Transcript WCTO Update - Army OneSource Home Page

“Apart from the war itself, this department and
I have no higher priority.”
Warrior Care and Transition
Update
“A total transformation of the way we care for
Soldiers and their Families”
“Apart from the war itself, we have no higher priority!”
ARMY STRONG
So What Transformed?
…a snapshot:
“Apart from the war itself, we have no higher priority!”
ARMY STRONG
2
The Mission is Essential
• All Units must have a Mission Statement. A Mission
Statement provides Focus, Purpose and Essential Tasks,
which must be accomplished in order for the unit to be
successful. The Mission of the WTU is to support healing.
• Essential Tasks provide
metrics that can be
measured.
• Only then can you assess unit
performance – see yourself.
• We measure this performance
Monthly, Quarterly, and SemiAnnually.
The Wounded Soldier has a Mission: To Heal. This is his
sole purpose. Everything the Soldiers does must support
healing:
–Appointments, Rehab, Therapy, Medications are his job!
–Nothing is more important than his mission to heal.
–The Warrior Transition Unit sets the conditions for him to heal.
…a unit & Soldier without a mission is like a boat without a rudder!
“Apart from the war itself, we have no higher priority!”
ARMY STRONG
3
WCTO Mission Statement
The Warrior Care and Transition Office
(WCTO) provides HQDA level integration,
monitoring and synchronization of strategy
and policy for warrior care initiatives and
related programs dedicated to the support,
care and healing of wounded, ill and
injured Soldiers, their Families and
caregivers.
“Apart from the war itself, we have no higher priority!”
ARMY STRONG
4
Warrior Care and Transition Office (WCTO)
DAS
OFF/ WO / ENL / CIV = TOTAL
TOTAL
16/0/1/18=35
Dir, WCTO /
ASG-WCAT
OTSG
G-1
G-3/5/7
ACSIM
Senior Enlisted
Advisor
*Includes WTOs,
Advisors et al
OTSG WTO
G-1 WTO
ACSIM WTO
Director’s Office
9/0/1/5=15*
ARNG Advisor
USAR Advisor
Congr Affairs Coord
Integration & Operations
Plans and Policy
2/0/0/5=/7
2/0/0/6=8
VA Advisor
Information Engagement
3/0/0/2/=5
Detailed view
of the Dir’s Office
showing WTOs &
advisors
Synchronizes
Supervision
Coordination
“Apart from the war itself, we have no higher priority!”
DA Staff
ARMY STRONG
5
Warrior Transition Battalion
PLT SGT
COMPANY
CMD GRP
(2 – 5
per CO)
(2 – 4 per
PLT)
BN CMD GRP
(2 – 6
per BN)
CO XO
CO CDR
1SG
1 / CO
1 / CO
1 / CO
BN CDR
BN XO
CSM
1 / BN
1 / BN
1 / BN
FRSA
1:40
SQD LDR
S1
SR NCM
COMPANY
SPECIALTY STAFF
1:10
WTU
1:200
(max of
10 per
CO)
TRIAD
PCM
1:200
MSA SP
NCM
FIN TECH
1 / BN
S1
SR FIN MGR
1 / BN
1 / BN
S3
1:200
1:200
S3
OPS SGT
A/OPS SGT
1 / BN
1 / BN
1:500
TNG SP
S4
1:20
1:200
SUP TECH
MEB PHYS SOC WKR
SUP SP
TNS CRD
1 / BN
1 / BN
1:500
HR SP
PCM ASST
1:100
S4
1:60
OT ASST
BN SPECIALTY STAFF
MED NCO SR MED OFF
OT
CHAP CHAP ASST
1:200
WTB
1:200
1:100 (1:50)
1:200
= military
position
= civilian
position
= military/civilian
position
“Apart
from the
war itself,
we have
no higher priority!”
1 / BN
1/BN
1 / BN 1:450
ARMY STRONG
1:600
SMSA = SUP,
6
MED SPT ASST
Warrior Transition Unit Complex
Facility Functional elements
Siting Criteria:
1. All functions within easy
walking distance of each
other.
2. Site in proximity of
Medical Treatment Facility.
