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https://health.mil/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of...
Submission: On October 18 via api from US — Scanned from DE
Submission: On October 18 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST /About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence
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<span class="visiblyHidden">Health.mil: the official website of the Military Health System (MHS)</span>
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<div id="content" class="main3Column" data-ga-cat="Main Column">
<div>
<h1 id="pageDetailHeader">Traumatic Brain Injury Center of Excellence</h1>
<span></span>
<div class="wysiwygcopy" data-ga-cat="Page Body">
<p>
<a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/Patient-and-Family-Resources"><img alt="Available Now! Traumatic Brain Injury Guide for Caregivers. Download the guide at health.mil/TBICaregivers" src="/-/media/Images/MHS/General-Images/TBICoE/Patient-Family-Caregiver-Resources-Images/2021_CCG-SM_FB-Cover.ashx?h=221&w=580&la=en&hash=CBA52E161C879781A0BDC0B959AEC04FFBBB5CD9FCE4002ECC21D5EE7805C5E0" style="height: 221px; width: 580px;"></a>
</p>
<p> </p>
<div class="centeredGroup">
<a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/DOD-TBI-Worldwide-Numbers" class="button">TBI Numbers</a> <a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/Provider-Resources" class="button">Provider Resources</a> <a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/Patient-and-Family-Resources" class="button">Patient Resources</a>
</div>
<div class="centeredGroup">
<a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/TBI-Educators" class="button">TBI Educators</a> <a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/Research" class="button">Research</a> <a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/A-Head-for-the-Future" class="button">A Head for the Future</a>
</div>
<p> </p>
<p><strong>Welcome to the new Traumatic Brain Injury Center of Excellence website. </strong>Here, you'll find TBI clinical tools, educational resources, and research information. Check out our content, and don’t forget to bookmark
your favorite pages. We hope you enjoy it!</p>
<p>Our mission remains the same: TBICoE will continue to promote state-of-the-science traumatic brain injury care from point-of-injury to reintegration for service members, veterans and their families. Our goal is to help the Defense
Health Agency provide optimal patient outcomes, leading to a medically ready and a ready medical force.</p>
<div class="clearfix"></div>
</div>
</div>
<div id="pagecolumns_0_content_1_divExpandableBlock">
<h2 id="pagecolumns_0_content_1_title">TBICoE Mission</h2>
<p id="pagecolumns_0_content_1_description">As the TBI Pathway of Care manager within the MHS, the Traumatic Brain Injury Center of Excellence promotes state-of-the-science care from point-of-injury to reintegration for service members,
veterans, and their families to prevent and mitigate consequences of mild to severe TBI.</p>
<p class="ExpandContentTrigger">
<a href="javascript:void(0)" tabindex="0" class="expandingLink" title="Expands expandable content" data-expando-index="0|0">
Learn more about our mission.</a>
</p>
<div id="pagecolumns_0_content_1_content" class="ExpandedContent" style="display: none;">
<p>TBICoE supports, trains and monitors service members, veterans, family members and providers who have been, or care for those who are affected by traumatic brain injury.</p>
<p>TBICoE works at the macro-level, screening and briefing troops heading into theater, performing pre-deployment provider training at military treatment facilities, gathering data mandated by Congress and DOD, and overseeing
<a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/Research" data-expando-index="0|1" tabindex="-1">research </a>programs. TBICoE develops educational materials for both
<a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/Provider-Resources" data-expando-index="0|2" tabindex="-1">military and civilian providers</a>,
<a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/Patient-and-Family-Resources" data-expando-index="0|3" tabindex="-1">families, service members and veterans</a>.</p>
<p>The DOD has further solidified TBICoE's role by naming it the Office of Responsibility for these tasks:</p>
<ul>
<li>Creation and maintenance of a TBI surveillance database</li>
<li>Creation and distribution of the Family Caregiver Curriculum</li>
<li>Design and execution of a 15-year longitudinal study of the effects of TBI in Operations Iraqi and Enduring Freedom service members and their families</li>
</ul>
<p><a href="/Reference-Center/Publications/2021/07/09/2020-TBICoE-Annual-Report" data-expando-index="0|4" tabindex="-1">2020 TBICoE Annual Report</a></p>
<p><a href="/Reference-Center/Publications/2020/08/03/2019-DVBIC-Annual-Report" data-expando-index="0|5" tabindex="-1">2019 Annual Report</a></p>
</div>
</div>
<div id="pagecolumns_0_content_2_divExpandableBlock">
<h2 id="pagecolumns_0_content_2_title">TBI and the Military</h2>
<p id="pagecolumns_0_content_2_description">Traumatic brain injury is a significant health issue which affects service members and veterans during times of both peace and war. The high rate of TBI and blast-related concussion events
resulting from current combat operations directly impacts the health and safety of individual service members and subsequently the level of unit readiness and troop retention. The impacts of TBI are felt within each branch of the service.
