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Development and Evolution of a Comprehensive Mild Traumatic Brain Injury Inpatient Rehabilitation Program: A Nursing

Susan S Modi, Deanna Goff, Dara Guess

    Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals
    |July 21, 2022
    PubMed
    Summary

    The James A. Haley Veterans’ Hospital created the Post-Deployment Rehabilitation and Evaluation Program (PREP) for Special Operations Forces (SOF) and veterans. This successful program is now a model for expanding mild traumatic brain injury (mTBI) rehabilitation nationwide.

    Keywords:
    cognition disordersmilitary medicinemultiple traumanursing carepolytraumatraumatic brain injuriesveterans health services

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    Area of Science:

    • Rehabilitation Medicine
    • Military Health
    • Neurology

    Background:

    • Special Operations Forces (SOF) and veterans face unique chronic conditions.
    • Mild traumatic brain injury (mTBI) requires specialized inpatient rehabilitation.
    • Existing rehabilitation models may not fully address the needs of this population.

    Purpose of the Study:

    • To describe the innovative Post-Deployment Rehabilitation and Evaluation Program (PREP) at James A. Haley Veterans’ Hospital.
    • To highlight the interdisciplinary team approach in managing SOF and veteran rehabilitation.
    • To provide a model for expanding mTBI inpatient rehabilitation programs within the Veterans Health Administration (VHA).

    Main Methods:

    • Program development and implementation at a VHA facility.
    • Formation of an interdisciplinary team including nurse practitioners and registered nurses.
    • Utilizing an established program as a template for national expansion.

    Main Results:

    • The PREP program at Tampa's VA has demonstrated success since its establishment in 2008.
    • The VHA is actively adopting the PREP model for broader implementation.
    • Key nursing and rehabilitation team considerations for mTBI programs have been identified.

    Conclusions:

    • The PREP program offers a successful, specialized model for SOF and veteran rehabilitation.
    • Expansion of the PREP model is underway to improve nationwide access to mTBI care.
    • Successful program development hinges on specific nursing and rehabilitation team expertise.