Navy Safe Harbor Brief

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Unclassified
Taking Care of Our Sailors and Their Families
Navy Safe Harbor
CAPT Key Watkins
Commanding Officer
NAVY SAFE HARBOR
Guiding Principle: Numquam Navigare Solus – Never to Sail Alone
Safe Harbor is the Navy’s lead organization for
coordinating the non-medical care of wounded, ill
and injured Sailors, Coast Guardsmen and their
family members. Through proactive leadership,
we provide a lifetime of individually tailored
assistance designed to optimize the success of
our Shipmates’ recovery, rehabilitation, and
reintegration activities.
We are the Navy...taking care of our Sailors and Coast Guardsmen!
Unclassified August 27, 2010
2
NAVY SAFE HARBOR
What is Nonmedical care?
Non-medical Care Management Services
Support Services
Providers
Pay & Personnel
NAVPERS, VA, SSA, TSGLI
Invitational Travel Orders
N135C (Casualty Assistance Office)
Housing & Lodging
CNIC
Child & Youth Programs
CNIC
Recreation & Leisure
CNIC
Transportation Needs
Invitational Travel Orders - N135C/
NGO/Yellow Ribbon Fund
Legal & Guardianship Issues
Navy Legal Services
Education & Training Benefits
Veteran’s Administration, Dept of Labor,
NGO’s
Commissary & Exchange Access
Local Command CO’s authority
Respite Care
TRICARE, State and Local organizations
Security Clearance Issues
Local Security Managers,
NCIS (Code 24E), DONCAF
TBI/PTSD Services
NNMC, VA Polytrauma Centers, BUMED &
Others
Non-Medical Care Managers
coordinate support services
provided by existing programs
to meet WII Sailor and family
specific situations and needs. In
most cases, Service Members
will not require services beyond
pay/personnel support.
However, with case
complications or unique needs,
individually tailored non-medical
care management is provided to
assist the member and the
family through recovery,
rehabilitation, and return to duty
or reintegration into their
community.
Concierge service (with a kick)
Unclassified August 27, 2010
3
NAVY SAFE HARBOR
Evolution of a Concept
2005
Staff of 3
2006
Staff of 4
 Military Severely Injured Center (MSIC) requests Navy Liaison
 Safe Harbor Director appointed from N135 and Out Reach Case Manager assigned to Safe
Harbor
20 OEF/OIF
Wounded
Sailors
 Additional Navy Liaison assigned to MSIC
 Safe Harbor representative assigned to NNMC Bethesda supporting basic advocacy
40 OEF/OIF
Wounded
Sailors




7 Advocates hired for 5 MTFs and 2 VA Polytrauma Centers
Safe Harbor Program moved from N13 to N12
Safe Harbor mission focused on advocating for members and their families
2007
Safe Harbor served population expanded to all seriously wounded, ill, or injured (not just
Staff of 13
OEF/OIF)
 CNO appointed RDML White as Special Assistant for Comprehensive Casualty Care
 CAPT Watkins assigned as Commanding Officer of Safe Harbor with Headquarters element
in designated offices in Washington DC

Safe Harbor mission expanded to non-medical care management and provide tracking and
2008
oversight for all wounded, ill, or injured
Staff of 33
 (16) Headquarters staff; (17) Non-medical care managers at the 8 MTFs, 4 VA Polytrauma
Centers, 2 Reserve Component MedHold Units, and SOCOM
2009
Staff of 36
2010
Staff of 40




