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

Unclassified

Taking Care of Our Sailors and Their FamiliesTaking Care of Our Sailors and Their Families

Navy Safe HarborCAPT Key Watkins

Commanding Officer

August 27, 2010Unclassified 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 HARBORNAVY SAFE HARBOR Guiding Principle: Numquam Navigare Solus – Never to Sail AloneGuiding Principle: Numquam Navigare Solus – Never to Sail Alone

We are the Navy...taking care of our Sailors and Coast Guardsmen!We are the Navy...taking care of our Sailors and Coast Guardsmen!We are the Navy...taking care of our Sailors and Coast Guardsmen!We are the Navy...taking care of our Sailors and Coast Guardsmen!


Support Services Providers

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 & 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

Concierge service (with a kick)Concierge service (with a kick)Concierge service (with a kick)Concierge service (with a kick)

NAVY SAFE HARBORNAVY SAFE HARBORNon-medical Care Management ServicesNon-medical Care Management Services

What is Non-medical care?


NAVY SAFE HARBORNAVY SAFE HARBOREvolution of a ConceptEvolution 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 4

145 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 33

315 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.

2009 Staff of 36

481 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


NAVY SAFE HARBORNAVY SAFE HARBOROversight and CoordinationOversight and Coordination

Direct Lines of Action/Reporting with Senior Oversight facilitate delivery of Comprehensive Casualty Care

Direct Lines of Action/Reporting with Senior Oversight facilitate delivery of Comprehensive Casualty Care

Add

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Add

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Spe

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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


Strategic Support DepartmentStrategic Support DepartmentOperations DepartmentOperations Department

Operations Officer N12 SELRES (5) Strategic Support Officer

Ops. Coordinator - West Ops. Coordinator - East

Detachment Great Lakes (1)Naval Health Clinic Great Lakes

VA Polytrauma Hosp. Minneapolis

Detachment Bethesda (3)National Naval Medical Center

Walter Reed Army Medical Center

Detachment Pac-Norwest (2)Naval Hospital BremertonNaval Hospital Oak Harbor

Detachment New England (1)Naval Health Clinic New England

Detachment Palo Alto (1)VA Polytrauma Hospital Palo Alto

Detachment Norfolk (3)Naval Station Norfolk

Naval Medical Center PortsmouthVA Polytrauma Hospital Richmond

Detachment San Diego (3)Naval Medical Center San Diego

Naval Base San Diego

Detachment Camp Lejeune (1)Naval Hospital Camp Lejeune

Detachment San Antonio (2)Brook Army Medical Center

Detachment Jacksonville (1)Naval Hospital Jacksonville

Charitable Resources Coordinator

Administrative Officer

Legal Counsel

Pay/Personnel Support

IT/Data Management

Family Coordinator

Financial Analyst

StrategicCommunication Analyst

Anchor Program Coordinator

VA LiaisonDept of Labor Liaison

Senior Medical Officer Senior Enlisted Advisor

BUPERS LiaisonMillington

Admin Chief

Commanding Officer

Executive Officer

Chaplain

Ops. Support

Detachment Tampa (2)VA Polytrauma Hospital Tampa

SOCOM Care Coalition, Mac Dill AFBReserve Surge Support (17)

NAVY SAFE HARBORNAVY SAFE HARBOROrganization – HQ with 10 geographically dispersed Detachment sitesOrganization – HQ with 10 geographically dispersed Detachment sites

Direct Support to Direct Support to Sailors & FamiliesSailors & Families

Subject Matter ExpertsSubject Matter ExpertsSupporting Sailors & FamiliesSupporting Sailors & Families

through OPS Departmentthrough OPS Department


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 HARBORNAVY SAFE HARBOR Eligibility for Safe Harbor EnrollmentEligibility for Safe Harbor Enrollment


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

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 HARBORNAVY SAFE HARBORDemographicsDemographics


NAVY SAFE HARBORNAVY SAFE HARBORSources of Referrals for EnrollmentSources of Referrals for Enrollment

