DCoE Resource Catalog 2014

Resource Catalog

November 2014

http://dvbic.dcoe.mil/

http://www.pdhealth.mil/main.asp

http://t2health.dcoe.mil/

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Welcome to the Defense Centers of Excellence for Psychological Health

and Traumatic Brain Injury (DCoE) Resource Catalog. Here you will find

a central list of resources produced by DCoE and its three centers —

Deployment Health Clinical Center (DHCC), Defense and Veterans Brain

Injury Center (DVBIC) and National Center for Telehealth and Technology

(T2) — each of which contributes unique insights, standards, clinical tools

and research products to the fields of psychological health and traumatic

brain injury (TBI).

This collection of helpful resources is designed for use by health care

providers, service members, veterans and military families. The catalog

includes information about organizational programs, websites, educational

materials, product fact sheets, clinical practice recommendations, posters,

mobile applications and more.

We believe the contents of this catalog impact the medical treatment, care

and advocacy of our wounded warriors and their families. We encourage

you to explore the broad range of resources we have available and, of

course, share with all who may find them useful.

WELCOME

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ORGANIZATIONAL INFORMATION AND PROGRAMSDCoE Fact Sheet ...................................................................................................................................................................................... 1DCoE Outreach Center ............................................................................................................................................................................. 1DCoE Webinar Series ............................................................................................................................................................................... 2DCoE Website .......................................................................................................................................................................................... 2DHCC Website .......................................................................................................................................................................................... 3DVBIC Fact Sheet ..................................................................................................................................................................................... 3DVBIC Website ......................................................................................................................................................................................... 4Program Evaluation Guide ........................................................................................................................................................................ 4T2 Website ............................................................................................................................................................................................... 5

RESOURCES FOR SERVICE MEMBERS AND VETERANS: Military Family ResourcesFamily Caregiver Curriculum .................................................................................................................................................................... 6Family Caregiver Fact Sheet and Postcard ................................................................................................................................................ 6Family Needs Line – A Parent’s Guide to Returning Your Child to School After a Concussion ..................................................................... 7Family Needs Line – Addressing Family Needs Booklet ............................................................................................................................ 7Family Needs Line – Taking Care of Yourself While Caring for Others Booklet ........................................................................................... 8Family Needs Line – Talking With Children About Moderate or Severe TBI Booklet .................................................................................... 8Family Needs Line – Talking With Children About TBI Booklet ................................................................................................................... 9Military Kids Connect Website and Mobile Applications ............................................................................................................................ 9Parenting For Service Members and Veterans Website ........................................................................................................................... 10

RESOURCES FOR SERVICE MEMBERS AND VETERANS: Psychological HealthAfterDeployment Website ....................................................................................................................................................................... 11BioZen Mobile Application ...................................................................................................................................................................... 11Breathe2Relax Mobile Application .......................................................................................................................................................... 12inTransition Program and Website .......................................................................................................................................................... 12LifeArmor Mobile Application ................................................................................................................................................................. 13Moving Forward Website and Mobile Application .................................................................................................................................... 13Navy Leaders Guide Mobile Application .................................................................................................................................................. 14Positive Activity Jackpot Mobile Application............................................................................................................................................ 14PTSD Coach Mobile Application ............................................................................................................................................................. 15Real Warriors Campaign and Website ..................................................................................................................................................... 15Real Warriors Mobile Application and Website: Saluting and Supporting those Who Serve ....................................................................... 16Stay Quit Coach Mobile Application ........................................................................................................................................................ 16T2 Mood Tracker Mobile Application ....................................................................................................................................................... 17Tactical Breather Mobile Application ...................................................................................................................................................... 17

RESOURCES FOR SERVICE MEMBERS AND VETERANS: Traumatic Brain InjuryAcute Concussion (Mild TBI) Educational Brochure ................................................................................................................................. 18A Head for the Future Campaign ............................................................................................................................................................ 18Back-to-School Guide for Academic Success After Traumatic Brain Injury Booklet .................................................................................. 19Concussion/Mild TBI Information Brochure: For use >1 Month After Injury or at Post Deployment Health Assessment (Not for Acute).... 19Concussion/Mild Traumatic Brain Injury and Posttraumatic Stress Disorder Fact Sheet ........................................................................... 20HEADS Concussion Wallet Card and Poster ............................................................................................................................................ 20

Table of Contents

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Table of ContentsLine Leader Fact Sheet .......................................................................................................................................................................... 21Mild TBI Symptom Management Fact Sheets ......................................................................................................................................... 21Moderate or Severe TBI Fact Sheet ........................................................................................................................................................ 22Signs and Symptoms Concussion Fact Sheet ......................................................................................................................................... 22Traumatic Brain Injury Recovery Support Program and Website .............................................................................................................. 23Vision Problems After Concussion Patient Education Brochure ............................................................................................................... 23Warfighter Sleep Kit ............................................................................................................................................................................... 24

RESOURCES FOR HEALTH CARE PROVIDERS: Psychological HealthAcute Stress Reaction Fact Sheet ........................................................................................................................................................... 25Assessment and Management of Suicide Risk Clinical Support Tool Kit .................................................................................................. 25Complementary and Alternative Medicines, Modalities and Interventions Fact Sheet .............................................................................. 26Management of Major Depressive Disorder Clinical Support Tools .......................................................................................................... 26Management of Opioid Therapy for Chronic Pain Clinical Support Tools .................................................................................................. 27Management of Posttraumatic Stress Disorder Clinical Support Tools ..................................................................................................... 27Management of Substance Use Disorder Clinical Support Tools .............................................................................................................. 28PE Coach Mobile Application .................................................................................................................................................................. 28Provider Clinical Support Tools Flyer ....................................................................................................................................................... 29Provider Resilience Mobile Application ................................................................................................................................................... 29 Virtual Hope Box Mobile Application ....................................................................................................................................................... 30

