avy wounded warrior afe arbor program brief harbor.pdfkey historical events . 2005: navy liaison...

NAVY WOUNDED WARRIOR – SAFE HARBOR PROGRAM BRIEF

Caring for Seriously Wounded, Ill and Injured Sailors, Coast Guardsmen and Their Families

The Navy and Coast Guard’s Wounded Warrior Program

UNCLASS 855-NAVY WWP (628-9997)

Supporting Sailors, Coast Guardsmen and Families http://www.navywoundedwarrior.com

Navy Wounded Warrior Safe Harbor

Program Overview

MISSION STATEMENT Navy Wounded Warrior – Safe Harbor coordinates the non-medical care of seriously wounded, ill and injured Sailors and Coast Guardsmen, their families and caregivers. Through proactive leadership, the program provides individually tailored assistance designed to optimize the success of shipmates’ recovery, rehabilitation and reintegration activities.

Presenter

Presentation Notes

The challenges that accompany a serious illness or injury can be confusing, frustrating and exhausting for a service member. Navy Wounded Warrior – Safe Harbor is ready to help. Navy Wounded Warrior provides seriously wounded, ill and injured Sailors and Coast Guardsmen, as well as their families and caregivers, with non-medical care. The program tailors support to each enrolled service member’s specific recovery, rehabilitation and reintegration needs. It allows service members and their families to focus on getting well and rebuilding their lives without distractions.



Eligibility for Enrollment All seriously wounded, ill or injured Sailors

and Coast Guardsmen • OIF/OEF/OND casualties • Shipboard or training accidents • Liberty accidents • Serious medical and psychological

conditions (cancer, severe PTSD) Select high-risk non-seriously wounded, ill

or injured Sailors and Coast Guardsmen (case-by-case basis)


Enrollment

Presenter

Presentation Notes

The Navy defines a wounded warrior as any Sailor or Coast Guardsman with a serious illness or injury requiring long-term care that may necessitate a Medical Evaluation Board and/or Physical Evaluation Board to determine fitness for duty. Essentially, the term “wounded warrior” has expanded to include a population much larger than those injured in combat. Navy Wounded Warrior enrollment consideration is given to: Operation Iraqi Freedom (OIF)/Operation Enduring Freedom (OEF)/Operation New Dawn (OND) casualties; service members injured in shipboard or training accidents; service members injured in liberty accidents; and service members diagnosed with serious illnesses – both mental and physical. Navy Wounded Warrior also will consider enrolling – on a case-by-case basis – service members who are not seriously wounded, ill and injured, but are high-risk.




Key Historical Events

2005: Navy Liaison Requested to Support Sailors Wounded in

Combat

2006: NDAA Congressionally Mandated the Establishment of

Wounded Warrior Programs Across All Services

2008: NDAA Congressionally Mandated the Expansion of NWW’s Mission to Support

Seriously Ill and Injured

2009: MOA Signed with the Coast Guard to Provide Support

to Seriously Wounded, Ill and Injured Coast Guardsmen

2010: NWW is Named a Program of Record; Total Caseload Exceed 1,000

Enrollees

2012: NWW Realigned from ONPAV N12 to Commander, Navy Installations Command

(Became N95)

2013: NWW Aligned All Field Operations with Navy Regions

and Reorganized Headquarters

2015: NWW CNIC Program Instruction 1740.1 is signed

NAF Authority granted

Presenter

Presentation Notes

Navy Wounded Warrior’s history is brief, but it has witnessed many changes. Back in 2005, the Military Severely Injured Center requested a Navy Liaison at their center to support Sailors seriously wounded in combat. A Navy Liaison, a Program Director and an Outreach Case Manager were designated as the first staff of Navy Wounded Warrior. At that time there were 20 wounded Sailors enrolled in the program. Today, only 11 years later, Navy Wounded Warrior has expanded more than twenty-fold, and its staff includes non-medical care providers located throughout the country. The program supports more than 4,100 seriously wounded, ill and injured Sailors and Coast Guardsmen, as well as their families. In 2012, Navy Wounded Warrior realigned from Total Force Requirements Division (OPNAV N12) to Commander, Navy Installations Command (CNIC). The program became N95, a department of Fleet and Family Readiness (N9) within CNIC. Effective Oct. 1, 2013, the program’s operations have fully regionalized across the five Navy CONUS regions and Hawaii. In 2015, Navy Wounded Warrior institutionalized its policies and processes through publication of CNIC Instruction 1740.1 highlighting the responsibilities of headquarters and regional staff in program execution.