</p>
<p class="ExpandContentTrigger">
<a href="javascript:void(0)" tabindex="-1" class="expandingLink" title="Expands expandable content" data-expando-index="1|0">
TBI, Service Members, and Medical Providers</a>
</p>
<div id="pagecolumns_0_content_2_content" class="ExpandedContent" style="display: none;">
<h2>TBI and Service Members</h2>
<p>Active duty and reserve service members are at increased risk for sustaining a TBI compared to their civilian peers. This is a result of several factors, including the specific demographics of the military; in general, young men
between the ages of 18 to 24 are at greatest risk for TBI. Many operational and training activities, which are routine in the military, are physically demanding and even potentially dangerous. To get an idea of how many TBIs are
sustained by each branch, each year since 2000 — check out the
<a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/DOD-TBI-Worldwide-Numbers" data-expando-index="1|1" tabindex="-1">TBI DoD Worldwide Numbers</a> page.</p>
<p>If you or a service member you care for is looking for more information about TBI, check out the
<a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/Patient-and-Family-Resources" data-expando-index="1|2" tabindex="-1">Patient and Family Resources</a> page —
there you will find fact sheets, caregiver guides, and other patient resources. Review them with a medical provider as you work towards recovery or help the recovery process of a service member, veteran or family member.</p>
<p>Recent attention has been intensively focused on combat-related TBI, it should be noted that TBI is not uncommon even in garrison and can occur during usual daily activities. Service members enjoy exciting leisure activities: They ride
motorcycles, climb mountains and parachute from planes for recreation. In addition, physical training is an integral part of the active duty service member's everyday life. These activities are expected for our service members and
contribute to a positive quality of life; but these activities also can increase risk for TBI.</p>
<p>To learn more about how to protect yourself in non-combat daily life activities, check out our
<a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/A-Head-for-the-Future" data-expando-index="1|3" tabindex="-1">A Head for the Future</a> initiative. You'll find
TBI basics information, fact sheets to help guide you in protecting your head during sports and recreational activity, and read personal TBI recovery stories. </p>
<p>Sign up for <a href="https://public.govdelivery.com/accounts/USMHS/subscriber/new?topic_id=USMHS_124" target="_top" title="Sign up for TBI Resources email" data-expando-index="1|4" tabindex="-1">TBI Resources Update</a> email for
the latest in TBI information and resources for service members, veterans, and their caregivers and families.</p>
<h2>TBI and Medical Providers</h2>
<p>Health care providers can make a significant difference in the life of someone with TBI by working to understand the strategies which are used to identify and treat a brain injury. Service members and veterans with TBI are a unique
population because they may have experienced circumstances that further complicate their clinical picture. These circumstances include multiple deployments, prolonged periods of stress, chronic pain, and separation from family and
friends.</p>
<p>Traumatic brain injury is a complex condition that can affect multiple aspects of physical, cognitive and behavioral functions. A wide range of medical specialties may be involved with the assessment, treatment, and rehabilitation of
TBI patients, particularly in cases of severe TBI. These specialties can include, but are not limited to, audiology, ophthalmology, neurology, physical therapy, psychology, psychiatry, endocrinology, speech and language pathology and
occupational therapy. Often, a multidisciplinary team is assembled to provide comprehensive care. In addition to specialty providers, primary care providers are integral in the identification and treatment of service members with TBI.
Visit the <a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/Provider-Resources" data-expando-index="1|5" tabindex="-1">Provider Resources</a> and
<a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/Provider-Resources/Provider-Education" data-expando-index="1|6" tabindex="-1">Provider Education</a> pages for
clinical recommendations, clinical support tools and provider education materials.</p>
<p>Sign up for our <a href="https://public.govdelivery.com/accounts/USMHS/subscriber/new?topic_id=USMHS_123" target="_top" title="Sign up for Providers' Brief email" data-expando-index="1|7" tabindex="-1">Providers' Brief</a> email to get
information on new and revised TBI clinical recommendations, educational tools, research trends, and other resources that help medical providers evaluate and treat those who have sustained a TBI.</p>
</div>
</div>
<h2 id="pagecolumns_0_content_3_heading">Frequently Asked Questions</h2>
<p>The Traumatic Brain Injury Center of Excellence FAQs provides answers to questions we are regularly asked about the organization and its mission. </p>
<div class="FAQgroup" data-ga-cat="FAQ Topics View">
<span class="Q-A">Q1:</span>
<p class="ExpandContentTrigger" tabindex="0" title="Expands FAQ details"><a href="javascript:void(0)" data-expando-index="2|0">
What is the Traumatic Brain Injury Center of Excellence?
</a></p>
<div class="ExpandedContent wysiwygcopy" style="display: none;">
<span class="Q-A">A:</span>
<p>TBICoE is a congressionally mandated collaboration of the Departments of Defense and Veterans Affairs to promote state-of-the-science care from point-of-injury to reintegration for service members, veterans, and their families to
prevent and mitigate consequences of mild to severe traumatic brain injury.</p>
</div>
</div>
<div class="FAQgroup" data-ga-cat="FAQ Topics View">
<span class="Q-A">Q2:</span>
<p class="ExpandContentTrigger" tabindex="0" title="Expands FAQ details"><a href="javascript:void(0)" data-expando-index="3|0">
Why does DVBIC now prefer TBICoE?