RESOURCES FOR HEALTH CARE PROVIDERS: Traumatic Brain InjuryAssessment and Management of Dizziness Associated With Mild TBI Clinical Support Tools ................................................................... 31Assessment and Management of Visual Dysfunction Associated With Mild TBI Clinical Support Tools...................................................... 31Automated Neuropsychological Assessment Metrics .............................................................................................................................. 32Brain Injury Awareness Poster ................................................................................................................................................................ 32Case Management of Concussion/Mild TBI Guidance Document............................................................................................................. 33Concussion Management in Deployed Settings: Combat Medic/Corpsman Algorithm Card ..................................................................... 33Department of Defense Guidance for Traumatic Brain Injury Fact Sheet ................................................................................................. 34Department of Defense ICD-9 Coding Guidance for Traumatic Brain Injury Pocket Card .......................................................................... 34MACE: Military Acute Concussion Evaluation Kit, Pocket and Wallet Card ................................................................................................ 35Management of Sleep Disturbances Following Concussion/Mild Traumatic Brain Injury Clinical Support Tools ........................................ 35Mild Traumatic Brain Injury Pocket Guide (CONUS) and Mobile Application ............................................................................................. 36Military TBI Case Management Quarterly Newsletter .............................................................................................................................. 36Neurocognitive Assessment Tool Clinical Recommendation .................................................................................................................... 37Neuroendocrine Dysfunction Screening Post Mild TBI Recommendation Clinical Support Tools ............................................................... 37Neuroimaging Following Mild TBI in the Non-Deployed Setting Clinical Support Tools ............................................................................. 38Progressive Return to Activity Following Acute Concussion/Mild Traumatic Brain Injury: Guidance for Primary Care Managers Clinical Support Tools ................................................................................................................... 38Progressive Return to Activity Following Acute Concussion/Mild Traumatic Brain Injury: Guidance for Rehabilitation Providers Clinical Support Tools ................................................................................................................... 39TBI.consult Business Card...................................................................................................................................................................... 39 Telehealth and Technology Web Resource Locator Website ..................................................................................................................... 40

Organizational Information and Programs

DCoE RESOURCE CATALOG Page 1 Return to the Table of Contents


DCOE FACT SHEETProduct Description:

Fact sheet with brief description of DCoE and its centers

Additional Information: Download: dcoe.mil/Libraries/Documents/About_DCoE.pdf

Audience:

All audiences

Format: Fact sheet

DCOE OUTREACH CENTERProduct Description:

Provides information and support related to psychological health and TBI concerns

Staffed 24/7 by trained health resource consultants

Additional Information: Website: dcoe.mil/Families/Help.aspx

Online chat: realwarriors.net/livechat

Email: [email protected]

Phone: 866-966-1020

Audience: Health care providers, service members, veterans, military

leaders, military families and friends

Format: Call center, website and online chat

http://dcoe.mil/Libraries/Documents/About_DCoE.pdf

http://dcoe.mil/Families/Help.aspx

http://realwarriors.net/livechat

DCoE RESOURCE CATALOGReturn to the Table of Contents Page 2

DCOE WEBINAR SERIESProduct Description:

Monthly webinars provide information on a variety of topics related to psychological health and TBI; many provide continuing education credit

Additional Information: Website: dcoe.mil/Training/Monthly_Webinars.aspx

Audience: All audiences

Format: Webinar

DCOE WEBSITEProduct Description:

Up-to-date information and resources related to psychological health and TBI, including products and training programs

Additional Information: Website: dcoe.mil


Format: Website


http://dcoe.mil/Training/Monthly_Webinars.aspx

http://dcoe.mil/


DHCC WEBSITEProduct Description:

A gateway to information on deployment health and health care

Additional Information: Website: pdhealth.mil

Audience: Health care providers, service members, veterans and

military families

Format: Website

DVBIC FACT SHEETProduct Description:

Provides an overview of DVBIC’s care coordination, education, clinical care and research and network locations

Additional Information: Download: dvbic.dcoe.mil/material/dvbic-fact-sheet


Format: Fact sheet


http://www.pdhealth.mil/main.asp

https://dvbic.dcoe.mil/material/dvbic-fact-sheet


PROGRAM EVALUATION GUIDEProduct Description:

A manual for psychological health and TBI program managers to prepare and conduct program evaluations

Additional Information: Download: dcoe.mil/Content/Navigation/Documents/DCoE_

Program_Evaluation_Guide.pdf

Audience: Military medical program managers

Format: Booklet

DVBIC WEBSITEProduct Description:

Up-to-date information and resources related to TBI Additional Information:

Website: dvbic.dcoe.mil


military families

Format: Website


https://dvbic.dcoe.mil/

http://dcoe.mil/Content/Navigation/Documents/DCoE_Program_Evaluation_Guide.pdf


T2 WEBSITEProduct Description:

Mobile health and telehealth resources related to psychological health and TBI

Additional Information: Website: t2health.dcoe.mil


military families

Format: Website


http://t2health.dcoe.mil/

Resources for Service Members and VeteransMilitary Family Resources


Resources for Service Members and Veterans: Military Family Resources

FAMILY CAREGIVER CURRICULUMProduct Description:

Tools that provide information and support for caregivers of service members and veterans with moderate to severe TBI

Curriculum contains the following modules: - Module 1: Introduction to Traumatic Brain Injury - Module 2: Understanding the Effects of TBI and What You Can Do to Help - Module 3: Becoming a Family Caregiver for a Service Member or Veteran with TBI - Module 4: Navigating Services and Benefits

Additional Information: Website: dvbic.dcoe.mil/family-caregiver-curriculum

Audience: Military families and caregivers

Format: Booklet

FAMILY CAREGIVER FACT SHEET AND POSTCARDProduct Description:

Tools that promote Traumatic Brain Injury: A Guide for Caregivers of Service Members and Veterans

Additional Information: Download/order:

- Fact sheet: dvbic.dcoe.mil/material/family-caregiver-fact- sheet - Postcard: dvbic.dcoe.mil/material/family-caregiver- postcards

Audience: Health care providers, case managers and social workers

Format: Fact sheet and postcard

http://dvbic.dcoe.mil/family-caregiver-curriculum

https://dvbic.dcoe.mil/material/family-caregiver-fact-sheet

https://dvbic.dcoe.mil/material/family-caregiver-postcards



FAMILY NEEDS LINE – ADDRESSING FAMILY NEEDS BOOKLETProduct Description:

Provides tips and guidance regarding care of a service member or veteran with a TBI

Booklet highlights: - Building stronger family ties - Improving communication - Transitioning home - Driving after a TBI - Avoiding substance abuse

