General Orientation to the Warrior Transition Unit (WTU) January - - PowerPoint PPT Presentation

▶
general orientation to the warrior transition unit wtu
SMART_READER_LITE
LIVE PREVIEW

General Orientation to the Warrior Transition Unit (WTU) January - - PowerPoint PPT Presentation

Nov 29, 2022 180 likes •688 views

WARRIOR TRANSITION PROGRAM General Orientation to the Warrior Transition Unit (WTU) January 2008 UNCLASSIFIED Slide 1 WARRIOR TRANSITION PROGRAM Lesson 1 Overview of the Warrior Transition Unit (WTU) Terminal Learning Objective Given any

slide-1
SLIDE 1

Slide 1

WARRIOR TRANSITION PROGRAM

General Orientation to the Warrior Transition Unit (WTU)

January 2008

UNCLASSIFIED

slide-2
SLIDE 2

Slide 2

WARRIOR TRANSITION PROGRAM

Lesson 1

Overview of the Warrior Transition Unit (WTU) Terminal Learning Objective Given any situation involving Warriors in Transition, implement the principles of the Army Medical Action Plan in accordance with Department of the Army Warrior in Transition (WT) – Consolidated Guidance

UNCLASSIFIED

slide-3
SLIDE 3

Slide 3

WARRIOR TRANSITION PROGRAM

WARRIOR TRANSITION PROGRAM

Unclassified

slide-4
SLIDE 4

Slide 4

WARRIOR TRANSITION PROGRAM

TOPICS

Warrior Transition Program Background Army Medical Action Plan WT Assignment/Attachment Criteria WTU Integrated Management Team (Triad)

slide-5
SLIDE 5

Slide 5

WARRIOR TRANSITION PROGRAM

  • Road to War. The situation that created the current

Wounded Warrior environment within the Army Medical Department was the result of three factors -

– The volume of Medical Evaluation Board (MEB) cases significantly increased from 6,560 cases in FY02 to approximately 10,000 cases in FY05 and 06; – The number of Physical Evaluation Board (PEB) cases rose from just over 9,000 cases in CY01 to over 15,000 cases in CY05; – Policy variances between Department of Veterans Affairs, DoD, and Army regulatory guidance; the need for additional training of personnel throughout the Army Physical Disability Evaluation System process; and insufficient data management systems and information management.

Warrior Transition Background

slide-6
SLIDE 6

Slide 6

WARRIOR TRANSITION PROGRAM

  • June 2003 - Mobilized Reserve Component Soldiers

– Medical Holdover operations began in 2003 as large numbers of Reserve Component Soldiers were mobilized in support of Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF). – Soldiers who were not medically deployable were kept at MOB stations to fix and deploy or be referred to Physical Disability Evaluation System (PDES). – Soldiers demobing were able to stay on active duty for treatment of "in line of duty" conditions. – First Nurse Case Managers were mobilized to manage Reserve population.

Warrior Transition Background

slide-7
SLIDE 7

Slide 7

WARRIOR TRANSITION PROGRAM

  • June 2003 - March 2004 - Formal Medical Hold-Over

(MHO) structure and dedicated command and control established on installations.

– Dedicated providers and case managers – New Command and Control (C2) and installation support structure – Accelerated access standards

Warrior Transition Background

slide-8
SLIDE 8

Slide 8

WARRIOR TRANSITION PROGRAM

Warrior Transition Background

  • March - April 2007

– Congress asks Army to evaluate structure, care, systems, and process for all “Warriors in Transition” regardless of Compo or GWOT affiliation – Establishment of the Army Medical Action Plan (AMAP) – Medical Holdover now termed Warrior in Transition (WT)

– Development of Warrior Transition Unit

  • Staffing Ratios set for PCM, NCM, PLT SGT, PEBLO, BH, etc.
  • Same standard set for all Soldiers
  • Ombudsman Program established at MTFs
  • Significant changes made in the Army Physical Disability

Evaluation System (PDES)

