1. Warrior Care and Transition Program Overview
21 Sept 2012
Soldier Success through Focused Commitment
SGT Joel Tavera and Parents/Caregivers
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
COL Catherine Mozden, Warrior Transition Command

2. Provide an overview of the US Army Warrior Care and Transition Program
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

3. Our Mission
WOUNDED
ILL
INJURED
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.
Mr. Mark Jackson (703)

4. Warrior Care and Transition Program Relationships
WCTP Oversight
MEDCOM
IMCOM
Supporting Commands
Senior Commander
Warrior Transition
Command
Regional
Medical
Commands
IMCOM
Regions
Warrior Transition
Task Force
Warrior Transition Office
Army Wounded Warrior
Southern Regional
Medical Command
*Triad of Leadership
Senior Commander
MTF Commander
WTU Commander
Community
Based WTU
Senior
Commander
Medical
Treatment
Facility
Installation Garrisons
Triad of Leadership*
Warrior Transition Unit
AW2
Advocate
(Veteran)
AW2
Advocate
(OPCON)
Community
Based WTU
Northern/Western
Regional Medical
Command
SFAC
Mr. Mark Jackson (703)

5. Warrior Transition Unit (WTU) and Community Based WTU
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)
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. Warrior Transition Unit and Community Based Warrior Transition Unit MapWI OR MT ID NV WY ND SD NE CO AZ NM TX OK MN IA MO KS LA 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
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
Elmendorf-
Richardson
Schofield Barracks
Northern Regional Medical Command
Western Regional Medical Command
Europe Regional Medical Command
Heidelberg
Pacific Regional Medical Command
Brigade (2)
Battalion (16)
Separate Company (11)
Community Based Warrior Transition Unit (9)
(color by Area of Responsibility)
AW2 Advocate (201)
Southern Regional Medical Command
as of 6 Sep 12
Ms. Carolyn Spencer (703) 6 6 6

7. Warrior Transition Unit/Community Based Warrior Transition Unit
Population Over Time
WTU/CBWTU
Entrance Criteria Review
WTU/CBWTU Manpower Study
FRAGO 3 Publication:
Entrance Criteria
NCR TDA Realignment (EDATE Jun 11)
Squad Leader Ratio Review
Army directs movement of MEBs and Non-deployables to WTUs
FRAGO 4 Publication
RC Management
CTP Enablers added to TDA
(EDATE Apr 10)
Remote Care
Review
OCONUS IDES
EXORD Publication:
WTUs
Established
Active Component
Army National Guard
Army Reserve
as of 6 Sep 12
Ms. Carolyn Spencer (703)

8. WTC Population Map w/CBWTU AORs
(Data Source: MODS WT, 10 SEP 2012)
Heidelberg 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
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
Elmendorf-
Richardson
Tripler
Europe RMC
Western RMC MA
Northern RMC
Pacific RMC
Southern RMC
Brigade (2)
Battalion (16)
Separate Company (11)
CBWTU (color by AOR) (9) 8 8 8

9. Army Wounded Warrior (AW2) Program
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.
SSG Jon Duralde,
Continuation on Active Duty (COAD)

10. Army Wounded Warrior (AW2) Program
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.
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.

11. To be considered an AW2 Soldier/Veteran
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

12. Services Provided
Advocates assist wherever the Soldiers and their Families/Caregivers are located, as they progress along the path to independence.
AW2 Advocates - 201
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
AW2 Support Experts - 21
Medical Eligibility
Human Resources
Finance
Transition Employment/Career
Dept of Labor
Veteran Affairs Advisors
IT Support
Training

13. Veteran Population in our Communities
AW2 Soldier / Veteran Status
AW2
most severely
wounded, injured
and ill
11955**
WTU Or
MEB / PEB
Complex Medical Needs
2% of AW2
204
1372
COAD / COAR / FIT / RTD
Soldiers returned to
Mainstream Army
WTU / Unit
10354
Veteran Population in our Communities
Veteran
*AW2 as of 1 Sep 12
**Incl :25 Deceased

