Comprehensive Transition Plan
To support each wounded, ill or injured Soldier's return to the force or transition to Veteran status, the Army created a systematic framework called the Comprehensive Transition Plan (CTP). The CTP is a six-part interdisciplinary structured process for every Soldier that includes an individual plan that the Soldier builds for him/herself with the support of the Warrior Transition Unit (WTU) cadre. Although standardized, this process allows Soldiers to customize their recovery process, enabling them to set and reach their personal goals. The CTP is a process that enables each Soldier to complete a successful transition to his/her desired goal while in the Warrior Transition Unit (WTU) including a personal, plan created for the Soldier by the Soldier.
The Army and the Warrior Transition Command strive to retain members of the well-trained force and support Soldiers returning to duty whenever possible. In some cases, the Army recognizes that injuries may require Soldiers to consider a different Military Occupational Specialty (MOS), and in other situations, Soldiers may separate from the Army. Whichever track the Soldier pursues, WTUs equip Soldiers with the tools and skills to achieve their personal goals.
Consolidated CTP Guidance (CTP-G)
The Warrior Transition Command released consolidated CTP guidance on December 1, 2011. The guidance establishes baseline standards for executing the CTP and defined roles and responsibilities for the Triad of Leadership, Triad of Care, and the interdisciplinary team. It also standardizes processes and procedures for execution of the CTP. Click on this link to open a PDF version of the 1 December 2011 Comprehensive Transition Policy and CTP—Guidance (CTP-G).
Six Processes of the CTP
In-processing: The Soldier will in-process through the WTU Headquarters and Headquarters Company (HHC), including administrative actions, orientation, and risk assessments. At this point, the WTU cadre will outline the CTP process for Soldiers so they understand their roles and responsibilities during their time in the WTU. In-Processing lays the foundation for integration into the Warrior Transition Unit/Community Based Warrior Transition Unit (WTU/CBWTU) to initiate the CTP.
- Goal Setting: The Goal Setting Process guides the Soldier and his Family in the development of sub-goal (short-term) and transition outcome goal (long-term). The Specific, Measurable, Actionable, Realistic, and Time Bound (SMART) Action Statements provide the Soldier a roadmap that supports healing and transition. Sub-goals are developed to support the Soldier's career, physical, emotional, social, Family and spiritual domains. After goal-setting training and consultation with the WTU occupational therapist, each Soldier will select a transition track. The track selection is validated by the chain of command, Triad of Care, and interdisciplinary team. Transition track options include:
- Remain in the Army: for all Soldiers who will continue military service, including
- Return to Duty (RTD): This includes Active Component Soldiers and Reserve Component Soldiers on Active Guard Reserve (AGR) status who meet retention standards and, upon exiting the WTU/CBWTU, return to a position in an active duty unit. Soldiers who have been processed through the Physical Disability Evaluation (PDES) system and we are found Fit for Duty may also RTD.
- Release from Active Duty (REFRAD): This includes National Guard (Compo 2) and US Army Reserve (Compo 3) Soldiers attached to the WTU/CBWTU who meet Army retention standards and are released from Active Duty (REFRAD) to continue duty in the Army National Guard or Army Reserve in their current or alternate MOS.
- MOS Administrative Retention Review (MAR2): The MAR2 allows Soldiers who meet retention standards, but who cannot fully perform the duties of their present MOS to be evaluated for retention in a new MOS.
- Continuation on Active Duty (COAD) or Continuation on Active Reserve (COAR): Soldiers found not fit for duty may apply to Remain in the Army in accordance with AR 635-40, paragraph 6-7. They must be found unfit, and their medical status cannot be deleterious to the Soldier’s health or prejudicial to the best interest of the Soldier or the Army, and they must be physically capable to perform useful duty in a qualified MOS. Physical Evaluation Board Liaison Officers (PEBLOs) must forward all requests submitted to U.S. Army Physical Disability Agency (USAPDA) for decision.
- Transition from the Army: This includes all Soldiers who are not expected to continue military service in either an active or reserve status.