  • Greater emphasis placed on training of the Cadre
slide-9
SLIDE 9

Slide 9

WARRIOR TRANSITION PROGRAM

Mission Essential Task List

WT Program Standards are based on the four Mission Essential Tasks for Warrior Transition Units

  • Provide Command and Control
  • Provide Provision of Clinical Care
  • Provide Administrative Support
  • Assist with Reintegration into the Force and/or Transition to

Civilian Life

slide-10
SLIDE 10

Slide 10

WARRIOR TRANSITION PROGRAM

“I am a Warrior in

  • Transition. My job is to

heal as I transition back to duty or become a productive, responsible citizen in society. This is not a status but a

  • mission. I will succeed in

this mission because I am Warrior.”

slide-11
SLIDE 11

Slide 11

WARRIOR TRANSITION PROGRAM

Warrior Transition Unit (WTU)

  • GOAL of the WTU: Expeditiously and

effectively, evaluate, treat, return to duty, and/or administratively process out of the Army, and refer to the appropriate follow-on health care system, Soldiers with medical conditions

  • MISSION STATEMENT: Provide command and

control, primary care and case management for Warriors in Transition to establish conditions for healing and promote the timely return to the force or transition to civilian life.

slide-12
SLIDE 12

Slide 12

WARRIOR TRANSITION PROGRAM

slide-13
SLIDE 13

Slide 13

WARRIOR TRANSITION PROGRAM

Army Medical Action Plan (AMAP)

  • The Office of the Surgeon General (OTSG) established the

AMAP to develop an action plan to establish an integrated and comprehensive continuum of care and services for Warriors and their Families

  • Warriors and Families are treated at MTFs in conjunction

with DoD, VA, and civilian medical facilities

  • Provide world-class care and services to match quality of

service given to our Nation

  • Five-phase plan starting April 2007 and ending January

2008

slide-14
SLIDE 14

Slide 14

WARRIOR TRANSITION PROGRAM

Army Medical Action Plan (AMAP)

Actions to be implemented include -

  • Establishing and institutionalizing a C2 structure for Warriors

undergoing long-term definitive, rehabilitative, and convalescent care

  • Prioritizing mission support and creating ownership of actions and

processes

  • Flexing housing policies and focusing on Family support issues
  • Developing training and doctrine to facilitate and ensure a system

with provides timely and effective support

  • Creating full patient visibility throughout the process and

facilitating the continuum of care

  • Improving the MEB process and eliminating delays in the PEB

process

slide-15
SLIDE 15

Slide 15

WARRIOR TRANSITION PROGRAM

Warrior Transition Office

  • The WTO serves as OTSG/MEDCOM’s focal point for the coordination of

activities, programs and services that are provided in support of the Army’s WT Programs.

  • The Warrior Transition Office consists of the Office of the Director, the

MEDCOM Medical Assistance Group, and the MTF Ombudsmen.

The Director

  • The Director has primary responsibility for creating an environment of

collaboration and maintaining staff coordination relationships within OTSG/MEDCOM and with non-MEDCOM agencies, ensuring effective collaboration and integration of resources committed to WT Programs.

slide-16
SLIDE 16

Slide 16

WARRIOR TRANSITION PROGRAM

Warrior Transition Office

MEDCOM Ombudsman Program

  • Function as Soldier-Family Advocates for the U.S. Army Medical

Command (MEDCOM) in support of the Army’s Warrior in Transition (WT) Program.

  • Located at the Army military treatment facilities (MTFs) and serve as a

liaison between the MEDCOM, and the Soldier, his or her Family, and MTF Commander; acting as a communicator, facilitator, and problem solver.

  • Utilize administrative, organizational, listening, and educational skills to

assist the Soldiers and their Families with their issues.

  • Have a collaborative relationship with the MTF Patient Advocacy Office.