Additional Information: Download/order: dvbic.dcoe.mil/material/addressing-family-

needs


Format: Booklet

FAMILY NEEDS LINE – A PARENT’S GUIDE TO RETURNING YOUR CHILD TO SCHOOL AFTER A CONCUSSIONProduct Description:

Guide offers practical advice to parents on how to recognize the signs and symptoms of a concussion, information on treatment and recovery, and what a parent can do to support a child’s recovery and successful return to school

Additional Information: Website: dvbic.dcoe.mil/material/parental-guide-returning-

your-child-school-after-concussion


Format: Booklet

https://dvbic.dcoe.mil/material/parental-guide-returning-your-child-school-after-concussion

https://dvbic.dcoe.mil/material/addressing-family-needs


FAMILY NEEDS LINE – TAKING CARE OF YOURSELF WHILE CARING FOR OTHERS BOOKLETProduct Description:

Provides coping techniques for managing stress, anxiety or sadness; includes links for additional interviews

Includes tips regarding: emotional health, sleep, diet, exercise and strategies for self-care

Additional Information: Download/order: dvbic.dcoe.mil/material/taking-care-

yourself-while-caring-others


Format: Booklet

FAMILY NEEDS LINE – TALKING WITH CHILDREN ABOUT MODERATE OR SEVERE TBI BOOKLETProduct Description:

Provides essential tips on how to explain to children what a moderate or severe TBI is and how to cope with changes in their loved one

Booklet offers communication techniques to help explain the effects of a moderate or severe TBI to children in a way they can understand; includes tips for every age group, from toddlers to teens

Additional Information: Download/order: dvbic.dcoe.mil/material/talking-children-

about-moderate-or-severe-tbi

Audience: Military families

Format: Booklet


https://dvbic.dcoe.mil/material/taking-care-yourself-while-caring-others

https://dvbic.dcoe.mil/material/talking-children-about-moderate-or-severe-tbi


MILITARY KIDS CONNECT WEBSITE AND MOBILE APPLICATIONSProduct Description:

Online community that offers age-appropriate resources to support children from pre-deployment, through a parent’s or caregiver’s return

Includes informative activities, fun games and helpful videos

Additional Information: Website: militarykidsconnect.dcoe.mil

Audience: Military children, service members, educators, parents and

caregivers

Format: Website, Android and iOS


FAMILY NEEDS LINE – TALKING WITH CHILDRENABOUT TBI BOOKLETProduct Description:

Booklet offers communication techniques to help explain the effects of TBI to children in a way they can understand, and includes tips for every age group from toddlers to teens

Additional Information: Download/order: dvbic.dcoe.mil/material/talking-children-

about-tbi

Audience: Military families

Format: Booklet

https://dvbic.dcoe.mil/material/talking-children-about-tbi

http://militarykidsconnect.dcoe.mil/



PARENTING FOR SERVICE MEMBERS AND VETERANS WEBSITEProduct Description:

The Parenting for Service Members and Veterans website provides military and veteran parents with information and strategies to improve their parenting skills

Additional Information: Website: militaryparenting.dcoe.mil

Audience: Service members and veterans

Format: Website

http://militaryparenting.dcoe.mil/

Resources for Service Members and VeteransPsychological Health


AFTERDEPLOYMENT WEBSITEProduct Description:

Information and multimedia resources to address common psychological health concerns or challenges related to military deployments

Additional Information: Website: afterdeployment.dcoe.mil


Format: Website

BIOZEN MOBILE APPLICATIONProduct Description:

Portable, low-cost* method for clinicians and patients to gather biofeedback in and out of the military clinic

BioZen shows real-time data from multiple body sensors *Application requires purchase of compatible biosensor devices

Additional Information: Website: t2health.dcoe.mil/apps/biozen

Audience: Health care providers and service members

Format: Android

Resources for Service Members and Veterans: Psychological Health

http://afterdeployment.dcoe.mil/

http://t2health.dcoe.mil/apps/biozen


BREATHE2RELAX MOBILE APPLICATION Product Description:

Portable stress management tool used as a standalone stress reduction tool or in tandem with clinical care directed by a health care provider

Additional Information: Website: t2health.dcoe.mil/apps/breathe2relax


Format: Android and iOS

inTRANSITION PROGRAM AND WEBSITEProduct Description:

Program supports service members receiving mental health care as they transition between health care services or providers

Additional Information: Website: intransition.dcoe.mil

Download: intransition.dcoe.mil/Communications.aspx

Phone: 800-424-7877 Inside the United States toll-free 800-424-4685 (DSN) Outside the United States toll-free 314-387-4700 Outside the United States collect


Format: Website, telephonic coaching service, brochure, flyer

and poster


http://t2health.dcoe.mil/apps/breathe2relax


LIFEARMOR MOBILE APPLICATIONProduct Description:

Provides information on 17 different topics related to post-deployment to include anger, stress and anxiety, and substance abuse

Mobile companion to afterdeployment.dcoe.mil

Provides interactive ways to engage users who might be hesitant about reaching out for help

Additional Information: Website: t2health.dcoe.mil/apps/lifearmor

Audience: Service members, veterans and military families

Format:

Android and iOS


MOVING FORWARD WEBSITE AND MOBILE APPLICATIONProduct Description:

Online educational and life coaching program that teaches problem solving skills to help handle life’s challenges

Additional Information: Website: startmovingforward.dcoe.mil


Format: Website

http://t2health.dcoe.mil/apps/lifearmor

http://afterdeployment.dcoe.mil/

http://startmovingforward.dcoe.mil/



NAVY LEADERS GUIDE MOBILE APPLICATIONProduct Description:

Provides information on a range of topics including dealing with a sailor’s substance abuse, rules for ordering a command directed evaluation, procedures for convening a medical board, resources for sailors dealing with sexual assault and how to support your personnel after the death of a shipmate

Additional Information: Website: t2health.dcoe.mil/apps/navy-leaders-guide

Audience: Military leaders


POSITIVE ACTIVITY JACKPOT MOBILE APPLICATIONProduct Description:

Tool that uses augmented reality technology to combine a phone’s location services and camera to find nearby enjoyable activities or pleasant diversions

