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Veterans with history of mild traumatic brain injury and posttraumatic stress disorder: Challenges from provider perspective

Nina A. Sayer, PhD, et al.

Veterans are returning from the wars in Iraq and Afghanistan with both traumatic brain injury, which is most often mild (mTBI), and posttraumatic stress disorder (PTSD). We interviewed 40 Department of Veterans Affairs providers across the United States who treat these veterans to learn about the challenges they face and to identify opportunities for quality improvement. Findings point to the need for guidance on best practices for assessment and treatment of patients with both mTBI and PTSD, improved systems to coordinate or integrate services, improved patient and provider education, and research to build the evidence base for practice. Providers also believed that patients who have a history of mTBI and current PTSD often have other problems that require specialized treatment, including pain and sleep disturbance.

Volume 46 Number 6, 2009
   Pages 703 — 716


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