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 July 30, 2014

News: Software to power F-35 running as much as 14 months late - Software needed to operate Lockheed Martin’s F-35 jet, the Pentagon’s costliest weapons system, may be as much as 14 months late for required flight testing, according to a Pentagon review.   Business: Lockheed will turn on JLTV production line In August; 6-D truck...
 
 

News Briefs July 30, 2014

U.S. military deaths in Afghanistan at 2,197 As of July 29, 2014, at least 2,197 members of the U.S. military had died in Afghanistan as a result of the U.S.-led invasion of Afghanistan in late 2001, according to an Associated Press count. At least 1,819 military service members have died in Afghanistan as a result...
 
 
Lockheed Martin photograph by Tom Reynolds

F-35B successfully completes wet runway, crosswind testing

Lockheed Martin photograph by Tom Reynolds F-35B aircraft BF-4, piloted by Lockheed Martin Test Pilot Dan Levin, starts down the runway as part of wet runway and crosswind testing at Edwards AFB, Calif. In an important program ...
 

 
boeing-chinook

Boeing delivers first U.S. Army multiyear II configured Chinook

Boeing July 29 delivered the first multiyear II configured CH-47F Chinook helicopter to the U.S. Army one month ahead of schedule. The delivery was celebrated in a ceremony at the production facility in Ridley Township, Penn. ...
 
 
Army photograph by SSgt. Angela Stafford

Engineers developing safer, more accurate tracer round

Army photograph Tracer rounds enable the shooter to follow the projectile trajectory to make aiming corrections. However, the light emitted by these rounds also gives away the position of the shooter. Engineers at Picatinny Ars...
 
 
NASA photograph by Carla Thomas

Katherine Lott awarded NASA Armstrong employee scholarship

NASA photograph by Carla Thomas Katherine Lott, the recipient of the 2014 NASA Armstrong Employee Exchange Council Joseph R. Vensel Memorial Scholarship, is congratulated by NASA Armstrong center director David McBride. Flankin...
 




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>