- Medical Separation: When a Soldier had been found not fit for duty by the PDES System, and is either medically retired or separated. This process begins when a Soldier’s Primary Care Manager (PCM), in consultation with appropriate specialty personnel, is able to make a determination whether further medical treatments are likely to return the Soldier to a fit for duty status. This point in time is referred to as the Medical Retention Decision Point (MRDP). This is a medically-based event, and only a medical provider can declare that it has been reached. If, at MRDP, the Soldier is deemed not likely to return to a fit status, then he/she is given a permanent 3 or 4 profile, as medically appropriate, and is referred to the Integrated Disability Evaluation System (IDES) process, which will determine the Soldier’s fitness and arrange for a seamless transfer of care and benefits to Veterans Affairs (VA).
- Non-medical Separation: This may occur when an ineligible Soldier elects to accept a traditional non-medical a traditional non-medical retirement after 20 or more years of service, when the Soldier reaches Expiration of Term of Service (ETS), or is subject to administrative, disciplinary of legal separation through Chapter or Uniform Code of Military Justice (UCMJ).
- Transition Review:The Transition review process provides the interdisciplinary team with an opportunity to review Soldier goals and progress with a focus on identifying and resolving issues that are impeding goal attainment. Each Soldier must take ownership of his/her plan to maximize the resources available in the WTU. The different elements of Review (Soldier self-assessment, CTP Scrimmage, and Focused Transition Review (FTR)) must all work in concert to best facilitate the Soldier’s successful transition.
- Soldier Self Assessment: The self-assessment is used for weekly discussions between the Soldier's Squad Leader (SL) and Nurse Case Manager (NCM). The development of the assessment and its validation by the SL and NCM are key elements for understanding each Soldier's situation and sets the foundation for the CTP Review process.
- CTP Scrimmage: The CTP Scrimmage is a formal meeting of the Soldier and his/her Family with the Triad of Care and the Soldier's interdisciplinary team that uses the six domains of the CTP (career, physical, emotional, social, Family and spiritual) to highlight a future oriented action plan. The CTP Scrimmage is designed to engage the Soldier in finalizing identified goals and measures of success for their time in the WTU and the future.
- Focused Transition Review: This meeting, similar to a CTP Scrimmage, is led by senior WTU leadership bringing oversight to issues and action plans in 180-day intervals. The CTP Scrimmage plan will be reviewed as well as Medical Retention Decision Point (MRDP) dates. The 180-day FTR should focus on barriers to goal attainment, and the 360-day FTR should focus on the Soldier's goals after they leave the WTU.
- Synchronization: CTP Scrimmages and FTRs are designed to be complementary. They must closely follow a timeline to be effective:
- 30 Days - initial CTP Scrimmage
- 90 Days - follow on CTP Scrimmage
- 180 Days - first FTR
- 270 Days - follow on CTP Scrimmage
- 360 Days- follow on FTR
This 90 day cycle of CTP Scrimmage and FTR continues through the Soldier's stay in the WTU.
- Rehabilitation: The rehabilitation process will start following the initial assessment appointments with the Soldiers’ PCM and necessary specialty providers. During the Rehabilitation Process, the Soldier’s schedule centers on clinical and non-clinical interventions to include Career, Education and Employment Readiness, adaptive reconditioning, and physical fitness. The rehabilitation process will provide appropriate clinical and non-clinical guidance to support the Soldier’s transition goals. Additionally, the Soldier actively works to accomplish his/her self-identified transition goals as outlined in his/her CTP. During this phase, the Soldier will complete periodic self-assessments that address areas for a holistic recovery:
- Spiritual: Beliefs, Principles, Values
- Career: Education, Employment, Work Plan
- Emotional: Behavioral Health, Well-Being
- Family: Family, Financial, Housing
- Physical: Activities of Daily Living, Health Care, Medication, Pain, Physical Fitness, Weight Control
- Social: Relationships
Reintegration:The Reintegration Process is designed to specifically prepare each Soldier and his Family for a successful transition back to the force or to civilian life as a Veteran. This process begins as soon as a Soldier is ready to begin reintegration tasks, but no later than MRDP and continues throughout the Soldier’s remaining tenure in the WTU. Execution of the reintegration checklist begins 180 days before the Soldier’s anticipated discharge or transition date, or with MRDP and the initiation of the MEB/PEB process, whichever comes first. The reintegration process culminates with the Soldier’s completed transition from the WTU.
Post-Transition: The period after a Soldier has exited the WTU/CBWTU is considered Post-Transition. At that time, the Soldier will be under the guidance of the gaining unit, the VA and or the AW2 Program if eligible.