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Exceptional Family Member Program

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Exceptional Family Member Program (EFMP) Overview
EFMP (Exceptional Family Member Program)

The Exceptional Family Member Program (EFMP) provides comprehensive support to family members with special needs. EFMP takes an all-inclusive approach to coordinate military and civilian community, educational, medical, housing, and personnel services to help Soldiers and their Families with special needs.

An Exceptional Family Member is a Family member with any physical, emotional, developmental, or intellectual disorder that requires special treatment, therapy, education, training, or counseling, and meets the eligibility criteria. 

Soldiers* with Exceptional Family Members are required to register for EFMP and keep enrollment information current. This way, Family needs will be considered during the OCONUS assignments process.

If you’re eligible for EFMP services, Family members must be screened and enrolled when they accompany authorized Soldiers on OCONUS assignments. Screenings include medical records review for all Family members and developmental screening for all children aged 72 months and younger.

For more information about EFMP, contact the EFMP point of contact through your nearest Army medical treatment facility.

*Who must enroll in the program?

      (1) Active Army

      (2) U.S. Army Reserve (USAR) Soldiers in the Active Guard Reserve (AGR) Program

      (3) Army National Guard (ARNG) AGR personnel serving under authority of 10 USC and 32 USC.

Department of the Army civilian employees do not enroll in the program.

You must identify dependent children with special education and medically related service needs and, Family members with medical needs each time they process for an assignment to a location outside the United States, where Family member travel is authorized at government expense.

USAG Hawaii EFMP is divided into two parts:

  1. Medical EFMP (808-433-4441),  located at:

    • Tripler Army Medical Center, 1 Jarrett White Rd, 3rd Floor, B Wing, Oceanside Honolulu, HI 96859

    • Schofield Barracks Health Clinic, Building 676, 1st floor. 

  2. Family Support EFMP, located at:
    • ACS Schofield Barracks EFMP office, BDG 690, 310 Brannon Rd, Schofield Barracks View map
Respite Care

The Respite Care Program provides a temporary rest period for Active Duty Army, Guard, and Reserve Families who are responsible for the regular care of persons with disabilities. Care is provided in the family’s home. Respite care is important because it decreases family stress, increases family stability, and reduces costly out-of-home placements. Thereby, contributing to Soldier readiness.

Eligibility is based on EFMP enrollment and the medical condition of the Family Member.

Once eligibility is determined a staff member will meet with the Family Member and/or Soldier to complete a Family Services Needs Assessment. An individual may receive 25 hours of respite care a month.

For more information about EFMP Respite Care, read our Brochure or call +1 (808)655-4227 to speak to an ACS EFMP representative.

Families enrolled in the EFMP may apply for EFMP Respite Care using DA Form 4700, DA Form 5189, and DD Form 2870.

Respite Care Guide and Process booklet

Multidisciplinary Inclusion Action Team

Multidisciplinary Inclusion Action Team (MIAT) is required when enrolling a child with disabilities in CYS Services. The MIAT process supports the Parent, EFMP, and CYS Service staff in working together to develop a support plan and implement appropriate accommodations that will ensure the child’s health and safety needs are met in the center programs.

For more information about MIAT, call CYS Services Parent Central Services +1(808) 655-5413.


Systems Navigator


Systems Navigation is a community support component of the EFMP that connects Families with special needs to the systems of care they need, both on and off the installation.  Systems Navigators are Army Community Service EFMP staff members located on the installation.  They are trained and knowledgeable about the systems of care used by Families through the available systems of care.  Active Duty Army, Reserve, and Guard Families are eligible for Systems Navigation assistance regardless of their Exceptional Family Member's (EFM) medical and/or special education condition.  All services are provided at no cost to Families. 

How can an EFMP Systems Navigator help your Family?

  • Identify your EFM and Family strengths and needs
  • Provide Special Education guidance and support including assistance with IEPs and 504 plans
  • Help identify and prioritize your EFM and Family goals
  • Develop a Family Service Plan to reach your goals
  • Make referrals to required services
  • Provide information about disabilities or medical conditions of concern
  • Identify support groups and social activities
  • Strengthen your ability to advocate for your EFM

School Support:

Many children have difficulties in learning, particularly those children who are diagnosed with a disability.  Fortunately, there are programs in place that can help your child flourish in the school system.  Your child might be eligible for an Individualized Education Plan (IEP) or 504 plan.  If you need help with this process and don't understand how to go about getting this accommodation for your children, you can contact EFMP and work with a Systems Navigator who can guide you through the process from requesting the eligibility of an IEP all the way through the appropriate implementation of the IEP by the school.  EFMP Systems Navigators have been assisting Families through the IEP process for several years and have established relationships with schools both on and off post.

IEP brochure

How can EFMP assist me and my family?

ACS EFMP advocates for Family Members with special needs by providing family support programs in various areas to include, housing, school, recreation, workshops/training and Respite Care.


If you have a Family Member enrolled in EFMP call, email, or walk-in to ACS to learn more about how we can support you and your family’s needs. We have activities created just for Exceptional Family Members and their Family Members (siblings, parents, and children). 


Sensory Lending Closet

ACS EFMP recognizes that caring for a Family Member with special needs can be emotionally and physically challenging, especially while transitioning to and from new duty stations.  During the transitional period of the move, the impact of prolonged temporary hotel lodging can lead to increased and possible regression for some children.  The Sensory Lending Closet is designed to mitigate some of these challenges by loaning sensory items typically used by parents to assist in comforting children with special needs. Families who have a Family Member enrolled in EFMP may borrow items FREE of charge for a 30 day period in the absence of their household goods.




  • Sensory Sock
  • Sensory Gel Maze
  • CoreDisk
  • Pressure Foam Roller
  • Find It Game
  • Press & Stay Sensory Blocks
  • Magnetic Building Block tiles
  • Sensory OT Brush
  • Calming Bottle
  • Peanut Ball with Hand Pump
  • Weighted Seek & Find
  • Small Marble Panel with Base

Optional Items:

  • Weighted Blanket
  • Trampoline (Portable/Foldable) with storage bag

Inventory may fluctuate based on demand.


Sensory Lending Closet issuing Hours of Operation:  8:00 a.m. - 11:30 a.m. and 1:00 p.m. - 3:30 p.m.  Your ID card and copy of orders are required.


For more information about the Sensory Lending Closet or to schedule an appointment, call (808) 655-4227 to speak to an ACS EFMP representative.

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  • Exceptional Family Member Program
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