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Warrior Transition Units in USAREUR

Warrior Transition Units in USAREUR. A warrior in transition (WT) is a Soldier: assigned to a Medical Hold (MH) company, assigned to a Medical Holdover (MHO) company, in Active Duty Medical Extension (ADME) status, going through a Medical Evaluation Board (MEB),

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Warrior Transition Units in USAREUR

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  1. Warrior Transition Units in USAREUR

  2. A warrior in transition (WT) is a Soldier: assigned to a Medical Hold (MH) company, assigned to a Medical Holdover (MHO) company, in Active Duty Medical Extension (ADME) status, going through a Medical Evaluation Board (MEB), requiring complex medical care for > six months. What is a Warrior in Transition (WT)?

  3. No MH, MHO, or ADME Soldiers in USAREUR 7ARCOM may be a source of MHO or ADME Soldiers. At present, Soldiers undergoing MEBs make up the WT population WTU (Landstuhl) = 87 WTU (Bavaria) = 57 WTU (Heidelberg) = 68 USAREUR Total = 212 USAREUR’s WT Population Assignment is based on decision by parent unit

  4. Belgium NATO Baumholder 23 SHAPE 3 HEIDELBERG 19 Italy Vicenza 5 Livorno ERMC MEB Population A USAREUR Population: ~52,000 LRMC MEB Support: England 2 Greece Kuwait 1 Spain Netherlands 1 Schweinfurt 15 Büdingen 10 Bamberg 3 Friedberg 15 Würzburg 1 Wiesbaden 23 Hanau 7 Darmstadt 6 Dexheim 1 Grafenwöhr 1 Mannheim 19 LRMC/Ktown area 16 Vilseck 11 Hohenfels 4 Illesheim 7 Katterbach 7/ Ansbach 1 Stuttgart 4 Current Top 7 Wiesbaden 23 Baumholder 23 Mannheim 19 Heidelberg 19 Ktown 16 Schweinfurt 15 Friedberg 14 Current Total: 208 Historical MEB Population LRMC 77 HMEDDAC 65 BMEDDAC 44 WTU Outpatient: Range 60-210 Germany

  5. WTU (Landstuhl) WTU (Bavaria) WTU (Heidelberg) WTU (Outpatient) WTUs in USAREUR

  6. Vision: Develop an effective organization that takes care of Wounded Warriors so they can focus on their mission to heal. Mission: Provide Command and Control, primary care, and case management for Warriors in Transition to establish the conditions for their healing and to promote their timely return to the force or transition to civilian life. WTU Vision and Mission

  7. Soldier’s mission is to heal / complete MEB Soldier stays at home station Soldier works at clinic or in a community agency WTU CDR and 1SG are regionally based WTU PSG and SL are locally based WTU Concept of OperationLandstuhl, Heidelberg, Bavaria:

  8. Formerly the Medical Transient Detachment at Kleber Kaserne. Provides C2, transportation, clothing, and MWR support to short-term (< 14 days) deployed outpatients from OIF, OEF, and CENTCOM AOR Case management by LRMC’s Deployed Warrior Medical Management Center (DWMMC) Care provided by DWMMC and LRMC staff Provides quality care and returns warriors to deployed unit Concept of Operation for WTU (Outpatient)

  9. Combat Arms Co Cdr 11Z5M 1SG 11B40 Platoon SGT per 36 Soldiers 11B30 Squad Leader per 12 Soldiers Nurse case manager per 18 Soldiers Primary care manager per 200 Soldiers MEB physician per 200 Soldiers A 68W20 medical NCO other civilian healthcare and administrative staff WTU Staffing Template

  10. Combat Veterans taking care of wounded warriors Experienced Commanders, 1SGs, PSG, SL Administration Support (medical admin, personnel, finance Ombudsman (patient advocated dedicated to WTU Soldier concerns) WTU Cadre built around TRIAD: Primary Care Manager Nurse Case Manager Squad Leader Additional Medical Support Occupational Therapy, Physical Therapy, Social Work, etc. Chaplain WTU Cadre

