TY - BOOK AU - Farmer,Carrie M. AU - Krull,Heather AU - Concannon,Thomas W. AU - Simmons,Molly AU - Pillemer,Francesca AU - Ruder,Teague AU - Parker,Andrew M. AU - Purohit,Maulik P. AU - Hiatt,Liisa AU - Batorsky,Benjamin AU - Hepner,Kimberly A. ED - National Defense Research Institute (U.S.), ED - Rand Corporation, TI - Understanding treatment of mild traumatic brain injury in the military health system SN - 9780833092892 PY - 2016///] CY - Santa Monica, Calif. PB - Rand Corporation KW - Brain damage KW - Treatment KW - Complications KW - Brain KW - Concussion KW - Wounds and injuries KW - Veterans KW - United States KW - Medical care KW - Services for KW - Medicine, Military KW - Brain Concussion KW - complications KW - diagnosis KW - therapy KW - Craniocerebral Trauma KW - Military Medicine KW - Veterans Health KW - fast N1 - "RR-844-OSD"--Page 4 of cover; "National Defense Research Institute."; "Prepared for the Defense and Veterans Brain Injury Center, Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury."; Includes bibliographical references (pages 113-120); Introduction -- Methods -- How Many Service Members Receive Treatment for mTBI? -- What Are the Characteristics of Nondeployed Active-duty Service Members Who Receive Treatment for an mTBI Through the MHS? -- Where Do Nondeployed Active-duty Service Members with mTBI Receive Care? -- What Are the Duration and Patterns of Health Care in the Six Months After an mTBI? -- What Types of Care Do Nondeployed Active-Duty Service Members with mTBI Receive in the Six Months After Their mTBI Diagnosis? -- Who Receives Persistent Care Following mTBI Diagnosis? -- Finding and Recommendations N2 - "Traumatic brain injury (TBI) is considered a signature injury of modern warfare, though TBIs can also result from training accidents, falls, sports, and motor vehicle accidents. Among service members diagnosed with a TBI, the majority of cases are mild TBIs (mTBI), also known as concussions. Many of these service members receive care through the Military Health System, but the amount, type, and quality of care they receive has been largely unknown. A RAND study, the first to examine the mTBI care of a census of patients in the Military Health System, assessed the number and characteristics (including deployment history and history of TBI) of nondeployed, active -duty service members who received an mTBI diagnosis in 2012, the locations of their diagnoses and next health care visits, the types of care they received in the six months following their mTBI diagnosis, co-occurring conditions, and the duration of their treatment. While the majority of service members with mTBI recover quickly, the study further examined a subset of service members with mTBI who recieved care for longer than three months following their diagnosis. Diagnosing and treating mTBI can be especially challenging because of variations in symptoms and other factors. The research revealed inconsistencies in the diagnostic coding, as well as areas for improvement in coordinating care across providers and care settings. The results and recommendations provide a foundation to guide future clinical studies to improve the quality of care and subsequent outcomes for service members diagnosed with mTBI."--Back cover UR - https://search.ebscohost.com/login.aspx?custid=ns123844&authtype=ip,shib&direct=true&scope=site&db=nlebk&db=nlabk&AN=1442378 ER -