</a></p>
<div class="ExpandedContent wysiwygcopy" style="display: none;">
<span class="Q-A">A:</span>
<p>The preferred name Traumatic Brain Injury Center of Excellence (TBICoE) aligns with the other centers of excellence within the Defense Health Agency’s Research and Development Directorate, under which the TBICoE operates. This name
reflects the mission of the TBICoE, and will make for easy identification with internal and external stakeholders in identifying the organization and its mission.</p>
</div>
</div>
<div class="FAQgroup" data-ga-cat="FAQ Topics View">
<span class="Q-A">Q3:</span>
<p class="ExpandContentTrigger" tabindex="0" title="Expands FAQ details"><a href="javascript:void(0)" data-expando-index="4|0">
Will this name change adjust the mission or functions of TBICoE?
</a></p>
<div class="ExpandedContent wysiwygcopy" style="display: none;">
<span class="Q-A">A:</span>
<p>No. TBICoE will continue to oversee and conduct TBI clinically relevant research addressing gaps in TBI knowledge for our service members and veterans who have sustained a TBI. Additionally, TBICoE continues to provide training and
materials to military medical personnel for diagnosis, prevention and treatment of TBIs. TBICoE develops, provides and distributes educational materials for both military and civilian providers, families, service members and veterans.
Gathering and analyzing data mandated by Congress and the Department of Defense for reports will also continue.</p>
</div>
</div>
<div class="FAQgroup" data-ga-cat="FAQ Topics View">
<span class="Q-A">Q4:</span>
<p class="ExpandContentTrigger" tabindex="0" title="Expands FAQ details"><a href="javascript:void(0)" data-expando-index="5|0">
Where is TBICoE located?
</a></p>
<div class="ExpandedContent wysiwygcopy" style="display: none;">
<span class="Q-A">A:</span>
<p>Our headquarters is located in the Washington, D.C. metro area.
<a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence" data-expando-index="5|1" tabindex="-1">TBICoE </a>supports a multi-center network of military treatment facilities
and Department of Veterans Affairs medical centers nationwide and in Germany. At these
facilities, <a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/TBI-Educators" data-expando-index="5|2" tabindex="-1">regional education coordinators</a> have
resources and conduct education for medical providers, service members, veterans and their families. TBICoE conducts and supports traumatic brain injury clinical investigations at these collaborator facilities as part of
the <a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/Research" data-expando-index="5|3" tabindex="-1">TBICoE research</a> program.</p>
<p> </p>
</div>
</div>
<div class="FAQgroup" data-ga-cat="FAQ Topics View">
<span class="Q-A">Q5:</span>
<p class="ExpandContentTrigger" tabindex="0" title="Expands FAQ details"><a href="javascript:void(0)" data-expando-index="6|0">
How do I find TBICoE resources?
</a></p>
<div class="ExpandedContent wysiwygcopy" style="display: none;">
<span class="Q-A">A:</span>
<p>For providers, visit the
<a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/Provider-Resources" data-expando-index="6|1" tabindex="-1">Provider Resources</a> section of the TBICoE webpages.
There, medical personnel can find TBI clinical recommendations, support tools and education materials. Visit the
<a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/Research" data-expando-index="6|2" tabindex="-1">TBICoE Research</a> page and download the latest TBI Hot
Topics Bulletin for the latest trends in TBI research.</p>
<p>The <a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/Patient-and-Family-Resources" data-expando-index="6|3" tabindex="-1">Patient and Family Resources</a> section of
TBICoE has fact sheets, patient guides for recovery, and family and caregiver guides.</p>
<p>TBICoE materials are available by download only. We will continue to develop and update TBI clinical and educational products, so bookmark the pages and check back often or sign up for
the <a href="https://public.govdelivery.com/accounts/USMHS/subscriber/new?topic_id=USMHS_123" target="_top" title="Sign up for the TBI Providers Brief email" data-expando-index="6|4" tabindex="-1">TBI Providers Brief<span class="focusTooltip" aria-hidden="true">Sign up for the TBI Providers Brief email</span></a>
or
<a href="https://public.govdelivery.com/accounts/USMHS/subscriber/new?topic_id=USMHS_124" target="_top" title="Sign up for TBI Resources email" data-expando-index="6|5" tabindex="-1">TBI Resources Updates<span class="focusTooltip" aria-hidden="true">Sign up for TBI Resources email</span></a>
email news to stay informed.</p>
</div>
</div>
<div class="FAQgroup" data-ga-cat="FAQ Topics View">
<span class="Q-A">Q6:</span>
<p class="ExpandContentTrigger" tabindex="0" title="Expands FAQ details"><a href="javascript:void(0)" data-expando-index="7|0">
Will TBICoE continue to collaborate with the VA on TBI issues?