Demographics

as of 31 Dec 2016 *MST and Non-Combat Related PTSD

TOTAL POPULATION SERVED = 4,665 57% Illness/ 43% Injury

Presenter

Presentation Notes

Navy Wounded Warrior assists more than 4,100 wounded, ill and injured Sailors and Coast Guardsmen. As of 19 May 2016, more than 2,500 seriously wounded, ill, or injured service members are enrolled in the program and 1,670 less seriously wounded, ill, and injured service members have also received assistance with their immediate needs. The proportion of illnesses is currently outpacing injuries due to an uptick in cancer and PTSD diagnoses. Program demographics from 2008-2016 Earliest case enrolled was 2009 Coast Guard enrollment = 218




Program Growth

• FY17-FY18 projections based on average growth rates of 20% (CAT 1), 28% (CAT 2), & 19% (CAT 3) • Future growth contingent upon region outreach • Data as of 30 Sep 2016

Presenter

Presentation Notes

This slide shows historical program growth across the last six years. Note that the screened, not enrolled category is included in the totals to capture the workload associated with these actions. The Military Departments use the care coordination categories shown below for standardization within their wounded warrior program: Category 1 (CAT 1) Has a mild injury or illness Is expected to return to duty within a time specified by his or her Military Department Receives short-term inpatient medical treatment or outpatient medical treatment and/or rehabilitation Category 2 (CAT 2) Has a serious injury or illness Is unlikely to return to duty within a time specified by his or her Military Department May be medically separated from the military Category 3 (CAT 3) Has a severe or catastrophic injury or illness Is highly unlikely to return to duty Will most likely be medically separated from the military




Demographics

82% Male

89% Enlisted

87% Active Duty

81% Non-Combat

82% Male

87% Enlisted

84% Active Duty

80% Non-Combat

as of 25 Jan 2017

80% Male

87% Enlisted

73% Active Duty

81% Non-Combat

Presenter

Presentation Notes

Navy Wounded Warrior enrolled median age is 36, well above the average for the US Army and United States Marine Corps due to less combat exposure. Among those enrolled, the vast majority are male, enlisted and active duty. More than half of enrollees are currently transitioning out of the military. Only about 20 percent of Navy Wounded Warrior injuries are combat related which translates into an enduring mission for Navy Wounded Warrior as we continue to provide support to seriously ill and injured Sailors and Coast Guardsmen.



DoN Personnel Casualty Reports

Commands

Navy Ombudsman Program

Military OneSource

Other Federal and Non-governmental Agencies

Other Services’ WII Programs

Word Of Mouth Fleet and Family Service Programs

DoD Military Treatment Facilities and VA Clinical

Case Managers

Navy Chaplain Corps

24/7 Call Center or Email Inquiry


Referral Sources

Presenter

Presentation Notes

Sailors and Coast Guardsmen may self-refer to Navy Wounded Warrior or be referred by a family member, their command leadership, or their medical team. There are numerous other sources for enrollment – such as ombudsmen or Department of Navy Personnel Casualty Reports – which are listed above



Navy Wounded Warrior Safe Harbor Regional Operations

Presenter

Presentation Notes

This slide illustrates the regional alignment of Navy Wounded Warrior within the CNIC enterprise. Non-medical care providers are located in each region, and staffing is determined in large part by the caseload in those regions.



