Medically Releasing Members

Introduction to Case Management

When transitioning out of the CAF for medical reasons, Case Management Services are provided by:

  • Canadian Forces Health Services (CFHS);
  • CAF LTD and CAF VRP; and
  • VAC.

The purpose of the CAF/VAC partnership is to develop and coordinate a joint medical transition plan in consultation with the member and family, health care team, and VAC in order to ensure a seamless transition from the CAF health care system to the provincial/territory health care system.

Canadian Forces Health Services Case Management

CFHS Case Management is a collaborative, client-driven process that provided quality health and support services through the effective and efficient use of resources. Case Management help clients achieve safe, realistic, and reasonable goals within a complex health, social, and fiscal environment.

CFHS care providers ensure eligible ill and injured members engage in case management services early in the process, assuring coordination and continuity of care in support of Return to Duty or transition to civilian life. This is complemented by access to the appropriate benefits and administrative supports provided by all stakeholders.

CFHS Nurse Case Managers are available at all Canadian Forces Health Services Centres (CF H Svcs C) across Canada.

CAF Transition Unit and Centre Service Coordinators

There are important support mechanisms in place for CAF personnel, including the existence of a CAF unit that focuses on their needs.

The CAF Transition Centre (CAF TC) provides personal administrative support and programs to ill and injured CAF members of the Reg F and Res F. CAF members do not have to be posted to the centre in order to receive services through a CAF TC and Transition Unit (TU).

A CAF TC has three main components: a Services Section, a Support Platoon, and Partner Organizations. The strength of service delivery is achieved by all service partners working collaboratively as a team.

  1. CAF TC Services Section: Core services include
    1. Return to work coordination;
    2. Vocational transition assistance;
    3. Home and vehicle modifications;
    4. Information, support, and advocacy services for casualty administration, benefits, and programs; and
    5. Administrative support to families of those CAF members who die while in service, including the disengagement of the Designated Assistant.
  2. CAF TC Support Platoon: Ill and injured CAF members may be posted to the centre based on the recommendation of the unit CO and medical authority. Those posted to the centre are under command of the nearest CAF Transition Centre Support Platoon. While some members posted to the centre may eventually be released due to their medical condition, the primary objective of CAF Transition Centre is to provide support to the member throughout his or her recovery and enhance a return to duty in the CAF.
  3. CAF TC service partners: Because some Partner Organizations are co-located in the centre, currently serving and former CAF members, as well as their families, are provided with a one-stop service for a majority of their requirements. Key partners associated with a CAF Transition Centre include:
    1. VAC;
    2. Director Military Family Services – Family Liaison Officer;
    3. CAF Vocational Rehabilitation Program;
    4. Personnel Support Programs;
    5. CAF Health Services; and
    6. Base and Wing partners (Personnel Selection Officers, Chaplains, etc.)

Service Coordinators work closely with CFHS Nurse Case Managers, CAF VRP Counsellors, VAC Case Managers, and other partner agencies to ensure a comprehensive and multi-disciplinary approach.

CAF LTD Case Management and CAF VRP Counselling

The CAF LTD program is a CAF employee benefit available to all Reg F and P Res members. It provides income replacement post release and access to the CAF VRP pre-release and post-release. The CAF LTD program covers both service and non-service-related illnesses or injuries. However, P Res must be injured or diagnosed while “on duty” to receive CAF LTD benefits. The CAF LTD is the initial benefit provider of income replacement and vocational support services.

Case management services are provided for all qualifying members. CAF VRP counsellors work in conjunction with the CAF LTD case manager to help members plan and implement vocational goals, as well as develop employment transition opportunities and support.

CAF LTD – Income Support

CAF LTD wage loss replacement benefits are an employer-sponsored group disability insurance benefit.  As part of your employee’s benefit plan, CAF LTD benefits are considered the first payer and will provide income support before any other sources of support for medically released members, or those who are non-medically released and are deemed to be totally disabled.  While CAF LTD income support claim is active, participants in the program have access to vocational rehabilitation support which include training or preparation for a career in the civilian workforce as well as return to work assistance.

The CAF LTD program provides income support for medically released members, or those who are non-medically released and are deemed to be totally disabled, for an initial period up to 24 months following their date of release.  CAF LTD benefit support can continue up to age 65 as long as you continue to be deemed totally disabled:

  • Regular Force members receive 75% of their salary at release;
  • Class C members receive 75% of their monthly pay when the injury or illness occurred;
  • Long term Class B receive 75% of their calculated monthly salary in place when the injury or illness occurred; and
  • Short term Class B (contract less than 180 days) and Class A receive 75% of a deemed monthly salary of $2,700/month providing the injury or illness occurred while on duty.  There is an option to purchase higher coverage of either $3,700/month or $4,700/month if needed.