DoD Military DoD Military Treatment Treatment

Facility and VAFacility and VAClinical Clinical

Case ManagerCase Manager

Navy Safe Harbor Navy Safe Harbor 24/7 Call Center or 24/7 Call Center or

Email InquiryEmail Inquiry

DoD Personnel Casualty DoD Personnel Casualty ReportReport

Other Services WII Other Services WII ProgramsPrograms

Military Military OneSourceOneSource

Other Federal and Non-Other Federal and Non-governmental Agenciesgovernmental Agencies

Word Of MouthWord Of Mouth

DoD DoD Wounded Warrior Wounded Warrior Resource CenterResource Center

Navy Navy Ombudsman Ombudsman

ProgramProgram

Fleet and Fleet and Family ServiceFamily Service

ProgramsPrograms

CommandsCommandsNavy ChaplainNavy Chaplain

CorpsCorps


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 BehindCovenant Leadership = No Sailor Left BehindCovenant Leadership = No Sailor Left BehindCovenant Leadership = No Sailor Left Behind

NAVY SAFE HARBOR NAVY SAFE HARBOR Organizational OverviewOrganizational Overview


BETHESDA / WALTER REED (2)

BAMC (2)

TAMPA (1) SOCOM (1)SOCOM (1)

PALO ALTO (1)

JACKSONVILLE (1)

PORTSMOUTH / RICHMOND (2) NAVAL BASE NORFOLK (1)

MILLINGTON (1)

WASHINGTON HEADQUARTERS (18)

BREMERTON (2)BREMERTON (2)

GREAT LAKES / MINNEAPOLIS (1)GREAT LAKES / MINNEAPOLIS (1)NEWPORTNEWPORT (1)(1)

Recovery Care CoordinatorsRecovery Care CoordinatorsRecovery Care CoordinatorsRecovery Care CoordinatorsNon-Medical Care ManagersNon-Medical Care ManagersNon-Medical Care ManagersNon-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 HARBORNAVY SAFE HARBOR One Command – Nationwide Web of ResourcesOne Command – Nationwide Web of Resources

CAMP LEJEUNE (1)

BALBOA (2) NAVAL BASE SAN DIEGO (1)


NAVY SAFE HARBORNAVY SAFE HARBOR Support for Safe Harbor SailorsSupport for Safe Harbor Sailors

VSOs

VIPs

NavyRelief

Family

Visitors

Friends

Charities

MCCMMCCM PCMPCM

Recovery Care Coordinator

Non-medical Care Manager

Medical Care Case Manager

Primary Care Manager

Multi-Disciplinary TeamMulti-Disciplinary Team

NMCMNMCM

RCCRCC

Chain of Chain of CommandCommand

Leadership

Support

Personal / Informal Support

Safe HarborSafe Harbor

Medical SystemMedical System

MEBPEB

PEBLO

Chaplain

SocialWorker

Fleet &Family

Supp Ctr

Ombuds-men

SpecialtyCare

Old Unit

TransitionServices


NAVY SAFE HARBORNAVY SAFE HARBOR Member and Family Support ResourcesMember 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


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

NAVY SAFE HARBORNAVY SAFE HARBORRehabilitation through CompetitionRehabilitation through Competition


NAVY SAFE HARBORNAVY SAFE HARBORReserve Surge SupportReserve Surge Support

Reserve Surge Support ProgramScalable, 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


NAVY SAFE HARBORNAVY SAFE HARBORAnchor ProgramAnchor 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 ElementNear Peer Drilling Reserve Member – Critical ElementNear Peer Drilling Reserve Member – Critical ElementNear Peer Drilling Reserve Member – Critical Element


NAVY SAFE HARBORNAVY SAFE HARBORSummarySummary

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


““We are Sailors caring for Sailors”We are Sailors caring for Sailors”

Contact us 24/7:Contact us 24/7:

[email protected]@navy.mil

www.safeharbor.navy.milwww.safeharbor.navy.mil

CAPT Key Watkins, USNCAPT Key Watkins, USNCommanding OfficerCommanding Officer

Navy Safe Harbor Navy Safe Harbor 703-697-1941703-697-1941

[email protected]@navy.mil

QUESTIONS?QUESTIONS?

Documents

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