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ARMY STRONG “Never Leave a Fallen Comrade!” COL Catherine Mozden, Warrior Transition Command Soldier Success through Focused Commitment AW2 Veteran SSG.

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Presentation on theme: "ARMY STRONG “Never Leave a Fallen Comrade!” COL Catherine Mozden, Warrior Transition Command Soldier Success through Focused Commitment AW2 Veteran SSG."— Presentation transcript:

1 ARMY STRONG “Never Leave a Fallen Comrade!” COL Catherine Mozden, Warrior Transition Command Soldier Success through Focused Commitment AW2 Veteran SSG (R) Shilo Harris and Family SPC Joshua Kerber with his Triad of Care-Dr. Mark A. Passamonti, CPT Lashon S. Duncanson, and SGT Candice L. Dawkins SGT Joel Tavera and Parents/Caregivers Warrior Care and Transition Program Overview 21 Sept 2012

2 ARMY STRONG “Never Leave a Fallen Comrade!” Purpose and Agenda Purpose: Provide an overview of the US Army Warrior Care and Transition Program Agenda:  WTC Mission  WCTP Command Relationships  Unit Populations and Locations  AW2 Program  Medical Retention Processing (MRP)  Entry and Exit Criteria for RC in WCTP  Compo 3 PDHRA data 2

3 ARMY STRONG “Never Leave a Fallen Comrade!” Our Mission Provide centralized oversight, guidance and advocacy empowering wounded, ill and injured Soldiers, Veterans and Families through a comprehensive transition plan for successful reintegration back into the force or into the community with dignity, respect and self-determination. WOUNDEDILLINJURED Mr. Mark Jackson (703)

4 ARMY STRONG “Never Leave a Fallen Comrade!” AW2 Advocate (OPCON) Warrior Care and Transition Program Relationships MEDCOM Medical Treatment Facility Senior Commander Regional Medical Commands Warrior Transition Command Southern Regional Medical Command Warrior Transition Office WCTP Oversight IMCOM Installation Garrisons SFAC Community Based WTU Warrior Transition Task Force Army Wounded Warrior Triad of Leadership* *Triad of Leadership Senior Commander MTF Commander WTU Commander Supporting Commands Senior Commander IMCOM Regions Mr. Mark Jackson (703) AW2 Advocate (Veteran) Community Based WTU Warrior Transition Unit Northern/Western Regional Medical Command

5 ARMY STRONG “Never Leave a Fallen Comrade!” Warrior Transition Unit (WTU) and Community Based WTU 11 For all components Traditional Chain of Command (Squad Leader - Battalion Commander) Focused “Triad of Care” for each Soldier Army Wounded Warrior (AW2) Advocate for most seriously injured Best facilities on post; priority medical care Dedicated Family Support – Family Readiness Support Assistant (FRSA) – Soldier Family Assistance Center (SFAC) Warrior Transition Unit Community Based WTU Primarily for Reserve Component Soldiers Modified Chain of Command (PSG - LTC) Focused “Triad of Care” for each Soldier Live at home; medical care available CBWTU allows wounded, ill, and injured Soldiers to heal at home Duty at approved Title 10 duty site Dedicated Family Support – Virtual Soldier Family Assistance Center (VSFAC)

6 ARMY STRONG “Never Leave a Fallen Comrade!” Pacific Regional Medical Command Warrior Transition Unit and Community Based Warrior Transition Unit Map Brigade (2) Battalion (16) Separate Company (11) Community Based Warrior Transition Unit (9) (color by Area of Responsibility) AW2 Advocate (201) Europe Regional Medical Command WI OR MT ID NV WY ND SD NE CO AZ NM TX OK MN IA MO KS LA WI MI IN OH WV PA NY VT NH CT NJ MD NC SC GA MS TN KY ME Puerto Rico Ft Huachuca Joint Base Lewis-McChord Balboa Ft Irwin California Ft Bliss Ft Carson Utah Ft Hood Ft Sill Joint Base San Antonio Ft Leonard Wood Ft Riley Arkansas Illinois Ft Stewart Ft Bragg Ft Gordon Ft Jackson Ft Polk Ft Benning Florida Alabama Ft Campbell Ft Knox Ft Drum Virginia JB Langley Eustis Ft Belvoir Ft Meade Walter Reed NMMC JB McGuire-Dix-Lakehurst West Point Massachusetts Joint Base Elmendorf-Richardson Schofield Barracks Western Regional Medical Command Northern Regional Medical Command Southern Regional Medical Command Ms. Carolyn Spencer (703) as of 6 Sep 12 Heidelberg 6