Reserve Surge Support established
Anchor Program to support reintegration into community
Support to Seriously Wounded, Ill, and Injured Coast Guard members and their families
Awards Ceremony for Navy Safe Harbor enrollees and Non-Medical Care Manager of the Year.
 Dept. of Labor representative embedded in headquarters staff for enrollee employment and
transition support
 25 Navy Safe Harbor enrollees participated in the inaugural Warrior Games
Unclassified August 27, 2010
145 Severely
Wounded, Ill, or
Injured (SWII)
Sailors
315 SWII
Sailors
Over 6,000
Wounded, Ill or
Injured Sailors
481 SWII
Sailors
Over 5,000
Wounded, Ill or
Injured Sailors
509SWII
Sailors
Over 5,000
Wounded, Ill or
Injured Sailors
4
NAVY SAFE HARBOR
Oversight and Coordination
Vice Chief of Naval Operations
Chief of Naval Personnel – N1
Manpower Requirements - N12
Special Assistant for
Comprehensive Casualty Care
Additional Duty
Special Assistant
Chief of Naval Operations
Navy Safe Harbor
Direct Lines of Action/Reporting with Senior Oversight
facilitate delivery of Comprehensive Casualty Care
Unclassified August 27, 2010
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NAVY SAFE HARBOR
Organization – HQ with 10 geographically dispersed Detachment sites
Commanding Officer
Executive Officer
Operations Department
Direct Support to
Sailors & Families
Senior Medical Officer
Operations Officer
Ops. Coordinator - West
Ops. Support
Ops. Coordinator - East
Detachment Great Lakes (1)
Detachment Bethesda (3)
Naval Health Clinic Great Lakes
VA Polytrauma Hosp. Minneapolis
National Naval Medical Center
Walter Reed Army Medical Center
Detachment Pac-Norwest (2)
Naval Hospital Bremerton
Naval Hospital Oak Harbor
Detachment New England (1)
VA Polytrauma Hospital Palo Alto
Detachment San Diego (3)
Naval Medical Center San Diego
Naval Base San Diego
Naval Station Norfolk
Naval Medical Center Portsmouth
VA Polytrauma Hospital Richmond
N12 SELRES (5)
Strategic Support Officer
Charitable
Resources Coordinator
Administrative Officer
Legal Counsel
Admin Chief
Family Coordinator
Pay/Personnel Support
Strategic
Communication Analyst
IT/Data Management
Anchor Program Coordinator
Financial Analyst
Dept of Labor Liaison
VA Liaison
Chaplain
BUPERS Liaison
Millington
Detachment Camp Lejeune (1)
Naval Hospital Camp Lejeune
Detachment San Antonio (2)
Detachment Jacksonville (1)
Brook Army Medical Center
Naval Hospital Jacksonville
Reserve Surge Support (17)
VA Polytrauma Hospital Tampa
SOCOM Care Coalition, Mac Dill AFB
Detachment Tampa (2)
Unclassified August 27, 2010
Senior Enlisted Advisor
Naval Health Clinic New England
Detachment Norfolk (3)
Detachment Palo Alto (1)
Strategic Support Department
Subject Matter Experts
Supporting Sailors & Families
through OPS Department
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NAVY SAFE HARBOR
Eligibility for Safe Harbor Enrollment

All seriously wounded, ill, or injured Sailors,
Coast Guardsmen, and their families
•
•
•
•

OIF/OEF casualties
Shipboard accidents
Liberty accidents (MVAs, motorcycle accidents)
Serious medical and psychological conditions (cancer,
severe PTSD)
High risk non-seriously wounded, ill, or injured
Sailors and their families (case by case)
• Families in crisis
• Special Interest
Unclassified August 27, 2010
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NAVY SAFE HARBOR
Demographics

Age
– Range = 18-66 years
– Avg = 34 yrs old
– Median = 32 yrs old

Gender
– 87% Male
– 13% Female

Marital Status
– 61% Married
– 32% Single/Never Married
– 7% Divorced/Legally Separated

Rank/Rate
– Officer 10% (Prevalent: O-5)
– Enlisted 90% (Prevalent: PO2)
– 78% AC, 22% RC
Unclassified August 27, 2010
Residence
• VA 27%
• CA 20%
• FL 10%
• TX 7%
• WA 6%
 Combat Wounded - 70
 Primary Diagnosis
• PTSD-TBI 36%
• Other 24%
• Illness 13%
• Amputation 7%
• Gunshot Wound 6%
• Paralysis 6%
• Severe Burn 4%
• Blindness 2%
• Hearing Loss 2%
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NAVY SAFE HARBOR
Sources of Referrals for Enrollment
Navy Safe Harbor
24/7 Call Center or
Email Inquiry
DoD Personnel Casualty
Report
Commands
Navy Chaplain
Corps
Navy Ombudsman
Program
DoD Military
Treatment
Facility and VA
Clinical
Case Manager
Military
OneSource
Other Federal and Nongovernmental Agencies
Fleet and
Family Service
Programs
Word Of Mouth
Unclassified August 27, 2010
DoD
Wounded Warrior
Resource Center
Other Services WII
Programs
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NAVY SAFE HARBOR
Organizational Overview
 19
Safe Harbor Non-Medical Care Managers / Recovery
Care Coordinators
– Located at Navy Treatment Facilities, Brooke Army Medical
Center, Department of Veterans Affairs Polytrauma Hospitals,
RCC Medhold
– Supported by Headquarters based subject matter experts
– Two levels of support:
 Non-medical Care Manager: Supports and assists member
and family in addressing needs and achieving goals
 Recovery Care Coordinator: Oversees and assists with
Comprehensive Recovery Plan
Covenant Leadership = No Sailor Left Behind
Unclassified August 27, 2010
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NAVY SAFE HARBOR
One Command – Nationwide Web of Resources
VA POLY TRAUMA CENTER
MILITARY TREATMENT FACILITY
SAFE HARBOR HEADQUARTERS STAFF
NAVY OPERATIONAL SUPPORT CENTER
*
BREMERTON (2)
GREAT LAKES / MINNEAPOLIS (1)
NEWPORT (1)
PALO ALTO (1)
Recovery Care Coordinators
Non-Medical Care Managers
BALBOA (2)
NAVAL BASE SAN DIEGO (1)
MILLINGTON (1)
BETHESDA / WALTER REED (2)
WASHINGTON HEADQUARTERS (18)
PORTSMOUTH / RICHMOND (2)
NAVAL BASE NORFOLK (1)
CAMP LEJEUNE (1)
JACKSONVILLE (1)
BAMC (2)
TAMPA (1)
SOCOM (1)
Program” Locations - A partnership to maintain
* “Anchor
lifelong contact through volunteer mentors for medically
retired or separated Sailors, Coast Guardsmen and Families
as they reintegrate into communities across the U.S.
Unclassified August 27, 2010
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NAVY SAFE HARBOR
Support for Safe Harbor Sailors
Visitors
VIPs
PEBLO
Navy
Relief
Ombudsmen
Chain of
Command
Family
Safe Harbor
Recovery Care
RCC Coordinator
Non-medical
Care Manager
Social
Worker
Fleet &
Family
Supp Ctr
NMCM
Multi-Disciplinary Team
VSOs
MEB
PEB
Medical Care
Case Manager
Primary Care
Manager
MCCM
PCM
Transition
Services
Friends
Medical System
Leadership
Chaplain
Charities
Specialty
Care
Support
Old Unit
Personal / Informal
Support
Unclassified August 27, 2010
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NAVY SAFE HARBOR
Member and Family Support Resources

