Understanding treatment of mild traumatic brain injury in the military health system / Carrie M. Farmer, Heather Krull, Thomas W. Concannon, Molly Simmons, Francesca Pillemer, Teague Ruder, Andrew M. Parker, Maulik P. Purohit, Liisa Hiatt, Benjamin Batorsky, Kimberly A. Hepner.

By:

Farmer, Carrie M [author.]

Contributor(s): Material type: Text

TextSeries: Research report (Rand Corporation) ; RR-844-OSD.Publisher: Santa Monica, Calif. : Rand Corporation, [2016]Copyright date: ©2016Description: 1 online resource (xxvi, 120 pages) : color illustrationsContent type:

text

Media type:

computer

Carrier type:

online resource

ISBN:

9780833092892
0833092898

Subject(s):

Genre/Form:

Additional physical formats: Print version:: No title; Print version:: Understanding treatment of mild traumatic brain injury in the military health system.DDC classification:

617.4810443 23

LOC classification:

RC387.5 .F37 2016

NLM classification:

WL 354

Online resources:

Click here to access online

Contents:

Introduction -- Methods -- How Many Service Members Receive Treatment for mTBI? -- What Are the Characteristics of Nondeployed Active-duty Service Members Who Receive Treatment for an mTBI Through the MHS? -- Where Do Nondeployed Active-duty Service Members with mTBI Receive Care? -- What Are the Duration and Patterns of Health Care in the Six Months After an mTBI? -- What Types of Care Do Nondeployed Active-Duty Service Members with mTBI Receive in the Six Months After Their mTBI Diagnosis? -- Who Receives Persistent Care Following mTBI Diagnosis? -- Finding and Recommendations.

Summary: "Traumatic brain injury (TBI) is considered a signature injury of modern warfare, though TBIs can also result from training accidents, falls, sports, and motor vehicle accidents. Among service members diagnosed with a TBI, the majority of cases are mild TBIs (mTBI), also known as concussions. Many of these service members receive care through the Military Health System, but the amount, type, and quality of care they receive has been largely unknown. A RAND study, the first to examine the mTBI care of a census of patients in the Military Health System, assessed the number and characteristics (including deployment history and history of TBI) of nondeployed, active -duty service members who received an mTBI diagnosis in 2012, the locations of their diagnoses and next health care visits, the types of care they received in the six months following their mTBI diagnosis, co-occurring conditions, and the duration of their treatment. While the majority of service members with mTBI recover quickly, the study further examined a subset of service members with mTBI who recieved care for longer than three months following their diagnosis. Diagnosing and treating mTBI can be especially challenging because of variations in symptoms and other factors. The research revealed inconsistencies in the diagnostic coding, as well as areas for improvement in coordinating care across providers and care settings. The results and recommendations provide a foundation to guide future clinical studies to improve the quality of care and subsequent outcomes for service members diagnosed with mTBI."--Back cover.

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"RR-844-OSD"--Page 4 of cover.

"National Defense Research Institute."

"Prepared for the Defense and Veterans Brain Injury Center, Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury."

"Traumatic brain injury (TBI) is considered a signature injury of modern warfare, though TBIs can also result from training accidents, falls, sports, and motor vehicle accidents. Among service members diagnosed with a TBI, the majority of cases are mild TBIs (mTBI), also known as concussions. Many of these service members receive care through the Military Health System, but the amount, type, and quality of care they receive has been largely unknown. A RAND study, the first to examine the mTBI care of a census of patients in the Military Health System, assessed the number and characteristics (including deployment history and history of TBI) of nondeployed, active -duty service members who received an mTBI diagnosis in 2012, the locations of their diagnoses and next health care visits, the types of care they received in the six months following their mTBI diagnosis, co-occurring conditions, and the duration of their treatment. While the majority of service members with mTBI recover quickly, the study further examined a subset of service members with mTBI who recieved care for longer than three months following their diagnosis. Diagnosing and treating mTBI can be especially challenging because of variations in symptoms and other factors. The research revealed inconsistencies in the diagnostic coding, as well as areas for improvement in coordinating care across providers and care settings. The results and recommendations provide a foundation to guide future clinical studies to improve the quality of care and subsequent outcomes for service members diagnosed with mTBI."--Back cover.