Uses “pleasant event scheduling,” a common behavioral therapy element used in professional counseling

Useful in helping people build resilience and deal effectively with depression

Additional Information: Website: t2health.dcoe.mil/apps/positiveactivityjackpot

Audience: Service members, veterans and civilians

Format: Android

http://t2health.dcoe.mil/apps/navy-leaders-guide

http://t2health.dcoe.mil/apps/positiveactivityjackpot


PTSD COACH MOBILE APPLICATIONProduct Description:

Application intended for use as an adjunct to psychological treatment to manage symptoms of posttraumatic stress disorder (PTSD)

Key features include a self-assessment, recommended coping skills, support resources and education about trauma, PTSD and treatment

Additional Information: Website: t2health.dcoe.mil/apps/ptsd-coach

Audience: Service members, veterans and civilians



REAL WARRIORS CAMPAIGN AND WEBSITE Product Description:

Tools and resources developed to combat the stigma associated with seeking psychological health care, encourage service members to reach out for support and increase awareness of the resources available to them

Additional Information: Website: realwarriors.net

Download/order: realwarriors.net/materials


Format: Website, brochures, wallet cards, fact sheet and posters

http://t2health.dcoe.mil/apps/ptsd-coach

http://realwarriors.net/

http://realwarriors.net/materials



REAL WARRIORS MOBILE APPLICATION AND WEBSITE: SALUTING AND SUPPORTING THOSE WHO SERVEProduct Description:

The Real Warriors application and website provide an online photo-sharing service that offers peer support for warriors, veterans and military families

Users can upload photos to the Wall, salute others and access 24/7/resources

Additional Information: Download: realwarriors.net/mobileapp.php

Website: realstrength.realwarriors.net


Format: iOS and website

STAY QUIT COACH MOBILE APPLICATIONProduct Description:

Intended to serve as a source of readily available support and information for adults who are already in treatment to quit smoking to help them stay quit even after treatment ends

Additional Information: Website: ptsd.va.gov/public/materials/apps/stayquit_coach_

app.asp


Format:

iOS

https://t2health.dcoe.mil/apps/StayQuit

https://realstrength.realwarriors.net/

http://realwarriors.net/mobileapp.php



T2 MOOD TRACKER MOBILE APPLICATIONProduct Description:

Tool that enables users to self-monitor emotional experiences associated with common deployment-related behavioral health issues such as PTSD, brain injury, life stress, depression and anxiety

Additional Information: Website: t2health.dcoe.mil/apps/t2-mood-tracker



TACTICAL BREATHER MOBILE APPLICATIONProduct Description:

Through repetitive breathing exercise practice and training, users learn to gain control of their heart rate, emotions, concentration and other physiological and psychological responses to the body during stressful situations

Additional Information: Website: t2health.dcoe.mil/apps/tactical-breather



http://t2health.dcoe.mil/apps/t2-mood-tracker

http://t2health.dcoe.mil/apps/tactical-breather

Resources for Service Members and VeteransTraumatic Brain Injury


ACUTE CONCUSSION (MILD TBI) EDUCATIONAL BROCHUREProduct Description:

Designed to educate deployed service members about TBI immediately after concussion injury

Additional Information: Download/order: dvbic.dcoe.mil/material/acute-concussion-

mtbi-educational-brochure


Format: Brochure

Resources for Service Members and Veterans: Traumatic Brain Injury

A HEAD FOR THE FUTURE CAMPAIGNProduct Description:

A central resource of tools and information to raise awareness about things people can do to help prevent TBI

Additional Information: Website: dvbic.dcoe.mil/aheadforthefuture


Format: Website, fact sheet, postcard and poster

http://dvbic.dcoe.mil/aheadforthefuture

https://dvbic.dcoe.mil/material/acute-concussion-mtbi-educational-brochure



BACK-TO-SCHOOL GUIDE FOR ACADEMIC SUCCESS AFTER TRAUMATIC BRAIN INJURY BOOKLETProduct Description:

Provides guidance to service members and veterans who have ongoing symptoms from a TBI and are going to college, university or vocational school

The frequently asked questions section quickly offers answers to common questions about accommodation plans, financial aid and assistive technology

Additional Information: Download/order: dvbic.dcoe.mil/material/back-school-guide

Audience: Health care providers, service members, and veterans

Format: Booklet

CONCUSSION/MILD TBI INFORMATION BROCHURE FOR USE >1 MONTH AFTER INJURY OR AT POST DEPLOYMENT HEALTH ASSESSMENT (NOT FOR ACUTE PERIOD)Product Description:

Brochure developed by subject matter experts from the Defense Department and the Department of Veterans Affairs to educate deployed service members about TBI one month or more after the injury

Additional Information: Download/order: dvbic.dcoe.mil/material/concussionmtbi-

information-pamphlet-use-1-month-after-injury-not-acute


Format: Brochure

https://dvbic.dcoe.mil/material/back-school-guide

https://dvbic.dcoe.mil/material/concussionmtbi-information-pamphlet-use-1-month-after-injury-not-acute



HEADS CONCUSSION WALLET CARD AND POSTERProduct Description:

Promotes key symptoms of concussion/mild TBI by explaining the HEADS acronym - Headaches and/or vomiting - Ears ringing - Amnesia, altered or loss of consciousness - Double vision and/or dizziness - Something feels wrong or is not right

Additional Information: Order:

- Wallet Card dvbic.dcoe.mil/material/heads-concussion-card - Poster dvbic.dcoe.mil/material/poster-heads-protect-your- strongest-weapon


Format: Wallet card and poster

CONCUSSION/MILD TRAUMATIC BRAIN INJURY AND POSTTRAUMATIC STRESS DISORDER FACT SHEETProduct Description:

Provides the definition for concussion/mild traumatic brain injury and posttraumatic stress disorder and explains how overlapping symptoms often occur

Describes why it is important to seek out treatment for both conditions and gives helpful advice about what to tell your family and friends to help in the recovery process

Additional Information: Download: dvbic.dcoe.mil/material/concussionmild-traumatic-

brain-injury-mtbi-and-posttraumatic-stress-disorder-ptsd-fact


Format: Fact sheet

https://dvbic.dcoe.mil/material/concussionmild-traumatic-brain-injury-mtbi-and-posttraumatic-stress-disorder-ptsd-fact

https://dvbic.dcoe.mil/material/heads-concussion-card

https://dvbic.dcoe.mil/material/poster-heads-protect-your-strongest-weapon



MILD TBI SYMPTOM MANAGEMENT FACT SHEETSProduct Description:

Provides coping and recovery tips for patients with TBI symptoms: - Head injury and dizziness - Headache and neck pain - Mood changes - Memory - Sleep disturbances

Additional Information: Download: dvbic.dcoe.mil/material/tbi-symptom-

management-improving-memory


Format: Fact sheet

Just not feeling like yourself? Easily irritated or on edge? Feeling overwhelmed, anxious, sad or depressed?A concussion may result in changes to your behavior, personality or the way you feel (mood). These changes also could be a result of your other symptoms including pain, poor sleep and fatigue.

