The%20impact%20of%20war%20on%20the%20individual%20is%20profound.

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• The impact of war on the individual is profound.
• War is bad for your brain.
• No one returns from deployment the same.
• The consequences of war are exacerbated as
  deployments increase.

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Prevalence of TBI PTSD in OIF/OEF Soldiers

• Estimates vary and sampling problems have been
  identified
• TBI 19.5 of soldiers translating to 320,000
  probable TBI cases (95 CI of 16.4 - 22.7).
• PTSD 13.8 of soldiers translating to
• 226,000 probable PTSD cases (95 CI of 11.1 -
  16.5).

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mTBI/PTSD SX OverlapM. STEIN ET AL., AM J
PSYCHIATRY 166, 7 (JULY 2009)
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• The consequences of war and post-deployment
  adjustment issues can lead to chronic conditions
  that impairs the entire person body, mind
  spirit.

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The Typical TBI Clinic Pt

• The majority of SMs who present to the TBI Clinic
  suffer
• from complex biopsychosocial disease including
• Chronic Pain
• Chronic Insomnia
• Cognitive Weaknesses
• Other Physical Symptoms /or Medical Conditions
• Depression
• Anxiety
• Some degree of PTSD
• Probable Alteration of Self Concept Self-Esteem
• These variables interact can yield global
• impairment.

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• TREATMENT
• This complex clinical sequelae demands
• aggressive, integrated interdisciplinary
• intervention.
• Each area of difficulty must be addressed.
• Because SXs interact, improvement in
• one area can have carry-over effects.

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Fort Hood TBI Clinic

• Numerous Services are Available
• Primary Care Medical Management
• Acupuncture Biofeedback
• Chiropractic Clinical Pharmacy
• Education Psychotherapy
• Massage Therapy NCM
• Occupational Therapy Physiatry
• Physical Therapy Speech Therapy

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Fort Hood TBI ClinicIntensive Outpatient Program

• The SMs Command signs-off on participation.
• Duty station for 6-weeks.
• 0800 1600 5 days per-week.
• Each cohort includes 6 SMs.
• Group Individual Sessions.
• Longitudinal Mutivariate Research Design.

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Intrepid Spirit/NICoE