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Related Concept Videos

Community Based Intervention01:30

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Implementation and outcomes of a statewide TBI screening program for underserved populations.

Seyedeh Melika Akaberi1, Elaine Nguyen2, Glenda Carr2

  • 1Traumatic Brain Injury State Partnership Grant Program, Institute of Rural Health, Idaho State University, 1311 East Central Drive, Meridian, ID 83642, United States.

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
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Summary

This study implemented traumatic brain injury (TBI) screenings in Idaho, identifying higher TBI prevalence in underserved populations. The initiative successfully raised awareness and connected individuals with needed TBI resources.

Keywords:
community health screeninghealthcare collaborationinterprofessional educationtraumatic brain injuryunderserved populations

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Area of Science:

  • Public Health
  • Neuroscience
  • Health Services Research

Background:

  • Traumatic brain injury (TBI) remains a significant public health concern, particularly within underserved communities.
  • Existing TBI reporting mechanisms often fail to capture the full scope of the issue, especially in rural settings.
  • Idaho's definition of underserved populations encompasses rural residents, those experiencing homelessness, intimate partner violence, co-occurring disorders, and diverse cultural/linguistic backgrounds.

Purpose of the Study:

  • To describe the implementation and outcomes of a novel community-based traumatic brain injury (TBI) screening initiative.
  • To specifically address the needs of underserved populations in a rural state, enhancing TBI awareness and support.
  • To bridge the gap in TBI reporting and facilitate access to care for those identified.

Main Methods:

  • A cross-sectional study design was employed from 2014 to 2022.
  • TBI screenings were conducted by trained interprofessional health students and Institute of Rural Health members using the Ohio State University TBI Identification Method-Interview Form.
  • Screened individuals received resources and follow-up support; data were collected and analyzed using descriptive statistics.

Main Results:

  • A total of 1333 individuals were screened across 23 community events in Idaho.
  • Over 30% of participants reported a history of head or neck injury, with falls and being struck by objects being common causes.
  • Screenings targeting underserved populations revealed a higher prevalence of TBI, underscoring the value of this targeted approach.

Conclusions:

  • Community-based TBI screening initiatives, particularly those focusing on underserved populations, are effective in identifying individuals with TBI.
  • A collaborative, interprofessional approach is crucial for addressing complex health issues like TBI in community settings.
  • The findings provide valuable insights for the development and implementation of similar TBI screening programs elsewhere.