Soldier and Family Assistance Center
• USO atmosphere
WTU Complex
Xa
Xb
1+1 made accessible
1+1 modernized to a,
1 soldier apt.
Xc
FY 2009
Requirement:
$981 Million
Barracks
Optimized suite: Fully
accessible and capable of
supporting non-medical
attendant.
WTU Unit Admin & Services
(clinical services)
Strickland Suite
Don LaRocque / (703) 602-5486 /[email protected]
“Apart from the war itself, we have no higher priority!”
ARMY STRONG
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Warrior Transition Unit Complexes
Military Construction (MILCON) Requirements
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Installation
Cost (FY09 +) Cumulative
Ft Riley
0.000
Ft Sam Houston
78.000
78.000
Ft Bragg
77.000
155.000
Ft Belvoir
70.000
225.000
Ft Hood
58.000
283.000
Ft Lewis
99.000
382.000
Ft Bliss
56.000
438.000
Ft Campbell
43.000
481.000
Ft Stewart
48.000
529.000
Ft Drum
20.000
549.000
Ft Benning
46.000
595.000
Ft Carson
42.000
637.000
Schofield Barracks
79.000
716.000
Ft Polk
29.000
745.000
Ft Richardson
38.000
783.000
Ft Wainwright
25.000
808.000
Ft Sill
21.000
829.000
Ft Lee
5.700
834.700
Ft Knox
64.000
898.700
Landstuhl
24.000
922.700
Ft Leonard Wood
16.500
939.200
Cumulative
w/ Design Barracks SFAC Admin/Ops
0.000
X
X
X
81.510
X
X
X
161.975
X
X
X
235.125
X
X
X
295.735
X
X
X
399.190
X
X
X
457.710
X
X
X
502.645
X
X
X
552.805
X
X
X
573.705
X
X
X
621.775
X
X
X
665.665
X
X
X
748.220
X
X
X
778.525
X
X
X
818.235
X
X
X
844.360
X
X
X
866.305
X
X
X
872.262
X
X
939.142
X
X
X
964.222
X
X
X
981.464
X
X
X
Figures in $ millions (000,000)
FY08 $ are not counted in the cumulative total
“Apart from the war itself, we have no higher priority!”
OSD Supported
OSD Cut Line
DA Requested
DA Cut Line
Remaining
Requirement
FY08 Funded
FY09 OSD Supported
FY09 Requested
Deferred Requirement
ARMY STRONG
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WTU Growth
Non-deployables
from Deploying or
Mobilizing RC Units
Medevacs from
Deployed Units
in Theater
Injured from
Redeploying Units or
Demobilizing RC Units
Inflow currently
exceeding outflow
by 925 WTs per
month
WTU
AC OTHER 23%
PEB
2%
MEB
18%
DMOB
19%
MOB
4%
EVAC DI 15%
EVAC NBI 6%
EVAC BI
13%
• Monthly net gain of 647 WTs per month are AC soldiers (70% of total)
• This large majority of growth attributed to FORSCOM installations,
where growth is predominantly AC, identifies the main overall issue
behind growth in WTUs
“Apart from the war itself, we have no higher priority!”
• Medical Discharge
• Return to unit (RC)
• Return to operating force
ARMY STRONG
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Landstuhl 218
Heidelberg* 36
Wuerzburg 210
Warrior Transition Unit
Current WT Population
(assigned or attached to a WTU) is
12,878 Soldiers
WTU CO - 17
CBHCO - 9
Ft. Drum
(as of 02 June 08)
*BN TDA appr 22 May 08
Edate: 04 Oct 08
WTU BDE - 1
WTU BN - 17*
502
MA
West Point
172
62
WI
Ft. Dix
217
Ft. Lewis
Ft. Riley
791
442
Ft. Carson
Ft. Belvoir
50
WRAMC
Ft. Leavenworth
669
CA
248
683
19
Ft. Lee
216
VA
62
197
UT
Ft. Leonard Wood
Ft Meade
140
39
Ft. Eustis
188
134
Ft. Irwin
& Balboa
Ft Huachuca
150
51
Ft. Sill
149
AR
Ft. Campbell
233
776
Ft. Bragg
323
665
Ft. Jackson
Ft. Hood
92
Redstone Arsenal
1332
Ft. Richardson*
Ft. Knox
14
Ft. Gordon
139
388
Ft. Bliss
299
Ft. Wainwright
Ft. Stewart
Ft Rucker
591
22
FL
AL
85
TAMC
Ft. Sam Houston
Ft. Polk*
611
333
257
140
102
PR
Ft. Benning
95
351
“Apart from the war itself, we have no higher priority!”