What can I do? • Keep an eye on your mood. If you are having negative thoughts and emotions,

identify the triggers and avoid them if possible. Use a journal or the Mood Tracker app (on the back of this page) to help you.

• Take a deep breath. Breathing exercises have been found to decrease the body’s reaction to stress. Try the Breathe2Relax app (on the back of this page) to learn deep breathing techniques that can help you manage your response to stress.

• Take care of yourself. Eat regular healthy meals, and make sure you get at least seven to eight hours of sleep. You may become irritable if you are tired or hungry.

• Think positive! Remember that over time your injuries and symptoms will continue to improve.

• Take a break. If you are in a situation that upsets you, walk away and take a few minutes to calm down. Try to approach the situation with a clearer mind.

• Use positive stress management. Make time to do something you enjoy, especially when you feel angry, frustrated or upset. Listen to some of your favorite music, visit with a friend, exercise or work on a hobby.

• Think before you act. Try to teach yourself to stop and think before you say or do something that might be inappropriate.

• Don’t rush. Give yourself plenty of time to complete tasks. Try doing one thing at a time to prevent frustration and feeling overwhelmed.

• Ask for help. A friend or trusted co-worker could help you prioritize tasks and manage your workload.

• Take your time. Try to pace yourself as you work toward your goals for recovery.

PATIENTS

Changes in Behavior, Personality or Mood Concussion/Mild Traumatic Brain Injury (mTBI)

Did you know?Mood and behavior changes may appear after an mTBI. You or your loved one may not understand why this is happening or know what to do. Trying these tips may improve these feelings.

U.S. Marine Corps photo by Sgt. Lisa Tourtelot

Defense and Veterans Brain Injury Center

Having trouble concentrating? Easily irritated or on edge?

Feeling overwhelmed, anxious, sad or depressed?

Understand that it is OK to have these feelings. There are things you can do to help manage these feelings. Take deep breaths, and know that the feeling will pass. Do not focus on your worries or troubles. Do something you enjoy.

This is normal and very common after a concussion/mild traumatic brain injury. Fortunately, these feelings get better with time.

Replace the negative thoughts or actions with positive ones. If you are in a situation that is upsetting you, get out of it. Go for a walk. Take a few minutes without disruption to settle yourself.

Do not call yourself bad names or put yourself down. You are not your concussion/mild traumatic brain injury. Life will get better. Stay positive.

Talk to someone you love or trust about these feelings. Many people have felt the same way you have at some point in time. Don’t be afraid to express yourself. Your health care provider can also help, so be sure to share your feelings with him or her.

If you have thoughts or feelings of hurting yourself or others, seek emergency care.You can contact the VA Suicide Prevention Hotline: 1-800-273-TALK (8255). This number is established for both Veterans and Active Duty personnel.

Symptoms associated with TBI are similar to psychological stress. If these mood changes are causing problems at work or home, seek help.

Concussion / Mild Traumatic Brain Injury Rehabilitation: Mood Changes

This tool is to be used as a patient education resource during a visit with your provider.

Developed by Subject Matter Experts from the DoD and VAVersion 2: 4 May 2009

Defense and Veterans Brain Injury Center (DVBIC)For more materials or copies, please contact [email protected]

www.dvbic.org

Defense and Veterans Brain Injury CenterConcussion/Mild Traumatic Brain Injury Rehabilitation:

Mood Changes

LINE LEADER FACT SHEETProduct Description:

Document that describes the line leader responsibilities for the Defense Department mandated policy (DoD Instruction 6490.11) that covers service members involved in potentially concussive events in deployed settings

Additional Information: Download: dvbic.dcoe.mil/sites/default/files/uploads/Line%20

Leader%20Fact%20Sheet%202012_V3_Final%20.pdf

Audience: Military line leaders

Format: Fact sheet

http://dvbic.dcoe.mil/sites/default/files/uploads/Line%20Leader%20Fact%20Sheet%202012_V3_Final%20.pdf

https://dvbic.dcoe.mil/material/tbi-symptom-management-improving-memory


MODERATE OR SEVERE TBI FACT SHEETProduct Description:

Describes the common signs and symptoms, stages of treatment and related injuries as well as coping and recovery tips for patients who have sustained a moderate or severe TBI

Additional Information: Download/order: dvbic.dcoe.mil/material/moderate-or-severe-

tbi-fact-sheet


Format: Fact sheet


SIGNS AND SYMPTOMS CONCUSSION FACT SHEETProduct Description:

Provides major physical, cognitive and emotional symptoms of concussion, coping and recovery tips for mild TBI

Available in English, Spanish, Estonian, French, Georgian, German, Italian, Polish and Romanian

Additional Information: Download: dvbic.dcoe.mil/material/signs-symptoms-fact-

sheet-english


Format: Fact sheet

https://dvbic.dcoe.mil/material/signs-symptoms-fact-sheet-english

https://dvbic.dcoe.mil/material/moderate-or-severe-tbi-fact-sheet


VISION PROBLEMS AFTER CONCUSSION PATIENT EDUCATION BROCHUREProduct Description:

Helps concussed service members understand vision problems and provides insight into treatment options

Additional Information: Download/order: dvbic.dcoe.mil/material/assessment-and-

management-visual-dysfunction-associated-mtbi-patient-tool


Format: Brochure


TRAUMATIC BRAIN INJURY RECOVERY SUPPORT PROGRAM AND WEBSITEProduct Description:

