Exploring Integration of Support for Co-Occurring Substance Use-Related Needs in Interdisciplinary Traumatic Brain Injury Treatment for Military Service Members and Veterans
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View abstract on PubMed
Summary
This summary is machine-generated.An integrated care model for military traumatic brain injury (TBI) and substance use (SU) shows high treatment completion rates. This approach enhances care entry and success for service members and veterans.
Area Of Science
- Neuroscience
- Psychiatry
- Public Health
Background
- Military service members and veterans frequently experience traumatic brain injuries (TBIs) and co-occurring substance use (SU) disorders.
- Integrated treatment models are needed to address the complex needs of this population.
- Existing TBI treatment programs may not adequately support individuals with co-occurring SU.
Purpose Of The Study
- To evaluate the initial outcomes of an interdisciplinary military TBI treatment program incorporating individualized support for co-occurring SU.
- To assess treatment entry and completion rates within this integrated model.
- To gather feedback from clinicians regarding the program's effectiveness.
Main Methods
- A quality improvement initiative developed an Integrated Care Model for TBI + SU.
- The model was implemented over 26 months in an intensive outpatient program (IOP) setting.
- Data collected included treatment entry/completion, reasons for noncompletion, admission denials, and clinician feedback.
Main Results
- Out of 188 individuals who entered care, only 7 did not complete the IOP, with just 1 instance attributed to SU.
- Clinician feedback indicated optimism regarding the Integrated Care Model.
- Logistic regression identified demographic and clinical factors predicting care entry, including SU and psychiatric history.
Conclusions
- An interdisciplinary TBI treatment setting integrated with SU support demonstrates promise for improving treatment engagement and completion.
- The Integrated Care Model appears effective in supporting service members and veterans with TBI and co-occurring SU.
- Further research should explore long-term outcomes and refine integrated care strategies.
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