</a></p>
<div class="ExpandedContent wysiwygcopy" style="display: none;">
<span class="Q-A">A:</span>
<p>Yes, TBICoE will continue its 28-year historical relationship with the VA. In fact, TBICoE has ongoing clinical research or educational activities that are coordinated through the VA and TBICoE. </p>
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<span class="Q-A">Q7:</span>
<p class="ExpandContentTrigger" tabindex="0" title="Expands FAQ details"><a href="javascript:void(0)" data-expando-index="8|0">
Does TBICoE or its network personnel provide medical care?
</a></p>
<div class="ExpandedContent wysiwygcopy" style="display: none;">
<span class="Q-A">A:</span>
<p>No, TBICoE does not provide medical care or referrals, but we do offer resources to help patients, their families and caregivers learn more about TBI together with their medical provider. Visit the
<a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/Patient-and-Family-Resources" data-expando-index="8|1" tabindex="-1">Patient and Family Resources</a> page to
find fact sheets and other TBI patient and caregiver guides. TBICoE's outreach initiative,
<a href="/About-MHS/OASDHA/Defense-Health-Agency/Research-and-Development/Traumatic-Brain-Injury-Center-of-Excellence/A-Head-for-the-Future" data-expando-index="8|2" tabindex="-1">A Head for the Future</a> is a resource to learn
how to prevent, recognize and recover from a brain injury, and hear stories from TBI Champions. </p>
</div>
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<span class="Q-A">Q8:</span>
<p class="ExpandContentTrigger" tabindex="0" title="Expands FAQ details"><a href="javascript:void(0)" data-expando-index="9|0">
How do I contact TBICoE?
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<span class="Q-A">A:</span>
<p>If you have a question or concern about TBICoE or any of the products, please
<a href="http://" target="_top" title="opens email" data-expando-index="9|1" tabindex="-1">email us<span class="focusTooltip" aria-hidden="true">opens email</span></a>!</p>
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<span class="Q-A">Q9:</span>
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What if I need immediate TBI medical help, advice, or information?
</a></p>
<div class="ExpandedContent wysiwygcopy" style="display: none;">
<span class="Q-A">A:</span>
<p>You can find support 24/7 through the websites and numbers listed below.</p>
<h3>
<a href="nrd.gov" target="_top" title="Go to National Resource Directory website" data-expando-index="10|1" tabindex="-1">National Resource Directory<span class="focusTooltip" aria-hidden="true">Go to National Resource Directory website</span></a>
</h3>
<p>The national resource directory connects wounded warriors, service members, veterans and their families with services and resources at the national, state and local levels to support recovery, rehabilitation and community
reintegration.</p>
<h3>
<a href="https://www.veteranscrisisline.net/get-help/military-crisis-line" target="_top" title="Goes to the Veterans Crisis Line website" data-expando-index="10|2" tabindex="-1">Military/Veterans Crisis Line<span class="focusTooltip" aria-hidden="true">Goes to the Veterans Crisis Line website</span></a>
</h3>
<p>800-273-8255, and press 1</p>
<p>Crisis Line, text-messaging service, and online chat provide free VA support for all service members, including members of the National Guard and Reserve, and all veterans, even if they are not registered with VA or enrolled in VA
health care.</p>
<h3>Military OneSource</h3>
<p>800-342-9647</p>
<p>Help for active duty military and their dependents, including 12 free non-medical counseling appointments.</p>
<h3>
<a href="https://www.polytrauma.va.gov/" target="_top" title="Go to VA Polytrauma website" data-expando-index="10|3" tabindex="-1">VA’s Polytrauma/TBI System of Care<span class="focusTooltip" aria-hidden="true">Go to VA Polytrauma website</span></a>
</h3>
<p><a href="https://www.polytrauma.va.gov/" target="_top" title="Go to VA Polytrauma website" data-expando-index="10|4" tabindex="-1"> <span class="focusTooltip" aria-hidden="true">Go to VA Polytrauma website</span></a>VA’s
Polytrauma System of Care provides a full range of medical and rehabilitation services for all enrolled veterans and for service members covered by TRICARE authorization, who have sustained polytrauma, TBI or other acquired brain
injury.
