Naval Medical Center San Diego’s Comprehensive Combat & Complex Casualty Care (C5)

1. Naval Medical Center San Diego’s Comprehensive Combat & Complex Casualty Care (C5) Rehabilitation Program: Supporting Wounded Ill and Injured Service Members and their Families

2. Components of the Comprehensive Combat & Complex Casualty Care (C5) Program Polytrauma Care & Rehabilitation Combat Operational Stress/ Psychological Health Disease/ Non-Battle Care Family Support Transition Services Primary Care Amputee Care Reserve Demob TBI Care Medical and Non-Medical Case Management

3. Comprehensive Combat & Complex Casualty Care (C5) Managing severely injured or ill patients from medical evacuation through inpatient care, outpatient rehabilitation, and return to active duty or transition from the military

4. The Multidisciplinary Team Key Team Members • Physicians • Nurses • Social Work • Case Management • Therapists • Chaplains • Casualty Affairs • Patient Administration • USMC—WWB det • Navy Med Hold and Safe Harbor staff • Army Warrior Transition Unit • Air Force Liaison • VA Health Care • VA Services Personnel • Recovery Care Coordinators • Federal Recovery Coordinators • Volunteers

5. New Programs and Those That Loom On the Horizon • New! Program of Wellness Education and Recovery (POWER)—8 week mTBI Program • New! Intensive Outpatient Program (IOP)--8 week for PTSD • Both programs integrated into a common registry for case mgt and patient tracking • Annual visits for longitudinal follow up of discharged service members • Ongoing research to review lessons learned/outcomes, expand clinical practice and support advances in technology • Jun 2010: Transitional Work Program—validate competencies for RTD • Fall 2010: Pursuit of CARF (Commission on Accreditation of Rehabilitation Facilities) accreditation

6. Keeping Our Promise To Rebuild Lives Renew Hope Revitalize Spirits