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1,750,000+
the number of U.S. military personnel that
      have served or are serving in
         Iraq and Afghanistan.
U. S. CASUALTIES
  As of April 11th, 2009
U. S. CASUALTIES
                       As of April 11th, 2009
                            Killed In           Wounded
COMPONENT                                %                   %
                             Action             In Action

National Guard               572        11.6%   4,397       12.9%
Florida National Guard         10                  41

    Reserves                 341        6.9%    2,507       7.4%
  Florida Reservists           10                 137

  Active Duty               4,023       81.5%   27,067      79.7%
 Florida Active Duty          202                1,399

      TOTAL                 4,936       100%    33,971      100%
     Florida Total            222                1,577
50°N
               125°W            120°W       115°W             110°W          105°W          100°W   95°W          90°W               85°W               80°W                         75°W                       70°W




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PACIFIC
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OCEAN                                                                                                                                                                                                                          30°N
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      70°
          N




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                                                                                                                                                 Gulf of
                                                                                                                                                 Mexico
                                                     160°W               156°W
                                                                                                                  LEGEND
60°
      N                                                                              22°N
                                                                                                                   National boundary
Bering
 Sea                                                                                                               State boundary                                                                     cer
                                                                                                                                                                                                  n
                                                                                                                                                                                             of Ca
                         Gulf of Alaska                                                                                                                                             Tropic
                                                                                                           km 0    125         250
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                       km 0 250 500
                                              km 0 100       200
                                                                                                           mi 0          125          250
                       mi 0   250     500
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              160°W                 140°W
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               125°W            120°W       115°W             110°W          105°W          100°W   95°W          90°W               85°W               80°W                         75°W                       70°W




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                                                                                                                                                                                    FL
                                                                                                                                                                                                                       S
      70°
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                                                                                                                                                                                                                               25°N
                                                                                                                                                 Gulf of
                                                                                                                                                 Mexico
                                                     160°W               156°W
                                                                                                                  LEGEND
60°
      N                                                                              22°N
                                                                                                                   National boundary
Bering
 Sea                                                                                                               State boundary                                                                     cer
                                                                                                                                                                                                  n
                                                                                                                                                                                             of Ca
                         Gulf of Alaska                                                                                                                                             Tropic
                                                                                                           km 0    125         250
                                                                                     20°N
                       km 0 250 500
                                              km 0 100       200
                                                                                                           mi 0          125          250
                       mi 0   250     500
50 °N                                         mi 0      100        200
              160°W                 140°W
65%
of Iraq and Afghanistan casualties are caused by IED’s
            (improvised explosive devices).

  IED’s produce a pattern of polytraumatic injuries:
                      blindness
                 spinal cord injuries
                        burns
                    amputations
    and, the signature wounds of these conflicts,
                          TBI
                        PTSD
320,000
          the number of military personnel from the U.S.
        estimated to have suffered a Traumatic Brain Injury
                               (TBI).



                                     300,000
       the number estimated to suffer from some form of
            Post Traumatic Stress Disorder (PTSD) .
Rand Report: Center for Military Health Policy Research: “Invisible Wounds of War. Psychological and Cognitive Injuries, Their Consequences, and Services to Assist
Recovery.” Terri Tanielian and Lisa H. Jaycox, Editors. 2008.

National Center for Injury Prevention and Control. Report to Congress on Mild Traumatic Brain Injury in the United States: Steps to Prevent a Serious Public Health
Problem. Atlanta, GA: Centers for Disease Control and Prevention. 2003
Rand Report: Center for Military Health Policy Research: “Invisible Wounds of War. Psychological and Cognitive Injuries, Their Consequences, and Services to Assist
Recovery.” Terri Tanielian and Lisa H. Jaycox, Editors. 2008.

National Center for Injury Prevention and Control. Report to Congress on Mild Traumatic Brain Injury in the United States: Steps to Prevent a Serious Public Health
Problem. Atlanta, GA: Centers for Disease Control and Prevention. 2003
$25,000
  the one year cost estimate for treating one mild case of
                          PTSD.