7 ARMY STRONG “Never Leave a Fallen Comrade!” Warrior Transition Unit/Community Based Warrior Transition Unit Population Over Time Remote Care Review EXORD Publication: WTUs Established Army directs movement of MEBs and Non- deployables to WTUs FRAGO 3 Publication: Entrance Criteria as of 6 Sep 12 FRAGO 4 Publication RC Management Squad Leader Ratio Review WTU/CBWTU Manpower Study WTU/CBWTU Entrance Criteria Review CTP Enablers added to TDA (EDATE Apr 10) NCR TDA Realignment (EDATE Jun 11) Active Component Army National Guard Army Reserve Ms. Carolyn Spencer (703) OCONUS IDES

8 ARMY STRONG “Never Leave a Fallen Comrade!” WA OR MT ID NV WY ND SD NE CO AZ NM TX OK MN IA MO KS LA WI MI IN OH WV PA NY VT NH CT NJ MD NC SC GA MS TN KY ME PR Ft Huachuca Joint Base Lewis-McChord Balboa Ft Irwin CA Ft Bliss Ft Carson UT Ft Hood Ft Sill Joint Base San Antonio Ft Leonard Wood Ft Riley AR IL Ft Stewart Ft Bragg Ft Gordon Ft Jackson Ft Polk Ft Benning FL AL Ft Campbell Ft Knox Ft Drum VA JBLE Ft Belvoir Ft Meade WRNMMC JBMDL West Point Joint Base Elmendorf-Richardson Tripler Heidelberg WTC Population Map w/CBWTU AORs (Data Source: MODS WT, 10 SEP 2012) Brigade (2) Battalion (16) Separate Company (11) CBWTU (color by AOR) (9) Europe RMC Northern RMC Pacific RMC Western RMC Southern RMC MA

9 ARMY STRONG “Never Leave a Fallen Comrade!” On April 30, 2004 the Army introduced an initiative to enhance the care and support of severely wounded, injured and ill Soldiers, Veterans and their Families/ Caregivers. This system of support guides them along the paths to regaining their independence; from the onset of their condition through their eventual transition back to the force; or into the civilian community as a Veteran. Army Wounded Warrior (AW2) Program SSG Jon Duralde, Continuation on Active Duty (COAD)

10 ARMY STRONG “Never Leave a Fallen Comrade!” Mission We assist and advocate for our severely wounded, ill and injured Soldiers, Veterans, and their Families/Caregivers; support and advise during medical treatment, rehabilitation and beyond to facilitate a Soldier’s return to duty or their transition to a civilian community as a Veteran. Vision Wounded Warriors and their Families/Caregivers are self sufficient, contributing members of our communities; living and espousing the Warrior Ethos with the knowledge that the Army and the Nation remembers their sacrifice. Army Wounded Warrior (AW2) Program

11 ARMY STRONG “Never Leave a Fallen Comrade!” Suffer from wounds, injuries or illness incurred in the line of duty after 10 September 2001 in support of Overseas Contingency Operations, and Receive or expect to receive at least a 30% rating from the Integrated Disability Evaluation System (IDES) for one of the conditions listed below: – Severe Loss of Vision / Blindness – Loss of Limb – Spinal Cord Injury – Severe Paralysis – Permanent disfigurement – Severe Hearing Loss / Deafness – Severe Burns – Severe Traumatic Brain Injury (TBI) – Post Traumatic Stress Disorder (PTSD) – Fatal / Incurable Disease with limited life expectancy OR Receive a Combined 50% IDES rating for any other Combat or Combat Related Condition To be considered an AW2 Soldier/Veteran