Regional Non-medical Care Providers Located at Navy, Army and VA Treatment Facilities, including:

• Walter Reed National Military Medical Center, Bethesda • Captain James A. Lovell Federal Health Care Center, Great Lakes • San Antonio Military Medical Center • Naval Medical Center San Diego • Naval Medical Center Portsmouth • Naval Hospital Bremerton • Naval Health Clinic Hawaii

• Naval Hospital Oak Harbor • Naval Hospital Camp Lejuene • Naval Hospital Camp Pendleton • Naval Hospital Jacksonville • Naval Branch Health Clinic Groton • VA Polytrauma Centers in Tampa & Palo Alto

• Legal Counsel • Marketing Specialist • Navy Personnel Command Liaison • Senior Medical Advisor • Transition Specialist


Staffing

Supported by headquarters-based subject-matter experts, such as: • Adaptive Athletics Coordinator • Employment and Education Coordinator • Family Programs and Charitable Resources Coordinator • Financial Analyst • Federal Recovery Coordinator

Presenter

Presentation Notes

The Navy Wounded Warrior consists of a headquarters in D.C. and non-medical care providers in the field. Headquarters includes subject-matter experts for all phases of wounded warrior care.



What Does Regional Staff Do? Provide personalized assistance

throughout all phases of recovery, rehabilitation and reintegration Collaborate with the enrollee

and family to conduct a needs assessment and develop a Comprehensive Recovery Plan


Non-medical Care

Presenter

Presentation Notes

What does enrollment in Navy Wounded Warrior mean? Once enrolled in Navy Wounded Warrior, Sailors and Coast Guardsmen are assigned a team of non-medical care professionals who help them identify their short- and long-term goals. They develop a Recovery Plan outlining how those goals will be achieved. In addition, non-medical care providers address the service members’ day-to-day needs and work to resolve any problems that arise during their recovery process. Perhaps most importantly, non-medical care providers offer enrollees a shoulder to lean on, a helping hand, an ear to listen and encouraging words. They act as advocates when service members need one most.



Non-medical Care During RECOVERY Pay and personnel issues Family needs and Invitational Travel

Orders Legal and guardianship issues Transportation and housing TSGLI Social Security Administration And more


Non-medical Care

Presenter

Presentation Notes

Here are some examples of the non-medical support provided during service members’ recovery – when their medical conditions are most critical and the routine of daily life is most disrupted. For example, if family members need to travel to the bedside of a service member who has been seriously wounded in combat, Navy Wounded Warrior facilitates Invitational Travel Orders from the parent command and identifies housing options for the family.



Non-medical Care During REHABILITATION Physical rehabilitation programs Family services Recreational therapy Animal therapy Housing/automobile adaptations Technological assistance devices Medical board Adaptive athletics SCAADL And more


Non-medical Care

Presenter

Presentation Notes

Here are some examples of the non-medical support provided during a service members’ rehabilitation – the sometimes lengthy period of recuperation and adaption to a new normal. For example, Navy Wounded Warrior provides guidance during the Medical and Physical Evaluation Board processes, which can be confusing and stressful for service members but have long-term, critically important implications for their careers.



Non-medical Care During REINTEGRATION Education and training benefits VA compensation, benefits and healthcare TRICARE Transition assistance programs Employment assistance (including

internship/fellowship programs) Respite care And more


Non-medical Care

Presenter

Presentation Notes

Navy Wounded Warrior’s goal is to return Sailors and Coast Guardsmen to duty. When that’s not possible, the program works collaboratively with federal agencies – including the Department of Veterans Affairs and the Department of Labor – as well as state and local organizations to ensure successful reintegration of service members back into their communities. Here are some examples of non-medical support – including employment assistance and securing Veterans Affairs compensation – provided during service members’ reintegration.



Support Services Providers NWW coordinates support services provided

by existing programs to meet the needs of

seriously wounded, ill and injured service member and their

families. Individually tailored non-medical care

supports the service member through

recovery, rehabilitation and return to duty or

reintegration into their community.

