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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

Dial 988, and press 1 or Text 838255

Crisis Line, text-messaging service, and online chat provide free, confidential 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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Cruise with Control

Fact Sheet
8/6/2020

One of the leading causes of military traumatic brain injury is motor vehicle crashes. This fact sheet provides tips on how to stay safe on motorcycles to help prevent TBI while riding. It also includes the signs and symptoms of TBI, and how to get help if you think you sustained a brain injury.

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A Head for the Future | Traumatic Brain Injury Center of Excellence | TBI Educators | Patient and Family Resources | Traumatic Brain Injury

Head Check: Know Your Helmet, Winter Sports

Fact Sheet
8/6/2020

A Head for the Future aims to raise awareness about TBI among service members, veterans and their families. This fact sheet provides tips for choosing the right helmet for the right sport, with information about different safety features in helmets for skiing, snowboarding and snowmobiling.

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A Head for the Future | Traumatic Brain Injury Center of Excellence | TBI Educators | Patient and Family Resources | Traumatic Brain Injury | Brain Injury Awareness To Improve Readiness | Winter Safety

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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Traumatic Brain Injury | Traumatic Brain Injury Center of Excellence | TBI Provider Resources

TBICoE Research Review: Multiple TBI/Multiple Concussion

Publication
8/4/2020

Prior history of TBI may predispose an individual to increased risk of subsequent TBI, which may result from less force, and lengthier recovery from post-injury symptoms. Activities such as contact sports and military service carry particular risk for multiple TBI. In addition to acute post-injury difficulties, cumulative TBI may increase the risk of chronic cognitive and functional impairment. Conservative management of post-injury symptoms as part of a medically monitored, progressive plan for returning to activities is recommended for individuals with a history of TBI.

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Traumatic Brain Injury Center of Excellence | Traumatic Brain Injury | TBICoE Research

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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Traumatic Brain Injury | Traumatic Brain Injury Center of Excellence | TBI Provider Resources

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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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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TBI Provider Resources | Traumatic Brain Injury Center of Excellence

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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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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Traumatic Brain Injury Center of Excellence | TBICoE Research | TBI Provider Resources | Traumatic Brain Injury

DVBIC Publications 1992-2018

Publication
8/4/2020

DVBIC research publications from 1992-2018.

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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 2019

Publication
8/4/2020

Citation information for 2019 publications of DVBIC research.

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Back to School Guide for Academic Success After TBI

Publication
8/3/2020

This booklet provides guidance to service members and veterans who have ongoing symptoms from a TBI and are going to college, university or vocational school. It gives answers to common questions about accommodation plans, financial aid, and assistive technology.

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Return to Activity Educational Guidance for Service Members with Symptoms Following a Concussion

Publication
8/3/2020

This guide is intended to help service members and veterans who have experienced a concussion recover as quickly and safely as possible. It outlines each stage of the recovery process, explains what affected individuals should expect throughout the recovery process, provides guidance on how to track progress and includes a table to track developments.

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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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Last Updated: June 23, 2022

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