12 ARMY STRONG “Never Leave a Fallen Comrade!” Services Provided AW2 Support Experts - 21 Medical Eligibility Human Resources Finance Transition Employment/Career Dept of Labor Veteran Affairs Advisors IT Support Training AW2 Advocates –Personalized support for Soldiers and their Families –Local Resource Experts –Benefits Advisers – navigating the maze –Military Transition Specialists –Education and Career Guides –Life Coaches – Empowering Soldiers and their Families/Caregivers to make informed and relevant decisions –VA Integration Experts Advocates assist wherever the Soldiers and their Families/Caregivers are located, as they progress along the path to independence.

13 ARMY STRONG “Never Leave a Fallen Comrade!” *AW2 as of 1 Sep 12 **Incl :25 Deceased AW2 Soldier / Veteran Status WTU Or MEB / PEB Or Complex Medical Needs Veteran Population in our Communities 2% of AW2 most severely wounded, injured and ill COAD / COAR / FIT / RTD

14 ARMY STRONG “Never Leave a Fallen Comrade!” MRP Orders 14 The Army has further delineated 10 USC 12301(h) into: MRP-E – 60/90 day orders intended for evaluation of medical condition and determination of MTP; normally a Soldier is coming from the demob site MRP - Orders intended for medical treatment or evaluation for PDES; the Soldier is in your AO MRP2 - Return to active duty for medical care subsequent to REFRAD ; Approved by a Medical Review Board ADME - ordered to active duty to complete medical care estimated to exceed 30 days due to an Inactive Duty Training (IDT) injury ; Approved by a Medical Review Board

15 ARMY STRONG “Never Leave a Fallen Comrade!” MRP2 RC REFRAD from AD AGR Soldiers (same process as AC) MRP RC on active duty (AD) Reserve Component Soldiers in the Warrior Care And Transition Program (WCTP) are on Title (h) Orders Soldiers In-Process through one of these four methods Primary Care Manager WTC Medical Review Board Triad of Leadership HRC 1.Soldier is wounded, ill or injured 2.PCM: definitive care needed 3.Triad of Leadership Approval 4.DeMob site or WTU submits RFO to HRC 5.HRC publishes orders 1.Soldier is wounded, ill or injured 2.PCM: six mos/complex care mgmt 3.Triad of Leadership Approval 4.DeMob site or WTU submits RFO to HRC 5.HRC publishes orders 1.Soldier is wounded, ill or injured 2.Soldier’s Unit submits request 3.WTC MRB: definitive care needed; recommends approval 4.HRC Approval 5.HRC publishes orders ADME RC WII in LOD during IDT WTC Medical Review Board HRC 1.Soldier is wounded, ill or injured 2.Soldier’s Unit submits request 3.WTC MRB: definitive care needed: recommends approval 4.HRC Approval 5.HRC publishes orders Eligibility Determination Entrance Approval Process Steps

16 ARMY STRONG “Never Leave a Fallen Comrade!” Entry Criteria 16 Compo 2/3 Soldiers, except AGRs, must meet the following criteria: (1) Be in the Line of Duty and (2) Condition(s) require(s) *definitive care. Soldier is on a temporary Profile (3) Program is voluntary. Army determines care location. *Definitive care is defined as a specific treatment or sequence of treatments of at least 60 days duration, and requiring a significant commitment of the Soldier’s time, which, in the opinion of competent medical authority, will upon completion either return the Soldier to duty or will meet the criteria for Medical Retention Determination Point (MRDP) and referral to the Integrated Disability Evaluation System (IDES).

