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Traumatic Brain Injury Center of Excellence

Download Now! TBI Caregiver Fact Sheets are now available! Download now from health.mil/TBICaregivers.

 

 

Welcome to the 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!

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.

The TBICoE Annual Report provides an overview of accomplishments and activities in calendar year 2021—download the report to learn more about us!

Thumbnail image of the 2021 TBICoE Annual Report

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.

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

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 Brief or TBI Resources Updates 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 us!

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 Directory

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 Line

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 Care

 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. Click on this link for admissions and referrals.

Department of Veterans Affairs Customer Service Hotlines

Health Care:  877-222-8387

Benefits:  800-827-1000

White House VA Hotline

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 inquiries, provide directory assistance, document concerns about VA care, benefits and services, and expedite the referral and resolution of those concerns.

Vet Centers

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.

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Neck Pain Following Concussion/mTBI Fact Sheet

Fact Sheet
7/30/2020

Neck pain can occur together with headaches following a concussion. This TBICoE fact sheet provides information to help patients manage neck pain. Various techniques are explained, including the use of heat or cold therapy, neck stretches, proper sleep positions and common activities that may contribute to neck strain.

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Changes in Behavior, Personality or Mood Following Concussion/mTBI Fact Sheet

Fact Sheet
7/30/2020

This TBICoE fact sheet can be used by health care providers to educate patients with a concussion, or mild TBI, on how to manage changes in mood related to their injury.

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Healthy Sleep Following Concussion/mTBI Fact Sheet

Fact Sheet
7/30/2020

Getting restful sleep is one of the most important things you can do for your health, and it often takes thoughtful preparation during the day. This fact sheet offers service members and veterans who experience sleep disturbances after a concussion with healthy sleep tips that can likely improve sleep.

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Concussion/Mild TBI Signs and Symptoms Spanish Version Fact Sheet

Fact Sheet
7/30/2020

This fact sheet — in Spanish — identifies major physical, cognitive and emotional symptoms of concussion/mild TBI, and provides coping and recovery tips.

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Head Injury and Dizziness Fact Sheet

Fact Sheet
7/30/2020

This TBICoE fact sheet can be used to educate patients with concussion/mild TBI on how to manage dizziness related to their injury.

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Concussion/Mild TBI Signs and Symptoms Fact Sheet

Fact Sheet
7/30/2020

This TBICoE fact sheet identifies major physical, cognitive, and emotional symptoms of concussion, or mild TBI, and provides coping and recovery tips.

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Leader Policy Guidance for Mild TBI/Concussion in the Deployed Setting Fact Sheet

Fact Sheet
7/30/2020

This document describes the line leader responsibilities for the Department of Defense (DOD) mandated policy, DOD Instruction 6490.11, “DOD Policy Guidance for the Management of Mild Traumatic Brain Injury/Concussion in the Deployed Setting,” that applies to all service members involved in potentially concussive events in deployed settings.

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Headaches Following Concussion/mTBI Fact Sheet

Fact Sheet
7/30/2020

Although each headache is different, identifying common causes, or triggers, is important for health care providers and patients to determine appropriate treatment. This fact sheet provides non-drug options to help those diagnosed with a mild TBI and associated post-traumatic headache manage symptoms.

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Concussion/mTBI and PTSD Fact Sheet

Fact Sheet
7/30/2020

This fact sheet defines concussion/mild traumatic brain injury and posttraumatic stress disorder and explains how overlapping symptoms often occur. It also describes why it’s important to seek out treatment for both conditions and provides helpful advice on what to tell your family and friends to help in the recovery process.

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Chronic Traumatic Encephalopathy (CTE) Frequently Asked Questions

Fact Sheet
7/30/2020

This fact sheet provides answers and information to commonly asked questions about chronic traumatic encephalopathy, or CTE.

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Cognitive Rehabilitation Following Mild to Moderate TBI - Referring Provider Resource

Publication
7/30/2020

This resource answers common questions that referring providers may have, such as how to determine if a patient is having cognitive difficulties or whether the patient is a good candidate for cognitive rehabilitation following a mild to moderate traumatic brain injury.

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Military Acute Concussion Evaluation 2 (MACE 2)

Publication
7/30/2020

The 2018 Military Acute Concussion Evaluation 2 (MACE 2) is an acute assessment tool for all medically trained personnel who treat service members involved in a potentially concussive event. The MACE 2 incorporates current state-of-the-science traumatic brain injury information, including vestibular-ocular-motor screening. The MACE 2 is an update to and replaces the original MACE.

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Cognitive Rehabilitation Following Mild to Moderate TBI Clinical Recommendation - Short

Publication
7/30/2020

This short version of the Cognitive Rehabilitation Following Mild to Moderate TBI Clinical Recommendation provides an at-a-glance overview of the full-length version for quick access and use on the job.

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Cognitive Rehabilitation for Following Mild to Moderate TBI Clinical Recommendation - Full

Publication
7/30/2020

This TBI clinical recommendation is broken down into three primary categories: Modifications for Service Members and Veterans; Interventions and Strategies to Address Cognitive Dysfunction; and, Delivery of Rehabilitation for Patients with Cognitive Challenges. Each category contains clinical recommendations, the background and rationale behind them, evidence review references, and clinical resources.

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Recurrent Concussion Evaluation

Publication
7/30/2020

The TBICoE Recurrent Concussion Evaluation card is designed to guide providers in the management of patients with a history of three or more documented concussions within a 12-month span.

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Last Updated: June 23, 2022

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