Program and its recovery support specialists provide TBI expertise, support and connection to TBI and psychological health services and other resources for clients as they navigate their path to recovery

Additional Information: Website: dvbic.dcoe.mil/tbi-recovery-support-program Download: dvbic.dcoe.mil/sites/default/files/uploads/

RSP/2014_TBI_RSP_Brochure.pdf Email: [email protected]

Audience: Service members, National Guardsman, reservists and

veterans who have sustained a TBI and their family members and caregivers, health care providers

Format: Client support services, health care provider TBI resources,

website, client brochure, fact sheet

http://dvbic.dcoe.mil/tbi-recovery-support-program

http://dvbic.dcoe.mil/sites/default/files/uploads/RSP/2014_TBI_RSP_Brochure.pdf

https://dvbic.dcoe.mil/material/assessment-and-management-visual-dysfunction-associated-mtbi-patient-tool



WARFIGHTER SLEEP KITProduct Description:

Provides education to service members on the impact of sleep on mission effectiveness and obtaining adequate sleep after a TBI

Sponsored by the Naval Medical Research Center as part of the alertness management military operations initiative from the Defense Safety Oversight Council

Additional Information: Order: dvbic.dcoe.mil/material/sleep-kit


Format: Tool kit

https://dvbic.dcoe.mil/material/sleep-kit

Resources for Health Care ProvidersPsychological Health


Resources for Health Care Providers: Psychological Health

ACUTE STRESS REACTION FACT SHEETProduct Description:

Provides a concise overview of acute stress reaction for providers who treat service members diagnosed with a concussion/mild TBI while deployed

Additional Information: Download: dvbic.dcoe.mil/material/acute-stress-reaction-

fact-sheet

Audience: Health care providers

Format: Fact sheet

ASSESSMENT AND MANAGEMENT OF SUICIDE RISK CLINICAL SUPPORT TOOL KITProduct Description:

Outlines critical decision points in the management of suicide and provides evidence-based recommendations on warning signs, protective factors, safety planning and treatment

Additional Information: Download:

- https://www.qmo.amedd.army.mil/suicide/suicide.htm - http://www.healthquality.va.gov/guidelines/MH/srb/


Format: Clinical support tools

https://dvbic.dcoe.mil/material/acute-stress-reaction-fact-sheet


COMPLEMENTARY AND ALTERNATIVE MEDICINES, MODALITIES AND INTERVENTIONS FACT SHEETProduct Description:

Classifies complementary and alternative medicines, modalities and interventions and their clinical use

Describes a group of diverse clinical and health practices and products related to psychological health and TBI that are currently considered conventional medicine or accepted standards of care

Additional Information: Download: dvbic.dcoe.mil/material/complementary-and-

alternative-medicines-cam-modalities-and-interventions-fact-sheet


Format: Fact sheet


MANAGEMENT OF MAJOR DEPRESSIVE DISORDER CLINICAL SUPPORT TOOLSProduct Description:

Trainer-ready materials help health care providers treat patients and improve treatment outcomes by assisting with symptom recognition, treatment and management

Additional Information: Download: healthquality.va.gov/guidelines/MH/mdd/

Order: https://www.qmo.amedd.army.mil/QMOCPGShopCart/products.asp?cat=6



https://dvbic.dcoe.mil/material/complementary-and-alternative-medicines-cam-modalities-and-interventions-fact-sheet

http://www.healthquality.va.gov/guidelines/MH/mdd/


MANAGEMENT OF POSTTRAUMATIC STRESS DISORDER CLINICAL SUPPORT TOOLSProduct Description:

Brings together important resources that support comprehensive evidence based treatment of PTSD including recommendations on screening, diagnosis, psychotherapy, pharmacotherapy, referrals, patients and family self management and psychoeducation

Additional Information:Download: healthquality.va.gov/Post_Traumatic_Stress_Disorder_PTSD.asp

Order (CPG only): https://www.qmo.amedd.army.mil/QMOCPGShopCart/default.asp

Audience:Health care providers

Format:Clinical support tools


MANAGEMENT OF OPIOID THERAPY FOR CHRONIC PAIN CLINICAL SUPPORT TOOLSProduct Description:

Brings together important resources on the safe and effective use of opioid therapy in treating chronic pain

Complies with the VA/DoD Clinical Practice Guideline (CPG) for the Management of Opioid Therapy for Chronic Pain

Additional Information:Download/order (excludes CPG): https://www.qmo.amedd.army.mil/QMOCPGShopCart/products.asp?cat=30

Download: healthquality.va.gov/Chronic_Opioid_Therapy_COT.asp

Audience:Health care providers

Format:Clinical support tools

http://www.healthquality.va.gov/guidelines/pain/cot/index.asp

https://www.qmo.amedd.army.mil/QMOCPGShopCart/products.asp?cat=30

http://www.healthquality.va.gov/guidelines/MH/ptsd/

https://www.qmo.amedd.army.mil/ptsd/ptsd.html



MANAGEMENT OF SUBSTANCE USE DISORDER CLINICAL SUPPORT TOOLSProduct Description:

Provides critical substance use disorder management decision points, evidence based recommendations and supports patient and provider decision-making

Complies with the VA/DoD Clinical Practice Guideline for the Management of Substance Use Disorder

Additional Information: Download: healthquality.va.gov/sud/

Order (CPG only): https://www.qmo.amedd.army.mil/substance%20abuse/substance.htm



RecoveryReintegration

Resilience

Reintegration

Medication-Assisted Treatment for Alcohol Dependence

PE COACH MOBILE APPLICATIONProduct Description:

Mobile application designed to support the tasks associated with prolonged exposure treatment for PTSD

Application includes audio recording capability for easy playback after sessions, tools to support patient tasks between sessions and visual displays of symptom reduction over time

Additional Information: Website: t2health.dcoe.mil/apps/pe-coach

Audience: Health care providers, service members

and veterans


http://t2health.dcoe.mil/apps/pe-coach

http://www.healthquality.va.gov/guidelines/mh/sud/index.asp

https://www.qmo.amedd.army.mil/substance%20abuse/substance.htm



PROVIDER RESILIENCE MOBILE APPLICATIONProduct Description:

Gives health care providers tools to guard against burnout and compassion fatigue as they help service members, veterans and their families