14. MRP Orders 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. WTC Medical Review Board WTC Medical Review Board Primary Care Manager
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
MRP RC on active duty (AD)
MRP2 RC REFRAD from AD
ADME RC WII in LOD during IDT
AGR Soldiers (same process as AC)
Eligibility
Determination
Primary Care Manager
WTC Medical Review Board
WTC Medical Review Board
Primary Care Manager
Triad of Leadership
Triad of Leadership
HRC
HRC
Entrance Approval
Soldier is wounded, ill or injured
PCM: definitive care needed
Triad of Leadership Approval
DeMob site or WTU submits RFO to HRC
HRC publishes orders
Soldier is wounded, ill or injured
Soldier’s Unit submits request
WTC MRB: definitive care needed; recommends approval
HRC Approval
HRC publishes orders
Soldier is wounded, ill or injured
Soldier’s Unit submits request
WTC MRB: definitive care needed: recommends approval
HRC Approval
HRC publishes orders
Soldier is wounded, ill or injured
PCM: six mos/complex care mgmt
Triad of Leadership Approval
DeMob site or WTU submits RFO to HRC
HRC publishes orders
Process Steps

16. Entry Criteria
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. Attached to a Warrior Transition Unit Soldier returns to Parent Unit
Soldier Entry Process
Soldier is Wounded, Ill or Injured
Yes
Is Soldier Evac’d from Theater
Yes No
NOTE: Determination is made as to eligible to remain in WTU or return to unit
Soldier is evaluated by PCM
Attached to a Warrior Transition Unit
Does Soldier meet Entry Criteria No
Yes
Triad of Leadership Review
Approved
Not Approved
Soldier returns to Parent Unit

18. Continuum of Care (Comprehensive Transition Plan (CTP))
“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
COAD
COAR
Return to Duty
Reset
Train
/ Ready
Available
204
11,955
Army Force Generation
1372
10354
WTU
CBWTU
Veterans
“Path to Independence…One Step at a Time”
Soldier and Family Assistance Center
Social Workers
Pharmacists
Chaplains
Legal Support
Operation Enduring Freedom/
Operation Iraqi Freedom/
Operation New Dawn Care
Management Team
Transition/Career Counseling
MEB Physician
Career and Education Readiness
Physical Evaluation Board Liaison Officer
Federal Recovery Coordinator
VA Liaison for Healthcare
Caregiver Support Coordinators
Employment Counseling
Education Counseling
Occupational Therapists
Physical Therapists
Transition Counseling
Specialty Care
Return to Duty /
Release from Active Duty
Triad of Care and Interdisciplinary Team
Warrior Transition
Unit/
Community Based
Unit
Family/Friends
Army Wounded Warrior Advocate (Life Cycle Management Plan)
Veterans Affairs Integration and Hand Off
Medical Retention Determination Point
Inprocessing
Transition Review
Rehabilitation
Rehabilitation
Integrated Disability Evaluation System
Veterans Affairs
Goal Setting
Post Transition
Reintegration
Comprehensive Transition Plan
(Domains – Career, Physical, Emotional, Social, Family, Spiritual)
DD214
Mr. Mark Jackson (703)

19. RC Exit Criteria
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 )

21. 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.

22. QUESTIONS COL Catherine Mozden Chief, CBWTU Remote Care
Clinical Services Division
Warrior Transition Command

23. Warrior Care and Transition Program Overview
Soldier Success through Focused Commitment
SGT Joel Tavera and Parents/Caregivers
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
BG David J Bishop, Commander, Warrior Transition Command

24. Released from Active Duty (REFRAD) Medically Separated/Retired
Yes
Soldier’s profile Permanent (P) and Temporary (T) rated 1s or 2s
COMPO 2/3 Soldier receiving care
Yes
Released from Active Duty (REFRAD) No
A single T3 that will spontaneously resolve to a 1 or 2 rating in < 30 days
Yes No
MRDP reached? Not expected to meet retention standards?
Fit for Duty?
IDES
Stays in WTU
Soldier Exit Process
Yes No No
COAR?
Eligible for and accepts non-medical retirement
Retire
Yes
Yes No No
Medically Separated/Retired
ADMIN/UCMJ
Separation
Separate
Yes No
Yes
Continuation of Care