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Improvised explosive devices (IEDs) have been one of the leading causes of death and injury among U.S. troops. Those who survive an IED blast or other injuries may be left with a traumatic brain injury (TBI) and attendant or co-occurring psychological symptoms. In response to the need for specialized services for these populations, the U.S. Department of Defense (DoD) established the National Intrepid Center of Excellence (NICoE) in Bethesda, Maryland, in 2010. The NICoE's success in fulfilling its mission is impacted by its relationships with home station providers, patients, and their families. The RAND Corporation was asked to evaluate these relationships and provide recommendations for strengthening the NICoE's efforts to communicate with these groups to improve patients' TBI care. Through surveys, site visits, and interviews with NICoE staff, home station providers, service members who have received care at the NICoE, and the families of these patients, RAND's evaluation examined the interactions between the NICoE and the providers responsible for referring patients and implementing treatment plans. --

Soldiers --- Brain --- Brain Injuries --- Military Personnel --- Veterans Health --- Rehabilitation --- Military Medicine --- Occupational Groups --- Health --- Craniocerebral Trauma --- Health Services --- Physical Medicine --- Brain Diseases --- Medicine --- Therapeutics --- Trauma, Nervous System --- Health Occupations --- Persons --- Central Nervous System Diseases --- Population Characteristics --- Health Care Facilities, Manpower, and Services --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Wounds and Injuries --- Disciplines and Occupations --- Health Care --- Named Groups --- Nervous System Diseases --- Diseases --- Military Administration --- Military & Naval Science --- Law, Politics & Government --- Medical care --- Evaluation --- Treatment --- Wounds and injuries --- Nervous System Disorders --- Neurological Disorders --- Neurologic Disorders --- Disease, Nervous System --- Diseases, Nervous System --- Disorder, Nervous System --- Disorder, Neurologic --- Disorder, Neurological --- Disorders, Nervous System --- Disorders, Neurologic --- Disorders, Neurological --- Nervous System Disease --- Nervous System Disorder --- Neurologic Disorder --- Neurological Disorder --- Neurology --- Community-Based Distribution --- Contraceptive Distribution --- Delivery of Healthcare --- Dental Care Delivery --- Distribution, Non-Clinical --- Distribution, Nonclinical --- Distributional Activities --- Healthcare --- Healthcare Delivery --- Healthcare Systems --- Non-Clinical Distribution --- Nonclinical Distribution --- Delivery of Dental Care --- Health Care Delivery --- Health Care Systems --- Activities, Distributional --- Activity, Distributional --- Care, Health --- Community Based Distribution --- Community-Based Distributions --- Contraceptive Distributions --- Deliveries, Healthcare --- Delivery, Dental Care --- Delivery, Health Care --- Delivery, Healthcare --- Distribution, Community-Based --- Distribution, Contraceptive --- Distribution, Non Clinical --- Distributional Activity --- Distributions, Community-Based --- Distributions, Contraceptive --- Distributions, Non-Clinical --- Distributions, Nonclinical --- Health Care System --- Healthcare Deliveries --- Healthcare System --- Non Clinical Distribution --- Non-Clinical Distributions --- Nonclinical Distributions --- System, Health Care --- System, Healthcare --- Systems, Health Care --- Systems, Healthcare --- Injuries and Wounds --- Injuries, Wounds --- Research-Related Injuries --- Wounds --- Wounds and Injury --- Wounds, Injury --- Injuries --- Trauma --- Injuries, Research-Related --- Injury --- Injury and Wounds --- Injury, Research-Related --- Research Related Injuries --- Research-Related Injury --- Traumas --- Wound --- First Aid --- Traumatology --- Healthcare Facilities, Manpower, and Services --- Population Heterogeneity --- Population Statistics --- Characteristic, Population --- Characteristics, Population --- Heterogeneity, Population --- Population Characteristic --- Statistics, Population --- CNS Diseases --- Central Nervous System Disorders --- CNS Disease --- Person --- Health Professions --- Health Occupation --- Health Profession --- Occupation, Health --- Occupations, Health --- Profession, Health --- Professions, Health --- Occupations --- Axonotmesis --- Injuries, Nervous System --- Neurotmesis --- Craniocervical Injuries --- Nervous