                              $408,000
                the one year cost estimate for treating an
              individual with the most severe case of PTSD.
Rand Report: Center for Military Health Policy Research: “Invisible Wounds of War. Psychological and Cognitive Injuries, Their Consequences, and Services to Assist
Recovery.” Terri Tanielian and Lisa H. Jaycox, Editors. 2008.

National Center for Injury Prevention and Control. Report to Congress on Mild Traumatic Brain Injury in the United States: Steps to Prevent a Serious Public Health
Problem. Atlanta, GA: Centers for Disease Control and Prevention. 2003
$7.5 Billion
$122.4 Billion
the estimated range for the annual
cost for treating all individuals with
       PTSD and severe TBI.
MISSION

Project Courage, a Florida “Not-For-Profit”
corporation, brings together the financial,
technical and management resources to support
active duty service members, Reservists, National
Guardsmen, veterans and their families.
The current conflicts in Iraq and Afghanistan represent the
most sustained combat operations for U.S. forces since the
Vietnam War. The high rates of trauma experienced by our
military will result in increased demands on DoD, the VA, and
community healthcare systems.
The development of cost effective, novel 21st Century
methods to engage service members, assist their families and
to treat these warriors is imperative.
Project Courage partnering with the federally funded
Center of Excellence for Remote and Medically Under-
Served Areas (CERMUSA) at St. Francis University, Loretto,
PA will create Courage University by utilizing “cloud
computing”, Web 2.0 and Web 3.0 technologies.


This partnership will assist the Department of Defense in
the treatment of PTSD and TBI and other injuries by ...
1. ... developing in accordance with TRICARE, HIPAA
 and other regulatory agencies, a secure web-based
 platform for the treatment of PTSD and chronic TBI,
 especially for National Guardsmen and Reservists
 whose units are scattered throughout the United
 States away from the main treatment centers.
2. ... creating a web based “Minds in Motion” program
 that incorporates kinesthetic techniques via game
 consoles such as Wii and Play Station as well as
 tailored fitness equipment where the patient actually
 carries out a physical activity in conjunction with the
 learning or re-learning process.
3. ... providing National Guardsmen, Reservists,
  servicemen on active duty and their families a
  secure managed Internet environment to discover,
  examine and evaluate the assistance given by public
  and private service organizations.
4. ... building a coalition of wounded warriors,
  healthcare givers and other public and private
  organizations for the service member and his/her
  family.


5.... assisting the healthcare giver, the service member
 and families with interactive distance learning
 programs regarding PTSD, TBI and other pertinent
 information.
Physical activity has been shown to enhance the
effectiveness of psychological therapies and to have a role in
improving quality of life and symptom management for
people with a wide range of mental health problems.

Physical activity has a double benefit, since people with
mental health problems are also at increased risk of a range
of physical health problems, including cardiovascular
disease, endocrine disorders and obesity.

However referral to a physical activity is rarely available in
psychiatric and counseling treatment settings.
Project Courage will provide that activity by creating the
Courage Games. To reach as many military personnel as
possible eight Regional Courage Games will be created by
partnering with ...
 • member organizations of the National Association of
   Sports Commissions

 • Disabled Sports Organizations
 • National Governing Bodies
 • veteran and military associations
The Courage Games will ...
 •begin in the summer of 2010 in Gainesville, FL
 •then at seven other sites to be determined
  throughout the year.
 •within 400 miles of a major U.S.military installation
 •include Active Duty, National Guard and Reserve
  units from neighboring states
 •include veterans
 •include events for family members
FLORIDA CONCEPT