<a href="https://www.polytrauma.va.gov/Admissions_and_Referrals.asp" target="_top" title="Go to VA referrals and admissions page" data-expando-index="10|5" tabindex="-1">Click on this link for admissions and referrals.<span class="focusTooltip" aria-hidden="true">Go to VA referrals and admissions page</span></a>
</p>
<h3>Department of Veterans Affairs Customer Service Hotlines</h3>
<p>Health Care: 877-222-8387</p>
<p>Benefits: 800-827-1000</p>
<h3>
<a href="https://www.va.gov/ve/whvaHotline.asp" target="_top" title="Go to Whitehouse VA hotline website" data-expando-index="10|6" tabindex="-1">White House VA Hotline<span class="focusTooltip" aria-hidden="true">Go to Whitehouse VA hotline website</span></a>
</h3>
<p>Open 24-hours a day, 365 days a year</p>
<p>855-948-2311</p>
<p>VA’s first non-clinical, non-emergency, around-the-clock call center. It provides Veterans a supplemental option to report issues if they are not being addressed through VA’s normal customer service channels. Hotline agents answer
inquiries, provide directory assistance, document concerns about VA care, benefits and services, and expedite the referral and resolution of those concerns.</p>
<h3><a href="https://www.vetcenter.va.gov/" target="_top" title="Go to Vet Centers webpage" data-expando-index="10|7" tabindex="-1">Vet Centers<span class="focusTooltip" aria-hidden="true">Go to Vet Centers webpage</span></a></h3>
<p>Vet Centers are community-based counseling centers that provide a wide range of social and psychological services, including professional readjustment counseling to eligible veterans, active duty service members, including National
Guard and Reserve components, and their families. Readjustment counseling is free of charge and anonymous, and is offered to help make a successful transition from military to civilian life or after a traumatic event experienced in the
military, including TBI. Does not require enrollment in VA health care.</p>
</div>
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<ul class="NR-ArticleHighlights">
<li>
<a id="pagecolumns_0_content_4_lvHighlights_hlImgLink_0" class="ImgLink" href="/News/Articles/2021/03/17/Balancing-rest-activity-key-to-recovering-from-concussion"><img src="/-/media/Images/MHS/Photos/Army-Navy-Football-Game-2021.ashx?h=204&la=en&mw=360&w=360&hash=BFD9AABE9ACD99C9963D037598EF9093083A5E7EF7A5AB0C7EF0996ABEC097AC" alt="Two football teams facing off in the middle of a play" width="360" height="204"></a>
<h3><a id="pagecolumns_0_content_4_lvHighlights_hlTitle_0" href="/News/Articles/2021/03/17/Balancing-rest-activity-key-to-recovering-from-concussion">Balancing rest, activity key to recovering from concussion</a></h3>
<span id="pagecolumns_0_content_4_lvHighlights_spanAuthor_0" class="MetaContent"> By <a id="pagecolumns_0_content_4_lvHighlights_linkAuthor_0" href="/News/Authors/t/TBICoE-Communications-Office">TBICoE Communications Office</a>
</span>
<p></p>
</li>
<li>
<a id="pagecolumns_0_content_4_lvHighlights_hlImgLink_1" class="ImgLink" href="/News/Articles/2021/03/03/Updated-tools-and-training-improve-TBI-and-concussion-recovery"><img src="/-/media/Images/MHS/Photos/TBICoEResearch-2021.ashx?h=204&la=en&mw=360&w=360&hash=7D370B8F52F3EF45B01E88032615FB008D014DE57515753509B4F7351E2A2CC1" alt="A group of military personnel wearing face mask working on laptop computers" width="360" height="204"></a>
<h3><a id="pagecolumns_0_content_4_lvHighlights_hlTitle_1" href="/News/Articles/2021/03/03/Updated-tools-and-training-improve-TBI-and-concussion-recovery">Updated tools and training improve TBI and concussion recovery</a></h3>
<span id="pagecolumns_0_content_4_lvHighlights_spanAuthor_1" class="MetaContent"> By <a id="pagecolumns_0_content_4_lvHighlights_linkAuthor_1" href="/News/Authors/t/TBICoE-Communications-Office">TBICoE Communications Office</a>
</span>
<p></p>
</li>
<li>
<a id="pagecolumns_0_content_4_lvHighlights_hlImgLink_2" class="ImgLink" href="/News/Articles/2021/03/02/March-is-Brain-Injury-Awareness-Month-TBICoEs-mission-lasts-all-year"><img src="/-/media/Images/MHS/Photos/Intro-brain-injury-main-2021.ashx?h=204&la=en&mw=360&w=360&hash=4E257408CE7A42D571AA38696D13F182E5B252CBF95E6D013C1DBC63ED6362F8" alt="Military health personnel performing a balance test on a patient" width="360" height="204"></a>
<h3><a id="pagecolumns_0_content_4_lvHighlights_hlTitle_2" href="/News/Articles/2021/03/02/March-is-Brain-Injury-Awareness-Month-TBICoEs-mission-lasts-all-year">March is Brain Injury Awareness Month; TBICoE’s mission lasts all year</a>
</h3>
<span id="pagecolumns_0_content_4_lvHighlights_spanAuthor_2" class="MetaContent"> By <a id="pagecolumns_0_content_4_lvHighlights_linkAuthor_2" href="/News/Authors/h/HealthdotMil-Staff">Military Health System Communications Office</a>
</span>
<p></p>
</li>
<li>
