Be a Brain Warrior: Protect. Treat. Optimize.

The Department of Defense leads in the treatment and research of brain-related injuries and is committed to identifying breakthroughs to improve the lives of individuals who have sustained brain injuries. DOD’s efforts address a holistic view at brain health and brain injuries—before, during, and after any blast exposure or other injury.

The DOD considers protectingtreating, and optimizing brain health a top priority.

Evergreen Brain Injury Awareness image

TBI, considered one of the signature wounds of war in the 21st century, presents complex and challenging problems for many of our service members.

More than 509,000 service members have sustained TBI since 2000, according to reports from the Traumatic Brain Injury Center of Excellence.

See below for TBI resources for health care providers, leaders, service members, veterans, families, and caregivers.

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Video
July 13, 2023

Acute Concussion Care Pathway Overview

What is the Acute Concussion Care Pathway thumbnail of educational video for providers.

The Acute Concussion Care Pathway standardizes acute concussion care in the Military Health System. This video is designed to educate medical providers on the ACC Pathway, improving their understanding and application of evidence-based clinical tools. This video covers aspects of the ACC Pathway in detail, providing explanations and guidance on using ...

Infographic
July 12, 2023

What is the Acute Concussion Care Pathway?

What is the Acute Concussion Care Pathway? The Acute Concussion Care Pathway is one of the DHA Director’s Quadruple Aim Performance Plan projects. The intent is to equip providers with state-of-the-science tools to standardize concussion assessment and care across the MHS. It is supported by the DHA Procedural Instruction 6490.04 which establishes the infrastructure to ensure patients achieve optimal concussion clinical outcomes.

TBICoE developed this infographic as a quick reference tool that demonstrates application of the standardized acute concussion assessment and care process. By adhering to this established pathway of care for mild TBI, providers across the MHS can ensure a reduction in unwarranted variation and foster an integrated, standardized system of readiness and ...

Technical Document
July 5, 2023

DHA Practice Recommendation Dizziness with TBI

.PDF | 360.12 KB

This PR will assist eye care providers in evaluating patients presenting with dizziness or vertigo and confirmed history of concussion or TBI of any severity. In some cases of severe TBI, this PR may be applied at a later stage when the patient sufficiently recovers.

Fact Sheet
June 14, 2023

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

MHS Seal

This document describes the line leader responsibilities for the Department of Defense 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.

Report
June 12, 2023

2021 DOD Worldwide Numbers for TBI

.PDF | 847.35 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 2021. The data is also broken down by each branch of the armed services.

Article
May 31, 2023

Confidential Mental Health Resources Available to Military Families

“Checking in on your mental health can be as easy as making an appointment with a mental health professional, such as a therapist or psychiatrist – and that can be done face to face or virtually,” said U.S. Air Force Lt. Col. Anna Fedotova, mental health flight commander, Kirtland Air Force Base, New Mexico.