Taking Care of Our Sailors and Their Families

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

2. 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!

3. What is Non-medical care? NAVY SAFE HARBOR Non-medical Care Management Services Concierge service (with a kick)

4. NAVY SAFE HARBOREvolution of a Concept 20 OEF/OIF Wounded Sailors 40 OEF/OIF Wounded Sailors 145 Severely Wounded, Ill, or Injured (SWII) 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 2006 Staff of 4 • Additional Navy Liaison assigned to MSIC • Safe Harbor representative assigned to NNMC Bethesda supporting basic advocacy • 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 2007 Staff of 13 315 SWII Sailors • 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 Over 6,000 Wounded, Ill or Injured Sailors 2008 Staff of 33 481 SWII Sailors • 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. Over 5,000 Wounded, Ill or Injured Sailors 2009 Staff of 36 509SWII 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

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

6. NAVY SAFE HARBOROrganization – HQ with 10 geographically dispersed Detachment sites Operations Department Strategic Support Department Direct Support to Sailors & Families Subject Matter Experts Supporting Sailors & Families through OPS Department

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

8. NAVY SAFE HARBORDemographics • 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% • 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

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

10. 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

11. NAVY SAFE HARBOR One Command – Nationwide Web of Resources * * VA POLY TRAUMA 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 OPERATIONAL SUPPORT CENTER MILITARY TREATMENT FACILITY SAFE HARBOR HEADQUARTERS STAFF BREMERTON (2) GREAT LAKES / MINNEAPOLIS (1) NEWPORT(1) PALO ALTO (1) BETHESDA / WALTER REED (2) Recovery Care Coordinators WASHINGTON HEADQUARTERS (18) Non-Medical Care Managers PORTSMOUTH / RICHMOND (2) NAVAL BASE NORFOLK (1) BALBOA (2) NAVAL BASE SAN DIEGO (1) MILLINGTON (1) CAMP LEJEUNE (1) JACKSONVILLE (1) BAMC (2) TAMPA (1) SOCOM (1)

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

13. NAVY SAFE HARBORMember 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

14. NAVY SAFE HARBORRehabilitation 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

15. NAVY SAFE HARBORReserve 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

16. NAVY SAFE HARBORAnchor 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

17. NAVY SAFE HARBORSummary • Safe Harbor provides non-medicalcare 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

18. 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