<a id="pagecolumns_0_content_4_lvHighlights_hlImgLink_3" class="ImgLink" href="/News/Articles/2021/02/19/DHAs-TBI-focused-Caregiver-Family-Member-Study-continues-at-TBICoE"><img src="/-/media/Images/MHS/Photos/TBI-Caregiver-2021.ashx?h=204&la=en&mw=360&w=360&hash=6D071AFD37F269E8ECE3B31EBE301D97E66F5BA50E22A928127E40EFE5ED83A0" alt="A husband, wife, and two children sitting at the Warrior and Family Support Center" width="360" height="204"></a>
<h3><a id="pagecolumns_0_content_4_lvHighlights_hlTitle_3" href="/News/Articles/2021/02/19/DHAs-TBI-focused-Caregiver-Family-Member-Study-continues-at-TBICoE">DHA’s TBI-focused Caregiver & Family Member Study continues at TBICoE</a>
</h3>
<span id="pagecolumns_0_content_4_lvHighlights_spanAuthor_3" class="MetaContent"> By
<a id="pagecolumns_0_content_4_lvHighlights_linkAuthor_3" href="/News/Authors/n/National-Intrepid-Center-of-Excellence-Communications">National Intrepid Center of Excellence Communications</a>
</span>
<p></p>
</li>
<li>
<a id="pagecolumns_0_content_4_lvHighlights_hlImgLink_4" class="ImgLink" href="/News/Articles/2020/11/23/Caregivers-share-their-stories-of-support-for-TBI-recovery"><img src="/-/media/Images/MHS/Photos/190424FDD64710247252.ashx?h=204&la=en&mw=360&w=360&hash=1001530CE1C268A0029A46AB6472A53C9059835B9018FBFAAC3002475029B148" alt="Group of people walking and on wheelchairs through the forest" width="360" height="204"></a>
<h3><a id="pagecolumns_0_content_4_lvHighlights_hlTitle_4" href="/News/Articles/2020/11/23/Caregivers-share-their-stories-of-support-for-TBI-recovery">Caregivers share their stories of support for TBI recovery</a></h3>
<span id="pagecolumns_0_content_4_lvHighlights_spanAuthor_4" class="MetaContent"> By
<a id="pagecolumns_0_content_4_lvHighlights_linkAuthor_4" href="/News/Authors/d/Defense-and-Veterans-Brain-Injury-Center">Defense and Veterans Brain Injury Center</a>
</span>
<p></p>
</li>
<li>
<a id="pagecolumns_0_content_4_lvHighlights_hlImgLink_5" class="ImgLink" href="/News/Articles/2020/10/08/DVBIC-blood-plasma-study-assists-in-TBI-and-PTSD-diagnosis"><img src="/-/media/Images/MHS/Photos/DVBIC-study-2020.ashx?h=204&la=en&mw=360&w=360&hash=CA31FD48046913AB3444535316104970F0634CED74A94AA5BC6CD6E47AFB2B3B" alt="Air Force Senior Airman Kristen N. Kelsey, a medical laboratory technician with the 514th Aeromedical Evacuation Squadron, Air Force Reserve Command, labels blood samples at Joint Base McGuire-Dix-Lakehurst, New Jersey. (U.S. Air Force photo by Master Sgt. Mark Olsen)" width="360" height="204"></a>
<h3><a id="pagecolumns_0_content_4_lvHighlights_hlTitle_5" href="/News/Articles/2020/10/08/DVBIC-blood-plasma-study-assists-in-TBI-and-PTSD-diagnosis">DVBIC blood plasma study assists in TBI and PTSD diagnosis</a></h3>
<span id="pagecolumns_0_content_4_lvHighlights_spanAuthor_5" class="MetaContent"> By
<a id="pagecolumns_0_content_4_lvHighlights_linkAuthor_5" href="/News/Authors/d/Defense-and-Veterans-Brain-Injury-Center">Defense and Veterans Brain Injury Center</a>
</span>
<p></p>
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<strong><a rel="noopener noreferrer" href="mailto:dha.ncr.j-9.mbx.tbicoe-info@mail.mil?subject=Email TBICoE" title="Email TBICoE" target="_blank">Email TBICoE<span class="focusTooltip" aria-hidden="true">Email TBICoE</span></a></strong>
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TRAUMATIC BRAIN INJURY CENTER OF EXCELLENCE
TBI Numbers Provider Resources Patient Resources
TBI Educators Research A Head for the Future
Welcome to the new Traumatic Brain Injury Center of Excellence website. Here,
you'll find TBI clinical tools, educational resources, and research information.
Check out our content, and don’t forget to bookmark your favorite pages. We hope
you enjoy it!
Our mission remains the same: TBICoE will continue to promote
state-of-the-science traumatic brain injury care from point-of-injury to
reintegration for service members, veterans and their families. Our goal is to
help the Defense Health Agency provide optimal patient outcomes, leading to a
medically ready and a ready medical force.
TBICOE MISSION
As the TBI Pathway of Care manager within the MHS, the Traumatic Brain Injury
Center of Excellence promotes state-of-the-science care from point-of-injury to
reintegration for service members, veterans, and their families to prevent and
mitigate consequences of mild to severe TBI.
Learn more about our mission.
TBICoE supports, trains and monitors service members, veterans, family members
and providers who have been, or care for those who are affected by traumatic
brain injury.
TBICoE works at the macro-level, screening and briefing troops heading into
theater, performing pre-deployment provider training at military treatment
facilities, gathering data mandated by Congress and DOD, and overseeing research
programs. TBICoE develops educational materials for both military and civilian
providers, families, service members and veterans.