ARMY STRONG
10
WARRIOR TRANSITION PROGRAM: Monthly Census
12,878
Number of AC/RC WT Soldiers
Establishment of WTU
(November 2004—May 2008)
(29 Month throughput has been approximately
633 WT Soldiers dispositioned per month)
MONTHLY INCREMENTS
“Apart from the war itself, we have no higher priority!”
ARMY STRONG
11
Returning Warriors to the Line. . .
Data source: MODS, October 2001—3 March 2008
POC: Dr. Michael J. Carino, OTSG
3 YR
2 YR
Probability of Soldier being
Returned to the Force
<1 year in WTU, ρ = .77
1-2 years in WTU, ρ = .50
2-3 years in WTU, ρ = .34
>3 years in WTU, ρ = .18
1 YR
30,883 WT Soldiers:
LOS < 360 days
2 Brigades a year
Back to the Force!
88% are Corporal to
Sergeant First Class
19%
64%
5,632 WT Soldiers: LOS 360
days—720 days
935 WT Soldiers: LOS
720 days—1080 days
7%
139 WT Soldiers: LOS > 1081 days
Number of Warrior in Transition
10,534 (28%)
27,175 (72%)
1.6% Medically Separated
0.9% Returned to the Force
8%
Length of Stay (LOS) in 30 Day Increments
“Apart from the war itself, we have no higher priority!”
ARMY STRONG
12
Warrior Transition Unit Cadre Special Duty
Assignment Pay (SDAP)
• 05 Jun ’08: Revised SDAP policy approved and
signed by the Assistant Secretary of the Army
(Manpower and Reserve Affairs)
– Modifies MILPER Msg 08-027, Subject: Special Duty
Assignment Pay (SDAP) for Soldiers Who Are in the
Warrior Transition Units (WTU)
• The monthly rate will be paid at the SD-5 level of
$375 per month for Squad Leaders and Platoon
Sergeants
• Requirements:
– 24 months experience preferred but not required
– SL and PSG must complete USAMEDCOM
prescribed training and be certified as qualified
• Army Center for Enhanced Performance (ACEP) triad
training , Unit Ministry Team sensitivity training, and Risk
Management Training as outlined in FRAGO 24 to
MEDCOM OPORD 07-55
• As a substitute, Soldiers may attend the AMEDDC&S
resident WTU Certification Course.
• Completion of these additional training requirements will
be verified by their WTU Commander.
– Must be serving in an authorized position (duty
assignment) that is documented and designated for
award of SDAP.
– Reserve Component Soldiers serving in authorized
positions designated for award of SDAP must be on
active duty orders in excess of 180 days to receive
SDAP
“Apart from the war itself, we have no higher priority!”
ARMY STRONG
13
Manpower Analysis
Findings and Recommendations
BLUF:
 WTU populations growing at an uncontrolled rate, particularly at
FORSCOM installations
 Population growth has a larger impact on TDA size than does
cadre to WT ratio
Recommendation:
 Army review entry and exit strategy for WTUs
 Army review number and size of WTUs for enduring WT program
 Strengthen ratios for the Triad to reduce workload; realign to
enhance unity of effort
 Redistribute cadre positions to better reflect compo population
“Apart from the war itself, we have no higher priority!”
ARMY STRONG
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Monitoring / Improving Customer
Satisfaction
Fix and
Report
Back
Stakeholders
Wounded Warriors
Family Members
American Public
How do I
decide who
to go to?
Based upon:
Accountable
Army Leadership
I have/
perceive a
problem.
Required/
Recommende
d Actions?
Who do
I go to?
