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Assessment and Treatment of Individuals with Traumatic Brain Injury (TBI) and PTSD, Evidence Review - Coverage of Veterans Issues, Concussion, Research - Second Edition (Book and CD-ROM)
Assessment and Treatment of Individuals with Traumatic Brain Injury and PTSD Evidence Review Coverage of Veterans Issues Concussion Research Second Edition - TBI - Book and CD-ROM Author:Department of Defense This up-to-date and comprehensive electronic book on CD-ROM, plus ringbound book, provides the best collection available anywhere of reports and documents on traumatic brain injury (TBI), with particular emphasis on military and veterans issues. This extensively researched collection includes material from the medical departments of the Departme... more »nt of Defense (including the DoD Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury and Wounded Warrior Program), Veterans Administration, and CDC. There is extensive coverage of TBI, mild TBI, concussion, post-traumatic stress disorder (PTSD), and blast injuries. Authoritative documents provide detailed and practical information on assessment, symptoms, treatment, management, and much more. VA documents from the Evidence-based Synthesis program (Assessment and Treatment of Individuals with a History of Traumatic Brain Injury and Post-Traumatic Stress Disorder 2009) and the VA/DoD Evidence-based Practice Series (Management of Concussion and Mild TBI, 2009) are reproduced. The ringbound book is a reproduction of The Assessment and Treatment of Individuals with History of Traumatic Brain Injury and Post-Traumatic Stress Disorder: A Systematic Review of the Evidence, Department of Veterans Affairs Health Services Research & Development Service, August 2009. Veterans Affairs (VA) and Department of Defense (DoD) healthcare facilities are increasingly serving a large population of Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) veterans who have sustained traumatic brain injury (TBI), suffer from post-traumatic stress disorder (PTSD), or have both a history of TBI and current PTSD (TBI/PTSD). Mild TBI (mTBI) is considered the most common form of TBI. Uncertainty exists regarding the long-term health outcomes of mTBI as well as the validity of criteria used to assess for a history of this injury. Symptoms that may be attributable to mTBI are similar to symptoms of PTSD. It is unknown whether findings from civilian populations with both a history of mTBI and PTSD (mTBI/PTSD) are applicable to individuals with combat-related mTBI/PTSD. Current evidence-based practices to screen, diagnose, prospectively evaluate, and treat mTBI symptoms or PTSD may be less accurate or effective if and when these conditions co-occur. Thus, there is a need to develop an evidence base to identify best practices to define, diagnose, evaluate, and manage patients with mTBI/PTSD, particularly in U.S. veterans of OEF/OIF. Traumatic brain injury (TBI) has been defined as trauma to the head that results in a decreased level of consciousness, amnesia, other neurologic or neuropsychologic abnormalities, skull fractures, intracranial lesions, or death. TBI can be caused by penetrating trauma or by blunt force, including acceleration/deceleration forces that cause the brain to collide with the skull. Blunt force TBI is typically classified by level of severity, most commonly differentiated as mild, moderate, or severe. The vast majority of civilian patients that are hospitalized for TBI are diagnosed with mild TBI (mTBI). While a similar ratio specific to soldiers or veterans is not readily available, mTBI is also prevalent in this population.3 Personnel engaged in the current military operations, Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF), are sustaining mTBI at unprecedented rates.4 One commonly referenced report estimated that nearly 20%, or 300,000, OEF/OIF veterans had sustained a TBI during deployment, many of these being mTBI. There has been much political and media interest in the rates of mTBI associated with the current conflicts. While most of those who sustain mTBI do not experience ongoing symptoms, a minority of individuals will experience some psychosocial, mental, and/or physical health problems.« less