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Traumatic Brain Injury

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Veteran Psychiatry in the US

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Abstract

Traumatic brain injuries (TBIs) are considered one of the “signature injuries” of the recent US military conflicts in the Middle East including Operation Enduring Freedom/Operation Iraqi Freedom and Operation New Dawn (OEF/OIF/OND). Since the year 2000, there have been 379,519 service members worldwide who have received a first-time diagnosis of traumatic brain injury. Explosions were responsible for 78% of the traumatic brain injuries suffered. The Defense and Veterans Brain Injury Center has developed guidelines for in-theater management and return to activity in the military setting. As these service members return home, they are cared for through the Veterans Affairs Polytrauma System of Care, a nationwide tiered network for service members of all levels of complexity established to enhance support for community reintegration and functional independence after suffering a TBI or polytrauma. The Polytrauma System of Care utilizes interdisciplinary teams to optimally manage the myriad of potential symptoms encountered after TBI, including the physical, psychological, behavioral, and cognitive issues. Furthermore, this approach is ideal when TBI is complicated by the presence of other comorbid conditions including posttraumatic stress disorder, which is frequently observed in the military population. Gaps in the knowledge base are still abundant, and concerns have been raised through fledgling research of an increased risk of late-life neurodegeneration after exposure to multiple TBIs, a condition termed chronic traumatic encephalopathy (CTE). As we await further studies into CTE and all aspects of TBI, we highlight the best practices and current strategies to manage this unique population.

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Authors and Affiliations

  1. Physical Medicine and Rehabilitation, VA Greater Los Angeles Health Care System, Associate Professor, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA

    Blessen C. Eapen (Chief)

  2. Polytrauma/Transition and Care Management Programs, Phoenix Veterans Healthcare System, Physical Medicine and Rehabilitation, Phoenix, AZ, USA

    Bruno Subbarao (Medical Director)

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  1. Blessen C. Eapen
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  2. Bruno Subbarao
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Correspondence to Blessen C. Eapen .

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Editors and Affiliations

  1. Mental Health Community Based Outpatient, Georgetown University, Mental Health Community Based Outpatient, Silver Spring, MD, USA

    Elspeth Cameron Ritchie

  2. Georgetown University School of Medicine, Washington DC VA Medical Center, Department of Psychiatry, Washington, DC, USA

    Maria D. Llorente

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Eapen, B.C., Subbarao, B. (2019). Traumatic Brain Injury. In: Ritchie, E., Llorente, M. (eds) Veteran Psychiatry in the US. Springer, Cham. https://doi.org/10.1007/978-3-030-05384-0_14

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  • DOI: https://doi.org/10.1007/978-3-030-05384-0_14

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