Veterans

August 16, 2013

National plan supports veterans mental health, brain injury care

Ellen Crown
Fort Lauderdale, Fla.

Experts from the Department of Defense and the Department of Veterans Affairs gathered in Fort Lauderdale, Fla., Aug. 14 to discuss the future of veteransí mental health and traumatic brain injury research efforts at the Military Health System Research Symposium.

Discussion leaders included Health Affairs Director of Medical Research Dr. Terry Rauch, Acting Chief Officer of the VA Office of Research and Development Dr. Timothy OíLeary, U.S. Armyís Combat Casualty Care Research Program Director Col. Dallas Hack, Deputy Director of the Defense and Veterans Brain Injury Center Katherine Helmick, and Uniformed Services University School of Medicineís Center for the Study of Traumatic Stress Director Dr. Robert Ursano.

Discussions turned toward the National Research Action Plan, which is the result of an executive order signed a year ago by President Barack Obama to improve access to mental health services for veterans, service members, and military families. The plan directs DOD and the VA to work with the U.S. Department of Health and Human Services and the U.S. Department of Education to share resources and complete certain goals, such as complete within the next year the current DOD-CDC-Brain Trauma Foundation mild TBI/concussion classification project to clarify what is known and unknown about mild TBI and the critical gaps that need to be addressed.

The National Research Action Plan creates a common roadmap for medical leadership to follow as we move forward to work on incredibly complex issues,î said Hack, who is stationed at the U.S. Army Medical Research and Materiel Command thatís headquartered at Fort Detrick, Md.

The National Research Action Plan demonstrates a dedication across multiple agencies to close critical research and care gaps, both in the military and civilian sector, Rauch said.

Since Sept. 11, 2001, more than 2.5 million service members have deployed to Iraq and Afghanistan in Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn. The Armed Forces Health Surveillance Center data indicates there have been more than 250,000 cases of TBI in the military between 2000 and 2012. However, more than 80 percent of these cases were the result of non-combat injuries.

Clearly, we are not going to stop seeing traumatic brain injuries, even in times of no war, Hack said.

The NRAP also addresses the frequently co-occurring conditions, such as depression, substance abuse related to alcohol, tobacco, and other drugs, including the misuse and abuse of prescription drugs, and chronic pain, each of which can complicate the prevention and treatment of PTSD, TBI, and suicidal behaviors.

The interrelationships between TBI, PTSD, and suicidality are complex, to say the least, Ursano said.

In fact, I think it was this war that highlighted these areas in relation to each other, as a opportunity for further investigation for research and treatment.

Announced within the NRAP is also the creation of two joint research consortia, including the Consortium to Alleviate PTSD and the Chronic Effects of Neurotrauma Consortium. The two consortia will be established within the next six months and are within the first phase of the NRAP.

The Consortium to Alleviate PTSD is a collaborative effort between the University of Texas Health Science Center ñ San Antonio, San Antonio Military Medical Center and the Boston VA Medical Center, with the goal of developing the most effective diagnostic, prognostic, novel treatment, and rehabilitative strategies to treat acute PTSD and prevent chronic PTSD.

The Chronic Effects of Neurotrauma Consortium is a collaborative effort between Virginia Commonwealth University, the Uniformed Services University of the Health Sciences, and the Richmond VA Medical Center with the goal of examining the factors which influence the chronic effects of mild TBI and common comorbidities in order to improve diagnostic and treatment options.

A key point will be to further the understanding of the relationship between mild TBI and neurodegenerative disease.

ìMild traumatic brain injury is an area we need to continue to focus on, in terms of rapid evaluation, treatment and patient management,î Helmick said. Most service members with TBI, he said, have a mild injury or concussion.

With a mild TBI, most service members can have a full recovery, she said.

In its first 12 months the NRAP will focus on developing a more precise system to diagnose TBI and standardizing data on TBI and PTSD. Longer-term goals include confirming biomarkers for PTSD and TBI, identifying changes in brain circuitry after successful treatment, and exploring genetic risk factors.

The plan lays out the next five years, but this is really a lifelong commitment,î OíLeary said. ìThat is the promise we make to our war fighters.




All of this week's top headlines to your email every Friday.


 
 

 

Headlines March 2, 2015

News: Israel lobbies for more missile defense funds than Obama sought - For the second consecutive year, Israeli officials have asked the U.S. Congress to add more than $300 million to President Barack Obama’s budget request for their nation’s missile-defense programs.   Business: Inside one of the most intense, and unusual, Pentagon contracting wars - The much-anticipated...
 
 

News Briefs March 2, 2015

Italy resumes Navy exercise amid new tensions over Libya The Italian Navy is resuming exercises in the Mediterranean Sea, including near the coast of Libya, amid concerns about rapidly deteriorating security in the North African nation. The exercise began March 2 and includes anti-submarine, anti-aircraft and anti-ship training operations. The exercise was suspended for a...
 
 
LM-AEHF

Ingenuity drives Lockheed’s AEHF program to production milestone early

Lockheed Martin has successfully integrated the propulsion core and payload module for the fourth Advanced Extremely High Frequency (AEHF) satellite nearly five months ahead of schedule. Reaching this critical milestone early a...
 

 

First all-electric propulsion satellites send first on-orbit signals

Two Boeing 702SP (small platform) satellites, the first all-electric propulsion satellites to launch, have sent initial signals from space, marking the first step toward ABS, based in Bermuda, and Eutelsat, based in Paris, being able to provide enhanced communication services to their customers. Whatís more, the satellites were launched as a conjoined stack on a...
 
 

GA-ASI, Sener team to offer Predator B to Spain

General Atomics Aeronautical Systems, Inc. and SENER, a leading Spanish engineering company, announced March 2 that they have signed a teaming agreement that promotes the use of the multi-mission Predator B® RPA to support Spain’s airborne surveillance and reconnaissance requirements.  GAASI is a leading manufacturer of Remotely Piloted Aircraft systems, radars, and electro-optic and relate...
 
 
raytheon-satellite

Raytheon’s ‘Blue Marble’ imaging sensor delivered on schedule

Raytheon has delivered a second Visible Infrared Imaging Radiometer Suite instrument to support the National Oceanic and Atmospheric Administration’s Joint Polar Satellite System mission. The second VIIRS unit will fly ab...
 




0 Comments


Be the first to comment!


Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>