Means/Sensors
Internal Sensors
External Sensors
WTU Leadership (24/7)
MTF Leadership (24/7)
Ombudsmen (24/7)
Chaplain (24/7)
Dashboard (Weekly)
Unit Status Report (Monthly)
VCSA WTU Cdr VTC (Monthly)
SecArmy Group (Monthly)
Quarterly Status Brief (Qtrly)
Semi-Annual Status Brief
Ombudsmen (24/7)
Wounded Soldier&FM Hotline
(800)984-8523 [email protected]
Senior Leader Visits
WTU Satisfaction Survey (Monthly)
Town Hall Meetings (Monthly)
Staff Assistance Visits (Periodic)
Command Climate (Periodic)
OSD(HA) Survey (Monthly)
GAO (Periodic)
DAIG (Periodic)
Federal Recovery Coordinator
Driver/Motivation
•Trust
•Confidence
•Confidentiality
•Relationships
•Convenience/Available
•Anger/Frustration
•Lack of Knowledge
•Misperceptions
Media
Congressional Interest
New Means/Sensors, and Methods to ensure better flow of feedback to Army Leadership
“Apart from the war itself, we have no higher priority!”
ARMY STRONG
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Comprehensive Transition Plan
End state
Clinical Care
Holistic Care
Healing the Total Person
Serious
injury or
illness
WTU
1.StrengthenedPhysically,
Successful Mentally,
Socially,
Soldier
Spiritually
Comprehensive Transition
2.Vocationally
or
Plan
Enabled
(Body, Mind, Heart, Spirit)
Successful 3.Able to Maintain
Veteran
Relationships
4.Proud of Service
New program
with AMAP
Commander, Platoon Sergeant,
Squad Leader, MD, Nurse
Chaplain Education Counselor
“Apart from the war itself, we have no higher priority!”
ARMY STRONG
16
Army – VA Integration
Landstuhl MSC-1 (F)
Heidelberg MSC-1 (F)
WTU BDE - 1
WTU BN - 17
VHA Social Works (SW)
VBA Counselors (MSC)
VR&E Counselors (VR&E)
Benefits Delivery at Discharge (BDD) Site
Wuerzburg MSC-1 (F)
Part Time (P); Full Time (F)
Ft. Drum
MSC-3 (F)
VR&E-1 (P)
WI
MA
West Point
MSC-1 (P)
VR&E-1 (P)
MSC-1 (P)
VR&E-1 (P)
Ft. Dix
MSC-1 (P)
VR&E-1 (P)
Ft. Lewis
Ft. Riley
SW-2 (F)
MSC –1(F)
VR&E-1 (P)
MSC-1 (F)
Ft. Carson
MSC-1 (F)
VR&E-1 (P)
WRAMC
VR&E-1 (F)
Ft. Belvoir
SW-5 (F)
MSC-4 (F)
VR&E-1 (F)
Ft. Leavenworth
SW-1 (F)
MSC-3 (F)
VR&E-1 (P)
MSC-1 (P)
VR&E-1 (F)
MSC-1 (P)
VR&E-1 (P)
VA
Ft. Lee
MSC-1 (P)
CA
Ft Meade
MSC-1 (P)
VR&E-1 (P)
UT
MSC-1 (P)
VR&E-1 (P)
Ft. Irwin
& Balboa
Ft. Leonard Wood
MSC-4 (F)
VR&E-1 (P)
Ft Huachuca
Ft. Sill
MSC-1 (P)
VR&E-1 (F)
MSC-5 (F)
Ft. Richardson
MSC-1 (P)
VR&E-1 (P)
Ft. Eustis
MSC-1 (P)
VR&E-1 (P)
MSC-1 (P)
Ft. Campbell
AR
SW-1 (F)
MSC-2 (P)
VR&E-1 (P)
VR&E-4(P)
MSC-3 (F)
Ft. Hood
Redstone Arsenal
SW-2 (F)
VR&E-1 (F)
MSC-3 (F)
MSC-1 (P)
VR&E-1 (P)
Ft Rucker
Ft. Wainwright
MSC-1 (P)
VR&E-1 (P)
Ft. Sam Houston
TAMC,
Schofield &
Ft.Shafter
SW-3 (F)
VR&E-1(P)
MSC-2 (F)
Ft. Bragg
MSC-2 (F)
VR&E-1 (F)
SW-1 (F)
MSC-1 (F)
VR&E-1 (F)
MSC-1 (P)
VR&E-1 (P)
Ft. Gordon
MSC-10 (F)
VR&E-1 (F)
MSC –1 (P)
VR&E-1 (P)
Ft. Knox
Ft. Jackson
SW-1 (F)
VR&E-1 (F)
MSC-3 (F)
Ft. Bliss
AS of 30 Apr 08
WTU CO - 17
CBHCO - 9
Ft. Polk
MSC-1
AL
MSC-1 (P)
VR&E-1 (P)
FL
VR&E-1 (P)
Ft. Benning
SW-1 (F)
VR&E-1 (P)
MSC-5 (F)
PR
MSC-1 (P)
VR&E-1 (P)
Ft. Stewart
VR&E-1 (P)
MSC-5 (F)
EAMC and VAMC Collaboration
•
•
•
•
Active Duty Residential Rehab
Program (Pilot)
PTSD, Depression, Anxiety
1 of 4 returned to duty
Inpatient surgical collaboration
Cardio-Thoracic and Neuro
Surgery
POC: Laurie Ott, Executive Director, CSRA
Wounded Warrior Care Project
“Apart from the war itself, we have no higher priority!”