Military instalations are located in the shaded states
FLORIDA CONCEPT




Military instalations are located in the shaded states
FLORIDA CONCEPT




Military Bases
within 400 mi.
  radius of
Gainesville, FL
FLORIDA CONCEPT




Military Bases
within 400 mi.
  radius of
Gainesville, FL
funding
funding
funding
Funding for Project Courage will come from three
sources:
  1. Federal Government via an appropriation request
    submitted by Congressman Robert Wexler
  2. Grants, donations & ‘gifts in kind’ via the Courage
    Fund established by the Alma Foundation of Boca
    Raton, FL
  3. Corporate Sponsorships
funding

                                  Project Courage, Hollywood, Florida
                                    $5,500,000 for Project Courage

The Rand Corporation, Department of Defense, and the Centers for Disease Control and Prevention all
 report that the long term effects and consequences of TBI, PTSD, and other psychological health issues
     will cost billions of dollars in care, treatment, and rehabilitation. Of the 1.64 million U.S. troops
 deployed in the war on terror, approximately 320,000 have sustained a TBI and another 300,000 some
form of PTSD. The Rand Report also estimates that cost for treating PTSD could range from a $25,000
   per year in mild cases to $408,000 for severe cases. This program can alleviate these costs through
                                      effective psychological rehabilitation.

                                         Updated: April 3, 2009
funding
funding
funding
Corporate sponsorship packages are in the process of
being developed with some form of revenue sharing being
considered.
NATIONAL packages will include:
 • One hour tape delayed synopsis of all regional events
 • One or two concerts for the benefit of Project Courage
 • Signage or “look of the games” elements at all regional
  games.
REGIONAL packages will include:
 • Clauses regarding sponsor category conflicts
 • National sponsor’s rights and obligations
 • Etc.
Congressional Endorsements:
 • Congressman Robert Wexler
 • Congressman Alcee Hastings
 • Congressman Ron Klein

State of Florida Endorsements:
 • Florida State Senator Ted Deutch
 • Florida State Representative Kelly Skidmore
 • Florida State Representative Maria Lorts Sachs
 • Florida State Representative Richard A. Machek
Organizations Supporting Project Courage:
•The ALMA Foundation, Boca Raton, FL
 http://www.almafoundation.net

•Saint Francis University, Loretto, PA, Center of Excellence for
 Remote and Medically Under-Served Areas (CERMUSA) http://
 cermusa.francis.edu/

•MCNC - Microelectronics Center of North Carolina
 http://www.mcnc.org

•Minds ʻn Motion, Coral Springs Charter School, Coral Springs,
 FL
Project Courage Presentation April 16th 2009

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Project Courage Presentation April 16th 2009