Additional Information: Website: t2health.dcoe.mil/apps/provider-resilience



PROVIDER CLINICAL SUPPORT TOOLS FLIER Product Description:

This flyer provides an overview of clinical support tools for psychological health: - Major Depressive Disorder Tool Kit - Substance Use Disorder Tool Kit - Posttraumatic Stress Disorder - Opioid Therapy For Chronic Pain

Additional Information: Email: usarmy.ncr.medcom-usamrmc-dcoe.mbx.dcoe-

[email protected]


Format: Flier

http://t2health.dcoe.mil/apps/provider-resilience



VIRTUAL HOPE BOX MOBILE APPLICATIONProduct Description:

A smartphone application designed to help service members focus on positive influences in their life when they are upset by combining meaningful memories with relaxation coaching and distracting activities to help them cope when they are feeling down

The Virtual Hope Box contains simple, customizable support tools to help users with coping, relaxation, distraction and positive thinking

Additional Information: Website: t2health.dcoe.mil/apps/virtual-hope-box



http://t2health.dcoe.mil/apps/virtual-hope-box

Resources for Health Care ProvidersTraumatic Brain Injury


Resources for Health Care Providers: Traumatic Brain Injury

ASSESSMENT AND MANAGEMENT OF VISUAL DYSFUNCTION ASSOCIATED WITH MILD TBI CLINICAL SUPPORT TOOLSProduct Description:

Provides an approach to evaluate visual dysfunction following mild TBI and offers guidance regarding referral for further eye or visual evaluation and care

Additional Information: Download/order: dvbic.dcoe.mil/material/assessment-and-

management-visual-dysfunction-associated-mtbi-clinical-recommendation



ASSESSMENT AND MANAGEMENT OF DIZZINESS ASSOCIATED WITH MILD TBI CLINICAL SUPPORT TOOLSProduct Description:

Provides an approach to evaluate dizziness following mild TBI and offers guidance regarding referral for further vestibular evaluation and care, dizziness differentiations, effect of dizziness symptoms in patients who have been exposed to mild TBI and an algorithm outlining steps for providers

Additional Information: Download/order: dvbic.dcoe.mil/material/assessment-

and-management-dizziness-associated-mtbi-clinical-recommendation



https://dvbic.dcoe.mil/material/assessment-and-management-dizziness-associated-mtbi-clinical-recommendation

https://dvbic.dcoe.mil/material/assessment-and-management-visual-dysfunction-associated-mtbi-clinical-recommendation


AUTOMATED NEUROPSYCHOLOGICAL ASSESSMENT METRICS FACT SHEETProduct Description:

Fact sheet that explains the web-based neurocognitive assessment used by all service members pre and post-deployment to measure potential cognitive changes in individuals exposed to a concussive event

ANAM results are considered protected health information and become part of a service member’s permanent medical record

Additional Information: ANAM baselines can be requested by a provider by contacting

[email protected]

Audience: Health care providers and service members

Format: Fact sheet

BRAIN INJURY AWARENESS POSTERProduct Description:

Promotes brain injury awareness and reflects the 2014 theme, “Anyone, Anytime, Anywhere: Brain Injuries Do Not Discriminate”

Additional Information: Download/order: dvbic.dcoe.mil/material/2014-brain-injury-

awareness-month-poster-all-services


Format: Poster


https://dvbic.dcoe.mil/material/2014-brain-injury-awareness-month-poster-all-services



CONCUSSION MANAGEMENT IN DEPLOYED SETTINGS: COMBAT MEDIC/CORPSMAN ALGORITHM CARD Product Description:

Concussion Management Algorithm (CMA) is a tool for all levels of providers on the assessment, evaluation and treatment of concussion in the deployed setting

Additional Information: Order: dvbic.dcoe.mil/material/concussion-management-

algorithm-cma-pocket-cards


Format: Pocket and wallet cards

CASE MANAGEMENT OF CONCUSSION/MILD TBI GUIDANCE DOCUMENTProduct Description:

Provides guidance for case managers of service members who sustained a mild TBI

Additional Information: Download: dvbic.dcoe.mil/sites/default/files/u9/TBI_CM-SOP-

2013revisions-V0%206_6-5-2013.pdf

Audience: Nurse case managers, social workers, recovery care

coordinators, federal recovery coordinators, DVBIC regional care coordinators and other medical professionals

Format: Guide

http://dvbic.dcoe.mil/sites/default/files/u9/TBI_CM-SOP-2013revisions-V0%206_6-5-2013.pdf

https://dvbic.dcoe.mil/material/concussion-management-algorithm-cma-pocket-cards


DEPARTMENT OF DEFENSE CODING GUIDANCE FOR TRAUMATIC BRAIN INJURY FACT SHEETProduct Description:

Guidance for coding an initial encounter as well as subsequent encounters for TBI care

Details how to code personal history of injury, use of the late effect code for TBI follow-up visits, deployment status code, TBI screening code, inpatient/outpatient rehabilitation and use of an e-code when appropriate

Additional Information: Download: dcoe.mil/Content/navigation/documents/DOD_

Coding_Guidance_for_TBI_Fact_Sheet.pdf


Format: Fact sheet


DEPARTMENT OF DEFENSE ICD-9 CODING GUIDANCE FOR TRAUMATIC BRAIN INJURY POCKET CARDProduct Description:

Provides accurate codes for various TBI related diagnoses

Additional Information: Download/order: dvbic.dcoe.mil/material/department-

defense-icd-9-coding-guidance-traumatic-brain-injury-pocket-card


Format: Pocket card

http://dcoe.mil/Content/navigation/documents/DOD_Coding_Guidance_for_TBI_Fact_Sheet.pdf

https://dvbic.dcoe.mil/material/department-defense-icd-9-coding-guidance-traumatic-brain-injury-pocket-card



MANAGEMENT OF SLEEP DISTURBANCES FOLLOWING CONCUSSION/MILD TRAUMATIC BRAIN INJURY CLINICAL SUPPORT TOOLSProduct Description:

Provides guidance regarding assessing and managing sleep disturbances associated with mild traumatic brain injury and includes specific recommendations for helping service members and/or veterans in both deployed and non-deployed settings manage symptoms of insomnia, circadian rhythm sleep-wake disorder and obstructive sleep apnea

