Unclassified Taking Care of Our Sailors and Their Families Navy Safe Harbor CAPT Key Watkins Commanding Officer

August 27, 2010 Unclassified 2 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. NAVY SAFE HARBOR Guiding Principle: Numquam Navigare Solus – Never to Sail Alone Guiding Principle: Numquam Navigare Solus – Never to Sail Alone We are the Navy...taking care of our Sailors and Coast Guardsmen!

August 27, 2010 Unclassified 3 Support ServicesProviders 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. Pay & PersonnelNAVPERS, VA, SSA, TSGLI Invitational Travel OrdersN135C (Casualty Assistance Office) Housing & LodgingCNIC Child & Youth ProgramsCNIC Recreation & LeisureCNIC Transportation NeedsInvitational Travel Orders - N135C/ NGO/Yellow Ribbon Fund Legal & Guardianship IssuesNavy Legal Services Education & Training BenefitsVeteran’s Administration, Dept of Labor, NGO’s Commissary & Exchange AccessLocal Command CO’s authority Respite CareTRICARE, State and Local organizations Security Clearance IssuesLocal Security Managers, NCIS (Code 24E), DONCAF TBI/PTSD ServicesNNMC, VA Polytrauma Centers, BUMED & Others Concierge service (with a kick) NAVY SAFE HARBOR Non-medical Care Management Services What is Non- medical care?

August 27, 2010 Unclassified 4 NAVY SAFE HARBOR Evolution of a Concept 20 OEF/OIF Wounded Sailors  Military Severely Injured Center (MSIC) requests Navy Liaison  Safe Harbor Director appointed from N135 and Out Reach Case Manager assigned to Safe Harbor 2005 Staff of 3 40 OEF/OIF Wounded Sailors  Additional Navy Liaison assigned to MSIC  Safe Harbor representative assigned to NNMC Bethesda supporting basic advocacy 2006 Staff of Severely Wounded, Ill, or Injured (SWII) Sailors 2007 Staff of 13  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 oversight for all wounded, ill, or injured  (16) Headquarters staff; (17) Non-medical care managers at the 8 MTFs, 4 VA Polytrauma Centers, 2 Reserve Component MedHold Units, and SOCOM 2008 Staff of SWII Sailors Over 6,000 Wounded, Ill or Injured 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  Safe Harbor served population expanded to all seriously wounded, ill, or injured (not just OEF/OIF)  CNO appointed RDML White as Special Assistant for Comprehensive Casualty Care  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 Staff of SWII Sailors Over 5,000 Wounded, Ill or Injured Sailors  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 2010 Staff of 40 Over 5,000 Wounded, Ill or Injured Sailors 509SWII Sailors

August 27, 2010 Unclassified 5 NAVY SAFE HARBOR Oversight and Coordination Direct Lines of Action/Reporting with Senior Oversight facilitate delivery of Comprehensive Casualty Care Additional Duty Special Assistant Chief of Naval Operations Vice Chief of Naval Operations Chief of Naval Personnel – N1 Manpower Requirements - N12 Navy Safe Harbor Special Assistant for Comprehensive Casualty Care

August 27, 2010 Unclassified 6 Strategic Support Department Operations Department Admin Chief Commanding Officer Chaplain Ops. Support Detachment Tampa (2) VA Polytrauma Hospital Tampa SOCOM Care Coalition, Mac Dill AFB Reserve Surge Support (17) NAVY SAFE HARBOR Organization – HQ with 10 geographically dispersed Detachment sites Direct Support to Sailors & Families Subject Matter Experts Supporting Sailors & Families through OPS Department

August 27, 2010 Unclassified 7  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 NAVY SAFE HARBOR Eligibility for Safe Harbor Enrollment Eligibility for Safe Harbor Enrollment

August 27, 2010 Unclassified 8  Age –Range = 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  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% NAVY SAFE HARBOR Demographics

August 27, 2010 Unclassified 9 NAVY SAFE HARBOR Sources of Referrals for Enrollment DoD Military Treatment Facility and VA Clinical Case Manager Navy Safe Harbor 24/7 Call Center or Inquiry DoD Personnel Casualty Report Other Services WII Programs MilitaryOneSource Other Federal and Non- governmental Agencies Word Of Mouth DoD Wounded Warrior Resource Center Navy Ombudsman Program Fleet and Family Service Programs Commands Navy Chaplain Corps

August 27, 2010 Unclassified 10  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 NAVY SAFE HARBOR Organizational Overview

August 27, 2010 Unclassified 11 BETHESDA / WALTER REED (2) BAMC (2) SOCOM (1) TAMPA (1) SOCOM (1) PALO ALTO (1) JACKSONVILLE (1) PORTSMOUTH / RICHMOND (2) NAVAL BASE NORFOLK (1) MILLINGTON (1) WASHINGTON HEADQUARTERS (18) BREMERTON (2) GREAT LAKES / MINNEAPOLIS (1) NEWPORT (1) Recovery Care Coordinators Non-Medical Care Managers VA POLY TRAUMA CENTER MILITARY TREATMENT FACILITY SAFE HARBOR HEADQUARTERS STAFF NAVY OPERATIONAL SUPPORT CENTER * “Anchor Program” Locations - A partnership to maintain lifelong contact through volunteer mentors for medically retired or separated Sailors, Coast Guardsmen and Families as they reintegrate into communities across the U.S. * NAVY SAFE HARBOR One Command – Nationwide Web of Resources One Command – Nationwide Web of Resources CAMP LEJEUNE (1) BALBOA (2) NAVAL BASE SAN DIEGO (1)

August 27, 2010 Unclassified 12 NAVY SAFE HARBOR Support for Safe Harbor Sailors VSOs VIPs Navy Relief Family Visitors Friends Charities MCCMPCM Recovery Care Coordinator Non-medical Care Manager Medical Care Case Manager Primary Care Manager Multi-Disciplinary Team NMCM RCC Chain of Command Leadership Support Personal / Informal Support Safe Harbor Medical System MEB PEB PEBLO Chaplain Social Worker Fleet & Family Supp Ctr Ombuds- men Specialty Care Old Unit Transition Services

August 27, 2010 Unclassified 13 NAVY SAFE HARBOR Member and Family Support Resources  National Resource Directory –DoD web-based Information Source –  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

August 27, 2010 Unclassified 14  Inaugural Warrior Games May 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 NAVY SAFE HARBOR Rehabilitation through Competition

August 27, 2010 Unclassified 15 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

August 27, 2010 Unclassified 16 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

August 27, 2010 Unclassified 17 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

August 27, 2010 Unclassified 18 “We are Sailors caring for Sailors” Contact us 24/7: CAPT Key Watkins, USN Commanding Officer Navy Safe Harbor