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ACCESS TO CARE
U.S. Army TBI Program
The Rehabilitation and Reintegration Division (R2D), in collaboration with the Defense Veterans Brain Injury Center (DVBIC) established a validation program for all Army Medical Department (AMEDD) Medical Treatment Facilities (MTFs) that provide care for Soldiers with mild, moderate, severe or penetrating Traumatic Brain Injuries (TBIs). This validation program was designed to establish standards of care for Soldiers with TBI and to ensure that services, physical facilities, and staffing levels are consistent across the Army MTFs based on the level of care provided at the facility.
Program categories are based on the scope and depth of care offered. The validation is divided into four categories:
In efforts to enhance the quality of care being provided to our Soldiers and to make sure the facilities are delivering care with all the necessary guidance and tools, the TBI validation program was established. This validation program came as a recommendation from the TBI Task Force Report, released 17 January 2008. The Director of the Health Policy and Services Directorate is the validating authority.
The program management requirements for validation are divided into two phases: the initial validation and the full validation. The initial validation is awarded upon submission and verification of completion of Phase 1 requirements, while the full validation is awarded upon submission and verification of the implementation for the full program.
The criteria for the MTFs are divided by functional program areas in management, education, assessment, treatment, metrics.
Staff is being added at most large MTFs to support TBI care. The funding for this staff resource is from the supplemental funds that were provided to the Army in 2007 and 2008. Based on mission, current staff available, and projected TBI patient population the following teams were developed:
The Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) DCoE was created in November 2007 to be the open front door of the Department of Defense for warriors and their Families needing help with psychological health and traumatic brain injury issues. The following links connect to TBI related material on the DCoE website. The majority of the TBI material available from DCoE was developed with input from TBI experts in the Army, Navy, Air Force, Marine Corps, Department of Veterans Affairs and a national network of military and civilian agencies, community leaders, advocacy groups, clinical experts, and academic institutions.
The most important tool for rehabilitation is education. The Proponency Office for Rehabilitation and Reintegration (PR&R) has worked closely with subject matter experts in the area of traumatic brain injury to produce these patient education tools. The content matter was originally developed by Womack Army Medical Center, located in Ft. Bragg, NC, and has been reviewed by clinicians and various healthcare personnel to ensure the most accurate and beneficial information is provided to our Soldiers.
These education tools cover exercises and techniques that patients can use to assist with their rehabilitation from injuries associated with TBI. In addition to instructions for patients to aid in their recovery, there are also supporting visual images. These tools are only to be used under the guidance of a health care provider.
Introduction to Traumatic Brain Injury (TBI) - VIDEO BELOW
If you are unable to view the video above you may download a local copy to your computer.
The Defense and Veterans Brain Injury Center (DVBIC) has a number of education products available to providers caring for service members or veterans who have sustained a TBI. Some materials are intended for providers to personally review with patients, while others are appropriate for use in a “waiting room” area and can be collected by patients as needed. We also have awareness campaign/promotional materials to help promote the DVBIC website with the aim of encouraging patients, Families, and providers to learn about our resources.
Learn more by visiting the DVBIC Education Materials page at http://www.dvbic.org/Providers/DVBIC-Educational-Materials.aspx.