Community Reintegration

Reintegrating Military Personnel after Traumatic Brain Injury (TBI): A Community Integrated Rehabilitation Model in Practice

By Tina M. Trudel, Phd, John DaVanzo, MS, MEd, CCC-SLP, Erin O. Mattingly, MA, CCC-SLP, F. Don Nidiffer, Phd, Jeffrey T. Barth, Phd, ABPP

Traumatic Brain Injury is a major health problem in civilian and military populations, where even in peace time, injuries number in the thousands. Individuals experiencing moderate to severe brain injuries require a continuum of care involving acute hospitalization and post-acute rehabilitation, including community reintegration and hopefully a return home as a productive member of the community and family life. In the military, the goal is to help individuals with TBI return to active duty or make an optimal return to civilian life if the extent of their injuries necessitates a “medical board” discharge. Whether civilian or military, individuals with TBI who move beyond the need to live in a medical or supervised setting require supports and services in order to successfully reintegrate back into the community. This article discusses community integrated rehabilitation, and describes the Defense and Veterans Brain Injury Center at Virginia Neurocare, a program designed to provide community reintegration and rehabilitation for military personnel with TBI.

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