VAC, with their Earning Loss Benefit, will ensure qualified members receive a total income of at least 90% of your gross pre-release military salary if you are a veteran of the CAF who, is enrolled in and participating in the VAC Rehabilitation Program:

  • has medically released within the last 120 days; or
  • has a health problem resulting from military service making it difficult to adjust to life at home, in your community or at work.

Beginning April 2019, this VAC benefit will be only apply to service related injury, and participation in the VAC Rehabilitation Program.

Offsets to the CAF LTD income support benefits include:

  • Canadian Forces Superannuation Act (CFSA);
  • Canada Pension Plan Disability (CPPD) or Quebec Pension Plan Disability (QPPD) benefits (disabled contributors only);
  • Employment income.  While participating in an approved vocational rehabilitation program the monthly benefit will be reduced by 50% of income until the calculation reaches the original salary at release, after which the reduction is 100% of the excess;
  • Automobile insurance benefits (Reservists only);
  • LTD coverage provided through another employer (Reservists only);
  • Workers’ Compensation Benefits (Reservists only);
  • Another  employer pension plan benefits (Reservists only); and
  • The Government Employee Compensation Act (GECA) (Reservists only).

CAF Vocational Rehabilitation Program (CAF VRP) – Support

The CAF VRP is a need-based voluntary component of the CAF LTD benefits with a goal of assisting members to prepare for viable employment post release.  When the need exists, the program will build on a member’s existing skills or, if none exist will help develop new skills to facilitate a return to the workforce while respecting their medical limitations.  Training will focus on the acquisition of a licence, certification, diploma or degree from a recognized educational institution.

Eligible members released from the CAF for medical reasons are offered an initial entitlement period of up to six consecutive months before their effective date of release and 24 consecutive months’ post-release.  Those who are considered as totally disabled have full access to the CAF VRP for as long as they continue to qualify for CAF LTD.

The Vocational Rehabilitation Counsellor will meet with the claimant to evaluate the education, skills, training and experience and to establish the feasibility of a CAF VRP, as well as to inform the claimant of all the support available.  Working with the member the VRC will help develop a mutually agreed upon a plan that is:

  • Realistic in execution and need;
  • Within the cost limits of the program;
  • Within the medical abilities/limitations of the member;
  • Attainable in the time available through the CAF LTD;
  • Has viable employment opportunities; and
  • Is approved by the VRC.

The CAF VRP services will provide:

  • Personal counselling;
  • Coordination of medical support;
  • Vocational counselling and vocational rehabilitation financial support;
  • Career counselling; and
  • Employment search assistance, including support for Public Service applications and the provision of targeted job leads.

Veterans Affairs Canada Case Management

Case Management is a service offered by VAC to assist former members, Veterans, RCMP and their families who may be finding it difficult to navigate a transition or change in their lives.  Not everyone needs case management services; however, if needed a VAC Case Manager will be assigned to those with complex needs to assist dealing with life challenges..

Soldier On

Soldier On provides resources and opportunities for ill and injured personnel to enjoy sports and recreation in a supportive environment that encourages them to become active for life.

Soldier On supports serving and retired CAF members (Reg F and Res F), with a permanent or chronic, visible or non-visible, illness or injury.

Soldier On facilitates and/or supports recreational or sporting activities and provides access to specialized equipment, training, and events tailored for the ill and injured. Its training camps provide introductory, intermediate, and advanced activities.

Soldier On introductory events emphasize social interaction for its members at local or regional events. Members also participate in events with partner organizations and allies in the United States, Britain, and Australia.

Advanced participants are involved in provincial, national, and international events, such as the Paralympic Games, national ParaSport teams, U.S. Warrior Games, the Invictus Games, and the Nijmegen Marches. Members of Soldier On have the opportunity to be mentored by professional athletes and coaches.

The Soldier On Fund, a non-public property (NPP) fund, is used to support serving and retired CAF members and their families. The Soldier On Fund provides financial grants to purchase equipment that supports an adaptive lifestyle, and subsidizes the expenses of physical, recreational, or sport-related activities that directly contribute to a healthy and active lifestyle.

For more information or to access funds, visit the Soldier On or Soldier On Fund website.

Operational Stress Injury Social Support (OSISS)

Operational Stress Injury Social Support (OSISS) is a joint program between the DND and VAC. Created by CAF personnel and their family members who experienced first-hand the effects of an Operational Stress Injury (OSI), it is a confidential, non-clinical, peer-based, social support program that helps individuals return to a healthier quality of life.