Pay & Personnel NWW, VA, TSGLI, DFAS

Bedside Travel PERS-13, NGOs

Housing & Lodging CNIC. NGOs

Child & Youth Programs CNIC

Recreation & Leisure CNIC, NGOs

Transportation Needs NGOs

Legal & Guardianship Issues Navy & Civilian Legal Services

Education & Training Benefits, Education Opportunities

DoD, VA, DoL, NGOs

Commissary & Exchange Access Local Command CO’s Authority

Respite Care TRICARE, State and Local Organizations

Social Security Administration Social Security Office

TBI/PTSD Services NNMC, VA Polytrauma Centers, BUMED, NGOs


Non-medical Care

Presenter

Presentation Notes

Navy Wounded Warrior tailors assistance to each enrollee’s needs. It connects service members to existing programs and resources based on their specific situation. For example, Navy Wounded Warrior has on staff an attorney who – among other duties – serves as a mentor and advisor to enrollees, their non-medical care providers and their families. The attorney is thoroughly familiar with Navy and Coast Guard policies and procedures and can provide guidance on legal dilemmas of all shapes and sizes. In addition, the attorney coordinates closely with Naval Legal Service Command to connect enrollees with a global network of Legal Assistance Attorneys, as necessary.



NWW is the Navy Benefits Issuing Authority for these key wounded warrior benefits: Special Compensation for Assistance with Activities of Daily Living (SCAADL)

• Monthly compensation for caregivers of wounded warriors

Pay and Allowance Continuation (PAC) Program

• Allows for continuation of special pay and allowances for qualifying wounded warriors’ during treatment and recovery


Benefits Programs

Presenter

Presentation Notes

Navy Wounded Warrior administers two crucial benefits for wounded warriors and their families. SCAADL – Special Compensation for Assistance with Activities of Daily Living – is a monthly compensation for service members who incur a permanent, catastrophic injury or illness. SCAADL helps offset the loss of income by a primary caregiver who provides non-medical care and support for the service member. PAC – the Navy’s Pay and Allowance Continuation Program – allows for the continuation of pay and allowances for up to one year during a service member's hospitalization and rehabilitation after incurring a wound, illness, or injury while on duty in a hostile fire area, or while exposed to other hostile actions. The administration of these benefits is overseen by Navy Wounded Warrior’s Navy Personnel Command Liaison.



Regional staff and the Family Programs & Charitable Resources Coordinator help families access critical information and programs: Child care Lodging Financial planning Access to installations Invitational Travel Orders


Family Support

Presenter

Presentation Notes

The term “family” can mean many things: a spouse, a parent, another relative, a significant other, or a friend. However they are defined, the families of wounded, ill and injured Sailors and Coast Guardsmen are crucial. Without their selfless dedication, Navy Wounded Warrior enrollees would not likely be so successful in their recovery, rehabilitation and reintegration activities. Navy Wounded Warrior provides enrollee families with a variety of support services – including those outlined here – which help to make their jobs as caregivers more manageable and alleviate some of the stress that accompanies a major life change.




Adaptive Sports Reconditioning

Multinational Invictus Games DoD Warrior Games Navy Warrior Trials

Navy Wounded Warrior regional adaptive sports camps Adaptive sports camps hosted by

partner organizations

Presenter

Presentation Notes

Adaptive sports reconditioning – athletic activities that are modified to meet the abilities of injured or ill individuals – are essential to the recuperation of wounded warriors. All enrollees in Navy Wounded Warrior are encouraged to make athletics a key component of their recovery and rehabilitation plans. The Navy Wounded Warrior Adaptive Sports Coordinator involves enrollees in a variety of athletic activities. The program hosts a series of adaptive sports reconditioning camps that focus on track and field, wheelchair basketball, archery, shooting, swimming, seated volleyball and other sports. The program also involves enrollees in the annual DoD Warrior Games, Multinational Invictus Games and other sports clinics and competitions hosted by partner organizations.



[email protected] http://www.navywoundedwarrior.com

855-NAVY WWP (628-9997)


Contact

Presenter

Presentation Notes

Here is our contact information. Those interested in enrolling in the program are encouraged to call the 24/7 hotline or email the address listed on this slide. Please also note our website address, as well as our presence on Facebook, Twitter and YouTube.

http://www.navywoundedwarrior.com/

avy wounded warrior afe arbor program brief harbor.pdfkey historical events . 2005: navy liaison...

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