  11. WTU LRMC Cdr, 1SG: LRMC PSG: Baumholder, Wiesbaden SL: Baumholder, Wiesbaden, LRMC, Vicenza, Shape WTU HMEDDAC CDR, 1SG: Heidelberg PSG: Heidelberg, Mannheim SL: Heidelberg, Mannheim, Darmstadt, Hanau, Stuttgart WTU Bavaria CDR, 1SG: Vilseck PSG: Vilseck SL: Schweinfurt, Vilseck, Bamberg, Katterbach Vilseck SL covering Grafenwoehr, Hohenfels Katterbach SL covering Illesheim, Ansbach - WTU Leadership Locations

  12. Belgium NATO SHAPE HEIDELBERG Italy Vicenza Livorno ERMC WTU Footprint A LRMC MEB Support: England Greece Kuwait Spain Netherlands USAREUR Population: ~52,000 Landstuhl Bavaria Heidelberg Schweinfurt Büdingen Bamberg Friedberg Würzburg Wiesbaden Hanau Dexheim Darmstadt Baumholder Grafenwöhr BAV Mannheim LRMC & K’town Vilseck LND Hohenfels Illesheim Katterbach/ Ansbach MTD 21 TSC HBG Stuttgart Historical MEB Population LRMC 82 HMEDDAC 65 BMEDDAC 44 Average MEB Population: Average Outpatient Range: 60-200 Germany

  13. WTU Eligibility Criteria (1 of 2) SM receiving a MEB SM requiring complex care > 6 months Duty limitations preclude from contributing to unit mission Majority of SM time spent receiving medical care

  14. Soldiers NOT eligible for WTU: SM Pending investigation, UCMJ, administrative separations Normal, uncomplicated pregnancy SM with permanent profiles requiring MMRB Ineligibility Criteria

  15. Soldiers going through an MEB or who require complex medical care for longer than six months may be assigned to the WTU at the discretion of the parent unit commander. This is done in coordination with the MTF commander. Assignment of MEB and complex cases

  16. PEBLO informs Unit CDR of SM MEB and eligibility for WTU OR Unit CDR identifies eligible Soldiers with complex care needs Unit Commander prepares 3 documents to request reassignment DA 4187, per ALARACT message, 0-6 signature on 4187 Letter requesting reassignment and certification letter Provides justification for reassignment, profile injury and previous rehabilitative measures Verifies Soldier is cleared of any UCMJ, legal actions, finance DA 5889-R MEB Document Checklist Administrative requirements for all Soldiers going through MEB Not required for Soldiers not going through MEB Assigning Soldiers to the WTU (1 of 3 pages)

  17. 4.Unit CDR emails requirements to WTU in their footprint WTU.Heidelberg@amedd.army.mil WTU.Landstuhl@amedd.army.mil WTU.Bavaria@amedd.army.mil 5. WTU CDR coordinates with MTF CDR, PCM and NCM Determines eligibility/ability to accept Soldier into WTU 6. MTF notifies unit of approval/disapproval of transfer to WTU Approval: WTU assigns Soldier a Primary Care Manager, Case Manager, and Squad Leader; care plan developed Disapproval: Unit CDR ensures Soldier makes all medical appointments Assigning Soldiers to the WTU (2 of 3pages)

  18. 6. Soldier out-processes unit and in-processes WTU 7. MTF prepares orders reassigning to WTU 8. Soldier completes care; returns to duty or transitions to civilian life Assigning Soldiers to the WTU (3 of 3 pages)

  19. Soldier evacuated to Landstuhl Regional Medical Center LRMC care team develops treatment plan LRMC determines need for CONUS evacuation or ability to remain in theater Evacuated to CONUS Assigned to WTU in CONUS Evacuation location based on availability of care and Soldiers preferences Remains in Europe Assigned to WTU in Europe as applicable USAREUR Soldiers injured in OIF/OEF

  20. WTU: LRMC: WTU.Landstuhl@amedd.army.mil Heidelberg MEDDAC: WTU.Heidelberg@amedd.army.mil Bavaria MEDDAC: WTU.Bavaria@amedd.army.mil MEB POCs (MTF PEBLOs): LRMC: 486-8224 HMEDDAC: 371-2367 BMEDDAC: 476-2533 WTU MTF POCs

  21. ERMC Patient Administration 371-3383 371-2529 371-2380 371-2897 ERMC WTU POCs

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