Comprehensive Transition Plan

To support each wounded, ill and 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 dynamic, living plan of action that focuses on the Soldier’s future. The CTP uses six domains: career, physical, emotional, social, Family and spiritual to establish goals that map a Soldier’s transition plan. As the owner of the CTP, the Soldier is empowered to take charge of his own transition and is accountable for developing and achieving his goals while complying with all the medical and military responsibilities. The CTP enables each Soldier to complete a successful transition to his/her desired goal while in the Warrior Transition Unit (WTU) or Community Care Unit (CCU).

Six Processes of the CTP

  • In-processing: Immediately upon entry into a WTU or a later transfer into a Community Care Unit (CCU), the Soldier will in-process 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 Care Unit (WTU/CCU) and to initiate the CTP.
  • Goal Setting: The Goal Setting Process guides the Soldier and his/her Family in the development of sub-goals (short-term) that supports his/her overarching Transition/Outcome goal. Goal setting is made up of two parts. The Phase I Goal Setting will be completed within 21 days and facilitated by an Occupational Therapist or Certified Occupational Therapy Assistant (COTA). Phase I Goal Setting is more prescriptive than Phase II because it helps WTU Soldiers create a foundation of functional and occupational goals, which will be reviewed during the initial scrimmage (on day 30). Phase II Goal Setting will be facilitated after the initial scrimmage, between days 31- 90, by Comprehensive Soldier and Family Fitness (CSF2) Master Resilience Trainers/Performance Experts (MRT-PEs). Phase II Goal Setting affords the Soldier the opportunity to expand his/her knowledge of the Goal Setting Process, while providing the freedom to set bigger goals for the Transition Process and beyond. During this time, the Soldier will also create action statements that serve as an on-going roadmap to support his or her healing and transition. The Specific, Measurable, Actionable, Realistic, and Time Bound (SMART) Action Statements ensures that Soldiers have a clear understanding of their goals and how to achieve them.

Remain in the Army Track: 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/CCU, return to a position in an active duty unit. Soldiers who have been processed through the Physical Disability Evaluation (PDES) system and 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/CCU 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 Military Occupation Specialties (MOS).
    • MOS Administrative Retention Review (MAR2):This includes National Guard (Compo 2) and U.S. Army Reserve (Compo 3) Soldiers attached to the WTU/CCU who meet Army retention standards and are released from active duty to continue duty in the Army National Guard or Army Reserve in their current or alternate MOS.
    • Continuation on Active Duty (COAD) or Continuation on Active Reserve (COAR):Soldiers found not fit for duty may apply to Remain in the Armyin accordance with AR 635-40, paragraph 6-7. They must be found unfit, and their medical status cannot be harmful 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 Track: This includes all Soldiers who are not expected to continue military service in either an active or reserve status, including:

    • Medical Separation: When a Soldier is found to be unfit for duty, he or she may either medically retire or separate from the Army. 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 the Department of Veterans Affairs (VA).
    • Non-Medical Separation: This may occur when an ineligible Soldier elects to accept 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 or legal separation through Chapter or Uniform Code of Military Justice (UCMJ).
  • Transition Review: The transition review process provides the commander and interdisciplinary team with an opportunity to review the Soldier’s 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 (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 completed within the Soldier’s first seven days at a WTU and then as directed by the commander (either weekly or monthly). It is used for 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 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. A Soldier’s first scrimmage is held within 30 days of his/her assignment/ attachment, at 90 days, and then at quarterly intervals (180 days, 270 days or 360 days).
    • Focused Transition Review (FTR): This meeting, similar to a CTP scrimmage, is led by the WTU company commander bringing oversight to issues and action plans on or before the MRDP. The FTR should focus on barriers to goal attainment, and it also help the WTU company command hold the interdisciplinary team accountable for providing expertise, resources and support to the Soldier and their Family. The FTR counts as a scrimmage, with the WTU commander present, and is only required once at MRDP.
  • Rehabilitation: The rehabilitation phase begins as early as possible, including during inpatient status immediately following injury and provides appropriate clinical and non-clinical interventions (vocational rehabilitation, education, adaptive reconditioning activities, etc.) 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

The rehabilitation progress and outcome also provides the PCM with information to determine the Soldier’s MRDP. If MRDP is reached, the company commander will facilitate a FTR with battalion oversight to assess the Soldier’s progress, status of the transition plan and proficiency of the interdisciplinary team’s efforts.

  • 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 no later than 180 days but prior to the Soldier’s anticipated discharge or transition date, or with MRDP and the initiation of the Medical Evaluation Board (MEB)/Physical Evaluation Board (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/CCU is considered Post-Transition. At that time, the Soldier will be under the guidance of the gaining unit, the VA and or the U.S. Army Wounded Warrior Program (AW2) if eligible.

Policy and Resources

Frequently Asked Questions

Does the US Army design a CTP for each Soldier in transition?
What role does my Family have in my CTP?
What can my Family do to better understand my requirements relevant to the CTP?
How much time do I have to develop my CTP after being assigned or attached to WTU?
What role does the Warrior Transition Command have in managing my CTP?

Does the US Army design a CTP for each Soldier in transition?

No, although the CTP is standardized from a framework perspective (goals are developed on the basis of six domains of strength – career, physical, emotional, social, Family and spiritual), enabling each Soldier to customize their recovery by setting and reaching their personal goals to complete a successful transition.

What role does my Family have in my CTP?

Your Family has a key role in helping you to complete your self-assessment and assists you in accomplishing the goals that you set. Your Family is encouraged to attend all CTP scrimmages.

What can my Family do to better understand my requirements relevant to the CTP?

The WTU leadership and interdisciplinary team are available to provide answers to any questions that your Family members may have regarding the CTP.

How much time do I have to develop my CTP after being assigned or attached to WTU?

All Soldiers assigned or attached to a WTU will begin the CTP process upon assignment or attachment to a WTU.

What role does the Warrior Transition Command have in managing my CTP?

The Warrior Transition Command (WTC) is responsible for the integration of Warrior Care and Transition processes across the Army, and for enhancing care and improving the transition of wounded, ill and injured Soldiers back to duty or into civilian life as productive Veterans. The WTC develops policy and guidance to standardize and optimize the use of the CTP and manages its related administrative requirements.

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Comprehensive Transition Plan (CTP)

The Triad of Care and interdisciplinary team of clinical and non-clinical professionals work closely with each Soldier and Family throughout recovery and transition.