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Provider Resources

TBICoE develops practical, easy-to-use clinical tools to support military and civilian health care providers in assessing and treating service members and veterans who have sustained a TBI. Providers can access clinically-relevant information and resources that address common symptoms associated with mild TBI, such as headache, sleep disturbances and vision problems. We also offer Provider Education materials for our clinical recommendations and tools.

Most clinical recommendations have related patient resources to help providers educate their patients through recovery. Check out the Patient and Family Resources section to locate fact sheets, family and caregiver support tools.

TBI educators, known as regional education coordinators, may also be available in your location to provide training on our clinical tools. Email TBICoE's dissemination branch to be connected with an REC nearest you.

Supporting TBI Resources for DODI 6490.11 and DHA-PI 6490.04

The DODI 6490.11, DOD Policy Guidance for Management of Mild Traumatic Brain Injury/Concussion in the Deployed Setting establishes policy, assigns responsibilities, and provides procedures on the management of mild traumatic brain injury (mTBI), also known as concussion, in the deployed setting. The DHA-PI 6490.04 Required Clinical Tools and Procedures for Assessment and Clinical Management of Mild Brain Injury (mTBI)/Concussion in Non-Deployed Setting establishes the Defense Health Agency's required clinical tools and procedures for management of mTBI/concussion, specifically, the use of the Military Acute Concussion Evaluation, Version 2 (MACE 2) and a progressive return to activity (PRA) framework for the assessment, management, and rehabilitation of all patients with mTBI/concussion.

The following resources specifically support these policies.

Military Acute Concussion Evaluation 2 (MACE 2)

Progressive Return to Activity Following Acute Concussion/Mild TBI

Recurrent Concussion Evaluation Card

Clinical Recommendations for Mild TBI

TBICoE optimizes clinical care by combining evidence from medical literature, health care research and expert opinion to develop and provide clinical suites to help providers deliver evidence-based treatment and address the challenges associated with mild TBI.

Learn more about clinical recommendations and supporting resources.

*NEW* Dizziness and Visual Disturbances Following Mild TBI Clinical Suite

Find and download the new clinical recommendation and supporting resources here!

Dizziness and Visual Disturbances Following Concussion/Mild Traumatic Brain Injury

Sleep Disturbances Following Concussion/Mild TBI

Headache Following Concussion/Mild TBI

Cognitive Rehabilitation Following Mild to Moderate TBI

Neuroimaging Following Concussion/Mild TBI

Neuroendocrine Dysfunction Screening Following Concussion/Mild TBI

Neurocognitive Assessment Tool (NCAT) Testing Following Concussion/Mild TBI

Additional Clinical Support Tools

TBICoE also offers the following tools to assist in the identification, treatment and management of patients with mild TBI in deployed and non-deployed settings.

Find and download the additional tools here.

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2005 DoD Worldwide Numbers for TBI

Publication
8/6/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

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TBICoE Research Review: Chronic Traumatic Encephalopathy

Publication
8/4/2020

The purpose of this research review is to summarize the available peer-reviewed scientific literature regarding the definition, epidemiology, risk factors, pathology and clinical manifestations for CTE.

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TBI Hot Topics Bulletin May 2020

Publication
8/4/2020

Are you a busy health care provider? Not enough time to keep up with research? Stay informed with the TBI Hot Topics Bulletin. We track the latest TBI scientific studies, advances, and discoveries most relevant to health care providers. This issue covers the first quarter of calendar year 2020.

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TBICoE Research Review: Mild TBI and PTSD

Publication
8/4/2020

This research review provides an overview of the topic of co-morbid mild TBI and posttraumatic stress disorder. This review focuses on symptoms, diagnosis, and treatment of PTSD and mild TBI symptoms in patients with mild TBI history. While it can be difficult to differentiate symptoms of mild TBI from PTSD symptoms, especially months or years after the injury event, this review aims to present information relevant to understanding these often complex cases.

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SCORE Chapter 3

Publication
8/4/2020

Computerized Cognitive Rehabilitation Interventions for Persistent Symptoms Mild TBI Chapter three describes the computerized cognitive rehabilitation interventions used in the second SCORE treatment arm (SCORE Arm 2).

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SCORE Chapter 2

Publication
8/4/2020

Psychoeducational Interventions for Persistent Post-Concussion Symptoms Following Combat-Related Mild TBI Chapter two summarizes the psychoeducational interventions used for the control group in the first SCORE treatment arm (SCORE Arm 1). This educational material has been specifically adapted for use with service members and veterans who experience a more chronic course of symptoms following combat-related concussion. Section one explains the background of psychoeducation in the treatment of mild TBI, and section two provides the psychoeducational tool, called the client’s guide to recovery.

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SCORE Chapter 1

Publication
8/4/2020

Study of Cognitive Rehabilitation Effectiveness Clinical Trial Overview Chapter one provides a concise overview of the SCORE clinical trial and measures, plus the Congressional mandate for the study, and implications for the military and veterans.

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DVBIC Publications 2019

Publication
8/4/2020

Citation information for 2019 publications of DVBIC research.

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TBI Hot Topics Bulletin September 2020

Publication
8/4/2020

Are you a busy health care provider? Not enough time to keep up with research? Stay informed with the TBI Hot Topics Bulletin. We track the latest TBI scientific studies, advances, and discoveries most relevant to health care providers. This issue covers the second quarter of calendar year 2020.

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DVBIC Publications 1992-2018

Publication
8/4/2020

DVBIC research publications from 1992-2018.

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Neuroimaging Following Mild TBI in the Non-Deployed Setting Clinical Recommendation

Publication
7/31/2020

The Neuroimaging Following Mild TBI in the Non-Deployed Setting clinical recommendation offers guidance for a standard approach for imaging from the acute through chronic stages following mild TBI in the non-deployed setting.

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Neuroimaging Following Mild TBI in the Non-Deployed Setting Clinical Support Tool

Publication
7/31/2020

This clinical support tool offers guidance for a standard approach for imaging from the acute through chronic stages following mild TBI in the non-deployed setting.

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MACE 2 Provider Training

Publication
7/31/2020

Full-length medical provider training material for the Military Acute Concussion Evaluation 2 (MACE 2).

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MACE 2 Provider Training: Instructor Guide

Publication
7/31/2020

The MACE 2 Instructor Guide provides the curriculum needed for medical providers to train peers on how to properly use the MACE 2.

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MACE 2 Provider Training: Student Workbook

Publication
7/31/2020

The MACE 2 Student Workbook is for use with the MACE 2 training slides to learn how to properly use the MACE 2.

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