The Ombudsmen work closely with the MEDCOM Medical Assistance Group (MAG) to assist with the resolution of issues that come through the Army Wounded Soldier and Family Hotline.

slide-17
SLIDE 17

Slide 17

WARRIOR TRANSITION PROGRAM

Warrior Transition Office

MEDCOM Medical Assistance Group

  • Ensures that Warrior in Transition Soldiers and their Families are

provided with responsive and thorough investigations of their concerns

  • Provides functional knowledge of operations in MTFs; the

Veterans Administration compensation and disability rating systems; the Army Physical Disability System

  • Serves as subject matter expert for Patient Administration Division

(PAD) operations in MTFs, the Warrior in Transition Programs and structure

  • Provides functional knowledge of the Soldier-Family Advocates

programs and services, and provides the skills needed to optimize the efficiency and effectiveness of the SFAs

  • Prepares the MEDCOM response to all questions or issues

regarding all aspects of the MEDCOM Soldier-Advocate Program

slide-18
SLIDE 18

Slide 18

WARRIOR TRANSITION PROGRAM

Soldier Family Assistance Center (SFAC)

  • r

Warrior and Family Assistance Center (WFAC)

  • Provide full spectrum of personnel, finance, and administrative

support and assistance to the Wounded Warriors and their Family members – “One-stop shop”

  • Coordinate with other government and private organizations

from support services

  • Receive and distribute donated items to deserving Soldiers

and Family members

  • Key Personnel

– Soldier Family Assistance Liaison – Inventory Specialist – Budget Analyst – Military Coordinator – Family Program Specialist

slide-19
SLIDE 19

Slide 19

WARRIOR TRANSITION PROGRAM

slide-20
SLIDE 20

Slide 20

WARRIOR TRANSITION PROGRAM

WTU Assignment/Attachment Criteria

  • Each Army MTF will maintain a warrior transition unit (WTU). Units will

vary in size from small detachments to brigades, depending on patient population.

  • A Warrior in Transition is any Soldier who requires significant medical

intervention in order to heal and return to duty or to make a successful transition to veteran status.

  • Service members must meet the criteria of AR 40-400.
  • All Service members who present to the MTF for medical evaluation or

treatment from off-installation locations and who will be present more than 24 hours will be required to report to the WTU for accountability and control purposes.

  • For those Soldiers who are on medical TDY orders, the orders will

specify that the Soldier is under the command and control of the WTU while at the MTF. All Service members in a TDRL status will report to the WTU upon arrival at the MTF.

slide-21
SLIDE 21

Slide 21

WARRIOR TRANSITION PROGRAM

WTU Assignment Criteria for Active Component

  • Requires a temporary profile of more than 6 months duration
  • Treatment plan requires the Soldier to spend most of his/her time

receiving and/or traveling to and from medical treatment

  • Requires an MEB and therefore requires a permanent profile with duty

limitations that preclude the Soldier from contributing to the parent unit’s mission

  • Profile limitations preclude deployment (AR 40-501, chapter 5) within the

next 60 days and the unit is scheduled to deploy within 60 days

  • Unit has no rear detachment

– Rear detachment capabilities are insufficient to accommodate the Soldier’s physical limitations – Limitations prevent the Soldier from contributing to the rear detachment’s mission

slide-22
SLIDE 22

Slide 22

WARRIOR TRANSITION PROGRAM

WTU Assignment Criteria for Reserve Component

  • Soldier was mobilized on 10 USC 12302 orders in support of

named operations and diverted from his/her normal mobilization mission or demobilization processing in order to receive medical treatment

  • Soldier is in need of medical evaluation, treatment, and

disposition including definitive health care for an illness, injury, or disease incurred in the line of duty and/or for aggravation of a pre-existing medical condition incurred in the line of duty

  • MTF Commander determines if soldier will or will not be able

to RTD within 60 days, but will have fewer than 120 days remaining on USC 12302 partial mobilization order. If so, the Soldier will be converted from partial mobilization orders to medical retention processing (MRP) 12301(h) orders, subject to Soldier's consent in accordance with the current personnel policy guidance

slide-23
SLIDE 23

Slide 23

WARRIOR TRANSITION PROGRAM

Medical Retention Processing (MRP) Orders

  • Medical Retention Processing (MRP) Orders extend RC soldiers

for pay and benefits

– Medevaced soldiers who require more than 60 days for treatment are taken off MOB orders and placed on MRP – Demobing soldiers extended on AD for care – Soldiers must volunteer to remain on AD – Medical Holdovers (MHO) on MRP are assigned to a Medical Retention Processing Unit (MRPU) on designated installations – Qualified soldiers may be attached to a Community Based Health Care Organization (CBHCO)

