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Traumatic Brain Injury Center of Excellence

Welcome to the Traumatic Brain Injury Center of Excellence. Here, you'll find TBI clinical tools, educational resources, and research information.

Provider Resources Patient Resources TBI Educators Research 

TBI Numbers TBICoE Podcasts A Head for the Future

Vision

Principal organization to lead, translate, and advance brain health.

 

Mission

TBICoE unifies a system of TBI health care, reliably advancing the science for the warfighter and ready to meet future brain health challenges

More About Our Mission

 

TBICoE Annual Report

The 2022 TBICoE Annual Report provides an overview of accomplishments and activities in calendar year 2022.

Download the Report

 

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 and Service Members

 

TBI and Medical Providers

Frequently Asked Questions

General Questions about TBICoE

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.

You also may be interested in...

Publication
Mar 17, 2023

TBICoE Research Review: Chronic Traumatic Encephalopathy

.PDF | 1.87 MB

The purpose of this Research Review is to summarize current peer-reviewed scientific literature and expert assessment regarding the pathology, genetic pre-disposition, causes, clinical manifestations, and neuroimaging of chronic traumatic encephalopathy.

Article
Mar 16, 2023

Sergeant Major of the Marine Corps: “Ask for Help” for TBI

Sergeant Major of the Marine Corps: “Ask for Help” for TBI

Concussions and TBIs are a significant health issue which affect service members and veterans during times of both peace and war. Between 2000-2023, there were a total of 468,424 first-time cases of TBI in the military worldwide, with just over 80% being considered mild TBI.

Publication
Mar 16, 2023

Back to School: A Guide to Academic Success After Traumatic Brain Injury

.PDF | 1.40 MB

Back to School: A Guide to Academic Success After Traumatic Brain Injury is a free resource, developed by the Traumatic Brain Injury Center of Excellence that is tailored to help service members and veterans who have sustained a TBI and are pursuing higher education. Those who have sustained a TBI may face unique challenges, and this guide provides ...

Publication
Mar 15, 2023

INFORMATION PAPER: The Impact of Mild Traumatic Brain Injury on the Autonomic Nervous System

.PDF | 381.19 KB

The purpose of this information paper by TBICoE is to provide a general overview of the current evidence related to the impact of concussion/mild traumatic brain injury (mTBI) on the autonomic nervous system (ANS). This paper will focus on heart rate variability (HRV), pupillary light reflex (PLR), and hyperhidrosis within the military and civilian ...

Video
Feb 21, 2023

Optimizing Warfighter Brain Health and Performance

Thumbnail image of TBICoE's Dr. Sloley video.

Traumatic Brain Injury Center of Excellence research support cell chief, Dr. Stephanie Sloley, discusses her role in the organization and the importance of collaborative efforts in examining traumatic brain injuries. Dr. Sloley discusses the mission and vision of TBICoE and the importance of optimizing warfighter brain health and performance.

Video
Feb 21, 2023

Brain Injury Awareness with the 19th Sgt. Maj. of the Marine Corps

Thumbnail image of the Picking Your Brain podcast episode with Sgt. Maj. Troy Black

In this episode of Picking Your Brain, TBICoE Branch Chief, Capt. Scott Cota and clinical moderator Amanda Gano interview the 19th Sgt. Maj. of the Marine Corps, Sergeant Major Troy Black. The interview covers topics such as the DOD's Warfighter Brain Health Initiative, the commandant of the Marine Corps' Force Design 2030 efforts, and how warfighter ...

Report
Feb 8, 2023

2000-2022 Q3 DOD Worldwide Numbers for TBI

.PDF | 251.65 KB

TBICoE is the Defense Department’s office of responsibility for tracking traumatic brain injury data in the U.S. military. Here you’ll find data on the number of active-duty service members—anywhere U.S. forces are located—with a first-time TBI diagnosis from calendar year 2000 through the third quarter of 2022. The data is also broken down by each ...

Report
Feb 8, 2023

2022 Q3 DOD Worldwide Numbers for TBI

.PDF | 355.38 KB

TBICoE is the Defense Department’s office of responsibility for tracking traumatic brain injury data in the U.S. military. Here you’ll find data on the number of active-duty service members—anywhere U.S. forces are located—with a first-time TBI diagnosis in the calendar year 2022 through the third quarter. The data is also broken down by each branch ...

Fact Sheet
Nov 16, 2022

Healthy Sleep Following Concussion/mTBI Fact Sheet

.PDF | 108.25 KB

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.

Report
Nov 9, 2022

2022 (Q2) DOD Worldwide Numbers for TBI

.PDF | 351.89 KB

TBICoE is the Defense Department’s office of responsibility for tracking traumatic brain injury data in the U.S. military. Here you’ll find data on the number of active-duty service members—anywhere U.S. forces are located—with a first-time TBI diagnosis in the calendar year 2022 through the second quarter. The data is also broken down by each branch ...

Last Updated: December 11, 2023
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