The DOD has further solidified TBICoE's role by naming it the Office of
Responsibility for these tasks:
* Creation and maintenance of a TBI surveillance database
* Creation and distribution of the Family Caregiver Curriculum
* Design and execution of a 15-year longitudinal study of the effects of TBI in
Operations Iraqi and Enduring Freedom service members and their families
2020 TBICoE Annual Report
2019 Annual Report
TBI AND THE MILITARY
Traumatic brain injury is a significant health issue which affects service
members and veterans during times of both peace and war. The high rate of TBI
and blast-related concussion events resulting from current combat operations
directly impacts the health and safety of individual service members and
subsequently the level of unit readiness and troop retention. The impacts of TBI
are felt within each branch of the service.
TBI, Service Members, and Medical Providers
TBI AND SERVICE MEMBERS
Active duty and reserve service members are at increased risk for sustaining a
TBI compared to their civilian peers. This is a result of several factors,
including the specific demographics of the military; in general, young men
between the ages of 18 to 24 are at greatest risk for TBI. Many operational and
training activities, which are routine in the military, are physically demanding
and even potentially dangerous. To get an idea of how many TBIs are sustained by
each branch, each year since 2000 — check out the TBI DoD Worldwide
Numbers page.
If you or a service member you care for is looking for more information about
TBI, check out the Patient and Family Resources page — there you will find fact
sheets, caregiver guides, and other patient resources. Review them with a
medical provider as you work towards recovery or help the recovery process of a
service member, veteran or family member.
Recent attention has been intensively focused on combat-related TBI, it should
be noted that TBI is not uncommon even in garrison and can occur during usual
daily activities. Service members enjoy exciting leisure activities: They ride
motorcycles, climb mountains and parachute from planes for recreation. In
addition, physical training is an integral part of the active duty service
member's everyday life. These activities are expected for our service members
and contribute to a positive quality of life; but these activities also can
increase risk for TBI.
To learn more about how to protect yourself in non-combat daily life activities,
check out our A Head for the Future initiative. You'll find TBI basics
information, fact sheets to help guide you in protecting your head during sports
and recreational activity, and read personal TBI recovery stories.
Sign up for TBI Resources Update email for the latest in TBI information and
resources for service members, veterans, and their caregivers and families.
TBI AND MEDICAL PROVIDERS
Health care providers can make a significant difference in the life of someone
with TBI by working to understand the strategies which are used to identify and
treat a brain injury. Service members and veterans with TBI are a unique
population because they may have experienced circumstances that further
complicate their clinical picture. These circumstances include multiple
deployments, prolonged periods of stress, chronic pain, and separation from
family and friends.
Traumatic brain injury is a complex condition that can affect multiple aspects
of physical, cognitive and behavioral functions. A wide range of medical
specialties may be involved with the assessment, treatment, and rehabilitation
of TBI patients, particularly in cases of severe TBI. These specialties can
include, but are not limited to, audiology, ophthalmology, neurology, physical
therapy, psychology, psychiatry, endocrinology, speech and language pathology
and occupational therapy. Often, a multidisciplinary team is assembled to
provide comprehensive care. In addition to specialty providers, primary care
providers are integral in the identification and treatment of service members
with TBI. Visit the Provider Resources and Provider Education pages for clinical
recommendations, clinical support tools and provider education materials.
Sign up for our Providers' Brief email to get information on new and revised TBI
clinical recommendations, educational tools, research trends, and other
resources that help medical providers evaluate and treat those who have
sustained a TBI.
FREQUENTLY ASKED QUESTIONS
The Traumatic Brain Injury Center of Excellence FAQs provides answers to
questions we are regularly asked about the organization and its mission.
Q1:
What is the Traumatic Brain Injury Center of Excellence?
A:
TBICoE is a congressionally mandated collaboration of the Departments of Defense
and Veterans Affairs to promote state-of-the-science care from point-of-injury
to reintegration for service members, veterans, and their families to prevent
and mitigate consequences of mild to severe traumatic brain injury.
Q2:
Why does DVBIC now prefer TBICoE?
A:
The preferred name Traumatic Brain Injury Center of Excellence (TBICoE) aligns
with the other centers of excellence within the Defense Health Agency’s Research
and Development Directorate, under which the TBICoE operates. This name reflects
the mission of the TBICoE, and will make for easy identification with internal
and external stakeholders in identifying the organization and its mission.
Q3:
Will this name change adjust the mission or functions of TBICoE?
A:
No. TBICoE will continue to oversee and conduct TBI clinically relevant research
addressing gaps in TBI knowledge for our service members and veterans who have
sustained a TBI. Additionally, TBICoE continues to provide training and
materials to military medical personnel for diagnosis, prevention and treatment
of TBIs. TBICoE develops, provides and distributes educational materials for
both military and civilian providers, families, service members and veterans.
Gathering and analyzing data mandated by Congress and the Department of Defense
for reports will also continue.
Q4:
Where is TBICoE located?