slide-24
SLIDE 24

Slide 24

WARRIOR TRANSITION PROGRAM

Decision Matrix for Assigning or Attaching a Soldier to the WTU

  • Purpose of the Matrix

– Assist Unit Commanders in identifying those WT eligible Soldiers who may be at the most risk remaining in their units and who may benefit most from the assignment or attachment to a WTU

  • Goals of assigning or attaching a Soldier to a WTU

– Optimize medical, surgical, and psychiatric

  • utcomes

– Prepare a Soldier for transition – Prevent delays in clinical and administrative evaluation – Increase unit readiness

slide-25
SLIDE 25

Slide 25

WARRIOR TRANSITION PROGRAM

  • FRADO 2 to HQDA EXORD 118-07

– Requires Unit Commanders to nominate all WT eligible Soldiers for assignment or attachment to a WTU; or to have approved this Decision Matrix for each WT eligible Soldier who has not been assigned or attached to a WTU – Nomination or the Decision Matrix must be completed within 30 days of determining that a Soldier meets the eligibility criteria (contained in the Warriors in Transition Consolidated Guidance) – See Decision Matrix handout to view matrix and additional instructions

Decision Matrix for Assigning or Attaching a Soldier to the WTU

slide-26
SLIDE 26

Slide 26

WARRIOR TRANSITION PROGRAM

slide-27
SLIDE 27

Slide 27

WARRIOR TRANSITION PROGRAM

WTU Integrated Management Team

slide-28
SLIDE 28

Slide 28

WARRIOR TRANSITION PROGRAM

The Triad

  • The Warrior Care Triad consists of a joint and collaborative

effort by the Primary Care Manager (PCM), Nurse Case Manager (NCM), and the Squad Leader to provide each WT with comprehensive, holistic care

  • The team participates in all aspects of care while ensuring

the needs of the Army, Soldier, and Family members are met

C a s e M a n a g e r S q u a d L e a d e r Primary Care Manager Warrior In Transition

slide-29
SLIDE 29

Slide 29

WARRIOR TRANSITION PROGRAM

Primary Care Manager (PCM) The Physician

  • 1 PCM : 200 WTs
  • Provides principal oversight and continuity of health care
  • Facilitates movement of WTs through the medical process

while ensuring the highest quality care

  • Promotes the physical, spiritual, emotional and mental

healing of the WTs and their families

  • Assures timely disposition of back-to-duty or medical

separation

slide-30
SLIDE 30

Slide 30

WARRIOR TRANSITION PROGRAM

Nurse Case Manager (NCM)

  • 1 NCM : 18 WTs (MEDCEN) or 36 WTs (MEDDAC)
  • The vital link between WTs and every medical specialty

clinic in the MTF

  • Licensed health care professional (registered nurse)
  • Assesses, plans, implements, coordinates, monitors, and

evaluates options and services to meet the Soldiers’ health needs

  • Ensures that the medical health care plan is followed and

that there is steady progress

slide-31
SLIDE 31

Slide 31

WARRIOR TRANSITION PROGRAM

Squad Leader

  • 1 Squad Leader : 12 WTs
  • The vital link for the WT to the chain of command, NCM, and

PCM

  • During in-processing –

– First to welcome the WT and counsels, orients, mentors, and guides both the WT and Family – Ensures living conditions are appropriate – Submits requests for awards and decorations, and ensures that the Warriors’ records are transferred from losing to gaining units – Keeps the platoon sergeant/leader informed on medical status and requirements of members of his/her squad

slide-32
SLIDE 32

Slide 32

WARRIOR TRANSITION PROGRAM

Squad Leader

  • During treatment phase –

– Accounts for all Warriors on a daily basis through personal contact at formation, in rooms, phone calls, etc., depending upon the condition and location of each Warrior – Coordinates with NCM and PCM to ensure WTs show up for appointments and activities – Resolves personnel or financial issues – Uses WT Program standards to help the WTs understand their medical condition, physical profile, and treatment programs