National Resource Directory
– DoD web-based Information Source
– www.nationalresourcedirectory.org
Partnerships with Navy Fleet and Family
Program, MWR, and Navy Chaplain Corps
 Collaboration with Federal Agency Partners
and NGOs
 Opportunities for Education, Training, and
Employment

– DoL VETS/RealLifelines Liaison on Safe Harbor staff
Unclassified August 27, 2010
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NAVY SAFE HARBOR
Rehabilitation through Competition

Inaugural Warrior Games
10-14 May 2010 - US Olympic Training Center
– Navy fielded a team of 25 (22 Navy, 3 Coast Guard)
– Family attendance - 14 individuals

Awards
– 12 individual medals
– 1 team medal
– Ultimate Champion Award

Partners to help facilitate effort:
–
–
–
–
–

NOSC Fort Carson
CNIC MWR - Provided PT gear, gym bags, baseball caps, gym towels
BUMED
N12 Reserve Unit
American Red Cross – Provided adaptive sports equipment such as hand cycle,
recumbent bikes, air rifles, hand pistols, compound and recurve bow, shot puts and
discuss
Way Ahead:
– Identifying training and competition venues throughout the year to prepare for 2011
Warrior Games
Unclassified August 27, 2010
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NAVY SAFE HARBOR
Reserve Surge Support
Reserve Surge Support Program
Scalable, anytime, anywhere, rapid response of
additional manpower to support Non-medical Care
Managers
– Catastrophic event with rapid influx of casualties
– Operations resulting in unusually high numbers of casualties
17 Reservists organized into 4 teams
– One team each month stands ready-alert for rapid response
– Standing ADT orders
Reservists “volunteer” for 1 year minimum
– Surge time (voluntary commitment) is over and above
their primary Reserve assignment
– Commit to report within 72 hours of notification
and be available for a minimum of 14 days
– Participate in Safe Harbor staff training events
Unclassified August 27, 2010
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NAVY SAFE HARBOR
Anchor Program

Partnership to provide mentors for Sailors
and Families as they return to communities
 Navy Reserve volunteers, Navy Retired Activities Offices,
American Legion, Navy League, Fleet Reserve Association, and
other Community-based organizations
 Participation by Safe Harbor enrollees and family members is
highly encouraged but voluntary

“Lifetime support” covenant solidified
 Mentors provide professional/social/spiritual
support to assist with community reintegration
 Recovery Care Coordinator and Non-medical Care
Managers engage as needed
Near Peer Drilling Reserve Member – Critical Element
Unclassified August 27, 2010
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NAVY SAFE HARBOR
Summary

Safe Harbor provides non-medical care in partnership with
Navy Medicine medical care case managers and other
members of the Recovery Team

Safe Harbor enrollment for those seriously wounded, ill, or
injured

Safe Harbor assists all, even those not enrollment eligible

Safe Harbor enrolls “Sailors for Life”, the level of support
changes with recovery, rehabilitation, and reintegration
status

Safe Harbor is bound by the Privacy Act and may only share
information with designated entities
Unclassified August 27, 2010
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QUESTIONS?
“We are Sailors caring for Sailors”
Contact us 24/7:
1-877-746-8563
safeharbor@navy.mil
www.safeharbor.navy.mil
CAPT Key Watkins, USN
Commanding Officer
Navy Safe Harbor
703-697-1941
oakley.watkins@navy.mil
Unclassified August 27, 2010
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