Additional Information: Download/order: dvbic.dcoe.mil/material/management-sleep-

disturbances/suite

Audience: Primary care managers, emergency room physicians and

medical specialists, specifically sleep specialists


MACE: MILITARY ACUTE CONCUSSION EVALUATION KIT, POCKET AND WALLET CARDProduct Description:

Concussion screening tool that includes a cognitive exam, neurological exam and symptom results

Additional Information: Order: dvbic.dcoe.mil/material/military-acute-concussion-

evaluation-mace-pocket-cards


Format: Pocket and wallet cards

https://dvbic.dcoe.mil/material/military-acute-concussion-evaluation-mace-pocket-cards

https://dvbic.dcoe.mil/resources/management-sleep-disturbances



MILD TRAUMATIC BRAIN INJURY POCKET GUIDE (CONUS) AND MOBILE APPLICATIONProduct Description:

Concussion screening tool that includes an all-encompassing, quick reference on the assessment, treatment and management of patients with mild TBI and related symptoms stateside

Additional Information: Download/order: dvbic.dcoe.mil/material/mtbi-pocket-guide-

and-mobile-application


Format: Pocket guide, Android and iOS

MILITARY TBI CASE MANAGEMENT QUARTERLY NEWSLETTERProduct Description:

Provides information and resources for those caring for service members with TBI and their families

Spotlights TBI case management excellence to identify and share best practices across the military community

Additional Information: Website: dvbic.dcoe.mil/case-management-resources

Email: [email protected]

Audience: Health care providers and TBI case managers

Format: Newsletter

https://dvbic.dcoe.mil/material/mtbi-pocket-guide-and-mobile-application

http://dvbic.dcoe.mil/case-management-resources



NEUROCOGNITIVE ASSESSMENT TOOL CLINICAL RECOMMENDATIONProduct Description:

Provides background of pre-deployment neurocognitive testing and the use of automated neuropsychological assessment metrics

Additional Information: Download: dvbic.dcoe.mil/material/indications-and-

conditions-theater-post-injury-neurocognitive-assessment-tool-ncat-testing

Audience: Health care providers and TBI case managers

Format: Clinical recommendation

NEUROENDOCRINE DYSFUNCTION SCREENING POST MILD TBI RECOMMENDATION CLINICAL SUPPORT TOOLSProduct Description:

Serves as a reference tool offering medical guidance following indications from post-injury neuroendocrine screening

Additional Information: Download/order: dvbic.dcoe.mil/material/indications-and-

conditions-neuroendocrine-dysfunction-screening-post-mtbi-recommendations



https://dvbic.dcoe.mil/material/indications-and-conditions-theater-post-injury-neurocognitive-assessment-tool-ncat-testing

https://dvbic.dcoe.mil/material/indications-and-conditions-neuroendocrine-dysfunction-screening-post-mtbi-recommendations



NEUROIMAGING FOLLOWING MILD TBI IN THE NON-DEPLOYED SETTING CLINICAL SUPPORT TOOLSProduct Description:

Offers guidance for a standard approach for imaging from the acute through chronic stages following mild TBI in the non-deployed setting

Additional Information: Download/order: dvbic.dcoe.mil/material/neuroimaging-

following-mtbi-non-deployed-setting-clinical-recommendation



PROGRESSIVE RETURN TO ACTIVITY FOLLOWING ACUTE CONCUSSION/MILD TRAUMATIC BRAIN INJURY: GUIDANCE FOR PRIMARY CARE MANAGERS CLINICAL SUPPORT TOOLSProduct Description:

Provides an initial framework for gradually increasing service member activity after concussion

Additional Information: Download/order: dvbic.dcoe.mil/resources/progressive-

return-to-activity



https://dvbic.dcoe.mil/material/neuroimaging-following-mtbi-non-deployed-setting-clinical-recommendation

https://dvbic.dcoe.mil/resources/progressive-return-to-activity



PROGRESSIVE RETURN TO ACTIVITY FOLLOWING ACUTE CONCUSSION/MILD TRAUMATIC BRAIN INJURY: GUIDANCE FOR REHABILITATION PROVIDERSCLINICAL SUPPORT TOOLSProduct Description:

Provides details for rehabilitation providers in the management of service members who have sustained a TBI

Includes six rehabilitation stages and includes a neurobehavioral symptoms inventory (NSI)

Additional Information: Download/order: dvbic.dcoe.mil/resources/progressive-

return-to-activity

Audience: Rehabilitation providers


TBI.CONSULT BUSINESS CARDProduct Description:

TBI.consult is an email consultation service provided by DVBIC to assist deployed clinicians with questions about acute TBI care

Additional Information: Order: dvbic.dcoe.mil/material/tbiconsult-card Email: usarmy.ncr.medcom-usamrmc-dcoe.mbx.dvbic-info@

mail.mil

Audience: Deployed service providers who have questions regarding

acute TBI care Format:

Business card

https://dvbic.dcoe.mil/resources/progressive-return-to-activity

https://dvbic.dcoe.mil/material/tbiconsult-card


TELEHEALTH AND TECHNOLOGY WEB RESOURCE LOCATOR WEBSITEProduct Description:

Offers access to the Defense Department, Department of Veterans Affairs and community resources to support ongoing care for families coping with TBI and associated psychological health concerns

Website offers links to websites, locations, hotlines and other resources covering more than 40 topics

Additional Information: Website: ttwrl.dcoe.mil

Audience: TBI case managers, service members, veterans, and

military families Format:

Website


https://ttwrl.dcoe.mil/

DCoE RESOURCE CATALOGPage 41

Your feedback is important to us. Please send us your comments via ICE.

https://ice.disa.mil/index.cfm?fa=card&sp=132381&s=1019&dep=*DoD&sc=11

FEEDBACK

https://ice.disa.mil/index.cfm?fa=card&sp=132381&s=1019&dep=*DoD&sc=11

dcoe.mil(866) 966-1020

Released: Nov 2013 | Reviewed: Nov 2014 | Anticipated Next Review: Dec 2015

http://www.dcoe.mil/

DCoE Resource Catalog 2014

Health & Medicine

Transcript of DCoE Resource Catalog 2014