Authors

  1. Lee, Katherine M. MS
  2. Greenhalgh, Walter M. MD
  3. Sargent, Paul MD
  4. Chae, Heechin MD
  5. Klimp, Scott MPAS
  6. Engel, Scot PsyD
  7. Merritt, Bryan P. MD
  8. Kretzmer, Tracy PhD
  9. Bajor, Laura DO
  10. Scott, Steve DO
  11. Pyne, Scott MD

Abstract

The US Department of Defense (DoD) and the Department of Veterans Affairs (VA) actively address care needs for a subset of service members (SMs) who experience prolonged symptoms and adverse sequelae interfering with their usual level of function after sustaining mild traumatic brain injury. The development of multidisciplinary concussion clinics and implementation of several reinforcing policies within the DoD and the VA address this unique patient population. A network known as the National Intrepid Center of Excellence and Intrepid Spirit Centers and the VA, primarily support these patients through intensive outpatient programs. The VA also has an inpatient program that utilizes specialized capabilities. The features unique to several of these centers are described in this article. While providing for similar patient care needs, each clinical setting implements unique evaluation and treatment modalities to target analogous goals of return to the highest functional level possible and develop life skills to enhance health, quality of life, and readiness to perform military duties. Currently, patient-reported outcomes are being collected.