Taking Care of Our Sailors and Their Families

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Taking Care of Our Sailors and Their Families
Navy Safe Harbor CAPT Key Watkins Commanding
Officer
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NAVY SAFE HARBOR Guiding Principle Numquam
Navigare Solus Never to Sail Alone
Safe Harbor is the Navys 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!
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What is Non-medical care?
NAVY SAFE HARBOR Non-medical Care Management
Services
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 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.
Invitational Travel Orders N135C (Casualty Assistance Office) 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.
Housing Lodging CNIC 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.
Child Youth Programs CNIC 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.
Recreation Leisure CNIC 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.
Transportation Needs Invitational Travel Orders - N135C/ NGO/Yellow Ribbon Fund 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.
Legal Guardianship Issues Navy Legal Services 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.
Education Training Benefits Veterans Administration, Dept of Labor, NGOs 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.
Commissary Exchange Access Local Command COs authority 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.
Respite Care TRICARE, State and Local organizations 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.
Security Clearance Issues Local Security Managers, NCIS (Code 24E), DONCAF 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.
TBI/PTSD Services NNMC, VA Polytrauma Centers, BUMED Others 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.
Concierge service (with a kick)
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NAVY SAFE HARBOREvolution of a Concept

• 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
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NAVY SAFE HARBOROversight and Coordination
Direct Lines of Action/Reporting with Senior
Oversight facilitate delivery of Comprehensive
Casualty Care
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NAVY SAFE HARBOROrganization HQ with 10
geographically dispersed Detachment sites
Strategic Support Department
Operations Department
Direct Support to Sailors Families
Subject Matter Experts Supporting Sailors
Families through OPS Department
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NAVY SAFE HARBOR Eligibility for Safe Harbor
Enrollment

• 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

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NAVY SAFE HARBORDemographics

• 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

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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
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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
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NAVY SAFE HARBOR One Command Nationwide Web of
Resources
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)
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NAVY SAFE HARBOR Support for Safe Harbor Sailors
VIPs
Visitors
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
MEB PEB
Transition Services
Medical System
Leadership
Chaplain
Specialty Care
Charities
Old Unit
Support
Personal / Informal Support
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NAVY SAFE HARBOR Member 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

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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

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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

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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
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NAVY SAFE HARBORSummary

• 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

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QUESTIONS?
We are Sailors caring for Sailors Contact us
24/7 1-877-746-8563 safeharbor_at_navy.mil www.safe
harbor.navy.mil CAPT Key Watkins, USN Commanding
Officer Navy Safe Harbor 703-697-1941 oakley.watk
ins_at_navy.mil