17 ARMY STRONG “Never Leave a Fallen Comrade!” Soldier is Wounded, Ill or Injured Is Soldier Evac’d from Theater Soldier is evaluated by PCM Does Soldier meet Entry Criteria Triad of Leadership Review Attached to a Warrior Transition Unit Yes Approved No Soldier returns to Parent Unit No Not Approved Soldier Entry Process NOTE: Determination is made as to eligible to remain in WTU or return to unit

18 ARMY STRONG “Never Leave a Fallen Comrade!” Continuum of Care (Comprehensive Transition Plan (CTP)) Army Force Generation Comprehensive Transition Plan (Domains – Career, Physical, Emotional, Social, Family, Spiritual) Rehabilitation Specialty Care Social Workers Occupational Therapists Physical Therapists Physical Evaluation Board Liaison Officer Return to Duty / Release from Active Duty Warrior Transition Unit/ Community Based Warrior Transition Unit Family/Friends Career and Education Readiness Integrated Disability Evaluation System Transition/Career Counseling Inprocessing Goal Setting Reintegration Transition Review Soldier and Family Assistance Center Rehabilitation Pharmacists MEB Physician Veterans Affairs Integration and Hand Off VA Liaison for Healthcare Federal Recovery Coordinator Veterans Affairs Post Transition Army Wounded Warrior Advocate (Life Cycle Management Plan) Operation Iraqi Freedom/ Operation Enduring Freedom/ Operation New Dawn Care Management Team Employment Counseling Education Counseling Transition Counseling Caregiver Support Coordinators ChaplainsLegal Support Triad of Care and Interdisciplinary Team “The CTP provides Soldiers and Families clarity, purpose, hope, and direction as they prepare to move forward with the next phase of their lives.” Lieutenant General Patricia D. Horoho, The Surgeon General Medical Retention Determination Point Mr. Mark Jackson (703) DD214 WTU CBWTU Veterans COAD COAR Return to Duty 11,955 “Path to Independence…One Step at a Time”

19 ARMY STRONG “Never Leave a Fallen Comrade!” RC Exit Criteria 19 RC Soldiers normally leave the WCTP in one of three ways: (1) Voluntary withdrawal (WTU Consolidated Guidance). Soldier must request in writing. (2) Meet retention standards FFD (DODI ) (3) Completes PDES determination (DODI )

20 ARMY STRONG “Never Leave a Fallen Comrade!”

21 ARMY STRONG “Never Leave a Fallen Comrade!” Takeaways Enduring mission…efficiently resourced –Currently, the Warrior Care and Transition Program is an enduring mission funded in the Program Objective Memorandum primarily by Defense Health Program funds. The Army must take a cautious approach to any reductions to resourcing the program. Keeping faith with our wounded, iIl, and injured Soldiers –Soldiers will willingly fight as long as they know there is an effective system of medical care available to save their lives if necessary. Conserving fighting strength through focused care management and transition planning –The Warrior Care and Transition Program contributes to Army Force Generation by returning at least 50% of wounded, ill, and injured Soldiers to duty. Unleashing unlimited potential –The patient-centered approach to care that comprises the Warrior Care and Transition Program focuses on each Soldier’s abilities not their disabilities. –Through an effective program of adaptive reconditioning, Soldiers are learning that they can meet and exceed the physical and personal goals they set for themselves. 9

22 ARMY STRONG “Never Leave a Fallen Comrade!” QUESTIONS COL Catherine Mozden Chief, CBWTU Remote Care Clinical Services Division Warrior Transition Command

23 ARMY STRONG “Never Leave a Fallen Comrade!” Soldier Success through Focused Commitment AW2 Veteran SSG (R) Shilo Harris and Family SPC Joshua Kerber with his Triad of Care-Dr. Mark A. Passamonti, CPT Lashon S. Duncanson, and SGT Candice L. Dawkins SGT Joel Tavera and Parents/Caregivers Warrior Care and Transition Program Overview BG David J Bishop, Commander, Warrior Transition Command

24 ARMY STRONG “Never Leave a Fallen Comrade!” COMPO 2/3 Soldier receiving care A single T3 that will spontaneously resolve to a 1 or 2 rating in < 30 days MRDP reached? Not expected to meet retention standards? Released from Active Duty (REFRAD) Yes No Continuation of Care No Soldier Exit Process Eligible for and accepts non- medical retirement Soldier’s profile Permanent (P) and Temporary (T) rated 1s or 2s Yes ADMIN/UCMJ Separation No IDES Stays in WTU Yes Retire Yes Separate No Yes Fit for Duty? COAR? No Medically Separated/Retired No Yes


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