine Corps provided a Family Advocacy Program Information Sheet that it had developed. The information sheet outlines the initial assessment process, available services, the Incident Determination Committee, and the Clinical Case Staff Meeting. Per Marine Corps guidance, advocacy services are to be offered to non-abusing parents of victims' of child abuse. According to the Marine Corps, victim advocates are provided with the information sheet, among other resources, to provide to victims' families. This meets the intent of the recommendation.
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| Office of the Secretary of the Air Force | The Secretary of the Air Force should establish efforts to comprehensively inform victims' families about how reported incidents of child abuse will be addressed following the report, such as a comprehensive guide that explains the process the Family Advocacy Program and military law enforcement organizations will follow, and available victim services. (Recommendation 16) |
The Air Force concurred with this recommendation. In February 2021, the Air Force created a guide entitled "Understanding the Family Advocacy Program (FAP) Process for Child Maltreatment Allegations" that discusses what happens after a report of child maltreatment, what happens if military or civilian law enforcement is involved, and how the FAP can help once the child is safe. The guide also discusses available services and the Incident Determination Committee process. The Air Force stated that the guide has been disseminated to all Air Force installations.
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| Office of the Secretary of Defense | The Secretary of Defense, in collaboration with the Secretaries of the military departments, should clarify, in guidance, the circumstances under which commanders may exercise their authority to remove a child from a potentially unsafe home on an overseas installation. (Recommendation 17) |
DOD concurred with this recommendation. In February 2021, DOD stated that it planned to identify and address gaps in guidance at overseas locations and in April 2024, DOD stated that it was exploring actions with the military services. As of April 2024, DOD estimated that it would complete these actions by December 2025. To fully implement this recommendation, DOD will need to provide documentation of guidance, once issued, that clarifies the circumstances under which commanders may exercise their authority to remove a child from a potentially unsafe home on an overseas installation. We will continue to monitor DOD's efforts to address this recommendation and will update its status as more information becomes available.
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| Office of the Secretary of Defense | The Secretary of Defense should ensure that the Under Secretary of Defense for Personnel and Readiness, in coordination with the Director of the Defense Health Agency, establishes processes that help ensure children who are sexually abused overseas have timely access to a certified pediatric sexual assault forensic examiner to conduct the examination. Initiatives could include certifying pediatricians or adult sexual assault forensic examiners as pediatric examiners during mandatory training or establishing shared regional assets. (Recommendation 18) |
DOD concurred with this recommendation. In February 2021, DOD stated that the Defense Health Agency was planning to develop and implement a Forensic Healthcare Examiner-Pediatric addendum course to train eligible healthcare providers to perform acute child sexual abuse medical forensic exams. DOD also stated that it planned for each 24/7 emergency room military medical treatment facility outside the continental United States to have a minimum of one trained and certified pediatric examiner or access to telemedicine with a certified Child Abuse Pediatrician. As of April 2024, DOD stated that it expected to take actions to implement this recommendation by October 2025. DOD will need to provide documentation of these planned actions, once complete, to fully implement this recommendation. We will continue to monitor DOD's efforts to address this recommendation and will update its status as more information becomes available.
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| Office of the Secretary of Defense | The Secretary of Defense, in collaboration with the Deputy Attorney General, should seek avenues to improve communication between the military criminal investigative organizations and United States Attorneys for relevant cases involving child victims to help ensure that investigators are notified when prosecution is declined, including the reasons for the declination when appropriate, such as details about any investigative deficiencies. (Recommendation 19) |
DOD concurred with this recommendation. In November 2023, DOD stated that, through a Department of Justice/DOD working group, in December 2022, the Department of Justice finalized an electronic form to be used cross-organizationally by the military criminal investigative organizations and United States Attorneys Offices for the referral of cases of juvenile on juvenile sexual assault to the appropriate office. DOD stated that the form provides the details of the case, is intended to improve communication, and will be kept in the respective systems of records. In April 2024, DOD stated that the Department of Justice and DOD are collaborating to develop a separate process by which declinations and the reasons for a declination are documented and shared by December 2024. DOD will need to provide documentation of the form and separate declination communication process, once complete to fully implement this recommendation.
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| Office of the Secretary of the Army | The Secretary of the Army should seek to develop a memorandum of understanding with the National Children's Alliance that makes children's advocacy center services available to all Army installations and thereby increase awareness of those services across the department. (Recommendation 20) |
The Army partially concurred with this recommendation. In January 2024, the Army and the National Children's Alliance signed a memorandum of understanding to formalize their partnership and solidify a collaborative effort between the organizations to ensure a coordinated community response to child abuse, neglect, and problematic sexual behavior in children and youth. The partnership authorizes and encourages installation Family Advocacy Program offices and accredited children's advocacy centers to coordinate services and share information in accordance with federal, state, and local laws. It also eliminates the need for an individual memorandum of understanding at the local level, reducing administrative burden. This action meets the intent of the recommendation.
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| Office of the Secretary of the Navy | The Secretary of the Navy should continue to develop a memorandum of understanding with the National Children's Alliance that makes children's advocacy center services available to all Navy installations and thereby increase awareness of those services across the department. (Recommendation 21) |
The Navy partially concurred with this recommendation. In March 2024, the Navy and the National Children's Alliance signed a memorandum of understanding to formalize their partnership and solidify a collaborative effort between the organizations to ensure a coordinated community response to child abuse, neglect, and problematic sexual behavior in children and youth. The partnership authorizes and encourages installation Family Advocacy Program offices and accredited children's advocacy centers to coordinate services and share information per federal, state, and local laws. It also eliminates the need for an individual memorandum of understanding at the local level, reducing administrative burden. This action meets the intent of the recommendation.
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| Office of the Secretary of the Navy | The Secretary of the Navy should ensure that the Commandant of the Marine Corps continues to develop a memorandum of understanding with the National Children's Alliance that makes children's advocacy center services available to all Marine Corps installations and thereby increase awareness of those services across the service. (Recommendation 22) |
The Navy concurred with this recommendation. In May 2024, the Marine Corps and the National Children's Alliance signed a memorandum of understanding to formalize their partnership and solidify a collaborative effort between the organizations to ensure a coordinated community response to child abuse, neglect, and problematic sexual behavior in children and youth. Through the memorandum of understanding, installation Family Advocacy Program offices and accredited children's advocacy centers will coordinate services and share information in accordance with federal, state, and local laws. It also provides guidance for installation FAP offices and accredited children's advocacy centers to work together and use collective programs, services, and materials, in coordination with Naval Criminal Investigative Service and other multidisciplinary team partners, to assist affected children and families. This action meets the intent of the recommendation.
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| Office of the Secretary of the Air Force | The Secretary of the Air Force should seek to develop a memorandum of understanding with the National Children's Alliance that makes children's advocacy center services available to all Air Force installations and thereby increase awareness of those services across the department. (Recommendation 23) |
The Air Force concurred with this recommendation. In March 2024, the Air Force and the National Children's Alliance signed a memorandum of understanding to formalize their partnership and solidify a collaborative effort between the organizations to ensure a coordinated community response to child abuse, neglect, and problematic sexual behavior in children and youth. The partnership authorizes and encourages installation Family Advocacy Program offices and accredited children's advocacy centers to coordinate services and share information in accordance with federal, state, and local laws. This action meets the intent of the recommendation.
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