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Issue title: Why Military Neurorehabilitation Research is Relevant to Everyone
Guest editors: David X. Cifu and Sidney R. Hinds
Article type: Research Article
Authors: Ragsdale, Katie A.a; * | Nichols, Anastacia A.b | Mehta, Mansia | Maples-Keller, Jessica L.a | Yasinski, Carly W.a | Hyatt, Courtland S.a | Watkins, Laura E.a | Loucks, Laura A.a | Carbone, Elizabetha | Rauch, Sheila A. M.a; c | Rothbaum, Barbara O. a
Affiliations: [a] Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA | [b] Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA, USA | [c] Joseph Maxwell Cleland Atlanta VA Medical Center, Decatur, GA, USA
Correspondence: [*] Address for correspondence: Katie A. Ragsdale, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA. E-mails: [email protected] and [email protected].
Abstract: BACKGROUND:The Emory Healthcare Veterans Program (EHVP) is a multidisciplinary intensive outpatient treatment program for post-9/11 veterans and service members with invisible wounds, including posttraumatic stress disorder (PTSD), traumatic brain injury (TBI), substance use disorders (SUD), and other anxiety- and depression-related disorders. OBJECTIVE:This article reviews the EHVP. METHODS:The different treatment tracks that provide integrated and comprehensive treatment are highlighted along with a review of the standard, adjunctive, and auxiliary services that complement individualized treatment plans. RESULTS:This review particularly emphasizes the adjunctive neurorehabilitation service offered to veterans and service members with a TBI history and the EVHP data that indicate large reductions in PTSD and depression symptoms across treatment tracks that are maintained across 12 months follow up. Finally, there is a discussion of possible suboptimal treatment response and the pilot programs related to different treatment augmentation strategies being deploying to ensure optimal treatment response for all. CONCLUSION:Published data indicate that the two-week intensive outpatient program is an effective treatment program for a variety of complex presentations of PTSD, TBI, SUD, and other anxiety- and depression-related disorders in veterans and active duty service members.
Keywords: Posttraumatic stress disorder, traumatic brain injury, military psychiatry, veterans, mental health, therapy
DOI: 10.3233/NRE-230235
Journal: NeuroRehabilitation, vol. 55, no. 3, pp. 375-384, 2024
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