A:
Our headquarters is located in the Washington, D.C. metro area. TBICoE supports
a multi-center network of military treatment facilities and Department of
Veterans Affairs medical centers nationwide and in Germany. At these
facilities, regional education coordinators have resources and conduct education
for medical providers, service members, veterans and their families. TBICoE
conducts and supports traumatic brain injury clinical investigations at these
collaborator facilities as part of the TBICoE research program.
Q5:
How do I find TBICoE resources?
A:
For providers, visit the Provider Resources section of the TBICoE webpages.
There, medical personnel can find TBI clinical recommendations, support tools
and education materials. Visit the TBICoE Research page and download the
latest TBI Hot Topics Bulletin for the latest trends in TBI research.
The Patient and Family Resources section of TBICoE has fact sheets, patient
guides for recovery, and family and caregiver guides.
TBICoE materials are available by download only. We will continue to develop and
update TBI clinical and educational products, so bookmark the pages and check
back often or sign up for the TBI Providers BriefSign up for the TBI Providers
Brief email or TBI Resources UpdatesSign up for TBI Resources email email news
to stay informed.
Q6:
Will TBICoE continue to collaborate with the VA on TBI issues?
A:
Yes, TBICoE will continue its 28-year historical relationship with the VA. In
fact, TBICoE has ongoing clinical research or educational activities that are
coordinated through the VA and TBICoE.
Q7:
Does TBICoE or its network personnel provide medical care?
A:
No, TBICoE does not provide medical care or referrals, but we do offer resources
to help patients, their families and caregivers learn more about TBI together
with their medical provider. Visit the Patient and Family Resources page to find
fact sheets and other TBI patient and caregiver guides. TBICoE's outreach
initiative, A Head for the Future is a resource to learn how to prevent,
recognize and recover from a brain injury, and hear stories from TBI Champions.
Q8:
How do I contact TBICoE?
A:
If you have a question or concern about TBICoE or any of the products, please
email usopens email!
Q9:
What if I need immediate TBI medical help, advice, or information?
A:
You can find support 24/7 through the websites and numbers listed below.
NATIONAL RESOURCE DIRECTORYGO TO NATIONAL RESOURCE DIRECTORY WEBSITE
The national resource directory connects wounded warriors, service members,
veterans and their families with services and resources at the national, state
and local levels to support recovery, rehabilitation and community
reintegration.
MILITARY/VETERANS CRISIS LINEGOES TO THE VETERANS CRISIS LINE WEBSITE
800-273-8255, and press 1
Crisis Line, text-messaging service, and online chat provide free VA support for
all service members, including members of the National Guard and Reserve, and
all veterans, even if they are not registered with VA or enrolled in VA health
care.
MILITARY ONESOURCE
800-342-9647
Help for active duty military and their dependents, including 12 free
non-medical counseling appointments.
VA’S POLYTRAUMA/TBI SYSTEM OF CAREGO TO VA POLYTRAUMA WEBSITE
Go to VA Polytrauma websiteVA’s Polytrauma System of Care provides a full range
of medical and rehabilitation services for all enrolled veterans and for service
members covered by TRICARE authorization, who have sustained polytrauma, TBI or
other acquired brain injury. Click on this link for admissions and referrals.Go
to VA referrals and admissions page
DEPARTMENT OF VETERANS AFFAIRS CUSTOMER SERVICE HOTLINES
Health Care: 877-222-8387
Benefits: 800-827-1000
WHITE HOUSE VA HOTLINEGO TO WHITEHOUSE VA HOTLINE WEBSITE
Open 24-hours a day, 365 days a year
855-948-2311
VA’s first non-clinical, non-emergency, around-the-clock call center. It
provides Veterans a supplemental option to report issues if they are not being
addressed through VA’s normal customer service channels. Hotline agents answer
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concerns.
VET CENTERSGO TO VET CENTERS WEBPAGE
Vet Centers are community-based counseling centers that provide a wide range of
social and psychological services, including professional readjustment
counseling to eligible veterans, active duty service members, including National
Guard and Reserve components, and their families. Readjustment counseling is
free of charge and anonymous, and is offered to help make a successful
transition from military to civilian life or after a traumatic event experienced
in the military, including TBI. Does not require enrollment in VA health care.
* BALANCING REST, ACTIVITY KEY TO RECOVERING FROM CONCUSSION
By TBICoE Communications Office
* UPDATED TOOLS AND TRAINING IMPROVE TBI AND CONCUSSION RECOVERY
By TBICoE Communications Office
* MARCH IS BRAIN INJURY AWARENESS MONTH; TBICOE’S MISSION LASTS ALL YEAR
By Military Health System Communications Office
* DHA’S TBI-FOCUSED CAREGIVER & FAMILY MEMBER STUDY CONTINUES AT TBICOE
By National Intrepid Center of Excellence Communications
* CAREGIVERS SHARE THEIR STORIES OF SUPPORT FOR TBI RECOVERY
By Defense and Veterans Brain Injury Center
* DVBIC BLOOD PLASMA STUDY ASSISTS IN TBI AND PTSD DIAGNOSIS
By Defense and Veterans Brain Injury Center
TBICOE
DOD TBI Numbers
Provider Resources
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A Head for the Future
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