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 5 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 6 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 7 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% 8 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 9 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 10 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 11 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 12 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 13 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 14 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 15 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 16 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 17 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 18