  • 1.
  • 2. 1,750,000+ the number of U.S. military personnel that have served or are serving in Iraq and Afghanistan.
  • 3. U. S. CASUALTIES As of April 11th, 2009
  • 4. U. S. CASUALTIES As of April 11th, 2009 Killed In Wounded COMPONENT % % Action In Action National Guard 572 11.6% 4,397 12.9% Florida National Guard 10 41 Reserves 341 6.9% 2,507 7.4% Florida Reservists 10 137 Active Duty 4,023 81.5% 27,067 79.7% Florida Active Duty 202 1,399 TOTAL 4,936 100% 33,971 100% Florida Total 222 1,577
  • 5. 50°N 125°W 120°W 115°W 110°W 105°W 100°W 95°W 90°W 85°W 80°W 75°W 70°W N 45° Superior ke La La k rio e nta Hu O Michigan ke La ron 40°N ie Er Lake ke La 35°N ATLANTIC OCEAN PACIFIC N OCEAN 30°N E W S 70° N 25°N Gulf of Mexico 160°W 156°W LEGEND 60° N 22°N National boundary Bering Sea State boundary cer n of Ca Gulf of Alaska Tropic km 0 125 250 20°N km 0 250 500 km 0 100 200 mi 0 125 250 mi 0 250 500 50 °N mi 0 100 200 160°W 140°W
  • 6. 50°N 125°W 120°W 115°W 110°W 105°W 100°W 95°W 90°W 85°W 80°W 75°W 70°W WA N 45° Superior ke La La k NY rio e nta Hu O Michigan ke La ron MI 40°N PA ie Er Lake ke La OH IL CA 35°N ATLANTIC GA OCEAN PACIFIC N OCEAN 30°N TX E W FL S 70° N 25°N Gulf of Mexico 160°W 156°W LEGEND 60° N 22°N National boundary Bering Sea State boundary cer n of Ca Gulf of Alaska Tropic km 0 125 250 20°N km 0 250 500 km 0 100 200 mi 0 125 250 mi 0 250 500 50 °N mi 0 100 200 160°W 140°W
  • 7.
  • 8. 65% of Iraq and Afghanistan casualties are caused by IED’s (improvised explosive devices). IED’s produce a pattern of polytraumatic injuries: blindness spinal cord injuries burns amputations and, the signature wounds of these conflicts, TBI PTSD
  • 9.
  • 10. 320,000 the number of military personnel from the U.S. estimated to have suffered a Traumatic Brain Injury (TBI). 300,000 the number estimated to suffer from some form of Post Traumatic Stress Disorder (PTSD) . Rand Report: Center for Military Health Policy Research: “Invisible Wounds of War. Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery.” Terri Tanielian and Lisa H. Jaycox, Editors. 2008. National Center for Injury Prevention and Control. Report to Congress on Mild Traumatic Brain Injury in the United States: Steps to Prevent a Serious Public Health Problem. Atlanta, GA: Centers for Disease Control and Prevention. 2003
  • 11. Rand Report: Center for Military Health Policy Research: “Invisible Wounds of War. Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery.” Terri Tanielian and Lisa H. Jaycox, Editors. 2008. National Center for Injury Prevention and Control. Report to Congress on Mild Traumatic Brain Injury in the United States: Steps to Prevent a Serious Public Health Problem. Atlanta, GA: Centers for Disease Control and Prevention. 2003
  • 12. $25,000 the one year cost estimate for treating one mild case of PTSD. $408,000 the one year cost estimate for treating an individual with the most severe case of PTSD. Rand Report: Center for Military Health Policy Research: “Invisible Wounds of War. Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery.” Terri Tanielian and Lisa H. Jaycox, Editors. 2008. National Center for Injury Prevention and Control. Report to Congress on Mild Traumatic Brain Injury in the United States: Steps to Prevent a Serious Public Health Problem. Atlanta, GA: Centers for Disease Control and Prevention. 2003
  • 13.
  • 14. $7.5 Billion $122.4 Billion the estimated range for the annual cost for treating all individuals with PTSD and severe TBI.
  • 15.
  • 16.
  • 17. MISSION Project Courage, a Florida “Not-For-Profit” corporation, brings together the financial, technical and management resources to support active duty service members, Reservists, National Guardsmen, veterans and their families.
  • 18.
  • 19. The current conflicts in Iraq and Afghanistan represent the most sustained combat operations for U.S. forces since the Vietnam War. The high rates of trauma experienced by our military will result in increased demands on DoD, the VA, and community healthcare systems. The development of cost effective, novel 21st Century methods to engage service members, assist their families and to treat these warriors is imperative.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24. Project Courage partnering with the federally funded Center of Excellence for Remote and Medically Under- Served Areas (CERMUSA) at St. Francis University, Loretto, PA will create Courage University by utilizing “cloud computing”, Web 2.0 and Web 3.0 technologies. This partnership will assist the Department of Defense in the treatment of PTSD and TBI and other injuries by ...
  • 25.
  • 26. 1. ... developing in accordance with TRICARE, HIPAA and other regulatory agencies, a secure web-based platform for the treatment of PTSD and chronic TBI, especially for National Guardsmen and Reservists whose units are scattered throughout the United States away from the main treatment centers.