System Injuries --- Axonotmeses --- Craniocervical Injury --- Nervous System Injury --- Nervous System Trauma --- Nervous System Traumas --- Neurotmeses --- Nervous System --- Therapy --- Therapeutic --- Therapies --- Treatments --- Disease --- Medical Specialities --- Medical Specialties --- Medical Specialty --- Specialities, Medical --- Specialties, Medical --- Specialty, Medical --- Medical Speciality --- Speciality, Medical --- Brain Disorders --- CNS Disorders, Intracranial --- Central Nervous System Disorders, Intracranial --- Central Nervous System Intracranial Disorders --- Encephalon Diseases --- Encephalopathy --- Intracranial CNS Disorders --- Intracranial Central Nervous System Disorders --- Brain Disease --- Brain Disorder --- CNS Disorder, Intracranial --- Encephalon Disease --- Encephalopathies --- Intracranial CNS Disorder --- Medicine, Physical --- Physiatrics --- Physical Medicine and Rehabilitation --- Physiatry --- Services, Health --- Health Service --- Service, Health --- Craniocerebral Injuries --- Crushing Skull Injury --- Forehead Trauma --- Head Injuries, Multiple --- Head Injury, Minor --- Head Injury, Open --- Head Injury, Superficial --- Injuries, Craniocerebral --- Injuries, Head --- Multiple Head Injuries --- Occipital Trauma --- Open Head Injury --- Superficial Head Injury --- Trauma, Head --- Frontal Region Trauma --- Head Injuries --- Head Trauma --- Occipital Region Trauma --- Parietal Region Trauma --- Temporal Region Trauma --- Craniocerebral Injury --- Craniocerebral Traumas --- Crushing Skull Injuries --- Forehead Traumas --- Frontal Region Traumas --- Head Injuries, Minor --- Head Injuries, Open --- Head Injuries, Superficial --- Head Injury --- Head Injury, Multiple --- Head Traumas --- Injuries, Minor Head --- Injuries, Multiple Head --- Injuries, Open Head --- Injuries, Superficial Head --- Injury, Craniocerebral --- Injury, Head --- Injury, Minor Head --- Injury, Multiple Head --- Injury, Open Head --- Injury, Superficial Head --- Minor Head Injuries --- Minor Head Injury --- Multiple Head Injury --- Occipital Region Traumas --- Occipital Traumas --- Open Head Injuries --- Parietal Region Traumas --- Region Trauma, Frontal --- Region Trauma, Occipital --- Region Trauma, Parietal --- Region Traumas, Frontal --- Region Traumas, Occipital --- Region Traumas, Parietal --- Skull Injuries, Crushing --- Skull Injury, Crushing --- Superficial Head Injuries --- Temporal Region Traumas --- Trauma, Craniocerebral --- Trauma, Forehead --- Trauma, Frontal Region --- Trauma, Occipital --- Trauma, Occipital Region --- Trauma, Parietal Region --- Trauma, Temporal Region --- Traumas, Craniocerebral --- Traumas, Forehead --- Traumas, Frontal Region --- Traumas, Head --- Traumas, Occipital --- Traumas, Occipital Region --- Traumas, Parietal Region --- Traumas, Temporal Region --- Head --- Optic Nerve Injuries --- Olfactory Nerve Diseases --- Group, Occupational --- Groups, Occupational --- Occupational Group --- Medicine, Military --- Habilitation --- Disabled Persons --- Recovery of Function --- Return to Work --- Sports for Persons with Disabilities --- Health, Veterans --- War Exposure --- Veterans --- Military --- Air Force Personnel --- Armed Forces Personnel --- Army Personnel --- Coast Guard --- Marines --- Navy Personnel --- Sailors --- Submariners --- Force Personnel, Air --- Personnel, Air Force --- Personnel, Armed Forces --- Personnel, Army --- Personnel, Military --- Personnel, Navy --- Sailor --- Soldier --- Submariner --- Military Family --- Acute Brain Injuries --- Brain Injuries, Acute --- Brain Injuries, Focal --- Focal Brain Injuries --- Injuries, Acute Brain --- Injuries, Brain --- Brain Lacerations --- Acute Brain Injury --- Brain Injury --- Brain Injury, Acute --- Brain Injury, Focal --- Brain Laceration --- Focal Brain Injury --- Injuries, Focal Brain --- Injury, Acute Brain --- Injury, Brain --- Injury, Focal Brain --- Laceration, Brain --- Lacerations, Brain --- Cerebrum --- Mind --- Central nervous system --- Armed Forces personnel --- Members of the Armed Forces --- Military personnel --- Military service members --- Service members --- Servicemen, Military --- Armed Forces --- injuries --- therapy --- rehabilitation --- Health Workforce --- Military Deployment --- Deployment, Military --- Employee --- Employees --- Personnel --- Worker --- Workers --- Military Health --- Military Personnel. --- Veterans Health, --- therapy. --- methods. --- National Intrepid Center of Excellence (U.S.) --- Maryland. --- United States.