slide-33
SLIDE 33

Slide 33

WARRIOR TRANSITION PROGRAM

Squad Leader

  • During medical disposition phase –

– Ensures WTs are aware of all MEB-related appointments and the progress of their MEB – Maintains contact with WTs during preparation of MEB packet in case of issues that need quick resolution

slide-34
SLIDE 34

Slide 34

WARRIOR TRANSITION PROGRAM

WTU Integrated Team Training

  • Distributed Learning (DL) required within 30 days of

assignment to WTU

  • January to October 2008 – additional training provided by

mobile training teams and AMEDD training support package (delivered by local trainers)

  • October 2008 – resident training provided at AMEDDC&S,

Fort Sam Houston, TX

– Replaces training support package – DL becomes phase 1 of required training and still must be completed within 30 days of assignment to WTU – Resident Training must be completed within 6 months of assignment to WTU

slide-35
SLIDE 35

Slide 35

WARRIOR TRANSITION PROGRAM

Distributed Learning Completed within 30 days

(ongoing requirement)

2008 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV Designated Trainers Deliver TSPs

Deliver by end of FY08

Resident Course at Fort Sam Houston Begins Oct 2008 (FY09)

Must attend within 6 mos

FY 08 FY 09

slide-36
SLIDE 36

Slide 36

WARRIOR TRANSITION PROGRAM

Military Leadership

slide-37
SLIDE 37

Slide 37

WARRIOR TRANSITION PROGRAM

Military Leadership

  • Company – 1 Company for approximately 200 WTs
  • Company Commander - Provides compassionate

leadership and maintains 100% accountability, conducts training programs, develops cadre, establishes Family Readiness Group, and conducts quarterly sensing sessions

  • First Sergeant - Assists Company Cdr to plan,

coordinate, and supervise activities; coordinate unit administration; and assists/conducts inspection of unit activities and facilities

slide-38
SLIDE 38

Slide 38

WARRIOR TRANSITION PROGRAM

  • Platoon Sergeant – Maintains accountability of

WTs; serves as the first line of defense if Warriors develop behavioral, personal, or other health problems; maintains communication logs; and notifies NCM of potential recovery issues

  • Squad Leader – the critical link for the WT to the

chain of command, NCM, and PCM; first line supervisor for the WT; responsible for maintaining the trust and confidence of the WT while assisting them in their daily activities.

Military Leadership

slide-39
SLIDE 39

Slide 39

WARRIOR TRANSITION PROGRAM

Leaders Roles

  • Recognize Combat Stress Reactions
  • Encourage Soldiers to seek mental health care if

they need it

  • Encourage buddy-aid, utilizing the chain of

command, Chaplain and mental health staff assistance

  • Create a climate where there are no stigma or

barriers to seeking mental health care

slide-40
SLIDE 40

Slide 40

WARRIOR TRANSITION PROGRAM

Leaders Should Know

  • Know how their behaviors impact Soldiers’ well-

being

  • Know how their Soldiers’ well-being affects

health, readiness and performance of their unit

  • Know your own limitations
  • Soldiers have experienced significant combat

stressors

  • Some Soldiers do not develop significant

impairment

  • Some will develop Post Traumatic Stress

Disorder

slide-41
SLIDE 41

Slide 41

WARRIOR TRANSITION PROGRAM

Leaders Must –

  • Do the right thing…always
  • Do what is right for the Soldier first
  • Follow the example of leaders that

do it right

slide-42
SLIDE 42

Slide 42

WARRIOR TRANSITION PROGRAM

  • 1. Be fair
  • 2. Admit mistakes
  • 3. Underwrite honest mistakes
  • 4. Protect subordinates
  • 5. Communicate
  • 6. Visit your troops
  • 7. Encourage involvement
  • 8. Team build
  • 9. Instill discipline