The mission of OSISS is to establish, develop, and improve social support programs for CAF members, Veterans, and their families affected by an OSI. It also provides education and training within the CAF community to create an understanding and acceptance of OSIs.

Peer support coordinators are available at more than 20 locations across Canada. These are trained, former CAF personnel, and CAF family members who have firsthand experience with an OSI.

The peer support coordinators have the knowledge and resources to help those with OSI. They can put them in contact with staff at VAC and/or the CAF who can address concerns surrounding release, pension, or treatment. They can help to access specially designed OSI programs or other community resources.

The peer support coordinator will listen, make suggestions, and leave the choices to the individual. Those with OSI do not have to face their recovery alone.

Peer support coordinators and can be reached toll free at 1-800-883-6094.

For more information on OSISS, visit the OSISS website at http://www.osiss.ca/en/index.html

ON-GOING SUPPORT

Because transition can be challenging for members and their families, it is good to know that there is help in our community if needed. Members who are releasing may be eligible for support from VAC and other agencies.

Support is available to Veterans and their families throughout this transition. Services are available locally at MFRC. A complete list of MFRC locations can be found at: www.FamilyForce.ca

CAF Transition Group Headquarters Client Services

1-800-883-6094

In co-operation with the CAF Transition Unit services sections, CAF Transition Group Headquarters (TG HQ) Client Services section provides personalized service to ill and injured CAF members, former members, and their families. The CAF Transition Unit Services Sections usually advocate on members' behalf and assist with various casualty administration difficulties and challenges. When these tasks cannot be resolved locally, CAF TG HQ Client Services personnel provide assistance using the additional resources available at the HQ level.

Family Information Line

1-800-866-4546

The Family Information Line (FIL) is a confidential, personal, and bilingual service offering information, support, referrals, reassurance, and crisis management to the military community. FIL serves CAF members, Veterans, and their families (both immediate and extended). Trained FIL counsellors are available 24 hours a day, seven days a week, by phone (1-800-866-4546) or email (FIL@familyforce.ca) to assist you.

Veterans Affairs Canada Assistance Service

1-800-268-7708

Veterans Affairs Canada Assistance Service is a voluntary and confidential service to help all veterans and their families as well as primary caregivers who have personal concerns that affect their well-being.  The service is available free of charge.  You can reach a mental health professional at any time, 24 hours a day, 365 days a year.

Canadian Forces Member Assistance Program

1-800-268-7708

Initiated by the CAF, the Canadian Forces Member Assistance Program assists members and family members who have concerns that affect their personal well-being. This service is available 24 hours a day, 7 days a week.

SISIP FINANCIAL CONTACT INFO

SISIP Financial office locations, Manulife contact information and application forms can be obtained by calling SISIP Financial customer service at 1-800-267-6681, Manulife/SISIP Services at 1-800-565-0701 or at https://www.sisip.com

HOPE Program

The transition for those left behind after a loved one has died is very difficult. Even if family, friends and in some cases, professional counsellors are available to provide support, many bereaved individuals also express a desire to speak with someone who has been through a similar experience. In many cases, this connection with a peer helper is very helpful. People who are grieving often make a connection with their peer helper because they understand that their peer helper has already walked this path.

The mission of the HOPE program (Helping Our Peers by Providing Empathy) is to provide confidential support to families who have suffered the loss of a loved one: either a member in service or retired from the Regular or Reserve Force of the Canadian Armed Forces (CAF). The cause of the loss can be attributed to military service or to other factors: sudden death, accident, illness, suicide, natural causes.

The HOPE program was created in 2006 with the help of people who have lost a military loved one. The program matches trained volunteers who offer peer support.

Our Impact

  • The HOPE Program has developed a strong expertise in the grieving process.
  • The program has a very positive healing impact for families.
  • The program helps prevent family members from feeling as if they are alone in their grief and it offers a safe place of support.

The role of the HOPE Program is to bring unique support and comfort through our volunteers. They will listen to your story, your thoughts, acknowledge your feelings, share their experience, and give you a sense of HOPE. If you, or someone you know is experiencing grief and needs support from us, please do not hesitate to contact us.

The HOPE Program is for adult family members and there is no time limit to reach out. You can call us via our toll-free telephone number at: 1-800-883-6094 (available from Monday to Friday, from 8:00am to 16:00pm (Eastern Time) from anywhere in Canada) or send us an email at: HOPE-ESPOIR@forces.gc.ca, or visit our website at www.hope-espoir.com.

 

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