  • 27.
  • 28. 2. ... creating a web based “Minds in Motion” program that incorporates kinesthetic techniques via game consoles such as Wii and Play Station as well as tailored fitness equipment where the patient actually carries out a physical activity in conjunction with the learning or re-learning process.
  • 29.
  • 30. 3. ... providing National Guardsmen, Reservists, servicemen on active duty and their families a secure managed Internet environment to discover, examine and evaluate the assistance given by public and private service organizations.
  • 31.
  • 32. 4. ... building a coalition of wounded warriors, healthcare givers and other public and private organizations for the service member and his/her family. 5.... assisting the healthcare giver, the service member and families with interactive distance learning programs regarding PTSD, TBI and other pertinent information.
  • 33.
  • 34.
  • 35.
  • 36. Physical activity has been shown to enhance the effectiveness of psychological therapies and to have a role in improving quality of life and symptom management for people with a wide range of mental health problems. Physical activity has a double benefit, since people with mental health problems are also at increased risk of a range of physical health problems, including cardiovascular disease, endocrine disorders and obesity. However referral to a physical activity is rarely available in psychiatric and counseling treatment settings.
  • 37.
  • 38. Project Courage will provide that activity by creating the Courage Games. To reach as many military personnel as possible eight Regional Courage Games will be created by partnering with ... • member organizations of the National Association of Sports Commissions • Disabled Sports Organizations • National Governing Bodies • veteran and military associations
  • 39.
  • 40. The Courage Games will ... •begin in the summer of 2010 in Gainesville, FL •then at seven other sites to be determined throughout the year. •within 400 miles of a major U.S.military installation •include Active Duty, National Guard and Reserve units from neighboring states •include veterans •include events for family members
  • 41. FLORIDA CONCEPT Military instalations are located in the shaded states
  • 42. FLORIDA CONCEPT Military instalations are located in the shaded states
  • 43. FLORIDA CONCEPT Military Bases within 400 mi. radius of Gainesville, FL
  • 44. FLORIDA CONCEPT Military Bases within 400 mi. radius of Gainesville, FL
  • 47. funding Funding for Project Courage will come from three sources: 1. Federal Government via an appropriation request submitted by Congressman Robert Wexler 2. Grants, donations & ‘gifts in kind’ via the Courage Fund established by the Alma Foundation of Boca Raton, FL 3. Corporate Sponsorships
  • 48. funding Project Courage, Hollywood, Florida $5,500,000 for Project Courage The Rand Corporation, Department of Defense, and the Centers for Disease Control and Prevention all report that the long term effects and consequences of TBI, PTSD, and other psychological health issues will cost billions of dollars in care, treatment, and rehabilitation. Of the 1.64 million U.S. troops deployed in the war on terror, approximately 320,000 have sustained a TBI and another 300,000 some form of PTSD. The Rand Report also estimates that cost for treating PTSD could range from a $25,000 per year in mild cases to $408,000 for severe cases. This program can alleviate these costs through effective psychological rehabilitation. Updated: April 3, 2009
  • 51. funding Corporate sponsorship packages are in the process of being developed with some form of revenue sharing being considered. NATIONAL packages will include: • One hour tape delayed synopsis of all regional events • One or two concerts for the benefit of Project Courage • Signage or “look of the games” elements at all regional games. REGIONAL packages will include: • Clauses regarding sponsor category conflicts • National sponsor’s rights and obligations • Etc.
  • 52.
  • 53.
  • 54. Congressional Endorsements: • Congressman Robert Wexler • Congressman Alcee Hastings • Congressman Ron Klein State of Florida Endorsements: • Florida State Senator Ted Deutch • Florida State Representative Kelly Skidmore • Florida State Representative Maria Lorts Sachs • Florida State Representative Richard A. Machek
  • 55.
  • 56. Organizations Supporting Project Courage: •The ALMA Foundation, Boca Raton, FL http://www.almafoundation.net •Saint Francis University, Loretto, PA, Center of Excellence for Remote and Medically Under-Served Areas (CERMUSA) http:// cermusa.francis.edu/ •MCNC - Microelectronics Center of North Carolina http://www.mcnc.org •Minds ʻn Motion, Coral Springs Charter School, Coral Springs, FL

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