10.Punish judiciously

10 Effective Leader Behaviors

Camera Operator: STAFF SGT. JON SOUCY

slide-43
SLIDE 43

Slide 43

WARRIOR TRANSITION PROGRAM

Leadership Philosophy

  • The challenge of leading and mentoring such a

diverse group of Warriors takes time, patience, and strong leadership skills. Warriors assigned to the WTU have experienced life-challenging medical events and are in the process of receiving medical treatment for their injuries or illnesses on an outpatient basis. Leaders within the WTU must adhere to the Army values that firmly binds all Army members into a fellowship dedicated to serve the Nation and the Army.

slide-44
SLIDE 44

Slide 44

WARRIOR TRANSITION PROGRAM

Company Structure

Company CDR 03 (02A) 1SG E8 (11Z5M) Company XO 02 (02A) Supervisor Case Mgr 04 (02A)

Case Manager 03 (02A) 12 ea

Platoon Sergeant E7 6 ea Squad Leader E6 18 ea Human Resources E6 (42A30) Human Resources E5 (42A20)

Human Resources SPC E4 (42A10) 3 ea

Finance Mgmt NCO E6 (44C30) Supply Sergeant E5 (92Y20) Patient Admin NCO E6 (68G30) Supply SPC E4 (92Y10) Health Care SGT E5 (68W20) Company CDR 03 (02A) 1SG E8 (11Z5M) Company XO 02 (02A) Supervisor Case Mgr 04 (02A)

Case Manager 03 (02A) 12 ea

Platoon Sergeant E7 6 ea Squad Leader E6 18 ea Human Resources E6 (42A30) Human Resources E5 (42A20)

Human Resources SPC E4 (42A10) 3 ea

Finance Mgmt NCO E6 (44C30) Supply Sergeant E5 (92Y20) Patient Admin NCO E6 (68G30) Supply SPC E4 (92Y10) Health Care SGT E5 (68W20)

slide-45
SLIDE 45

Slide 45

WARRIOR TRANSITION PROGRAM

WTU VISION

An effective Company or Battalion that takes care of Warriors in Transition so they can focus on their mission to heal. High quality living conditions and no unnecessary procedural delays. A TRIAD of Squad Leaders, Case Managers, and Primary Care Managers (Physicians) who all work together to ensure advocacy for Warriors, continuity of care, and a seamless transition into the force or return to a productive civilian life.

slide-46
SLIDE 46

Slide 46

WARRIOR TRANSITION PROGRAM

“The needs of Warriors in Transition are unique to each individual… (and)… they should be provided a standard of care commensurate with their service and sacrifice to our Nation” BG Michael S. Tucker

slide-47
SLIDE 47

Slide 47

WARRIOR TRANSITION PROGRAM

slide-48
SLIDE 48

Slide 48

WARRIOR TRANSITION PROGRAM

Summary

A.Background 1. Large number of RC Soldiers mobilized in support of OEF and OIF 2. Army Medical Action Plan established 3. Medical Holdovers now Warriors in Transition (WTs) 4. Creation of Warrior Transition Units (WTU) B.Army Medical Action Plan (AMAP) 1. Established by OTSG 2. Four phase plan 3. Warrior Transition Office 4. Soldier Family Assistance Center (SFAC) C.Assignment and Attachment Criteria 1. Assignment/attachment to WTU 2. Criteria for active component 3. Criteria for reserve component 4. Medical retention processing orders D.Integrated Management Team - Triad 1. Primary Care Manager (PCM) 2. Nurse Case Manager (NCM) 3. Squad Leader 4. Military Leadership 5. Leader Roles 6. Leaders Know and Do 7. 10 Effective Leader Behaviors

slide-49
SLIDE 49

Slide 49

WARRIOR TRANSITION PROGRAM

References

  • For more information, refer to the Warrior in Transition

Consolidated Guidance

  • Warrior Transition Program website for numerous references

and information - https://www.us.army.mil/suite/page/328110 via AKO portal

  • AMAP home page via AKO portal -

https://www.us.army.mil/suite/page/400750

  • EXORD 118-07 (Healing Warriors) and associated FRAGOs