ARMY STRONG
18
Partnering with the VA –
Providing “Total Warrior Care”
•
•
•
•
•
•
Active Duty Rehab Unit
Amputees
Spinal cord injuries
Poly-Trauma / TBI
Mental Health component built-in
Joint VA/DoD staffing
Results:
– 558 inpatients
– 189 outpatients
– 156 RTD (28%)
•
•
•
•
Seamless Transition Center
OEF/OIF outreach
Initial counseling and assessment
Community-based resource center
Soldier, Veteran and Family
resource center
“Apart from the war itself, we have no higher priority!”
ARMY STRONG
19
Military and Veteran Support
Organizations and Initiatives
• Sentinels of Freedom:
– Provide life-changing opportunities for
men and women of the U.S. Armed
Forces who have suffered severe injuries
and need the support of grateful
communities to realize their dreams
• Merchant Marine Academy Initiative:
– U.S. Merchant Marine Academy at Kings
Point staff assignments opened to Navy,
Marine Corps, Army Soldiers and
veterans recovering from injuries
• Entrepreneurship Bootcamp for Veterans
with Disabilities (EBV)
– Offers cutting edge, experiential training
in entrepreneurship and small business
management to soldiers, sailors, airmen,
and marines disabled as a result of their
service supporting OEF and OIF
“Apart from the war itself, we have no higher priority!”
ARMY STRONG
21
What’s Next
• Right-size the population
• Comprehensive Transition Plan
• Build an enduring program that is:
– Enduring, affordable, expandable, collapsible and
responsive to the Army and the needs of the Warriors
in Transition
• Seamless partnership with the VA, Veteran
Support Organizations (VSO) & Military Support
Organizations (MSO)
Veteran – productive
member of the community
• Take care of the Soldier:
Back to the Army
“Apart from the war itself, we have no higher priority!”
ARMY STRONG
22
Warrior Care and Transition Office
Contact Information
•
•
•
•
•
•
Director: BG Gary Cheek
Chief of Staff: COL Jimmie Keenan
Deputy Chief of Staff: COL Lisa Hines
Chief Operations, Plans, Policy: LTC Michael K. Mixen
VA Advisor: Frank Bryceland
Office Contact info:
Warrior Care and Transition Office
Zachary Taylor Building
2530 Crystal Drive, Suite 3E30
Arlington, VA 22202-3926
– Main: (703) 602-8511 DSN 332
– [email protected]
– WCTO Strategic Communications:
[email protected]
“Apart from the war itself, we have no higher priority!”
ARMY STRONG
23
This is what we do . . .
• I will Never Quit!
• I will Never Leave a
Fallen Comrade!
“Apart from the war itself, we have no higher priority!”
• A Special Operations
Force Soldier lost his leg
to enemy machine gun
fire in Sep 05’.
• After 5 months at
Walter Reed, he was
returned to duty.
• He is currently
deployed.
ARMY STRONG
24
QUESTIONS
“Apart from the war itself, we have no higher priority!”
ARMY STRONG